HomeMy WebLinkAboutPermit Building 1999-05-17, SPFTNGFIELD
PERMIT APPTICATION
OF SPRINGFIELD
SERVICES DIVISION
LDING SAFETY
o
Page 1
ilob Number: 990485
225 North Fifth Street
Springf ie1d, OR 91 4'7'7
Location of Proposed Work: 995 S 44TH ST
Assessors Map #: 1-8020521-
Lot: Block:
Office
lnspection Line
725 -3'7 59
726 -37 69
Tax Lot #: 06400
Subdivision:
OwneT: GERALD LEQUIA
Address: 995 S. 44TH ST
Describe Work: ADDITION
Phone #: 744-2102
city/state/ zip: sPLFD oR, 97 478
ADDITION
General
Contractor
GERALD LEQUIA O1117OB
PO BOX 432 STAYTON OR 973830000
Const.
Contractor #Expires
02/2a/e8
Phone
31,5-4LL2
QUAD AREA: 3RSC
CONSTR. TYPE : \IN
-- oFFrcE usE --
LAND USE: 1111
INSUL PATH: P1
OCCY GROUP
SQ FOOTAGE
R3
440
To request an inspection, call- the 24 hour recording aL 726-3769
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR DRAfN - Prior to cover or pl-acement of concreLe.
POST A.ND BEAII - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa]I/Ceiling; Prior to cover
ROUGH ELECTRICAL - Prior To cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decklng Wa11/Ceiling; Pri-or to cover
DRYWALL - Prior to taping.
FINAL ETECTRICAL - When a1l- electrical- work is complet.e.
FINAL BUILDING - When all required inspections have been approved and
the building is compl-ete.
Item
Main
Garage
ADDITION
Total Value
Building Permit Fee
Surcharge/admin
--- BUITDING PERMIT
Square Feet x
440
$/Square Feet
59.64
Value
0.00
0.00
30 ,642 . O0
30,542.OO
1,97 .50
15. B1
TOTAL FEE (A)2L3.3L
SPFTINGFIELD
ilob Number: 990485
SPRINGFIEIT',
Page 2
--- MISCETLA.I{EOUS PERMITS
Surcharge/admin
CITY SDC
TOTAL MISCELI,ANEOUS PERMITS (E)
0.00
LO9 .64
LOg .54
( Excluding EJ-ect,rical. )
unless oEherwise noted
--- TOTAL A.ITOI'NT DUE ---
(A, B, C, D, and E combined)322 .95
--- BUILDING VAI,UE, PI,AN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said constructj-on
shafl, in all respects, conform to the Ordinance adopted by Lhe City of
Springfield, incJ-uding 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.
Plan Check Fee: 128.38
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By:
Date Paid:
Date:
o4/1,2/ee
os/1,5/ee
Receipt Number: 33469
--- ADDITTONAT COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that al-l- information hereon
is true and correct, and I further certify that any and all- work performed
shal-l be done in accordance with the Ordinances of the City of Springfield,
and t.he Laws of the State of Oregon pertaining to t.he work described herein,
and that NO OCCUPANCY will be made of any structure without permi-ssion of the
Communi-ty Services Division, Buj-1ding Safety. I further certify that only
contractors and employees who are in complj-ance with oRS 701.055 will be
used on this project.
I further agree Lo ensure that al-l- required inspections are requested at theproper time, that each address is readable from the street, that the permit
card is l-ocated at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
Signature Date
Receipt Number:
Date Paid:
--- VAIJIDATION ---
fo c
1
3 zz.
0t
Amount Received
Received By o(w
SPFINGFIELD
Page 1
ENGINEERING DIVISTON DEVEI.OP}TENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
SPilNGFIELD,
Developer: GERALD LEQUIA
Mail Address: 995 S. 44TH ST. SPLFD OR,97418
Tax Lot #: 1802052105400 Project Address:
Subdivision: Lot : B1k:
Job No
phone #:
995 S 44TH ST
Eng. Rev. No.:
. : 990485
1 44-27 02
Book
Street Gravel
995 S 44TH ST
Existing Curbcut: Y
EXISTING IMPROVEMENTS
Ac Mat Curb Fu11 Imp SW Width Curbside
Y 5 FEET
widrh I.',t l,',J-al_rs:FI
Setback
6:1 FLAIRS
ENGINEERING REQUIREMENTS
Additional Right of Way:
fmprovement AgreemenL :
Easements:
N
N
N
SANTTARY SEWER
CALL THE UTILITTES NOTIFICATION CENTER BEFORE YOU DIG 1.-8OO-332-2344
Available: Y
Si-ze of Line: 8
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee: 5 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
CONNECTION EXISTS - NO CHANGE
FT
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER
Pipe Parking Lot Drainage To: N/A
CommenIs: MY CONNECT TO EXISTTNG ROOF DRATN SYSTEM ]F IN GOOD CONDITION
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
SIDEWALK AND DRIVEWAY TNFORMATION
STANDARD
COMMENIS: SIDEWALK AND DRIVEWAY EXIST NO CHANGE PROPOSED
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanit.ary Sewer In Lieu Of Assessment: N
SPECIAt NOTES AM REQUIREMENTS
Al-1 work within the public right of way sha1l be in conformance with the City
of Springfiel-d standard specifications for construction. All existing unused
curbcuts or portions thereof sha11 be restored to fu11 curb height as directed
by the Clty. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities confl-ict with the
dewelopment, at their expense.
Reviewed By: DENNIS ERNST Date: 04/20/99
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER TMPORTANT INFORMATION
JoURNAL oR JoB no. 44o4Ef
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVE
WORKSHEET
LOPMENT CHARGE
NAME 0R C0MPANY : G eaaca I ,,Yo vce L€ q uz. a
LOCATION
DEVELOPMENT TYPE:Dtnt uv- - Lt o t n//^ A tza*,,r4 nn rfzax)
BUILDING SIZE:OT SIZ F Ft.
1. STORM DRAINAGE
IMPERViOUS SQ
Nea> Zoof to y4G
FI . 4EO X $0.227 PER SQ. FT $ t o4.42-
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $475.32
x $475.32
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
2. SANITARY SEWER-CITY
NO. OF PFU'S
NO. OF FEU'S
5
X $47.14 PER PFU $a=
$e-
$
$6-
$ .4--
LL-,2u
X
X PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X PER FEU
MI,JMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATiVE FEE
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
<$
$ 10.00
TOTAL-MI^IMC SDC $*
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ t o4,42
/%,I
SDC Coordi naton
ATTACH 'A. WPD
Date: ( - zo-4
TOTALSDC $ IOq,G+
4r,
O_
FIXTURE UNIT CALCULATION TABLE: Numberof New FixturqX Unit Equivarent : Fixture u;:rits
(NOTE: For remodels, calculate only ^ NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc.......
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen.........
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet , Private.....
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.83
o.67
o.52
o.3B
o.21
'1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only!
Residential
Commerical......
lndustrial..........
Governmental...
0.4
o.9
05
o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Bathtub.....
Drinking Fountain....
Floor Drain.
CTTY OF OREGON
SPITII{GFIELD
225 FIFTH STREET
SPRTNGFTELD, OREGON 9P4fp
INSPECTION REQIIEST:
0FFICE: 726-3759
1.ON OF
zoning, and
approval.
Zoning
Z&60-#Zf Sisnature {<-<.-)
does not require specific land use
PERHIT APPTICATION
??- 0/86
5
bq 0c
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALLATION ONLY
Electrical Contracto ,lL,t'< fuh.2,
Address /a,
Ci Phone lff,-)5"i9
Supervisor License Number ?'irl'r
Expiration Date
Constr Contr. Number
Expiration Date l-s:-o/
Signature of Supervising Electrician
Ovners Name
Address f2s 5. /{ a'
Ci ty 5. /:Phone
OIJNER TNSTALLATION
The installation is being made on
property f ovn vhich is not intended
for safe, lease or rent.
Owners Signature:
ty Job Number
3. COI{PLBTE FEE SCMDUTE BEtOg
Nev Resj.dential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
gach additional 500
B
200 amps or fess
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amPs_
0ver 1000 arnps/vo1ts
Reconnect tfPdplCE: _
$ s0.00
s 60.00
s100.00
$130. 00
s300.00
$ 40.00
C. Temporary
Ins tall-a
2oo amps B?ntldgtUCeo OR
YW A
Sum
201 amps ANY400
0ver 401 to 600
Over 600 amps o
ffire€Fr 1000 volt
ISNOT
$ 80.00
s see uBt' a6oE
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
one Circuit /
Each Additional-
Circuit or vith Service -,,or Feeder Permit 4
$ 3s.oo W0
g 2.oo !/.CC
E. Miseellaneous (Serviee/feeder not incl-uded)
-Each installation
Pump or irrigation
Sign/0ut1ine Ligh t ing-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5fl- State Surcharge
32 Administrative Fee
TOTAL
(
$
$
$
40.00
40. 00
20. 00
36.00
D5
DATE:
RECET
RECETVED
77o
t/u
f t or.portion
thereof .
r'
Each
Modular
Service or
Servi ces
Ins tal1a
or Relocation