HomeMy WebLinkAboutPermit Building 1995-03-31t
SPR',llGFIELD
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RESIDENTIAI' PERMIT APPIJICATION
CITY OF SPRINGFIEI.D
COMMT'NITY SERVICES DIVISION
BUII,DING SAFETY
Page L
ilob Nu:mber: 950811
225 North Fifth Street
Springfield, oR 97477
Location of Proposed Work: 927 S 37TII P1
Assessors lrtap #: L8020612
Lot: 124 Bfock:
office:
Inspection Line:
725 -37 59
726 -37 59
Tax Lot #:
Subdivision:
02500
HAYDEN GARDEN
SPruNGFIELD,
OwneT! HAYDEN ENTERPRISE
Address: 899 SO. 32ND STREET
Phone #: 744-6955
city/state/zip: SPRTNGFTELD, OREGON 97478
NEWDescribe work: Jr hnaun^-
-- oFFrcE usE --
To requeet an inspection, call the 24 hour recording at 726-3759.
A11 inspections requested 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 Lrenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFIOOR PLITMBING - Prior to insulation or decking.
POST AtiID BEAITI - Prior to f loor insul-ation or decking.
INSULATION - Fl-oor; prior to decking Wall/Ceiling; Prior to cover
SAIiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench-
WATER LINE - Prior to filling trench.
ROUGH PLIIMBING - PriOr TO COVET.
ROUGH MECIIA}IICAL - PTiOT TO COVET.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obEain permanent power.
FRiAIIING - Prior to cover.
INSULATION - Fl-oor; prior Eo decking Wa1l/Ceiling; Prior to cover
DRWIALL - Prior to taPing.
CURBCUT - After forms are erected but prior to placement of concrete.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLITMBING - When all plumbing work is complete.
FINAL ELECTRICAT - When all electrical work is complete.
FINAL MECIIAI{ICAL - When all mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is comPlete.
Item
Main
Garage
ToLaI Value
Building PermiL Fee
Surcharge/admin
--- BUII,DING PERMIT
Square Feet x
113 3
550
$/Square Feet
55.20
14.10
VaIue
53,675.00
7 ,896 . OO
'tL ,57L . OO
349
zt
00
a)
TOTAL FEE (A)37 6 .92
SPN!NGF!ELD
ilob Number: 950811
a SPilNGFIELD,a a
Page 2
--- PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbj-ng Permit,
Surcharge/admin
TOTAL CHARGE
z
Fee
150.00
150.00
12.80
L72.80(c)
- -. ITECIIAIIICAIJ PERMIT - - -
Exhaust Hood
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMTT
4.50
3.00
16.50
10.00
1.33
(D)27 .83
--- MISCETLAI{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
PLAN CHECK FEE
ELECTRICAL PERMIT
SYSTEM DEVELOPMENT
TOTAL MfSCELLAI'IEOUS PERMITS
0.00
35.70
14.80
40.00
L24.20
1, 588 . 05
(E)1,803.75
(Excluding Electrical)
unleEE otherwise noted
--- TOTAI. AMOUN:T DUE ---
(A, B, C, D, and E conbined)
$t,po
2,381.30
ooffl*a (tA
BUILDING VAtUE, PI,A}I CHECK AtiID BUILDING PER}IIT ---
This permiu is granted on the express condition that t,he said construction
shaIl, in all respects, conform Eo the ordinance adopted by the City of
Springfield, j-ncluding the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By:
Date: Lo/03/95
--- ADDITIONAI, COMMENTS
By gignature, I aEate and agree, that I have carefully examined
the completed application and do hereby certify thaE all information hereon
j-s true and correcL, and I further certify Ehat any and al] work performed
shall be done in accordance wiLh t,he ordinances of the City of Springfield,
and the Laws of the StaEe 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 cerEify that only
conEractors and employees who are in compliance with oRs 70L.055 will be
used on this project.
!5PRINGFIELE,
a a
Job Number: 950811 Page 3
I further agree to ensure that al-l required inspecEions are requested at the
proper time, that each address j-s readable from the streeE, that tshe permit
card is located at the front of the property, and the approved set of plans
will remain on the site at afL times during construction.
Signa Date
AReceipt Number:
DaEe Paid:
Amount Received:
Received By:
SPRINGFIELO
SPRfNGPIELD, oREGON 97477 ;- .,; l- :i?
0PPICE: 726-3759
BT.BSTRTCAL PBRHIT APPLICATION
I.l An.
Ci ty Job Nunber aOa gll
3. COT{PLETE PEE SCEBDT'I,E BELOS
1.000 sq.ft. or less
Each additional 500
sq. ft or portlon
thereof
Each Manuf'd Home or
Hodular Dve}ling
Servlce or Feeder
t $ Bs.oo
'2- g 15.00
s 40.00
B. Services or Feeders
Insta1lation, 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
c
225 FIFTH STRBET
1 F ON
L
' .;,A Nev Residential-Single or
Ilulti-Family per dwelling unit.
Service Included:Items CostI,EGAL
tg a?-
DBSCRIPTION
0b lA 07boo Sum
_w
?o.n
.00
.00
rrgrr "f,ffi
JOB DESCBIPTION
b.f . Kts.'
Permits are non-traflsferable and expire
if vork is not started within 180 days
of lssuance or lf vork ls suspended for
180 days.
2. CONTRACTOR INSTAT,I.ATION ONLY
Electrical Contractor Al1en Electric
Address L2 W 3rd St.
Ci ty Madras Phone 425-2139
Supervisor License Number 1 006
Bxpiration Date
Constr Contr. Number 68145
Expiration Date
Signa ture of Supervlsing Electrician
0vners Name
Address gqA ,". AYi Ah
Ci ty a Phone 44-UQ ua
OIJNBR INSTALLATION
The. lnstallatlon is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Osners Signature:
DATB:
Temporary Services or'Feeders
Insiallaiion, Alteration or Relocation
200 amps or less
20L amps to 400 amPs
-
0ver 401 to 600 amps
0ver 600 amps or 1O00ETI
$so
$60
$100
$130
40$
$300
.00
.00
.00
.00
.00
.00
,00$40
$5s
$80s see
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
Hiscellaneous (Service/feeder not included)
-Bach installatiot't
Pump or irrigation
Si gnlOu t). ine Ligh t ing-
Limited EnergY/Res
-
Limited EnergY/Comm
E
s 35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
s 36.00
STIBTOTAL OP ABOVE
5f State Surcharge-+erAr 0'/a
'Tkru
ttA oD
4.1q--qffi-
RBCEIVED
5
tAtl.? 0
I
SPRIltlGFIELE,
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Page 1
CITY OF SPRTNGFIEI,D SYSTEMS DEVELOPMENT CHARGE
(RESTDENTIAL)
Name or Company: HAYDEN ENTEPRISES
Locarion . q Z7 5. 7A run U./Developement T)pe: R Building Srze
,rob No.: QfOStt
Lot Size: 0 Sq FE
1. STORM DRAINAGE
Impervious Sq Ft
2. SAI{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,ANSPORTATION
Number Of Units
1X
X 0.209 Per Sq Ft =
X 43.26 Per PFU =
x Cost Per Trip
435 .1,9
0
$440. ss
$o. oo
$778.68
$440. ss
$319.42
$25.23
$2 e3 . r_9
$l-,51-2.43
$7s I
1B
Trip Rate
1.010 X
Transportation Total
4. SANITARY SEWER - MIIMC
Number Of PFUs
18
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x
Per PFU +
17.190 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items l-, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: KIP BURDICK Date: o7/03/9s
$L,588.05
SPFrINGFlELD
Job Number qf? 8il
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Page 2
FIXTURE I]NIT CALCULATTON TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Etc
Inteceptors For Sand/Auto Wash,/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/ntc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta1l
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, StalL/WaIl
Wash Basin/Lavatory, Single
Water Closet, PubIic Inst.allation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
1B
4
0
0
0
0
0
0
0
0
0
2
0
2
0
0
2
1
2
3
6
2
6
1
3
2
2
1
5
4
2
0
0
0
0
1
0
U
0
U
0
1
n
2
0
2
0
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation dat,e, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1950
Credit For Parcel Or Land Only If Applicable 7, 580
Improvement (if after annexaLion date):0
x
x
3.46 = 26.23
3 .46 = 0.00
= $26.23
is noE accurate. )
CREDIT TOTAL
(If land value is multiplied by 1 then the parcel/land credit