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HomeMy WebLinkAboutPermit Building 1993-12-3 't~ '1-5- '10 '~ ~~V~ ASSESSORS MAP' TAX LOT: O-QGlOO LOT: 77 BLOCK: -L SUBDIVISION:~~~ ~~ OWNER: ,E/LE"'r=,A/ (' E;fIv/~r ~.?~ :;k~~~~ PHONE: ?0/"7-f/2~r:::: ADDRESS:~ \of)l~ ~ _I,\" ,~J\, -3-\\}\G:\- ~' . " . '-,' _ ' CITY ~'\\\\\'\)~9~~ STATE1~~~, ZIP CJ;l<\:"1PJ DESCRIBE WORK: L~~~q- ~~?/??C':::l ?v:<<#>ff:~~~ 6.//~~- NEW / REMODEL- " ADD~ON DEMOLISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 CONTRACTOR'S NAME ,) -, , GENERAL~~{~V/h, 'PLUMBING: $~~E' MECHANICAL:,eq~~Ci!!E ELECTRICAL: t.~ Ai&~~ '. /' o" .. QUAD AREA: ~:\(..E:P~""") /I OF BLDGS: \ OCCY GROUP::\~()~\J\_ /I OF STORIES: ~ ~ ,."'t- ) _ ._... ~~ WATER HEATER: " ADDRES~, ~ ,b~~# /7 ~_..~ ' ?;P~L~_ ~a ~>~. . CONST. CONTRACTOR /I -5 pZ, c,) ::>~'3" ~ ,- '2., If ~ - Z';"Z... j 6)9~ ' '1,0.'8 8~ I' I , tt"XJ~l ct;:)\()\ - OFFICE USE - LAN'D' USE: \ \\ \ /I OF UNITS: A. ;,) V'JV CONSTR. TYPE' HEAT SOURCE: b.L:z:--/~0 RANGE: U" , JOB NUMBER 9~/:?/;? 225 Fi fth Street Springfield, Oregon 97477 " " I 51-. ,:' A~.. "/ EXPIRES PHONE .. .' /P7/~ ?9'7-C(B7Z-- ,~. /8.c(o 34Q.\r)'L~ \.5 .~ \ .Q4 '\ L\ lo-. \ lo'L\ \0 .s .qL\ 'f\,Q. tf)' f)()4~ FLOOD PLAIN: - ZONING CODE:ill~ . 1.1 /I OF BDRMS: _ "'-.-). - SECONDARY HEAT: H {J SQUARE FOOTAGE:c!lLO I cr' 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, o Temporary Electric [2(] Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. / IX] Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. I IX] Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. /0 J Underlloor Plumbing/Mechanical _ Prior to insulation or decking. j [Xl Post and Beam - Prior to floor , insulation or decking. . I ./1 Floor Insulation - Prior to decki ng. ~ Sanitary Sewer - Prior to filling trench. IY1 Storm Sewer - Prior to filling ~ trenctl, IVl Water Line - Prior to filling ~ trench, . " '. ~ . . . IVl RoughPllimbing ~ Prior to ,-+-1 cover. ~r REQUIRED INSPECTIONS IT] Rough Mechanical :- Prior to cove~ ' i:P1 Rough Electrical - Prior to L.4-l cover. lZJ Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing , materials and framing Insp. Kl Framing - Prior to cover. ~ Wall/Ceiling Insulation"":' Prior to cover. !2J Drywall - Prior to tapi r]g, D Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. " IV1 Curbcut & Approach - After ~ forms are erected"but prior to placement of concrete. IU1 Sidewalk & Driveway - After LR excavation is complete, forms and sub-base material in place. o Fence - When 26'mpleted. " CEJ Street Trees - Wl;1en all required trees are planted, -'-> ".~I.. '.- , rYl Final Plumbing - When all .IL\,J plumbing work is complete. r71 Final Electrical - When all ~ electrical worl, is complete. I:Vl Final Mechanical - When all ~ mechanical worl< is complete. fIVl Fimll .Building- When all ~ required inspections have been approved and building is completed. I. j' D 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 ConnEiction - When blocking, set-u'p. 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. Setbacl<s HSE'GAR'ACCI ~?/' La' I/~ ) 16' Lot laces oS Lot Type Lot sq. Itg. ~? L Interior I P.L. Lot coverage ~ Corner IN , ~ Is Topography Panhan'dle ~tal height ~q/ Cul-de.sac' ,Iw , UQ,'\.Q.~ C6'y,> IE , BUILDING PERM.IT ITEM SQ. FT. '/~ '3'7 6'3& X $1 S0. FT. ~;2&:- /~p lit 7~. '2.i- ~:>.~ VALUE Main Garage Carport - """c' .... . -...... . ~7Y6.6r ~.A? 1'y\\-'\ i,~.~~O/ ~ '?bo/.:2~ ' SYSTEMS DEVELOPMENT CHARGE (SDC) J.L --z..o (B) ~~?\\.- Total,Value Building Permit Fee State Surch'arge' , '.. . -~. " Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO '3 / -92.5'c:> Sanitary S,ewer FT " . JS '\ Water FT. " ' Storm Sewer FT. ,\ Mobile Home Plumbing Permit I ~;:;>. _f""'.::r:> --i. .. _- State Surcharge 9..3 Total Charge (C) ~'2 .J~ " ':; 1V!:f:CHANICAL PERMIT ~ \ I\.I -, 6. #, t> /.- Fyr.fiii'ce Exhaust Hood t/."~ NO -:;r, .". ~" Vent Fan Wood Stov~/lnser~PlacejJ.o.l.t./ /~. -- Dryer Vent '3"_c::a-c. ~';, I'; Mechanical Permit 3?~' /~~ -- 1.1 Issuance State Su rcharge /.88- Total Permit . (D) ~ 9. ?f~ .,.j MISCELLANEOUS PERMITS Mobile Home , ~ State Issuance State Surcharge' Sidewalk "'7-0 ,ft ~'I' ft 2LP. $"0 /~,/O Curbcut Demolition State Surcharge ~~/h~g ~~~ o-c:s '" ~3~bC> ~~2 .5'7 Total Miscellaneolls Permits (E) -'.i TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) '5(:> , IS THE PROPOSED WORK IN T~E 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance, , ," ...... """ " \ APPROVEQ: " BUILDING VALUE, PLAN CHECK AND EfUILDING PERMIT T.ciS perm.!t is grantl:!.d on the express condition that the said co'nstruction sh~II, in all respects,'coriform to the Ordinance adopted by the City of Springfield, incltJding the Development Code, regulating the construction and use of , buildings, and may be susperide~ or revoked at 'any time upon violation of any provisions of said ordinances. Plan Check Fee: ", ~!2',/~ Date Paid: /~e::9~3 Receipt Number' /tP~tj/g , ."R"~ceiV~'d By, . _ /, ~~ #0 "'&' - .~.- '\ Pk!"~ eviewed(B1' - -~/,~,' , ,I ,/~~ "3- -. Date Systems Development c;harge-Js d,l,le . OIl, all undeveloped properties within the C!~YJi~,it~ which are being improved. " ....., ADDITIONAL COMMENTS $~~~~~ .~ cM~Q j()rnti,l 19\CD() ~+- \ / d)(); q I 0 \\UJ\~,)~ck. ~\c\~~~~~ By signature, I state and agree, that I have carelully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certffy that any and all work performed shall be done in accordanc'e with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and tl:1at NO OCCUPANCY will be made of any structure wittlout permission of the Building Safety Division. I further certily ttlat only contractors and employees w\lo 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 f;cint of the property, and the approved set of plans will remain :~g~:~u:~~) ?3?;?;t~on I ~/~ )0 :J, ^. Date VALIDATION: RECEIPT NUMBER 11010') iJ../ ::?JCJ~ 36 $'tf.1Z- ? O~ DATE PAID AMOUNT RECEIVED RECEIVED BY JOB NO. :3?;; I 7 ( 'L CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: E,Lf..;:::'f\i Lt:A\!/-r( c~ /iTe ~tzG,e.N70N LOCATION: 51/ CI+~CADt;Df2-1 vrC DEVELOPMENT TYPE: LVi<-. - Nf:VJ Sf;:f2. BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~0 '?'l-- X $0.203 PER SQ. FT. G5'{~ ~~ ............. ~ 2. SANITARY SEWER-CITY NO. OF PFU'S ].2;7 X $42.08 PER PFU ~~1~~ (See Reverse) '--- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X J.e t X $424.31 X X $424.31 X X $424.31 ~18~ $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S /Z7:J x $15.125 PER PFU + $10 MWMC ADM FEE $ '3S--Y<C.:!- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ C::,7 /'2 ~ -,?~ TOTAL-MWMC SDC ~qO ~) SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ -2 '2--0 \ \.:: 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 }-~' _, ~~cL Je..- i' Iter.. /~3 o Kip Burdick I I SDC Coordinator 41(O~I~ '-- ~ -2-0 TOTAL SDC $~~ ~ FIXTURE UNIT,GALCUL 10N TABLE: Number of New Fixture~ Jnit Equivalent = Fixture Units (NOTE: For remodels, calcul~te only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS ~ 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ Bathtub,..,.......... ..,.,........... ..'....''....''....'.....'.'..'..... Drinking Fountain, ...........,........,........:'....,.,...,..,....... Roor Drain..... ......,..................,....".....,.... ..,..,........... Interceptors For Grease/Oil/Sollds/Ete.........,....... Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/aotheswasher....,.,..,. ...' .... ........... ..,.. aotheswa~er - 3 Or More........_............................ Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Ete.. Shower, Single .Stall....................... .............. .......,.... Shower, Gang................ -.....-.............. .......,..,..........: Sink, Bar, COmmercial.........._.................................. Urinal, StallfWall.......................... -.. -...,............ .'....,... Wash Basin/Lavatory, Singlem.............,.....,........... Water aoset, Public Installation.....................,....... Water aoset, Private..................... ............., ........,... Miscellaneous: L 2. '2 ? ? ('2- 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 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 , 1.93 1.57 1.18 0.79 0.44 0.28 / 7 1_2- .;) . 2-1 X $ kP. q I , to (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ rv 7. '!:- Credit for Parcel or land Only If Applicable Improvement (rt after annexation date) 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 '" ~ ~~ lL'!lll!m!!~!!~ Job No. C~\~\~ S,YSTEMS DEVELOPMENT CHARGE WORKSHEET . NAME: ~jU\\~nlc)~tt ADDRESS: ~\f'\ \O\'{\~U\l\ 6t J i ~.~ LOCATION OF PROPOSED BUILDING SITE: a-t ~" Street Address if Known: .5'\ \ '~.1llJ(\I1Llo' ,'0.\\ \ 1L Platt Name:~\1'S\fu % \.~ Tax Lot Number: \'\ \)~.~~ ~fdC(llJ PHONE: rwl-4Q3lo STATE:fI\L ZIP g%,~g 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.) A. Sim!le Familv - Detached \ Single Family home NO OF UNITS Manufactured home not in a park X $400 PER UNIT = $ c\OW B. , Sinele Familv - Attached NO OF UNITS X $370 PER UNIT = $ " C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $4\JlJPO $ 0 $ \Dr'l00 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. . ,3. TOT At WPRD NET SDC ASSESSED (If.SDC reduced for Credit) \C\:0 -) ~~ \" Community se~ ""''I'on City of Springfield -', \~ / 3 / 93 Date , ,',.;i('o ?r;:,;.~,:\.~':,::~;:~;;.;,;:~::~;::>.~':~t;;~ ';~~~'~)! 225 FIFTH STREET ~';~':,<~;;,.'~:',~:,'.;j~~i;A,;;~f;C '''.:~ ELECTRICAL PERMIT APPLICATION i~~~~~~:;>REg~~~~ 9~~~~3;;~9 Z":'\li:~~,,_~:D.---,~.__'_'''. Ci ty Job Number q~ ,\'\\~ OFFICE: 726-3759' U;:5:,:,~..~.:?::\3L0.~~> 3. Gin.MEbE-TE-~CHEDULE BELOV 1. L~CAT\ON ~S~~N,~:,:r" 'i.i;:'i\,'.''''\''J'''~:- New Residen t ial-Single or '- Multi-Family per dwelling unit. Service Included: . LEGAL DES~PTION . \'\()~'3S~ rJAC\OO JOB DESClqIffION \\ ~~~ ~~~~ ~~.d)IQ\98" Permits are non-transfera~e and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. , 2. CONTRACTOR INSTALLATION ONLY , Electrical ContraClt)WN's FI J:CTR/C PO BOX A 726-7895 Address FALL CREEK OR 97438 City Phone Supervisor License Number .~~,J)?- > /0;43 Expfration Date ., C. Temporary Services or'Feeders Installation, Alteration or Relocation .' , Constr Contr. Number :J:YO;~~ Expiration Date /~ \(').s.~ Signature of Supervising Electrician i)~ ~~ ~ Owners Nam~ f1Lo..o..J0I. ~ ~ t ~\ \ \_' Address\\ \1) \()\1)':\ \ \'\. ~~ ~)\~ City ....~r:;~\~ Phone 'V\f\-~~~\o \ ' OVNER STALLATION The installatiori is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~--------j~J~I~~----------------- RECEIPT I: j J ()V;J RECEIVED BY: \50,0", ~ Items Cost Sum 1000 sq.ft. or less $ 85.00 eKl Each additional 500 sq. ft or portion 4- \rD thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ ~po . ~.AS \ ~S::t: ,A,- 40.00 40.00 20.00 36.00