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HomeMy WebLinkAboutPermit Building 1998-05-11RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 Job Nurnber: 98047 9 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work z L256 7TH ST Assessors t"tap #z 17032643 Lot: Block: Office Inspection Line 726 -37 59 726 -37 59 Tax Lot #: 10701 Subdivision: Owner: SHARRON LAWRIE AddrCSS: L256 7TH STREET Describe Work: STUDIO/GARAGE ADDITION Phone #: 74L-2560 ciry/staLe/zip: SPRTNGFTELD, OREGON 97477 ADDITION Const. Contractor #Expires Phone General: ContracEor OWNER # OF BLDGS: 1 CONSTR. TYPE: QUAD AREA: 2RMI ZONING CODE: LDR VN INSUL PATH: PL -- OFFICE USE -- LAND USE: 1111 OCCY GROUP: R3 To requeat an inspecEion, call the 24 |lgwt recording aL 726-3769. A11 inspections requested before 7:00 a.m. will be made the same work5lgdap, I Z inspections requested after 7:OO a.m. will be made the following work?rg = A I =<,r-!v---- REouTRED rNspEcrroNs --- '.22 = E ftFOoTING-Aftertrenchesareexcavated. EBE="' FOTNDATION - After forms are erected but prior to concrete placement. ; 2Z(.D TNDERGROITND PLITMBING - Prior to fifling trench E i e i ROUGH PLITMBING - Prior Lo cover. 6 6 m 'r SToRM sEwER LINE - Prior Eo filling trench. P B i E ROUGH ITIECIINiIICAL - prior Eo cover o= = =ROUGH ELECTRICAL - Prior to cover. P ; fi FR.AIIING - Prior co cover . z. s =INSULATION - Floor; prj-or to decking Wal1/Ceiling; Prior to cover g = =lDRYWALL - Prior to taPing. 'n { m FINAL PLUTIBING - When all plumbing work j-s complete- 9 9 6 FINAL UECHANICAL - When all mechanical work is complete. C =FINAL ELECTRICAL - When afl electri-ca] work is complete. SQ FOOTAGE: 972 FINAL BUILDING - When all required inspections have been approved and the building is complete. Totaf Height: 21 Solar Approved: Y Lot Type: INTERIOR Item Main Garage Total value Building Permit Fee Surcharge/admin --- BUILDING PERMIT --- Square Feet x 458 504 $/Square Feet 54 .65 L6 .27 Val-ue 30,261.00 8,200.00 38,451.00 233.50 18.59 252.19(A)TOTAI, FEE SP'lIrlGFIELE SPFIllGFIELD h Job Nnrnber: 98047 9 Page 2 --- PLIIMBTNG PERMIT --- Item Fixtures Storm Sewer Plumbing Permit Surcharge,/admin TOTAL CHARGE 3 Fee 30.00 25.00 55.00 4-40 59.40 50 (c) Vent Fan Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MECHANICAL PERMIT --- 1 (D) 3.00 15.00 10.00 L.20 26 -20 --- MISCELLANEOUS PERMITS Surcharge/admin €i*r#€u.E- SDC TOTAL MISCELLA.I{EOUS PERMITS (E) 0.00+#tr -7s.ru.-b41,5I -€€fts+ (Excluding Electrical- ) unless otherwise noted - - - TOTAL A}TOT'NT DUE -. - (4, B, C, D, and E combined)J4-#X-2s: lt / 03L 8< --- BUILDING VALUE, PLAIiI CHECK AI{D BUILDING PERMIT --- Thi-s permit is granted on the express condit.ion that the said construction shal-I, in all respects, conform to the ordinance adopted by the city of Springfield, including the Devel-opment. Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon viol-ation of any provisions of said ordinances. Plan Check Fee 151.78 Received By: Pl-ans Reviewed By: TOM MARX Building Sit.e Reviewed By: Date Paidt 04/23/98 Date: 05/01 /98 Receipt. Number: 29521 LISA HOPPER --- ADDITIONAL COMMENTS --- ELECTRTCAL PERMIT REQUIRED DRIVEWAY REQUIRED TO BE PAVED By signaEure, I state and agree, that I have carefully examj_ned the completed application and do hereby certify, that all information hereonj-s true and correct, and I further certify that any and all work performed shal1 be done in accordance with the ordinances of the City of Springfield, and the Laws of the State of Oregon pertai-ning to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi-fy that. only contractors and employees who are in compli-ance with ORS 701.055 will be used on this project. SPIIIiIGF!ELD Job Number: 980479 Page 3 I further agree to ensure that all- required inspections are requested at the proper time, that each address is readabfe 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 aff times during construction. 01(I 6- u- qg teture Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION --- aq73 I 5-r/ -9< 033 Y< \ JoB No. ?\n+ta ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I^JORKSHEET NAME OR COMPANY 1l1aao^)L. LA(rl?tC LOCATION sa N 7-* 5r DIVELCPMENT TYPE G,<n-oad- {'D,O AORr Ttaa-/ BUILDiNG SIZT CT SIZ 0Ft 1 SIORI.4 DRAI [IAG[ tt€oAOrt,Ttctu Roaf ZJ Reqoo€o Jra*toxe 16 Neut Det,tgm) lo y26 - .512 y 30= - -4A)y 1b= -tuih X $0.225 PIR SQIMPERVIOUS SO FI 6BG 2. SAN ITARY St'^/ER -C ITY NO OF PFU'S rr $ n+.?u s 4zt .X $.16. 86 PTR PFU (See ReversJ Side) 3. TRANSPORIAi i0N NO OF UNITS X TRIP RATE X COST PER TRIP x-x$47249 x _ x $472.49 $ X x $472.49 $ 4. SANiTARY SEWER-MhJMC N0. 0F FEU'S _X _PER FEU + $10 [',II^JMC/ADM FEE $ ,.'3-- l4hIMC CREDIT IF APPLICABLE (SEE REVERSE)$ TOTAL.MI^IMC SDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) * G]G._4- 5. ADMINISTRATIVE FEES BASE CHARGE (SUBIOTAL ABOVE) X .05 s 30,83 b{. SDC Coordi naLor Date: 4- Z7 -9 8 TorAL SpC S 64 7,4? q $a- I ln I \.'nL L'lrl I tv,{LrruLA I l\Jl\l I AI)Ltr: Number of New Fixtures X Unit Equivalent = Fixture Units(NOTE: For remodels, calcuiare.on' e NET additional fixtures) NUMBER OF UNIT FTXTURE FIXTURE IYPE NEW FTXTURES EOUTVALENT UNTTS Bathtub...... Drinking Fountain.... Floor Drain............. lnterceptors For GreaseiOil/SolidsiErc............. lnterceptors For Sand/Auto WashiEtc............. Laundry TubiClotheswasher.... Clotheswasher - 3 Or More..... Mobiie Home Park Trap (j Per Trailer)............. Receptor For Refrigerator/Water Station/Etc..... Receptor For Commercial Sink, Dishwasheri Etc. Shower, Single Stall..... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen....... Urinal, Stall/Wall... Wash Basini Lavatory, Single.. Toiiet, Pubiic lnstallation. Toiler, Private.,..... Miscellaneous: 2 1 2 3 o 2 i Head 6 6 1 ,l 2 t, 2 2 1 b 4 TOTAL FIXTURE UNITS CREDIT CALCUL.ATION TABLE: Based on assessed vatue. lf i calculate credits separates. mprovements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,COO Assessed Value 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 $3.97 3.89 202 3.70 3.55 3.39 3.20 2.91 1 987 1 988 1 989 1 990 'r 991 1 992 1 993 1 994 1 995 1 996 $ 2.56 2.17 1.73 1.31 0.92 o.74 0.61 0.45 o.31 o.1 7 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x $_ {Rate X Assessed Value) CREDIT TOTAL $ RUNOFF COEFFICIENTS FOR STOBM DRAINAGE (For Estimating purposes Only) fiesrden iiai...... Commerical...., lndustrial........ Governmental.. 0.4 o.9 05 o.5 lMPERVlous AREA : TorAL Lor stzE x RUNOFF coEFFtctENT I 2_ 'z__ I +I 1 x $_ (Rate X Assessed Value) Permit #o4 q Address: l^5U 11+ Slnu f Issued by =(r^)Date: 5-l t-ql Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following stotement before a building permit can be issued. This statement is required for residential building, electrical, mechonical, and plumbing permits. Licensed architect and engineer applicants, exempt from registrotion under ORS 701 .010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and2, and either box 3,{ 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. (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. 38. I will be my own general contractor 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 certify that the above information is correct and that I have read and do understand the Information Owners about Construction Responsibilities on the reverse side of this form A/Wn- /1 . Q/rl^r\5- ti-qb (Signature of permit applicant) (White copy to issuing agency permit file, pink copy to applicant) OR Notice to P (Date) 3A,. My general contractor is V u V Information Notiee to'Property Owners About Construction Responsibilities Note: Thi,r lnJbmn*tiort Natice to Propergt {)u,ngrs uboutt\snstmrctirstr Respcnsihilltie.s trrts rlevelapeilhj,rhe Canstructian {'orttrocrit),il}doicl in'accortktnce y,ith O&\ 701.A556) )''on can pre vent rnaly problerls by being aware rif the lollowirtg responsibilitiqs and-areas cif csncer&.. ",:: I i ,i EltllfloYrn RESPON$lBlLlTlEs: , '' -i ' ,vr:ti hire rvilI bc enipltr;,e,:s. ,,\s the ernplcver. y'ou n'rust compl;,,''*,ith the follorviiig: ] Oregon'stlithholdingfaxlzlrv: Asanemptover.)ourllustr.vithholclincometaxesfiomemploreeu,agesatth€tinre elnplol,ees in{brrl;rtion. cali the Oreg*n Dept. of"Reveilrrc at 94i-8091 Unemployment insurance tax: As an employer. you iire requircd to pa)"atax for unemplovment insurance p*rpclses on the wages of all enrployees. For more information; call the Oregon Bmploynrgnt Depa6rnenqafi&#52+r:,,, rri,r,,,iqr. ,iij ir; r;i{ Workcrs' compensation insurancc: As arr crrrplorer,,y,ou are subjeql to the Srcgon Workels' C'oqpglls.itip+i#yl and mqst -: obtain workers' compcnsation irrsurance thr rour empl,ij ees. If'you fail to obtain ,ovorkers' .o,npeniati',ln inriiiiniei, yn,, niay' ' besubject{open4ltiesarrdwillbeliahlettirailqlaimcostsi{'oncofyourernployeesisinjuredontfejqb. Ft2rlnqreinforpatipn.-. cali tti6 tV'orkers"fonrpensatiod i)ii,ision at tht Depdrlnibht of Consunrer anci Bu.siness Seir,,icds'ht'dt5-168S. ' '' ; I U.S. Internal Revenue Servicc: As an .: rnployer, ).o* rnusr rvirhholelfecleral ,,r.o,r* ru*'oo;';*r;"r-"r'*";-r. "",, r"ilL;; liablefortheta>ipay:menteven ifvoudidn'tactuallyr,vittrholdthetax- Formoreintbrmatidiilealltire,i*terfAl{OienreS"*[.. 'atl'800:829j1040,': ' I,j, J i--l ,, 1 i . ,. ,"., j: , | \: !l: j . r, -. ,,. .' OTHER RESPONSIBILITIES.'jAItB AREA$OF CONOff,611r,. : . -'.i thal nral'be brought to y$ur aticntion through inspeclions. I-iability antl propertv darnagr: insnrancc: C'r:ntact 1'r:ur insurancu asel)t tri sc* if r ou have adequate insuralice.o"arug* foa' accidprlts and r:m issiolis such as falling tools, paint o\ crspra), $ aler damage from pipe punctures. f-rre. elr rvork that m ust be re-d(ine Time to supervise employees: l!{ake sur e'3.'o!-r h;rve sufficient time to superr isc 1'our ernplo3'ee s. .ti' ;i Expertise: Makesurevouhave lheexperlisr'loactasvourorvnsenr,ralcontrao{or,tocoordiuatethervorkofl"clugh-inanclfinish tradesi and to notify building officiats'at'the appropria& times so thev can perfonn the requirer!'inspeitions. t ' ,., .' . If you have additionalquestions" rvrite t:r call the Constructir-":n Coutractors Board (PO Box l.ll40, Salem. OR 97309-5052. 503/378-4621). Thelloardislocat*dat7{X)Surnnt*rSt.}'i}: Suite300,inSalenr. prop-o*'n.pm4 rl94 CITY OF OBEGO'V not INSPECf,ION REQUEST: OFFICE: 726-3759 SPRr.-.iFlELD A. Nev Residentj.al-Single or Multi-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 Dvelling Sertice or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent' COIITRACTOR INSTALI.,ATION ONLY B Elec t I Contractor Address Ci ty one Supervisor Lice er Expiration e C Cons t r tr. Number Expi ion Date ture of SuPervising Electrician Ovners Name Lt4+-tp0{zetu)I lltWtZ-l- Address q! U -]+{1 t;{ cLtynvt\aaw I tv >. Ffrbne 5,Ut' r \t-zSo THIS PEBMIT SHALL EXPIRE IF IHE WORKUTHORIZEDUNDEH THIS pERtvilT IS NOTSLECTRICAL PBRI{IT APPLICATION OR IS ABANDONED FOR Ci ty Job Nunber 041PEHIOD. 3. COHPLETE FEE SCEEDTILE BELOS 1 OF DESCRIPTION'f ON r0 I ee ilBr Sum a6ove- 200 amps or 201 amps to 401 amps to less 600 amps 1000 amps /vol ts s s0.00 $ 60.00 s100.00 $130.00 s300.00s 40.00 60L amps Over 1000 Reconnec t to amps Only Temporary Services or Feeders lnstallaiion, Alteration or Relocation 200 amps''or less S 201 amps to 400 amPs - $ over 4b1 to 600 amps - $ over 600 amps or r0OO-6Fs s 40.00 55.00 80.00 E D. Branch Circuits Nev, Alteration or Extension Per Panel -Each installation Pump or irri.gation - Sign/0utline Lighting- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL I one circuit / $ 35'oo b4,-- g;"h eaaitional-cii"uit or vith Service-- 4' or Feeder Permit-- --5 $ 2.00 'gL: Miscel-laneous (Service/feeder not included) ture: s 40.00 $ 40.00 s 20.00 $ 36.00 t'n t 5 RECEIVED q0 5 #,/<,'- P -4.\ -#'tu