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Home My WebLink AboutPermit Building 1997-07-10SPFINGFTELD RESIDEIITIAL PERMIT APPLICATION CITY OF SPRTNGFIEI,D COMMT'NITY SERVICES DIVISION BUILDING SAFETY a Page 1 .fob Nunber: 97064L 225 North Fifth Street Springfield, OR 97477 Location of Propoaed Work: 504 S 41ST CT 505 Assessors t"tap #: 1-7023233 Lot: L10 Block: office: Inspection Line: 726 -37 59 725 -37 69 Tax Lot #: Subdivision: o6200 WYATT MEADOWS 2 Owner: KEYS HOMES INC. Address: P.o. Box 25083 Describe Work: DUPLEX Phone #: 292-6378 City/staEe/zip: PORTLAND, OR 9'7225 NEW General: Plumbing: Electrical: Contractor KEYS HOMES INC. 0095155 3514 Conser Rd NE Albany OR 9732100 M.P.I. 0095155 3514 Conser Rd NE Albany OR 9732100 FAR NORTH ELECT O1OO894 155 B Ave St,e 330 Lake Oswego OR 97 To reguest an inspection, call t QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 3340 A11 inspections requested before 7 inspections requesEed after 7:00 a 636-4LL5 l_ R3 WH P1 aL 726-3759. will be made the same working day, be made the following work day. ConEt. Contractor #Expires L!/t7 /e7 L1,/17/e7 06 /2e / e7 Phone 292 - 557 I 292-6578 m s! 1l --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavaLed. FOIrIIDATION - After forms are erected but prior to concrete placement. ITIIDERFLOOR PLITMBfNG - Prior to insulation or decking. POST AI.ID BEAII - Prior to floor insulation or decking. INSULATTON - Ffoor; prior Eo decking wal1/Ceiling; Prior to cover SANITARY SEWER IJINE - Prior to filling trench. STORM SEWER IJINE - Prior to filling Lrench. WATER LINE - Prior to filling trench. ROUGH PLITMBING - Prior to cover. ROUGH IIECIIATiIICAI - Prior Eo cover. ROUGH ELECTRICAL - Prior Eo cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheaEhing with finish materials. FRAIIING - Prior to cover. INSULATION - Floor; prior to decking wa11/Ceil-ing; Prior to cover DRYWALL - Prior to taping. CITRBCUT - After forms are erected buts prior to placement of concrete. SIDEWALK - After excavation is complet,e, forms and sub-base material in place. FINAL PLITIIBING - When all plumbing work is complete. FINAL IIECIIAI{ICAL - When all mechanical work is complete. FINAL ELECTRTCAL - When all electrical work is complete. FINAIJ BUILDING - When al} reguired inspecEions have been approved and the building is complete. SPFINGFIELD afr, t Page 2 Lot Faces: S Solar Approved: Y House Total Height: 26 Lot Type: INTERIOR Setbacks SWE 56 10 t2 Setbk From NPL: 33 N 1l_ Item Main Garage Total Value Building Permit Fee Surcharge/edmin TOTAI, FEE --- BUII.DING PERMIT --- Sguare Feet x 2940 400 $/Square Feet 64 .56 L6.27 (A) VaIue L90, 100 . oo 6,508.00 l_96,608.00 651,.25 52.1,0 703 .35 --- SYSTEDIS DEVELOPUEIII CIIARGE (SDC} (B)4 ,7 87 .96 Systems DeveJ-opment Charge is due on a1f undeveloped properties wit,hin the City limits and the Citys Urban Growth Boundry which are being improved. --- PLI'MBING PER!,[T --- Item Residential Bath(s) Plumbing Permit Surcharge/Rdmin TOTAI. CHARGE 4 Fee 320.00 320.00 25 .60 345.50(c) --- DTECIIA}IICAIJ PERTIIT --. Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance surcharge/eamin TOTAL PERMIT 4 9.00 L2.OO 6.00 27.OO 10.00 2.15 39.16(D) --- MISCEI.I.A}IEOI'S PERMITS --- surcharge/aamin Sidewalk Curb Cut WILLAI,IALANE SDC PI,AN REVIEW FEE TOTAL MISCEI,LA}IEOUS PERMITS 0.00 l_3.90 r.3 . 90 1, 848 . 00 60.00 (E)1,935.80 (Excluding Electrical ) unless oEher-wiee noted --- TOTAL AMOI'ril:T DUE --- (A, B, C, D, and E coubined)7,BLL.87 c46 -qDOolugr fi ilob Number: 97064L 0" SPFINGFIELD ilob Number: 97064]- a Page 3 --- BUILDING VALUE, PLA.II CHECK A]iID BUILDING PERMIT This permit is granted on the express condition that Ehe said constructj-on sha1l, in all respects, conform to the ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: BOB BARNHART Date: O5/L6/97 Building Sj-Ee Reviewed By: BRENDA JONES --- ADDITIONAL COMMENTS --- SAI\4E AS 970538 5L5/6L7 S 41ST CT DRIVEWAY REQUIRED TO BE PAVED By signature, I state and agree, uhat I have carefully examined the completed application and do hereby certify that aII information hereon is true and correct, and I further certify thaE any and all work performed shafl be done in accordance with the Ordinances of Ehe City of Springfield, and the Laws of the State of Oregon pertaining Eo t.he work described herein, and that NO OCCUPANCY wil-I be made of any strucEure without permission of the Community Services Division, Building Safety. I further cert,ify that only contracuors and employees who are in compliance with oRs 701.055 will be used on Ehis project. I furLher agree to ensure thaE all reguired inspecEions are requested at the proper time, that each card is located at the will remain on the s Signature Receipt Number: Date Paid: s readabl-e from Lhe street, that the permit the property, and the approved set of plans imes during construction. Date ,TION - - - ss l- tL 1n Amount Received: Received By: Page 1 CITY OF SPRINGFIEI.D SYSTEIIS DET'ELOPMET{T CHARGE (RESIDENTIAL) Name or Company: KEYS HOMES INC. Location: 504 S 41ST CT 505 Developement T)pe: R Building Size ilob No.: 970641 Lot Size:Sq Ft 1. STORM DRAINAGE Impervious Sq FL 2. SANITARY SEWER - CITY Number Of PFUs (see Page 2) 3350 X O.2L6 Per Sq Ft = 46 X 44.75 Per PFU = Trip Rate 1. 0l-0 x x Per PFU + 20.690 + 0.50 Cost Per Trip 45L.26 #723.60 $2, 058 .50 $911. ss $96L.74 $es.43 $866.31 s4, 559.95 $228.00 3. TRATiISPORTATION Number Of Units 2X x $911. ss TransporEaEion Total 4. SA}IITARY SEWER - MVIUC Number Of PFUs 46 5. ADMINISTRATIVE FEES Base Charge (Subtota1 Above) X x x MWMC Admin Fee r-0 .00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SITBTOTAL - (Add IEemE 1, 2, 3 & 4) TOTAL SDC Reviewed By: DENNIS ERNST DaEe: 05/05/97 54,787.96 ilob Number: 970641 Page 2 FIXTURE I'NIT CAI,CT'LATION TABIJE Fixture Tlpe Fixture Units Bathtub Drinking Fountain Floor Drain InEerceptors For Grease,/Oil/Solids/Stc Inteceptors For Sand/Auto wash/Et,c Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/wauer Stsation/utc Receptor for Commercial Sink/Dishwasher/Etc Shower, Sing1e Stall Shower, Gang Si-nk, Bar, Commercial, Residential Kitchen Urinal, Stal1/waII Wash Basin/Lavatory, Single Water Closet, Publ-ic Installation Water Closet, Private Miscellaneous TOTAI FIXTIIRE IINITS = CREDIT CALCULATION TABLE: Based on assessed va1ue. 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: 27,500 X 3.47 - 95.43 Improvement (if after annexation date): 0 X 3.47 = 0.00 CRBDIT TOTAL = $95.43 (If land value is multiplied by l- then the parce]/land credit is not accurate.) Number of New Fixture Unit Eguivalent 2 1 2 3 6 z 6 1 3 2 2 2 1 6 4 4 0 0 0 0 2 0 0 0 0 0 2 0 6 0 6 0 I 0 0 0 0 4 0 0 0 0 0 4 0 6 0 24 46 0 C'TY .fll ir SPII!NGF!ELC' BACKFLOW PREVENTION DEVICB PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAPETY DIVISION .r{t ,'',s 225 FIFTH STREET SPRINGFIELD OR 97477 JOB LOCATTON: ASSESSORS MAP {I: OUNER: ADDRESS: CITY: BACI(FLOIJ PERMIT IS $15.00 + $.75 (STATD OIFICE: 726-3759 INSPBCTION LINE: 726-3769 TAX LOT II:(, PHoNE lt L. )fl ZlPz 45 (ADMIN. I;ED)$16. 20 0 6 C le ',D<01 i CITY:Po./ /"STATE: C CONSTRUCTION CONTRACTORS REGISTRATION I}: BY SIGNING TIIIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN IN DACKFLOV PREVENTION DEVICE IIAS BBIN INSTALLED AND IS VISIBLE (726-3769).STATE TIIAT ALL INFORMATION ON TIIIS PERMIT CORRECT. ZT /-:- sge) P: V72,? { ---, 7/rsEXPIRES SPECTION ONCD TIIE FOR INSPECTION '^ffiryU/rtu',, FOR OFI;TCE USE DATE OT APPLICATION: RECEIPT II: TOTAL AMOUNT COLLBCTED: ../ ISSUED BY: JoB fr,qqDb4l 225FIFTESTREET .1-tC-q'I iFnrNcrrel,D, oREGoN gl 41.1,,-,,.. r, -,.;.,-,.'; INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 o SPFrINGFIELO ELECIRICAL PERHIT APPLICATION ty Job Nunbe 3. COHPLETE FEE SCffiDTILE BELOV n t 1 JOB Permits are non-t if vork is not st of issuance or if SN ransferable and exPire arted vithin 180 daYs vork is suspended for I trician Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:ON A .B I tems 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home' or Modular 'Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocat on: $5 Iess 400 amps 600 amps to 1000 amPs- amps/volti - AL OF ABOVE State Surcharge 3Z Administrative Fee TOTAL & A uDP loU0 Cos t s 8s.00 s 1s.00 $ 40.00 Sum 180 days. 2. CONItsACTOR INSTALI,ATION ONLY Electrical Contractor Addres ci P s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00\S Reconnect 0n1Y Expiration Date c. Constr Contr. Number o\lss TemporarY Services or Feeders lnstallaiion, Alteration or Relocation Expiration Date 4.rr q( r 1000 Phone O9NER INSTALLATION t.eb1 Onners Signature: DATE: 200 amps''or less 201 arnps to 400 amps - 0ver 401 to 600 amPS - Over 600 amPs or 1000 volts -Each installation Pump or irrigation Sign/Outline Lighting- Limited EnergY/Res -(1r5 Limited EnergY/Comm D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit - s 3s.00 s 2.00 E. Miscellaneous (Service/feeder not included) $ $ $ s 40.00 55.00 80.00si Ovners Name Address cir ee "Bu aEF The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent's 40.00 s 40.00 $ 20.00 s 36.00 RECEIVED Supervisor License Number SPC.INGFIE,L() 225 FIFTE STREET SPRINGFIELD, OREGON 97 477 ixirBcrroN REQITEST: 726-3769 OFPICE: 726-3759 t, The installation is being made on ;;;p;;iy r ovn vhibh is not intended for sa1e, lease or rent' Orners Signature: nn&*ELECTRICAL PERHIT City Job'Nunbe c: Service Included: 3. COHPT,ETE FBE SCffiDIILE BELOV A. Nev Residential-Single.or iiri.i-r"ti1Y Per dvelling unit'1 PTION Permi tsif vorkof issu, a re non-transferable rre is not started vithin days ance or if vork is sus pended for 180 daYs. 2. CO}IItsACTOR INSTALI^ATION ONLY Electrical Contractor Addres ci Phone Supervisor License Number 3r14S Exp iration Date Constr Contr. Number o\r3c{\ Expiration Date 4 .\b qq, ing EIec an 0vners Name Add s Ci Phone OIINER INSTALI.,ATION [eb1 APPLICATION. oxD\o4l I tems Cos t s 8s.00 s 1s.00 s 40.00 Sum E. Hiscellaneous (Service/feeder not included) 1000 sq.ft. or less Pach additional 500 sq. ft or Portion thereof Each Hanuf'd Home' or Modular.'Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 200 amps or less 201 amps to 400 amPs - 401 amPs to.600 amPs - 601 amps to 1000 amPs- over 1b00 amPs/volts - Reconnect OnlY -Each installation Pump or irrigation Sign/OutIine Lighting- Limited EnergY/Res - .8. $ so.oo s 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 40.00 $ 20.00 s 36.00 DATE: DDfrITITEN 5 00 rn .\.qg M*r__ tu\z C- TemPorarY Services or Feeders i"=t"Il"iion, Alteration or Relocation ' $ 4o.oo 1C-200 amPs''or less I 201 amps to aoO amPs - $ 5l'99 3i:a:Sl *o!03'iB;o=r," !"30;39 aE6," D. Branch Circuits : " Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each AdditionalCircuit or vith Service or Feeder Permit - $ 2'00 I $Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: LOCATION OF PROPOSED BUILDING SITE: Street Address:bo4- (oob ,. qloL bL,/+ Plat Name, 11 /'?-h?rfuh Tax Lot Number: )bLUO 1. DEVELOPMENT TYPE (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 NO. OF UNITS 2-X $924 per unit trq,00 ADDRESS: ?o bo" ?sofb i ?tr*llr / srArE: Af ztp:41:??4_ t $ C. Multi-Familv Aoartment NO. OF UNITS D. Manufactured Home Park NO. OF UNITS WILLAMALANE SDC Development Se X $692 per unit X $699 per unit $ $ $ $ $ I iloLI,K,- 2. SDC CREDIT (il applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit)tKq(,- City of Springfield epartment _L, Date u, 4trt l enout{W4\?A?, -@tb