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Home My WebLink AboutPermit Building 1992-12-18 RESIDENTIAL ' ',' PERMIT APPLICATION Inspections: 726-376Q Office: 726:3759 LOCATION OF PROPOSED WORK: J 7 :;) ..:5 ASSESS9RS MAP: 30. LOT: SPRINGFIELD 1S6t\n\E LPsl)E Ri..l WUJr<) c;? 2-/2~ fL . LI k.E I.o~OID 0 ~+. '. JOB NU~BER qQ 11050 225,Fifth Street Springfield, Oregon 97477 BLOCK:' " TAX LOT: . '," ,.. SUBDIVISION: nK. DL(::. PAlZ.\<. OWNER' ~E...\4\vc:tE ADDRESS: ~l19~. Pf*K<..uA<--t CITy:r;::\QASAn-r t4-ILl. SFD DESCRIBE WORK' NEW V REMODEL CONTRACTOR'S NAME STATE: OfL PHONE: ADDRESS CONST. CONTRACTOR # 27661 Crow Rd 1!:ugene, Or 97402 REQUIRED INSPECTIONS tf\7'f' Rough Mechanical - Prior to ~ cover. . N Rough Electrical.,.... Prior to , cover. ~ Electric'al Service - Must be " -approved to obtai n permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. f':A' Wall/Ceiling Insulation - Prior to ~over. ~ Drywall - Prior to taping. I'7T Unde~f1o~lumb~chan,ic;r; , "" , ~ -.Prlor tv ",,,,ulat~.:.:I,;~ ,D Wood Stove - After installation. ADDITION DEMOLISH OTHER pLUMBING: MECHANIC HE and i Const"Int. 84959 Parkway 71158 Pleasant Hill, Or 97455 Bills Electric 3170 W 11th, 21351 Eugene, Or 97402 GENERAL: J ELECTRICA Don Lewis Plumbing 500 Greenfield 33076 Eugene, Or 97404 OUAD ARE1 # OF BLDG: OCCY GRO\ # OF STORI! Marshalls Oil & Ins. 4131"E"St. 25790 Springfield, Or 97478 Brooks Excavation WATER HEATl=n. .r-=-J~ 55921 7~lo-3~q)/ ZIP: Cf74~~ EXPIRES PHONE -'- 02/93 726-3898 04/93 687-1851 I ' I I /- 06/93 688-19:31 12/92 747-7445 I r- I r- 03/93 345-7564 I ;S- - To request an inspection, you must call 726-3769, This is a 24 hour recording, All inspections requested before 7:00 a.f!!. will be made the same working day, inspections requested after 7:00 a.m, will be made the following work day. o Temporary Electric , 'D ~Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover, .0 Footing - After trenches are excavated. D Masonry -S,teel location, bond beams, grouting, '. (;;;:7) Foundation- After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, f\:7I Post and Beam - Prior to floor ~ insulation or 'decking. ~ Floor Insulation - Prior to decki ng. I'Y'T Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling trench. I"\:7l Water Line - Prior to filling ~ trench. _ M Rough Plumbing - Prior to ~ cover. D insert - After fireplace approval and installation of unit. 1:><1 Curbcut & Approa,ch - After .. -forms are erected but prior to placement of concrete. r-vT Sidewalk & Driveway - After ~excavation is complete, forms , and,sub-base material in place. D Fence - When completed, ~treet T~ees ....:. Wheln ail required ' ~ees are planted. , 'N'f Final Plumbing - When all y..:s plumbing work is complete. '.;......([ Final'.Electrical - When all ~electric.al work ,is cOrT)plete.. 1:><1 Final Mechanical - When all . -mechanical work is complete. ~ Final Building - When all ~equired inspections have been approved and building is ' completed. D Other MOBILE HOME INSPECTIONS D Blocking and Set-Up -:- When all blocking is complete, D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel.' , D Final - After all required, inspections are approve'd and porches, skirting, decks, and ,venting.have been installed, I Lot Type I Lot faces --.lfL Setbacks I , THE PROPOSED WORK IN THE Lot sq, ftg. 101& ~ Interior I P.L. HSE GAR ACeI HISTORICAL DISTRICT, OR ON~ '-' ~% IN ~O' I THE HISTORICAL REGIS~E~ Lot coverage Corner Is I If yes, this application must be signed L~~ and approved by the Historical - Topography Panhandle \toJ Iw ~' II Coordinator prior to permit issuance. Total height Cul-de-sac IE 6' (p' II APPROVED: BUILDING PERMIT ITEM sa. FT. ;d2-cP ( .427 X $/SO, FT. 'S""L.2.P /4/0 - . VALUE 'B-t!? 14/,U. f -4:z~20?1J Main Garage Carport Total Value 12-( dI:iI.~O ~ /l ,crt) Building Permit Fee :-7'!-'T- ,Jq 7(;) State Surcharge J--L- Total Fee (A) 41. S. 70 SYSTEMS DEVELOPMENT CHARGE (SDC) t:t3 (B) ~ \~'1..~\J.. PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT, -2. I ~f!."O Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~dO --I-k~~O Total Charge (C) MECHANICAL PERMIT ;:"'.&-0 4.S'D q, t:HJ . J c:, t!HJ S . ()-o€) Furnace Exhaust Hood Vent Fan NO 3 Wood StovellnsertlFireplace Unit Dryer Vent Mechanical Permit ~ '7. 50 - , I (f), 00 I. ~!J -48-. 3 ~ Issuance State Su rcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Su rcharge Sidewalk GO 'J-1- --L!J,OO -----J3 _ C:.o ft Curbcut ft Demolition State Surcharge -e/~/a.u 4IJ. (!fD . t1? ,(pO ---,/ . 2fp2fp,~~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) I BUILQING VALUE, PLAN CHECK AND BUILDING PERMIT This per1mit is granted on the express condition that the said construttionshall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Develo~ment 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 Ch1eck Fee: -2rk.-S'.C3?-z..o.1:f'P I ~' Date Paid: / Receipt, N~mbe' c-}Y Receive~:. \ d~A_ ~h~ P1'a~R~iewed By!' _/117~~ oat{ , Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. AIWITIONAL 9q,JVIMENTS ~llJ\ ~~t rLL:> \ c:M:1\H{ : ~ ~ \ C\\oO YAm :1 . , 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 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 at all times during construction. Signature ~~~.~~..... Date If' ,~ VALIDATION: 7&' ?~ DATE PAID /2-/.8-9''2- AMOUNT RECEIVED A'7?J.,.q C.O.- RECEIVED BY /b~ ? 4f? /f -//' v / . r RECEIPT NUMBER 'OB NO. '1'2..-1 <oSo .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: -:r 0 is t-\- \ ~ T'E:: LOCATION: "2--0 \\ ~Ot~~\E- L.p.~E:... ~ \ c...o \- E.. f A-(2..~ DEVELOPMENT TYPE: L...t>e- - t--1E:W <SF-{2.. BUILDING SIZE: 1. STORM DRAINAGE IMPERV IOUS SQ. FT. -z. '? '1 4 , X $0.192 PER SQ. FT. ,LOT SIZE ,SQ. Ft. ~q~/Ji) ---- ----- ' 2. SANITARY SEWER-CITY NO. OF PFU'S lY; X $39.78 PER PFU (See Reverse) C;; \ Co 01) '--- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP t X \ ,acS X $401.05 ~O~C~ -- -- X X X $401.05 X $401.05 $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ \to\1 ~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <l ~O~ JOTAL-C ITY SDC $ l <acr ~ o-L 5. SANITARY SEWER-MWMC NO. OF PFU'S l <6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ L.&?? ~ (Use PFU Total From Item 2 Above) . I $ ~c~ TOTAL-MWMC SD~~~ " TOTAL SDC $ \ q 'z.:? '- MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~L~ , () Kip Burdick SDC Coordinator [7- /'1 J CfJ- FIXTURE UNIT CALCULAaN TABLE: Numbe~ofNewFixtures^ For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF , NEW FIXTURES Ba thtu 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 jEte.. Shower, Single StalL.............................. ................ S hower, Gang.... .... ........ .............. ..... .......... ............. Sink, Bar, CommerciaL............................ ...... ........ Urinal, Stall ;Wall. ........................ ................ .............. Wash BasinjLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private........... ......... ................ ........ ... Miscellaneous: \ ~ -z.... "7---- 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 ,', .~~ j't Improvement (if after annexation date) eo-- X $ ~oo- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ ~C)- Credit for Parcel or Land Only If Applicable ,; " . " ~\1 p.. RUNOFF COEFFICIENTS FOR STORM DRAINAGE ~~ . f Residential...... ........................... ................. ...... 0.4 Commercial. ..... ..... __.......................... ..... .......... 0.9 Industrial........................... ....;.... ....................... 0.45 , ' Governmental............,...................................... 0.5 ~' IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT .:i SP'lINGFIELD ",-;o( ~;, ;~( . ill"'Y' ,.'idgd~:~~I~~;;~qUire specl"iIC i~"'~ . ~ 225 FIFTH STREET ~~~~c~~{\, I' ELECTRICAL P'ERHIT APPLICATION SPRINGFIELD, OREGON 97477 ---:o~~~\ -i/t.~ rPf\\' roc:..." INSPECTION REQUEST: 726-3769 e\~ City J2!LNumber vl0 \..(/-1 J OFFICE: 726-3759 Oat -\ 'atUfe ~~hOri e~dSlgn 3. COMPLETE FEE SCHEDULE BELOV l,:-I)~<lfl)WN Of2I~lAL}ATION CyUU lX. }(~I il), 'P! A. New Residential-Single or - v Multi-Family per dwelling unit, . LEGAL DESCRIPTION Service Included: JOB DE5pp:PT.JON :'). \=. 'K~l)\6. 9_\\ t::' .~ Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days.' Items Cost Sum 1000 sq, ft. or less . t..-- $ 85,00 !lf5 ~.o Each additional 500 sq. ft or portion ~O. eHJ thereof 2 $ 15.00 ... Each M~nuf'd Home or Modular Dwelling Service or Feeder $ 40,00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders . p.' /" Installation, Alterations or Electrical Contractor_I')/ //<; E kC17;C-Relocation: Address .~/7o we,C)'!- J/-L.L 200 amps or less 201 amps to 400 amps Ci ty, ~UCJ e J1. (i Phone 3L/,:3 /36 '3 401 amps to 600 amps ~O 601 amps to 1000 amps Supervisor Lice~seNumber It) {J:) Over 1000 amps/volts / 5 Reconnec t Only Expiration Date / tJ -/ - 9 Constr Contr.Number d /3 5J' / Expiration Date cj r- ~? -- r ~~ Signat~re of Supervising Electrician ' . e;>/Jf} M '., ." ~ ~ /'^.- A. 0. r ' Owners NaniE\. y '...Q ~. \. SA J Addr.ss~ ~Ah1l1Jm.rx City-p~QO . Phone]{b-/Wl~ OVNER INSTALLATION The installation is being made on E. property I own which is n~t intended for sale, lease or rent, , ' Owners Signature: , ~~~;~-----~\~~\?5-6\~~--~I------~ 5. RECEIPT #: '\ f) Y\ .J.' ~, ' ' RECEIVED BY: (J,I)\(\(\-~ $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 .dt2 r90 $ 55.00 $ 80,00 see "B" above New, Alteration or Extension Per Panel One Circui t Each Additional .Circuit or with Service or Feeder Permit $ 35.00 $ 2,00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting , Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $40.00 $ 40.00 $ 20.00 $ 36.00 /;:)5,"0, 7.7!;" //J/.,7S"" , ........-