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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,*, il::::::"";JH 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