HomeMy WebLinkAboutPermit Building 1995-08-25CITY OF SPilNGFIEI.D,
SPR!NGFIELE,
RESIDENTIAL PERMIT APPI.ICATION
CITY OF SPRINGFIELD
CO!!}TI'NITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
ilob Number: 951355
225 North Fifth Street
Springfield, OR 97477
Location of Propoaed Work: 545 S 41ST PL
Assessors t,tap #: L7023233
Lot: 3 Block:
Office:
Inspection Line:
726 -37 59
725 -37 69
Tax Lot #:
Subdivision:
o4400
TIOGA
O\,Yner: MASADA DEVELOPITIENT
AddrESS:. 29629 GAMBLE PLACE
Describe Work: S.F. RESIDENCE
Phone #: 206-297-4028
city/staEe/zip: KTNGSTON, WA 98345
NEW
General:
Plumbing:
Mechanical:
Electrical:
Contractor
MASADA DEVELOPM 0089526
29629 Gamble Place NE Kingston WA 9
FRIDLUND OO5]-835
85370 Dilley Ln Eugene OR 974050000
MASADA DEVELOPM 0089525
29629 Gamble Pl-ace NE KingsLon WA 9
ROSE CORP 0054431
89975 Day Lane Eugene OR 974020000
ConEt.
Contractor #Expires
03 /25 / e5
L2 /t4 / es
03/25/e6
oe/30/es
Phone
297 - 4028
7 46 - 9433
297 -4028
685 - 0905
QUAD AREA: 3RSC
# OF I'NITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L2B6
-- oFFrcE usE --
LAND USE: l-111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
To requeat an inspection, call the 24 hour recording aL 726-3769.
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 ---
TEMPOR.ARY POWER
ITIIDERFLOOR PLITMBING - Prior to insul-ation or decking.
FOOTING - Aft,er trenches are excavated.
FOITNDATION - Aft,er forms are erected but prior to concrete placement.
POST AI.ID BEAtrI - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLI,MBING - PriOr TO COVET.
ROUGH MECHATiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obt,ain permanent power.
FR.A.MING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWAIJK - After excavatj-on is complete, forms and sub-base material-
in place.
FINAL PIJITMBING - When all plumbing work is complete.
FINAL ELECTRICAT - When all electrical work is complete.
FINAL MECIIAI{ICAL - When al-I mechanical- work is complete.
FfNAL BUIIJDING - When all required inspections have been approved and
the buil-ding is complete.
SPFINGFIELD
Job Number: 951355
CITY OF SPRINGFIEI-D,
Page 2
Totaf Height: 25
Lot Type: PANHANDLE
Setbk From NPL: 33 Sol-ar Approved: Y
Item
Main
Garage
Total VaLue
Building Permit Fee
Surcharge/aamin
TOTAI, FEE
--- BUILDING PERMIT ---
Square Feet x
l.599
324
$/Square Feet
55 .20
14.10
(A)
Value
95 , 484 .00
4,568 .00
100, 052 . o0
435.25
34.82
47 0 .07
--- SYSTEMS DEVELOPI{ENT CHARGE (SDC)
(B)L,5L6.78
Systems Development Charge is due on alL undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT --.
ftem
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CIIARGE
Fee
l_50.00
L72.80(c)
--- MECHATiIICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
fssuance
surcharge/admin
TOTAL PERMIT
3
4.50
9.00
3.00
(D)
16.50
10.00
1.33
27 .83
- - - MISCELI,ATiIEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
PIJAN REVIEW FEE
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MISCEI.LA.I{EOUS PERMITS
0.00
1,2.25
L2.25
50.00
1, 000 . 00
183.50
(E)L,268 .L0
(Excluding Electrical)
unless otherrriEe noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)3,455 .58
--- BUILDING VALUE, PI,A}I EHECK ATiID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shaII, in aII respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construcLion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
160.00
a2.80
SPRINGFIELE,
Job Number: 951355
CITY OF
Page 3
--- ADDITIONAI, COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that aLf information hereon
is true and correct, and I further certify that any and all work performed
sha11 be done in accordance with the ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure withouts permj-ssj-on of the
Community Services Division, Building Safety. I further certify that only
contracUors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Uo ensure that all required inspections are requested at the
proper Lime, that each address is readable from the sLreet, that the permit
card is located at the front of the property, and the approved set of plans
will- remain on the site at aLl times during construction.
*- zs-- 7r1_
Signature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By
/8 8- r-
CITY OF
$PFTNGFIELD
Page 1
CITY OF SPRINGFIELD SYSTE}TS DEVEI,OPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: MASADA DEVELOPMENT
Location: 545 S 41ST PL
Developement T)pe: R Building S:.ze:
Job No. : 951356
Lot Size:Sq Pt
1. STOR}T DRAINAGE
Impervious Sq Ft
2. SAI{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
1X
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
Cost Per Trip
437.93
1530
11
Trip Rate
1.010 x i442.3L
$342.30
$477 .73
$442.3L
#2L6.2s
$34 . o4
#L82.2L
$1,444.55
<1) )1
Transportation Total
4. SAIIITARY SEWER - MT'MC
Number Of PFUs
11
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x Per PFU +
18.750 +
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: TROY MCALLfSTER Date: o8/2L/95
$1,515.78
CITY OF
SPRINGF!ELD
.fob Number: 951355 Page 2
FIXTURE I'NIT CAI,CUI,ATION TABI.E
Fixture Tlpe
Bathtub
Drinking Fountain
Fl-oor Drain
Interceptors For Grease/Oi1/Sol-ids/Utc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Utc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial
Urinaf , Stal1,/waI1
Wash Basin,/Lavatory, Single
water Closet, Public Installation
Water Cfoset, Private
MiscelLaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit.
Equivalent
Fixture
Units
11
2
0
0
0
0
a
0
0
0
0
0
a
0
1
0
4
0
2
1
3
6
z
5
1
3
2
2
t-
5
4
1
0
0
0
1
0
0
0
0
0
1
0
1
0
1
0
CREDIT CALCITLATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: L969
Credit For Parcel Or Land OnIy ff Applicable
Improvement (if after annexation date) :
9, 810
U
3.47 =
3.47 =
34 .04
0.00x
$34 .04
(If land val-ue is multiplied by 1 then the parcel/1and credit is not accurate.)
CREDIT TOTAI, =
ffirreuo
RESIDENTIAI. PERMIT APPI.ICATION
CITY OF SPRINGFIEI,D
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nr:rnber: 951355A
225 North Fifth street
Springfield, OR 97477
Location of Proposed Work: 545 S 41ST PL
Assessors ttap #: a7023233
Lot: 3 Bfock:
Office:
Inspection Line:
126 -37 59
726 -37 59
Tax Lot #:
Subdivision:
04400
TIOGA
OwnEr: Ir!,ASADA DEVEI.OP}TENT
Address:. 29629 GAMBLE PLACE
Describe Work:
Phone #: 206-297-4028
ciry/state/zip: KTNGSTON, WA 98346
NEW
-- oFFrcE usE --
Lot Faces: W
House
Garage
N
1l-
9
s
20
W
Setbacks
E
11
--- MISCEI,LA}IEOUS PERMITS
Surcharge/admin
ADD'L PLAN REVIEW
TOTAT MISCEI.I,AI.IEOUS PERMITS
0.00
55.00
(E)55.00
(Excluding Electrical)
unlesE ot,herwise noted
--- TOTAL A}{OI'NT DUE ---
(A, B, C, D, and E combined)55.00
--- BUILDING VALUE, PLAIiI CHECK AI'ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shalI, in all respects, conform to the Ordj-nance adopted by the City of
Springfield, including Ehe DevelopmenL Code, regulating the construction and
use of buitdings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Ptan Check Fee: 60.00 Date Paid
Received By:
Plans Reviewed By: DON MOORE Date
Building Site Reviewed BY:
oB/25/95 Receipt Number:. L8826
--- ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed. applicatj-on and do hereby cerEify 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 pertaining to the work described herein,
and that NO OCCUPANCY wil-I 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 Lo ensure that aLl required inspections are requested at the
proper time, that each address is readabfe from Lhe street, that Ehe permit
card is l-ocated at the front of the properEy, and the approved set of plans
will- remain on the site at all times during construction.
s
/()- lY - 7rL-4-
iaie
SFNTT'OFIELD
Job Number: 951355A
SPilNGFIEI^O,
Page 2
\Receipt Number:
Date Paid:
Amount Received:
Received By:
SPRINGFIELD
Tho following proiect as eubmltted lras the
ii" i "ii,,iiiJ
"05" j not require spec lf ic le'nd muso
approval.
225 YTfrg Sl3.EBf,
SPRTNGPTELO, 0REGoN 97477
INSPECTION iEOUBSI: 726 s-9
oPPfCB: 726-3759
(/
stonature $fV!1 eexr*:rr-, ,
A
EIJCTRICAL PERHIT APPLTCATION
City Job Nunber
Ar"ihorlze<J
1 IN
S.HgJKT'ON
Pernlts are non-transferable and expire
if vork ls not started vithln 180 days
of lssuairce or lf vork ls suspended for
180 days.,
2. CONTRACTOR INSTALI.ATION ONI.Y
Electrlcal Contractor RoSE CoRP
SCEEDT.ILE BELOU
Nev Resldential-Single or
HuIti-FamiIy per dwelling unit.
Service Included:
I tems Cos t Sum
1000 sq.ft. or less
Eaeh additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular DveIIing
Servlce or Feeder
B. Services or FeedersInstaIIation, Alterations
or Relocation:
I
t-,_4
&sg$ 8s.00
$ 1s.00
s 40.00
Address 89976 DAY L 200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps
over 1000 amps/volts
-Reconnect 0nly
F s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City pncrrur Phone Egf,-nq61E
Supervisor Llcense Number 15685
Explration Date tjlu9s
,::
Constr Contr. Number 544i1:'
Expl 'ratlon Date 9/30/95
Temporary Services or-Feeders
Installation, Alteratlon or Relocation
c
Slgna ture--o#qpprvls ing EIec t ri cian
200 amps or less J- S 40.00
201 amps to 400 amps S 55.00
0ver 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voT[s see "8"
D
m-a
Ovners Name
Add
ci
OSNER ALI^ATION
The. instalLatioir is beirig made on
property I oun vhich ls not intendedfor sale, Iease or rent.
Oyners Slgnature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui[ $ g5.OO
Each Atdi tional
Circui t or uri th Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation SSign/0utline Lighting- S
Limi ted Energy/Res
-
SLimited Energy/Comm $
5. STETOTAL OP ABOVE5f State Surcharge
TOTAL
00
00
00
00
40
40
20
36
RECBI1IED
o
Willamalane
Park & Recreation District Job. No.
LOCATION OF PROPOS ED BUILDING SITE:
Street Address:SI
Plat Name:Tax Lot Number: \
'' ot';E;La?il#,*!I;J;Yfi[
[:ffi- appropriate dwerrins(s). sDC carcu]arions and dwerins t
A. Single-Family Detached
I Single Family home Manufactured home not in a park
NO. OF UNITS I X $t,000 per unit = $d)
B. Single-Family Attached
NO. OF UNITS X $gZ+ per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $0ge per unit
D. Manufactured Home park
NAME:
ADDRESS:
NO. OF UNITS
WILLAMALANE SDC
e m ent
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE
STATE:l!A-zp' Q83Lobrl
$
$
2. sDc cREDtr (if appricabre) sDO-payer must furnish proof of
willamalane credit approvar. see sDC credit worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
X $699 per unit
\Dm.gc
$
$
$
0
E I_WJ ?F
City of Springfie
artment Date
15 *,,
t 6)
.; tl l)
blFt
ir*q lrtEruls
.ilrb{, lfif,filrc
.lq ttttrr ]rnr
.bd.utaei
Ll,JtrlEEr
- TOF Gt{OFi t
8OT 6HOF
UYEEA
OTHERs
Erecriolli lhu$,u++, F1BE64a
. ,.i^ lillffi*H#), t*'r'tfr rd c'r+.)
pgRoEs
TOF Ct{oHD 1 -ts.t {47. trs*t ffi. 0rar.1l8O, {.6r-1 is?
lOT CHORO S4litfitt, +iEf,tl ?dr$, l.grf$EWEES I{i*tIi!O,l.gE{41I,tr#{l(l,fiLCsi
ETAHil6
*TOP CHtrnE tlEclhcd 5r+E{ oi cfit'
EOTCHORD l{;E.[dr Ydtr !{. }frt{
17(as a Jo
9ru4, 4t t* //a<< +
S.ut 4/9* P/^'" ^
IiO. EBB P. 1
r+l.t:r ,. ,.,,, "," rmp -.- ._, ",,,ft+Jl&t't, t+a ,t4
w+
4
70
fi4=
strl=
5
&fr=
}.1Sf,
ptJ\rfs
Hl0ttgfr
38 tgg6 r
OB.Ef6N
rrof,- 9.1$96 9Ftt'l
t{
1+{l
!0fDC SE(S) s' d
'Itu*fIFr
BqQFTRI.'8S
PlvOry
20
e+J
I ttt-dr
n.sliT
0,*lr
r
ru4e
c
0.*rt
f*
t*rr
?rtld
d
o?
fl ,l
tk
c*4=
Is{
0.#
t"t6
Yt8
ll0Tes
il-rt'[r-ttu.r tto Dcen dndEld 'c u.'r'H hdr rd*rilcd ly to.o m-F h' Eirs r[ EEo lGlt rhrc 5rg'ad hvrl'' urtng Z,O r.rr. top sturdiibd Hd llrd l.? Dr.l-buom dl'ie f..tO torl. tH.g nltst trtrr hgrrldFi G.tdtra, olt
r j1[11arf, t rnol+r*r buu.llry, ol Clm - '. ?S 0 lfl t4.O'*ith rr; '.rrc C (AEtrE TrSl) Lunh+r hwut r
1,33, Plrta ll,tttF= - 11 !E{n e' -.;:;''t trr rilFrsd.
4 $ludr t4 tf hd{' 'r }4 \r'1' 4
fur
{f?
Ire*'"'{?ilEn*^fli* r f, '
[*.1111wo. .: ris-r 1lrytse?d
0f'?' rolld l0l I ' '' , r'
hiroitj O^d ll€'tfq' 0'l '
lfrq-a, l.cerFgr: - h : , r:r ol
li.grfillbfilyQl lFt1 IE ;(ti. L's"'ilna
,CQt,ti^O eg.Eolt Ja . i{r':}i J /:tii { '
fiondll^{lrYrqbqr,'| -;--F- 'tq+""F- 1to;'-' F
41tbh1t v
qdtfru
)
5-vs-
rh{.#.i ffi,. 'rfl
tflgfuH{At b-rEllIy cl ts-r ,fgts,lw
hg oGqi
!t letlne
ir! r.
t *aftD66t'" "n {.Jq4' - G'
.?
"c.raltueltt6.t€r gtntlEl g'Jld+
{+fiGt$srL tif I
sE lb8rr[rig p
ktqiliT1
cslTO 0,f0EC 0S8wB 0.1H
(trt) floc) t/thllo.,il 7/6 e00O.lE 7,8 0de0.61 5 n/r
OEPt
vril(Luv$(rl)
Horx(TU
ffh l'rngilt I lI drn u ?10
iE =5Vd
-
-t-.
Wdeltl 1S
,ht
s
---t
.-@
I
I
=' .:l,