HomeMy WebLinkAboutPermit Building 1995-11-25SPFINGFIELD
RESIDENTIAI, PERMIT APPIJICATION
CITY OF SPRINGFIEIJD
COMMT'NITY SERVICES DIVISION
BUILDTNG SAFETY
Page 1
Job Nurnber: 950810
225 North Fifth Street
Springfield, OR 97477
Locat,ion of propoeed Work: 919 S 37TH pL/
Assessors Map #z LgO2OGt2
Lot: ]-23 J Block:
Office
fnspection Line
726 -37 59
726-3769
Tax Lot #
Subdivision
02600
HAYDEN TtufrOwner: HAyDEN ENTERPRfSE
Address: 899 SO 32ND STREET
Describe Work: S F RESfDENCE
Contractor
HAYDEN ENTERPRT OOI22O81511 SW 33rd Redmond OR 977560000
EMERALD VALLEY 00517372727 N 2Oth Springfield OR 97477o00
HAYDEN ENTERPRT OO922O8
151-1 SW 33rd Redmond OR 1TTSGOOOOALLEN ELECTRIC 0000968201 N 3rd Madras OR }7741OOOO
phone #: 744-6966cirylstate/zip: spRINGFTELD, OREGON 97478
NEW
Const.
ContracEor #
General:
Plumbing:
Mechanical:
El-ectrical:
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TypE: VN
WA?ER HEATER: E
To
-- oFFrcE USE __
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
call_ the 24 hour reco
# OF BLDGS: 1
OCCY GROUp: R3
HEAT SOURCE: WH
SQ FOOTAGE: 1G93
E:rpiree
07 /2e/kl
os/Ls/ q1
07 /2e/ol,l
thlqt
aE 726-37G9.
Phone
923-6607
58 3 - 5115
923 - 6607
47 5 -2L39
request an inspect,ion,rding
A11 inspections reguesEed before 7:00 a.m. will be made the same working day,inspections requesEed after 7:00 a.m. wilr_ be made the folr_o*irrg rorr a"y.
FoorrNc - Arrer rrenches-;;.*:::.t::i"::t'"erroNs ---
FOt'r[DATroN - After forms "." "r."ted but prior to concrete placement.TNDERFLOoR pLUMBTNG _ prior to insulariorr.;;-;ecking.PosT AtiID BEAIi _ prior to floor insul_atio., o. JJ.ti.r,g.rNsuLATroN - Floor; prior to de:k1ns warrzcelring; prior to coverSAIvfTARy SEWER LfNE _ prior to ti"ffing trench.STORM SEWER LrNE _ prior to titfing trench.WATER LJNE - PT,.
Roucrr ,LUMBTN. ]"l.il.t.':t:::"::.".n.
ROUGH IIECHANICAL _ prior to .orru..ROUGH ETECTRf CAL _ prj_or to .orr...ELECTRICAT SERV]
FRA.rrrNc _ prior ti]
;"IHf be approved ro obrain permanenr power.
;Xffilt:*r;r51"::'.:;ffi. to deckins warr./ceir.ins,. prior ro cover
cuRBCUr - After forms arJ erected byt prior to placement of concrete.tto"'il*n;"3::tt excavation is complete, forms Ino sub-base marerial
FfNAL pLIrlIBfNc _ When all plumbing work is complete.FfNAL ELECTRfCAL _ When af:_ electrical work is complete.;r'ilil #;Hi:T - when arl mechanical ,o,r. i" Jomprete.
rhe buitdrrn*l:".:*;r_:;un:t"u inspectio'," r,".,r" been approved and
SPFINGFTELD
Job Number: 950810
SPfrINGFTEI.D,OF
Page 2
ToEal Height: 15
Lot Type: INTERIOR
Set.bk From NpL: 5 Solar Approved: y
ftem
Mai-n
Garage
ToEal Value
Building permit Fee
Surcharge/Admin
TOTAL FEE
ftem
Residential Bath(s)
Plumbing permit
Surcharge/Admin
TOTAIJ CIIARGE
Exhaust Hood
Dryer Vent
Mechanical permit
Issuance
Surcharge/Admin
TOTAL PBRMTT
... BUTLDTNG VAIJUE,
--- BUILDING PERMTT ---
Square Feet x
l_133
550
--- sYs TE}!S DEVEIJOP}IET{I CIIARGE
--- PLUMBTNG PERMTT ---
- - - MECIIA}ITCEL PER}!rT - -.
--- UTSCELLANEOUS
$/Square Feet
56.20
14.10
Val-ue
53 ,675 . O0
7,996.00
7L , 57L .00
349 . OO
27.92
37 6 .92
1,588.05
Fee
150.00
160.00
12.80
L7 2 .80
(A)
(B)
(c)
(D)
(E)
4.50
3.00
systems Development charge is due on all undeveloped properties within the cit,ylimits and the citys urban crov/Eh Boundry which are being improved.
(sDc)
PERMTT .--
L5.50
10.00
1. 33
27.83
0. 00
20.50
14.80
40.00
t24.20
199. 50
2,365.L0
2
Surcharge/aOmin
Sidewal_k
Curb Cut
PLAN CHECK FEE
ELECTTCA], PERMTT
TOTAL UTSCELI,ANEOUS PERUTTS
--- TOTAL
PERMITS
AI{OUlillT DUE ---(A, B, C, D, and E combined)
PLAN CHECK AIVD BUTLDTNG
(Excluding Electrical)unless otherwiee noted
This permit is granted on the express condition that the said. const.ructionXliii;.i1.::'J:i:;:ff,;:*;:.ro rhe ordinance adopred uy trre-ciry or
H'"ff :::]i:tff ; :f.:li ::;il::-:15 5i"i.":;3l'::'H,'ii-:"ff :;;i:i;:. f:
SPFIXGFIELD
Job Number: 950810 Page 3
Received By
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOppER
Date: L0/03/96
--- ADDTTTONAIJ COMMEMTS ---DRTVEWAY REQUTRED TO BE PAVED2 STREET TREES REQUTRED
By signature, f atat,e and agree, that r have carefully examinedthe completed application and do hereby certify that a1l_ informa tion hereonis true and correct, and f further certify that any and alL work performedshalL be done in accordance with the Ordinances of the Ciry of Springfield,and the Laws of the State of Oregon pertainingr t o the work described herein,and that NO OCCUPANCy wi1l be made of any st ructure without permission of theCommunity Services Division,Building Safetycontractors and employees who are in complianceused on this projecEf further agree to ensure that aII reguired inspections are requested at theproper time, that each address i s readable from Ehe street that the permitcard is located at the front of the property, and t,he approved set of planswiLlin on the site at all times duringr cons truction
Signature
Date
Receipt Number:
Date paid:
Amount Recei_ved.:
Received By:
f further certify that onlywit,h ORS 7o1.os5 will be
qTT OF
SPEIltlGF'ELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTTAL)
Name or Company: HAYDEN ENTERPRfSE
Location: 91_9 S 37TH pL
Developement T)4)e: R Building Size:Sq Ft
1. STORM DR.ATNAGE
Impervious Sq Ft
2. SAI{TTARY SEWER - CITY
Number Of pFUs
(see Page 2)
X 0.209 Per Sq Ft =
X 43.26 per pFU =
Cost Per Trip
436.L9 =
3. TR,N,NSPORTATION
Number Of Units
l-X
18
Trip Rate
1.010 x
Y Y
$440. ss
$0.00
$778 .68
$440. ss
$3L9 .42
$26.23
$293.Ls
sL,5L2 .43
$7s 6
Transportation Tota1
4. SAIVTTARY SEWER - }IWUC
Number Of pFUs
18
x
x
Per PF'U +
L7 .L9O +
MWMC Admin Fee
10.00
MWMC CREDTT rf Applicable
TOTAL - MWMC SDC
(see Page 2)
SITBTOTAL - (Add fEems 1, 2, 3 & 4)
5. ADMTNISTRATTVE FEESBase Charge (Subtotal Above) x 0.50
TOTAL SDC
Reviewed By: Kfp BIIRDfCK Date: 07/03/95
$1,588. 05
Job No. : 950810
Lot Size:
CrTr OFt'-
=PFT..GFTELET
Page 2
Job Number: 95081-0
FIXTURE I'NIT CAI.CUI,ATION TABI'E
Number of
New Fixt.ure
UniE
Equivalent
Fixture
UN1trSFixture TlPe
Bathtub
Drinking FounLain
Floor Drain
rntserceptors For Grease,/oi1/solids/Ete
Inteceptors For Sand/Auto wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Utc
Receptor for Commerciaf Sink/Dishwasher/Etc
Shower, Single Sta11
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, StaIt/Wa11
Wash Basin/LavaLory, Single
Water C1osets, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FfXTURE UNITS =18
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calculated separately
(calcuLations are by $l-000)
Year Annexed: 1950
Credit For Parcel Or Land OnIy If Applicable: 7,580 X 3.46 = 26-23
Improvement (if after annexation date): 0 X 3.46 = O.OO
CREDTT TOTAL = $26.23
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
4
0
0
0
0
.)
0
0
0
U
0
a
0
)
0
8
0
2
1
2
3
5
2
6
l-
3
a
a
1
6
4
0
0
0
U
1
0
0
0
0
0
1-
0
2
0
z
0
OTT OF ONEGON
SPBINGFIELE
225 North Fifth StreetSpringfield, OR 97477
lfob Location: 91_9 S 37TH pL
Assessors Map #: 1g02O6L2
By signing thistence has been ct.his application
Development code
Si gnature
FENCE PERIVI]T
CITY OF SPRINGFIELD
COMMUNTTY SERV]CES DTVIS]ON
BUTLDTNG SAFETY
Fence permit is g5. OO
Tax Lot #: 02600
Phone #: 744-69G6
Office:Inspection Line:726 -3759
726 -37 69
Owner : HAyDEN ENTERPRISEAddress; Bg9 SO 32ND sinnetCitylstate/zip: spRrNGFrEiD, oREGoN s7478
_ .Contractor/fnstaller: HAyDEN ENTERPRIAddress/cirvlsrate/zipr rlir sw 3grd nedmona on 977s50ooo
consrrucrion ""ll:l:.5;=ri3;f317".r"" ;,, oe22o8Expires 07/29/9q
permit/application, r agree- to calr for an inspection once myonstrucred (726-3769) - "r-atso
"i"["i"ir.rt all informarion on'i: il" :" *:, ; 3'r: :', l#"' lri"i. ye ; -; ;;" I 5u a *i,, *'Jr,
J' lp, i ns r i e 1 d
= l\* z\-?Guate
FOR OFFICE USE
Date of Application:Receipr #: USgq
Checked for Del_iquenc ies: NONE Checked for Historical Status: NONE
\)n\lr 0 00/^[,$qp Job #:fssued By:
950810
LTSA HOPPER
ntf\\
225 FIBTE STREET
SPRTNGPIELD, OREGON
INSPBGTION RBQTIEST:
0PFICB: 726-3759
OP ,L -?
DESCRIPTION
0?-0bt ?Q oo
JOB DESCRI.PTION+.{ . {/t+ :
permits are non-trallsferable and expire
if vork is not started uithin 180 days
of i"tr.nce or if vork Is suspended for
180 days.
2. COIITRACTOR INSTALI,ATION O}ILY
Electrical Contractor Af Iq!--E1ect4-q
0n
Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
SPSU!{GFIELO
Service Included:
1000 sq. f t. or Iess
rach additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
cwing proierct as sukr mitteid hss the {ollowing
requir* sPecific lsnd uge
BI,ECTRICAL PBRHIT APPLICATION
97 477 Zc,ni
City Job Nunber aO o$lrs
326*31_6e_ ilrs -1q
,r,ir1,'1,:,r'i:siJ sli;rel-ro- M ns - "oxpr
prp. FEB SCBBDT LB BBLoU
ON
bt A
I,]EGALtt I tems Cos t
$ Bs.oo
2- g 1s.oo
Sum
{fr.^
7o'fr
Ci ty Madra Phone 475-2139
Supervisor License Number 1 006
Expiration Date 10- l" -9 5
Constr Contr. Number 6 't 4\
Expiration Date 9-4-95
Signature of Supervlsing Electrician
Address qq 4Y! /y,
Ct ty 4tran pno"" 144- bQbQ
OIJNEP. INSTALI^ATION
The lnstallatlon is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs .-.
401 amps to 600 amPs
-
601 amps to 1000 amps-
0ver 1000 amPs/volts
-
Reconnect OnIY
B
$ 40.00
$100.
$130.
$300.
$ 40.
Address 12 S W 3rd st-00
00
00
00
00
00
$ s0.
$ 60.
40,00
55.00
80.00
c
D.
E
Temporary Services or'Feeders
rnsiallaiion, Alteration or Relocation
200 amps or }ess $
201 amps to 400 amps
-
Eover 4b1 to 600 amps
-
$
0ver 600 amps or tO0O-6-f[s s
Branch Circuits
ee ItBrr aE-
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Hiscellaneous (Service/feeder not included)
*Each installation
Pump or irrigation
Sign/0ut).ine Lighting-
Limi ted Energy/Res
L lmi ted Ener[y/Comm
-SUBTOTAL OT ABOVE
5f State Surcharge
-Teffir 7oh
--1*a ,I o*etu-
$
s
$
$
40.00
40.00
20.00
36.00
a)IaOFCITY
RECBIVBD
5
tu.?.o
1.
Owners Name
1 16.6 o__*ffi_
A.46
r