HomeMy WebLinkAboutPermit Building 1997-08-25qTT OF SPilNGFTEI-O,
SPFIiIGFIELEl
RESIDE}flIIAIJ PERMIT APPLTCATION
ETTY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nusrber: 971150
225 NorLh Fifth Street
Springfield, OR 97477
Location of Proposed Work: 625 S 41ST CT
Assessors t"tap #-. 17023233
Lot : l-15 Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
05 700
WYATT MEADOWS 2
Owner: YORKSHIRE HOMES
Address: l-89 SOUTH PACfFfC HWY
Phone #: 503-838-0095
ciEy/state/zip: MoNMoIJlrH, OREGON 9736L
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical:
Electrical:
conuracror - c"".lllil;# r:qrires
NOilCE:
illI'x::X"il?lBts"Er8&r,Esr*,rH#" 08/24/e7
METER PLU,I T$ICIHI
:r::.;*,,**#*ffi[itt,,...,,,,,,,
NoRTHSTDE ELEcr oo8o593 03/1,7 /oo
PO Box J.2668 Salem OR 973090000
Phone
838-0095
393-0819
5 81- 1s3 6
399 -7 609
QUAD AREA: 3RSC
# OF I'NITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1,4t9
-- OFFIEE USE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: VilH
INSUL PATH: TPC
To requests an inspection, call- the 24 hour recording at 726-3769.
A11 inspections reguested before 7:00 a.m. will be made the same working day,j-nspections reqluested after 7:00 a.m. will be made the fo]-lowing work day.
--- REQUTRED INSPECTTONS ---
FOOTING - After trenches are excavated.
FoIr![DATroN - Af ter forms are erect,ed but prior to concreEe placement..
ITNDERFIJOOR PLITIIIBING - Prior to insulation or decking.
POST AI{D BEA}I - Prior to floor insulat.ion or decking.
INSULATION - Floor,. prior to decking Wa11/Ceiling; prior to cover
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LfNE - Prior to filling trench.
WATER LINE - Prior to fi]Iing trench.
ROUGH PLITMBING - Prior to cover.
ROUGH I{ECIIANfCAL - Prior to cover.
ROUGH ELECTRICAL - Prior to eover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIING - Prior to cover.
INSULATION - Floor,' prior to decking Wa11/Ceiling; Prior Eo cover
DRYWALL - Prior to taping.
CITRBCIII - After forms are erected but prior to placement of concrele.
SIDEWAIJK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIIAIIICAL - When all- mechanical work is complete.
FINAL ELECTRfCAI" - When all electrical work is complete.
FINAL BUILDING - When aI1 required inspections have been approved and
the building is complete.
SPF!NGFIELE,
ilob Number: 97L150
OTTOF
Page 2
Total Height: 16
Lot Type: INTERIOR
Setbk From NPL: 20 Solar Approved: Y
Item
Main
Garage
Total- Value
Building Permit Fee
Surcharge/Rdmin
TOTAL FEE
-.- BUTLDING PERMIT -.-
Square Feet x
L044
375
$/Sguare Feet
64 .56
L6.27
(A)
Value
57, 505 . 00
5, L01 . 00
73,505.00
355.00
28.40
383 .40
--- PLI'MBING PERMIT ---
Itsem
Residential Bath(s)
Plumbing Permit
Surcharge/edmin
TOTAL CHARGE
2
Fee
150.00
150.00
L2.80
(c)L72.80
--- }TECIINIICAL PERMTT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAI, PERMIT
2
4.50
5.00
3.00
15.00
10.00
L.20
(D)25.20
--- MISCELTAI{EOUS PERI,IITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
SYSTEM DEVEI, CIIARGES
TOTAL MTSCELLA}IEOUS PERMITS
0.00
L6.75
14.80
50.00
1, 000 . 00
2 , 078 .64
(E)3,1-70.L9
(Excluding Electrical)
unlesE other-wiee not,ed
- - - TOTAI, AIIOI'NT DUE - -.
(A, B, C, D, and E combined)3,752.59
--- BUTLDTNG VALI'E, PIJA}I CHECK AT{D BUII'DING PERMIT ---
This permit is granted on the express condition that t,he said const,ruction
shall, in aII 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 ats any t.i-me upon violation
of any provi-sions of said ordinances.
SPFI,llGFIELE,
rTob Number: 971150
oTr OF
Page 3
Received By:
Plans Reviewed By: BOB BARNHARTBuilding Site Reviewed By: LISA HOppER
Date: 08/t4/97
--. ADDITIONAI, COMMEIiI:TS ---
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signaEure, I Etate and agree,that f have carefully examj_nedthe completed application and do hereby certify that al1 information hereoni-s true and correct, and. I furt her certify that any and aII work performedshaIl be done in accordance wi th the Ordinances of the Cit.y of Springfield,and the Laws of the State of Oregon pertaining to the work described herein,and that NO OCCUpAt[Cy will be made of any sEructure without permission of theCommunity Services Division,Building Safety. I further certify that onl vcontractors and employees who are in compliance with ORS 201.055 will- beused on this project.
r further agree t,o ensure that all reguired inspections are requested at theproper time, that each address is readable from the street., that the permit.card is located at the front of the property, and the approved set of pranswill remain on the site at arl times d.uring construction.
- 23/?Signature Date
Receipt Number:
Date Paid:
AmounL Received:
Received By:
JUb NU. a I I
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELLITMENT CHARGE
WORKSHEET
NAME OR COMPANY.o u
LOCATION.
DEVELOPMENI TYPE 3 fk
BUILOING SIZE:Ft
i. SIORM DRAINAGE
II,IPERVIOUS SQ. FT.
2. SANITARY SE'{ER-CITY
x $0.226 PER SQ. FT: $ 4f8.<r-
X 5,16. 86 PER PFU s 843.4E
$ ,,417.2t
zq
NO. OF PFU'S t8
(See Rever:se Side)
3. TRANSPORIATION
NO OF UNIIS X IRIP RATE X COSI PER TRIP
$
X
x
X
l.o x $472.49(
x $472.49
x $472.49
4. SANITARY SEWER-MUJMC
Dd Dd
N0. 0F FEU'S I X Z?7,7e PER FE{J.+ $10 M[,II,[/ADM FEE $ Zg7.?d
}4',{MC CREDIT IF APPLICABLE (SEE REVERSE) $ - E73+
TOTAL-f'4t^lMc SDC $ Zoo .42
SUBToTAL (ADD ITEMS i.2.3 & 4) $ttg7q .4.
5. ADMINISIRAIIVE FEES
BASE CHARGE (SUBIOIAL ABOVE) X .05 $ ?g.ao
s
SDC Coordi nator
Date: 8'z-?7
TOTAL SDC $2,O78,&
<tJ t 2.€IJ
r r/\r,r\l- rJrrr r rvHLrsLrLJt r r\., lv lr<r.rLr:. lvumoeror l\ew Ftx-qs x unlt tsquivalent = Fixture.Units
(NOTE: For remodels. calculate or he NET additional fixturesl
NUMBER OF
NEW FIXTURES
TOTAL FIXTURE UNITS
UNIT
EOUIVALENT
FIXTURE
UNITSFIXTURE TYPE
Bathrub
Drinking Fountain....
Floor Drain..................
lnterceptors For Grease/Oil/Solids/Etc.
lnterceprors For Sand/Auto WashiEtc.
Laundry Tub/Clotheswasher.......,. i... -.. r....." " " "' \"'
Clotheswasher - 3 Or Mbre-.--
Mobile Home Park Trap (1 Per Trailerl.
Receptor For Refrigerator/Water Station/Etc....."'
Receptor For Commerciat SintiDishwasher/Etc"
Shower, Single Stal|..........
Shower, Gang.........
Sink: Bar, Commercial, Residential Kitchen""
Urinal, StalUWall......... -... -.... -.. :........ --...
Wash BasiniLavatory, Single......-
Toilet,Publiclnstallation...:.............
Toilet , Private
Miscellaneous:
L
2
..1
2
3
6
2
6
6
1.
3
2
t
2-
z-
z_
E
t6
eaditH
2
2
1
6
4
2-
CREDIT CALCUI.ATIO N TABLE :Based on assessed value. lf improvements occuned after annexation date in table,
calculate credits
3,q7 x $ z-otct 87.t+Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
X$
CREDIT TOTAL = s 67 's+
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $ 1,O0O
Assessed Value
1979 or before
1 980
1 981
1 982
1983'
1 984
1 985
1 986
39
703
3
3
3.20
2.91
55
$3.97
3.89
3.83
1 987',
1 988
1989
I990
1 991
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 COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesrcien riai...:...
lndustrial
Governmental......
o.4
o.9
o5
o.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. (Rate X Assessed Value)
?25 FTFT'E
SPRINGFTELD, oREGON 974
INSPECTTON REQUEST. 72OFPICE: 726-3759
LOCATION OP
LEGAL
JOB DESCRTPTTON
Electrical Contractor
Address Po B.,*te3ez
Ci ty Sato Phon"_fuA=586-48!Q
Supervisor License Number 22 e,7 -3
Expiration Date
Constr Contr, Number
Explration oate 3-t8-44
Signature lng Electrician
Ovners Name
Address I I
Ci ty Phone 5O6-838-oOgto
OVNER INSTALI"ATION
The installation ls being made on
property I oun vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
SPJllINGFTELI)
EI.ECTRICAL PERHTT APPLICATION
City Job Number
3. COHPI^ETE FEE SCEEDUI^E BELOII
A.
I S 8s.00
) s 15.00
$ 40.00
3. Services or Feedersfnstallation, Alterationsor Relocation:
Nev Residential-Single orMulti-Family per dvelling unit.Service Included:
f t erns Cos t
1000 sq.ft. or less
Each additional 500
. sq. ft or portion
thereof
Each Hanuf,d Hone. or
Hodular Dvelling
Service or Feeder
Authorized Signature
7
Permits are non-transferable and expirelf sork is not started vithin 1BO daysof lssuance or lf work is suspended ior180 days.
2. CONTRACTOR TNSTALI.ATION ONLY
Sum
$1OO.
s130.
s300.s 40-
50
60
s 40.00
s ss.00
$ 80.00
See -r,Btt affi-
200 amps or less
201 anps to 400 anps
-
1101 amps to 600 aups
-601 amps to 1000 amps-
Over 1000 amps/vo1ts
-
Reconnect OnIy
200 amps'"sr less
201 amps to 400 anps
-0ver 401 to 600 amps
-0ver 600 amps or 1000E-ITs
Branch Circuits
s
s
00
00
00
00
o0
oo
C. Temporary Services or FeedersInstallation, Alteration or Relocation
D
E
New, Alteration or Extension Per Panel
one circuit $ 35-oo
Each Additional
Circuit or vith Service
or Feeder Pernit $ 2.00
Hiscellaneous (
-Each instaLlat
Pump or irrigation'
Sign/0utIine Lightitg-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVB
5X State Surcharge
3Z Administrative Fee
TOTAI.
Service/feeder not included)
ion
s 40.00s 4o.oo
s 20.00
$ 36.o0
5
hn^OTttfn D d
f\A tl
1.
ry'lr'rn-.rt"Ih
a
;'..+
EV
225 FIF-TE STREBT
Dxef -q'9?.-f-.-_--
SPRINGFIELD' OREGON 974V7 : 'i:'\:J 'ir?"
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
1 OP INSTALI,ATION
LEGAL DESCRTPTION
JOB 7n)l1 o 1-1,)
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of lssuance or lf r.rork is suspended for
180 days.
2. CONTRACTOR INSTAIJ,ATTON ONLY
Electrical Contractor
Address Po tesez
Cl ty .lb otan"Phone 6oz-Jk5-48?g
Supervisor License Number 223,7-.9
Exp iration Date lO -t -qg
Constr Contr. Number DgoSq
Exp iration Date
Sigrra ture of sing Electrician
Ovners Name
Address I
.?
Ci ty Phone SOA-(38-OOQlo
OVNER INSTALT,ATTON
The installation ls being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Oeners Signature:
DATE:
EI,JECTRICAL PERHIT APPLICAEON
Job Number
3. COT{PI,ETE EEE SCEEDUI^E BELOS
.A.Nev Residential-Single or
Hu1ti-Family per dvelling unit.
Service Included:ftems Cost
The lollowing project as rubmitted has the follo,.tirl
zoning, and does not rgquire epecific land usc
approval.
SPI'INGFTELO
1000 sq-ft. or less
Eaeh additional 500
sq. ft or portion'thereof
Each Hanuf'd Home. or
Xodular. DvelIing
Sertice or Feeder
.8. Services or Feeders
Installation, Alterations
or Relocation:
c.
D
E
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Sum
s 85.00
s 1s.00
$ 40.00
200 amps or less
201 anps to 400 amPs
-
/r01 aurps to. 600 amps _
601 amfs to 1000 amps
over 1000 arnps/volts
-Reconnect OnlY
Tenporary Services or Feeders
Installation, Alteration or Relocati
200 amps'"or less I201 amps to 400 aIBPs
Over 401 to 600 amps _-
Over 600 amps or 1000 volts
Branch Circuits
s
s
$
s
s
s
s
$
$
s0.
60.
00
00
00
00
00
00
-
100
130
300
40.
on#40.00
s5.00
80.00
see -:rgrt sffiE-
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Service
or Feeder Permit
-
$ 2'00
Hiscellaneous (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
t*...DPEETVF.N n O
Willamalane
Park & Recreation District Job. No.
'0qtt
50
NAME:
ADDRES
LOCA TION OF PROPOSED BUILDING
Street Address:
Plat Name:
1.
ype definitions are on the
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
'
UfL zre Qr 0l
:rt-
Tax Lot Number:
(check appropriate dwelting(s). sDC calcutations and dwefling tback)
A. Single-Family Detachecr
l\ Single Family home
NO. OF UNITS I
Manufactured home not in a park
X $t,000 per unit = $a
B. Single-Family Attached
NO. OF UNITS X $ge+ per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $Gge per unit = $
D. Manufactured Home park
NO. OF UNITS
WLLAMALANE SDC
2. sDc CREDIT (if appricabte) sDCaayer musr fumish proof ofwllamarane credit approvar. see sDC credit worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(it SDC reduced torCredrt)
lopme Se
$
$
$
t a
o
OD
City ot Springfield
Department
rl
(.
E,-h5,q\
Date