HomeMy WebLinkAboutPermit Building 1998-10-28CITY OF
senlrtlrrer-o
RESIDENTIAI, PERMIT APPLTCATION
CITY OF SPRINGFIETD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 98L207
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2798 VIEIIMONT AVE
Assessors Map #: 1-7032441-
Lot: 15 Block: 1
Office:
Inspection Line:
726 -37 59
726-3769
Tax Lot #
Subdivlslon
0 0104
RAY MAR
Owner: SCOTT GfBSON
Address: 2798 VIEWMONT
Describe WorK: I,IVING & BED ROOM ADDITTO
Phone #: 746-9884
City/State/zip: SPRINGFIELD, OREGON 91471
ADDITION
ffi con6t.
con*actBB prnrrltr sHALL EXpr #FprHE Wont
pRE s r r cAtlifU0ff AED U N DER TH I S&EBMbTa lS NOT
5 B 2 DRIe0ffrf?PNerFgf,qs%0filBOfiEpp0n
OWNER
.i rlil 1,1{ n0v pERlnn
OWNER
Expires
L2/oe/eB
Phone
461 - 0961General-:
Mechanical:
El-ectrical :
QUAD AREA: 5RNW
# OF UNITS: 1
CONSTR. TYPE : \IN
SQ FOOTAGE: 84
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
HEAT SOIIRCE: FE
# OF BLDGS:
OCCY GROUP:
INSUL PATH:
1
R3
P1
law you to
A11 inspections requesLed before 7:0
inspections requested after 7:00 a.m
REQUIRED
FOOTING After trenches are excavat
FOITNDATION - After forms are erected but prior to concrete placement.
POST AND BEAIT{ - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; prior to cover
ROUGH MECHAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior Lo cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; prior to cover
DRYWALL - Prior to taping.
FINAT MECHANICAL - When all mechanical work is complete.
FINAL EIJECTRICAL - When all electrical_ work is complete.
FrNAL BUTLDTNG - when all required inspections have been approved and
the building is complete.
day,
v
Total Height.: 14 Setbk From NPL: 30 Solar Approved: Y
ftem
Main
Garage
ADDITION
REMODEL
Tot.al Value
--- BUILDING PERMIT ---
Square Feet x $/Square Feet Value
0.00
0.00
5,431.00
12, 000. 00
1,7 , 43L .00
Building Permit Fee
B4 64 .66
128.50
To request an inspecEion, call the 24 fifltsW ruwtrdo&ddcy rD@ffi.ullllly
Center. Those rules are set fotth
seRrGrr=uo
.fob Number: 981-207
CITY OF SPilNGFIEI-D,
Page 2
Surcharge/admin
TOTAL FEE (A)
1,0.29
L38.7 9
MECHA.I{ICAL PERMIT
DUCT WORK
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PERMIT (D)
15.00
15.00
10.00
L.20
26.20
MISCEI,LANEOUS PERMITS
Surcharge/admin
CITY SDC
TOTAL MISCELLANEOUS PERMITS (E)
0.00
53.39
53.39
(Excluding Electsrical )
unless otherwise noEed
TOTAL AMOI'NT DUE - - -
(A, B, C, D, and E combined)218.38
BUITDING VALUE, PI,AN CHECK AND BUILDING PERMIT
This permit is granted on the express condition that the said construction
shalI, in all respecLs, conform to the Ordinance adopted by the City of
Springfield, including the Deve1opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon vj-olati-on
of any provisions of said ordinances.
Plan Check Fee: 83.53 Date
Recei-ved By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Paid: oe/28/98
Date: a0/26/98
Receipt Number: 31569
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
1s true and correct, and I further certify t.hat any and all- 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 described herein,
and that NO OCCUPANCY will be made of any sLructure without permission of the
Community Services Division, Building Safety. f further certify that 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 Lhe
proper 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
wil-l remain on t.he site at al-l- times during constructi-on.
//o-2s-/(
Signature Date
--- ADDITIONAL COMMENTS ---
A SEPERATE ELECTRTCAL PERMIT IS REQUIRED
SPRiNGFTELD
.fob Number: 981-207
CITY OF
Page 3
DATION
Receipt Number
Date Paid
Amount Received
Receaved BV:
t
The tollowing Proiect AS submitted has the lollowing
zoning, and does not require specilic land use
225 FIFTE STREET
SPPJNGFIELD, OREGoN 9
INSPEC:TION REQTIEST:
OFEICE: 726-3759
1. LocATroN oF rNsrAltx[Ti6ftd sionature
r:7 ,4t/€
LEGAL DESCRIPTION
t7o3 2 t6b
Lo la
DESCRIPTION
d,'.-r.rT
BLECTRICAL PERHIT APPLICATION
City Job Number >07
FEE SCBEDTILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dve1ling
SerVice or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Permi ts areif vork is
ofi
180
2
Address
Centeris 1
Phone
er
200 amps or
201 amps to
401 amps to
INGFIEL()
less
400 amps
--
600 amps
1000 amps
fryro'^t _
72647(9ntne
(
Date
rable and expire
A
3
C.
Sum
s
n
Ci ty
Supe
Exp i
rvi -s
rati
or Li SE
Da te
$ s0.00
s 60.00
sr.00.00
s130.00
s300.00
s 40.00
Con Contr. Number
piration Date
Signature of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
0ver 401 to 600 amps
-
$ 80.00
0ver 600 amps or lbOOl.oTts see rrgrr ufiffi
601 amps
Over 1000
to
Reconnect 0n1y
One Circuit
Each Additional
amps/volts
-
0wners Name
Addres
cir pnon€a4Q -QK r 1
OIINER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
Ovners Signature:
D. Branch Circuits
Dl Nev, Alteration or Extension Per PanelTT
/ $ 3s.oo35f
Circuit or vith Service
or Feeder Permi t /^ A'l)$ 2. oo 4__
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation
sign/outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s 40.00
s 40.00
s 20.00
s 36.00
5
DATE:
RECEIVED B
3 (i\
trical l'llUnhenfot
set foftl'l
rules
a
CITY OF OFEGO'V
toniRg, and
approval
dOes not require specific land use
Zoning LD/t-
Date
225
SPRINGFIEI,D
INSPECTION REQTIEST : 726-37fiJrn,
R,ZEDOFFICE: 726-3759
1 LOCATION OF
COlvtil/,ETICE,N
INSTALLATION
rxt yAetDT AvC.
Address follow
Ci ty in -001-0010 through
Supervisor License the center. (Note:the
num ity N
Expiration Date Center is 1
c.
Constr Contr.mber
Expiratio te
Signat of Supervising Electrician
s Name tc rl rt €,1 r oY
D
Address 2't o g,l/ra Itttrt, T
ci Phone ?'/ ( 'f ?rT
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Omers Si gna
SPRTNGF!ELC,
ELE TRICAL PERHIT APPLICATION
q I /;Lo7
BELOIJ
eor
Iing
I tems
unit.
Service Included:
IE fl li6rx t
IJGAL DESCRIPTION
t7 03 z{4( 0 0/otl
JOB DESCRTPTION o,t t
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. COI{IRACTOR INSTALI.,ATION ONLY
Electrical Contractor
1-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
requireqp8teloca t i on:
Cost Sum
by the O
rules
of
lityffi
00
or less
to 400 amps ---to 600 amps _to 1000 amps_
0 amps/volts
-
t 0n1y
$ 8s.00
$ r.s.00
s 40.00
$ s0.00
s 60.00
$100.00
$130.00
$300.00s 40.00
10n
a666
ef
{
Temporary Services or Feeders
Installation, Alteration or Relocat
200 amps"or less $ 40.00
201 amps to 400 amps
-
$ :1.00over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or 1o00Efts see I'Br
Branch Circuits
Nev, Alteration or Extension Per Pane1
/ s 3s.oo
Service -L- $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Light ing-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAT
One Circuit
Each Additional
Circuit or vith
or Feeder Permit
$ 40.00
$ 40.00
$ 20.00
$ 36.00
??, P
--tff-l. t 7
1^'/'
5
DATE:
RECBTVED
ture:
./;
CITY OF SPTd'-ryGF|.F*|*tr)OBEGOA'
NGFIELO
BLBCTRICAL PBRT{IT APPLICATION
aQprsvat
Zontnp (L
.)ate
;iufiiatrzgo srgnature
225 FIFTB STREET
land use
-q
SPRTNGFIELD, oREGON 97477
INSPECf,ION REQITEST z 726-3769
OFFICE: 726-3759
1 0 INST
,'-e
IJGAL DESCRIPTION
Supervi
Expirat
Cons tr
Expi ra t
Signat of Supervising Electrician
tr
Ovners Name o
Address n
Ci ty Phone 7c/1{- g PF r
OIINER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
Nev Residential-Sing1e or
Multi-FamiIy per dvelling unit.
Service Included:
?ttzoT
Items Cost Sum
$ 8s.00
$ 1s.00
$ 40.00
T SHALL EXPI
D
ampsr 1000ETEs
$ s0.00
s 60.00
s100.0q
s130.00
s300.00s 40.00
s
Relocat
s 40.00
$ ss.00
s 80.00
see (Brt
10n
aE6E
ON
JOB DESCRIFTION
Permits are non-transferable and expire
if vork is not started vithin I'80 days
of issuance or if work is suspended for
180 days.
2. COI\ITRACToR INSTALL,ATION oNLY B. SerYi.ces or Feeders
Installation, Alterations
Electrical Contrac $r (5L EuTT?c e,-O hr+*tda*a or Relocation:
Address s
Ci ty
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
ion Date /4- O1 90. You maY obtain coPies o{ the rulwtnJ
c*ing pgrpoter{NBtf1lUetdePho0Seder
Contr. Number number fdlqftst}egirqltlti I'rAftloti8cttticn or
ion Date t )- tut
{,ente
200
r is 'r-8b0-332-2344\.
amps''or less
201 amps to 400
Over 401 to 600
Over 600 amps o
Branch Circuits
amPs
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/OutIine Lighting_
Limited Energy/Res
Limited Energy/Comm
s
$
$
$
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
5o,o 0
DATE:'). 5-b-D
RECEIVED
5
o
].7
3. COHPI.,ETE FEE SCMDULE BELOV
Phone /. l:..?- //./
//t ,,r, t n 4,t.
UVvt\llnL Vl\ !.rVU ltu.
AITACHMENT A
CITY OF SP. --,'IGFIELD SYSTEMS DEVELI
t^ioRKSHEET
NAME OR CO|,IPANY 6t rl
LOCATION
qflzoT
{ENT CHARGE
DEVEL0PMtII r TYPE
BUiLDING SIZE OT SIZ 0Ft
1. STOR|.I DPIiNAGI
6vrt t 7 xzd
I|,IPERVICUS SQ. FT 4?7+x $0. zz7 PER sQ. FT. s fio,eq
2 . SAN I rAP'/ SEilEi? -C ITY
NO. OF PFU'S X 547.14 PER PFU s Nfr
(See Rever"se S; de)
3. TRANSP0RT-,rrlON
NO OF UNITS X TRIP RA,IE X COSI PER TRIP
4. SANITARY SEr^lER-Mh/MC
A. REII',IBURSEMENT COST
SOC Coord'inator
ATTACH'A. I^JPD
N0. 0F FE'r.J'S I X 211,4*PER FEU
B. II'1PROVI|'|ENT COST:
NO. OF FEU'S X 'zs.zO PER FEU
|'4WMC CREDIT IF APPLIC,{BLE (SEE REVERSE)
MI^/MC ADl'lINISTRATIVE FEE
-
T-s- ra
s z?trr+
<$
$ffi
TOTAL-MWMC SDC $NA
i^-s ft.&,
X t,ot x s475.32
x $475.32
(SUBTOIAL (ADD ITEMS 1,2,3 & 4)
ADMiNISIRATIVE FTES:
BASE CHARGE (SUBTOIAL ABOVE) X .05
Date:0
TorAL spe s a3 4
$Ha
s 7,5+
(NOTE: For remodels,
FIXTURE TYPE
vnL\"\.,r-r\ I l\-'rY I ADLE,: Number of Ne,ar Fixtures X Unit Equivalent = Fixture Unitscalculate only the NET additional fixtures)
NUMBER OF Ut\,ltT FIXTUT-.,- -
NEW FIXTURES EOUIVALENT UNITS
8athtub......
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Erc.................
lnterceptors For Sand/Auto Wash/Etc....-.............
Laundry TubiClotheswasher.
Clotheswasher - 3 Or More.
Mobile Home Park Trap (1 per Trailer.)......
Receptor For Refrigerator/Water Statron/Etc........
Receptor For Commercial Sink,iDishwasher/Etc..
Shower, Single Stail.....:....
Shower, Gang..
Sink: Bar, Commercial. Residential Kitc;.ren..
Urinal, Stail/Wail...
Wash Basin lLavatory, Single..-....
Toiler, Public tnstailation.
Toilet, Private........
Miscellaneous:
CRED{T C.ALCULATIO N TABLE Basec cn assessed value. lfcalcuiate credits se
IOTAL FIXTURE UNITS
lmprovements occurred after annexation date in ::ole
ad
2
I
)
6
2
6
6
I
2
1lH,e
2
2
1
4
Year
Attnexed
Rate per S1,0OO
Assessed Value
Year
Annexed
Rate per' $ 1,00C
Assessed Value
f,'1979 or dEfore
1 980
1 981
1 982
1 983
1 984
1985 ..
1 986
1 987
1 988
'1 $4.27
4.18
4.12
3.99
3.83
o,oo
J.+6
3.1 8
2.82
2.42
t
Credit for Parcel dr Uant Onty If Appticable
lmprovement (if after aanexation date)
., .,|l
XS
(Rate X Assessed Value)X$
(Rate X Assessed Value)
CREDIT TOTAL s!
RUNOFF COEFFICTENTS FOR STORM DRAINAGE
(For Estimating purposes Onlyl
Residential.
Commerical
lndustrial....
0.4
. o.9
o5
o.5Governmental.....
FIXUNIT.WPD lMPERVtous AREA = TorAL Lor srzE x RUNOFF coEFFtctENT
.',
1 0ao
1 00n
1 001
1 992
100,1
100.r
1 00tr
1 996
1 997
$1.98
1.15
0.96
0.83
0.6 7
A Ca
0.38
o.21