HomeMy WebLinkAboutPermit Building 1997-03-14a
RESIDEIITIAL PERT,IIT APPI,ICATION
CITY OF SPRINGFTBLD
COUMT'NITY SERVICES DIVISION
BUII,DTNG SAFETY
a
Office:
Inspection Llne:
Page 1
rfob Nruber: 970288
726 -37 59
726 -37 59
225 North Fifth Street
Springfield, OR 97477
Location of Propoaed Work: 125 WOODLAI'IE DR
Assessors t"tap #z L7O32622
Lot: Block:
Tax Lot #: 01600
Subdivision:
OWrrET: DAVE }T,ARRA
Address: L26 WOODLANE DRIVE
Describe Work: GARAGE
phone #:
ciry/staLe/zr-p: SPRINGFTELD, OREGON 97477
NEW
General:
Contractor
BOB ASHLEY O1.O]-549
1411 W Quinalt Ave Springfield OR 9
Const.
ConEractor #Expires
08/L5/e7
Phone
7 47 - 9829
QUAD AREA: 1RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: 576
-- oFFrcE usE --
LAND USE: l-11-L
OCCY GROUP: M
# OF BLDGS: 1
CONSTR. TYPE:
To regueeE an inspection, call the 24 hour recording aL 726-3769.
A1l inspections requested before 7:00 a.m. will be made the same working day,
inspections requesLed after 7:00 a.m. will be made the foLLowing work day.
--- REQUIRED INSPECTTONS ---
FOIrIIDATION - After forms are erected but. prior to concrete placement.
FRAIIING - Pri-or to cover.
STORU SEWER LINE - Prior to filling trench.
FINAL BUIIJDING - When all reguired inspections have been approved and
the buil-ding is compleEe.
Lot Faces: S
Solar Approved: Y
Garage
Total HeighL: 16
Lot Type: INTERIOR
SeEbk From NPL: 10
SetbacksswN
r_0
E
5
Item
Main
Garage
ToEal VaLue
Building Permit Fee
Surcharge/admin
TOTAI. TEE
--- BUII.DTNG PER!,[T ---
Square Feet x
576
$/Square Feet
(A)
Value
0.00
10, 400 . 00
10, 400 . 00
85.50
5.93
93 .43
SYSTEMS DEVEI.OPIIENT CIIARGE (SDC)
(B)L77.8L
Systems Development Charge is due on al-l- undeveloped properties within the Citylimits and the citys urban Growth Boundry which are being improved..
Item
Storm Sewer
Fee
25.00
PIJI'MBING PERMIT ---
SPFI]l.GFIELD
Job Number: 970288
t SPruNGFTEI.D,a a
Page 2
Plumbing Permj-t
Surcharge/admin
TOTAT C}IARGE (c)
2s.00
2.OO
27.00
(Excluding EIectsrical )
unless otherwise noted
--- TOTAIJ A}TOI'NT DUE ---
(A, B, C, D, and E combined)298.24
.-- BUILDING VALUE, PLAI.iI CHECK ATiID BUILDING PERMIT --.
This permit is granted on t,he express condition that, the said construction
shaL1, in all respecEs, conform to the Ordinance adopted by the City of
Springfield, including the DevelopmenL Code, regulating the consEruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Feel. 56.23 Date Paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
Receipt Number:. 24677
--- ADDITIONAI, COMMEItTS ---
SEPARATE ELECTRICAL PERMIT WILL BE REQUIRED FOR ANY TNSTALI,ATION OR EXTENSION
OF ELECTRICAL SYSTEM WIRING TO TH]S BUILDING.
By signature, I atate and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct., and r further certify t,hat, any and aLL work performed
shal-l 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 sEructure wit,hout permission of the
Community Services Dj-vision, Building Safety. I further cerEify that onlycontractors and employees who are in compliance with oRs 701.055 will be
used on this project,.
f further agree Lo ensure that all reguired 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 the approved set of plans
wil-l remain on t,he site at all times during construction.
3-//-7-
Signature Date
02 /24 / e7
03 /!4 / e7
\
..- VALIDATION ---
Reeeipt Number:
Dat.e Paid:
Amount Received:
2'$7s
2_/V*q7
,lQt 2 c-
Received By
SPFIrlGFIELEl
SPRI]llGFIELD
o
CITY OF SPRINGFIELD SYSTEMS DEVEI.OPMENT CIIARGE
(RESIDENTIAL)
Page 1
SPruNGFIELT',
Name or Company: DAVE MARRA
Location ]-26 WOODLANE DR
Developement. T)pe: R Building Size
.Tob No. : 97028A
Lot Size sg Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.AI.ISPORTATION
Number Of Units
Transportation Total-
4. SADIITARY SEWER - MW}TC
Number Of PFUs
0
MWMC CREDIT If Applicable
TOTAL - MI^MC SDC
(see Page 2)
SITBTOTAL - (Add Itema 1, 2, 3 & 4)
784 X 0.2L6 Per Sq Ft
X 44.75 Per PFU =
X Trip Rate X Cost Per Trip
0
$159.34
$o. oo
$o. oo
$o. oo
$0.00
$o. oo
$159 .34
$8 .47
x
x
Per PFU + MWMC Admin Fee
20 .690
5. ADMINISTRATIVE FEES
Base Charge (SubtoE.al above)x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 02/27 /97
$177 .81
SPRINGF!ELD
Job Number: 970288
a
FIXTURE I'NIT CALCULATION TABLE
Page 2
SPilNGFIELT',
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
lnterceptors For Grease,/Oi1/Solids/ntc
Inteceptors For Sand,/Auto Wash/Etc
Laundry Tub/Clotheswasher
CLotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential- Kitchen
Urinal, Stall/WaI1
Wash Basin/Lavatory, Single
Water Closet, Public Inst,al-lation
Water Closet, Private
Miscell-aneous
TOTAL FIXTIIRE IINITS =
CREDIT CALCTILATION TABLE: Based on assessed vaIue. If improvements occured
after annexation date, credits are calculated separately
(calculations are by $10oo)
Year Annexed:
Credit For Parcel or Land only If Applicable: 0 x 0.00 = 0.00
Improvement (if after annexation date): 0 x 0.00 = 0.00
CREDIT TOTAL = $0.00
(If land value is multiplied by l- then the parcel/Iand credit is not accurate.)
0
0
0
U
0
0
0
0
0
0
0
0
0
0
n
0
0
a
1
a
3
6
a
6
1
3
2
2
2
1
6
4
0
0
0
n
0
0
0
0
0
U
U
0
0
0
0
0
sPT ..FII:LT'
?&
225 TIFTE STRXET
SPRTNGFTELD, 0REGON 97 417
fNSPECTI0N REQLJEST: 726-3769
0FFICE: 726-3159
BLECTRICAL PERHIT APPLICATION
City Job Nunber ?,- -ar?,
';l;:,'";iL
zoninfolD
----ll-fil
orlzed Sicnaturs
'11-
1
LEGAL DESCRIPTION-z a
oI0B DESCRIPTION
J
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. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
ci ty-Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expira tion Date
Signature of Supervising Electrician
Ovners Name DalS Z yA Lfi fr,A.
Address I ?b U) o ol 1*w--D,-
Ci ty
OVNER TNSTALLATION
The installation is being made on
property I oun vhich is not intended
for sale, lease or rent.
Ovners Signatu
DATE:
RECE
LOCATION OF,/; b LUoxl
a
A.
TIONDv-
COHPIJTE FEE SCEEDTILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
s 8s.00
$ 15.00
s 40.00
Services or Feeders
Installation, Alterations
or ReLocation:
200 amps or less ?-
201- amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
InstalIation, Alteration or Relocation
Sum
B
s
s
s
$
s
s
00
00
00
00
00
00
50.
60.
100.
130 .
300
40
,p.*
ee "B" aSove
006
included )
C
200 amps''or Less
201 amps to 400 amps
-Over 40L to 600 amps
over 600 amps or 1000-7ofTs
s
s
$
S
40. 00
55. 00
80.00
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circui t s 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit 7 $ 2
E. Miscellaneous (Service/feeder not
-Each installation
Pump or irrigation $
Sign/Outline Lighting- $
Limi ted Energy/Res $Limited Energy/Comm S
40.00
40. 00
20.00
36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECETVED
o A,4/U--ArD
e
=2Cc\
phone ?1t- fr71
Address
Issued by Dare: 7Ze € >
Permit#: ??a<
Statement: lnformation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residentiql construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before q building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exemptfrom registration under ORS 701.010(7),
need not submit this statement. This stotement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I andZ, and either box 3A or 38:
1. I own, reside in, or will reside in the completed structure
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A,. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
K
tr
K
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certiff that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
4ta -?7
(Signature of permit applicant)
(lVhite copy to issuing agency permit file,
pink copy to applicant)
(Date)
OR
38. I will be my own general contractor.