HomeMy WebLinkAboutPermit Building 1995-11-20SPFINGFIELD
RESIDEMTIAI, PERMTT APPI,ICATION
CITY OF SPRINGFIEI,D
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
ilob Number: 951503
225 North Fifth sEreet
Springfield, OR 97477
Location of Proposed Work: 559 S 41ST PL
Assessors l"tap #: ].7023233
Lot: 6 Block:
Office:
Inspection Line:
726 -37 59
726 -37 59
Tax Lot #
Subdivision
o47 00
TfOGA
OF SPilNGFIELD, ONEGON
Owner: MASADA DEVELOPMENI
Address: 29529 GAMBLE PLACE
Describe Work: S.F. RESIDENCE
Phone #: 206-297-4028
city/state/zip: KTNGSTON, WA 98345
NEW
Contractor
Const.
ConEractor #Expires
03 /2s / e6
L2/L4/9s
03 /25 / e6
oe/30/es
Phone
297 - 4028
7 45 - 9433
297 -4028
585 - 0905
General:
Plumbing:
Mechanical-:
Electrical-:
QUAD AREA: 3RSC
# OF UNTTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1,286
-- oFFrcB usE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
To request an inspeqtion, call the 24 howr recording at 726-3769.
A11 inspectj-ons reguested before 7:00 a.m. will be made the same working day,
inspections requesEed after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavaEed.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other eguipment items are in place but prior to concrete
IIIIDERGROITND PLWBING - Prior to fil]-ing trench.
I,NDERGROI,ND ELECTRICAI. - PriOr TO COVET.
ROUGH PLUIIBING - Prior Eo cover.
ROUGH EECHAIIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover
DRYWALI - Prior to taping.
FINAL PIITMBTNG - When all plumbing work is compleEe.
FINAL I{ECIIANICAL - When af} mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
CITRBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation i-s compleEe, forms and sub-base material
in p1ace.
FINAL BUILDING - When all reguired inspections have been approved and
the buifding is complete.
Lot Faces: W Lot Sq. Ft.: 7654 Lot Coverage: 19 Z
MASADA DEVELOPM 0089526
29629 Gamble Place NE Kingston WA 9
FRIDLUND 0051835
85370 Dilley Ln Eugene OR 974050000
MASADA DEVELOPM 0089526
29629 Gamble Pl-ace NE Kingston WA 9
ROSE CORP 0054431
89976 Day Lane Eugene OR 974020000
SPIIINGFIELD
Job Number: 951-503
CITY OF SPruNGFIELI', OREGON
Page 2
Topography: 1
Solar Approved: Y
House
Garage
Total Height: 17
Lot Type: PAIiIIANDLE
SetbacksswE
25 18 10
Setbk From NPL: 10
N
10
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE
--- BUILDING PERMIT ---
Square FeeL x
1 066
4]-L
$,/square Feet
s5.2
1,4 .1
(A)
Value
59, 909. 00
5, 795.00
65,704.OO
331.00
26 .48
357.48
--- SYSTEMS DEVEI.OPITIENT C}IARGE (SDC)
(B)L,637 .39
systems Development Charge is due on all- undeveloped properties within the City
limiEs and the Citys Urban Growth Boundry which are being improved.
--- PLU}IBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
surcharge/admin
TOTAI, CIIARGE
1
Fee
91.20
9]-.20
7.30
98.50(c)
--- MECIINiIICAI. PERDIIT ---
ExhausE Hood
Vent, Fan
Dryer venL
Mechanical Permit
Issuance
Surcharge/admin
TOTAI, PERMIT
2
4.50
5.00
3.00
15.00
10.00
L.20
(D)26.20
- - - MISCEI.I,ATiIEOUS PERMITS
Surcharge/edmin
Sidewalk
Curb Cut
WILLAIVT\LJUSE SDC
PLAN REVIEW FEE
TOTAT MISCELLATIIEOUS PERMITS
0.00
L2.25
L2.25
1, 000 . 00
40.00
(E)l_, 054 . 50
(Excluding Electrieal )
unleeE otherwige noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E conbined)3, 184 .07
--- BUILDING VALUE, PLA}I CHECK A}ID BUILDING PER!,[T ---
This permit is granted on the express condition that the said construction
sha11, in all respects, conform to the Ordinance adopted by the City of
Springfield, including tshe DeveLopmenE Code, regrulating the construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
!5PFINGFIELD
Job Number: 951503
OTT OF SPruNGFIELD, ONEGON
Page 3
--- ADDITIONAI. COMMENTS ---
SITE INSPECTION REQUIRED TO VERIFY SETBACKS
DRIVEWAY REQUIRED TO BE PAVED
By signature, I Et,ate 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 Ehe Ordinances of the CiEy 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 without permission of the
Communit.y Servlces 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.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readabLe from the street, Ehat the permit
card is l-ocated at the front of the property, and the approved set of plans
will on sit.e at all times during construcLion.
S ture Date
.-- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
CITY OF SPruNGFIELT', ONEGON
Name or Company: MASADA DEVELOPMENT
Location: 559 s 41sT PL
Developement Tlpe: R Building Size
Job No. : 951503
Lot Size:Sq Ft
1. STORM DR.AINAGE
Impervious Sq Ft
2. SNiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,ANSPORTATION
Number Of Units
1X
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
Cost Per Trip
437.93
Transportation Tota1
4. SAI'IITARY SEWER - MI'IMC
Number Of PFUs
11
5. ADMINISTR,A,TTVE FEES
Base Charge (Subtotal Above)
2]95
11
Trip Rate
1.010 x $442.3L
$460.9s
$477 .73
#442.3L
$2t5.2s
$37.82
$178.43
s1, 559 .42
i77.97
x
x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see eage 2)
TOTAL - MI^MC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAI, SDC $1,537.39
Reviewed By: TROY MCALLISTER Date : to /L7 / 95
SPR!NGFIELD
OTTOF ONEGON
SPFINGFIELD
Job Number: 951503 Page 2
FIXTI'RE I'NIT CALCULATION TABLE
Fixture Type
Number of
New Fixture
Unit,
Equivalent
Fixture
Units
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 RefrigeraLorfWater Station/rtc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single SLalI
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wa]1
Wash Basin/Lavaxory, Single
Water Closet, Public Installation
Water Closet, Private
Miscel-l-aneous
TOTAL FTXTURE UNITS =11
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexaEion dat,e, credits are cal-cul-ated separately
(calculations are by $1000)
Year Annexed: l-960
Credit For Parcel Or Land OnIy If Applicable: L0,900 X 3.47 = 37.82
Improvement (if after annexation date): 0 X 3.47 = 0.00
cREDrr TOTAL - $37.82
(If land value is mulEiplied by 1 then the parcel/Iand credit is not accurate.)
.)
U
0
0
n
2
0
0
0
0
0
z
0
1
0
4
0
2
1
3
6
.)
6
1
3
2
2
a
1
A
+
1
0
U
0
1
0
0
0
0
0
1
0
1
0
1
0
WillamalanePait & R-ecreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:An -\,*L PHONE:
ADDRESS:srArE: okztp, QK3lh
LOCATION OF PROPOSED BUI
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
LDING
s[-)
SITE:
+\st tf
A. Single-Family Detached
\ Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
(if SDC reduced
ent
Manufactured home not in a Park
91,ooo per unit = $ tNO.Px
X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
$
\@$
$
$6)
Develo
City of
Datepm
sprringfie
Department
q5\sD6
d
l1_,Mgs
225 PI,YrE SI",EEI
SPRTNGPTELD, ORSGON 97477
INSPECTfON REQTEST? 726-3769
oPPICE: 726-3759
IJGAL
Peif
are non-transferable and exPire
is not started vithln 180 days
of lssuance or lf vork is suspended for
180 days.,
2. COI{TRACTOR INSTALI.ATION O}ILY
Electrlcal Contractor R0SE C0RP
Address 89976 DAY
Ci ty rtrcrnir Phone 6BE-0905
Supervisor Llcense Number I sGBs
Explratlon Date 5
Constr Contr. Number
'.i
5443i'
Exp l'ration Date 9/30/95
Slgnature o lsing trician
o
Ovners Name
Add
The. installatioh is beidg made on
property I ovn vhlch is not intendedfor sale, Iease or rent.
0mers Slgnature:
DATE:
SPrlINGF]ELc,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaeh Hanuf'd Home or
Hodular DveIIing
Service or Feeder
HuIti-Family per dvelling unit.
Service Included:
I tems
ELECTRTCAL PERXIT
Ci ty Job Nunber
3. COHPIJTE PEE SCEEDI'LE BELOV
A. Nev Residentlal-Single or
m
-LJ
CATION
Cos t
s 8s.00
s 1s.00
Z
1 OP INST
Sum
%
-{s
B
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
s s0.00
s 60.00
s 100. 00
s130.00
$300.00
s 40.00
C. Temporary Services or'Feeders
Installation, Alteratlon or Relocation
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
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuig S 35.00
Each Atdl tional
Circui t or L,i th Service
or Feeder Permit $ 2.00
B. Hiscellaneous (Service/feeder not included)
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
Over 401 to 600 amps
-
S 80.00
0ver 600 amps or 1000 voTts see ,'B'r a6m-
-Each installatlon
Pump or lrrigation
Sign/Outline Ligh t ing-
Limited Energy/Res
-Limi ted Energy/Comm
s40
s40
s20
Sro
.00
.00
.00
.00x)5. STETOTAL OP A3OVE5f State
BRECEIVED
/
n
.$of*L-
r8e
,