HomeMy WebLinkAboutPermit Building 2000-01-03ctTy OF SPruNGETELT',
SPFINGFIELD
a
TRANSS:01-0000110
DflTE:JAN 03 2Or]O
AHI RE[D:1 $ 246.00
IHANGE:$ 0.].2
DASHIER:0i?
RESIDENTIAL PERMTT APPLTCATTON
CTTY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUTLDING SAFETY
Page 1
ilob Number: 991-345A
225 North Fifth Street
Sprj-ngfie1d, OR 97477
Location of Proposed Work: 530 34TH ST
Assessors t"tap #: L7023L24
Lot: Block:
Offlce:
Inspection Line:
725 -37 59
726 -3769
Tax Lot #: 08700
Subdivision:
OwneT: DARLENE BERKSHTRE
Address: 530 34TH ST.
Phone #
r41vfi,1 t&Sr', Dqqon,Describe iiork: /AaA" %-2 d#;^*&t#'r
^'!P)
z, / z "'/ -6 t I 7{7*r3
QUAD AREA: 3RNC
- - OFFICE USE - -
LAND USE: 1111 SQ FOOTAGE: 480
To request an inspecEion, cal_I the 24 hour recording aL 72G-3769.
A11 inspections requested before 7:OO a.m. will be made the same working day,inspections reguested aft.er 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FRAIIING - Prior to cover.
STORIT! SEWER LfNE - Prior to fil_ling trench.
FINAL BUIIJDING - When all required inspections have been approved and
the building is complete.
Lot Faces: E
Garage
Setbacks
EN
1,4
W
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUTTDING PERMIT
Square Feet x
480
$/Square Feet
15
(A)
Value
0.00
0.00
7,200.O0
68.50
5.85
75.36
--. MISCELLANEOUS PERMITS -.-
Surcharge/edmin
CITY SDC
TOTAL MISCELLA.I{EOUS PERMITS (E)
0.00
l-70.52
L7 0 .52
(Excluding Electrical)
unless otherwise noted
--- TOTAI, AMOI'NT DUE ---
(A, B, C, D, and E combined)245.88
z[0: USIHSUS
:35NUHX
BB'S?E $ I:03]U lHU
000e ?0 NUf:31U0
6810000-T0: *$NUUI
SPRINGFTELD
.fob Number: 991345A
ctTy oF
Page 2
--- BUILDING VALUE,PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express cond.ition that the said constructionshal-l, in al-l respects, conform to the ord.inance adopt.ed by the cj_ty ofSpringfield, including the Development Code, regulating the const.ruct.ion anduse of bulldings, and may be suspended or revoked at any time upon violatj-onof any provisions of said ordinances.
--- ADDTTIONAL COMMENTS ---
HEIGHT CONFLICT W/ RESIDENCE
By signature,f ataEe and agree, that I have carefully examinedthe completed application and do hereby certify that al-1 information hereonis true and correct, and I further certify that any and all work performedshall be done in accordance with the ordinances of the Cit.y of Springfield,
and the Laws of the State of Oregon pertaj-ning to the work d.escribed herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with oRs 701.055 wi_ll be
used on thj-s project.
I further agree to ensure that all required inspections are requested at theproper time, that each address is readable from the street, that the permitcard is located at the front of the property, and the approved set of planswill remain on the siLe at all times during construction.
/.2ooa/y^6/gna
--- VALIDATION --.
Receipt Number
Date Paid
Amount Received
Received By:
ATTACHMENT A
CITY OF SPRINGFIELD TEMS
JOURN AL OR JOB NUMBER 991345A
wo HEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE
DARLENE BERKSHIRE
530 34TH STREET
17023124-08100
BUILDING SIZE LOT SIZE
I. STORMDRAINAGE
IMPERVIOUS SQ, FT 700.0 x $0.232 PER SQ. FT 162.40
2. SANITARY SEV/ER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFU0 $0.00
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x 1.01 x M86.73 PER TRIP
x x M86.73 PER TRIP
$0.00
$0.00
TOTAL TRANSPORTATION SDC $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NIIMBER OF FEU's $242,76 PER FEU $0.00
B.IMPROVEMENT COST
NUMBER OF FEU's 522.05 PER FEU $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$0.00
$0.00
TOTAL MWMC SDC $0.00
$ 162.40SUBTOTAL (ADD ITEMS 1,2,3, &4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $8. l2
'=@;' -
SDC COORDINAT€'R DATE-
TOTAL SDC CHARGES $170.s2
CARP
x
x
PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE
NUMBERoFNEwFIXTURESxUNITEQUIVALENT:PLUMBINGFIXTUREUNITS
OIOTE, FOR REMODELS.
FIXTURES L]NIT FIXTURE
FIXTURE TYPE NEW OLD UNITS
BATHTUB
DRINKING FOI.]NTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LALINDRY TUB/CLOSTHSWASHER/MOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOWWATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHERJETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SNK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PLIBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
0
0
0
TOTAL PLUMBING FIXTURE TINITS:
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
$ 4.47
$ 4.38
$4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
s2.62
r989
1990
l99l
1992
1993
1994
1995
1996
1997
1998
$ 2.18
$ 1.7s
s 1.35
$ 1.17
$ 1.03
$ 0.86
$ 0.71
$ 0.s7
$ 0.39
$ 0.18
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE X
IMPROVEMENT (IF AFTERANNEXATION DATE) --
X
$0.00
$0.00
$0.00CREDIT TOTAL
0
R.ESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3269
Offlce:726-3t59
LOCATION OF PROPOSED
SPR
JOB NUMBER 71,7qf
225 Fifth Street
Sprlngfleld, Oregon gl 4tl
s3t, /u 3'ilWORK:l1 6 t{ASSESSOFIS MAP:TAX LOI 087o0
LOT: BLOCK:SUBDIVISION
PHONE:
/14 ztPSTATE:
OWNER:
ADDRESS:
CITY:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:, {T.Vf
NEW- REMODEL
ELECTBICAL:
ADDRESS
MECHANICAL:Pd,: rtltL
C
v
UN
n
--
EXPIRES ,;1 PHONE
-oF.'followrt
FLOODeuAD eneNOTlCE:
PERMTSHALLEXPItoF
OCCY G
, OF STORI HEAT SOURCE:SECONDARY H
3qN!ilq,coDh\r--
CONTRACTOB'S NAME
PLUMBING:
GENERAL:
SOUARE FOOTAGE:
CONST.
CONTRACTOR #
EAT: **4
WATER HEATER:RANGE:
To request an lnspectlon, you
made tho same worklng day,
must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wiil belnspectlons reguested after 7:00 a.m. wlll be macje the followlng work day.
REOUIRED INSPECTIONS
I Temnorary Electrtc Rough Mechanlcal - prior to
cover.l-_l Flnal Ptumblng - When ail.J plumblng worl< ls complete.
Slto lnspectlon - To lre mado
after excavatlon, but prlor tosettlng forms,
Rough Electrlcal - Prior to Final Electrlcal - When altelectrlcal work is complete.cover.
Underslab Plumblngl Electrlcal /Mechanlcal - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Mechanlcal - When allanlcal work is complete.
E Footlng - After trenches are
excavated.Flnal Buildlng - When ailrequlred lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.H S &-u/u
Underground Plumblng - Prlor
to lllllng trench.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TTONS
Post and Beam - Prlor to floor
lnsulatlon or decklng.
I--l Alocking and Set.Up - When ailu blocklng ls complete.
Floor lnsulatlon - Prlor to
decking.Curbcut & AJrproach - After
forms are erected but prior to
placomont of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Electrlcal Connecllon - Whenblocklng, set-up, and plumblng
lnspections have been approved
and the home ls connected to
the servlce panel.
Slorrn Sewer - Prlor to fllllng
tronch.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor t') filllng
trench.
Fence - When completed
Rough Plumblng - Prlor to
cover.
Street Trees - When all roqulred
troes are planted.
tl
E
fl
l-l flreptaco - Prtor to factng
-
materlals ancl framlng lnsp
n Framlng - Prlor to cover.
l--l walltCelllng lnsulatlon - prtor toH cover.
[--l Dwwall - Prlor to taplng.
I--l Wooa Stovo - After lnstailatton.
l-l tnsert - After flreplace approval
-
and lnstallatlon ol unlt.
tl
l-l Flnat - After alt requiredlJ lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot1ype
-
lnterlor
-
Corner
-
Panhandle t:
-
Cul-de-sac
P.L.HSE GAR ACC:
N
S
E
lb r'HE PROPOSEO WORK lN THE .."HISTOFICAL DIBTHI T, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved bY the H istorlcal
Coordlnator prlor to permit issuance.
ED:
-B U I LDNGThLTT E, F TRrt C H EC K
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the Clty of Sprlnglleld, includlng the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordinances'
Plan Check Fee:
-
Plans Revlewed By
Receipt Nu
Date Paid
Beceived By:
VALUE
(A)
rSrr
Total Value
Building Permit Fee
State Surcharge
Total Fee
Eirit
X $/SQ, FT.
BUILDING PER
ITEM SQ.
Main
Garage
Carport
Systems Development Charge ls due on all undeveloped
properties withln the City llmlts which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert / Flreplace Unlt
Dryer Vent
/'+s -;tTr
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
i,T. r., o
/.tnze.9
No
)tr 0J
Vent Fan
MECHANICAL PERMIT
Furnace
Exhaust Hood
(Z'sv?
(D)
By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I further certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the slte at I times durlng c
Slgnatu
Date
on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, q D, and E Comblned)
f1c{
J
VAI.IDATION:
RECEIPT NUMBER 0 3{tsc
/o
RECEIVED BY
DATE PAID
AMOUNT RECEIVED
Date
FT.
FT.