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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