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