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Home My WebLink AboutPermit Building 1999-09-20CITY OF ONEGON C:prirxcrrelo RESIDENTTAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 Job Nurnber : 9 9 l- 19 0 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed ?[ork: 1373 33RD ST Assessors Map #: L7O23O34 Lot: Block: Office: Inspectsion Line: 726 -37 59 726 -37 69 Tax Lot #: O72OL subQiyl9l.en.: - d bY the 0regol'v rrtl Owner: RONDA JACKSON Address: 1373 33RD ST. DescTibe WoTK: GARAGE/BEDRM ADDITION Phone #: 74L-4065 city/staE e / zrp : sPhfB*Bg1?4ItE 0090 You may NEW center obtain cop uqhoAH 952'001 €l€0h0n€ oiiticatiunorr UtititY ttt -- OFFICE USE -- LAND USE: 1111 SQ FOOTAGE CertPr is"i'8 QUAD AREA: 3RNC VN INSUL PATH: P1 CONSTR. TYPE NOTICE:tfr(rs penuffsHALL ro requeat an inspection, cal-l the 24 hour AdEHOfrlZEDtlillEEftF?tS?gnUf ISNOT A11 inspections requested before 7:00 a.m. inspections requested after 7:00 a.m. will d-y, work day --- REQUIRED INSPECTIONS .-- FOOTING - After trenches are excavated. FOTNDATION - After forms are erected but prj-or to concrete placement. ITNDERFLOOR DRAIN - Prior to cover or placement of concrete. ITNDERFLOOR PLIIMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wafl/Ceiling; Prior to cover ROUGH PLITMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathi-ng with finish materials. FRAIIING - Prior to cover. INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL PLIIMBING - When all plumbing work is complete. FINAL ELECTRICAL - When all electrical work is complete. EINAL BUfLDING - When all required inspections have been approved and the buildj-ng is complete. Item Main Garage ADDITION Total Value Building Permit Fee Surcharge/admin TOTAL FEE --- BUILDTNG PERMIT --- Square Feet x $/Square Feet 432 464 18.34 69 .64 Value 0.00 7 ,923 .00 32,313 .00 40 ,236 .0O 242 .50 24.26 266 .7 6(A) Item Fixtures Sanitary Sewer Water --- PLIN{BING PERMIT --- 3 50 50 Fee 30.00 25.00 25.00 BPdINGFIELD Job Number: 991190 CITY OF ONEGON Page 2 Plumbing Permit Surcharge/admln TOTAL CHARGE (c) 80.00 8.00 88.00 Vent Fan Dryer Vent Mechanical Permlt Issuance Surcharge/admin TOTAL PERMIT --- MECHAI{ICAL PERMIT 2 (D) 6.00 3.00 25.s0 15.00 10.00 1.50 --- MISCELTA.IVEOUS PERMITS Surcharge/admin CITY SDC PLAN REVTEW AD.f ELECT. PERMIT TOTAL MISCELLANEOUS PERMITS 0 574 5 47 00 42 85 2n (E)627 ,57 (Excluding Electrical ) unless otherwise notsed TOTAL AMOI'NT DUE - - - (A, B, c, D, and E combined)1, 008 . 83 BUILDING VALUE, PLA.I{ CHECK A}i[D BUII,DING PERMIT --- This permit is granted on the express condiLion that the said construction sha11, in all respects, conform to the Ordinance adopted by the Clty of Spri-ngfield, 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 provi-sions of said ordinances. Plan Check Fee: 151.78 Date Paid: Rece j-ved By; Plans Reviewed By: AL WARD Date: Building Site Reviewed By: BOB BARNHART 08/3a/ee oe/L7 /ee Recei-pt Number: 035395 --- ADDITIONAI, COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that al-1 information hereon is true and correct, and I further certify that any and all- work performed sha11 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 wilf be made of any structure without permission of the Community 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. r further agree to ensure that a1l- required inspections are requested at the proper time, 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. 7 /,lr r 5 ure Date SPFI]tlGFIELD Job Number: 99LL90 CITY OF SPilNGFIELT', ONEGON Page 3 --- VALIDATION --- 0?fbu?Receipt Number: Date Paid: Amount Received: Received BY: /2,/re /00 r 7t kTnf 7as-74' SPNI}\rGFIELD 3 A. B. Q",*ot IELD 7% srate surcharge ' /: \DENTIAL MIT APPLI o The lcrllc 'r"inn Zonlng airu' approval 1 ilhr#*S"qp;r OFFICE: tLe-'tt' I;'H:i ix""l?";l:?u[" :i ;::;";-""-o' if vork B9? AqW'ZgP $gnature OE l'7 07 7o DESCRIPTION3t{O 720lacAL JOB COHPT,ETE FEE SCEEDUI'E BELOV ili*:Fiiti,'i.:t":::" "'..". Sum $ 85.00 nnt $ 15.00 rable vi thir is su $ 40.00 180 daYs' 2 COI'ITRA TOR INSTALI''ATION ONLY Electrical Contractor ffi:l lii:,: :":Tt::"u, i on' or Relocatton: Rec,qll::t onry 'ces or Feeders remporarY, l:'"i;;:rliiln or Relocati Installationr t il:ilqtiqiffi="i"$;l 0ver 600 amPs Branch Circuits )0 Address Ci tY SuPervisor Li Number ExPiration te Cons tr ntr.Number ation Date ! -ing Electricianture of SuPervrs o/ Ovners Name Address 3 33 Ci tY {(/Phone OHNER INSTALLATION 0rners Signatufe: Nev, Alter ation or Extension Per Pane L g 3s'oo one Circuit Each Additionar,circuit or vltn Il- r."att Permi t Setvice, $ c. D on above ; ,1 3, rhe ins ta111:.1':h'iinoi 1"f, "T"ti.llu"u?::'::il,',3Il".or rent' E. Misce llaneous (Service/ feeder -Each ins talIa tion $ PumP o r irriga $ Sign/0 utline L ighting.-.--- $ Limi te d EnergY/Res $ Limi ted EnergY/Comm ql 5 SUBTOT AL OF ABOVE 2.00 not in 40.00 40.00 20.00 36.00 Lo L cluded) Ij DATE: RBCEIVED Sanltary Sewer - Prlor to f llling trench. Storm Sewer - Prlor to fllllngtrench. r, Waler Line - Prlor to filling trench. 3% Adm inistrative Fee TOTAL ll vu,uuur a elrproaclr - A(ter forms are erected but prlor to placomont of concrete. Sldewalk & Drlveway - After excavatlon ls complete, forms and sub.base material ln place. I-_l Fence - When compteted o rrumorng Connectlons - When home has been connected to water and sewer. L Rough Plumblng - prlor to Electrlcal Connectlon - Whenblocklng, set.up, and plumblng lnspections have been approvedand tlre home is connected tothe servlce panel, -CITY OF tl cover.fl Street Troos - When ail required - trees are planted. rl Final - After all requiredr3s-9gcilon.s. are approved and .p^ojg,n.rl skirilng, decks, andvenilng have been lnstalled, I .41 tional - BLECTRICAT PERHIT APPI 1TCATION CitY Job **'6"' ' ?1 //? O 7'7 1000 ]ess UNDER or Service or tlE lCAT Lot facos Lot sq. ,tg, Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E .S THE PROPOSED WORK IN THE . HtsroRtcAL otsTRlcT, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to pPrmit issuance. Date nlts BUTLDING VALUE, iTRru CHECKAND BUILDING PERMIT Thls permit is granted on the express condrtron that the sardconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City . ol Sprlngfleld, includlng theDevelopment code, regurating ine c-onstiuciion and use ofbulldlngs, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordlnances. APPROVED: Plan Check Fee: --- Date Paid: Becelpt Number: Beceivecj By; Pla ns Flcvi ewed By BUILDING PERMTT VALUE (A) SO. FT. X $/SQ. FT.ITEM Maln Garage Carport Total Value Bullding permit Fee Slate Surcharge Total Feo LOPMENT CHARGE (SDC) (B) SYSTEMS DEVE S teys ms VEDe nmcop c h sarge Ud on al nU eved lopedproerESphlnhCnrisvhlchbearenmsproved ITEM Flxtures Resldenilat Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBTNG PERMIT FEE No - FT, FT. FT. (c) Plumblng permlt State Surcharge Total Charge I ADD ITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Untt Dryer Vent MECHANICAL PERMIT (D)ab.D v0 N0 Mechanical permlt lssuance Stale Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carelully examlnedthe completed appllcatlon and do hereby cerilfy that alllnformatlon hereon ls true ancl correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordinances of the City of Sprlngfleld, and the Lawsof the State of Oregon pertalnlng to the work descrlbedhereln, and that NO OCCUPANCy will be made of anystructure wlthout perrnission of f he Bulldlrrg Safety Dlvislon.I furlher certlfy that only contractors and"employees whoare ln compliance with ORS 7O1.O5S wlll be used on thlsproiect. I f urther agree to ensure that all required lnspecilons arerequested at the proper Ume, that oach address ls readablefrom the street, that the permrt card rs rocatec, at the frontof the property, and the approved set of prans wirr remarn Slg natu re Date /4 imes durlng construcilon. -7b on the slte MISCELLANEOUS PERMITS Moblle Home State lssuance Stato Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surchargp TOTAL AMOUNT DUE (excludlng etectrtcat) (A, B, C, D, and E Comblned) VALIDATION: RECEIPT NUMBER O C DATE PAID '/a -|t- AMOUNT RECEIVED RECEIVED BY Z ?tz >o - -_ - - Total Mlscellaneous Perrnlts (E) A C;ITY OF ORECON 225 FIFTE STREET SPRTNGFIELD, OREGON INSPECTTON REQIIEST: OFFICE: 726-3759 approval Zo Dare 974 Ag[Utzgry$gnature The loli< ,r,i4d nroiect as submitted has the following ZOnlng iriru irues; not requlre SpeCifiC land USe ,FIiNGFIELl) BLE TRICAL PERHIT APPLICATION Ci ty Job Number firr?o COHPIJTE FEE SCEEDTILE BELOY New Residential-Single or Multi-Family per dvelling unit. Service Included:ftems Cost $ 8s.00 $ 1s.00 r $ 40.00 L Gn u 1 OF INST3e ALUATIONrzrl 3 A LEGAL DESCRTPTION7073o3q o72o/ JOB tla Permits are non-transferable if vork is not started vithin of issuance or if vork is 180 days. 2. COI{TRACTOR INSTALI,'ATION ONIY trical Contractor Services or Feeders Installation, Alterations or Relocation: 200 arnps or less 20L amps tb 400 amPs - 401 amps t'o 600 amps - 601 amls to 1000 amPs- Over 1"000, amps/volts - Reconnect Only . . ,,ri: ,, - Temporary Services or Feeders Installation, Alteration or Relocation B C D. Branch Circuits Miscellaneous (Ser -Each installation Pump or irrigation Sign/Outline Light Limited EnergY/Res Limi ted EnergY/Com SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL f Sum .00 .00 .00rBr aEoG- EIec Addr Ci ty Supe ess s s0.00 s 60.00 $100.00 $130. 00 $300.00s 40.00rvisor Lice Number Expi rat ion te Cons t r tr. Number ation Date gnature of Supervising Electrician ovners Name t?/rr/, ,J+--Lt.t 200 amps"or less 201 amps to 400 amps - Over 401 to 600 amps 0ver 600 amps or 1000-voFs $40sss $80 see Address /371 33 7 Ci ty {r/Phone OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0rners Signatu re: DATE: Nev, Alteration or Extension Per Panel onecircuit / $35'oo 3' Each Additional-cii.uit or vith Service., ?-or Feeder Permit 7 S 2.00 u E 5 vice/feeder not included) $ 40.00 $ 20.00 q3* RECEIVED 1000 Service or Feeder ad, UNDER )r€gor, Ah -177-17.Jo JOURNA )R JOB f[Q. ' i:'] " .' -; ..,- ATTACHMENT A CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY Po ^rro '.-) n" *qrn) LOCATION 3 77 33- ^'7 DEVELOPMENT TYPE BUILDING SZE LOT S I7F.Ft sleo l?-evL/,2'e,N g6ta{ = 3 6* t(,{:1 1. STORM DRAINAGE TMPERVIOUS SQ. FT. q1 I ){50.232 PER SQ. FT 2. SAMTARY SEWER-CITY NO. OF PFU'S f X$48.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF L]NITS X TRIP RATE X COST PER PM PEAK HOI.IR TRIP X X 5486.73 PER TRIP X X 5486.73 PER TRTP 4. SANITARY SEWER-MWMC A. REiMBI.IRSEMENT COST : NO. OF FEU'S X _ PER FEU B. IMPROVEMENT COST NO. OF FEU'S X - PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE TOTAL-MWMC SDC s suBTorAL (ADD ITEMS 1,2,3 & 4)S ,sa3, tG 5. ADMINISTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .0s S ll,zle SDC Coordinator ATTACH'A.WPD $ zzs:. z7 $ 337,81 S S S S <s $10 .00 Date: 1- 3 4? TOTAL SDC 5 (?- 2 I 2 3 6 2 6 6 I J 2 I 2 2 I 6 4 Drinking Fountain..........--.'.. Floor Drain.. Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand/Auto Wash/Etc. Laundry Tub/ClotheswasherAvlop Sink................... Clotheswasher - 3 Or More. Mobile Home Park Trap (1 Per Trailer).. Receptor For Refrigerator/Water Station/Etc........... Receptor For Commercial S ink/Dishwasher,Etc...... Shorver, Single Stall. Shower, Gang............ Sink: Bar, Commercial, Residential Kitchen............ Urinal, Stall./Wall. Wash Basin/Lavatory, Single........... Toilet, Public Installation. Toilet, Private......... Miscellaneous: /Head TOTAL FIXTURE LTNITS CREDIT CALCULAT ION TABLE: Based on assessed value. If improvements occurred after annexarion date in table, calculate credits Credit for Parcel or Land Only If Applicable X $ _ (Rate X Assessed Value) Improvement (if after annexation date)x $_ = (Rate X Assessed Value) CREDIT TOTAL = $ Year Arurexed Rate per $ 1,000 Assessed Value Year Amexed Rate per $ 1,000 Assessed Value 1979 or before 1980 l98l 1982 I 983 t984 I 985 1986 1987 1988 s4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 I 989 l 990 r991 1992 1993 1994 l 995 t996 1997 l 998 2.18 1.75 r.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential.. Commerical. Industrial...... Governmental. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT FTXTURE UNTT CALCULATTON TABLE! NUMbCT Of NCW FiXIUTCS-X UNit EqUiVAICNt: FiXIUTC UNitS (NOTE: For remodels, calculate only the NE',.^'ditional fixtures) NUMBER OF LTNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT I'NITS z-- tL 7 I II