HomeMy WebLinkAboutPermit Building 1998-01-22CITY OF SPfrINGFTELD,
!PE!r.GFIELEl
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFTEI.D
COMMT'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
Job Nr:rnber: 980002
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 353 18TH ST
Assessors l,tap #: L7033524
Lot: Block:
office:
Inspection Line:
726 -37 59
725 -37 59
Tax Lot #: 00900
Subdivision:
Owner: ROBERT KOPCZENSKI
Address: 353 18TH STREET
Describe Work: GARiLGE ADDITION
Phone #: 747-7930
city/state/zip: SPRTNGFTELD, oREGON 97477
ADDITION
QUAD AREA: 2RNW
OCCY GROUP: U
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
ZONING CODE: LDR
SQ FOOTAGE: 300
To requests an inspection, call the 24 howr recording at 726-3759.
A1I inspections reguested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made t,he following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavaEed.
FOtIIDATION - After forms are erected but prior to concrete p]acement.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH ELECTRICAL - Prior to cover.
FR.AITIING - Prior to cover.
FINAL ELECTRICAT - When all electrical- work is complete.
FINAL BUILDING - When all reguired inspections have been approved and
the building is complete.
Total Height: 14
Lot Type: INTERIOR
Setbk From NPL: 29 Solar Approved: Y
Setbacks
S
Garage
N
29
w
50
E
PERMIT ---
Square Feet x
TS
$/Square Feet,
t6.27
(A)
ftem
Main
Garage
Total Val-ue
Building PermiE Fee
surcharge/admin
TOTAL FEE
--- Mrs
Surcharge/admj-n
SDC
TOTAI. MISCEI.I.AI{EOUS PERMITS
,g VaIue
0.00
4, 881 . 00
4, 881. 00
50.50
4.05
s4 .55
0.00
71, . L9
7L.L9
03
a
0
(E)
L2s .7 4(Excluding Eleetrical)
unless otherwise noted
--- TOTAL AITOU}I'T DUE ---
(A, B, C, D, and E combined)
SPFIXGFIELD
Job Number: 980002
OTYOF
Page 2
--- BUILDING VAI.UE, PI,A}i[ CHECK AI{D BUILDING PERMIT ---
This permiE is granted on the express condition that the said construcEion
shall, in afl respects, conform to tshe ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buitdings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 32.83 Date Paid
Received By:
Plans Reviewed By: TOM MARX Date
Building Site Reviewed By: LISA HOPPER
oL/02/e8
ot/L6/e8
Receipt Number:. 28379
--- ADDITIONAL COMMENTS
EI,ECTRICAL PERMIT REQUIRED
By signatsure, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and al-1 work performed
shafl 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 strucLure without permission of the
Community Services Division, Building Safety. I further certify Lhat only
contractors and employees who are in compliance with ORS 701.055 will- be
used on this project.
I further agree Eo ensure that all reguired inspections are reguested aE the
proper time, that, each address is readable from the street, that the permit
card is located at the front of Lhe property, and Ehe approved set of plans
wi,I-I remain on the site at all times during construction.
/r/. -\qa
Date
Receipt Number:
Date Paid:
Amount Received:
Received By:
/NGFIET-D
{€f{ull€ d'1"
225 FIFTE STRXET
SPRTNGFTELD, oREGoN 91477
INSPECTION REQUESTt 726-3
oFFICE: 726-3159
*-----'-PERHIT CATION
City Job Number
3. COHPLETE FEE SCHEDIJLE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Costdqo 0
JOB DESCRIPTION
Permits are.non-transferable and expire
if vork is ttot started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATTON ONLY
Electri
Address
Notification Center rules
952-001-Ci ty
Supe
Exp i
Address
Ci ty
atod3d
769
1 LOCAT3sf INSTAI-LATTON
l?f \ION OFNr A
Constr Contr. Nrrmber
Expi:.-ation Date_
Sigaature of Supervising Electrician
0vners Name 9)tJ
333 L8+ShALuY
Phone
O\{NER TNSTALLATION
The installation is being made on
property I ovn r,rhich is not intended
for sale, lease or rent.
0vners Signat re:
DATE:(?
1000 sq.ft. or less
Each addi.tional 500
sq. f t or port j.on
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
D Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0n1y
D.. Branch Circuits
Nev, Alteration or Extension Per Panel -_*
one circuit -1- $ 3s.oo 33
Each Addi tional '
Circuit or vith Service
or Feeder Permi t $ 2.00
t{0TG&"rary Services or Feeders
TH Is f,ElSiPP$aAge cxp$ig n"eqe wonr R e r o c a t i o n
AUTHOBtrmIpNEFnIH&PERMITIS NOT S 40.00
ANY t6q5pY6S$Rffis or rboo-volTs see rrB" aE6tE-
rv1
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
Sum
not included)
40.00
40.00
20.00
ra)
.S)5
Miscellaneous ( Service/feeder
-Each ins tall-ation
Pump or irrigation $
Sign/Outline Lighting- S
Limited Energy/Res $
Limited Energy/Comm $
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTALRECEIVED B
qb
0
/
UtilitY
- JoB No' aSowz-
AT|ACHMENT A
CITY OF SPRiNGFIELD SYSTEMS DEVELOPmENT CHARGE
WORKSHEET
NAME OR COI,IPANY Kt
LOCATION 353 tB r*
DEVELOP[.,lTNI T'/Pi G,*zaGc A rlPr 7t aa-/
SI S0. Ft
2..6 Alt4. = t{ VZO= !ec2
x $0 225 PtF. SQ. ir $ 67,K)
X $J6.86 PER PFU sO
sO
PER FEU + $IO I"II^JMCiADM FEE s+
BUILDING SiZI
': (-nDu nD A i \: 'a -I . _\, ..nr' :/n^ I i.-.r'L
IMPERVI0US S0 F r
2 SAltllIAR'/ SI iER -C II'/
NC OF PFU'S
NO. OF FEU S
oo
( Se: Re'rer^s; S i ,i:
3. iRAi\,lSPCR r.-1,!i'l
NO CF UNITS X TRiP RATE X COST PER TRIP
x $472 49
x $47? 49
x $472 49
4. SAtrtitRRv Si;vt;l-t"tirirc
X
X
X
X
MIJMC CREDiT IF APPLICABLE (SEE RTVERSE)
5 ADMiNISiRAII\/i FETS
BASE CHARGI (SUBTOTAL ABOVE) X .05
$
TOTAL.MI{I'IC SDC 5
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ b7,8O
,v
SDC Coordt nator
Date: l- B-?8
TOIAL SDC $ 71,lq
q
s .< ,34
l-lxlUtttr UlVll:UALtiULAIlUlU IAELtr:Numberof NewFixturesXUnitEquivalent = FixrureUnits
(NOTE: For iemo-dets, calculate only -r" NET additional fixturesl
.v. NUMBER OF UN|T FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathrub......
Drinking Fountain....
Floor Drain..................
lnterceptors For Grease/Oil/SolidsiEtc.....-.........
lnterceprors For Sand/Auto Wash1Etc...............
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More....
Mobile Home Park Trap ('l Per Trailer) .........
Receptor For Refrigerator/Water Station/Etc......
Receptor For Commercial Sink,'DishwasheriEtc..
Shower, Single Sta11..........
Shower. Gan9.,.......
Sink: Bar, Commeriial, Residerrtial Kitchen........
Urinal. Stail/Wall...
Wash Basini Lavatory, Single...
Toiiet, Pubiic installation.
Toilei , Private.....
Miscellaneous
TOTAL FiXTURE UNiTS
CREDIT CALCULATION TABLE: Eased on assessed value. lf improvements occurred after annexation dare in rable,
caiculate ci'edits separates.
2
1
2
3
6
2
6
6
1
,l
2
it
2
2.
1
6
4
HeaC
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per s'l ,COO
Assessed Value
1 979 or before
'1980
1 981
1 982
1 983
1 984
1 985
1 986
$ 3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
)2.00
2.17
1.73
1.31
c.92
o.74
0.61
o,45
o.31
o.17
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
XS
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL s
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Hesroen tia:....
Commerical...
lndustrial.......
Governmental
'u.4
0.9
05
0.5
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT