HomeMy WebLinkAboutPermit Building 1998-09-16CITY OF
!5PAINGFTELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISTON
BUILDING SAFETY
Page 1
ilob Number: 981078
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: l-512 VERA DR
Assessors Map #: 1-7032432
Lot: Block:
Office:
Inspection Line:
725 -37 59
726-3769
Tax Lot #: 00302
Subdivision:
Owner: GORDON HAFDAHL
AddrESS: A512 VERA DRIVE
Describe work: flf cAR ADDrT
Phone #: 725-6806
city/state/zi-p: SPRINGFTELD, OREGON 97477
ADDITION
QUAD AREA: 1RNW
SQ FOOTAGE: 322
- - OFFICE USE - -
LAND USB: 1111 ZONING CODE: LDR
To request an inspecEion, call the 24 howr recording aL 726-3769
A11 inspections requested before 7:00 a.m. wi-l-l- be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prlor to concrete placement.
ROUGH ETECTRICAL - Prior to cover.
SHEAR WALIJ NAIIJING - Before covering sheathing with finish materials.
POST AND BEAM - Prior to floor insulation or decking.
DRYWAIJL - Prj-or to taping.
FINAL ELECTRICAL - When all el-ectrj-ca1 work is complete.
FINAL BUITDING - When all required inspections have been approved and
the building is complete.
Total Height: 14
Lot Type: INTERIOR
N
Garage
Setbk From NPL: 50 Solar Approved: Y
Setbacks
SW
2A
E
6
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUITDING PERMIT ---
Square Feet x $/Square Feet.
322
Vafue
0.00
00
00
5U
53
03
--- MISCELLAI{EOUS PERMITS
Surcharge/admin
CITY SDC
TOTAL MISCELI,ANEOUS PERMITS (E)
0.00
83.42
83.42
(Excluding Electrical)
unless otherwise noEed
--- TOTAIJ AIIIOITNT DUE ---
dtlOItrE:combined)
TH,S PEBI\4IT SHALL EXP,RE IF THE WoRKAUIHOB,ZED UNDEH IHIs PEn;,i.,s,ilJi
C.OMMENEED ON IS ABANDON;;';;;'"'
AI'IY ioCI ndv trEEtf)D
(a, B, c,L44 .45
- sPrlttrtcFtEl.D
.Tob Number: 981078
CITY OF
Page 2
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on Lhe express condition that the saj-d construction
sha11, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, reguJ-ati-ng the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provi-sions of said ordinances.
Plan Check Fee: 36.73 Date Paid:
Received By: AL WARD
Plans Revi-ewed By: AL WARD Date:
Building Si-te Reviewed By: LISA HOPPER
0B /28 / eB
0e/1,4/e8
Receipt Number: 31,242
--- ADDITIONAL COMMENTS
SEPERATE ELECTRICAL PERMIT REQUIRED
By signaEure, I sEaEe and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and al-I work performed
sha11 be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work descrj-bed herein,
and that NO OCCUPANCY will be made of any strucLure without permissi-on of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on thj-s project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readabl-e from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
7td7F
--- VALIDATION ---
-);iLl s \Receipt Number:
Date Paid:
Amount Received:
Received By:
7 /C
L{ct,/r
Date
C'TY OF OREGON
o2/Lt/98 L0:.22 Ssor 726 3689 SPFD DEY. SER
nol ro$rtre 8p€cIlc M
@oor
SPrrrr{cFlELEt
,lnd
r,, al,
(z-q(t 01 I
, [( 1qf
225 FTYtg slxEEr
I
O?7!@r 726-3759
K)u.?tEffi6fft
E.
'47
3i silir 3
A.
I,EGAL DESCRTITIOI{i1 o< ;14 3> n:rio2=
iPerruits are non-transferable and expireIt sork is not started uithin 180 daysof lssuance or if vork is suspended for
180 days.
i
JOB DESCRIPTION
2. COltIRACf,OR I}TSTAIIArIOIi
Electrical Contractor
AddressQ/ 2f Z./ ,2 ,fuf ,
Fz; rz t4. Phone 3 /?-2 Z"Z
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf 'd tloue. or
-Hodular 'Dvelling
Sertice or Peeder
Itens Cost Sum
$ 8s.00
s 15.00
$ 40.00
Effi
cir
D 7
Constr Contr. Nuraber /---5:Z
Expiration Date
Signature of Blectrician
3.Servj.ces or Feeders
Installation, Alterations
or Relocation:
200 amps or less /201'anps to 400 anps
-401 amps to 600 arops
601 amps to 1000 anps
0ver 1000 anps/volts
-Reconnect Only
C. Tenporary Services or FeedersInstallation, Alteration or Relocation
200 amps"6 less
201 anps to 400
Over 401 to 600
0ver 600 amps or
D. Branch Circuits
{r')-.2'..t(-xI
aaps ]
$ s0.00
$ 60.00
$100.00
s130.00
s300.00s 40.00
Supervi
Expira t
-7-
sor License
ion Date
Nurnber U-;225
,mDs
rbooTilEs
s 40.00
$ s5.00
$ 80.00
see rrBr a
0vne
Address /.5 t )- fhf y_-Denx-
ptorfu--Q-ffi,?
Nerr, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tionaLCircuit or vith Servic" 1- dDorFeederPernit /D S Z.OO()u
Hiscellaneous (Service/feeder not included)
cir
OVNER TNSIAI.IATION
The installation is being
ProPerty I ovn vhith is no
for sale, lease or renc.
Orners Signature:
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limi ted Energy/Coorur
-
i
made ont intended
I
I
I
I
s 40.00
s 40.00
s 20.00
$ 36,.00
0 6D
DATB:
5. SIIBTOTAL OF AEOI/E
5Z State Surcharge
32 Administrative Fee
TOTATREC"II/ED
O
1 6'o
952-001-
the rules bY
the telephoneNev
1
ATTACHMENT A
J,URN'- eR J,B N0' q8 lo78
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY o
LOCATION
DEVELOPMENT TYPE:
BUILDING SIZE:OT SIZ Ft
1. STORM DRAINAGE Neus ?oor anar 2f y 14 _
IMPERViOUS SQ. FT.3 5c>x $0.227 PER SQ. Fr. $ -7q,4f
2. SANITARY SEWER-CITY
NO. OF PFU'S O X $47.14 PER PFU $*
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $475.32 $e
x $475.32 ({
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST
X
NO. OF FEU'S X
B. IMPROVEMENT COST
NO. OF FEU'S X
PER FEU
PER FEU
$
MldMC CREDIT IF APPLICABLE (SEE REVERSE)
I.4t^lMC ADMINISTRATIVE FEE
$
$ 3.q1
<$
$1 .00
TOTAL-]'4I,IMC SDC $O
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 7q ,49
5 ADMINISTRATIVE FEES:
BASE CHARtrE (SUBTOTAL ABOVE) Xbl 05
SDC Coord'inator
ATTACH'A. ll,JPD
Date:Q -+- ?8
TOTAL SDC $ 8342
FIXTURE UNIT CALCUl ^TION TABLEI Number of New Fix s X Unit Equivatent = Fixture Units(NorE: For remodels, calculate only .ne NET additional fixtures)
FrxruRE rypE ilHtI?:Xr"rt .. .o,Y,VI..*- :,',X;:-'
Bathtub.....
Drinking Fountain....
Floor Drain.
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, Gang
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single
Toilet, Public lnstallation.
Toilet , Private
Miscellaneous:
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
CREDIT CALCULATION TABLE:Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits S,
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
1979 or before
1 980
1 981
1 982
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
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
0.83
o.67
o.52
o.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Ontyl
Residential.
Commerical
lndustrial....
o.4
o.9
o5
o.5Governmental
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCTENT