HomeMy WebLinkAboutPermit Building 1997-07-07SPFIHGF!ELD
a
RESIDENTIAI. PERMIT APPI,TCATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 97 0849
225 North Fifth Stsreet
Springfield, OR 97477
Location of Proposed Work: 395 35TH ST
Assessors t"tap #: l-.7023L24
Lot: Block:
Office:
Inspection Line:
726-3759
726-3769
Tax Lot #: 12500
Subdivision:
O\dNET: DAVID/MARY }IILLER
Address: 395 35TH STREET
Describe Work: GAR:AGE
Phone #: 718-051-0
city/state/zip: SPRTNGFTELD, oREGON 97478
NEW
Const.
Contractor #Expires PhoneContractor
Generaf:OWNER
El-ectrical: OI'{NER
QUAD AREA: 2RMI
ZONING CODE: LDR
-- oFFrcE usE --
LAND USE: 1111
CONSTR. TYPE: VN
#OF BLDGS:
FOOTAGE:
1
720
To requegt an inspection, call the 24 hour record
A11 inspections reguested before 7:00 a.m. w
an re sted after 7:00 a IE
3759.
same working day,
lowing work day.
- After trenches are
FOITIIDATION - After forms are e
FRAI{ING - Prior to cover.
concreEe placement.
STORII SEWER LINE - Prior to filling
FINAL BUILDING - When all reguired ins ctions have been approved and
ng is compfete.
aI Height: 1-2 Setbk From NPL: 50 Solar Approved: Y
t Type: PAI.IHANDLE
Item
Main
Garage
Tota1 Val-ue
Building Permit Fee
Surcharge/admin
TOTAI, FEE
--- BUILDING PERMIT
Square Feet x
720
$/Sguare Feets
]-6.27
(A)
Value
0.00
tt ,7L4 . OO
L1_ ,7]-4 . OO
92 .50
7 .4L
99.91
SYSTE}TS DEVELOPI{ENT CHARGE (SDC)
(B)2L5.9L
Systems Development Charge is due on al-l- undeveloped properties within the City
Limits and the Citys Urban Growth Boundry which are being improved.
Item
Storm Sewer
Fee
25.OO
--- PLI'MBING PERITIT ---
SPFINGFIELD
Job Number: 97 OB49
a
Page 2
Plumbing Permit
Surcharge/Rdmin
TOTAI. CIIARGE (c)
25.00
2.00
27 .OO
(Excluding Electrical)
unlees otherwiee notsed
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)342.82
--- BUII.DING VAI,UE, PI.A}i[ CHECK AND BUILDING PERMIT ---
This permit is granted on the express condiLion that the said construction
shaL1, 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 tsime upon violation
of any provisions of said ordinances.
PIan Check Fee: 40.53 Date Paid
Received By: DON MOORE
Plans Reviewed By: DON MOORE Date
Building SiEe Reviewed By: LISA HOPPER
o6/02/e7
o7 /02/e7
Receipt Number: 26002
--- ADDITIONAL COMMENTS ---
THIS STRUCTT]RE CANNOT EXCEED THE HEIGHT OR SIZE
OF THE MAIN STRUCTT'RE (RESIDENCE)
PLA}TS REV]EWED BY MICK NOLTE/MORTIER ENG]NEER]NG '7 /I/97
DRIVEWAY REQUIRED TO BE PAVED
By signature, I ELate and agree, that I have carefully examined
the completed application and do hereby certify that aI1 information hereon
is true and correcE, and I further cerEify that any and all work performed
shafl be done in accordance with the Ordinances of the City of Springfield,
and the Laws of t,he State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wilt be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contracEors and employees who are in compliance with ORS 701.055 will be
used on Lhis project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is LocaLed at the front of the property, and the approved set of plans
will remain on the site at alt times during construcLion.
Lure Dat,e
APFINGFIELD
Job Number: 970849
SPruNGFIELD,a
Page 3
.-- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
OFEGO'UC'TY OF SPR
zo,-,,nq_ L4(
-
225 FIrTH STREET ' ',')'"1''1.11"1. '
SPMGFIEL],
ELECTRICAL PERHIT APP
M Job Nurnber
3. COUPIJTE FEE SCEEDI'ILE BELOV
SPRINGFIEI,D, OREGON 97 477
illipecrroN REQUESTz 726-3769
oFPICE: 726-3759
c Nev Residential-Single or
MuLti-FamilY Per dvelling unit'
Service lncluded:
tt
PTION
\Items Cos t
$ 8s.00
$ is.oo
Sum
Permits are non-tran
if vork is not start
of issuance or i f vro
sferable and exPire
ed vithin 180 daYs
rk is suspended for
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home' or
Modular Dvelling
Service or Feeder
DE
180 days.
COMRACTOR INSTALT,ATION ONLY
Ele ical Contractor
Address
Ci ty
i Supervisor Lice
I
ber
Expiration Date
Cons tr Cont Number
Expi ra t Date
S ure of Supervising Elec
Ovners Name
Address
$ 40.00
B Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps r
201,
o 1000 lmps_
1
1
mps /voI tst 0n1y
empo rary Services or Feeders
o$ns talla t i on ,Alteration or Relocation
J s 40.00
amps s ss.00
amps $ 80.00r rOOO-TofT s see rrgrr .ffi![-
Nev, Alteratj.on or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
:i';:::":'rxl,ll,t"rvictr $ 2.oo _!L
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
4
less \
400 amps ---+
600 amps
00
00
00
00
00
00
300
40
40.00
40.00
20. 00
36.00
50
60
00
30
$
s
s
$
$
s
I
D
200 amps''or les
20L amps to 400
over 40L to 600
Over 600 amps o
Branch Circuits
ci,xhf[s Phone
0VNER YnstallatloH
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signa
E
(
s
$
s(
dJ5
DATE:
RECEIYED
ure:
-TT\g
1.
Page 1
CITY OT SPRINGTIELD SYSTEITS DEVEI,OPUEIIT CIIARGE
(RESIDEIITIAL)
Name or Company: DAVfD/I"IARY MILLER
Location: 395 35TH ST
Developement Type: R Building Size:
'Job No.: 970849
Lot Size:Sq Ft
1. STORII DRAINAGE
Impervious Sq Ft
2. SANITARY SEWER . CITY
Number Of PFIIs
(see Page 2)
3. TR,ANSPORTATION
Number Of Units
5. ADIIINISTRATTVE FEES
Base Charge (Subtotal Above)
952 x 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
X Trip Rate X Cost Per Trip
0
$20s .63
$o. oo
$0.00
$o. oo
$0. oo
$0.00
$20s.53
$r.0 .28
Transportation Total
4. SANITARY SEWER - UI{}IC
Number Of PFUs
0
MhMC CREDIT If Applicable (see Page 2)
TOTAIJ - MWMC SDC
SITBTOTAL - (Add lEeme 1, 2, 3 & 4)
Per PFU + MWMC Admin Fee
20.690
x
x
x 0.50
TOTAIJ SDC
Reviewed By: DENNIS ERNST Date: 06/os/97
$21s.91
ilob Number: 970849 Page 2
FIXTI'RE I'NIT CALCUI,ATION TABI,E
Number of
New Fixture
Unit
Eguivalent
Fixture
UnitsFixture Type
Bathtub
Drinking Fountain
Floor Drain
IntercepEors For Grease/Oi1/Solids/Stc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/uEc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stal1/wa1l
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
MiscelLaneous
TOTAL FIXTT'RE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable: 0 X 0.00 = 0.00
Improvement (if after annexation date): 0 X 0.00 = 0.00
CREDIT TOTAL = $0.00
(If land value is multiplied by l- tshen the parcel/land credit is not accurate.)
2
L
2
3
6
2
6
1
3
2
2
2
l_
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0