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HomeMy WebLinkAboutPermit Building 1995-5-31 -- ....~,..l.\ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT: '7 (' OWNER: ~7:~r.~~~E ADDRESS: SPRINGFIELD BLOCK: \ 1.\ .--- " '3- 8BeS r j: JOB NUMBER ~S-~ <'/;>9 225 Fi fttl Street Springfield, Oregon 97477 PHONE: 9:~~ ......Y'2 /' ~ ~~~c~ DESCRIBE WORK: 4~~?/5'~;:- ,/J~~C~ M,~# ,~~~ NEW REMODEL ADDITION DEMOLISH OTHER CITY' STATE: ~ _ ZIP: ~~~- >/~;::. , \ \ : CONST. <?FiCl- '75'"r-7~') C. ONTRACTOR'S NA~ME ADDR~.'. ~'CONTRACTOR ,II EXPIRES . PHONE. ' ," .8?Y7/~~?J; ~ ~ ,,' GENERAL:~~ ,,~~-?~9~., '.,. ~:::;>6~_ /.2"2~~ ?o/?-~~~ PLUMBING:~~ eFT~S ~~~Of){p La' \Dq~ \o~' \~CL\ MECHANICAL: ELECTRICAL:~.~~ '" QUAD AREl:4~<f:e II OF BLDGS: ~ \ OCCY GROUP: \\~-t- ,~ \ c "' WATER HEATER: ( -- II OF STORIES: \ .... , '6ct\'2.3 ~ . ~q liLJ441ll&; - OFFICE USE - LAND USE: \ \ ~O II OF UNITS: A A I CONSTR. TYPE: V IV HEAT SOURCE: B'Cq~L'L RANGE: ,S, , . FLOOD PLAIN: ZONING CO'DE: \ f\ V", II OF BDRMS: ~~_ SECONDARY HEAT: _, IZ!'..., SQUARE FOOTAGE: _~ \S~ ' . 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, Inspection's requested after 7:00 a.m. will be made the following work day, o Temporary Electric REQUIRED INSPECTIONS T"x1 Rough Mechanical ~' Prior to ~ cove~ , ~ite Inspection - To be made r"'C7f' Rough Electrical - Prior to ~~fter excavation, but prior to ./ ~ cover. setting forms. ~S ; ~/L.. D Underslab Plumblng/Electrical/ Mechanical - Prior to cover. ../ 'C".7I" Footing - After trenches are ~ excavated. ' D Masonry - Steel location, bond beams, grouting. ' 1""'5<( Foundation - After forms are ~rected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~. underflat5i'Plumblng~.chanical ~ - PrloNo~vlI vr decking. r\:7f Electrical Servlc~ - Must 'be ?J approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~ Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taPI~g:, D Wood Stove - After Installation. f";;;7( Post and Beam ~-Prlor to floor ~ Insulation or decking. · . I D. Insert - After fireplace approval.' f ,,;; I and Installation of unit. .. , I; I I. ./~. " ' I . . // 'f'x'1 Floor Insulation';'" Prior to' '.', ' : ~ decking. '- '\ -p Curbcut & Appro'ach - After i) ~forms are erected but pri,or'to r;;;7T Sanitary Sewer _ Prior to filling !", placement of concrete. - ~ trench. .. ' , IN' Sidewalk & Driveway - After ~excavation Is complete, forms and'sub-base material in place, i\:A Storm Sewer - Prior to filling ~ trench. . M-Water Line - Prior to filling ~ trench. ]';(fROUgh Plumbing --:- Prior to r cover. . ,'" .. D Fence, - When cOli1pl~'ted. f)<1 Street Trees - WhE:ln .al~ requ~red -" -trees are planted. .. c''''. :' : M Final. Plumbing - When all ~plumbing w9rl< Is complete, ,,,,/(Final Electrical - When all ~ electrical work is complete. ~Flnal Mechanical - When all ~~chanical worl< is complete. ~Final Building - When all ~required Inspections have been approved and building is completed, D Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking is complete. , 0 PJumblng Connections - When home 11as been connected to water and sewer, o Electrical Connection - When ,f, blocking, set-up. and plumbing inspections have been approved and the home is connected to the service panel. o Final - After all required Ins'pections are approved and porches, skirting, decks. and venting have been installed, . Lot laces ~ Lot sq. Itg. ~ Lot coverage ,'s~2 /l. Topography /D ~ rv\ t... I . Total height Qt::L".) C~~ BUILDING PERMIT .. . '" . ~;-. " ;:-'.., :,C;',r ':i \ Lot Ty Setbacks Interior I p.l. HSE GAR ACC \/ Corner I N I~ Panhandle Is 1(; Cul-de-sac Iw 10 5 'I'E /1,S" /Ib jlX;iLZ -H2-~ 5S:~{. b!7. 3~ SYSTEMS DEVELOPMENT CHARGE (SDC) .J.h. (B) c!\-?~b~'j,. 1P ITEM SO. FT. } '7&1 ~lQ3 Main Garage Carport Total Value Building Permit Fee State Surcharge 7? 10 -r/,j!-~ Total Fee X $/SO. FT. = VALUE 610.9.0 9~J31b9 ,L\ . \ 0" t,S-z.g (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO 2 X 2- Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge I C:. -r 7r~ () Total Charge (C) FEE ~2.8 .&6 Z5,~O '!-,4~.~ MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge ,?V -f-. Sf Total Permit (D), ::;2-- Z- CJ,tJO ~~ 3, c:ro J~.bO /Qao - I.H k/.~~ MISCELL.~NEOUS PERMITS Mobile .Home State Issuance State Surcharge Sidewalk jSi It Curbcut ~'fl Demolition State Surcharge ~~~ Total Miscellaneous Permits (E) ~I"" . ~~/o / 7. 20 '.. .'. .. ~~3G) 3:31/~O ~~a 76: ~-:"~.. L TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 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. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the expr~s condition t.hat 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. Plan Check Fee: -Z:!;:. 7,3 : Date Paid: Receipt Number: Received By: ,?3~~ Plans Reviewed By sfz.-As- " Dzfe Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITION. AL C.9Jv1ME~~h ~~ ~~///P/ 95i::J~~? ~~?Z:t"-t' 4-r~?) /6~;'5 C1M~ 0t~cLLt- MT'I f> \O)rJPi) Lf1JltKJA~-1fHL ~". Iq(oO ,"- 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 accordanc'e with the Ordinanc(;ls 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,tQ~t,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 all ni~es ~rlng construction. Are m~ Date ( ~ \ \ a( . VALIDATION: C /1ECEIPT NUMBER '158 DATE PAID 0 .\.~ \,~ I AMOUNT RI;CE"VE~ bc:r'''/.::>8 RECEIVED BY O~ \Da_) ;, ,,,; ., ., JJ.?... Willamalane 't-g' Pa,k & Rec'eat;o~ Distdct :"'1(1\ ;11 I}' ,~ Job No. Qro411 ~, cN(\,L SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: PHONE: 'q33-~73 ADDRESS: STATE: . ZIP " ::. .1' . lqCATlON OF PROPOSED By!-l,IJ' ~G Sire, 1111. ','"" rv\ " I')\t\ f\!'i , Street Add.ress if Known: n l J't\ ~M\I\o V~ lli, _ ~. D.1\ ,txJ l \. ) \: ~ P/attName: "~~du~tnOlL Tax Lot Number: \~'073S33 O~ 1. DEVELOPMENT TYPE (cnec!< appropriate dwellingCs). SOC Calculations and dwelling type definitions are on the back.) , ' '. A Simz/e Familv - Detached fl"1 Single Family home NO OF UNITS. Manufactured home not in a park X $400 PER UNIT _=.. , . $ . '. B. Simzle Family - Attached . NO OF UNITS g X $370 PER UNIT = . $ 140.cxJ C. Multi-Familv Aoartment . NO ,OF UNITS X $~77 PER UNIT = $ D. Manufactured Home Park NQ OF UNITS ' X $280 PER UNIT = , ' $' WPRD SDC . '. . $ ~4D\ro 'g $ $0-4 ().m 2. SDC CREDIT' (If applicable) SDC-payer must furnish proof ofWPRD Credit approval. See SOC Credit Worksheet , . . ' 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced {or Credit> \ \C)/l~l/qS n;1tp 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 3. ~1A~onn~~h"A~FA. . LEGAL D~<;:RIPT:JAN~ \ ITL . I ')OfJ. (~EO-(~ (JG~ \. -b;~ 0r~ION A\?:[ Permits \re 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~TIO~ l~NLYh.\... B. Electrical contrac~rO\\~'\d!~r"&V Address ~~ ~ la<F)'"'-QQ . City ~ Phone 'AA. \\\r5 supervi;or\.2icen~umber ~S') ~ \D. \ .~f=) Constr Contr. Number ~~~~~ 0.~'~-Lo _ Expiration Date Expiration Date Signature o~supe ising Electrician ~ ~ Owners Name 0Jl b d1n A 0 .J Address0-(O Pf)4s ffi~ ~ ",i--\o<\ ~& Ci ty S()hQ n ~ Phone 4334'LZ/J \ ) OWER I ~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: ~ATE~~----~l--~~~:>-----~ RECEIPT *: 't- \' \ - \ "~S<1 RECEIVED BY:F"'k \ I ) n ) - , - ,-- - ELECTRICAL PERMIT APPLICATION City Job Number ~E)~ COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder f\ a 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 uni t. Cost Sum $ 85.00 \r() $ 15.00 iJe? $ 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 New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 see "B" above $ 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 5% State Surcharge 3% Administradve Fee TOTAL . ~G>.~ /~..~~ ~..~ , ~/6 . cpo" " iB NO. Cf'504- 7'1 CITY OF SPRINGF-IELD, SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 13AI<'T f-IARE LOCATION: 1641 CItMeL.LlA-.4 5/)4 ~. 7oW"PJ..AUE:. /7()'1.???'?'? -0'5005 DEVELOPMENT TYPE: L/}/Z - NE-~,l DUPLE-:>< BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. /:I'2--D? X $0.209 PER SQ. FT. (&,;."/ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) ?~ X $43.26 PER PFU cGS7 3~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 2 x l.o I X X $436.19 X $436.19 X $436.19 ~~-t~) '---- . ~ $ $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S ~~ x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ t;;,'2-B~4- TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) /'g $ 51... - ~ $ '?~84-~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) v~'~~Lc.L ,- -(fKi P Burdick i . SDC Coordinator , , X .05 Date: 4-/~1 /f1.0 ( I TOTAL SDC cG~~~ $ ?~~~ l! FIXTURE UI':f~T CA~~(JliA T"1N TABLE: Number of New FixturE' (NOTE: For remodels. cal~u(at~ only tL ..I additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Unit Equivalent =. Fixture Units UNIT EQUIV ALENT FIXTURE ,. UNITS 2- 2 1 2 3 6 ,2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ Bathtub......................................................... ............. Drinking Fountain.....__.... __........................... ... .......... Floor Drain............................................. --. ................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc..........__...... laundry T ub/Clotheswasher................................... Clotheswasher.- 3 ,Or More,.......__:.....,.__.__.__........... Mobile Home Park Trap (1 Per Trailerh............:.... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL....... ...... .................. ................. Shower, Gang.................. ................... .............. .~..... Sink: 8ar, Commercial; Residential Kitchen........................ Urinal, Stall/Watl....................................... ......... ..'..... Wash Basin/Lavatory, Single..... ............ ................. Toilet, Public Installation... .__................ ..--..........-.. Toilet, Private..__......... ........................... ..... ..... .,..' Miscellaneous: ? 2;. ,. 4- c$ z 4- 4- 4-- 4- /10 TOTAL f-IXTURE UNITS ~0 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 19$3 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Improvement (if after annexation date) '3 . 4~ X $ IS. 0 g (Rate X Assessed Value) X $ (Rate X Assessed Value) 52/,!- Credit for Parcel or land Only If Applicable CREDIT TOTAL $ 52 '!-