The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-3-30 "~...~ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: -:Jt/ Y6" C::-~~e!~4i'~;' ,~()a~s3~ ' OWNER' 0~ ;rc;?~~-?/-S- ADDRESS:' '2~ ~~~/??t9..A7 r- CITY: ' ~~ 0-//~ - ~~?~ ~~ -'/ )Z~?7f ASSESSORS MAP' LOT: ~ DESCRIBE WORK: NEW j/ REMODEL '" ' ADDITION BLOCK: STATE: L:A~ 3-868 " . t~ .A JOB NUMBER 9:$'~6 , '/ DEMOLISH OTHER 225 Fifth Street Springfield, Oregon 97477 ? _ 44~ 5~~~~ ~ /~/L~ TAX LOT: 0 7:I1) lo ; SUBDIVISION: ~~~~~6'L <- PHONF' ~r-:'S'L/?~7~ , r ZIP: CON ST. CONTRACTOR'S NAME ~B~~.#'; % '_ _ CONTRACTOR /I " ,. EXPIRES PHONE G~NERALh~.y/U~ 0-';':$~- ~?'~~~~- ~,.?b~"'::; ~~/'7?_ 7<y>-g~S-- PLUMBING:~C ~~<-;> ,~307((J l.Q .\D'~ lo~' .IQ_3L- MECHANICAL: ELECTRICAll'f!~~/~~ ~ QUAD AREA: ~ ttlj 6 l ~?J I f /I OF BLDGS' OCCY GROUP: /I OF STORIES: WATER HEATER: - ',AQ413 - OFFICE USE - LAND USF' II2/) 'L VN CCCCQ- .v-$~ is 3.s4lc m.I\ff1~ p FLOOD PLAIN: ZONING CODE: L-D~ +- /I OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: /I OF BDRMS: SECONDARY HEAT: - SQUARE FOOTAGE: dt9C\S To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons 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 Inspection - To be made after excavation, but prior to - setting forms. O Underslab Plumbing / Electrical/ Mechanical - Prior to cover. / I tv1 Footing - After trenches are L:...J excavated. o Masonry - Steel location, bond beams, grouting. /" , ~ Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. , ~derlloor Plumbing/Mechanical , - Prior to Insulation or decking. ~st and Beam - Prior to floor Insulation or decking. ~oor Insulation - Prior to deckl ng. ~itary Sewer - Prior to filling ~ t;.;'nch. '--'4~rm Sewer - Prior to filling W- t;.~nch. .. r-;--,~er Line -:- Prior to filling 4,.d' trench. ~U9h Plumbing - Prior tp cove~ ' REQUIRED INSPECTIONS lI..-R'Ough Mechanical ...., I?rlor to L+6 cover. ~OU9h Electrical - Prior t~ cover. ~ectrlcal Service - Must be approved to obtain perman'ent electrical power. o Fireplace - Prior to facing materials and framing ,Insp. ~ming - Prior to cover. ~all/Ceillng Insulation - Prior to , cover. ~YWall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. ~rbcut & Approach - After forms are erected but prior to placement of concrete. [Z(Sidewalk & Driveway - After . excavation Is compiete. forms and sub.base material In place. o Fence - When completed. D Street Trees - When all required trees are planted. ' ~inal Plumbing - When all plumbing work Is complete. . .'; -- ~- Final Electrical - When all electrical work is complete. 1+" lI.Elnal Mechanical - When all ~ mechanical work Is complete. ~'nal Building - When all required Inspections have been approved and building is completed. D Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewe'r. o 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 approved and porches, skirting, decks, and venting have been Installed, Lot faces Lot Typ Setbacks I P.L. HSE GAR ACC Lot sq. ftg. Interior ~ Corner N Lot coverage Topography Panhandle S Iw I. LsJ ,Iw' (U.~) BUILDING PERMIT SQ. FT. \ 1/G\ \ ,,~ Total height _ ' Cul-de-sac ; :: ~. ':.~: ~, " \, IS THE PROPOSED WORK tN THE _ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. ITEM APPROVED: x & ~ib = \ \1)tQSt \L\.tD "~lN~ Main Garage Carport Total Value UJ~W 45L -310 ~, 202fl r18 Building Permit Fee Slate Surcharge + '590 Total Fee (A) I SYSTEMS DEVELOPMENT CHARGE (SDC) . (B).!$ ~ e4-'Z.. 8'0 ~, PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) NOcQX~ Sanitary Sewer FT. FT. , Water Storm Sewer FT. Mobile Home 520.00 Plumbing Permit State Surcharge Total Charge ~'2/2.D.CD 2.S. <J) ~S .LID (C) MECHANICAL PERMIT Furnace Exhaust Hood q.LD Vent Fan NO t1 ( C{) 0. Wood StovellnsertlFlreplace Unit 2- leD Dryer Vent n. Mechanical Permit cOl.CD Issuance in.au State Surcharge (.l9l' Total Permit (D) \.)2..lo~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk \51] Curbcul I 00 ft 3?J .55 \ C\ .DC) ft Demolition S.~ e SurChar~ . ~ \ J..Y\\lliY C'\()~t ~o U l 0\ J.m Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~9D I).f}1 (A, B, C, 0, 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 any provisions of said ordinances. .i' ~"'~ Plan Check Fee: / '" . - - Date Paid: Receipt Number: Received By: , \~~~"\~.. 3. 2..~.C{5 Date Systems Development Charge Is due on all undeveloped properties wlthin.the City limits which are being Improved, ADDITIONAL COM~ENTS , ~/-,?~~~ t~~ey/76~ -~E':::>&=J 0~..::,-:"~~ ~ ~~/ ) ~ -tu-1\~Y)~'(\9 ~(\Q~ 0 IL/ -r+- .4- ff> (?;. fJRO. C;.D jWNbKto: l q(PO 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 ,,;,ork performed shall be done In accordance wltr 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'ln 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 tlm,durlng construction. ~/ ,~ Signature S..?-- ~{'"" - ../ ,?~?O ,_9.5 Date .-J'.~' /' - VALIDATION: ~\oroL RECEIPT NUMBI;.R ___ . ~ " . . DATE PAID . '5.30 .C\S A~OUNT RECEI'(E] I ~~~l 0 . 'l~ RECEIVED BY \jJl~ ., Ii:,' The following pr..aM.t b'" lOroing, and dOe8"';'oi ':' .~:lUed. has the following approval. .~ specific land use . 225 FIFTH STREET I r.---../J ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonin,a /J./~..., nr:!.J"J} ( ,...n INSPECTION REQUEST: ~~3769'?-J(J-6j< City Job Number -\ u.JL\Jll OFFICE: 726-3759 -. Authorized Signature jJ}y:---- COMPLETE FEE SCHEDULE BELOY l"",liQCATA.CON. OF ~S,TALLAT~OP~ f'\NIr\"n Il1"\\.O \ \[)..~ 19 *~ !$) · !U: 'V1..A. LE~AL DES~ION \r')dt~~3~ U~ \.fj~;;pPTION cOA q ( p tY Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL Electrical Contrac 0 Address (?)~ ~q<F)~Q9- - City ~_ Phone "A4. \\\cf) superv-i~~r\.license Number \,,~~') f) S. \C). \ .~O ~qL\~~ O.~.~c:,- Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician . ~jt~ Owners ~Of\l ~'o~~ Address ro Q)JLJJ~ Ci t& (\\~~~~~~)lOneJf$'$Ld213 OYNER INSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-------------~--~f%~ RECEIPT #: >dI-., I'~.I ' nl\"7/ RECEIVED BY: \) ~~JY .,. 'WV New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder -~: cl j!Jf)fO g),cD $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 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 Relocation 200 amps or less 201 amps to 400 amps ,Over 401 to 600 amps 'Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit 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 not included) SUBTOTAL OF ABOVE 5% State Surcharge ,3%..Administradve Fee TOTAL . $ 40.00 $ 40.00 $ 20.00 $ 36.00 -""~% _ ( 0 . Of..( ~l l 1O ,c.V 7n." fO!!6wing project as submll;",,-l I'''' . ....Oi1ir,g, and doCls no' , .,' ,.:~.;u..:"'~ ,he following. apprVi:;;,1. " . mqul,ft> s~..ecl;lc L~r1d uso ZoniflG_ L. p a- 225 FIFTH STREET ci('.t~_l_""2iD~ )~ SPRINGFIELD, OREGON 97477 -- ..' INSPECTION REQUEST: 72\(jU:fr69 Sigqaturs OFFICE: 726~3759 MM ELECTRICAL PERMIT APPLICATION Ci ty Job Number q 50U7 . ~ . '. . ., . j'~"'COMPiETE FEE SCHEDULE BELOT,l 1. LO~4TIOrN OF INSTALLATIO}N[ C'" 7. ~ 7 0 Y.lL! a A.;I.^ O{. ( if^- -.r t.-t L(. X S 10 A. , LEGAL DESCRIPTION ~/'\:II ( _ ',I n 2.-~r::;-3~ \J.~U Y? 2. CONTRACTOR INSTALLATION ONLYB. Electrical Contractor DetL~RIU(\1J)I?t,,- 5574 5 - - /' , Address i11 [jA/e..l),~/1 ~ ,. City Sf ( J Ph:~e 7Lf70H5 Supervisor License Number JOB DESCRIPTION .-t~tD Permits ~re non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Constr Contr. Number Expiration Date ~~:~ing Electrician Owners Name ~ ,/I2.t.~ Address UlJ Cf~nU"1M./ -" Ci ty [i1/UM ~ () /{)7~one(rD?}jL{~Zri17rr OT,lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE~-----:;-~~~~--------~------ RECEIPT #: (ifJ X'D") RECEIVED BY: II~ (/~ New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular,Dw~lling Service or Feeder $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 60~ amps to/l000 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 Relocation 200 amps"oT less $ 40.00 L( u,Ci) 201 amps to 400 amps S 55.00 Over 401 to 600 amps S 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits ,. 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 no t 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 LtO.6D 5% State Surcharge J,.(J!) 3%',Administrative Fee t . ')~O TOTAL -Q~---,W '1 ~,.. Willamalane ~g Pa,k '" ReC'eatiO~ D;stdct Job No. Cl6tJ't&l7 'SYSTEMS DEVElOPMENT CHARGE WORKSHEET NAME: ~ Rob0Jt7 , PHONE:. (&JD?J),~" {pO'1~ '- -" ADDRESS: 200 ~WI';(JYl{)rd' STATE: dk ZIP LOCATION OF PROPOSED BUILDING SITE: '.' '~ Street Address if Known: ~ fu,vl. f 1.1..itv 0t.. 1:- l/JIJ L;;. 1 0 ~ I , , Platt Name: C1ttw 1&1otL Tax Lot Number: 1'1 D~~ ()'5lJO(P 1. DEVELOPMENT TYPE (Check appropriate dwellirig(s>. SDC Calculations and dwelling type definitions are on the back.) " A. Sine:le Familv - Detached Single Family home NO OF UNITS B. Sine:le Familv - Attached - \ 'V NO OF UNITS C. Multi-Familv Aoartment ' NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT _=" $' . X $370 PER UNIT = : $ltM.bO X $777 PER UNIT = .$ X $280 PER UNIT = $ $~.b{) 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit> ~ elM !; I~~) rr<mmflnitv Spr"irp<: nid0~ Date $ $ ,4tJ.60 q~ ATTACHMENT 81 NO. ,CfSQzG::>j CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET : (COMMERCIAL & RESIDENTIAL) . NAME OR COI1PANY: ~N 'f:08E-e./> , ~eu....tA LOCATION: 704-b 1-<::1-f..f; 4u44-<b S. 76ft;! DEVELOPMENT TYPE: L-[)f< - AI f3;1IV DVPl-E-,X f / b z.?7 '533 - 015 00 Go BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~o B 17 ' , " LOT SI7F SQ. Ft. X $0.209 PER SQ. FT. ~~4~ 2. SANlIARY SEWER-CITY NO. OF PFU'S ?;b (See Reverse) X $43.26 PER PFU c:; 55;;;; '---- .---/ 3. TRANSPORT MlOl'i NO OF UNITS X TRIP RATE X COST PER TRIP '2 X I. 0 I X $436. 19 X X $436.19 c;;~ I'o~ "'--- ~ $ x X $436.19 $ SUBTOTAL (ADD ITEMS 1. 2, & 3) $ ,?b<3? ~ 4. SANTTARY SFWFR-MWMC NO. OF PFU'S '?'- x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ~'Z-e/g4 (Use PFU Total From Item 2 Above) , MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 51- '-! TOTAL -MWMC SDC ($ S, ~ ,,1, ) SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3CoC;9~ 5. AOMINTSTATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 , ~<3~~;J ---- -- ~~' ,--~ ,.L~ , _ '. ,. 11",,-,'1"" ~ J:' -Hl;.. .~ ::J. r._-. SO Coordi nator I Date: ~/(S /4'3 { I IQIAI SOG $ ~B4t..- e~ 82.S0C . FIXTURE UNIT CALCULA -r',N TABLE: Number of New FixtUi (NOTE: For remodels,"cald:ilate only tl. ....&I additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub ...................................................................... Drinking 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, Residential Kitchen........................ Urinal, Stall/W all;.'. !"~.""""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,;,,, Wash Basin/lavatorY,' Single............................ ...... Toilet, Public Installation....... ........................... ...... Toilet, Private............................. ...... ..... ...........:.;. Miscellaneous: ? 'Z- , I 2- 4-' 4- Unit Equivalent =' Fixture Units UNIT FIXTURE ,- EQUIVALENT UNITS 2 1 2 3 6 :,,' 2,;." :6 6 , 1 3 2 1 /Head 2 2 1 6 4 TOTAL FIXTURE UNITS ~ 4 z + 4 ,,, ~" 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 1979 or before 1980 ,1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 5~/8 Credit for Parcel or land Only If Applicable Improvem~nt (if after annexation date) ~ . 4(, X $ 1'5. 0 g (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 52 ~