HomeMy WebLinkAboutPermit Building 1998-03-11OTT OF SPflNGFTELD,
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 980208
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1128 S.39TH ST
Assessors t'tap #: 1,8020642
Lot: BLock:
Office
Inspection Line
726 -3759
726 -3759
Tax Lots #: 00102
Subdivision:
Owner: FRiAlitK TAYLOR
Address: 1128 S. 39TH
Describe Work: DEIIO/N)DITION
phone #:
city/state/zrp: sPFD oR, 97478
ADDITION
Consu.
Contraetor #Expires Phone
General:
Plumbing:
Mechanical:
Electrical:
Contractor
BOB ASHLEY CONS
.r0
V TEK PLUMBING
82^
HARVEY AND SONS 0075853
PO BOX 4111 SALEM OR 973020000
ROSE CORPORATIO 0054431
89976 DAY LANE EUGENE OR 974O2OOOO
o8 /Le / e8
oe /30 / e8
362-3900
585-0905
QUAD AREA: 3RSC
CONSTR. TYPE: VN
OFFICE USE --
LAIID USE: 1111
INSUL PATH: P1
OCCY GROUP:
SQ FOOTAGE:
R3
7L5
To requesE an inspecEion, call the 24 hour recording at 726-3769.
A11 inspections reguested before 7:00 a.m. will be made the same working day,
inspections reqfuested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITIIDERFLOOR PLITMBING - Prior Eo insulaEion or decking.
ITIIDERFLOOR MECIIATiIICAL - Prior to insulation or decking.
POST AfiID BEAI{ - Prior to floor insuLation or decking.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover
ROUGH I{ECIIAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ROUGH PLIrI'BING - Prior to cover.
SHEAR WALL NAIIJING - Before covering sheathing with finish materials.
FRAIIING - Prior to cover.
INSULATION - Fl-oor; prior to decking wal1/Ceiling; Prior to cover
DRYI'IALL - Prior to taping.
FINAL PLIII{BING - When all plumbing work is complete.
FINAL IdECIIANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all elecErical- work is complete.
FINAL BUITDING - When all reguired inspections have been approved and
the building is complete.
Lot Faces: S
House
W
21,
S
Setbacks
E
36
N
20
Item
Main
--- BUILDING PERMTT ---
Square Feet. x
7 1,5
$/Square Feet
64 .66
Val-ue
46,232.00
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Job Number: 980208
OTT OF SPilNGFIELD,a
Page 2
Total Value
Building Permit Fee
Surcharge/admin
TOTAI. FEE
46 ,232 . OO
269
2t
50
57
(A)29L .07
--- PLI'MBING PER}IIT ---
Item
Fixtures
Storm Sewer
Plumbing Permit
Surcharge/edmin
TOTAL CHARGE
4
Fee
40.00
25.00
5s.00
5.20
70.20(c)
Vent Fan
EXTEND DUCT WORK
HEAT PUMP
Mechanical Permit
Issuance
Surcharge/Admin
TOTAT PERMTT
--- MEC}IAI{ICAL PER!,IIT ---
1 3.00
4.50
5.00
(D)
15.00
10.00
1.20
26.20
--- MISCEIJIJAI\IEOUS PERMITS ---
Surcharge/admin
SYSTEM DEVEL CHGS
ELECTR]CAL PERMIT
TOTAI, MISCELLAI{EOUS PERMITS (E)
0.00
151.35
50.76
2L2.L2
(Excluding Electrical )
unless otherwise notsed
--- TOTAL A}TOUN:T DUE ---
(A, B, C, D, and E combined)599.59
--- BUILDING VALUE, PLA.MHECK At{D BUILDTNG PERMIT ---
This permit is granted on the express condition that the said construction
shalI, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construcEion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
PIan Check Fee: 175.18 Date Paid
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date
Building Site Reviewed By: BOB BARNHART
02/L8/ee
03/to/e8
Receipt Number: 28838
--- ADDITIONAL COMMEIiI:TS ---
PLANS REVIEWED AND APPROVED BY MORTIER ENGINEERING
By eignature, I Etate 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
shall be done in accordance with the Ordinances of the 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
contractors and employees who are in compliance wiEh oRS 701.055 will be
used on thj-s projecE.
OTTOF
SFFITIGFIELE'
'fob Number: 980208 Page 3
I further agree to ensure that a1l- required 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 sj-te at all times during construction.
Wtlx,,fAr-ru",/?3 -/D -rvIoSignatureDate
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
a
? -t\- ? (
$s.r. 51
Received By:=K4-.)
b
JoB No. 48o zo &
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:Y d, l<*-, Tv LoR_
LOCATICN l/)_9 5 3nrr*
DTVE|-CPMENT TYP:Ann,FL
BUILDING SIZE SIZ Ft
I Si'RM NRA :.,:':llco l2e,2F Areea
FT OID X $C.225 PtR SQ. tT $ /53,69
2. SANITARY Si^ltR-CITv fe,,.t*ze Sevy* Sysre*,.
NC. OF PFU'S X SJ'. E6 PER PFU q
(See Rever^se Si de I
3. IRANSPCRT,,:i.CN
N0 0F UNITS X iR.IP RATE X COST PER iP,lP
x $472.49
x $472,49
x $472.49 $
4 . SAN iTARY SI rta -Miii"lC
N0. 0F FtU'S _X _PER Firi + $10 ML.JMC/ADM FEE $
MI,'JMC CRIDiT IF APPLICABLE (SEI RtVi?,Si)$
IOTAL-MI^JMC SDC 5
SUBTOTAL (ADD IT:MS 1,2,3 & 4)s /5 .68
5. ADl"]INISTRAIIVT FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 7.6t
ZoY3*=
Il,1PERV]OUS SO
ZL
X
$X
X
SDC Coordi nator
Date 7-ZJ -qE
TOTAL SDC $ /6/,36
s+
IXTURE UNIT CALCUL.ATIOI 'ABLE: Number of New Fixtures X U, quivalent = Fixture Units
JOTE: For remodels, calculate only the NE'T additional fixtures)
NUMBER OF UNIT FIXTURE
XTURE TYPE NEW FIXTURES EOUIVALENT UNITS
athtub........
rinking Fountain....
oor Drain....
rrerceplors Fcr Grease,iOillSolids, Etc.'............
rerceprors For Sand/Auto Wash,'Etc..............
rundry Tuo/Clotheswasher.....
iotheswasher - 3 Or More.....
Iobiie Home Park Trap (1 Per Traiier)..."..'......
eceptor For BefrigeratorWater StationiEtc.....
eceptor For Commercial Sink, Dishwasheri Etc..
nower, Single Stall,.....
rower, Gan9.........
nk: Bar, Commercial, Residerrtiai Kitchen.......
-rnal. StalliWall.........
ash BasinrLavatory, Single..
-.iier. Puoiic installation.
>iler, Pnvare..............
isceilan eo us
TOTAL F|XTURE UNITS
adHe
2
1
2
3
6
aL
b
1
J
2
lt
2
2
1
b
4
?EDIT CALCULATION TABLE: Based on assessed value
rculaie credits seoarates.
lf improvements occurred after annexation date in rabie,
XS
(Hate X Assessed Value)
X$
(Rate X Assessed Value)
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 980
'1 981
1 982
1 983
1 984
1 985
1 986
$ 3.97
"ao
3.70
420
3.20
2.91
Creciit for Parcel cr Land Only lf Applicable
lmprovement (if after annexation date)
Year
Annexed
Rate per s1,COO
Assesseci Vaiue
1 987
1 988
1 989
I OOn
1 001
1 992
1 002
1 994
1 0otr
1 004
) 2.00
2.17
1.73
1.31
c.92
o.74
u.o I
c.45
c.31
0.17
RUNOFF COEFFICIENTS FOR STOBM DRAINAGE
(For Estimating Purposes OnlY)
i: -...^..^::^I tcJtuEt I trui...............
Commerical
lndustrial....
Governmental..........
i.4
0.9
05
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
CREDITTOTAL = s-
sr)Ril.aGFlELO
zon n not requho spoafrothrd uoo
C
approval.
ZZ5 FIFT' STREET altltofied
SPRINGFIEI,D, OREGON 97477
INSPECTION REQUESTz 726-3769
oFPICE: 726-3759
1 OF
ON
Permits are non-transferable and expire
if vork is not started vithin 180 d
of issuance or if work is suspende
180 days.
2. CONTRACTOR INSTALI.,ATT ONLY
Electrical Contractor 5e
Address
city k
Supe
Expiration Date o
constr contr. Number 57//3/
Expiration Date
Signa ture o sing trician
d
Ovners Name
ELECTRICAL PERHIT APPLICATTON
City Job Number
3. COHPLETE FEE SCMDULE BELOV
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t Sum..wfi6
efi,
\-'rl":rl.t.. ,l.--..r ,. _.,,
7Z or less
kZ e/YZ Phone 686-oqoi to 400 amps
-T
rvisor License Number ,62 9S 60
600 amps
i.000 amps
1000 sq.ft. or less
Each additional 500ft or portion
reof
Manuf'd Home. or
ular Dvelling
vice or Feeder
ices or Feeders
tallation, Alterations
locat ion:
0ve /vo1 ts
Recon
s 8s.00
's 1s.00
s 40.00
s s0.00
s 50.00
$r00.00
s130. 00
s300.00s 40.00
s 3s.00 31
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
20L amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000rrtr[s see "B' a66i6-
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
Addr
Ci ty
s
Phone
One Circui t I
Each Addi tional
Circuit or vith Service,
or Feeder Permi t A $ 2.oo -.]|]LALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Si gnlou tl"ine Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z-Administrative Fee
$ 40;00,.
s 40.00
$ 20.00
s 36.00
a)5
DATE:31 tt
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