HomeMy WebLinkAboutPermit Building 1998-07-15SPRTNGFIELEl
a
h,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVTCES DIVISTON
BUILDING SAFETY
Page 1
ilob Number: 980672
225 North Fifth street
Springfield, OR 97477
Locatsion of Proposed Work z 2455 34TH ST
Assessors Map #: 1-7O21-90O
Lot: Block:
office:
Inspection Lj-ne:
Tax Lot #: 01112
Subdivision:
Owner: ROBERT KETTWIG
Address: 2455 34TH STREET
Describe Work: SECOND STORY ADDITTON/REM
Phone #: 726-6442
City/State/zr-p: SPRINGFIELD, OREGON 97478
ADDITION
Const.
Contractor #Expires Phone
General:
Plumbing:
Mechanical
Electrical
Contractor
OWNER
OWNER
OWNER
OWNER
QUAD AREA:
ZONING CODE
\rN
INSUL PATH:
5RNW
: LDR
P1
OFFICE USE
LAND USE:
OCCY GROUP
111 1
:R3
# OF BLDGS: 1
CONSTR. TYPE:
SQ FOOTAGE: 643
To reguest an inspection, cal-l- the 24 hour recording aL 725-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erected but prior to concrete placemenL.
POST AND BEAII - Prior to ffoor insul-ation or decking.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover
ROUGH IIECIIANICAL - Prior to cover.
ROUGH PLITMBING - Prior to cover.
SANITARY SEWER LINE - Prior to fiffing trench.
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking wa1l/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all- mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Sol-ar Approved
Total- Height: 25 Setbk From NPL: 28
Y
Item
Main
BUILDING PERMTT
Square Feet x
643
$/Square Feet
64 .66
Value
4L,576 .0O
725-3759
726 -37 69
gPFIINGFTELE'
a
NOTICE:
TI{IS PERMIT SHALL EXPIRE IF THE WORK
EN.TNEERTNG DrvrsroN DEvEr.o"rAUtrlfl,BFEtrhUHPFR THls PERMIT ls NBf,se 1
RESIDENTIAI, I'NIMPROVEOSilffiT.@ED OR IS ABANDONED FOR
Developer: ROBERT KETTWIG rTob No. : 980672
MAi]- AddrESS: 2455 34TH STREET SPRINGFIELD, OREGON 97478 PhONE #: 725.6442
Tax Lot #: L7o2190001-Ll2 Project Address: 2455 34TH ST
Subdivision: Lot: Bl-k: Eng. Rev. No.: Book:
EXISTING IMPROVEMENTS
Ac Mat Curb Fu11 fmp SW Width Curbside
"h,
Street Gravel
2455 34TH ST
Existing Curbcut: Y
NONE N
widrh f't t'Ial-rs
N/A N/A
FI
Setback
N/A
ENGINEERING REQUIREMENIS
Additional- Right of Way
Improvement Agreement
Easements
SAI{ITARY SEWER
CALL THE UTII,TTIES NOTIFTCATION CENTER BEFORE YOU DIG 1-8OO-332-2344
Location From N,
Make ConnecLion:
S, E, W Property Line: AS SHOialN ON DRAWING OR AS-BUILT
HAS PRIVATE SEPTIC SYSTEM
STORITT SEWER
Avai-1ab1e: Y
Pipe Downspouts And Drains To: CIIRB & GUTTER
Pipe Parking Lot Drainage To: N/A
CommenLs: MAY CONNECT TO EXISTING ROOF DRAIN SYSTEM IF IN GOOD CONDITION
CONTACT I{AINTENANCE DIVISTON AT 726-376L FOR CUI,VERT SIZE AIVD DEPTH.
SIDEWALK AND DRIVEWAY INFORMATION
New Curbcut Appr.: N
Sidewalk PermiL: N
Curbcut Permit: N
CommenLs: UNIMPROVED STREET
ENCROACHMENT AND ASSESSIdENT
Encroachment PermiL Required:
Sanitary Sewer In Lieu Of Assessment:
SPECIAT NOTES AND REQUIREMENTS
A11 work within the public right of way shall- be in conformance with the City
of Springfield standard specifications for consEruction. A11 existing unused
curbcuts or portions thereof sha1l be restored to fu11 curb height as directed
by the Cj-ty. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the uLillties conflict wlth the
developmenL, at thei-r expense.
Reviewed By: DENNIS ERNST Date: o6/09/98
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTIIER IMPORTA.}IT INFOR}{ATION
gP,lINGFIELO
Job Number: 980672
t
Page 2
Garage
REBUTLD
Total VaLue
Building Permit. Fee
Surcharge/admin
TOTAL FEE
80
151
r.6.27
51.73
1, 302 . 00
7, 811.00
50,689.00
286
)a
00
88
(A)308.88
--- PLI'IIIBING PERMIT ---
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
3
Fee
30.00
30.00
2 .40
32.40(c)
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
--- MECHANICAL PERMIT ---
2
(D)
6.00
3.00
26.20
15.00
10.00
1, .20
--- MISCELLANEOUS PERMITS
Surcharge/Admin
SPLFD S/D/C'S
PLAN CHECK FEE
TOTAL MISCELTA.I{EOUS PERMITS (E)
0.00
4T.is
185.90
232 .6s
(Excluding Electrieal)
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)50 t .13
--- BUILDING VALUE, PLAI{ CHECK AT.ID BUII,,DING PERMTT ---
This permit i-s granted on the express condition that the said construction
shalI, 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 violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date:06/29/98
--- ADDI?TONAL COMMENTS
PATH 1, REQUIRES SEPERATE ELECTRICAL PERMIT
By signature, I at.atse and agree, that I have carefully examined
the completed application and do hereby certify that all- information hereonj-s true and correct, and I further certify that any and all work performed
shall- 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 strucLure without 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.
Item
Fixtures
cnv, oF
SPRINGFIELO
.fob Number: 980572 Page 3
I further agree to ensure that all requj-red inspections are requested at the
proper Lime, that each address is readable from the street, that the permit
card is l-ocat.ed at the front of the property, and the approved set of plans
wi-11-sj-te at. all times during construction
Signa Dat
on
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
OgYn5
' AqlL 33
Received "v, f). fYOehA-CO
sPt FIELE,
e{rhoffid
225 FIFTII STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:
0FFICE: 726-3159
1. LOCATION 9I INST
LEGA- DESCRIPTION 4la
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or fess
Each additional 500
. sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelliiig
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
A
B
C
Ci ty_.-tr
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
t lttoo
$ 2.00
1fr
Sum- DZ.-/7- oO
U
JOB T,TESCRI|TI0N
Permits ,rre non-transferable and expire
if vork is not started vithin 180 days
of issualce or if vork is suspended for
180 days.
2. CONT.IACTOR INSTALLATION ONLY
'lqUtretl Contractor
ed*u
OT
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect OnIy
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
0ver 600 amps or 1000-vofts
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Expirati:n Date_
Constr C:ntr. Number
Expirati,rn Date_
Signatur.: of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
$
$
$
se
40. 00
55.00
80.00
e rrBrr a6ove
Ovners N,lme
Address ztlgg N
Eor*eZl (o-zr",to
Tzfz{
D. Branch Circuits
Nev, Alteration or E::tension Per Panel
One Circuit /
Each Additional
Circuit or vith Service.
or Feeder Permr t 4
E. Miscel-laneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
?3 ot
Phone -7Jb'(5<44
OIINE INSTALTNTION
The instrlllation is being made on
property I ovn r,rhich is not intended
tor s;!:."-ffie o
Owners Signa
t $
$
$
s(
{,
5
40.00
40.00
20. 00
36.00
DATE:T,-;r
RECEIVED B
7
I dv(
a
i t,&ffY r
CITY OF SPRINGFIELD, OREGON
1 NGFIELI)
M &tom#g
uoa
225 FIFTE STREET
SPRTNGFIEI,D, OREGoN 97
INSPECTION REQIIEST: 7
0FFICE: 726-3759
ELE TRICAL PERHIT APPLICATION
Job Nunber qt 0G1 >
3. COHPI,ETE FEE SCEXDT'I,E BELOV
A' ilil.$S,lfl0$';:;'i;:liiil u"it.
SC rVig6 ilENMS S*ALL EXfIEHIF THE}JPEK
AUTHORIZED
ro006gg6ffi6gp
Each addrt:.ona
sq. AEY 180 rUtYrR EBII]D.s 1s.00thereo f
Each Manuf'd Home or
Modular Dvelling
SerVice or Feeder $ 40.00
26tW
1 LOCATION OF INSTALLATION
/J <,q4
I,EGAL ,Z
JOB DESCRIPTION
Lo"(-L
UNDER THIS PERMIT IS NOT
ffffiAMI6NE$Fbkoo
Sum
oOE-e-- dhl Da^: (Oao s*
Permits are zDor-transferable and expire
ii vort is not started vithin 180 days
;; i;;;";"" ot if vork is susPended for
1.80 days.
2. COMRACTOR INSTALT.ATION ONLY B
Electrical Contractor 1.1 byv\e.,AcrL
Address 2 k
ciry i)fuUvtr,zQ Phone 7oZ{':- 6?4L
Supervisor Lic=nse Number
Expiration Date C.
Constr Contr. Number
Expirat.ion Date
Signature of Supervising Electrician
D
Owners Name wLa
Address 7A 4-r
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
over L000 amPs/vo1ts
-
Reconnect 0n1Y
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Temnorarv Services or Feeders
ir"i.ri.il"t, Alteration or Relocation
2oo amps"or ress I t 19' 29
/&)!
;oi ;;; io aoo amPs
-
i ::'99o;;rl6i io ooo amPs -
- $ 80.'oo
Over 600 amps or fbOO-GTts see rrBt' above
...Branch Circuits
Nev, Alteration or Extension Per Panel
-Each installation
Pump or irrigation
-
Sien/Outline Lighting-
I-imi ted EnergY/Res
-
Limited EnergY/Comm
$ 3s.00
$ 2.00
E Miscellaneous (Service/feeder not included)
s s0.00
$ 60.00
s100.00
s130.00
$300.00s 40.00
The
pro
for
ciry 4LtYefwul vhone ?-l->(4#-*
OVNER INSTALLATION
ins tallat ion is being made on
hich is not intended
or rent.
sS
pe rty I ovn v s 40.00
$ 40.00
$ 20.00
s 36.00
RECEIVED
5
d)
zoniflg'
qc{
t_
A
H <q One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
i
i
ATTACHMENT A
JoB No. a(ezz_
CITY OF SPRINGFIELD SYSIEMS DEVEL(ITMENT CHARGE
I^/ORKSHEET
NAME OR COMPANY Boz ?c G
LOCATION
DEVELOPMENT TYPI A0llt Teosnt % qF /\-
BUILDING SIZE LOI SIZ FT
1 STORM DRAINAGI N€4., Pr-f grsz,{
IMPERVIOUS SO FT q x $0.226 PER SQ. FT $ 4U, fz-
2. SANITARY SE,.{ER-CITY Ftztuaz6 !e7n<_
NC OF PFU'S X $.16. 86 PER PFU $
(See Reverse Side)
3. IRANSPORIA i i0N
NO OF UNITS X TRIP RATI X COST PtR TRIP
x $4i2 49 s€*
x $472 49 s
x $472.49 $
4 . SAN iTARY SE',ER -MI,JI'4C
N0. 0F FEU'S
-X -PER
FEU + $10 Ml^llvlC/ADM FEE $e
2_4T'4rq
X
X
X
MI/\IMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MI^JMC SDC
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGI (SUBTOTAL ABOVE) X .05
$
$
t Z{{2D I J /\)
5 Z,Zz
SDC Coordinator
Date:
TOTAL SDC sffi
41 t>
a
..n!\,tll.rJr\llllv/{LvrJl-^HlltJlYlADLtr,.NumberotNewFixturesXUnitEquivalent=FixtureUnits
(N.TE: For remodel., ;;;;*.onlv-<he NET additional fixtures)
MBER oF_-^ UNIT FI*TURE
NEW FIXTURES EOUTVALENT UNITS
FIXTURE TYPE
Bathtub...... '1"""'
Drinking Fountain"
Floor Drain..
lnterceptors For Grease/Oil/SolidslEtc"""""""
lnterceptors For Sand/Auto WashlEtc"""""""
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 Per Trailer).........
Receptor For Refrigeratoriwater StationiEtc.....
Receptor For Commercial SinkiDishwasheriEtc.
Shower, Single Stall...
Shower, Gang.. ...;..!....,.
Sink: Bar, Commercial, Residential Kitchen.......
Urinal, Stall/Wall...
Wash Basini Lavatory, Single..
Toiiet, Pubiic lnstallation. ..:..........
Toilet , Privare.....
Miscellaneous:
eadH
2
1
2
3
o
2
6
6
1
J
2
it
2
2
1
b
4
TOTAL FIXTURE UNITS
I
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in rable.calculate credits se arate s
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
(Rate X As
x $_
sessed Value)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE(For Estimating purposes Only)
Hesicieniiai.............
Commerical
lndustrial.........,
Governmental...
o.4
....... 0.9
05
...... 0.5
Year
Annexed
Fate per $1,000
Assessed Value
Year
Annexed
Rate per $1,COO
Assessed Value
1 979 or before
1 980
1 981
'1982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
vz.co
2"17
1.73
1.31
0.92
4.74
0.61
0.45
o.31
o.17
lMPERVlous AREA = TorAL Lor s,zE x RuNoFF .'EFFI.,ENT
CREDIT TOTAL = $