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HomeMy WebLinkAboutPermit Building 1998-04-07CITY OF SPruNGFIELD, SPhti.GF'ELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUIIJDING SAFETY Page 1 ilob Number: 980319 225 North Fifth Street Sprj-ngfie1d, OR 97477 Locatsion of Proposed Work: 542 S 35TH ST Assessors t'tap #: L7023L34 Lot : 5 Bl-ock: Office Inspection Line 726 -37 59 726 -37 59 Tax Lot #: Subdivision: 03800 LILAC MEADOWS OWNEr: EARLMCETEANC AddTESS: 975 WILLAGILESPIE RD Describe Work: S.F. RESIDENCE Phone #: 484-6693 city/srate/zip: EUGENE, oREGON 97401 NEW Const. Contractor #Expires Phone General: Plumbing: Mechanical: Electrical: Contractor OWNER CONTRACTORS PLU 01.0L624 1590 BOGART LANE EUGENE OR 974O1OOO HOME COMFORT OOB1757 2074 SW 4TH AVE ONTARIO OR 97914000 LYNNS ELECTRIC 0].023]-5 PO BOX A FALL CREEK OR 97438OOOO o8 /L5 / e8 04 /30 / e8 LO/L4/e8 343 - 097 s 889 - 6427 726-7895 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER E^*g -- oFFICE USE -- LAND USE: 1l-11 ZONTNG CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: l- OCCY GROUP: R3 HEAT SOURCE: WH SQ FOOTAGE: L976 To request an inapection, cal-I the 24 howr recording aL 726-3769 A11 inspections requested before 7:00 a.m. wil-I be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFLOOR PIJITMBING - Prior to i-nsulation or decking. ITNDERFIJOOR MECHAI{ICAL - Prior Eo insulation or decking. POST At{D BEAITI - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover SATiIITARY SEWER LINE - Prior to filling trench. STORM SEWER IINE - Prior to filling trench. ROUGH PIJI,MBING - Prior Lo cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVfCE - Must be approved to obtain permanent power. FP.AI{ING - Prior to cover. INSULATfON - Fl-oor; prior to decking Wall/Ceiling; Prior to cover DRYWAIJIT - Prior to taping. FINAL PtITMBING - When all plumbing work is complete. FINAL MECHAI.IICAL - When all mechanical work is complete. FINAL EIJECTRICAL - When all el-ectrical work is complete. FINAT BUILDING - When all reguired inspections have been approved and the building is complete. Lot Faces: S Total- Height: 1-6 Setbk From NPL: 30 =8P+z<==;o gH#gH egFr=Ei* FgH =m-E=Ir=frx(D=69{x SPRTXGFTELC, .fob Number: 980319 OTTOF Page 2 Solar Approved: Y House Garage Lot Type Setbacks SW 20 L2 PANHANDLE N 15 E l_0 10 ILem Main Garage Tota1 Value BuiJ-ding Permit Fee Surcharge/admin TOTAL FEE --- BUITDING PER}IIT --- Square Feet x 1,37 6 500 $/Sguare Feet 64 .66 L6.27 (A) Value 88 ,972 .00 9 ,7 62 .00 98 ,734 . OO 430.00 34 .40 464 .40 --- PLI'UBING PERI{IT --- Item Residential Bath(s) Plumbing Permit Surcharge/Admin TOTAL CHARGE ) Fee 150.00 150.00 12.80 L72.80(c) --- I{ECIIATiIICAIJ PERMIT --- Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT 2 4.50 5.00 3.00 15.00 10.00 L.20 (D)25.20 --- MISCEI.I.ANEOUS PER}IITS --- Surcharge/admin WILLAMALANE SDC PLAN REVIEW FEE ELECTRICAL PERMIT CITY SYSTEM DEV CHG TO?AL MISCELLANEOUS PERMITS 0.00 1, 000 . 00 60.00 1,24.20 2 ,493 .20 (E)3,577 .40 (Excluding Electrical ) unlege otherwise noted TOTAL AI{OUNT DUE - - - (A, B, C, D, and E combined)4, 340 . 8o --- BUII.DTNG VAI.UE, PLAAI CHECK A}ID BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating t,he const.ruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. NOTICE: THIS PEBMITSHALL EXPIRE IFTHE WORK AUTHORIZED UNDEB THIS PEHMIT IS NOi COMMENCED OR IS ABANDONED FOR ANY tao DAy pEHtOD. SPFtt.GFtELE, Job Number: 980319 qTTOF Page 3 Received By: PLans Reviewed By: TOM MARX Building Site Reviewed By: LISA HOPPER Date: 03/25/98 --- ADDITIONAL COMME}iI:TS --- A & T ESTIMATE ONLY FOR CITY SDC CREDIT PI]RPOSES DRIVEWAY REQUIRED TO BE PAVED By signaEure, I sEatse and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is Lrue 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 thaL NO OCCUPANCY will be made of 4ny structure without permission of the Community Services Division, Building Safety. I further certify t.hat. only contractors and employees who are in compliance with oRS 701.055 will be used on this project. I further agree to ensure that all required i-nspections are requested at the proper time, that each address is readable from Ehe sLreet, that the permit card j-s located at the front of the property, and the approved set of pLans will in on Ehe sj-te at all- times during construction te Receipt Number Date Paid --- VALIDATION --- 2"1 36 3 ur- 7-r s wAmount Received Received By <,) ) Arcr- 7Y-. nql , c ITy oF s pR r NGF r E L;W:ffi oorrrro;r:; :r^ff* I,/ORKSHEET NAME OR COMPANY M"E Ll+Arvr LOCATICN -s4z 5 r4 5r DEVEI-OPMENT TYPE CT SIZ 0. Ft 1 SI0Ri,,1 DRAi NAGi IMpiRVIOus S0 FT 'T,e{< x $0.225 pER sQ. tt. s 82.5,59 2. SANITARY SEl^lER-CiIY NO OF PFU'S x $.t6.86 PER PFii s 813,4tr (See Reverse Side) 3. TRANSPORTATiON NO OF UNITS X TRIP RATI X COST PER TRIP X l,o I X $4i2 49 x $472 49 $ +-: zl t-aq --! \J I .-rJ $ zz8,z-l s z/< - .4tr s ttB,7L X $ x x $472.49 4. SANITARY SEwER-MuIMC DU'5Or*ni( t x 2777aPER FEU + $10 t.ll,lllc/ADM ree sZET' 76 $ NO MI^IMC CREDIT IF APPLiCABLI (SEE REVERSE) TOTAL.MI^JMC SDC SUBTOTAL (ADD ITEMS 1.2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 SDC Coordt nator Date <-2fr?6J' ToTAL SDC $ 2,4?3 ' zo BUILDING SIZI IK I ll/\|vI1l.\-,|ulIlgHLlgtJL.lUlulADLtr:NumberofNewFixtt,,-SXUnitEquivalenti*;i;,;.' remodels' ;;;; ontv 'n" NEr additional rixtures:$t:lrffir, ,oUllil"*' 2- 2_ TOTAL FIXTURE UNITS = Fixture Units FIXTURE UNITS 4 -L IY FIXTURE TYPE Bathtub...'...." " " "': " " Drinking. Fountain " " Floor Diain.. i"."t""rt"tt For Grease/Oil/SolidsiEtc" " " " " " "' i;;;;;;;i",. For sand/Auto wash/Etc"""""""' LaundrY Tubiclotheswasher""' Clotheswasher - 3 Or More. Mobile Home Park Trap (1 Per Trailer) """"""" Receptor For Ref rigeratoriwater Stationi Etc...... Recepror For Commercial Sink,'Dishwasher/Etc.. Shower, Single Stall.... Shower, Gan9......... Sink: 8ar, Commercial, Residerrtial Kitchen....... Urinai, Stall/Wail.. Wash BasinrLavatory, Single.. Toiiet, Pubiic lnstallation. Toiler , Private..... Miscellaneous: -7* -&- fr Head 2 1 I 2 a 6 2 6 1 3 2 lt 2 2 1 b 4 CREDIT CALCULATION TABLE calculate credits separates. Based on assessed value. lf im provements occurred after annexation date in rable, Rate per $1,000 Assessed Value Year Anne Year Annexed Rate per $1,COO Assessed Value 1 980 'r 981 1982 1 983 1 984 1 985 1 986 3.83 3.70 3.55 3.39 3.20 2.91 $ 3.97 1987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 v z.co 2.17 1.73 1.31 o.92 o.74 0.61 0.45 o.31 o.17 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) iiesroen iiai. Commerical lndustrial. . . . Governmental 3.q- X $ ,tc,aecz (Rate X,q"r".r"dlZl6-t7 ff XS - (Rate X Assessed Value) CREDITTOTAL =S 57,ff* RUNOFF COEFFICIENTS FOR STORM DRAINAGE(For Estimating purposes Onty) 4.4 0.9 05 0.5 'MPERVtous AREA : TorAL Lor srzE x RuNoFF coEFFrcrENT €$Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:U PHONE: STATE:ADDRESS: LOCATION OF PROPOSED BU ING Street Add S Plat Name:ax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and ype detinitions are on the back.) A. Single-Family Detaehed Manufactured home not in a P t 3m0 t Single Family home NO. OF UNITS X $1,000 Per unit = $t B. Single-Family Attached NO. OF UNITS X $924 per unit C. Multi-Family Apartment NO. OF UNITS X $692 Per unit D. Manufactured Home Park NO. OF UNITS X $699 per unit WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDO-payer must fumish proof of Wllamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ $ $ $ $ $ \000 ,00g IDDD OD -r{ ,--A Date of Springfield ent 225 FTFTE STREEf, SPRTNGFTEI.D, OREGON INSPECTION REQTIEST: OFFICE: 726-3759 ox"kA-, cl,L 9trh?rPod 726-3769 not roquiro e;iotrlic lan<j ul,i: .B i<- c. SPRInlGFTELO Iy per dvelling unit. cluded: I tems st/P(oVal 1 F EI,ECTRICAL PERHIT Job Nurnber 3. COHPT,ETE FEE SCEEDUI,E BELOV A. Nev Residential-Single or s ire non-transferable and exPire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTALI,ATTON ONLT MUI t i-Fami Service fn 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular 'Dve1ling' Sertice or Feeder l Cos t s 8s.00 $ 1s.00 $ 40.00 Sum 85cA Electrical Contractor Address ci utv bA)lC^o*e t-Phone 7ZI-78,fr5 Supervisor License Number *35?-S Expiration Date, Constr Contr. Number /O 7-3 I b Expiration Dat e o Signature of Supervising Electrician Ovners Address alL Pho 200 amps or less 201 amps to 400 amps _401 amps to.600 amps _601 amfs to 1000 amps- 0ver 1000 amps/vo1ts Reconnect OnIY Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 Temporary Services or Feeders Insta1lation, Alteration or Relocation INSTALIl\TION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovner*signature: DATE: 200 amps"or less 201 amps to 400 amps - 0ver 401 to 600 amps Over 600 amps or 1000-liio-[s D. Branch Circuits -Each installation Pump or irrigation Sign/0utIine Lighting_ t,imi ted Energy/Res -Limited Energy/Comm Nev, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) $ 40.00 $ ss.00 s 80.00 see,B* aE6E --,rI $ 40.00 $ 40.00 s 20.00 s 36.00 5 RECETVED { CI) City 3rw- A ctT 225 FIFTH STREET SPRINGFIE::,D OR 97477 JOB L0CATI0N: \f?J ASSESSORS HAP $: / SPRINC -IELO BACKFLOV PREVENTION DEVICE PERHIT APPLICATIC' CITY OF SPRINGFIELD BUILDING SAFETY DIVISION ;FFICE: INSPECTIC I LINE: 726-3759 726-.37 69vJtl*tZ a TAX LOT 1 OIJNER:r c ADDRESS:PHONE *: CTTY:STATE:ZIPz BACKFLOU PERHTT rs $rs.00 + $.75 (srATE SURCIIARGE) + $.45 (ADl :N. FEB) = $16.20 cONrRAgrOPi:T< ?3 / /A4a ADDRESS: J,2€.&f-.1rl-, -, CITY:^rJV STATE: O/?E hro$,HlucrroN C0NTRACTORS REGISTRATION *: / /322 i"r PHONE *:ie-t o- __zrp ,2Z,zf-z IxPIRBS z ?*7e TIIE ()N IS EXPIRE IF THE WORK 0diQJnron,I AGNdB BEEN I(726-37 6e).ALL CORRECT FOR OFFICE USE DATE OF /.PPLICATION: RECEIPT l,:TSSUED BY: I,,lii"r SHALL e-r DT" TOTAL AH(IUNT COLLEG,TED:qt b->c J0 {t:03 'h. a q ff