HomeMy WebLinkAboutPermit Building 1998-8-4
SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980919
225 North Fifth Street
Springfield, OR 97477
Office, 726.3759
Inspection Line, 726.3769
Location of Proposed Work: 3335 PINYON ST
Assessors Map #, 18020600
Lot: 164 Block,
Tax Lot #, 00905
Subdivision: HAYDEN GARDENS 3
Owner: HAYDEN ENTERPRISES
Address: 3258 PINYON STREET
Phone #, 744-6966
City/State/Zip, SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expire~
/10 'o~ ~
~':1Q)1*-~~.A 744-6966
<.90 ~-? l;>~. ~ '6
?"'?CO~5.{t.~;d'<$! >;-66-9485
l:l~;:;' lb\9~'al
:~~~9"","'G>... ~i\1-:f966
""" C! 0"'0.,0- /.
~~\9l:l;.>:':36<$!
~!?8"~~.; o~~t~~
1P.... ~.0< COo '0" \9~",\90PG;,.
Cl;, 0... o~~.:,'% l\'. '6>_~..
v v."~ \I' V ~-o ok
lb ~.::s. 0" ~-? '6> "c::... ~
# ~_~~ dl~IlIs>..."~-o
OCClJ> ~~ ~ -0 :2-
HEA&~\ ~
INSUL P~~~;":
q,
Phone
General:
Plumbing:
HAYDEN ENTERPRI
2622 SW GLACIER
EMERALD VALLEY
3856 HAYDEN BRIDGE
HAYDEN ENTERPRI
2622 SW GLACIER PL
ALLEN ELECTRIC
12 SW 3RD ST MADRAS OR
0092208
PL #110 REDMOND OR
0065066
RD SPRINGFIELD 0
0092208
#110 REDMOND OR
0000968
977410000
Mechanical:
Electrical:
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
To request an inspection. call the 24 hour recording at 726-3769.
All inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS ...
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDER FLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain
SHEAR WALL NAILING - Before covering sheathing
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to
SIDEWALK - After excavation is complete, forms
in place.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
))10
~'%>~
C'QV~~~
permane~ ~e% ~;-
with finis~m~~~s~~
(70 ~ CJ,..... ~
wall/Ceiling; Prior ~p,oc~e~~ (~
~ ~~)) '9.:
placement of con~t~ '%> ~~.<<
and sub-base mat~i{al ~_ ~ ~~
'"01: ~ ~
~~~
-0. IS' ~ "5}
~ 0;-
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SPRINGFIELD
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Job Number: 980919
Page 2
Lot Faces: N
Solar Approved: Y
Total.Height, 16
Lot Type: INTERIOR
Setbacks
S W E
27 5 5
55 25 5
Setbk From NPL: 52
N
House 46
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1133
560
$/Square Feet
64.66
16.27
Value
73,260.00
9,111.00
82,371.00
Building Permit Fee
Surcharge/Admin
382.00
30.56
TOTAL FEE (A)
412.56
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
2
4.50
6.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
15.00
10.00
1.20
TOTAL PERMIT
(D)
26.20
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
ELECTRICAL PERMIT
CITY SYS DEVEL CHG
0.00
18.10
14.80
60.00
124.20
2,169.43
TOTAL MISCELLANEOUS PERMITS
(E)
2,386.53
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
2.998.09
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, 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 provisions of said ordinances.
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Job Number, 980919
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 08/04/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I 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 State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will 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.
I further agree to ensure that all 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.
Signature
I</~
Date
Date Paid:
-- - VALIDATION
.:JOqf) J
;tf<) . )
( )
-
Receipt Number,
Amount Received:
Received By:
. . ~
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JOURNAL aOB NO. 915nCf/Q_
AlTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
I-IA'-r'nE/'J /JnAA~~
, -
NAME OR COMPANY:
LOCATION:
~ 3-:<:" ~ 'P"JVmj ,,;;,/,
DEVELOPMENT TYPE:
S F Ie..
BUILDING SIZE:
LOT SIZE
SO. Ft.
I. STORM DRAINAGE
IMPERVIOUS SO. FT.
2114g
X $0.227 PER SQ. FT. $ 4~~
2. SANITARY SEWER-CITY
NO. OF PFU'S 18
(See Reverse Side).
X $47.14 PER PFU
$ iH8sz-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X /,01 X $475.32
$ 4f?o.o7
X
. X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
OllIS
NO. OF -mrS . X 277.# PER FEU
$ 2.77.44-
B. IMPROVEMENT' COST:
'Dv'5
NO: OF fftJS X 25. zdlER FEU
$
2t;.ZD
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ - G2,76 >
$ 10 00
TOTAL-MWMC SDC
$ 2.4f? "l4--
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
S. ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X .05
L~
$ J .0&'h./3
$ /03 . ,?o
Date:
7 - z. {1-'1 g-
SDC Coordinator
ATTACH' A. WPD
TOTALSDC $ 'J./0Q.43
FIXTURE UNIT CAL&A TION TABLE: Number of Ne_tures X Unit Equivalent = Fixture Un~s'
(NOTE: For remodels, calculate only the NET additional fixtures)
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub..................................................................... .
Drinking Fountain.....................................................
Floor Drain........................... ,....................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors 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, Gang..........................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/WaiL......................................................
. Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
7-
7~
-:z--.
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
cralculate cre~its separates.=-
Year
Annexed
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
=
FIXTURE
UNITS
4-
2....
'2-
2.:.
IS
lK
Based on assessed value. If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
1979 or..before
"""""oRn
$4.27
4.18~
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
1981
1982
1983
1984
1985
1986
1987
1988
Credit for Parcel or Land Only If Applicsble
4,18-
Improvement (if after annexation date)
X $ _/>.000
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.......................... 0.4
Commerical......................... 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
FIXUNITWPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
=
=
Rate per $1,000
Assessed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
&2.70
= $ c.,Z..2Q
j: '
"ft... .
",'
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Tbe'::~i1s.ta1latll)D. I!> being:lI8de on
propertyI',OVri',which :is .!lot intended
for,f,siileii.leaseor rent.:.
':'~,t-:;;l;;: .: ;., ..f>~'~:" ( '. '
OvnersSipatu're:
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DArB: . p., .2(. ,q k" .' '1./'(" r-J
RECEIPT .,: J., f.. ~ .':X.FI 0 I
~,,,,,,'BY: ~L<....t^.>
.
~/~Y
One Circuit
Bach Additional
Circuit or with Service
or Feeder Permit .
"
$'35,00
$ 2.00:
E. Hiscellaneous (Service/feeder not included)
-Bach installation
PUlllpor . irrigation .
Sign/Outline Lightla,
Limited Energy/Res
Limited Energy/Co..
5. SUBTOTAL OF ABOVE
5%.State.Surcharge.
. 3% Administrative Fee
TOTAL
$ 40.00 :
. $ 40.00
$ 20;00.'
$ 36.00
..1/7) /D .'
.'1 - '1') .
'J, 1li
l.:..l"t . '
IJI,
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The toIlOWIn9~ ~\lIl9 opei;nic land use
zoning. .and cIoe9 .' . .
apprOiI8f. -:,].
: .' '..:zonlng \ Q-.Y -+-
'22S"{.~f'::i';';"',".......' '.'{~,,>::~;~,y44i (\~^ ....."""'...CAL JJ.L tVPLI"'-r
..;...._.._...".~~DDD..~,. ';' "'~_':'~-~"'_' .,.-\ ~J.AIr. ._..... \lIQ"~
o)<_'~..-D.rO~~.... 97A~Signatu19
.-........<<f~d.:..,,:srir..~769 . . ci~ .JOb'H~<.'.~r?\\ ..'
omCBl't"'?26::'37S9""'"''''';;i:.<!:..:it>~''''' . . .. ..... ,. '~":". . .'
~.~1~~~P'INSTAT'T~i~.. 3.., ~HPLETB FEE S",,:,::..B BFV
~,;,i~"jtr'!'ji!:!'f'.,.;>.:;?g::sS':'."~:'..<)",JbN . A. Nev Residential-Single Qr..
"il'l~.',~-rn. iii.;~'.:,!:~L':',; :',',. "-<'." ",,'lPlf./ . Hul t i-Fully per: dvelling, unit; .
"{'ff',,",)~~~;.%~~It~nG . _ " .' 'S~:ice:Ii1CI~~edl> ~fii'i;~.~ Cost' ."S~
.jt~~r'~.'~"~'''''PTrgjf\}:;f~~.';~;.};h;OJi..O''',''; l~'Sq.ft.~r:leSs"" l. $,85.0085
.:;;;." ~. :"fi:.:f:'PWJ'{(iJ'J!' . f;.,::.~:::'i~ ICE.. BAch{itdditional:5OO .::: ,. .
,q~!!~i;~l~~~;I~1;sf~~~~itind,e~fRM;rir~~~r:po~.t~~~;".~ ij ..' $ k~' W.
U(vott;;is;not s.tartecl.\:vft1i1n':\180~'RIZfOlJ. ~e.:or' -- .
of,1ssuance.!~r'i'.1fi..,,01'Iti~S.!;.S9Spend 'A/^. .iIIt.A~. ins~: ;', '" .
180;'''~s''.; ....,.;,.,'".::'(,"4'C1'.{l."""'.'......, y ''''-t:O''lo.::s;r. . '. " ". '. .' '0'$' 4'0' '''00', ....,..;.
. .",~~...1.i\';.";\;;;~\;;f"":.;"i'~f:<:*;"':,;i 180D V'1~o5'';('' . ~Fi. ~'/(.. '. .. . ;,.:'
i~~e;\~l~~~~1;;~~~~T" .' Y1'1.9R)~~~I/~:::,.' ,.::>.;~S:\;~;
;&~.:~'t:'.""". '.<;ri{,;:;'i,'..\{.t;~i~;i?t;:..~~"".>:,,~.. -,'.i!.,t.:.\,,'::' .;.' ::. Ins' t' a1~la' t' ion' '~""tera' "t'i"ons' ... . :.' ,;' . \...
-"'<~i~!".l~.:......~_.,.,;-~.,:"...fi:';,~>.~....~ ~. ;-..~~,~7. . ,.~ "'.~. . n. .;.'
El~td,cal!'COntr~ct9ri" "7T.€ R..........,.,.- .'~'or;Relocat1on:',.'.~:..'
~i1,~~1~~~~~~~~\' " ...... ':':;~~~:::'~~;~~~l~}"" ;"f~i~~~t::~.
c(t1,~;;;';::-'#';'\<'Ji\;!,Ii,o!~'c~h'ii'i"- S's-fl1 . 401 8IIp's to.: 6oo:;ups' . $l00~OQ'-:...-
St~~~U~~lLiJ~t~~,~~~~~:t:.f( '? 55?!11-€ . ~~~~ t:,l~~~: ~~:3~L~~. ..
';i~.);1h'(~,fr'ft~~'.~,~~f~:~.".....,,!'1 \:1~\ltl'k" . ^,o:!!ow r~"'/~~9ll"ect Onf;;:.-i+i:: .: $ 4~~.OCJ.,'~.~ '. .
EXjIll:lltlo_n'i'Dat!!.J;-".y.v/lih~j'~" 'j I,lcafi esllCfo Yab'!.' .:-'oc '''':'',,!,:''--. '. .,:....'..'i..:....
~~~f~~i~~f~~~4,~;~'~~t. ).)ro~:~i::o~~.:t~~~~~i:n~~r:~IO~'i'~~:~'"
:'i~>":" . , . "'''"',''>'.', .' c.'.'.' 'r." "a1lin l/1ay Otofh' er/J~ 'gonu; 10 .
Exilir.d : "'~e.;j;;": >>.-".,..,'/0 -~l17h Yfhec ~~~~f' (ility '$ 40.00 :
.',"M:" ""', .".',\"...~.. '. ..t.. 9r'or. en . . ~o ~~f- $ S5 00
s.,,,.~.:.;'..(".fNW~h.st~t#' tdc1an cenf~~~<oveiC(Wt.~~mf~~1 $80:00..
'.' ;~",>.' . : :'.,.:'....~".... .t':;:",.. . IS -OYF!t.t,GQ fiI'iBl>1IlJlO VOltS see -B- above
. . . . ..-. . 332 Of if.' .one .
OvlifrsNaae ~..,.::XSc..,p-. D. Branch c~l~'I!ion
:.'. . Nev, Alteration. or Extension Per Panel
Adci~~s" llS<ff ;:/,.,,,'0; S-T
Ci ti~r'1.//;/i P~~p;7~V-tP.PC.h
. 0IIREIl. INSTALlATION .'
~--,_hIIIlllO~
.' " . ~_~~_- , ,"PR'NG"'IELO ,- L
~-"'~<<.~':Je ...~. . "--- ~~'.(oJf(: :[ifOJJl', ~,,-~ ~ <
~ ~ ",.,;j, n~,-"~""':. ," '~..-;~ r:; . C) , .'''' '
~3.:,;,,~G~~~~:0J'_.~__._._ .~'-L<: ~~_:....?-^ .:~;,':.,.l_ ^^ < . 0' " ,
--- JJII 't~. - ,^ ~."
_ .--- --- -'. ,'. .'~; c;, II~ .
..--- . -'_ ~;..' '.,.......... li"hJ..l>f
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( /"'/....-<( ,/
" t({.JV
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,Ju 1.2298 10:0\-' hdVdell qJ.". _ \...'
~ ~~~-~.
225 FI~u ~
SPRINGFIEl", OREGON 97477
INSPECTION REQtreST: 726-3769
OFFICE: 7Z~-J759
1. LOCATION O~J ~,-!STALLATION
S$S~ p/h/CU) cr.
1it5~PTION <:105
_. _.___ h< _ , _.CXJ- ,.. -,-'
A~ mJ~ / L~fP__
Permi~ are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 d3Ys.
2. CONTRACTOR IN~'TALLATION ONLY
Ehcl<:i..,,' cor.tractor_~i~_tkd1li:c
Audr2~.~,_I~ Sv.J ~3~~rl
CI ty JY\Ac--\M-S_ Phone -Yls::m~_
Supervisor License Number It)~~
i:,"piration Date \\:r-l-qg
Constr Contr. Number_j.Io-_~.c:____
Expi.ntion Date )5-l-~_~
Signature of Supervising Electrician
tZl&-A/~ ~l___
O\/ners Name.J41/t:r- ;,.1.-110/.,( r=..J
Addres~ l~~~~~
City_~ Pho e_l14.k8.lo_(P
/~ QS~AL!.ATION
The installation is being made on
property I ovn \/hich is not intended
for sale, lease or rent.
O\/ners Signature:
;;A~: ::-.:----s-.-ij~~l{b _~~-(}._g-~~-. ('_
RECEIl.'T t. .
RECJmrBD'BY:__.~ -Uf'o ).- . ~=
-
541 744 6968
P.04
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ELECTRICAL P&RIUT XPl.ICATION
City Job NUlllb"._ld.809(Q.
3. COHPI..ETE PEE SCHEDULE BBLOY
. A. Ney Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
,,'1/)-;
.tV01'OO6~~ ft. or less
;.,07~~'~~M. ~~~ional 500
. <1.90 ~ 'o.,;..~~~ortion
C' . h lr6 o.o/. :90.,
.,,, <?0~.Rk"J, P.p. ~~7/U~~ ~ or
""6 v"":"'a,, )j ~"6I
lSl". '''\!I'oW'a 9".
'0 ;il!~' (t" ~ ''6>,\'
q~.,;~'t;f&,: 'iJ'ea ~(,r~ &,\' &QOI)-~
B SI'.....~tVa"fOl& ~~ ~. 10
. e","r.::<o'Cl ~ClI .OI!JI~ or. ~
Inst<l~:~{(t~'~&)fi.t-s. %JY'a1.':.
or Relo~'~~-i'/&/& &'tt...: 'Oo''7~
-'" <? 'vo :o~ &,\' I.
~~'~,;,; oJ). 6
200 amps or ~S~~~ & ~
201 amps to 40~ am~
401 amps to 600 amps --,
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
_\-
2.
Cost
. ~U"l
S 8:>.00
.8.5_
~Q.
S 15.00
$ 40.00
c
:;, ,: j
SllJ,J.lilJ
S130.00
$300.00
$ 40.00
C. ...Temporary Services or Feeders
Installation, Alteration or Relocatlon
200 amps"O'[ less
201 amps to 400 aaps
Over 401 to 600 amps
Over 600 amps or 1000 volts
o.
Branch Circuits
~ 4\).OU
$ 5:;.00 -----
S 80.00
see "S:' dljtiJ\:~-
Nev, Alteration or Extension Per F<<,."l
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinv
Li~ited Energy/Res
Limi ted Energy/Coli!lll _ '0_._
5.
S~;:~TAL OF ABOVE
:'.~ ::ita te Surcharge
3% Administrative F~e
TOTAL
$ 3~.0tj
S 2. OU
not lnclud<!,,)
$ 40.00
$ 40.CO
$ 2C.OlJ
$ 36.00
JJ~.fO
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