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Home My WebLink AboutPermit Building 1993-4-12 ~,n " RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 . OWNER: .~# 'J?.A"Z?~?::) /'7;-:', - A: IV ~..) ~ 1.- ~ ADDRESS:' -.:2'~ L?i~/~~/' y/~ . CITY: & LP/"7 ~b~ , STATE: -- 0/ ~j::7f~' ~ #/ .~~ r/ / "/.., .. .. DESCRIBE WORK: , r NEW REMODEL ADDITION . I-iJ6t..V JOB NUMBER 7.?c:)'#f/ 225 Fifth Street Springfield, Oregon 97477 ~~ TAX LOT: ~~~ / SUBDIVISIO~~l1J\ l\~~ PHONE:~S-)s-93-~//s0 . -. ZIP: q~ Y6/ " - <~~~ DEMOLISH OTHER CONST. CONTRACTOR'S N. lAME .. . ~ADD ESS~ . . . CONTRAC.T.OR 1/, EXPIRES /72 ~~ .' 9< "2 I''-#'z.~~-'''~. . . GENERAL~~rya~~ r 'b~~-~~~~~ ,/ 7/~~/ ~-9Y PLUMBING: MECHANICAL: ELECTRICAL' QUAD AREA: 4R~E; 1/ OF BLDGS: ~ \ OCCY GROUP: ~~~ ~ -t tJ\ ~:;E:T::~::R' ~ ~ ___' . ~ OFrlCEUSE '- LAND USE: II OF UNITS: ~ VA/ .PHONE ~fS"S9~~ FLOOD PLAIN: ZONING CODE: ~ iI OF BDRMS: ,0.., ',' ;.. '0, CONSTR. TYPE: HEAT SOURCE: J1/' 1". RANGE: 9-- SECO. NDi\RYHEAT: t I API ^ SQUARE FOOTAGE: 1-UL1Y To request an inspection, you must call 726-3769: This is a 24 hour recording. All inspections requested before,7:00 a.m. will be made the same wor~ing day, inspections requested after 7:00 a..m. will~e made th,~ following work day. REQUIRED INSPECTIONS ~~:., ~ Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. I><f"FooHng - After trenches are , excavated. o Masonry - Steel location,.bond . beams, grouting, ~ Foundation - After forms are . erected but prior to concrete placement. l~_YUnderground Plumbing - Prior ~.. _.to filling trench. i~ Underflo~iumb.iod/Mechanical ~_ .Prior tomsulation or decki,ng. ~post and Beam - Prior to f1o.or insulation or decking. r\AFloor Insulation - Prior to AJ decking. f'Cl/Sanitary Sewer - Prior to filling ~ trench. ' K74" Storm Sewer - Prior to filling ~ trench. . ~Water Line - Prior to filling lp.J trench. M Rough Plumbing - Prior to ~ cover. ~ I'\/l. Rough Mechanical - Prior ;~ ~cove~ ' FC7Rough Electrical - Prior to ~ cover. . ' 1\71. Electrical Service - Must be ~ approved to obtain permanent . elec;tri9al power.. .. ,.> D Firep.lace 2- Prior to facing . materials and framing Insp, ~ Framing - Prior to cover. I\.:?I Wa.II./ Ceiling Insulation - Prior to' ~ cover. ... ~ Drywall - Prior to t3~ing. o Wood Stove - After installation. o Insert - After fire~'!3.ce approval . ,. and installation of unit. ~ rs<r Curbcut &. Approach:"" After r .(chns are erected b,;\ prior to pi"acement of concrete, " ~ Sidewalk & Driveway - After ~ excavation is complete, 'forms arid sub'base material in place. .' .'rv(Fenc.e'- When completed.:' C~ :"\ ~treat Trees - When ;I-~'r~q~ired ~ees me planted. . ,', 1"v1 'Final Plumbing - When all ~ plumbing worl< is complete. ~Final Electrical - When all ~ electrical work is complete. 'r ~ ". I~ Final Mechanical - When all ~rnechanical work is complete. \. <~ ..:~ 1"'v'!"'Final Building - When all . ~reqllired inspections have been 'approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all - blocking is complete. . o Plumbing Conilections - When home has been connected to . water and sewer. . 0 Electrical Connection - When blocking, set-up, and plumbing - inspections have been approved and the home is connected to the service panel. o Final - After all required inspections are approved and porches, ski rti ng, decks, and venting have been installed. Lot faces -Ii- L~o~ Setbacks Lot sq. Itg. &5SD I p.L. HSE GAR ACC I Lot coverage ~ ~ Corner IN 23) I Is ':;--.-.:'- I 1ffY " Topography Panhandle /<..,. "" \W '-1 I Total height \ Cul-ae,sac .,.. , " __ ~ r.. (.. IE ~~?_.l'5 . "I 75 :en .. , ~ ~ I. (}If) ....... , / Ib.CJ~,". ~7qpS'-"~ . -. I SYSTEMS DEVELOPMENT CHARGE (SDC) ffS (B) .It I~q~ ~ BUILDING PERMIT ITEM '\,' . .\fi!J!' ~ . . Main I;\.fI 41)D X $/SQ. FT. ~~o /4./0 I Garage Carport Tota,l Val ue Building Permit Fee . .- State Surcliarge . Total Fee (A) VALUE 0??,;tJl IrJ 5JlJ PLUMBING PERMIT ITEM FEE Fixtures Residential Batll(s) NO 2- /~f?!J Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge sf?J~ Total Charge (C) -I-6b ,CJO MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO '2 Wood Stove/Insert/Fireplace Unit. Dryer Vent Mechanical Permit fit IV, Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ?O ~ It It Curbcut Demolition C -J- ') ~CJ7 . :OO'~ ---.flLAn AJffI~ 4:ra . ~~ 3 b-r.:;) /5,lh/J -LCJ,tJ-o ,7S" FJ. C), 7S - - -2-LJ . s-~ ----L,4 . so F;:OO ~,&J .~ r /ht') (E) / ~O+-l'.~ TOTAL AMOUNT DUE (excluding electrical) :258.6 q~ (A, B, C, D, and E Combined) Total Miscellaneous Permits . ( .HE PROPo.SED WQRK IN 'r-HE '"'HISTORICAL DISTRICT, OR o.N THE HISTORICAL REGISTER? If yes, this application must be. signed and approved by the Historical Coordinator prior to permit issuance. . " .... :' APPRo.VED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT R?~Ce~Ved BY.: .. , . 7~ Q...-?-l .'b<\' /'/~. PlaA\ R'eviewed By - 4hAl f / Drfe Systems Development Charge is due on all undevelqped . properties within the City limits which are being improved. ~,ITIONAL COMMENTS' " ,-.~~E/) 6~8?~~~~~ -~~ ~ p~~",:-> LJ..~\ j l8.j')() ',-,cM\l\Q)(; CjrttD: \C\lQO C'11J\_b~d <L> &kulL By signature, I state and agree, that I hC:lVe carefully examined the completed application and do hereby certify that all informati'on 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 ot.o.regon pertaining to the work described herein, and that NO. OCCUPANCY will be made of any structurewi-ihout permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with o.RS 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 i.s located at the front of the property, and the approved set of plans will remain " 1m the S~j ~ times duri,ng. ~onstructio+r~~ ~;gna'"I~Ahftl[dp- "rfr- / Date /JA;JuL Id) 140/9 ~ v V VALIDATION: "'RECEIPT NUMBER -pf <JOl G 4 - J).-03 .Lh ~s ~b PI""?;> ~ DATE PAID ....'. AMo.UNT RE,CEIVED RECEIVED BY ~ " .0 . . JOB NO. 'isol (~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: RON f(oBer<-iS LOCATION: 70 7& BLu~,lbeLLB WAY DEVELOPMENT TYPE: l-PP- - NeW SFfZ.. BUILDING SIZE: .1. STORM DRAINAGE 170Z-'?S3'-f -Ol.o802 LOT SIZE SQ. Ft. IMPERVIOUS SQ. FT. 2- tr 1-- X $0.192 PER SQ. FT. (07'-1 ~ ~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) I $f X $39.78 PER PFU ~,.o0 \.$ 11 (p =- ) ------ ------ 3. JRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP { X /.005 X $401.05 (;:03 00 ---- ------ X X $401.05 $ X $401.05 $ $ { r.:::. a "2. '3:, SUBTOTAL (ADD ITEMS 1,2, & 3) ~~ / / X 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ 7t:} (#~ '-- -- TOTAL-CITY SDC $/~ 7-; 4:!- 5. SANITARY SEWER-MWMC I~ NO. OF PFU'S 1 S' x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 2,SS- (Use PFU Total From Item 2 Above) ~~L~ U Ki p Burdi ck SDC Coordinator tf /1-/17;, I ( $ 34 'ii- ~ TOTAL-MWMC SDC\t!20 ~) TOTAL SDC $ J <is 'f t..f !.2-- MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA Tit TABLE: Number of New Fixtures X UeQUiValent 0 Fixture Units (N@TE,. .. , For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Z-- 2 -+ 1 2 3 6 2 2- 6 6 1 3 2 1 jHead 2 z.. 2 1 2- 6 4 13 Batht u b...................................................................... Drinking Fountain. ..,....... "," ........... ............ ......... ..... Floor Drain............. .............. ............ ............ ........ ..... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry 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......~....:.... .,............. ........ ...... Urinal, Stall ;Wall.... ................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation.............................. Water Closet, Private............................................... ' Miscellaneous: L- -z- TOTAL FIXTURE UNITS /s CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate .per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Credit for Parcel or Land Only If Applicable _t_c.5< ~ X $ /2 ./7 3 t./ t{-L/- (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 3'-1 '-I-cf RUNOFF COEFFICIENT$ FOR STORM DRAINAGE Residential. ......................... ....... .., .... ..... ........... 0.4 Commercial................ .......... ..... ...... ....... .......... 0.9 I nd ustrial........................................................... 0.45 Governmental....... ........... .... ..... ..... .,. ....... ......... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ./ '- .~ '-G.;.... .. o \t)"). SPRINGFIELD .,,<:>: ,,,-3 'I 'J.t?.. 6\';'\:~e co~' - 225 PIFTH STREET e;o\\d:~tb!~;""~/ ELECTIHcAL PERMIT APPLICATION SPRINGFIELD, OREGON 97 477 -':':~''\\'.';\(~~;\.../ ~ /J ? I J INSPECTION ~OUEST: 726-37~,9~'\o 'L..of}S'~';~~ ~./"Ci ty Job Number '1 J () II, OFFICE: 726-3759 4'" Y' "1/1:)....... . 0/ "'9'(W'\.\S"3. C<?HPLETE FEE SCHEDULE BELOV 1. LO<;4TION OF I~TALLATION O<;.'\; "'I eO 9' , i I D '10 ffb1 UI &~0\'(\O\\~ A. New Residential-Single or " Multi-Family per dwelling unit. Service Include~: LEGAL DESCRIPTION II 0 22,~'2.,Y Olc,CXD':) . -h0\~~~\u~ Permi ts 're non-transferable and . pire if work is not started within 180 ays. of issuance or if work is suspended for 180 days., Address City ~ Supervisor Expiration ., Constr ;:;. OWNER INSTALLATION The installation is beirtg made on property I own which is not intended for sale, lease or r~nt. Owners Signa t e: r~~~~-:~~~~lP~q?;--~-;;;~c_-- RECEIVED BY: g !\('). _ '. ~ \ c - Items Cost Sum iooo sq. ft. or less $ 85.00 Each additional 500 ,sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. 'Services or Feeders .:'Installation, Alterations or Relocation: 200 ami>s or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Recoimec t Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less I 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts 4{) $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits ~e,w, Alteration .or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder PermiJ. $ 35.00 $ .2.00 . E. Mi~cellaneous (Service/feeder ~Each installation Pump or irrigation Sign/Outline Lighting Limi tedEnergy/Res ' Limited Energy/Comm not included) 5. SuBTOTAL. OF ABOVE 5%.State Surcharge TOTAL . $ 40.00 $ 40.00 $ 20..00 $ 36.00 4D~ 4-zf6