HomeMy WebLinkAboutPermit Building 1997-09-04CITY OF SPilNGFTELD.
3PF!'{GFIELD
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 971-155
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 630 S 41ST CT
Assessors lutap #: 1-7023233
Lot: 116 Block:
Tax Lot #: 06800
Subdivi-sion: WYATT MEADOWS 2
office:
Inspect j-on Line:
726-3759
726 -37 59
Owner: YORKSHfRE HOMES Phone #: 503-838-0096
Address: 189 SOUTH PACfFIC HWY City/state/zip: MoNMOUTH, OR 97351
Describe Work: S.F. RESIDENCE NEW
Contractor
Const.
Contractor #Expires
o8 /24 / e7
1-t/oL/e7
os/1,e/e8
03/11/oo
Phone
B3B-0095
393-0819
581-1535
399 - 7 609
General:
Plumbing:
Mechanical
Electrical
YORKSHIRE HOMES 010A767
1049 Yorkshire Ct Se Sal-em OR 97301
MEIER PLLIMBING OO95O25
3457 Potts Dr NE Keizer OR 97303000
SALEM HEATING OOO15O5
PO Box 12005 Salem OR 973090000
NORTHSIDE ELECT OO8O593
Po Box 1-2668 Sa]em OR 973090000
QUAD AREA: 3RSC
# oF UNTTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: a427
OFFICE USE .-
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: TPC
To request an inspection, cal-} the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:OO a.m. will be made the foll-owing work day.
--- REQUIRED INSPECTIONS ---
FooTING - After Lrenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLIIMBING - Prior to insulation or decking.
POST AIiID BEAM - Prior to f l-oor insulatlon or decking.
INSULATION - Ffoor; prior to decking Wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SA.I{ITARY SEWER LINE - Prior to filling trench.
STORM SEWER IINE - Prior to fill-ing trench.
ROUGH PLI,MBING - PriOr TO COvEr.
ROUGH MECHAIiIICAL - Prior Lo cover.
ROUGH ELECTRICAL - Pri-or to cover.
ELECTRICAT SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIING - Pri-or to cover.
INSULATION - Floor,' prior to decking Wa11/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLIIMBING - When all plumbing work is complete.
FINAL MECHAIiIICAL - When all mechanicaf work is compfete.
FINAL ELECTRICAL - when all- electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPFI]tlGFIELEl
.Tob Number: 971-1-65
qTTOF
Page 2
Lot Faces: E
Solar Approved: Y
House
Garage
TotaL Height: 15
Lot Type: PAIIHANDLE
Setbacks
SWE
10 10
10 10
Setbk From NPL: 27
N
L2
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/edmin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
L052
37s
$/Square Feet
64 .55
L6.27
(A)
Value
68 , O22 .00
5,101.00
7 4 ,1,23 .00
358.00
28.64
385.64
PI,IIMBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/edmin
TOTAI. CHARGE
2
Fee
150.00
150.00
12.80
L7 2 .80(c)
--- MECHAIiIICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAI, PERMIT
2
4.50
5.00
3.00
(D)
15.00
10.00
t.20
26.20
--- MISCELLAI{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
WILLJ\MJ\L'\NE SDC
PLAN REVIEW FEE
SYSTEMS DEVEL CHARGE
TOTAI, MISCEI,I.ANEOUS PERMITS
0.00
13.90
13.50
1,000.00
60.00
2 , 329 .37
(E)3 , 4L6 .87
(Excluding Electrical)
unlese oEherwise noted
--- TOTAL A!,TOI'NT DUE ---
(A, B, C, D, and E combined)4,002 .5L
--- BUII,DING VALUE, PLAIiI CHECK A}.ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shaI1, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked aE any time upon violation
of any provisions of said ordinances.
APFINGFIELE'
,Job Number: 971-L55
OTT OF SPilNGFIELD,
Page 3
Received By:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date: 09/02/97
--- ADDITIONAL COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
By eignaEure, I sEaEe and agree, that I have carefully examined
the completed application and do hereby cerEify that all information hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and Ehe Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of t,he
Community Services Division, Buildi-ng SafeEy. I further certify thats only
contractors and employees who are in compliance with ORS 701.055 wilL be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and t,he approved set of plans
wilL remai-n on the site at all times during constructj-on.
4- {'Q J
Si-gnature Date
roN ---
n\
Receipt Number
Date Pai-d
Amount Received
Received By
zonin!!, arid does ric
approval.
SP,.!NGFTELD
ts-trt
225 FTtrE STPSET
SPKTNGFIELD' OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1 LOCATION OF
I,EGAL DESCRTPTION
Address -l
ci Yflonm ,{h Phone 506-838-oOqb
OVNER INSTALI-ATION
The'installation ls being made on
property I ovn vhich is not intended
tor sale, Iease or rent.
Omers Signature:
DATE:
Nev Residential-Single or
:
Hulti-FamilY Per dr.'elling uni t '
Service Included:ftems Cost
PERIIT APPLICAEON
ty Jo b Nuruber q 7// 6{
FEE SCEEDTJI,E BELOIT
/ s Bs.oo
0: .- i.l
97 477
726-3 1t^\E769
Sum
Permits ire non-transferable and expire
ii wort< is not started vithin 180 days
of i""u"nce or lf r,rork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
1000 sq.ft. or less
Each additional 500
sq. ft or Portion'thereof
Each Hanuf'd Hone. or
Hodular Dvelling
SerVice or Feeder
) s 1s.00
$ 40.00
EI ectrical Contractor
PAddress O. B.,*te3 e3
Ci ty .lba tarrx prrone 6ol.,-685--48?9
Supervisor License Number 29 e.4:9
Expiration Date to -t -qg
Constr Contr. Number Dgo 5q3
Expiration oare 3-tt-44
Signa ture of Supervi Electrician
Onners Name
.8. Services or Feeders
Insta1lation, Alterations
or Relocation:
c.
200 amps or less
201 anps to 400 amPS
-
/r01 amps to 600 amps
-
601 amps to 1000 amPs
Over 1000 amPs/volts
-
Reconnect OnlY
Temoorarv Services or Feeders
Insiallaiion, Alteration or Relocation
$
$
$
s
$
s
$40$ss
$aos see-
40
40
zo
36
s
$
s
s
50.
60.
100
130
300
40
00
00
00
00
o0
o0
D
200 amps'"or less
201 amps to 400 anPs
-
Over 401 to 600 amPs
Over 600 amps or 1000 voTI
Branch Circuits
.00
.00
.00
"Bu aEF
Nev, Alteration or Extension Per Panel
One circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Perarit
-
$ 2-00
E. Hiscellaneous (Service/feeder not included)
-Each installation- Pump or irrigation
Sign/OutIine Light ing-
Limited Energy/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI.
o0
00
o0
00
5
staDTtttrh
*q1
''.,j
JOB DESCKTPTION . ,/
,/)
-'- q c / a--r' cc"'/ C
JOB N0.7Zt16<-
ATTACHMENT A
CITY OF SPRiNGFIELD SYSTEMS DEVELUPMENT CHARGE
WORKSHEET
NAME OR COMPANY Yn vZUto
II-lo-.. T u.,
LOCATICN 1-3o 5 . 4l <r C-ottz7
DEVELOPMENT TYPT <cL.
BUiLDING SIZE CT SIZ Ft
1 SIORM DRAIIIAGI
IMPERVIOUS S0 FT .7o "o x s0.225 PER SQ. tT. $ aqg,.zq
2. SANITARY SEi,lER-Cirv
NO. OF PFU'S /&x $.16.86 PER PFU s 64s, +s
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
x _ x $472.49
x _ x s472.49
4 . SAN itRny s EilER - t"tt/,t'rc
Du
NO. OF+EITS
l',lhlMc CREDIT IF APPLICABLE (STE REVERSE)
5. ADI'4INISTRAIIVE FEES
BASE CHARG (SUBIOTAL ABOVE) X .05
$
pd
X z?2,7t PER F€+l + $10 MI^JMC/ADM FEE $ zbG .zc
$ 4t 7,zl
s t/o.qL
X l,ot x $472.49
$
$- 87 3+
TOTAL-MI^JMC SDC g t qq,4z-
SUBToTAL (ADD ITEMS i,2.3 & 4) $ ^,^ g, qs-
SDC Coordi nator
Date: 8- zrqT
T0TAL SDC $ Zt <21 .32
f ln I rJnC' L, lUl I tvALtvULA I lVl\l I ADLI-. Number or i\ew Frxtures X Unrt Equivalent = Fixture Units
(NOTE: For remodels, calculate oni.-- e NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub......
Drinking Fountain....
Floor Drain.................
lnterceptors For Grease/Oil/SolidsiEtc...........
lnterceptors For Sand/Auto WashlEtc...........
Laundry Tuo/Clotheswasher......
Ctotheswasher - 3 Or More....
?
Mobiie Home Park Trap (1 Per Trailer)
Receptor For Refrigeratorlwater StationiEtc.....
Receptor For Commercial SinkiDishwasheriEtc.
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar, Commercial, ResiderT tial Kitchen.......
Urinal, Stall/Wall...
Wash Basinilavatory, Single...
Toilet, Pubiic lnstallation.
Toilet, Private.......
Miscellaneous:
TOTAL FIXTURE UNITS
2
1
2
?
6
2
6
6
1
J
2
i
2
2
1
6
4
-z:--
z.-
adiHe
2 Z
z_
CREDIT CALCULATION TABLE: Based on assessed vatue
calculate credits separates.
lf improvements occurred after annexation date in table,
Year
Annexed
Rate per S1,OO0
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
)aq 1979 or before $3.97-re
3.83
3.70. 3.5s
3.39
3.20
2.91
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
't995
1 996
$2.56
2.17
1.73
1.31
0.92
o.74
0.61
0.45
o.31
o.17
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
=O X$
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
za-_
67. s4
CREDITTOTAL =$ 87,3*
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesrcienriai... :..........
Commerical............,
tndustrial. . . .
Governmental..........
0.4
o.9
05
0.5
IMPERVIOUS AREA : TOTAL LOT SlzE X RUNOFF COEFFICIENT
1
IB
t
€e Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADD
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
1
2. SDC CREDIT (if applicable) SDCpayer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
lo S
, Ufl- ,,r, Q13il.0I
t
(Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on lhe back)
..
A. Single-Family Detached
-l
Singte Family home Manufactured home not in a Park
NO.OFUNITS T-X $1 p00 per unit = $
dJ
B. Single-Family Attachect
NO. OF UNITS X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufac{ured Home Park
NO. OF UNITS X $699 per unit = $
WILLAMALANE SDC
o
OD
$
$
$
City of Springfield
Department
0r\uh3
Tax Lot Number:
a
kLIl