HomeMy WebLinkAboutPermit Building 1998-01-15SPFI,llGFIELE,
RESIDENTIAIJ PERMIT APPLICATION
CITY OF SPRINGFIEI,D
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nrurber: 97L229
225 North Fifth Street
Springfield, OR 97477
Locatsion of Propoaed Work: 555 S 35TH ST
Assessors t"tap #: ]-7023L34
Lot: 4 Block:
office:
Inspection Line:
726 -37 59
726 -37 59
Tax Lot #:
Subdivislon:
03800
LILAC
OwnET: EARL MCETHANEY
Address : 975 WILLAGILESP]E
Describe Work: S.F. RESIDENCE
Phone #: 484-5693
citylstate/zip: EUGENE, OREGON 974OL
NEW
Const.
Contsractsor #Expiree Phone
General
Contractor
OWNER
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L775
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, call Lhe 24 hour recording aL 726-3769.
eIt inspections requested before
inspections requested after 7:00
a.m. will be made the same working day,
will be made the following work day.
7:00
a. m.
--- REQUIRED INSPECTIONS ---
FOOTING - After Lrenches are excavated.
FOITNDATION - After forms are erected but, prior to concrete placement.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
TNDERFLOOR MECIIAI.IICAL - Prior to insulation or decking.
ROUGH PLITI{BING - Prior to cover.
POST AI.ID BEA.II - Prior to floor insulation or decking.
INSULATION - F1oor,. prior to decking wall/ceiling; Prior to cover
WATER LINE - Prior to filling trench.
STOR!{ SEWER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH IIECIIAiiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior Eo cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FR.AilING - Prior to cover.
INSULATION - Floor; prior to decking wa11/Cei-1ing; Prior to cover
DRYWALL - Prior to taPing.
SIDEWALK - After excavation is complete, forms and sub-base materiaf
in place.
FINAL PLUIIBING - When all plumbing work is complete.
FINAL MECHA.I{ICAL - When all mechanical work is complete '
FINAL ELECTRICAL - When all electrical work is compl-ete.
cAS SERVICE - AfEer line is installed and line has been connected to a
minimum of one appliance. Pressure Eest done aE this poinE.
FINAL BUITDING - When all required inspections have been approved and
the building is complete.
SPRlr.GFIELD
Job Number: 97t229
CTTT OF
Page 2
Lot Faces: E
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 7LO6
Total Height: 16.5
Lot TYPe: PANHANDLE
SetbacksswE
10 10
15
Lot Coverage: 24.79*
Setbk From NPL: 25
N
10
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE
--- BUITDING PERMIT ---
Square Feet x
1280
495
$/Sguare Feet
64 .66
L6.27
(A)
Value
82,765.OO
8, 054.00
90, 819.00
406.00
32 .48
438.48
--- PLI'MBING PERMIT ---
Item
Residential gath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
160.00
t-50.00
12.80
L72.80(c)
--- I{ECIIAT{ICAI, PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
Mechanical Permit
Issuance
Surcharge/admin
3
5.00
4.50
9.00
3.00
5.00
(D)
27.50
10.00
2.21
39.71
--- }IISCELLA}IEOUS PERITTITS ---
Surcharge/admin
Sidewalk
WILLAMALANE SDC
CITY SDC
PLAN REVIEW FEE
TOTAL MISCELLAI{EOUS PERMITS
0.00
10.90
1,000.00
2,547 .07
263.90
(E)3 , 82L .87
--- TOTAI. A![OI'}irT DUE ---
(Excluding Electrical) (A, B, C, D, and E courbined)
unless otherwise noted tZACf,
4 ,472 .86
/3?. la
,trYo,4
--- BUII,DING VAIJUE, PI'A}{[ CHECK AIiID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in all respects, conform to Ehe Ordinance adopted by the City of
Springfj-e1d, including the DeveLopment Code, regulaEing Ehe construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordi-nances.
TOTAI, PERMIT
SPFIilGFIELD
Job Number: 971229
SPruNGFIEID,a
Page 3
Received BY:
Plans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date: to/L4/97
--- A.DDITIONAL COMME}flTS
A & T EST]MATE ONLY FOR SDC CREDIT PURPOSES
PATH 1; SEPARATE ELECTRTCAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify thaL al-L information hereon
is 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 wil] be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
conLracLors and empfoyees who are in compliance with ORS 701.055 will- be
used on this project.
I further agree Eo ensure that af1 required inspectlons are requested at the
proper time, that each address is readabLe from Lhe street, that the permit
card is located at the front of the property, and the approved set of plans
wl-remain on the site at aLl times during consLruction
t - 15-4tg
Date
--- VAI,IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
2s\7-
r - ts 'ad,
(-
D\
qa;
JOB NO.47 ,zz1
ATTACHMENT A
CITY OF SPRiNGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY F.ar.t MeE,
L0CATION : 55/&-- 3 ' 35 rn 1t
DEVELOPMENT TYPE ' 3. tr. < .
OT SIZ Ft.
BUILDING SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "/ 66o x $0.225 PER SQ' FT ' $ E7G',88
2. SANITARY SEI,IER-CITY
t8 x 5.16.86 PER PFU s 843.48
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRiP RATE X COST PER TR,IP
X ol x $472.49 $ +11 ,Lt
x $472.49
x _ x $472.49
4. SANITARY SEy.JER-MI,JMC
Du
N0. OFfEU'S I X zTt,tcPER FEU + $10 lvlIdMC/ADM FEE $ 281 ,76
}4I.IMC CREDIT IF APPLICABLE (SEE REVERSE) $ 57,57
ToTAL-MI^IMC SDC $ 2 z8 zl
SUBTOTAL (ADD ITEMS 1.2.3 & 4) LZ,+29.78
5. ADl-,liNISTRAIIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
NO. OF PFU'S
$x
s
,y,
SDC Coondi nator
Date:I - ze-1 7
TOTAL SDC S ZF4I, oI
I
$ lzl , 21
[H'H;;::]J ;ft::"'^:"'il"1fi,?ii;ff:f'or New r-1v11*a5 X Unrt Equivarenr = Fixrure Units
FIXTURE TYPE
Bathrub......
Drinking Fountain....
NUMBER OF
NEW FIXTURES
7-
UNIT
EOUIVALENT
FIXTURE
UNITS
z.2
1
2
3
6
2
6
6
1
3
2
L
-
2-
-
-
a
dlHeai
2
2
1
b
4
Z
-
z--
-
-
-
Toilet, Private............
Miscellaneous:
CREDIT CALCULATION TABLE: B ased on assessed value.calculate credits separates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
TOTAL FIXTURE UNITS
lf improvements occ urred after
Z-
tg
annexation date in table,
3q1 X $ rYrooo
(Rate X Assessed Value)x $_
CREDITTOTAL :$ -.
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 980
1 981
1982
1 983
1 984
1 985
1 986
$3.97."---T6
3.83
3.70. 3.55
3.39
3.20
2.91
laca) 1979 or before
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
fiesidentiai
Commerical..............
lndustrial....
Governmental...........,
0.4
o.9
05
o.5
IMPERVIOUS AREA = TOTAL LoT slzE X RUNOFF COEFFICIENT
Shower, Gang..
Sink: Bar,Commercial,Residerrtial Kitchen
Urinal.Stall/Wall..
Wash BasiniLavatory, Single.
Toiiet,Pubiic lnstallation
T_
(Rate X Assessed Value)
3-7.r<-
$2.56
2.17
1.73
1.31
o.s2
o.74
0.61
o.45
o.31
o.17
SPtlTNGFIELO
%
BACKFLOU PREVENTION DEVICE PERMIT APPLICATION
CITY 3F SPRINGFIELD
BUILDING SAFETY DIVISION
225 FIFTH STREET
SPRINGFIELD OR 97477
,/
"11 izrfr, LocArroN:rz 9.3s
ASSESSORS UEP *:ol/)rAX Lor *: 0 i taO
otiNERz EA4 L lzetF/ /* ^,-:z
PHONE *:
-
CITY:STATE: OiZ.ZTPz 9pv> >
BACKFLoI{PERMITIs$15.00+$.75(STATESuRCHARGE)+$.45(AD},IIN.FEE)=$16.20
CONTRACTOR:
ADDRESS:PHONE *:
CITY:n r-iTfl o?a STATE: &ZIPz ,?-z n n
CONSTRUCTION CONTRACTORS REGISTRATION *:EXPIRES: ?1So
BY SIGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THE
BAcKFLov pREvENTioN DEvrcE HAS BEEril TNSTALLED AND rs vrsrBLE rOR rNSPEcrrON
Tiio_ilog>. r ALSo STATE TnAr ALL TNFoRMATTON ON THrS PERMTT/APPLrCArroN rs
CORRECT.
NOTICE:
TH,S PERMITSHALL EXP,BE IFTHEA
COMMENCED OH,S ABANDONED FORANY 180 DAY PERIOD.
POR OFFICE USE
DATE OF APPLTCATTON:r
RECETPT #;d 3o zEzt TSSUED BY &
TOTAL AMOUNT COLLECTEDI Z()
oJlB ll: t 22
C'TY OF
Q. r-r-S 2,/J-
NAPg;acJr koa
\ c.,
rpproval.
225 FIFTE STREEf,
SPEJNGFIELD OREGON 974
INSPEGTION REQT'EST c11l-anA,l3>-1,,q
" . {e,llowlfro pioled
..:,rlr$f, aod do€s tlot
6 eubmtrod frac thl lollorvlnt
rsqt*€ap€cmc hrd uoo
8
5Pl--'<GFIELO
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home- or
Modular 'Dvelling
Sertice or Feeder
ffi,
ELECTRICAL PBRHIT APPIICATION
CitY Job Nurnber q t)) cl,
OFFICE: 72 6-3759 AUthOTIZCd E FEE SCffiDUIJ BELOV
1.LOCATION A. Nev Residential-Single-or
uufti-f.ti1Y Per dvelling unit'
Service Included:Items Cost
t s es-o&(s -
SumI.EGALo
JOB
Permits are non-t
if vork is not st
of issuance or if
ransferable and exPire
arted vithin 180 daYs
vork is suspended for
b)
.oo4;o,e- $ls
$ 40.00180 days.
2. CONTRACTOR
Electrical Contractor
Address
citv FrrllCweL Phone
Supervisor License Number Bt7'S
.8. Services or Feeders
EXPIRE lEiffiEdilDffigon, A1 terations
THls PE?[l ttf+ glb1. i "n'
FO&s or less
amPs to 400 amps
601 to 1000 amps
1
1
401 amp s to.600 amps
Over
amPs
1000 /volts
s
s
s
s
s
s
50
60
00
30
.00
.00
.00
.00
.00
.00Reconnect
amPs
0nIy
300
40
Exp iration Date I o 1
Temporary Services or Feeders
Installation, Alteration or Relocation
I
Const r Contr. Number /b L\l L
Exp iration Date
Signa ture of Supervising Electrician
Ovners nft
Address a
Ci ty P.uca ce Phone ,4 Ll -bbas
-n-OVNER INSTALIATION
Ovnersts$ignature:
DATE:
200 amps'"or less I
201 amps to 400 amps
-
Over 401 to 600 amps _Over 600 amps or 1000 volt
Branch Circuits
c-
D
$ 4o.oo fllg-
$ ss.oo
s 80.00
s see uBu a5i6
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
s 36.00
RECEIYED
5
,frt--5r#
l-")(-
COMMENCED OB IS
i$l an
- l-,roval'
SI ,GFIELO
ELECTRIC.AL PERHTT APPTJCATION
City Job Nnnber Q7)229
FBE SCEEDUIJ BEI.OV
dential-Single or
amily per dvelling unit.
Included:
I tems
a--'
Cost Sum
$ 8s.00 €
,*,
225
SPRINGFIEID, OREGoN 97 477
INSPECTION REQI ESII 726-3769
OFPICE: 726-3759
1 I.OCATTON OFe
IJGAL DESCRTPTION
lf vork is not startedof issuance or if vork
180 days.
vithin 180 daysis suspended for
erv ce
2. COT{ItsACTOR INSTALI,ATION ONLI .B
Erectricar contractor tultl;l;JiffcnE
affffi,oi gr{c
/.^oz-7/^27, zP?e*--
JOB DESCRIPTION
non'and expire
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular.'Dvelling'
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
2, $ 1s.00 _?^
s 4b.00
s s0.00
s 60.00
$100.00
$130.00
s300.00
$ 40.00
p
ee nBtr aEE
Address
ci pnon" 4K5'C\ZZ
Supervisor License Number ZqTC -S
Expiration Date iC: 1f| :/\
consrr contr. Number 'La -t Z C
Expiratio" p"," lO - l'-9 h
Signature of Superv clan
Ovners
200 amps or less
201 amps to 400 amps
-401 amps to.600 amps
-601 am$s to 1000 amps-
0ver 1000 amps/volts
-Reconnect Only
C. Temporary Services or FeedersInstallation, Alteration or Relocation
uwFzffi--rr;)o"" #Z-aefr
OUNER INSTALTATIdN
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
Address ?5 hy'zz*4ozz ry?E
OvnersiL$igna ture:
DATE:
200 amps"or less / $
201 amps to 400 arps
-
$0ver 401 to 600 amps $0ver 600 amps or 1000-fr1[-ts s
Branch Circuits
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
-Limited Energy/Comm
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit _ $ 2.00
Miscellaneous (Service/feeder not included)
40.00
5s.00
80.00
D.
E
s 40.00
$ 40.00
$ 20.00
s 36.00
5. SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTALRECETVED
s-?a 4
€e Willamalane
Park & Recreation District
NAME:
ADDRESS:
LOCATION OF PROPOSED BUI SITE
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
PHONE:t,
STATE:
Manufactured ho
$
Street Add
Plat Name:
re
Lot Number:
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Singte-Family Detached
\\ Single Family home
ruO. ON UNITS
appropriate dwelling(s). SDC calculations and
X $1,000 per unit =
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufadured Home Park
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must lumish proof of
Wltamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Development S
$
$
$
\DOD.OO
o
Irt{t ?(
City of Springfield
Department Date
t
d