HomeMy WebLinkAboutPermit Building 1995-02-21SPfrINGFTEI-D,
SPFINGFIELD
o
RESIDENTIAL PERMIT APPI.ICATION
CTTY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
Job Nunber: 950858
225 North Fifth StreeL
Springfield, OR 97477
Location of Proposed Work: 984 S 37TH Pt
Assessors t"tap #z LBQ2O6L2
Lot: 140 Block:
office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
02600
HAYDEN GARDEN
Ovrner: IIAYDEN ENTERPRISE
Address: 899 SO. 32ND STREET
Describe Work: S F RESIDENCE
Phone #: 744-6966
city/state/zip: SPRTNGFTELD, OREGON 97478
NEW
Contractor
Const.
Cont,ractor #Expires
o7 /2e / e6
oe/re/e6
07 /2e / e6
oe/24/eo
Phone
923 - 5607
683 - 5115
923 -5507
47 5-2J-39
General:
Plumbing:
Mechanical:
Ef ectrical-:
QUAD AREA: 3RSC
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: l-1-11-
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOTRCE: WH
SQ FOOTAGE: L693
To request an inspection, cal-L the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,
inspections requested after 7:00 a.m. will be made Ehe following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - AfEer trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITIIDERFLOOR PLUIIBING - Prior to insu]-ation or decking.
POST AI{D BEAII - Prior to floor insul-ation or decking.
INSULATION - Floor; prior to decking Wal1/Cei1ing, Prior to cover
SAI.IITARY SEWER LINE - Prior Eo filling trench.
STORM SEWER LINE - Prior to filfing trench.
WATER LINE - Prior to fiLling trench.
ROUGH PLITIIBING - Prior to cover.
RoUGH MECEAIIICAI. - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR.AIIING - Prior to cover.
INSITITATION - Floor,' prior to decking Wa11/Ceiling; Prior Eo cover
DRYIIIALL - Prior to taping.
CITRBCIIr - After forms are erecLed but prior Lo placemenE of concrete.
SIDEWALK - After excavaUion is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all ptumbing work is complete.
FINAIJ ELECTRICAL - When all electrical work is complete.
FINAL MECIIAI{rCAL - When all mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
HAYDEN ENTERPRI OO922O8
L511 SW 33rd Redmond OR 977560000
EMERALD VALLEY 0051737
2727 N 2oth Springfield OR 97477000
HAYDEN ENTERPRI OO922O8
1511- SW 33rd Redmond OR 977560000
ALLEN ELECTRIC 0000968
20L N 3rd Madras OR 977410000
SPFINGFIELD
h,
Job Number: 950858
SPruNGFIEI.D,a
Page 2
Total Height: 15
Lot Type: INTERIOR
Setbk From NPL: 10 Solar Approved: Y
Item
Main
Garage
Total Value
Buildj-ng Permit Fee
surcharge/edmin
--- BUTLDING PER}IIT ---
Square Feet x
113 3
550
$,/square Feet
56.20
14.10
VaIue
63 ,675.00
7, 895 . 00
7L ,57L . OO
349.00
27.92
TOTAL FEE (A)37 6 .92
--- SYSTEMS DEVELOPI'IENI CIIARGE (SDC)
(B) 1, 588 . 05
SysEems DevelopmenL Charge is due on al-l- undeveloped properties within the City
limits and t.he Citsys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI, CIIARGE
2
Fee
160.00
150.00
12.80
L7 2 .80(c)
--- MECHA.I{ICAL PERMIT
Exhaust Hood
Dryer Vent
Mechanical Permit
Issuance
Surcharge/aamin
TOTAL PERMIT (D)
4.50
3.00
15.50
10.00
1.33
27 .83
--- MISCELLATiIEOUS PER!,IITS
Surcharge/edmin
Sidewalk
Curb Cut
PLAN CHECK FEE
ELECTRTCAL PERMIT
TOTAL MISCETLAI{EOUS PERMITS
0.00
zL, z5
14.80
40.00
124.20
(E)200.25
(Excluding Electrieal )
unlesE otherwiEe noted
--- TOTAI. A}TOI'TffT DUE ---
(A, B, C, D, and E combined)2 ,355 .
s,
85
o0
U t^^"
--- BUILDING VAI,UE, PI,Al.iI CHECK A}ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shalI, in all respects, conform to the Ordinance adopEed by the City of
Springfield, includi-ng the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked aE any time upon viol-ation
of any provisions of said ordinances.
SPFIT'GFIELD
Job Number: 950858
SPfrINGFIELD.a
Page 3
Received BY:
Plans Reviewed By: DoN MooRE
Building Site Reviewed By: LISA HOPPER
Dare: LO/04/96
.-- ADDITIONAI, COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By aignalure, I st,ate and agree, that I have care fu11y examined
Ehe completed application and do hereby certify that all information hereon
is true and correct, and I furEher certify that any and aII work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon perEaining Lo 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
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
f further agree to ensure thaE a]} reguired inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at al-l- Eimes during consEruction.
*Z
Signature Date
--- VAI,IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
(
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SPBINGF!ELD
Page 1
CITY OF SPRINGFIEI,D SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAI,)
SPRINGFIEID,
Name or Company: HAYDEN ENTERPRISE
Location: 984 S 37TH PL
Developement Type: R Building Size:
Job No. : 950858
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}TSPORTATION
Number Of Units
1X
X 0.209 Per Sq Ft =
X 43.26 Per PFU =
Cost Per Trip
436 .L9
Transportation Total
4. SA}IITARY SEWER - MIIIMC
Number Of PFUs
18
5. ADMINISTR,ATIVE FEES
Base Charge (Subtotal Above)
18
Trip Ratse
1.010 x $440. ss
$o. oo
$778.58
$440. ss
$3L9 .42
i26.23
$2 93 . r-9
$1, 5L2 .43
$7s.65
x
x
Per PF.U +
17.190 +
MIrMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
STBTOTAL - (Add Iuems 1, 2, 3 & 4)
x 0.50
TOTAT SDC
Reviewed By: KIP BURDICK Date: O7 / 03 / 95
$1,588.05
x
SPFINGFIELD
Job Number: 950858 Page 2
FIXTURE I'NIT CAI.CUI,ATION TABI,E
SPilNGFIELT',
Fixture T)pe
Number of
New Fixture
Unit
Equivalent
Fixture
unr-ts
Bat,htub
Drinking Fountain
Floor Drain
Interceptors For Grease/OiI/solids/utc
IntecepLors For Sand/Auto Wash/Etc
Laundry tub/Clotheswasher
Clotheswastrer - 3 Or More
Receptor For Refrigerator/Water Station/Btc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta1l
Shower, Gang
Sink, Bar, Commercial, Resident,ial Kitchen
Urinal, Stall/Wall
Wash Basin/LavaEory, Single
water Closet, Pub1ic Installation
Wat.er Cl-oset, Private
Miscellaneous
TOTAL FIXTURE UNITS =18
CREDIT CALCITLATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calcul-ated separately.
(calculations are by $1000)
Year Annexed: 1950
Credit For Parcel- or Land only If Applicable: 7,580 x 3.46 = 26.23
ImprovemenL (if after annexation date): 0 X 3.46 = 0.00
CREDIT TOTAL = $26.23
(If land value is multiplied by 1 then the parcel/Iand credit is not accurate.)
0
0
0
0
1
0
0
0
0
l-
0
2
0
a
0
t-
z
3
6
6
L
3
a
1
6
4
4
0
n
0
0
a
0
0
0
z
0
2
U
8
U
sPnl JIELO
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225 FITTH STREET
SPRTNGFTEI^D, OREGON 97 477
INSPECIION REQUEST:. 129-
OFFICE: 726-3159
City J ob Number 4b08ry
3. COHPI^ETE FBE SCEEDIII,E BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less t S 85.00
Each additional 500
sq. ft or portion
thereof 7 S 15.00
Each Manuf'd Home. or
-Modular Dvel}ing
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
ELECTRICAL PERHIT APPLICATION
200 amps or less
201 amps to 400 amps _401 amps to 600 amps _
601- amps to 1000 amps
0ver L000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
'4tr
3169 {w
1 ON 0 TION
OLOQ tb
JOB DESCRIPTION/u ,<.
Permits are non-transferable and expi.re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTAII^ATION ONLY B.
Electrical Con tt^.to, ,il,/**) E/-Zd;(O
Address I 2 < t4) 732
ciry h.Fok*< Yhone e Z.f - )/ J /
Supervisor License Number *Z S
Exp iration Date /'A -/ '' 7'f
C
Constr Contr. Number b
Signa ture of Supe ising Electrician
Ovne.rs,Name
Address d
200 amps''or less
201 amps to 400 amps _
Over 401 to 600 amps
Over 600 amps or 1000-voITs
Sum
J9-^
2!
s s0.00
s 60.00
s100. 00
s130.00
s300.00s 40.00
s 40.
$ ss.
$ eo.
see tt
00
00
00
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
ciry ap,FlT vnone )Hq *A?4
OV}IER TNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
0vners Signature:
DATE:
PT
B" a5-G-
not included )
40.00
40.00
20.00
36 .00
E Miscef laneous ( Service/feeder
-Each installation
Pump or irrigation S
Sign/Outline Lighti.ng- $
Limi ted Energy/Res $
Limi ted Energy/Comm S
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
(
RECEIVED I]Y:
tb
I
g
Expiration Date 7 - rl -? f
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