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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.