HomeMy WebLinkAboutPermit Building 1997-07-10SPFI]llGFIELD
RESIDEMIIAIJ PERIIIT APPI.ICATION
CITY OF SPRINGFIELD
CO}IMT'NITY SERVICES DIVISION
BUILDING SAFETY
a
Page 1
Job Nnnber: 970642
225 North Fifth Street
Springfield, oR 97477
Locatsion of Proposed Work: 6L2 S 41ST CT 514
Assessors Map #: L7023233
Lot : 1-L2 Block:
Office:
Inspection Line:
726 -37 59
725 -37 69
Tax Lot #
Subdivision
05400
WYATT MEADOWS 2
Owner: KEYS HOMES INC.
Address: P.O. BOX 25083
Describe Work: DUPLEX
Phone #: 292-6378
ciry/state/zip: PoRTLAND, OR 97225
NEW
Contractor
ConEt.
Contraetor #Expiree
LL/L7 /e7
L1,/),7 / e7
05 /2e / e7
Phone
292 - 657 I
7 65 - 439L
636 -4115
General:
Plumbing:
ElectricaL
KEYS HOMES INC. 009s1-55
3514 Conser Rd NE Albany OR 9732100
M.P.r. 0095155
3514 Conser Rd NE Albany OR 9732100
FAR NORTH ELECT O1OO894
155 B Ave Ste 330 Lake Oswego OR 97
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 3340
-- OFFICE USE --
LAND USE z LL20
ZONING CODE: MDR
# OF BDRMS: 6
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: lilH
INSTL PATH: P1\(
30$
To request an inspeccion, cal-})aL 726-3769.
A11 inspections reguested I be made the same working day,
inspections requested afEer the following work day.
FOOTING - After trenches are ex
FOITNDATION - After forms are ere but prior to concrete placement
ITIIDERFLOOR PLITMBING - Prior to insuLation or decking.
POST AIID BEAII - Prior to floor insul-ation or decking.
INSULATION - Floor; prior to decking wa1l/Ceiling; Prior Eo cover
SAIIITARY SEWER LINE - Prior to fi]ling trench.
STORII SEWER LINE - Prior to filling trench.
WATER trNE - Prior to filling trench.
ROUGH PLITIIBING - Prior to cover.
ROUGH !{ECIIAD{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved Lo obtain permanenE power.
SHEAR WALL NAILING - Before covering sheaEhing with finish material-s.
FR.AIIING - Prior to cover.
INSITLATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior Eo Eaping.
CURBCIxf, - After forms are erected but prior Eo placement of concreLe.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PIJITIIBING - When all plumbing work is complete.
FfNAt ITIECHA.IIICAI - When all mechanical work is complet.e.
FfNAL ELECTRICAL - When alL electrical work is compleLe.
FINAL BUILDING - When aII reguired inspections have been approved and
Ehe building is complete.
SPR!NGFIELO
Job Number: 970542
a
Page 2
Lot Faces: S
LoL T)G)e: INTERIOR
N
Total HeighE: 25 Solar Approved: Y
25
Setbackssw
287
20
E
5House
Garage
ftem
Main
Garage
ToEaI Value
Building Permit Fee
Surcharge/eamin
... BUILDTNG PERMIT ---
Square Feet x
2940
400
$/Square Feet
64 .66
L6.27
Value
190, 100.00
6, 508 . 00
196, 608 . 00
65L.25
52.10
TOTAL FEE (A)703 .35
--- SYSTE}IS DEVELOPMEIII CEARGE (SDC)
(B) 4,6L8 .7 6
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban crowLh Boundry which are being improved.
--- PLI'DIBING PERMIT ---
Item
Resj-denLia1 Bath (s)
Plumbing Permit
Surcharge/edmj-n
TOTAL C}IARGE
2
Fee
320.00
320.00
25 .60
345.50(c)
--- }TECHANICAL PERMTT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAI, PERMIT
4
9.00
12.00
6.00
(D)
27.00
10.00
2.t6
--- MISCELIIA}IEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
PLAN REVIEW FEE
TOTAI, UISCEI.I.AI{EOUS PERMITS
0.00
16.90
15.40
1, 848 . 00
50.00
(E)1,940.30
(Excluding Electrical)
unless otherwiee noted
--- TOTAL AI{OUNT DUE ---
(A, B, C, D, and E conbined)7 ,647 .L7
436 {},-
G
$\-d(
39.15
Job Number: 970642
SPruNGFTEI.O,a
Page 3
--. BUILDTNG VALI'E, PI.Ati[ CHECK A}ID BUILDTNG PERMTT ---
This permit is granted on the express condition that the said construction
shal-l-, in all respects, conform to t,he Ordinance adopted by Ehe City of
Springfield, includi-ng 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
Buildi-ng Site Reviewed By: BRENDA ,JONES
--- ADDITIONAL COMMEMTS ---
SAME AS 970538 6L5/5L7 S 41ST CT
DRTVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUTRED
By eignature, I atate and agree, that I have carefully examined
the completed application and do hereby certify thaL aff information hereon
is true and correcE, and I further certify Ehat any and all work performed
shal] be done in accordance wiEh 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 strucLure withouE 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 this project.
I further agree to en
proper time, that each
card is located at
will remain on
Signature
Receipt Number:
Date Paid:
Amount Received:
Received By:
all reguired inspections are requested at the
is readable from the street, that tshe permit
the property, and the approved seU of plans
times during construcEion.
Date
of
all
' VALTDATION ---
SPRIilGFIELE,
fiit
ST'IIINGF!ELc,
BACKFLOW PREVENTION DBVICE PBRMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFBTT DIVISION
ia,.r,
,,,s
225 FIFTH STREET
SPRINGFIELD OR 97477
OFFICE:
INSPD0TION LINE:
tzolysg
726-37 69
JOB LOCATTON:
ASSDSSORS MAP II
OUNER:
ADDRESS:
CITY:
rt
Z:, L, C
tr'
%
BACI(FLOW PBRMTT IS 515.00 + $.75 (STATE
TAX LOT II:
PHONB {I L: 56
ZTP
45 (ADMIN. IrEE) = $16.20
ie
CONTRACTOR/o &,-
ADDRESS:.
CITY:STATE:
CONSTRUCTTON CONTITACTORS REGISTRATION II:
BY SIGNING TI{IS PERMIT/APPLICATION, I AGRDE TO CALL FOR
BACKFLOU PREVENTION DEVICE IIAS BBEN INSTALLED AND IS VI
(726-37 6
CORRECT.
e).STATE TIIAT ALL INFORMATION ON TIIIS
T'OR OFI'ICE USE
T
AN INSPECTION ONCE TIID
SIBLE TOR INSPECTIONooo'r'/noiffiJq u/rfu"'
ZIP
/2- Sge)
v72.?{
DATB OT APPLICATION:
RECEIPT II:
TOTAL AMOUNT COLLBCTED:
--/
I BY:
JOB II:
Pe./ /o^"4
QrnmA
JOB PTION
Permits are non-t
if vork is not st
of issuance or if
ransferable and exPire
arted vithin 180 daYs
vork is suspended for
SPGlINGFIELO
ELECTRICAL PERHIT APPLICATION
b
Serviee Included:
I tems Cost
s Bs.oo
$ 1s.00
$ 40.00
1-000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular 'DveIling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
; ,' [iYlt (
225FIFTESTREET i 1,tA'41
SPRTNGFIELD, OREGON 97 477
fNSPECTION REQUESTz 726-3769 r;r'' 'r j':
OFPICE: 726-3759
St Q*
3. COHPI^STE FEE SCffiDTILE BELOIT
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'0
ON SumAtxD?o
\o0P
180 daYs.
2. CONTRACTOR INSTALI,ATION ONLI
Electrical Contractor
Address \J
ci Phone
Supervisor License Number 31445
Expiration Date \o.\.q8
Cons tr Contr. Number o\\3c{t
Expiration Date 4.rr qt
s 1 EIec I
0vners Name
Addre s
Ci Phone
OIINER INSTALLATION l.eb1
601 amps to
Over 1000
Reconnec
cat ion
.00
.00
.00uBu aE66
:..
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
B
201 amp
401 amp
s to 400
s to 600
4,
$ so.oo
s 60.00
$100.00
$130.00
s300.00s 40.00
$ 2.00
the installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Orners Signature:
s 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
RECEIVED
E
1
Circui ts
C
D.
40
55
BO
$
$
$
or Feeders
Alteration or
see
-a I,
tulu
1
Permits are non- t rans ferable
if vork is not started vithin
of issuance or if vork is susPend
EIect rical Contractor.
Add
City Phone
Supervisor License Number 31
ExP iration Date !,O'\-q8
Constr Contr. Number o\r t
Expiration Date 4
Signa t Electrician
rs Name
Address
Cit Phone
te
DATE:
SPETNGFIELO
Service Included:
^(*_
SPRINGFIELD, OREGON 97 477
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
*--\tt/\ s.I"EcrRrcat PERHIT APPLICATION
CitY Job'Nunbe
COHPI,ETE FEE SCMDULE BELOV
Nev Residential-Single or
uuftl-f"oiilY Per dvelling unit'
3
A.
.8.
D.
E
I tems Cos t
$ Bs.oo
s 40.00
s
Sum
re
r
C.Temporary Services or Feeders -i""i"ir"ii"", Alteration or Relocation
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home- or
Modu1ar.'Dvelling
Service or Feeder
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to.600 amPs
-
601 amfs to 1000 amps-
Over 1000 amPs/volts
-
Reconnect OnIY
200 amps"or less I201 amPs to 400 amPs -
Over 401 to 600 amPs
-
0ver 600 amPs or 1000 volts
Branch Circuits
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
50.
s300
40
60
100
130
40.00
55.00
80.00
$
$
$
$
$
$
$
s
00
00
00
00
00
00
10_
""-uBu aE66
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 3s.oo
$ 2.00
Miscellaneous (Service/feeder not included)
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'
Ovners Signature:
s 40.00
$ 40.00
$ 20.00
s 36.00
DrncTlrtrn
5
00
180 days.
2. COI{TRACTOR INSTALI,ATION ONLY
.qq.
OVNER INSTALLATION
$ 1s.00
Page 1-
CITY OF SPRINGFIEI.D SYSTE}TS DEVEIJOPUENT EIIARGE
(RESIDENTIAL)
Name or Company: KEYS HOMES INC.
Location: 6L2 S 41ST CT 6L4
DevelopemenL T)pe: R Building Size
ilob No.: 970642
Lot, Size:sq Ft
1. STORII DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Unit,s
2X
2604 X 0.2L6 Per Sq Ft =
46 X 44.75 Per PFU =
Trip Rate
l_. 010 x
Cost Per Trip
45L.26
x
$9r-r-. ss
$s62.45
$2,058.50
$911. 55
$96L.74
$es .43
$855.3r.
$4, 398. 82
$2L9.94
x
Transportation Total
4. SA}IITARY SEWER - MWMC
Number Of PFUs
46
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
20.590 +
MhMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MIiMC SDC
SITBTOTAL - (Add ltema 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date:05/05197
s4,6L8.77
ilob Number : 97 0542 Page 2
FIXTURE T'NIT CALCULATION TABLE
Number of
New Fixture
Unit
Eguivalent
Fixture
UniLsFixture Type
Bathtub
Drinking Fountain
Floor Drain
InLerceptors For Grease/oiI/solids/Etc
Inteceptors For SandlAuto Wash/Etc
Laundry TublClotheswasher
Clotheswasher - 3 Or More
Recepuor For Refrigerator/Water Station/etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta1l
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal-, Stal1/Wa}1
Wash BasinflavatorY, Single
water Cl-oset, PubIic Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTIIRE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexaEion date, credits are calculated separately'
(calculations are bY $l-000)
Year Annexed: L969
Credit For Parcel Or Land Only If Appticable: 27,500 X 3.47 = 95.43
Improvement (if after annexation date): 0 X 3'47 = 0'00
CREDIT TOTAL = $95.43
(If 1and value is multiplied by 1 then the parcel/Iand credit is not accurate.)
4
0
0
0
2
0
0
0
o
0
2
0
6
0
6
o
2
1
z
3
6
6
1
3
2
z
1_
6
4
I
0
0
0
0
4
0
0
0
0
0
4
0
6
0
24
0
46
€$Willamalane
Park & Recreation District Job. No. 41ottt(u
srArE: ar 7JP:q1F1_
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
Street Address:
,
LOCATION OF PROPOSED BUILDING SITE
btL -b(tl q. U q t*
Plat Name:1 uh7
1. DEVELOPMENT TYPE (check
ype definitions are on the back.)
A. Single-Family Detaehed
Single Family home
NO. OF UNITS
Tax Lot Number:0t clcts
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
X $1,000 per unit = $
X $924 per unit tr+K op$
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
(if SDC reduced for Credit)
B. Single-Family Attached
No. oF UNITS 2-
Development
$I tqK,-
$
t tKqg,-
fs-
/o,27
City of Springfield
ment J-"
PH)NE{w
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