HomeMy WebLinkAboutPermit Building 1997-08-25qTTOF3P]II,llGFIELE,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVTCES DIVISTON
BUILDING SAFETY
Page 1
Job Nnmber: 97LL63
225 North FifEh Street
Springfield, OR 97477
Location of Propoeed Work: 522 S 41ST CT
Assessors t"tap #z l.7023233
Lot: 114 Block:
Tax Lot #: 06500
Subdivision: hTYATT MEADOWS 2
Of f i-ce:
Inspection Line:
726 -37 59
725 -37 69
OwNEr: YORKSHIRE HOMES
Address: l-89 SOUTH PACIFIC HWY
Phone #: 503-838-0096
Citylstate/Zrp: MONMOIIIH, OREGON 9736L
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical
ELectrical-
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: t427
ContracUor
YORKSHIRE HOMES
l-049 Yorkshire Ct Se Sa1em
MEIER PLUMBING
3457 Potts
SALEM HEAT
PO Box 120
NORTHSIDE
PO Box L2668
usE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
Conet.
Contract,or #
0593
b
Expires Phone
/24/e7 838-0096
/01,/e7 3e3-08Le
os/L9/9e s81-1s36
03/L7/e8 399-7 609
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOIIRCE: WH
INSUL PATH: TPC
To request an inspection, cal-L the 24 hour recording at 725-3769.
A11 inspections requested before ?:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made Ehe following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOt!{DATION - After forms are erected buE prior Eo concreEe placement.
ITIIDERFLOOR PLITMBING - Prior Lo insulation or decking.
POST AI{D BEA}I - Prior to floor insulation or decking.
INSITT.ATION - Floor,' prior to decking Wall/Ceiling; Prior to cover
SAIIITARY SEVIER IIINE - Prior to filling trench.
STORI4 SEWER LINE - Prj-or to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PIJITUBING - Prior to cover.
ROUGH MECIIAI{fCAL - Prior to cover.
ROUGH ELECfRfCAt - Prior to cover.
ELECTRICAIJ SERVICE - Musts be approved to obEain permanent power.
SHEAR WAIJL NAIIJING - Before covering sheathing with finish materiaLs.
FRAIIING - Prior Eo cover.
INSITLATION - Floor; prior Eo decking Wa1l/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected buE prior to placement of concrete.
SIDEWAIJK - After excavation is compleLe, forms and sub-base material
in place.
FINAIJ PLUIIBING - When all plumbing work is complete.
FINAL MECIIAIVICAL - When all meehanicaL work is complete.
FINAIT EIJECTRICAIJ - When all electrrical work is complete.
FINAIJ BUILDING - When all reguired inspections have been approved and
the building is complete.
0lot767
SPRIiIGF!ELE,
.Tob Number: 971-L63
ATTOF
Page 2
Total Height: 1G
Lot Tlpe: INTERIOR
Setbk From NPL: 40 SoLar Approved: y
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/edmin
TOTAL FEE
--- BUILDING PERUTT ---
Square Feet x
tos2
37s
$/Square Feet
64 .65
16.27
(A)
VaIue
68 , 022 .00
6, 101. 00
74,L23.00
3s8.00
28 .64
385.54
.-- PLI'UBING PERIIIT ---
ftem
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAIJ C}IARGE
a
Fee
160.00
160
L2
00
80
(c)L72.80
.-- }IECEANICAIJ PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
fssuance
Surcharge/Admin
TOTAL PERIII?
a
4.50
6.00
3.00
(D)
15.00
10.00
L.20
25.20
-.- UISEELLAIIEOUS PERIdITS ---
Surcharge/Admin
Sidewal-k
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
SYSTEM DEVEL CHARGE
TOTAL MISCELLATiIEOUS PERMTTS
0.00
L5.75
14.80
50.00
1, 000 . 00
2 , OgL .73
(E)3,173.29
(Excluding EIectsrical )
unlegs other'wige noted
.-- TOTAIJ A}TOI'IiI1T DUE ---
(4, B, C, D, and E conbined)3,758.92
--- BUTI.DING VATI'E, PIJAI{ CHECK AI{D BUTLDING PERMIT -'-
This permit is granted on the express condition that the said consEruction
sha1l, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating Lhe construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
CITTOF
SPFTNGFIELD
Job Number: 97]-i.i3
Received By
PLans Reviewed BY: BOB BARNHARTBuildingSite Reviewed By: LfSA HOppER
Page 3
Date: OB/L4/97
COMMENTS
By aignature I state and agree, that f havethe completed application carefully examinedand do hereby cerEi fy that all informat.ion here onis true and co rrect, and f further certify that any and all work performedshall be d.one in accordance with the Ordinances of the City of Springf ie1d.,and the Laws o f the St,at,e of Oregon pertaining to the work desc ribed herein,and that NO OCCUPANCY will be made of any s tructure without permission of EheCommunity S erviees Division Building Safety. f further ce rtify that onlycontractorsand employees who are in compliance wi_th ORS 70 1.05S will beused on this proj ect .f further agree Eo ensure that all_ re qu]-re d inspections are re quested at theproper ti .[€, that each address is readable from the street,that the permitcard is located at the fronts of the propert y, and the approved set of planswillremain on the site at aI 1 times during construction
Signature
Date
VEI.IDATTON
Receipt Number:
Date paid:
Amount Received:
Received By:
DRrvEwAy REQUTRED TO BE nourfl"rroNAL2 STREET TREES REQUTRED
a-q ?
.JUO llu."7 ll t
CITY OF SPR_INGFIEL
!
NAME OR COMPANY
LOCAIION
ATTACHMENT A
SYSTEMS DEVELOTMENT CHARGE
l^/ORKSHEET
D
o
I
DEVELOPMENT TYPE:s R
BUILOING SiZE:-Til
1. STORI,I DRAINAGF
IHpERvIous sQ. FT. za4z_ x $0.226 pER sQ. rr. s. *r.iI
2. SANITARY SEy{ER-CITy
NO. OF PFU'S r8 X 5.16.86 pE'? pFU C 81s ,4t(See Rever:se Side)
3, TRANSPORIATION
iIO OF UNITS X IRIP RAIE X COST PER TRIP
$ 477.a t
sl
X _ x $472.49
4. SRrutrnny sEwER-Ml,;uc
NO. OF E$.' I X ZT1 PER FEU + $10 MWMC/ADM FEE $ 28-7.76
Mt^Jl'lC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
BASE CHARGE (SUBIOIAL ABOVE) X .05
$- 87.
$ 2@.4L
$ %,/<
x l.ol xs472.49
x x $472.49
$ t.q?z .a---._-
5
SDC Coordi nator
Date:R-z n7
ToTAL SDC S ' ,O8l ,77
.r/\.rlrttt-rJlraavALrJ(Jl-t1llr!''lrlAlJl-l-'lYumoerotl\ewts$,ryesxunltcquivalent=Fixture'Units
(NorE: For remoders, catculate.o :he NET additional t'"u'"nil*rER oF uNtT FIXTURE
FTXTURE TYPE ' NEW FIXTURES EOUIVALENT UNITS
Bathtub......
2
1
2
3
6
2
6
6
1 _-.-
3
2
i /Head
2
2
1
6
4
z
Drinking Fountain. -... "'
lnterceptors For GreaseiOil/SolidslEtc
lnterceptors For Sand/Auto WashlEtc
Laundry Tub/Clotheswasher" " " "
Clotheswasher - 3 Or More"'
Mobile Home Park TraP (1 Pe r Trailer)
Receptor For Refrig eratorMater Station/Etc........
RecePtor For Comm ercia-l SinkiDishwasher/Etc'
Shower, Gang......."
iint,'gut, Commercial, Residential Kitchen'
Urinal, Staluwall....:" "" """"
Wash BasiniLavatory, Single" " "'
Toilet. Pubiic lnstallation'
Miscellaneous:
L
?-
z-
E
'18
t
2-
2-
TOTAL FIXTURE UNITS
after annexation date in rable,
CREDIT CALCULATION TABLE:Based on assessed value lf improvements
calculate credits
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
3q' x $ zZrx*
(Rate X Assessed Value)
E-7.3+
x $-
(Rate X Assessed Value)
CREDIT TOTAL = $
Year
Annexed
Rate per $ l,OOO
Assessed Value
Year
Annexed
Rate per $1,0OO
Assessed Value
1979 or before
1980
1 981
1 982
1983'
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1987
1 988
1 989
1990
1991
1 992
1 993
1994
1 995
1 996
$2.56
2.17
1.73 .
1.31
o.92
o.74
o.61
o.45
o.31
o.17
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating Purposes OnlY)
Fesioeniiai... :..............
Commerical
lndustrial.
Governmenta1...................
o.4
o.9
05
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
t
occuned
€e
NAME:
ADD
LOCATION OF PROPOSED BUILDING
Willamalane
Park & Recreation District
Street Address:
Plat Name:
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home park
NO. OF UNITS
WILLAMALANE SDC
e Serv
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
IL 0rzulztP
t
(.
St
1.
Tax Lot Number:
ype definitions are on lhe Jct."$ appropriate dwe[ing(s]. sDC carcurations and dweiling tback)
A. Single-Family Detachecl
--t Single Family home Manufactured home not in a park
NO. OF UNITS T X $t,000 per unit = $dJ\
X $924 per unit = $
X $6Se per unit = $
$@
2. sDc CREDIT (if appricabre) sDCpayer musr fumish proof of
wiltamarane credit approvat. see sDC credit wo*ineet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
o
pD
City ot SPring{ield
Department Date
(\
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