HomeMy WebLinkAboutPermit Building 1998-08-20-PRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUIIJDING SAFETY
Page 1
ilob Number: 980974
225 North Fifth Street
Springf ie1d, OR 97 47'7
LocaEion of Proposed Work: 1280 31ST ST
Assessors Map #: 1-7O23O34
LoL : Bl-ock:
office:
Inspection Line:
7 26 -37 59
7 25 -37 69
Tax Lot #: 02500
Subdivision:
CITY OF SPilNGFIEI-O, ONEGON
Owner:
Address
STEVE HARVEY
L28O
Describe
General:
Plumbing:
El-ectrical-
1,042
QUAD AREA: 3RNC
# OF IINITS : 1
CONSTR. TYPE : \IN
WATER HEATER: E
ELD OR 97
0088928
ELD OR 9 7
0063137
974040000
rCE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
#OFB
OCCY GROUP
HEAT SOURCE
SQ FOOTAGE:
STREET
Phone #: '746-6530
city/state/zip: SPRTNGFTELD, oREGON 97478
NEW
Const
Contractor
OOBB92B
HOME
%4,6b
50
50
4
4
0
91,
HER 60
3
FE
1"7 82
To request an inspection, call- the 24 hour recording aL 726-3769
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspect.ions requested after 7:00 a.m. will be made the followlng work day.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
SLAB - To be made after aIl- insfab building service equipment, conduiL
piping, and other equipment items are in place but prior to concrete
MAr{UF HOME/MOBILE HOME SET UP - When al-l bl-ocking 1s complete.
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home j-s connected to panel
MA.MF. HOME/MOBIIJE HOME PLIIMBING - Af ter home has been connected to
water and sewer.
FINAL SET UP - AfLer all required inspections are approved and porches
skirt.ing, decks, venting, house numbers, etc. have been installed.
Lot Faces: E
Solar Approved: Y
House
Total- Height.: 15
Lot Type: INTERIOR
Setbacks
swE
5 77 L5
Setbk From NPL: 9
N
9
Buildrng Permit Fee
$,/square Feet
44.50
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
--- BUIIJDING PERMIT
Square Feet x Value
64, 000.00
0.00
3, 185.00
57,1,86.O0
Phone
,90
'/4
SFRINGFIELD
,.Tob Number : 98097 4
OTTOF a
Page 2
Surcharge/admin
TOTAL FEE (A)
3 .57
48 .07
PLIIMBING PERMIT
ftem
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAT CIIARGE (c)
Fee
15.00
15.00
L.20
L6 .20
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Surcharge/edmin
ELECTRTCAL PERMTT
CITY SYS DEVEL CHGS
TOTAIJ MISCELLAI{EOUS PERMITS
10s.00
20.00
8.40
43.20
249 .08
(E)425 .68
(Excluding Electrical )
unless otherwise noted
TOTAL A}IOI'NT DUE - - -
(4, B, c, D, and E combined)489.95
BUILDING VALUE, PLAI{ CHECK ATiID BUILDING PERMIT
This permit is granted on the express condition that the said constructj-on
shal-I, 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 prowisions of said ordinances.
PIan Check Fee: 25.03 Date
Received By: AL WARD
Pl-ans Reviewed By: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
Paid: 08/0s/98
Date:08/a1/98
Recei-pt Number: 30996
DRIVEWAY REQUIRED TO BE
2 STREET TREES REQUIRED
--- ADDTTIONAL COMMENTS
PAVED
By signature, f aEaEe and agree, that I have carefully examined
the completed application and do hereby certify that aLl i-nformatj-on hereon
is true and correct, and I further certlfy that any and all work performed
shall 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 structure without permission of the
CommuniLy 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..
I further agree to ensure thaL af1 required j-nspections are requested at the
proper ti-me, 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.
'l^lqxLur:Date
I
.Tob Number: 9BO9'1 4
CITY OF SPruNGFIEIT', ONEGON
Page 3
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
JOURNAI- OR JOB NO.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY S*,.Va llaYveV
LOCATION: l?60 rJ.3ts:- 3+ / s?Ctd
DEVELOPMENT TYPE
BUiLDiNG SiZE OT SIZ o Ft
1 STORM DRAINAGE4rr!-r-s,!& (- ago)+ ngz* Q " n\
IMPERViOUS SQ FT. t&5 x $0 .227 PER SQ. Fr . $ z3i) , 1z-
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 $475.32 s 0/t
x _ x $475.32 $ U/n
4. SANITARY SEI^/ER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X PER FEU $ N1F
B. iMPROVEMENT COST:
NO. OF FEU'S X PER FEU $ NLO
t.4t^IMC CREDIT IF APPLICABLE (SEE REVERSE)
Mhlr'4c ADMINISTRATIVE FEE
< $ ,V/A
$ -+0-++*
$ N/n
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Z31,LZ
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ I l,8c
(vl6 t-
X
TOTAL-t.,ll^JMC SDC
A
SDC Coor"di nator
ATTACH
,A.I^JPD
oate: blfilqt
TOTAL SDC S Zfr , OV
$o
FIXTURE UNIT CALCULpjrlON TABLE: Number of New Fixt, X Unit Equivarent = ri*t*u ulit.(NorE: For remoders, carcurate onry , NET additionar fixturesl
FIXTURE TYPE NUMBER OF UNIT FIXTURE
NEW FIXTURES EOUIVALENT UNITS
*Z Bathtub.......:..,.......
Drinking Fountain.....
Floor Drain.
lnterceptors For Grease/Oil/SolidsiEtc.....
lnterceptors For Sand/Auto Wash/Etc.....
Laundry Tub/Clotheswasher....- | Clotheswasher- 3 OrMore........:.......
Mobile Home Park Trap (1 per Trailer).
d
TOTAL FIXTURE UNITS
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:
2
1
2
3
b
2
6
b
1
3
2
1
2
2
1
6
4
dlHea
-?,
_L.
CREDIT CALCULATION TABLE:Based on assessed value. lf i mprovements occurred after annexation date in table,calculate credits se a rates.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
XS
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL s
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.B3
o.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential.
Commerical............
lndustrial...
Governmental.........
0.4
0.9
05
0.5
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtcrENT
..?......
--
-.---_--
/^)
,---d_
x$ -
CITY OF OREGO'U
:v
and expire
180 days
5F. GFIELE,
s or less
Sum
40.00
55.00
80.00
ee rrBtr a6m
u6iJ
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nunber q
COHPI.JTE FEE SCEEDTILE BBLOII
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
ft. or less s 8s.00
itional 500
or portion
$ 1s.00
uf'd Home. or
Modular Dvelling
Service or Feeder
Services or Peeders
Installation, Alterations
or Relocation:
\ g4o.oo Lof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.,ATION ONLY
Electrical Contractor &"eD
Address /O{Z 7{"-"'
Ci ty Phone z7-60
Supervisor License Number 7f 5- s
Expiration Date,
Constr Contr. Number 3t>7 Be
Expiration Date 7g
Signa ture of Su pervising Electrician
0vners Name
?S,f$*tr'"H
225 FIFTH STREET
SPRINGFIELD, OREGON 97 477
INSPECTION REQUESTz 72
OFFICE: 726-3759 %
1 OF
Permi ts ar
if vork is
on- t rans f
not started thi n
3
A
/8
B
to
c
2
20L
0ver
0ver 600
D. Branch Circu s
E
400 amps
600 amps
000 amps_
/vo1 ts
Feeders
$ 50.00
s 60.00
s100. 00
s130.00
s300.00
$ 40.00
or Relocation
2
$
$
s
ss
6,
Address SI
Ci ty phon"l4.blo53O
OSNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Sigpature:
DATE:
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting_
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
s 36.00
5
RECEIVED B
a)
C*'u-