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HomeMy WebLinkAboutPermit Building 1993-1-26 ASSESSORS MAP: ., 'LOT:' '" ," It./. ' OWNER:~ -J()f3- HIItTE ADDRESS:- c?J./C)6Lt/?ffIZ/CZU~ /ZLJ" CITY: PUIJSIi/JTIfI L( SF/) ,,..~ .~' RESIDENTIAL PERMIT APPLICATION' Inspections: 726.:j769 Office: 726.3759 . LOCATION OF PROPOSED WORK: DESCRIBE WORK' NEW IX REMODEL CONTRACTOR'S NAME GENERAL: JI-~y. / {!--&7!}{f PLUMBIN<L~,LA.o MECHANICAI./l)4/l.SJlmiJ ELEC~RICAL: ,8// 1.5 , SPRINGFIELD .........::,.... BLOCK:' STATE: &^- ADDITION DEMOLISH OTHER dULe ~()17 ~~ JOB NUMBER QJ3tY)Q'J . - - ...;;;. 225 Fifth Street Springfield, Oregon 97477 TAX LOT: -", -,<", ." --q7'J;'-' fA /) . SUBDIVISION: ; L-l-(!jJ~.:~ciJ~~ PHON 1=' %2-6 3ft?? ZIP: Q7Y'.53-' ADDRESS t?1959 jJ/}lt/~tu'47 QU() lb/lQfL17kLd , fld i € /i2:I- . '-- 'r/7L) Cd //16 CONST. CONTRACTOR # 7/IS~ 33Gl'/h .c9579CJ dl3~/ . ~~R~'7 PHONE c:.r7'r' 7~i'9! 0/93 6P<?19S( ':/Of93 .7L/,?-:7r(V5" Lf"93 ~<[(!S-/3S3 QUAD AREAc2f2JUuJ .:.... OFFICE USE - LAND USE: I (/ I FLOOD PLAIN: # OF BLDGS: I # OF UNITS: I J ZONING CODE,~JgJ \~6'.~_ \1 ^-/ '. OCCY GROUP: CONSTR. TYPE: # OF BDRMS: r-. # OF STORIES' I HEAT SOURCE:t=:"'G SECONDARY HEAT: F'V' WATER HEATER: 0 RANGE: f~ SQUARE FOOTAG E: \q\~ " 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 working day, inspections requested after 7:00 a.m. will be made the following work day. ~ Temporary Electric o Site Irlspe,ction - To be made after excavation, but prior to setting forms. o Underslab PlumbinglElectrical/ Mechanical - Prior to cover. T"V1 Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. ' 1~...(Foundation - After forms are ~ erected but prior to concrete p~acement. REQUIRED INSPECTIONS 'IVI Rough Mechanical - Prior to )LJJ cover. , I"c;( Rough. Electrical - Prior to J.6l cover. 'rx1 Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. )R[ Framing"b., Prior to cover: . l'7r' Wall/Ceiling Insulation - Prior to ~ cover. o Underground Plumbing - Prior f:::?l, Drywall - Prior to taping. to filling trench. ~ K/rUncierfloot1>lumbi~anical)' . " ~ " . ,. ~""7 Prior\ tb'l'rrsulation ()r decking. ~ W2~O~ftf:-';~tallatlon. ~ Post ~nd Beam ~ Prior to floor . ~ insulation or decking.'. -0 Insert -' After fireplace approval and installation of unit. ~ Floor Insulation - Prior to ~ decking. ~ Sanitary Sewer - Prior to filling ~ trench. ~ . ~ ". . . -.. 'l'c7'f Storm Sewer - Pri or to fi II i ng ~ trench. .T'S?f Water Line - Prior to filling ~trench. , . 1'><:. T Rough Plumbing - Prior to ~cover. K71' C~rb'cut & Approach -'After ~ forms are erected but prior to placement' of concrete. r'~{'Sidewalk & Driveway - After ~excavation is complete; forms and sub~base material in place, '0' Fence - When completed. _ ~tree.t Trees .......Wti'~n 'aif'required ~rees are plant'ed. . I. ~ Final Plumbing - When all ..Y"1~plumbing work is complete, ' '~[ FinaIElectrical'- When all ' ~electrical work~s <?ompl.ete.. ,: l:5<:J Final Mechanical - When all , ..mechanical work is complete, , M Final Building - When all _~required 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 Connections - When home has been connected to water and sewer. o 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 areapproved and porches, skrrting, decks, and '.. venting have been,,installed, ..:t Lot faces ~'. Lot Type Setbacks fHE PROPOSED WORK IN THE S:l-tJD ,:4- Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON Lot sq. ftg. IN liP' I THE HISTORICAL REGISTER? Lot coverage "<S-~ Corner If yes, this application must be signed j2-~D Is /~' I and approved by the Historical Topography Panhandle 1 ,~.:) (p' I Coordinator prior to permit issuance, Cul.de.sac W Total height t;/ ~' I E APPROVED: BUILDING PERMIT ITEM SO. FT. Main ~5 427 Garage Carport Total Value Building Permit Fee State Su rcharge Total Fee X $/so. FT. 5"" ~Q #1'0 (A) VALUE ~54 S-7 t?020 ~cr17'7 ~.~ '2D /S' 42.~/S SYSTEMS DEVELOPMENT CHARGE (SDC) $ (B) IhqOg~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO ? FT. FT. FT. (C) NO '< Wood Stove/lnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Su rcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk ~ ~O ft ft Curbcut Demolition State Surcharge J;!J-~.J ./?N1bV Total Miscellaneous Permits (E) FEE / (',-j) ---, ~~ /6!b~ 0CTO 4.50 , 9~ /5.00 ~e-o &.- , ~750 I JD,O-O l~~ 4j.?8 )q.O() -Jif ,5rtJ 4o~ y ~;5O . ' 'Z22 ~1' TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 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 a~p.rOViSions of said ordinances, Plan Check Fee\ \:>h 1.1\-/ '2 1M <:P - - 2LJ~ Date Paid: ., Receipt Number' ft:Y~ /h~h 3 I D<;Yfe Rece~v~~ PI~~V~t" ~- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS (~l1JlJ)Sln V~ fi 1J li b 0 U \~Ti \ \:AMi) >r l,ltrco! \ q,!~~ , . ~ ^Y) 1JlLO 1) ~d(JL2-tlYV2. .U2J L~):: .7T7 .~~ ~ ~. .,/L/ By signature, I state and agree, that I have carefully examined the completed applic,Hion 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 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 card is located at the front of the property, and the approved set of plans will remain on the site a~" times ~~ring const:~ction. SignatureVJ/..fi/dJ//)j LiLuLt, _ ~. '- /-c?b-~~ Date VALIDATION: RECEIPT NUMBER "'7 L./~ /' r ' DATE PAID -? -2 -9~ AMOUNT RECEIVED ~ ~s;..f;1' RECEIVED BY /.k . ~r""'----;:> ", - , r/ r ~ AY ~ , ". , JOB NO. Cf?oo'l'i.- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~1Oe. J-lif?-TF: LOCATION: -?-.7.-t../- ~ 130NN IE- LANE:.. DEVELOPMENT TYPE: L-D/Z. - tJ/3-W 5FI< , LeI Ii.{- NfCOU=: ~ BUILDING SIZE:. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. "20Z,? 2 . SANITARY SEWER-CITY NO. OF PFU'S 1<6 (See Reverse) 3. TRANSPORTATION LOT SIZE SQ. Ft. X $0.192 PER SQ. FT. c0gLf ~0 X $39.78 PER PFU G-, t (" 0;; -- ~ NO OF UNITS,X TRIP RATE X COST PER TRIP i X /, ~ 5 X $401. 05 X X X $401. 05 X $401.05 C1/o300 $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ I (Po3 6'::: 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <C f:o_I~) TOTAL-CITY SDC $ 1(P<t'? ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S IV, x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 'Zst;,j<O (Use PFU Total From Item 2 Above) ~~L~ () Ki P Burdi ck SDC Coordinator I /~8/ q?J I I $~- ~ TOTAL-MWMC SDC\~~~'~) TOTAL SDC $ /q 0 ~ ~~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) c, FIXTURE UNIT CAlCULAT7~ TABLE: Number of New Fixtures X I. . Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE 'NUMBER OF NEW FIXTURES UNIT FIXTURE. EQUIVALENT UNITS I 2 2- 1 2 3 6 2 2- 6 6 1 3 2 7.- 1/Head 2 2- 2 1 -z,. 6 4 ~ Bathtub,..... ,.............,.....".......,.................................. Orin king 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............................................ Urinal, Stall ;WaiL..............,.... ........,......... ....... ......... Wash Basin/Lavatory, Single.................... ....... ....... Water Closet, Public Installation............................. Water Closet, Private........... ........,.. ......................... Miscellaneous: I -z. z, TOTAL FIXTURE UNITS l~ 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 :J.-' I 8 ~ X $ 10, (., ~o (Rat~ X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ ~o- RUNOFF COEFFICIENTS FOR STORM DRAINAGE R esid ential........................ .....................,.......... 0.4 Commercial........ ..,......,..:... ................. ...",....... 0.9 I nd ustrial....... ..... .,....,',.. ..:..,....,.,............. ,.......... 0.45 Governmental..........,.".,................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT r ~,A~ ~~ 225 FIFTH STREET F;~ following project as submitted has 'E.bE<roRw€AL PERMIT APPLICATION ~~~=~~~:;>im~:~~~ 9~~~~37i~;j:~~af.nd does n~ r~ir0specmc la~~ ~~. e JO'~ Number . Cl3rr-:rr ~ OFFICE: 726-3759 Zorllng~_(....,il~ . , . - l.LOcA:q;Ol' OFWTALLATIO~~e~ d -j})-'2? ~ COHP4lTE .PEE SCHEDULE BELOV ,C\QfJ~('{LD i i,A +'" 7(fJf~re-z-N~ New-Res'i-den-t-i-a-l-Single or . --:- Mul ti-Family per dwelling uni t. LEGAL DESCRIPTION.~ '. , Service Included: ' ~r/~ ffi~~c~.A-A".Items Cost " . JOB~ESCRIPTION 0~ '~OI)}C10 (l~ \Ct\R8' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY City ~'J~eP1_n Phone Supervisor License Number Expiration Date .' /a- / - 95 Cons t r Con t r . Numbe r ~-I ,35/ Expiration Date L/- /- 9' 3 ~.na e of~rvisin E ctrician ~(~ - Owners Name~)' .)\ ~ Address m ~ ,~~)\'tY~i\e&. Ci ty \J\ ~ Q ~ Phone 1!Jio'( qR3~ OVNER INSTALLATION Thei~stallation is being made on property I own which is ,not intended for sale, lease or rent. ,Owners Signa ture: DATE: ~ -";?-?;l RECEIPT #: ? Yo / RECEIVED By:~h:..- ~ 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder .~ Sum $ 85.00 f!J5 30 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 ~mps ' 401 amp~ to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 15,00 $ 40.00 $ 50.00 $ 60,00 $100.00 $130. 00 $300,00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" 4n above New, Alteration or Extension Per Panel One Circuit 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 /5S,CO 5% State Surcharge ~,7S- TOTAL ./ ~ 2- ,7-s-