HomeMy WebLinkAboutPermit Building 1995-04-10a
RESIDENTIAL PERMIT APPTICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII.DING SAFETY
:o
office:
Inspection Line:
Page 1
rfob Nunber: 950807
726 -37 59
726 -37 69
225 North Fifth Street
Springfield, OR 97477
Location of Proposed $lork: 883 S 37TH PL
Assessors Uap #: L80206L2
Lot: L2O Block:
Tax Lot #:
Subdivision:
02500
HAYDEN GARDEN lz:
SPilNGFTELD,
Owner: HAYDEN ENTERPRISE
Address: 899 SO. 32ND STREET
Describe Work: S F RESIDENCE
Phone #: SPRINGFIELD
city/srare/zip: SPRINGFTELD, OREGON 97478
NEW
Contractor
Conet.
Contractsor #Expires
o7 /2e / eq
oe/Le/e7
o7 /2e/e?
e*ffi
3-7'17
Phone
923 - 6507
6 83 - 51_16
923-6607
475-2L39
General:
Plumbing:
Mechanical:
Electricaf:
HAYDEN ENTERPRI OO922O8
1511 SW 33rd Redmond OR 977550000
EMERALD VALLEY OO5].737
2'127 N 2Oth Springfietd OR 97477000
H.AYDEN ENTERPRI OO922O8
151-1 SW 33rd Redmond OR 977550000
ALLEN ELECTRIC 0000968
201 N 3rd Madras OR 977410000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: 1111
ZONTNG CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
SQ FOOTAGE: 1,593
To requegt an inspection, call the 24 hour recordi-ng aE 725-3759.
A11 inspections reguesEed 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.
FOInIDATION - After forms are erected but prior to concrete placement.
TNDERFIJOOR PLITMBING - Prior Lo insulation or decking.
POST AI.ID BEAII - Prior to f loor insulation or decking.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
SAIiIITARY SEWER LINE - Prior to filling trench-
STORD! SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling Erench.
ROUGH PIJIrIIBING - Prior Lo cover.
ROUGH ITIECIIAIIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
F&AI{ING - Prior to cover.
INSIILATION - Floor; prior to decking waIl/ceiling; Prior to cover
DRYIiIALL - Prior Eo taping.
CURBCUT - After forms are erecLed but prior to placement of concrete.
SIDEWALK - After excavation is compleLe, forms and sub-base material
in place.
FINAL PLUIIBING - When all plumbing work is complete.
FINAL ELECTRICAL - When aII electrical work is complete.
FINAL MECIIAT{ICAL - When all mechanica} work is comp}ete.
FINAL BUILDING - When all required inspections have been approved and
the building is comP1ete.
SPRINGF!ELD
SPFINGFIELE,
o !a
h,
.fob Number: 950807 Page 2
Total Height: 15
Lot Type: INTERIOR
Setsbk From NPL: 5 Solar Approved: Y
Item
Main
Garage
ADD FAMILY ROOM
Total Value
Building Permit Fee
surcharge/aamin
--- BUII.DING PERMIT ---
Sguare Feet x
113 3
560
$/Square Feet
56.20
l_4 . l_0
Value
63,575.00
7,896.00
7, 000.00
78, 57L . 00
370.00
29 .50
TOTAL FEE (A)399.50
--- SYSTEMS DEVELOPI{ENT C}IARGE (SDC)
(B) L,340.20
Systems Development Charge is due on all undeveloped properties within the City
limj-t,s and the Citys Urban Growth Boundry which are being improved.
... PIJI'}TBING PERMIT -..
Item
Resident,ial Bath (s)
Plumbing Permit
Surcharge/admin
TOTAI. CIIARGE
a
Fee
150.00
150
L2
00
80
(c)L72.80
.-- MEEIIA}IICAL PERUIT ---
Exhaust Hood
Wood Stove / InserE /Fireplace Unit
Mechanical Permit
Issuance
Surcharge/admin
TOTAI, PERMIT
4.50
3.00
(D)
15.50
L0.00
1.33
27.83
--- MISCELLAI'IEOUS PERMITS
Surcharge/aamin
Sidewalk
Curb Cut
PLAN CHECK FEE
ELECTRICAL PERMIT
TOTAL MISCELLA}IEOUS PERMITS
0.00
20.80
14.80
40.00
L24.20
(E)199.80
(Exqluding Elect,rical)
unlese otherwise noted
--- TOTAT AI{OI'NT DUE ---
(A, B, C, D, and E coubined)2,t40.23
--- BUII.DING VALUE, PI.NiI CHECK ADID BUILDING PERMIT ---
This permit is granted on the express condition LhaL the said consEruct,ion
shaII, in all respects, conform to Ehe Ordinance adopted by the City of
Springfield, including the Development Code, regulating Ehe construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
SPIIINGFIELD
Job Number: 950807
a $a
Page 3
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Dare: 1,0/03/96
--- ADDITIONAL COMMENTS
DRTVEWAY REQUTRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I atate 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
shalI be done in accordance with the ordinances of t.he City of Springfield,
and the Laws of the State of Oregon perLaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contracLors and employees who are in compliance with oRs 701.055 wilL be
used on this projecL.
f further agree to ensure that all required inspections are reguested at the
proper time, thatr each address is readable from the street, thaL the permit
card is located at the front of the property, and the approved set of plans
on the site at al-L times during construction.
4,- ts-q)
Signature Date
.-- VAI.IDATION ---
Receipt Number
Date Paid
Amount Received:
Received By
/+a '-72
2/ /2.2V
/Z z%-7"
CITY OF OFEGO'U
SP.rI,tlGFIELD
h
225 TIPTE STRBEf,
SPRTNGPIBLD, oREGoN 97477 I-MZ
726-376Y1.10- f-l Ci ty Job Nunber q6b8ol
l-)COHPI.ETB PBE SCBEDTILE BBLOV
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
BLBCTRICAL PBRHIT APPLICATION
/ $ 8s.00
INSPBCTION RBQIIEST:
OPPICB: 726-3759
ON
,,1
LEGAL DESCRTPTION
r80 2-ota tA O?<ooo
JOB
,,g-
Permits are non-trafisferable and expire
if vork is not started vithin 180 days
of lssuance or lf vork ls suspended for
180 days.
2. CONTRACTOR INSTALI"JITION ONLY
Electrical Contractor AIlen Electr ic
Address 12 SW 3rd St.
Clty Madras Phon e 475 -?1a9
Supervlsor License Number 10065
lration Date 10-1-95
ruz"4:,
Exp
Constr Contr. Number 6ai45
Exp iration Date 9-1-95
Signature of Su sing Electrician
1000 sq.ft. or }ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvel}ing
Servlce or Feeder
), g ls.oo
Sum
tra"
0r.n
s 40.00
35.00
2.00
not included)
40.00
40. oo
20. o0
l/5,n
A
B Services or Feeders
InstaIIation, Alterations
or Relocation:
200 arnps or less
201 amps to 400 amps
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0nIY
$ s0.00
$ 60.00
s100.00
$130.00
$3o0. oo
$ 40.00
Ct ty Phon "1u4 0q
OITNER INSTALLATTON
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40'00
0ver 600 amps or rbOo-GTts see rrBrt am
Rranch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
$
Miscellaneous ( Service/feeder
-Dach installation
Pump or irrigation $
Sign/Outline Lightine- - S
t iilited Energy/Res
-_
$
Lirni ted uner[y/Comm
-
$
D
It
Owners Name N
STETOTAL OF ABOVB
5Z State SurchargeJ4rfi,- 4070ttt+",t,B&CEIVED
-/d-
5
/ 2/,?o
Address
c.
-f
SPFINGFIELD
Page 1
ETTY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDEMTIAL)
SPilNGFIELD,
Name or Company: HAYDEN ENTERPRISE
Location: 883 S 37TH PL
Developement Tlpe: R Building Size:
Job No. : 950807
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}iIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,A}TSPORTATION
Number Of Units
1X
X O.2O9 Per Sq Ft =
X 43.25 Per PFU =
Cost Per Trip
436.L9
Y
Transportation Total
4. SNiIITARY SEWER - MWMC
Number Of PFUg
l_8
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
18
Trip Rate
t_.010 x $440. ss
$0.00
$778.68
$440. ss
#3j.9.42
$262.27
$s7.1s
sL,27 6 .38
$53.82
x
x
Per PF'U +
L7 .L9O +
MWMC Admin Fee
10.00
MI,IMC CREDIT If Applicable (see Page 2)
TOTAL - MITMC SDC
SITBTOTAL - (Add Itsems L, 2, 3 & 4)
x 0.50
TOTAI. SDC
Reviewed By: KIP BTRDICK Date: 07 / 03 / 95
$1,340.20
SPFINGFIELD
Job Number: 950807
a
FIXTURE T'NIT CALCULATION TABLE
a t
Page 2
SPruNGFIELT',
Fixture Tl4pe
Number of
New Fixture
Unit
Equivalent
FixLure
Units
Bathtub
Drinking Fountain
Fl-oor Drain
Interceptors For Grease/Oi1/Solids/Btc
Inteceptors For Sand/Auto Wash,/Utc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/ntc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/LavaLory, Single
Water Closet, Public Installation
Water Closet, Private
Miscel-l-aneous
TOTAL FIXTURE UNITS =18
CREDIT CALCULATfON TABLE: Based on assessed value. If improvements occured
after annexation date, crediLs are calculated separately
(calculations are by $1000)
Year Annexed: 1950
Credit For Parcel Or Land Only If Applicable: 75,80i- X 3.46 = 262.27
Improvement (if after annexation date): 0 X 3.46 = O.OO
CREDTT TOTAL - $262.27
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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