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HomeMy WebLinkAboutPermit Building 1995-07-21CITY OF SPRINGFIELD a RESTDEMTIAL PERI{IT APPLICATION CITY OF SPRTNGFIELD COMMI'NITY SERVICES DIVTSION BUTIIDTNG SAFETY Page 1 .fob Number: 9507 42 225 North Fifth Street Springfield, OR 97477 Location of Propoeed Work: 854 S 34TH PL Assessors Map #: L80206L2 Lot: 80 Block: Office: Inspect.ion Line: 725 - 37 59 726 -37 69 Tax Lot #: Subdivision: 02600 HAYDEN GARDENS 1 OwNeT: HAYDEN ENIERPRISES AddrCSS I 899 SOUTH 32ND STREET Phone #: 744-6955 ciEylsEate/zLp: SPRTNGFTELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW Contractor ConsE. Contractor #Expires o7 /2e / e5 oe/te/e6 o7 /2e / e5 oe /24 / eo Phone 923 -6507 583 - s116 923 - 6607 47 5 -21,39 General: Plumbing: Mechanical El-ectrical- HAYDEN ENTERPRI OO922O8 151-1, SW 33rd Redmond OR 977560000 EMERALD VALLEY 0051737 2727 N 2Oth Springfield OR 97477000 HAYDEN ENTERPRI OO922O8 1511 SW 33rd Redmond OR 977550000 A],I,EN ELECTRIC OOOO958 201- N 3rd Madras OR 977410000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1693 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: l- OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 To requeat an inepection, cal-l- the 24 hour recording at 726-3769. A11 inspections reguested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wil-I be made t.he following work day. --- REQUTRED INSPECTTONS --- FOOTfNG - After trenches are excavated. FOIrI{DATfON - After forms are erected but prior to concrete placement,. ITNDERFLOOR PLITMBING - Prior to insulation or decking. POST AfiID BEAII - Prior t,o floor insulat,i-on or decking. INSULATION - Floor,' prior to decking Wa11/Ceiling; Prior to cover SATiIITARY SEWER IJfNE - Prior to filling trench. STORI{ SESIER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. ROUGH PLITUBING - Prior to cover. ROUGH MECHAI\IICAL - Prior Eo cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FR.AIIING - Prior to cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCIT:I - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in pIace. FINAL PLIIIBING - When all plumbing work is complete. FINAL ELECTRICAL - When aII el-ectrical- work is complete. FINAIJ MECHA.I'IICAL - When all mechanical work is complete. FINAL BUILDING - When all reguired inspections have been approved and the buil-ding is complete. SPFI]tlGFIELD Job Number: 950742 CITY OF SPruNGFIEID, Page 2 Total Height: 15 Lot Type: INTERIOR Setbk From NPL: 5 Sofar Approved: Y Item Main Garage Total Value Building Permj-t Fee Surcharge/admin TOTAL FEE --- BUILDING PERMIT --- Square Feet x 113 3 q6n $/Square Feet 56 .20 14.10 (A) Value 53,675.00 7, 896 . 00 71, 571 . 00 349.00 27.92 37 6 .92 --- SYSTEMS DEVELOPMENT CIIARGE (SDC) (B)1,588.05 Systems Development Charge is due on alL undeveloped properties within the City limit,s and the Citys Urban Growth Boundry which are being improved. --- PLI'MBING PERMIT --- Item Residential Bath(s) Plumbing PermiE Surcharge/admin TOTAL CIIARGE ) Fee 150.00 150.00 12.80 L7 2 .80(c) --- MECIIAI.IICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent Mechanical Permit fssuance surcharge/aamin TOTAL PERMIT 5 4.50 9.00 3.00 15.50 10.00 L.32 (D)27.82 - -. MISCEI,I,A}iIEOUS PERMITS Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC ELECTRICAL PERMIT TOTAL MTSCELLAI{EOUS PERMITS 22 .00 13.90 40.00 400.00 1"24.20 (E)500.10 (Excluding Electrical) unleeE oEherwiee noted --- TOTAL AMOI'NT DUE --- (A, B, C, D, and E combined)2 ,7 55 .59 --- BUII,DING VALUE, PI.AIiI CHECK A}iID BUILDING PERMIT --- This permit is granted on the express condition that the said construction shalI, in all respects, conform to the Ordinance adopted by Ehe City of Springfield, including the Development Code, regulatlng the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. SPRINGFIELD Job Number: 950742 CITY SPruNGFIEI.D, Page 3 --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, f atate and agree, that I have carefully examined the completed applicaEion 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 Ehe 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, Buildlng Safety. I further certj-fy that only contractors and employees who are in compliance wiLh ORS 701.055 will be used on this project. f further agree to ensure that all required inspectlons are requested at Lhe proper time, that each address is readabfe from Ehe sLreet, that the permit card is located at the front of the properEy, and the approved set of plans wil-I remain on the sit.e at times during construction. S ture Dat --- VALIDATION --- IReceipt Number: DaEe Paid: Amount Received: Received By: .10 CITY OF SPilNGFIELD, SPRINGFIELD Page 1 CITY OF SPRINGFTEIJD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / RESIDENTIAT) Name or Company: HAyDEN ENTERPRISES LocaLion: 864 S 34TH pL Developement T)pe: R Building Size Job No.: 950742 Lot Size: 0 Sq Ft 1. STORITT DR,A,INAGE Impervious Sq FL 2. SAIITTARY SEWER - CITY Number Of PFUs (see Page 2) 3. TR.A,NSPORTATION Number Of Units 1X X 0.209 Per Sq Ft = X 43.26 Per PFU = x Cost Per Trip 436.L9 0 $440. ss $o. oo $778.68 $440. ss i3L9.42 $25.23 s293.L9 $1,512.43 $7 s .52 Y 18 Trip Rater-.0r-0 x Transportation Total 4. SA}IITARY SEWER - M!'IMC Number Of PFUs 18 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) x x Per PFU + 1-7 -I9O + MWMC Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MIIMC SDC SITBTOTAL - (Add ItemE 1, 2, 3 & 4) x 0.50 TOTAL SDC Reviewed By: KIP BIIRDICK Date: 07 /03/95 $1, 588.05 ATTOF SPFINGFIELI, Job Number: 950742 Page 2 FIXTI'RE I'NIT CAI.CULATION TABLE Number of New Fixture Uniu Equivalent Fixture UnitsFixture Tlpe Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oi1/Solids/Utc Inteceptors For Sand/Auto Wash/ELc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/water Station/etc Receptor for Commercial Sink/Dishwasher/EEc Shower, Single Stal1 Shower, Gang Sink, Bar, Commercial Urinal, Stall/Wa11 Wash Basin/Lavatory, Single water Closet, Public Installation Water Closet, Private Miscel-laneous TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1950 Credit For Parcel Or Land OnIy If Applicable: 7,580 X 3.46 = 26.23 Improvement (if aft,er annexation date): 0 x 3.45 = 0.00 CREDIT TOTAL = $26.23 (If tand value is multiplied by 1 then the parcel/Iand credit is noL accurate.) a 1 2 3 6 2 6 1 3 2 a 2 1 5 4 0 0 1 0 U 0 1 0 ) 0 a 0 4 0 0 0 a 0 0 0 U 0 2 0 a 0 8 0 18 Willamalane Park & Recreation District l/L SYSTEIVIS DEVELOPMENT CHARC E WORKSHEET vl PHONE:1 Iob No. srArE: frk'=,,q\fig frn NAA4E q 0,ADDRESS: LOCATION OF FROPOSED EUILDI Street Address if Known: Platt Name:tg 0afb w 1 Tax Lot Numbec L b DEVELOPMiNT :rYPE (Check appropriate dwetlingG). SDC Calculations and dwelling tlpe definitions are on the back) A Sinele Familv - Detached I single Family home Manufactured home not in a Pad< NO OF UNITS B. Single Family - Altached C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park ' NO OF UNITS NO OF UNITS X $370 PER UNIT = (X $400 PER UNIT -=- x $?77 PER UNIT = X $2S0 PER UNIT = s.q,b{-trb $ $ 0 o $ WPRD SDC 2. SDC CREDIT (tf appticable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worlcshet 3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credit) $ $ . a it r Cnn rirnr ,tctJ'\r|D:to ,\.q5 $(rua 225 TIFTE STREET SPRTNGFTEID, ORBGoN 97477 INSPECTI0N RBQI ESTz 726-3769 OFFICE: 726-3759 ( Lot Sc')I INEATTON OP SPRINGFIELC, BIECTRICAL PERHIT APPLTCATION City Job Nunber 4'pt4Z 3. COHPIJTB PEB SCEBDTILE BBLOV A. Nev Residentlal-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost B $40 c 9=INSTALI.ATION,frt ?L DESCRIPTION o JOB DBSCRIPTION Permits are non-trallsferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY ElCCtriCA} CONTTACTOT ALLEN ELECTRIC Address t2 sw 3RD sr P IIErll clty MApRAS Phone 475-2139 Supervisor Licen.se Number 1006S Exp iration Date 10-1-95 Constr Contr. Number 68i45 Exp iration Date 9-4-95 of ing Blectrician Owners Name Address Y'iq cl Phone 744-1,-qt [, OIINER INSTALI.ATION The installatioh is being made on property I ovn vhich is not intended for sale, Iease or rent. Orners Signature: DATE: 1000 sq.ft. or less nach additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dvelling Service or Feeder $ Bs.0o $ i5.00 $ 40.00 Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps- 0ver 1000 amps/volts Reconnect 0nIY Temporary Services or Feeders Installation, Alteration or Relocation o &Sum C $ $ $ 50. 60. 00 00 00 00 00 00 100 130. $300 200 amps or less I 201 amps to 400 amps _0ver 401 to 600 amps Over 600 amps or 1000 voT[ Branch Circuits t-lD ee 8,, aE6lE 40 55 80 $ $ $ss 00 00 00 ll i D B Nev, Alteration or Extension Per Panel one circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 l'liscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 sid'rzoutrine Lighting- S 40.00 l,lili ted Energy/[es - $ 20.00 Limi ted fnergyZComm $ 36.00 . SUBTOTAL OF ABOVB 6bfi ';ffi,'il.f?ir,,. -Tb1A'D- CITY OF OREGO'U RBCBIVED 5 tlo oo .1n7" -.j-LrE- 1 7-!T THLI I J' :4 l Ho rr,-lel'r Er,t er er i =e:a f tr,--- 5t:1 5 E::1 7 E 1E4 F,.ET SPFlIHtIFIF,Lr) fcllowing use ELEfIRICAL I,ERHIT AFPLICATIOTI ci ty Job llumber 225 FITTH S'IT{EET ap!:roval SPRINGf I[Ltj, URd(;LIN 97LIl ItrsPEtIl'ION REQUEST: 726-1769 0FFICE: 726- 37se F)r. I 1. LOCAT OF II'IS T1 Signature LECAI,PTlOIJ/*z /z ezQche .,(iB DESURTPTIUN --/D4Zr ZM-e- Pernii ts are non-trsnBf erebi.e end euplre{f uork is not started r.rlthin ltiU drysof iesusnoo ol ii uork is suspondod for 180 day.s. 2, COTffi,ACIOR IIISTALI,-ATIOT{ OHLY fi s The following project as submttted has the iljIi".,j,,iiii 15"J not require specilic land f;ol{P ,TE SCffitIULE BI1I.{lIJ Z Sui ,q g5.oo a, 1t t t, ) lj.r.lrl $ /rC,00 0i.r s130.00 s300, ()0 c 40 - n{'1 sse rrgrr 3ffilt- E DESfNIa6 Electrical Contractor Addr:ess- r1'5---=Jd IJev- Rrrg iderrti a 1-Sii'rglt or Hutti FsmilY Fer duelltng uttii' Sorvlr:E Tncludod: I tems Ces t tA B C i000 Earh sq. lQ t x (_l ft . ft. ot ]ess dl tional 500 or p(ir t- i on Ct led g*y,r,hone_ll1{--etr1 Supervi-sr.rr . rcense llumber' _/fittle 5 _ " the rt:of Eath ianuf 'd Flanra "' - --'-- tlodul at [u411 ' '/ i,:,,Wffi tri^\W#:#= $ver .r,,,rlU g.,-rlps/uol-l-s ** I.teconr;ec t Urrly -Eech instai.J-ation Pump or i rr'ige t ion sign/0utIino Lighting t.l n't ted Energy/P.e I.i r,i tod [nersy/Coftrn 5r:i;iu'I'dL O! AB0VE 5r; srare Surcharge 00 }JV $ 6'0 s 100 Ettpl rat tur, l,i te__ -__10- Constr Crrr-;r i. llumber. (fYa4;Tempc'r'erY Servlces or Feeder's lnstallaiion, Alterjst-ir-rtt or Relocation Expiration [)aro * t-q Signature af Supe ising Electrician Owners t'lame Address &22 .t 3zd sV vhor,a_/y'*(1626Q OU}{ER. INSTALLAI'IOil The lnstallation is lieing m.rtie on trt'oper r,y .[ r]r;n uiii ch is not ltr tended f or salo, lease oL' ren t . 0tlie 200 anps 'or.. Ioss -LZ2l'J1 an,ps to 400 amps ___ ___-s .\ 00 fu.* tttrer dOl to 600 am ovet 600 amps or 1 t's ----000 volt UO 0L) 40 55 80 o Ci ty-_ D. Buanch Clrcuits I.leu, Altcraticrn or Extett$ltu Per Fanel. Or,e Qi tcui t S 35. 00 [ec.h Addt tlona] Ci.r'crrit or r,rittr Service or Feo-der Per:mi. t -- --. $ 2 - U0 E. l'liscallaneous (Service/feeder not inclucer ( (, rlli uU 00 (.)0 o0 [0 ?rl _1b. 4e*__-=v Z(rt__,_TE: tur 7) CJ f i l,,l^irrial.ralivrn faa /zo t4{ CITY OF OREGO'U SPlrT.\lGF!ELO JOB ,ON permits are non-trallsferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. CONTRACf,OR INSTALI.ATION ONLY Electrical Contractor Al1en Electric Address 12 SW 3rd St. Clty Madras Phone 425-2139 Supervisor License Number 1 006 Explration Date 10-1-95 Constr Cont r. Number 6a:-45 Expiration Date 9- s ture of sing Electrician Olrners Name Address rrGAL DBscRrvtIElrL IA City Phone - { *b?,4 OITNER INSTALLATTON The lnstallatioh is beirig made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: City Job Nunber 4Eot(t 3. COHPI.,ETB PEB SCBEDULB BELOS dential-Single or Hulti-Family Per avilling 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 | $ 8s.oo $ 40.00 Services or Feeders Insta}lation, Alterations or Relocation: mlH?','"#'Jgg:f* spocific larrC i:'."utt""*cAl, PBRHTT APPLTcATToN225 FITTB STREET SPRTNGFIEI.D oREGoN 97477 INSPECTION REOIIEST z 726-3 OPFICB: 726-3759 -Z 1 or Signaturo DATE: as eubrnitlsr{has thorequireLDL qi Sumw hfo B 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect OnlY SUBTOTAL OF ABOVE 5f State Surcharge)ortr vlo -Each installation Pump or irrigation S sign/outJ.ine Lighting- q Limited Energy/Res - $ Limi ted Energy/Conrm .-.- S /1/ g 1s.oo dD t) Temporary Services or'Feeders Installaiion, Alteration or Relocation 200 amps or less $ 40.00 0ver 600 amps or fbOOGTis see rrgn "f,rtffi llranch Circui ts Nev, Alteration or Extension Per Pane1 one circuit $ 35'oo Each Additional Circuit or vith Service or Feeder Permit $ 2.00 B. Hiscellaneous (Service/feeder not included) i 40.00 40.00 20.00 36.00 6. PACBIVED 5 t4.uo s 5o.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 {L+'w