HomeMy WebLinkAboutPermit Building 1995-08-07CITY OF SPruNGFIEI^D,
SPIlINGFIELD
RESIDEMTIAL PERMIT APPLTCATION
CTTY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nr:rnber: 950730
225 North Fift.h street
Springfield, OR 97477
Location of Proposed Work: 853 S 34TH PL
Assessors Map #: 1-802051-2
Lot: 58 Bl-ock:
office
Inspection Line
726 -37 59
726 -37 69
Tax Lot #
Subdivision
02600
HAYDEN GARDENS 1
Owner: HAYDEN ENIERPRISES
Address: 899 SOUTH 32ND STREET
Phone #: 744-5956
cit.y/state/zip: SPRTNGFTELD, OREGON 97478
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical:
El-ectrical:
Contractor
HAYDEN ENTERPRI OO922O8
1511 SW 33rd Redmond OR 977550000
EMERALD VALLEY 0051737
2727 N 20th Springfield OR 9747700o
HAYDEN ENTERPRI OO922O8
1511 SW 33rd Redmond OR 977560000
ALLEN ELECTRIC OOOO958
201 N 3rd Madras OR 977410000
Const.
Contractor #Expires
o7 /2e / e5
oe/1,e/e6
o7/2e/e6
oe/24/eo
Phone
923-6607
583-5115
923 - 6607
47 5 -2L39
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1693
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To request an inspection, calf the 24 }:.our recording aL 726-3769.
A11 inspections requested before 7:00 a.m. wil-l be made the same working day,
inspections requested after 7:00 a.m. will be made the fol-lowing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erecLed but prior to concrete placement.
ITNDERFLOOR PTIIMBING - Prior to insulation or decking.
POST AI.ID BEAM - Prior to fl-oor insul-ation or decking.
INSULATION - Fl-oor,' prior to decking Wa11/Cei1i-ng; Prior to cover
SAIIIITARY SEWER LINE - Prior to fil-Iing Erench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLITIIBTNG - Prior to cover.
ROUGH MECHAIiIICAL - Prior to cover.
ROUGH ELECTRICAT - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR,AMING - Prior To Cover.
INSULATION - Floor; prior Lo decking Wa11/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base materj-al-
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL ELECTRICAL - When all el-ectrlcal work is complete.
FINAL MECIINiIICAL - When aII mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPFINGFIELl,
Job Number: 950730
CITY OF SPRINGFIEI^D,
Page 2
Total Height: 15
Lot Type: INTERIOR
Setbk From NPL: 5 Solar Approved: Y
Item
Main
Garage
Total Va1ue
Building Permit Fee
Surcharge/admin
TOTAT FEE
--- BUII,DING PERMIT ---
Square Feet x
113 3
550
$/Square Feet
55.20
14.10
(A)
Val-ue
63,675.00
7 ,896 . OO
7L,571,.00
349.00
21.92
37 6 .92
SYSTEMS DEVELOPIIENT CHARGE (SDC)
(B)1,588.05
Systems Development Charge is due on all undeveloped propert.ies within the City
limits and the Citys Urban Growth Boundry which are being improved.
PI,I'MBING PERMIT
Item
Residenti-al Bath (s)
Plumbi-ng Permit
Surcharge/admin
TOTAI, CIIARGE
2
Fee
160.00
160.00
12. B0
L72.80(c)
--- MECHANICAL PERMTT ---
Exhaust. Hood
Vent Fan
Dryer Vent
Mechanical- Permit
fssuance
Surcharge/Admin
TOTAL PERMIT
3
4 .50
9.00
3.00
15.50
10.00
1.32
(D)27.82
- - - MISCEIJLAI{EOUS PERMITS
Sidewalk
Curb Cut
PLAN REVIEW
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MISCEIJIJAI{EOUS PERMITS
20.50
13.90
40.00
400.00
L24.20
(E)598.50
(Excluding Electrical )
unlesE otherwise noted
-. - TOTAL AITIOI'NT DUE - - -
(A, B, C, D, and E combined)2,7 54.L9
--- BUILDING VAIJUE, PI'AIV CHECK AIVD BUIIJDING PERMIT ---
This permit is granted on the express condition that the said construction
shafl, in all- respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon vio1at.ion
of any provisions of said ordinances.
SPRINGFIELD
.Tob Number: 950730
CffT OF SPruNGFIELD,
Page 3
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I EtaEe and agree, that I have carefully examined
the completed application and do hereby certify that all- information hereon
is true and correct, and I further certify that any and aLl work performed
shafl be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure wit.hout permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Lo ensure that all required inspections are requested at. the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will- remain on the site at all ti during construction
C gnature Date
--- VATIDATION ---
Receipt Number:
Date Paid:
Amount Recei-ved:
Received By:
qS\
Willamalane
Park & Recreation District
NAA4E
ADDRESS:
1
l,lcl ho h
SYSTEMS DEVELOPMENT CHARGE
woBl(sHEET
nqs
Lilwr*
PHoNE: 1qq'(tq( ',
srArE: & =" [11411 .
Iob No.
$
$
t1,00 ,nn
LOCATION OF FROPOSED LDINC SITE
Streā¬t Address if Known:
/1
Ta:< Lot Numbec
Manufactured home not in a park
x $?77 PER UNlr =
x g2so PgR uNr =
Platt Name:t(o uobtu
PqvelOpUEUf fWe (Check appropriate dwetling@. SDC Catculations and dwetling t)"effiu
A Single Family - Detached
II Single Family home
NO OF UNITS
B. Single Family - Attached
t X 5400 PER UNIT;.
\
NO OF UNITS- X $370 PER UNIT =$
C. Multi-FamityApartment .
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
$
$
WPRD SDC
L WPRD NET SDC ASSESSED (f SDC reduced for Gedi0
2. SDC CREDIT (lf applicabld SDC-payer must furnish proof of WPRD Credit
approval. Se SDC Crdit Worl<sh*L
3.
.nitrr (nn aaCtl.ln flato
q
$ ac\ r'
kofi)
r 4ilco
6
qTT OF SPilNGFIELD,
SPFINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPITTENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN ENTERPRISES
Locati-on: 853 S 34TH PL
Developement Tlpe: R Building Size
Job No.: 950730
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs
(see Page 2)
X 0.209 Per Sq Ft =
X 43.25 Per PFU =
Cost Per Trip
436.A9
3. TR.AI'ISPORTATION
Number Of Units
1X
x
18
Trip Rate
1.010 x
X
$440. ss
$0.00
$778.58
$440. ss
$3L9.42
$26.23
i293.L9
$L ,5L2 .43
$75.62
Transportation Total
4. SA}IITARY SEWER . M$MC
Number Of PFUs
18
5. ADMINISTR.ATIVE FEES
Base Charge (Subtotal Above)
x
PeT PFU
L7 .L90
+ MViMC Admin Fee
+ 10.00
Mi/\MC CREDIT If Applicable (see Page 2)
TOTAL - Mi^MC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: KIP BITRDICK Date: O7 / 06 / 95
$1, 588 . 05
CITY OF SPRINGFIEI.D,
SPFINGFIELD
Job Number: 950730 Page 2
FIXTI'RE I'NIT CAI.CULATION TABLE
Fixture Type
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptsors For Grease/Oi1/Solids/Utc
Inteceptors For Sand/Auto wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/utc
Receptor for CommerciaL sink/Dishwasher/Et.c
Shower, Single Sta11
Shower, Gang
Sink, Bar, Commercial
Urina], StaLl/WaI1
Wash Basin/Lavatory, Single
water Closet, Public Installation
Water Closet, Privale
MisceLlaneous
TOTAL FTXTURE UN]TS =18
CREDIT CALCITLATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: L950
Credit For Parce1 Or Land Only ff Applicable: 7,580 x 3.46 = 26.23
Improvement (if afEer annexation date): 0 x 3.45 = 0.00
CREDIT TOTAL = $26.23
(If land value i-s multsiplied by 1 then the parcel/land credit is not accurate.)
+
U
0
0
0
a
0
0
0
0
0
.)
0
2
0
I
0
a
1
2
3
6
5
1
3
a
1
a
1
6
4
2
0
0
0
0
1
0
0
0
0
0
1
0
2
0
a
lx ltT l'.::? ?;1, ?ilxfr$:1 #"'
"x:
u9e
Service Included, ,,"r"
1000 sq.ft. or less \
gach additional 500
sq. ft or Portion Athereof C\
Each Manuf'd Home or
Modular Dvelling
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconneet OnIY
SPrlINGFIELO
EI,ECTRICAL PERHIT APPLICATION
City Job Nunber
SCBEDIII,E BELOV
225 TIFTE STRBEf,
SPRTNGTIEU), OREGoN
INSPECTION REQIIBST:
OPFICE: 726-3759
apPrava!'
97477
726-37
1
1 6 Nev Resldential-Single or
HuIti-FamilY Per dvelling unit'A
JOB
Cos t
s 8s.00
$ 15.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
%
e)Permits are non-traftsferable and expire
if vork is not started vithin 180 days
oi l""u"nce or lf vork ls suspended for
180 days.
2. COI{ITRACTOR INSTALT,ATION ONLY
Electrical Contrac tor Allen Electric
{ddress 72 3rd St.
:ity@ Phone 475-:l 39
upervisor Licenpe Number 1006
xpiration Date 10-1-95 -
rnstr Contr . Number 6,a1 4\
<piration Date 9-4-
ignature of sing Electrician
ners Name
lress <--4
ry@rhone >44*d?A{
OIINER INSTALI,ATION
. installation is beirig made on
perty I ovn vhich is not intended
sale, lease or rent.
ers Signature:
P.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outl.ine Lighting-
Limi ted Energy/Res
-
Limi ted EnergY/Comm
Temporary Services or'Feeders
lnstallaiion, Alteration or Relocation
200 amps or less
201 amps to 400 amPs
-Over 401 to 600 amps
0ver 600 amPs or fOOO-ToT[s
SUBTOTAL OT ABOVE
5tr State Surcharge
ECIrAL 3o/O-lI+c-L-
B
c
$
$
$
s
$
$
$
$
.0040
55.00
80. o0
ee rrBrr a6ffi
D
20
.00
.00
.00
.00
n
40
40
1IIVED
5
36
--
SPRI}{GFIELI)
RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759 efr,
JoBNUMBEa%
225 Fif th Street
Springf leld, Oregon 97477
a"eLOCATION OF PROPOSED WOBK:
ASSESSORS MAP ,a
LOT:BLOCK:
TAX LOT:Z2<Z&
SUBDIVISION
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
PHON E:
ZlPi
a-t
STATE:CITY;
DESCRIBE WORK:
ADDRESS:
OWNER
MECHANICAL;
-
ELECTRICAL:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
CONST.
CONTRACTOR '{
GENERAL:
PLUMBING
r OF BDRMS:
- OFFICE USE -
WATEB HEATER:
ZONING CODE:
FLOOD PLAIN:
SECONDABY HEAT:
SOUARE FOOTAGE
OUAD AREA:
# OF BLDGS
CONSTR. TYPE
HEAT SOUFICE:
LAND USE:
# OF UNITS
OCCY GROUP:
r OF STORIES:
To request an inspectlon, you must call 726-3769. Thls ls a24 hour recording. All lnspections requested before 7:00 a.m. wlll be
made the sanre worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumbing worl( is complete.
Slte lnspection - To be made
a{ter excavation, but prior to
setting forms.
Rough Electrical - Prlor to Flnal Electrical - When all
electrical work is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and f raming lnsp.
Flnal Buildlng - Wherr all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Othor
Wall/Ceiling lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatl6n or decklng.Wood Stovo - After lnstallation
Posl and Beam - Prior to lloor
lnsulatlon or decking.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placemcnt of goncrete.
Plumbing Connections - When
home has been connected to
water and sewer.
W Sanitary Sewer - Prior to f illing
trench,Eleclrical Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Slorm Sewer - Prlor to filllng
trench.
Sidewalk & Driveway - Af ter
excavation ls completc, forms
and sub-base materlal in place.
Water Line - Prlor to filling
trench.
Fence - When completed
Street Treos - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, skirtlng, decks, and
ventlng have been installed.
m
Rough Plumbing - Prlor to
cover.
L
,-i : if
-.qn
RANGF.:
En
tl
tl
E
E
E
E
fl
rl
E
tl
tl
il
tl
tl
E
Lot faccs
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul.de-sac
P.L.HSE GAR ACC
N
J
E
IS THE PFIOPOSED WORK IN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls application must be slgnedand approved by the Historical
Coordinator prior to permit issuance.
VALUE
(A)
X $iSO, FI.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This permlt is grantecl on lhe express condilion that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and tse ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of sald ordinances.
Receipt Number:___._
Datet3yPlans Rcviewecl
Date Paid
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
rr. Z 5>-+
FT.
tr
(c)
5>
2 >-. -2
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total charge
?-a -
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I hdve caref ully examinedthe completed application and do hereby certify that alllnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and arr work performed shail be done in accordance
with the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work described
hereln, and that NO OCCUPANCy will be made of anystructure wlthout perrnission of the Bulldirrg Safety Division.I further certify that only contractors and employees who
are ln compliance witlr ORS 7Oj.O55 wiil be used on thls
Proiect.
I further agree to ensure that all required inspections arerequested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the frontof the property, and the approved set
on the site at a mes duri on lon
plans will remaln
Slgnature
Date
MISCELLAN EOUS PERMITS
State lssuance ,
State Surcharge
Sldewalk -- ft
Curbctrt
--
ft
Demolition
State Surcharge
Mobile Home
(E)
TOTAL AMOUNT DUE (exctuding 0teclricat)
(A, B, C, D, and E Comblned)
vAlroaloru:
FIECEIPT NUMBER
DATE PAID
AMOUNT RECEIVF.D
1ryD
RECEIVED BY
APPROVED:
Total Miscellaneous permits
,/'1'ZSnt b'