HomeMy WebLinkAboutPermit Building 1997-07-31a|'roF SPfrIIIIGETEI.O,
SPFINCFIELE,
RESIDENTIAI, PERMIT APPLICATION
CITY OF SPRINGFIETD
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
Job Nnnber: 97 07 68
225 North Fifth street
Springfield, OR 97477
Location of Proposed Yilork: 503 S 41ST CT 505
Assessors ttap #: L7023233
Lot : l-09 Block:
office:
Inspection Line:
726-3759
726 -37 69
Tax Lot #:
Subdivision:
06 100
WYATT 2
Owner: KEYS HOIIES INC
Address: Po Box 25083
Describe Work: DUPLEX
Phone #: 503-292-6579
city/state/zip: PoRTLAND, OREGON 97225
NEW
General:
Plumbing:
Mechanical:
Electrical:
Contractor
KEYS HOMES
7185 SW Sharon
MPI
71-85 SW Sharon
KEYS HOMES
7185 SW Sharon
FAR NORTH
2459 SE T\/ HWY
0094105
PorEland OR 97225000
00941-05
Portfand OR 97225000
0 0 941,0 5
Portland OR 97225
0r_0 08
L79, HILLSBORO
Const.
Contractor #Expires Phone
o9/29/97 292-6578
oe/29/97 2e2-6s78
09/2e/97 2e2-6s78
/Ls / e8 938-33s8
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOI,RCE: WH
INSUL PATH: P1
.1
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
"tg
80
To request an inspection, c the 24 hour recording at 726-3759.
A11 inspections requested before 7:00 a.m. wit] be made the same working day,
inspections requestsed after ?:00 a.m. will- be made the folfowing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOInIDATION - After forms are erected but prior Lo concrete placement.
POST AI.ID BEAII - Prior to floor insulation or decking.
ITNDERFLOOR PLtIIBING - Prior tso insulation or decking.
ITIIDERFLOOR IIECIIANICAL - Prior to insulation or decking.
SAIIITARY SEWER LINE - Prior to filling trench.
STORII SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior Eo cover
ROUGH PIJITIIBING - Prior to cover.
ROUGH I{ECIIAIIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior Eo cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR.AIIING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CITRBCUT - After forms are erected but prior to placement of concrete.
SIDEWAIJK - After excavaEion is complete, forms and sub-base materiaL
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHNiIICAL - When all mechanical work is complete.
FINAT ELECTRICAL - When al-I electrical work is complete.
FINAT BUILDING - When all required inspections have been approved and
the building is complete.
SPFIiIGFIELE,
.fob Number: 970758
oTroF a
Page 2
Lot Faces: W
Solar Approved: Y
House
Garage
Total HeighL: 28
Lot Type: INTERfOR
SetbacksswE
15 25 20
20
Setbk From NPL: 32
N
15
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/eamin
TOTAL FEE
--- BUII.DING PERMIT
Sguare Feet x
2852
480
$/Sguare Feet
64 .55
t6.27
(A)
Value
184,410.00
7, 8L0 . 00
]-92 ,220 .00
642.25
51.38
593 .53
--. SYSTEMS DEVELOP!,TENT CIIARGE (SDC)
(B)4,632 .33
Systems Development. Charge is due on al-I undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI,ITIBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI. CHARGE (c)
Fee
385 - 00
385.00
30.80
415.80
--- }IECIIA}iIICAL PERMIT
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical- PermiE
Issuance
Surcharge/eAmin
TOTAL PERMIT
6
9
18
6
00
00
00
(D)
33.00
10.00
2 .64
45 .64
--- MISCELLAIIEOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
WILLAIVI'LLAISE SDC
ELECTR]CAL PERMIT
PLAN REVIEW FEE
TOTAL IIISCELLAI{EOUS PERMITS
0.00
L7 .20
15.40
l_, 848 . 00
(E)
SA$*O ++rsv
41,7 .46
2 ,549 .95
(Excluding Electrical)
unl-ess otherwiEe noted
--- TOTAL AMOI'NT DUE .--
(A, B, C, D, and E combined).*?+w
t?Dt.t\'
SPFIiIGFIELE
Job Number: 970768
OTT OF SPI?ITVGFIEIT',a
Page 3
--- BUILDING VALUE, PLAIiI CHECK AI.ID BUILDING PERMIT ---
This permit is granted on Lhe express condition that the said construction
sha1l, in al-I respecls, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating Ehe construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date: 07 /3L/97
--- ADDITIONAL COMMENTS
A & T ESTIMATE ONLY FOR CREDIT PI]RPOSES
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I 6tate and agree, that I have carefully examined
the completed application and do hereby certify thaE aII information hereon
is true and correct, and I further certj-fy that any and aL1 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 will be made of any structure without permission of the
Community Services Division, Building SafeEy. I further certify thaE only
contractors and employees who are in compliance with ORs 701.055 wiII be
used on this project.
I further agree Lo ensure that all required inspections are requested at Ehe
ffie, tha ch address is readabLe from the streeL, that the permitproper ti
card is ]
wifl rema
Signature
oca a
on
the
site
fron of the property, and the approved set of plans
times dur-ing construction
Da
oN ---
AoReceipt Number:
Date Paid:
Amount Received:
Received By:
b37:
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPUEIIT CIIARGE
(RESIDENTIAL)
Name or Company: KEYS HOMES INC
Location: 603 S 41ST CT 505
Developement T\pe: R Building Size:
Job No. : 970768
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft.
2. SAIIITARY SEWER - CITY
Number Of PFt s
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
2X
2463
46
X Trip Rate
r_.0L0 x
X O.2L6 Per Sq Ft, =
X 44.75 Per PE'U =
x Cost Per Trip
45L.26 =$9r.1. ss
$s32.01
$2, 058 . 50
$9r.r.. ss
$96L.74
$s2.0s
$909.69
i4,4LL.7 4
$22O.se
Transportsation Total
4. SA}IITARY SEWER - MI{MC
Number Of PFUs
46
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
20.690 +
MWMC Admin Fee
10. 00
MWMC CREDIT If Applicable (see Page 2)
TOTAT - MWMC SDC
SIBTOTAI. - (Add ItsEB L, 2, 3 e 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Datse: 06/24/97
s4, 532 .33
.Tob Number: 970758 Page 2
FIXTT'RE T'NIT CALCI'I.ATION TABI,E
Fj-xture Type
Number of
New Fixture
Unit
Eguivalent
Fixt,ure
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/rtc
Inteceptors For Sand,/Aut,o Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 OrMore
Receptor For Refrj-gerator/Water station/utc
Receptsor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/wa1l
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAI FIXTURE UNITS =
CREDIT CALCTLATION 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 Only If Applicable: 15,000 X 3.47 = 52.Os
ImprovemenE (if aftser annexation date): 0 x 3.47 = 0.00
CREDIT TOTAL = $52.05
(If land value is muttiplied by 1 then tshe parcel/land credit is not accurate.)
2
1
z
3
6
2
6
1
3
2
2
1
6
4
4
0
0
0
0
0
0
0
0
0
z
0
5
0
6
0
I
0
0
0
0
4
0
0
o
0
0
4
0
6
0
24
0
46
-r)
SPFlINGT tELt)
efr,
zzs Frvrl srREEr 74t-cf7
SPRINGFIELD, OREGON 97477
INSPECf,I0N REQUESTz 726-3769
OFPICE: 726-3759
1
JOB ON 3 6
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT,ITRACTOR INSTAII,ATTON ONLY
Electrical Contractor
Addres
Ci ty Phone
Supervisor License Number
Expiration Date
3. COHPLETE FEE SCMDULE BELOV
A. New Residential-Single or
MuIti-FamiIY Per dvelling unit'
Service Included:
,llowing
ELECTRTCAL PERHIT
CitY Job Nr
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular 'DveIling
Sertice or Feeder
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
, Nr:1
I tems Cos t
$ 8s.00
s 1s.00
Sum
Ad\tn 6
4 .oD@
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amp
/vo1 ts
amps_
$300
100
130
50
6020
200 amps''or less $
201 amps to 400 amps
-
Sover 40L to 600 amps
-
$Over 600 amps or 1000EITs s
40.00
55.00
80.00clan
Ovners Name
Address
Ci Phone
OPNER INSTALT,ATTON te51
The installation is being made onproperty f own vhich is not intendedfor sale, lease or rent.
Ovners Signature:
B
s
s
$
s
$
$
00
00
00
00
00
00
Constr Contr. Num
Expiration Date 4.\b q(
t0n v
Feedersry Services or
ber o\t3c{t 180 fnstallation, Alteration or Relocation- i\,---------TN
ee nBr aEF
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each AdditionalCircuit or vith Serviceor Feeder Permit
$ 3s.00
s 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-Limited EnergY/Comm
s 40.00
s 40.00
s 20.00
$ 36.00
DATE:(
BRECEIVED
5
as submrtlod hns
s
SPIIINGFIELO
BACKFLOV PREVBNTION DBVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 FITTH STREET
SPRINGFIELD OR 97477
OITFICE: 726-3759
INSPBCTION LINE: 726-3769
JOB LOCATION:
ASSESSORS MAP II:
OUNER:
ADDRESS:
St
TAX LOT It:
z. L, c,.
4 -<> PHONE {}L. 5fl
CITY:
BACI(FLOV PERMIT IS $15.00 + 9.75
ZTD
) * $'.45 (ADMIN. IIDD) = $16.20
le
c0
,OO
o+
CITY:/ /.^/STATE:
CONSTRUCTTON CONTRACTORS REGISTRATION I[:
BY SIGNING TI'IIS PDRMIT/APPLICATIoN, I AGREE T0 CALL FOR AN rN
BACKFLOV PREVENTION DEVICE IIAS BBEN INSTALLBD AND IS VISIBLE
(726-37 6
CORRECT.
e).STATE TIIAT ALL INFORMATION ON TIIIS PERMIT
FOR OT]I]ICE USE
DATE OT APPLICATION:
RECEIPT {[:
TOTAL AMOUNT COLLBCTED:
It b/-2- sge)
v72,^{7-ZTP:
EXPTRES
26
SPECTION ONCE TIIE
FOR INSPECTION
'^lfffryU/r s\'a;
ISSUED BY:
JoB {t,01 br
if
r;Y,
,,ri&
It
I
€e Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS
LOCATION OF PROPOSED BUILDING SITE:
\r0 S\
srArE:0& zrr'
Job. No.
PHONE:
$
rt4xd
i
Street Address:
Plat Name:Tax Lot Number:
NO. OF UNITS \X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufac'tured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDO-payer musl lurnish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
o
1 (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
:
A. Single-Family Detached
Single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 per unit = $
B. Single-Family Attached
$
$O
d
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$\r{( 90
Development Services
City of Springfield
ment Date -3\,