HomeMy WebLinkAboutPermit Building 1996-11-25 (2)
SPAINOFIELD
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RBSIDBNTIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
Job Number: 950780
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3777 DOUGLAS DR~
Assessors Map #: 18020612
Lot: 106.1 Block:
Tax Lot #: 02600
Subdivision: HAYDEN q~aiJ1 rr
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
OWner: HAYDBN ENTBRPRISB
Address: 899 SO. 32ND STREET
Describe Work: S F RBSIDBNCB
Contractor
Const.
Contractor #
NEW
Bxpires Phone
07/29/'\1 923-6607
09/19/'11 683 - 5116
07t29/l/1 923-6607
e[1/Cl1 475-2139
General: HAYDEN ENTERPRI 0092208
1511 SW 33rd Redmond OR 977560000
Plumbing: EMERALD VALLEY 0051737
2727 N 20th Springfield OR 97477000
Mechanical: HAYDEN ENTERPRI 0092208
1511 SW 33rd Redmond OR 977560000
Electrical: ALLEN ELECTRIC 0000968
201 N 3rd Madras OR 977410000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICB USB --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
SQ FOOTAGE: 1693
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.
RBQUIRBD INSPBCTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR 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
SANITARY SBWER LINE - Prior to filling trench.
STORM SBWER LINB - Prior to filling trench.
WATER LINB - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH BLBCTRICAL - Prior to cover.
BLBCTRICAL SBRVICB - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MBCHANICAL - When all mechanical work is complete.
FINAL BLBCTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Job Number: 950780
Page 2
Total Height: 15
Lot Type: INTERIOR
Setbk From NPL: 34
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PBRMIT ---
Square Feet x
1133
560
$/Square Feet
56.20
14.10
Value
63,675.00
7,896.00
71,571.00
Building Permit Fee
Surcharge/Admin
349.00
27.92
TOTAL FBB
(A)
376.92
--- SYSTEMS DEVELOPMENT CHARGB (SDC) ---
(B) 1,588.05
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PBRMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGB
(C)
172.80
- -- MECHANICAL PBRMIT ---
Exhaust Hood
Dryer Vent
4.50
3.00
Mechanical Permit
Issuance
Surcharge/Admin
16.50
10.00
1. 33
TOTAL PBRMIT
(D)
27.83
--- MISCBLLANEOUS PBRMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
ELECTRICAL PERMIT
PLAN REVIEW FEE
0.00
21.10
14.80
124.20
40.00
TOTAL MISCBLLANBOUS PBRMITS
(B)
200.10
(Bxcluding Blectrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and B combined)
2,365.70
--- BUILDING VALUE, PLAN CHBCK AND BUILDING PBRMIT ---
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.
SPRINGFIELD
Job Number: 950780
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 07/03/95
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
2 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.
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Signature
~ =- I \ - --L ~.;--:4-t.
Date
Date Paid:
~"Jii~DATION
\-\ .Qj'0.0...\.tJ
_&31)D1){)
H\\~
Receipt Number:
Amount Received:
Received By:
SPRINGFIELD
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FENCE PERMIT
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Job Location: 3777 DOUGLAS DR
Assessors Map #: 18020612
Tax Lot #: 02600
Owner: HAYDEN ENTERPRISE
Address: 899 SO. 32ND STREET
City/State/Zip: SPRINGFIELD, OREGON 97478
Phone #: 744-6966
Fence Permit is $5.00
Contractor/Installer: HAYDEN ENTERPRI
Address/City/State/Zip: 1511 SW 33rd Redmond OR 977560000
Phone #: 923-6607
Construction Contractors Registration #: 0092208
Expires: 07/29/9~
By signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
~~~
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Signature - I -~ c:::::.-J
inspection once my
all information on
with the Springfield
I I -"Z-' -<1J...
Date
FOR OFFICE USE
\ 'n\ L l 0
,ro~
Date of
Receipt
Application: / / II.~S Lfro
#: a.."3~8B
for Deliquencies: NONE
Job #: 950780
Issued By: LISA HOPPER
Checked
Checked for Historical Status: NONE
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CITY OF SPRINGFIBLD SYSTEMS DEVELOPMENT CHARGB
(RBSIDBNTIAL)
Name or Company: HAYDEN ENTERPRISE
Location: 3777 DOUGLAS DR
Developement Type: R Building Size:
Job No.: 950780
Lot Size: 0
1. STORM DRAINAGB
Impervious Sq Ft 0 X 0.209 Per Sq Ft
2. SANITARY SBWER - CITY
Number Of PFUs 18 X 43.26 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
436.19
$440.55
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
17.190 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FBBS
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: KIP BURDICK
Date: 07/03/95
Page 1
Sq Ft
$0.00
$778.68
$440.55
$319.42
$26.23
$293.19
$1,512.43
$75.6j
$1,588.05
,J SPRINGFIELD
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Job Number: 950780
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Page 2
FIXTURB UNIT CALCULATION TABLB
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS 18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
7,580
x
3.46 =
26.23
o
x
3.46
0.00
CRBDIT TOTAL =
$26.23
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3,";769
OFFICE: 726-3759 ua!9
The, foHowing project as $ubmttted M.S the fo'lo'
zonlriR. and does not require specific land u~
approva!. ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q.:)() 1 g Q ,
Zoning LD 12-
f-"'"
Aulhurizod Signc:::tuio
1. AOPfF)o/) OlliYl~ L?<>IJOft
\~fJ^trl~\Io0
~~ ~~~X~ N'o
IA 3.iSj:~~LETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
\\(Q.:cJ?s'
Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost
Sum
-J-
~
PJ5
30
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd St.,
City M"<'!r",,,
Phone 475-2139
Supervisor License Number 1006S
Expiration Date
10-1-95
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number 6R74~
Expiration Date
9-4-95
,
The installation is being made on
property, I own which is not intended
for sale, lease or rent.
Owners Signature:
~~TE~------a;;~--~------\1l~~~~f--
RECEIPT 1I:,...w , ~
RECEIVED BY:~_) N..~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 'amps
Over 401 to 600 amps
Over 600 amps or 1000
,
,
D.' Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
volts see "B" a'li<iVe"
New, Alteration or Extension Per Panel
Miscellaneous, (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'J."a'EAI,~
l~
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.ob
$ 36.00
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