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HomeMy WebLinkAboutPermit Building 1992-7-17 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ------=-~ SPRINGf!IELD' "8c. od:'z;Jg t.. L.E LOCATION OF PROPOSED WORK: __.6 ?;a?~ 17 ~~7. -f3 7"'- t/ V , . ~ 7 ~,?Y/ . 5~~/77/A/ ~~~ . , $?~{t/9/ Z~?f~~Z- ~ ':. .?4' ~;; /' c- STATE" . ~)2? ASSESSOI'{SMAP: LOT: OWNER: ADDRESS: CITY: BLOCK: 'jp~ Jg'~"NUMBER~2~ .,./~ 225 Fifth Street Springfield, Oregon 97477 C'0 ./ TAX LOT: B~ ~ SUBDIVISION: ,...f1r7:~#frl{~4F~-S' PHONE: ..6~ S-~$/ ".">.'} ZIP: ~-771b$ DESCRIBE WORK' -~~-rl"o /'...T :5 r ;?'~5~ g/~~--~-;?> 6~~~- NEW' REMODEL ADDITION DEMOLISH OTHER . CONST. CONTRACTOR'S NAME _ .: - ~ ADDRESS / ~ '" CONTRACTOR /I ' EXPIRES .AL J// ~ . ~Y:"",('~ff~<2~, -72 :::~::~~~: /~S:/.~:-<<;'/q,'. ~~~:(/A "'<7",p-'7 0~~~=~~: MECHANICAL: / _ ,E.LECTRICAL: P'S ~- M(S0_ QUAD AREA:. . /I OF -SLDCS: L OCCY GROll!' _.B6-r ^'" ::;E:'::~::R I V - OFFICE USE - 1l t ( h OF. UNITS, . . Lt-J" CONSTR. TYPE: _~v... ' HEAT SOURCE: kc-4~ ,r.4 .. RANGE:' ~ , LAND'USE: PHoNE " FLOOD PLAIN: flY) ZONING CODE: LD~-'--"- /I OFBDRMS: --3- SECONDARY HEAT: _ /\ SQUARE FOOTAGE: _]JJz./.tJU 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 sarne working day, inspections requested after 7:00 a,m. will be made the following work day. ~emporary Electric o Site Inspection - To be made after excavation, but prior to setting forms, o Underslab Plumbingl Electricall Mechanical - .prior to cover. "f.;:;. ..' 'l";7'( Footing - Afte~,,~.;tenches are ~excavaled. _ CI Masonry - Steel location, bond .~ -, beams, grouting, ''i)<::( Foundation'- After forms are . ~erecte(1 but prior to concrete placement. o Underground Plumbing - Prion to filling trench. .REQUIRED INSPECTIONS , r"\71' Rough Mechanical ~ Prior t~ ~ cover. ',-- , , , . 1""X1 Rough Electrical - Prior to Y '..cover. [)<J Electrical Service - Mus~. be . 'fpproved to obtain permanen.t electrical power. o Fireplace - Prior to facing, , materials and framing Insp. , ~ 7t. ,M;raming - Prior to cover. ~Wall/Ceiling Insulation - P, rior to ~cover. '.' ..;, ~ . ~ Drywall - Prior to taPing., K7r Unde~f1o~IUmbir~echanic~ . ':' , )6..l- Prior to Insulallon 0, Utt""'\J. 0 Wood Stove - After installation. 'fX1 Post and Beam -:- Prior to floor ~insulation or decking. ~ Floor Insulation - Prior to ...'~decking, " \"')(f Sanitary Sewer - Prior to filling ~ trench, I~ I Storm Sewer - Prior to filling trenctl, ., ~/wa\er Line -, 'Prior to fllli,ng trench, " ' '. -~ .. -: j -' \ ~Roligh Plumbing - Prior to , ~cover. ,- o Insert - After fireplace approval .' , and installation of unit. ' 1)('( Curbcut & Approach - After .. - '\ forms are erected but' prior to placement of concrete, . 'M Sidewalk & Driveway - After ~xcavation is complete, forms and sub-base material in place, o Fence - Wilen cor:nPleted. J;:" . c0sl,ee, T,ee, - W~e" a". ,.q~"ed trees are planted, . . ,.'.. , . ~Final Plumbing - When all (~~Iumbing worl{ is complete, '~ ' Final Electrical - When all ( lectrical work is complete, ~ Final Mechanical - When all ~echanical work is complete, M'Final Building .,- When all ~ required inspections have been approved and building is completed. . , o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete, - o Plumbing Connections' - When , home has been connected to water and sewer. o Electrical Connect[orl - When blocking, set-up, ancJ Rlumbing inspectiom, Ilave been' approved and the home is connected to the service panel. o Final - After all required inspections are approved and porches, sl<irting, decl<s, and venting have been installed. Lol faces _W-:, Lot Type Lol sq. ftg. ~LJ4:, Interior Lot coverage ~ Corner Topography t!:!ZYD Panhandle Total height \~' V-Cul.de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. <)b. -::? c /t/./C> Main 1'2 ::<,0 0/'10 Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) I P.L. IN Is I W IfJ' ~___J Setbacks HSE GAR ACC 9~ S THE PROPOSED WORI< IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? VALUE hS?~</-0;) -- 6:<'6 ~ cc:::" 7~?~ , -.3 5 :!!::"D€> L7.90 375.QO SYSTEMS DEVELOPMENT CHARGE (SDC) JJL ..u I fJ 1'P (B) ':W I fl"e - PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO / Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Horne Plumbing Permit Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit MI-V · Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk gS 24 ft ft Curbcut Demolition State SurCI"large Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, D. and E Combined) FEE 9/. ZP , 4,5b 9S,7(P ?,~ 4-ro ,=?_co /500 / e tJ-o] .75 " 2S.7~ /s~S' / ..~ ,90 2'1/S &3 'liZ1 5' If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance, r APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition tl'latthe said construction shall, in all respects, conform to ltle Ordinance adopted by the City of Springf'ield, 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. Plan Check Fee: 2"'32.?~ Date Paid: 7.-/-9 '"2...... Recei pt Number' 5.1./ <:;!)~ R7~'~~ "'- Pla~ Review~~ C"2} . 7-!t.~ 6- 2 , II.D~- ' Systems Development Cllarge is due on all undeveloped properties within the City limits which are being improved. Ao.p.u:w.NAb. ~ ENTS :;*~ WWsW.su ~"~*,"\ -~ \~(J "?toO \q \Qq By signature, I state and agree, that I have carefully examined lhe compleled 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, ane! the Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be 'Hade of any structure without permission of the Building Safety Division, 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 ~ is located at the front of the property, and the app v (j set of plans will remain on the site at all times d g construction ----- VALIDATION: ~E::f)/) ::~:':~,:UM81fT~: _ _ i~-~--- :~:~~;oR:c:tbOO 5 31_-~__)_~_ ':~/=t ~~. ~ . 225 FIFTH STREET :on;ng:~~~~projGct as ELECTRICAL P'ERHIT APPLICATION, SPRINGFIELD, OREGON 97477 'PPrOva/. Oes not ra Submitted h ' qUire s . as tf]Qi. /3/.-j /') <::::? J /""11 INSPECTION REQUEST: 726-3769 ZOning ~ifiC/ant1br!Wlhob Number (.....-/~-fllfQ.A OFFICE: 726-3759 ~t, f1 - ..Autl 0-../~ . PLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATrotfrl'r.ed Sirrn^ 07€:-B AZC;-~03e-<< c..-r; Qture LEGAL DESCRIPTION )'76!'2',s~' -r--'1 mJstJf JOB DESCRIPTION At h,{J <;" F" A?e-:r " . ;~ ., . Permits are non-transferable and expire if work is not started wi~hin 180 days of issuance or if work is suspended for 180 days. r 2. CONTRACTOR INSTALLATION ONLY Electrical Cbntractor~~(Ic.., fJru j Address~t.j / J-- O()..h It'CA.,, LI/) Phone t 9J 1:J 'J- e;("9 107?;~S Ci ty Pl/q..... -' CI Supervisor License Number Expiration Date /0- 1.- 92- Constr ContrA Number /700 Expiration Date 1- 2.5'-q ~ Signature of Supervising Electrician lW~~')(~~ (1 .7 ,()~I~ /<:.o$(c.p.~.. I , . Owners Name ''',' ',:',' '~-'..6~"C,"" ,', ,/~:.~/ .~. - /' Address .5t-\._.......,. ".__ L~_ ,,".i-l" "& C,cf?t' U/{.A(]A-/PC- -/-laIr" . Ci ty j:?H<:; Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~;~---------~~~~~~;;~----------- RECEIPT i: 'r p; 7-.....3 '. . RECEIVED DY: ~~ New Residential-Single or ti-Family per dwelling unit. Service . luded: Items Cost Sum 1000 sq. ft. or less. L-- $ 85.00 '3S-~ Each additional 500 sq. ft or portion thereof :2-$15.00" 36>,08 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: ' - 'I 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 \...-. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocatitin: 200 amps or less I ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts ~Cfj $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits New, Alteration or Extension Per Panel . One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00' Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE J S-'')- ~ 5% State Surcharge 7, 7~ TOTAL ~~:7J> JOB NO. 9 -z....o '1 \ 0 ) CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: TOM S\E.Iv'\\~S~\ LOCATION: "'-, '08 ~L-\J~ ~E. L.t.-E: C:r. \10'"2- '2:7L.\-44 - ~ at..\- DEVELOPMENT TYPE: LP~ -'I--!.SW SFtc:- BUILDING SIZE: .LOT SIZE ,SQ. Ft. 1. ' STORM DRAINAGE IMPERVIOUS SQ. FT. "2?S8 , X $0.192 PER SQ. FT. G:?-Z ,?) "-- ~ 2. SANITARY SEWER-CITY NO. OF PFU'S \t) X $39.78 PER PFU (See R~verse) G"l I <00;; ""'--- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRiP X \.DOS X $401.05 G~O?~ "-- ---- X X $401.05 $ X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ I~I) ~~ X 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <C1B~ TOTAL-CITY SDC $ \<o'?o~ 5. SANITARY SEWER-MWMC I? :Z.t; NO. OF PFU' S I ~ x $.l3-M PER PFU + $10 MWMC ADMIN. FEE $Z~'O So (Use PFU Total From Item 2 Above) . ~-? . ~~LcL- .' Ki P Burdi ck SDC Coordinator 7 /~/;17- $ ?~?2- TOTAL-MWMC SDC~ """-- ~ TOTAL SDC $ \ f;>loB ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) ,:) FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Bathtub...... ................................,..,...,..................... ... D rinking Fountain........ ............................................. Floor Drain.................. ..............................,............... Interceptors For GreasejOiljSolidsjEtc................. Interceptors For SandjAuto WashjEtc.................. Laund ry Tub jClothesw,asher...,..,...,.............. ...... .... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator ;Water StationjEtc........ Receptor For Commercial SinkjDishwasher jEtc.. Shower, Single Stall......................"......................... S hower, Gang..........................."..,.",...............,...". Sink, Bar, CommerciaL..................,...........,.....,......, Urinal, Stall ;Wall... ..... .... .... .....",..',.. ,., ........, ............. Wash BasinjLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private...............".,............................ Miscellaneous: '2- 2 -z.. 1 2 3 6 2 2, 6 6 1 3 2 z.. 1 jHead 2 z.. 2 1 2- 6 4 €> '2- TOTAL FIXTURE UNITS Ie, CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurr'ed 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.l,,0 2.~:6 2,"1 2.m 2,,16 2.13 1985 1986 1987 1988 1989 1990 1991 I I Credit for Parcel or Land Only If Applicable '2.. (.." c... X $ It. c.:, <... 7:;,0 .., ~ (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT ;YOTAL = $ ~O'~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid ential............................... .............. .,. ........ 0.4 CommerciaL..... ................ ,......,. ............ ...... ..... 0.9 I nd ustriaL..............",."..........,.,... ..... ,................ 0.45 Governmental. .... ......."....,.........,.......,......."...,. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT