HomeMy WebLinkAboutPermit Building 1995-05-05SPF!i'GFIELD
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RESIDENTIAIJ PERMIT APPIJICATION
CITY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUILDING SAFETY
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Page 1
ilob Number: 950831
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 888 S 37TH PLy'
Assessors Map #: L80206L2
Lot : L32 ,/ Block:
Of f i-ce:
Inspection Line:
726 -37 59
726 -37 69
Tax LoL #:
Subdivision:
02500
HAYDENT \wfi,n {t
SPilNGFIEI.D,
OwneT: IIAYDEN ENTERPRISE
Address: 899 S. 32ND STREET
Descri-be Work: S F RESIDENCE
Phone #: 744-6966
ci-ty/state/zip: SPRTNGFTELD, oREGON 97478
NEW
Const.
Contractor #
General:
Plumbing:
Mechanical:
Electrical:
Contractor
HAYDEN EIiIIERPRI OO922O8
1511 SW 33rd Redmond OR 977560000
EMERALD VALLEY 0051737
2727 N 2Oth Springfield OR 97477000
HAYDEN ENTERPRI OO922O8
1511 SW 33rd Redmond OR 977560000
ALLEN ELECTRIC OOOO958
201 N 3rd Madras OR 977410000
Expirea
ot /zg t 41
os/Le/ 61
o7 /2e / cl1
vl<1a,1
Phone
923 - 5507
583 -5115
923 - 6607
475-21,39
QUAD AREA: 3RSC
# OF UNrTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# or eoRMs: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
SQ FOOTAGE: 1693
To request an inspection, cal-I the 24 hour recording aL 725-3769.
A11 inspections reguesLed before 7:00 a.m. will be made the same working day,
inspections requested afEer 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTfNG - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
TNDERFTOOR PLITI,IBING - Prior to insulation or decking.
POST AUD BEAII - Prior to f1oor insulation or decking.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
SAIiIITARY SEWER LINE - Prior to filling trench.
STORU SEWER LINE - Prior Eo filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLIr!!BfNG - Prior to cover.
ROUGH MECIIAT{ICAL - Prior to cover.
ROUGH ELECTRfCAL - Prior to cover.
ELECTRICAIJ SERVICE - Must be approved to obtain permanent. power.
FR-AIIING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYIIIAIJIJ - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PIJITMBING - When all plumbing work is complete.
FINAL ELECTRICAL - When all el-ectrical work is complete.
FINAL MECIIAI'IICAL - When all mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the buifding is complete.
SP'IIi.GFIELD
ilob Number: 950831
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Page 2
SPilNGFIEI.D,
Total Height: 15.
Lot Type: INTERIOR
Setbk From NPL: 5 Solar Approved: Y
Item
Main
Garage
Total- Value
Building Permit Fee
Surcharge/ROmin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
113 3
550
$/Square Feet
56.20
14.10
(A)
Value
53,575.00
7 ,896.OO
7L,57L. OO
349.00
27.92
37 6 .92
-.- SYSTEMS DEVELOPMENT CIIARGE (SDC)
(B)1,588.05
Systems Development Charge is due on alL undeveloped properties within the City
Limits and the Citys Urban Growth Boundry which are being improved.
PI,I'MBING PERMIT
Item
Residential Bath(s)
Plumbing Permit
Surcharge/aamin
TOTAT CHARGE
2
Fee
160.00
150
L2
00
80
(c)172.80
--- UECIIATiIICAL PERMIT ---
Exhaust Hood
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAI, PERMIT (D)
4.50
3.00
16.50
10.00
1.33
27.83
--- MISEEI.I.AI{EOUS PERMITS ---
Surcharge/edmin
Sidewalk
Curb Cut
PLAN REVIEW FEE
ELECTRICAL PERMIT FE
TOTAI. MISCELLA}IEOUS PERMITS
0.00
20.50
14.80
40.00
t24.20
(E)199. s0
(Excluding Electrical)
unleee otherwiEe noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)2tfr ,355
3
.10oo{r*
--- BUILDING VAITUE, PLAIiI CHECK A.I.ID BUILDING PERI'IIT ---
This permit is granted on the express condition that the said construction
shalI, in all respects, conform to the Ordinance adopted by Lhe City of
Springfield, including 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.
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cTob Number: 950831 Page 3
Received By:
Plans Reviewed By: DON MOORE Date: lO/02/95
Building Site Reviewed By: BRENDA 'JoNEs
--. ADDITIONAI, COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUTRED
By eignature, I stsate and agree, that I have carefully examined
the completed application and do hereby certify that afL information hereon
is true and correct, and I further certify that any and all work performed
shaIl be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the SLate of oregon pertaining to the work described herein,
and that NO OCCUPANCY wiLl be made of any sEructure without permission of the
CommuniEy Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
f furEher agree to ensure that all required inspect.ions 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
will remain on the site at all times during construction.
-r-s€.vSignatureDate
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By:
SPFIrlGFIELEl
SPRINGFIELD
a
CITY OF SPRTNGFTEI.D SYSTEMS DEVEIJOPME}flT CIIARGE
(RESIDENTIAL)
Page 1
SPNNGHEA,
Name or Company: HAYDEN ENTERPRISE
Location: 888 S 37TH PL
Developement T)pe: R Building Size
,Job No. : 950831
Lot Size:sq Ft
1. STOR}T DRAINAGE
Impervious Sq Ft
2. SAI'IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.LNSPORTATION
Number Of Units
1X
18
X Trip Rat.e
1.010 x
X 0.209 Per Sq Ft =
X 43.26 Per PFU =
Cost Per Trip
436.L9 $440. ss
$o. oo
$77e.68
$440. ss
#3L9.42
$25 -23
$293.1-9
$1, 512 .43
#7 s .62
Transportation Total
4. SNiIITARY SEWER - MWMC
Number Of PFUs
18
5. ADITINISTR,ATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
L7 .l9O +
MIaMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MI^MC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: KIP BIIRDfCK Date: o7/03/95
$1,588.05
SPB!,l.GF'ELD
Job Number: 950831-
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FIXTURE I'NIT CAI,CUIJATTON TABLE
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Page 2
Number of
New Fixture
Unit
Eguivalent
Fi-xture
UnitsFixture Type
BaEht,ub
Drinking Fountain
Floor Drain
fnterceptors For Grease/oi1/Solids/etc
fnteceptors For Sand/Auto Wash/EEc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Stat.ion/Utc
Receptor for Commercial Sink/Dishwasher,/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/WaI1
Wash Basin/Lavatory, Single
Water Cl-oset, Public Installatj-on
Water Closet, Private
Miscellaneous
TOTAI FIXTURE UNITS =18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1950
Credit For Parcel Or Land OnIy If Applicable: 7,580 X 3-46 = 26.23
Improvemenu (if after annexation date): 0 x 3.46 = 0.00
CREDIT TOTAL = $26.23
(If land value is multiplied by 1 then Lhe parcel/land credit is not accurate.)
4
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2
0
8
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3
6
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6
1
3
2
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1
5
4
0
0
0
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0
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0
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0
2
0
a
C'TY OF OFEGO'U
SPFITfllGFTELO
!
225 FTTTE STREET
SPRINGPIELD, ORBGON 97477
INSPBCTION REQIIBSTz 726-3769
OFFICE: 726-3759 t).,
1
BUBETRICAL PERXIT APPLICATION
LPL City Job Nurnber q 6o#l
,J\{.i'COXPLETB FEB SCtrEDULB BELOS
New Residential-Single or
Hulti-Family Per dvelling unit.
Service Included:Items Cost
'I:t
A
IJGAL DESCRTPTION
lg oL\b t A bx4oo
JOB5.Y,tltfuct:
Permits are non-traftsferable and expire
if vork is not started vithin 180 days
of lssuance or if vork 1s suspended for
180 days.
2. COMRACTOR INSTALLATION ONLY
Electrical Contractor AIle n Electric
Address 12 SW 3rd St.
Cl ty Madras Phone 475-ljg
Supervisor License Number 1 006
Explrat ion Date 10-1-95
Constr Contr. Number €-ta'l4\
Expiration Date 9--95
Slgnature of Supe rvisi ng Electrician
Ovners Name
Address 3"^!
a*4l)Ynone 1tltPb4A7
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
l{odular Dwe}ling
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
_l $ Bs.oo K6.uo
A g 15.00 3o. ro
$ 40.00
B
Sum
201 arnps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconnect OnIY
200 amps or less
201 amps to 400 amPs
-Over 401 to 600 amps
Over 600 amps or fbOOGTIs
Temporary Services or Feeders
Inslallaiion, Alteration or Relocation
50.00
60.00
100.00
130.00
300.00
40.00
$
s
$
$
$
$
s
$
$
s
$ 40.00
$ 40.00
$ 20.00
$ 36.00
c
rI
40,00
80.00
ee I'B" a6618
Cl ty T
OVNER INSTALI.ATION
The lnstallatlon is being made on
property I own vhich is not intended
for sa1e, lease or rent.
Otrners Signature:
DATB:
Branch Circuits
Nev, Alteration or Extension Per Pane}
One Cir:cui! S 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
-
Limi ted EnergY/Comm
SUI}TOTAL OT ABOVE
5Z State Surcharge
"OIAL-
4olo
D
gqq
V25
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