HomeMy WebLinkAboutPermit Building 1999-10-05CITY OF ONEGON
SPIIINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVTCES DIVISION
BUILDING SAFETY
Page 1-
ilob Number: 99L252
225 North Fifth Street
Springfield, OR 97477
Location of Proposed $lork: 970 S 37TH ST
Assessors tutap #: 18020513
Lot : 1-42 Block:
Office
Inspection Line
7 26 -37 59
7 26 -37 69
Tax Lot #
Subdivision
1,2900
HAYDENS GARDEN
OwneT: HAYDEN ENTERPRISES
Address: 3258 PTNYON ST.
Describe Work: S.F.RESIDENCE
Phone #: 744-5966
city/state/zip: sPLFD oR, 97478
NEW
Contract,or
HAYDEN ENTERPRI OO922O8
2622 SW GLACIER PL #110 REDMOND OR
ALL AMERICAN 01-02597
4041 OVERLOOK BLVD PORTLAND OR 9722
ELITE ELECTRIC 0099768
38289 COTIRTNEY CREEK DR BROWNSVILLE
Conet -
Contractor #Expires Phone
o7 /29/98 923-5607General:
Plumbing:
ElectricaL
1,0/25/e8
t
Lo/oL/oa
282 - 3lao
351 -8260
QUAD AREA: 3RSC
OCCY GROUP: R3
HEAT SOURCE: WH
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
1
3
1,520
To request an inspection, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:OO a.m. will- be made the same working day,
inspections requested after 7:00 a.m. wil-l be made the following work day.
--- REQUTRED INSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but. prior to concrete placement.
ITNDERFLOOR PLTMBING - Prior to insulation or decking.
ITNDERFLOOR DR.AIN - Prior to cover or placement of concrete.
POST AI{D BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior Lo decking Wa1l/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SA.MTARY SEWER LINE - Prior to filling trench.
STORM SEWER tINE - Prior to filling trench.
ROUGH PIJI,MBING . Prior To cover.
ROUGH MECIIAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before cowering sheathing with fini-sh materials.
FRAMING - Prior to cover.
INSULATfON - Floor,. prior to decki-ng Wa11/Cei_1ing; prior to cover
DRYWALL - Prior to taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCII:I - After forms are erected but prior to placement of concrete.
STDEWALK - After excavation is complete, forms and sub-base material
in pIace.
FfNAL PLITIIBING - When all plumbing work j_s complete.
FINAL MECHAT{ICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FrNAr, BUTLDTNG - when all required inspections have been approved and
?rlOTlCE:
rHis pennnfi sHALL ExPIRE lF THE woRK
NUiHONIZED UNDER THIS PERIVIIT IS NOT
Con n,E,ucED oR ls ABANDoNED FoR
ANY lsoDAYPERIOD.
UA
the building is complete
SPRIilGF!ELI,
,.fob Number: 997252
CITY OF SPilNGFIEIT', ONEGON
Page 2
Lot Faces: N
Topography:
House
Garage
Lot Sq.
Lot Type
Setbacks
SW
10 L2
Ft. : 9110
: CORNER
E
24
Lot Coverage: l7 *
N
33
ftem
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
BUILDING PERMIT ---
Square Feet x
1_l.20
400
$/Square Feet
69 .64
18.34
(A)
VaIue
77,997.00
7, 336 . 0o
85, 333 .00
391.00
39.10
430. r_0
PLIIMBTNG PERMIT ---
ftem
Residential Bath(s)
Plumbi-ng Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
15.00
175.00(c)
--- MECHAI{TCAL PERMIT
Exhaust Hood
Vent, Fan
Dryer Vent
Mechanical permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
4.50
9.00
3.00
15.50
10.00
L.66
(D)28.L5
--- MISCELTANEOUS PERMITS ---
Surcharge/edmin
Sidewalk
Curb Cut
CTTY SDC
ELECT. PERMTT
WTLLAMALANE
PLAN CHECK
0.00
63.84
60.00
2 ,228 .84
170.50
1, 000 . 00
50.00
(E)3,583.19
(Excluding ElecErical )
unless otherwise not,ed
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4,2L7.44
BUILDING VALUE, PLAN CHECK AND BUTLDTNG PERMIT ---
This permit is granted on the express condition t.hat the said constructionshall-, in all respects, conform to the ordi-nance adopted by the City ofspringfield, includi-ng the Development code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
TOTAL MISCEI,LA.I{EOUS PERMITS
SPIIINGFIELD
Job Number: 99L252
CITY OF SPilNGFIELD, ONEGON
Page 3
Received By:
Pl-ans Reviewed By: AL WARD Date: 09/30/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS
DEFAULT FOR THE CITY,RIS SYSTEM NOT UP
DRIVEWAY REQUIRED TO BE PAVED
5 STREET TREES REQUIRED
By signaEure, I state and agree, thaL I have carefully examined
the completed application and do hereby certify that aIf informatj-on hereon
i-s 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 Eo the work descrj-bed herein,
and that NO OCCUPANCY wj-ll be made of any sLructure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compllance with oRs 701.055 will be
used on this project.
I further agree to ensure that all requi-red inspections are requested at the
proper time, that each address is readabl-e from the street, that the permit
card is located aL the front of the property, and the approved set of pJ-ans
will remain on the site at all times during construction.<>e-/r^ rrlt hz
Signature Date
IDATTON ---
Receipt Number:
Date Paid:
Amount Received:
Recei-ved By:
INsPEcf,ION REQUEST- 726-3/tq."n -50
SPFTT^lGFIELO
1000 sq.ft. or less
Each. additional 500
sq. ft or Portion' thereof
Each Hanuf'd Home. or
Hodular 'Dve11ing
Sertice or Feeder
Services'or Feeders
Installation, Alterations
or Relocation:
200 amps or less
connect 0n1y
200
D. Branch Circuits
E.
BI^ECTRICAI PERHIT APPLICATION
Ci tY Job Nnnbe, M
Nev Residential-Sing1e or
Hulti-Family per dvelling unit.
Service Included:Items Cost
j ?1€
.an225 FTYIE STREET
SPRTNGFTELD, OREGON g^l?.?i^
OFPICE: 726-3759 : 'are W s: eagl-rnrg FEE scEEDuIJ BELovSignature
1 LOCATION OFLgr I q)_
DESCRIPTION
JOB DESCRIPTION
=.(,
Address 4,yt (L*r-e,D
Ci ty : ({,xf<__ Phone 54a
Supervi-sor License Number
rrdtp
Expiration Date o
Constr Contr. Number 8e /s
Expi ra t i Da te
of Supervi Electrician
Ovners Name
Address 'L> ft JI
Ci ty A/&tt4a4 Phone 1L/q -6 ? (?
201 arups to 400 amPs
-
40L amps to.600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
0N -r4,o CffV .A.
Sum
9rv
B
rvices or Feeders
onr Alteration or Relocation
'or less X
&\t>-
I g Bs.oo
L S 1s.oo 3o
s 40.00
ee trB" a566
S 50;00
s 50.00
s100.00
s130.00
s300.00s 40.00
-
riys
201 aups to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amps or 1000 volts
s
s
$
s
40.00
55.00
80.00
The installation is being made on
proPerty I ovn r.rhich is not intended
for sale, Iease o[ rent.
0vners Signature:
Nev, Alteration or Exterrsion Per Panel
One Circuit S 35'00
Each Addi tional
Circuit or vith Servite
or F€eder Permit
-
S 2'00
Hiscellaneous is"rriceZfeeder not included
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limi ted EnergY/Res
OVNER INSTALUTION
DATE:
SUBTOTAL OF ABOVE
,r{z state surcharge
' 3Z Admini.strative Fee
TOTALRECEIVEDB
5
-
Pernits are 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.ATION ONLI
Electrical Contractor 4d,& fu-x-
s 40.00
s 40.00
s 20.00
s 36.00
./ f5-
tl..
JOURNAI ^R JOB N o. ql lzsL
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:HAv'>ar..:rut 565
LocATIoN: 11O Soor t.1 31'A W
DEVELOPMENT TYPE: StN(rr-a trq.4 u{ R5. ,
BLIILDING SIZE lsE SIZE Q.Ft.
, x?O
11"
l5STOfu\4 DRAINAGE ,oL eawg ltlw
s7+ 179+ 6AZ
MPERVIOUS SQ. FT Z 9o
2. SAMTARY SEWER-CITY
NO. OF PFU'S ( 8
x $0.232 PER SQ. FT
X548.27 PER PFU s 868 gG
s 41l.ao
s ?-47-,1G
S ZZ,oS
<S 6'7,o5 >
s 10.00
s Zo1 ,1b
s 2lZZ.1o
toG. \
s 55 tt, {8
(See Reverse Side)
3. TRANSPORTATION
NO OF UMTS X TRIP RATE X COST PER PM PEAK HOUR TRIP
l.ot x D.u. x$486.73pERTRIp
x _ x s486.73 PER TRrP
4. SAMTARY SEWER-MWMC
A. REMBURSEMENT COST:
NO. OF FEU'S I x z+LlbPER FEU
B. MPROVEMFNT COST:
NO. OF FEU'S X Z?,o{ PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMI]VISTRATTVE FEE
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)5. ADMINISTRATTVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .0s
SDC
ATTACH'A.WPD
TOTAL SDC S ZLZt,T4
q
FIXTURE UIYIT CALCULATION TABLEI Number of New Fixtures X Unit Equivalent: Fixrure Units
(NOTE: For remodels, calculate only the' - additional irxtures)
FIXTURE TYPE
Bathtub.........
Drinking Fountain......
Floor Drain...
lnterceptors For Grease/OiUSolids/Etc
Intprceptors For Sand/Auto Wash,/Etc.,
Laun&y Tub/Clotheswasher/1vIop Sink...................
Clotheswasher - 3 Or More.............
Mobile Home Park Trap (1 Per Trailer)..
Receptor F or Re fri geratorAVater S tation rEtc...........
Receptor For Commercial S inlc/D ishwasherEtc......
Shorver, S ingle S taII............... :.......
Shower, Gang.
S ink Bar, Commercial, Residential Kitchen...........
Urinal, Stall./WaI1.....
Wash Basin/Lavatory, Single...........
Toilet, Public Installation...
Toilet, Private.........
Miscellaneous:
a
NUMBER OF
NEW FIXTURES
1
L
UNIT
EQUTVALENT
FIXTURE
LINITS
Z
Z
z
2
I
2
)
6
2
6
6
I
3
2
I
2
2
I
6
4
*qo
lHead
\
"
t8TOTAL FIXTURE UNITS
CREDIT CALCULATiON TABLE: Based on assessed value. If improvements occurred after annexarion date in table, calculate
credits
Credit for Parcel or Land Only If Applicable .+-r x $ l5.oo =C1.osI
(Rate X Assessed Value)
Improvement (if after annexation date)x$ -- -
(Rate X Assessed Value)
CREDIT TOTAL - S C7,os
; Pdt dLtr L
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Amexed
Rate per $ 1,000
Assessed Value
198 1
1982
l 983
1984
I 985
1986
1987
I 988
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
1979 orbefore $4.47 l 989
1990
1991
1992
l 993
1994
l 995
1996
1997
I 998
2.18
1.75
1.35
t.t7
1.03
0.86
0.71
'0.57
0.39
0.l8
RUNOFF COEFFICIENTS FOR STORM DR{INAGE
(For Estimating PurPoses OnlY)
Residential...
Commerical.
0.4
0.9
0.5
0.5
FIXUNM.WPD II}IPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Willamalane
Park & Recreation District Job. No. Ql ta6y
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:?;.'STATE: - O€-ZlP:Qr 1 g
LOCATION OF PROPOSED BUILDTNG SITE:
Street Address:
Plat Name:Tax Lot Number:
1.appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on e
A Single-Family Detached
I Single Family home Manufactured home not in a Park
NO. OF UNITS X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
C. Multi-Family Apartment
D. Manufac{ured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDOaayer must fumish proof of
Wiltamalane Credit approval. See SOC Credit Worksheet'
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
t^J
Services Department
PHONE:lLlq_ b7t G
(Check
back.)
$
$
$
$
$
City of Springfietd
Date
5_,
DO
Ato S . 311*Sbot I