HomeMy WebLinkAboutPermit Building 1999-05-272-----
SPTiTAIGFJELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIEI,D
COMMT'NITY SERVICES DIVISION
BUIIJDING SAFETY
Page 1
ilob Nu.nber: 990637
3;:,[;::,r,*,
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AN
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 11801
Subdivision:
Owner: CTAYTON F-ALSTON
Address: 705 25TH ST
Descri-be Work: NEW GARAGE
Phone #: 746-1-253
city/st.ate/ zip: sPLFD oR, 9'7 477
NEW
QUAD AREA: 2RNW
OCCY GROUP: U
-- oFFrcE usE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS
SQ FOOTAGE
1
748
To request an inspecEion, call the 24 }:,our recording aL 726-3759.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections reguested after 7:00 a.m. wi-l-l- be made the folJ-owing work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITIIDATION - After forms are erecLed but prior Lo concrete placement.
ROUGH EI,ECTRICAI, _ Prior Io cover.
SHEAR WALL NAILING - Before coveri-ng sheathing with finish materials.
FRAIIING - Prior to cover.
FINAL ELECTRICAL - When all electsrical work is complete.
FINAL BUILDING - When all reguired inspections have been approved and
the building is complete.
House
Garage
Item
Main
Garage
Total Va1ue
Building Permit Fee
Surcharge/admin
TOTAT FEE
N s
TotaI
W
5
Squa
10
Setbacks
Value
0.00
13,718.00
13, 718.00
104.50
8.37
1,1,2 .87
148
(A)
.-- MISCELTA.I{EOUS PERMITS ---
Surcharge/admin
CTTY SDC
TOTAL MISCELLANEOUS PERMITS
0.00
205 .93
205.93(E)
3r.8.80(Excluding ElecErical )
unless otherwise noted
- - - TOTAL AMOI'NT DUE -..
(A, B, C, D, and E combined)
Lot Faces: N
SP]{riYcFtELD
Job Number: 99063'7
SPilNGFIEI^D,
Page 2
BUITDING VALUE, PIJAN CHECK NiID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shalf, in all respects, conform to the Ordinance adopted by the 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 provisj,ons of said ordinances.
Plan Check Fee:. 67.93 Date Paid:
Received By:
Pl-ans Reviewed By: AL WARD Date:
Building Site Reviewed By: BOB BARNHART
os/1,2/se
os /26 / es
Receipt Number: 33974
--- ADDITIONAL COMMENTS ---
A SEPERATE ELECTRTCAL PERMIT IS REQUIRED
By signature, I Etate and agree, that I have carefully examined
the completed applj-cation and do hereby certify that all information hereon
is true and correct, and f further certify that any and all work performed
shaLl- be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the Statse of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will- be made of any structure without permission of the
Community Servj-ces Division, Building Safety. I further certify that only
contracLors and empl-oyees who are in compllance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that t.he 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.
s_E)- 77
Signat Date
--- VALIDATION ---
07 r4,Recei-pt Number
Date Paid
Amount Received
Received By:
r qf
DoA
7-l
C'TY OF SPR
225 FIFTE STREET
SPPJNGFIELD, OREGON 97477
INSPECf,ION REQIEST:. 726-3769
OFPICE: 726-3759
1. LOCA TION OF INSTALI,ATION
1o
IJGAL DESCRIPTION
JOB
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. COMRACTOR INSTALI.,ATION ONLY
Electrical Contractor
Address
ci ty-Phone
Supervisor License Number
Exoiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0wners Name cs
Address 1 o 5 Al,Tbfl, f L-,
ci Sr*Phone ' ''
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhiih is not intended
for sale, Iease or rent.
Omers S
SPFlINGFIELO
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nunber ?? ob 31
COHPI.,ETE FEE SCEEDTILE BELOII
Nev Residential-Single or
MuIti-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
Hodular Dvelling
SerVice or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less /
20L amps to 400 amPs _
401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0nIY
Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
B
D
s s0.00
$ 60.00
s100.00
s130.00
s300.00
s 40.00 =
=C
200 amps'"or less
201 amps to 4OO amps
-Over 401 to 600 amps
0ver 600 amps ot' fOOO voTts
one (Ci rcui t
Each Additional .Circuit or vith Service.-
or Feeder Permi t >
SUBTOTAL OF ABOVE
fi7" State Surcharge
3Z Administrative Fee
TOTAL
40.00
55.00
80.00
ee rrBrr a56F
$ 3s.00
$
$
$
s
,^/
Branch Circui ts - ..
:
Nev, Alteration or Extension Per Panel
g 2.oo zP
E. Mistellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Ou tline Lighting-
Limited Energy/Res
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.t aO
DATE:
RECEIVED B
ture:
5
aa
7
3.
.ff.J tt.
I
:
(J, n fr r/
nffi
Permit #63
705 /u' zl 4 /t
E
Address
Issued by Date 2
Statement: lnformation Notice to Property Owners
About Construction Responsibilities
Note; Oregon Law, ORS 701.055(4), requires residenttal constructton permtt appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701 .010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in thp appropriate blanks and initial boxes I and2, and either box 34 or 38
q
l. I own, reside in, or will reside in the completed structure.
u 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3,A.. 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.
@
-oR
- 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 tha
Notice to Propefi
t 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.
-9*J.> *?g
(Signature of permit app licant)
(LVhite copy to issuing agency permil rtk,
pink copy to applicant)
(Date)
qP-no1
JouRNAr oR JoB no. ?4O 6 3 7
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME 0R COMPANY , C LA? fi * Fo t- Sronl
LOCATION 7of
^l ZCr*, PL,
DEVELOPMENT TYPE
1. STORM DRAINAGE rled Para -
FT. 8a+
D'teos-z*v 3a - 6btl 3F
IMPERViOUS SQ X $0.227 PER SQ. FT. $ tq6.t3
2. SANITARY SEWER_CITY
NO. OF PFU'S X $47.14 PER PFU $
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $475.32 $
x $475.32 $
4. SANITARY SEWER-[',lWMC
A. REIMBURSEMENT COST
X
t__.!
NO. OF FEU'S X PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S X PER FEU
Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE)
Ml^lMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$
$
<$
TOTAL-Ml^lMC SDC $
s tq c ,t<,
--.-7
$ Q.8 o
$ 10.00
5 ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05llj
Date:
SDC Coordi nator
ATTACH 'A. WPD
{-Lo fl
TOTAL SDC $ Zo€, q3
Goenao Anntfiont
BUILDiNG SIZE: LOT SIZE-SQ. Ft.
FIXTURE UNIT CALCULAfION TABLE: Number of New Fixtu,.- X Unit Equivalent = Fixture Uqits
(NOTE: For remodels, calculate only NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc.................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall
Shower, Gan9........
Sink: Bar, Commercial, Residential Kitchen..........
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet , Private.
Miscellaneous:
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates.
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
'1994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.83
0.67
o.52
o.38
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
s4.27
4.1 B
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
.......... o.4
......... o.9
o5
Governmental ... o.5
Residential..
Commerical.
lndustrial....
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT