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Home My WebLink AboutPermit Building 1995-6-6 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 726 3759 - LOCATION OF PROPOSED WORK ~C\ \ 50~ao'rl.. \ JOB NUMBER qSC1oh~ 225 Fifth Street Springfield, oregon 97477 TAX LOT ('A~ SUBDIVISIO"'CLh \ \r\QS\ Gn"l\~ PHONE M:4 InC\la...l11 ZIP q,\4/19. ASSESSOR~AP LOT ~'\ OWNE~t1Qm F'rYt0Y-0\~1~(\' ADDRESS 9:,Ci\51 10\\ ~':l, f) nr\ ,'ltl\ CITY "-~1\ \1\~~Q~N. STATE ~\\L,\\'J'(\ DESCRIBE WORK ~\ 'f\l') \ Q , KC\ ff\ I ~ t,l, "~--4lc\ ~ D.c~ NEW ~ REMODEL ~ADDITION DE~'S~ OTHER BLOCK CONST CONTRACT~ME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAI\ ~onr:(\b q~0DK 1\ Lq C\to Q1.3loltDL PLUMBING J'~. ~ rt \.".nlL~ t \ CS \1-;\\ C\ \C\ C\\o 1o~3 Sl\ tn MECHANIC^ I , Q\r, ~ j) n f i1.+, q 'L.1..DR ') 2q q{p QZ3foWOZ. ELECTRICAL ' ~L\ ~ 1.~ '~, InRl"\-S C\ ~ qs 4-1S JJ~q - OFFICE USE - QUAD AREA , ~S(l _ LAND USE __11' I FLOOD PLAIN # OF BLDGS I # OF UNITS I ZONING CODE .1iJJ2- OCCY GROUP Q?,+.M CONSTR TYPE UAJ # OF BDRMS ,'j # OF STORIES I HEAT SOURCE (1) 1-1 SECONDARY HEAT {2 WATER HEATER EJ RANGE r__ SQUARE FOOTAGE tr(J~~ To request an Inspection, you must call 7263769 This Is a 24 hour recording All Inspections requested before 700 am wJlI be made the same working day. Inspecttons requested after 700 a m will be made the follOWing work day o Temporary ElectriC o Site Inspection - To be made after excavation, but prior to setting forms o Underslab Plumbing/ Electncal! Mechamcal - Prror to cover ~ootlng - After trenches are excavated o Masonry - Steel location, bond beams, grouting ~undatlon - After forms are erected but prror to concrete placement o Underground Plumbing - PrIor to filling trench ~nderfloor PlumbIng/Mechanical - Prror to Insulation or decking ~ost and Beam - PrIor to floor insulatlon or deckIng ~Ioor Insulation - Prior to decking ~nltary Sewer - Prior to fIlling trench ~Iorm Sewer - Prior to ftlllng trench ~ater Line - PrIor to filling trench ~OU9h Plumbing - Pflor to cover REQUIRED INSPECTIONS ~ough Mechanical - Prior to cover ~OU9h Electrical - Prior to cover c:g.::lectncal Service - Must .be approved to obtaIn permanent electrical power D Fireplace - Prior to facing materials and framing Insp Q-P-ramm9 - Prior to cover ~all/Celllng Insulation - Prror to cover Q-Drywau - Prior to tapIng D Wood Stove - After Installation o Inser\ - After fireplace approval and installation of unit G";:urbcut & Approach - After forms are erected but prIor to placement of concrete ~Sldewalk & Dnveway - After excavation is complete, forms and sub.base material tn place o Fence - When completed I o S~reet Trees - When all reqUIred tr~es are planted ~tnal Plumbmg - When all plumbing work Is complete ~Inal Electrical - When all electrical work Is complete ~tnal Mechamcal - When all mechanical work Is complete ~mal BUIlding - When all required InspectIons have been approved and bUilding Is completed DOther MOBILE HOME INSPECTIONS D Blocking and Set Up - When all blockIng Is complete o Plumbmg Connections - When home has been connected to water and sewer ! I o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home IS connected to the servIce panel o Fmal - After all required Inspectlons are approved and porches, skIrtIng, decks, and ventlng have been Installed Lot faces Lot TYPE Setbacks , IS THE PROPOSED WORK IN THE Lot sq ftg ,,/ I PL IHSEIGARIACCI HISTORICAL DISTRICT. OR ON n _ Intenor IN I I I I THE HISTORICAL REGISTERlL n Lot coverage Corner Is I I If yes, this applicatIon must be signed Topography Panhandle and approved by the Historical ~/) I Coordinator prior to permit Issuance Total height CuI de sac W E I APPROVED '- BUILDING PERMIT ITEM sa FT \ \'213 ~\.JD X $/SO FT 5\J, 20 \'\. \[) MaIn Garage Carport Total Val ue Building Permit Fee State Surcharge +- ~ 006 Total Fee (A) VALUE \.o~\1!t '1 '6<:\ lD "\~f)D "m. 00 A!jc\~ 2/1 \ 0.0. 'd-. SYSTEMS DEVELOPMENT CHARGE (SDC) fI?, (B) fI; tt; B8 05- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' c9. Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + 3.0/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State surc~~e Sidewalk ~ ft Curbcut tft? ft Demolition State Surcharge '-~_ \l\~ (\._\l~\'i00 FEE \\ 00 (:D \ '-of) C:f.) \ :4. ?D \I~~ 4 Sf) q.cD ~co \\n SQ \\JCO \ ,~s.. ~ P:,":) ~Dm I~ g{) 4\)cD 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 Plan Check Fee Date Paid yv .(/,~ )Y' Receipt Number Received By t\m \'\\~. \ ~ hi Plans Reviewed By . '" . Date Systems Development Charge Is due on all undeveloped propertIes withIn the City limits which are being Improved ADDITIONAL COMMENTS "r.,p b\\f\ ~ y . ~ ~A 0 II 'Y1> ~ V .D..J ~ . _ . .--._. .. .._ H ... u4,. \.SAf\ \\ ~ }[ f[ sPa \ C\ LD() ~(\l-h \ By signature, I state and agree, that I have carefully examined the completed applIcation and do hereby certtfy that all information hereon Is true and correct, and I further certtfy 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 701055 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 se f plans will remain o~he site at times durin on r cllon 'ig\ture /o~ VALIDATION .~ h vt RECEIPT NUty1BER ~!' -' f \ ~lO' DATE PAID \0 ,ijY LJ'::::. _ AMOUNT RECEFAD (iJ:o;.l)f eft-, \U{ RECEIVED BY f/ ) ."'" -- Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding elect"cal)~R~q9~ (A, B, C, 0, and E Combined) I . ' The followIng project as submitted hQ:s tho fo1lowln zoning, and does not require spe\f Ie IS'1d vse approval 225 FIFTH STREET L 0 " SPRINGFIELD, OREGON 971,77 Zonlno . """ 'V" INSPECTION REQUEST: 72608169 ~/I.t. -~) OFFICE: 726-3759 1. Authorized Slgnature_N M LOCATION OF INSTA,CJ.[\TION,4 ?1:lr C#/J.Au<vf1L>O A. \ ~&fuCR([{ION f\f)_~ J~E~PJ~O~ Permits are non-tra~sferable and exp1re if work is not started w1thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor AllfA) Elfc+Rlc...- Address (.::2 2>1.0 ?,~ E,+ Phone t...llS-,1/?/1 Ci ty !Y\,v-IRAS Supervisor License Number / Dnfo.S Expiration Date /rJ-/-tf.C:: Constr Contr. Number (vg7'-1~ Expiration Date q-Jj-q~ Si~ature of Supervis1ng Electrician l?4~ yJ ~.. r! A1___1/l D. . Owners Name ~~'-""" ~ ~/ - c /.?J' Address .7)'77' "". =<;;). ~ ~ City ~.eL"J:-. Phone '7~/O -L.p"cc ....;1. - OVNER INSTALLATION The 1nstallation 1S being made on property I own Wh1Ch 1S not 1ntended for sale, lease or rent. Owners Slgnature: ~A~~~-------t-o--tzr. -t:1~-----~1~1~ RECEIPT 11: I. ~L RECEIVED BY: r; ') ( L),\ _ ELECTRICAL PERMIT APPLICATION C1ty Job Number q~Dl~ COHPLETE FEE SCHEDULE BELOV New Residential-S1ngle or Mult1-Family per dwell1ng SerV1ce Included' uni to Items Cost Sum 1000 sq.ft. or less Each add1t1onal 500 sq. ft or port1on thereof Each Manuf'd Home or Modular Dwell1ng Service or Feeder \ $ 85.00 ~ ~ $ 15.00 ~ $ 40.00 B. Serv1ces or Feeders Installat1on, Alteratlons or Reloca Oon: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts - $300.00 Reconnect Only $ 40 00 C. Temporary Serv1ces or Feeders Installat1on, Alteration or Relocatlon 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 liB" above Branch C,rcu,ts New, Alteration or Extens10n Per Panel One C1rcUl t Each Add1t1onal CIrcuIt or WIth SerVIce or Feeder Perm1t $ 35 00 $ 2 00 E. M1scellaneous (Serv1ce/feeder not lncluded) -Each 1nstallat1on Pump or 1rr1gat1on $ 40.00 Slgn/Outl1ne L1ght1ng $ 40.00 L1m1ted Energy/Res $ 20.00 Lim1ted Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE \ \ Sp6 5% State Surcharge ~...,S ~ octo ?~S ~ \~'\ 2.Z> - NO. Cf50C:7'67 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR CO~IPANY ~AYDEtJ E:J..1rERFlZtSE':::> INc LOCATION thq Cf./-€.!ZtJ KEf'- / ~ 0"2-- () ""J.-/ - "2. SN DEVELOPMENT TYPE' LoR. - NE"::-W SFR BUILDING SIZE LOT SIZE SQ. Ft. I STORM DRAINAGI;: IMPERV IOUS SQ FT NA 2 SANITARY SEWER-CITY NO OF PFU'S /<6 (See Reverse) 3 TRANSPORTATION X $0 209 PER SQ FT ~-B-~ X $43 26 PER PFU ~ NO OF UNITS X TRIP RATE X COST PER TRIP X /01 X $436 19 G <w>S0 ......... ----' X X $436 19 . $ X X $436 19 $ 4 SANITARY SEWER-MWMC NO OF PFU'S l'l x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ 3/"14-3.- TOTAL-MWMC SDC $ Zf.,:z-!> ~ ~ $ 1'51'2.. 4-2. MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) . k:2~ ~ Ltlc- , (j Kl P Burdlck SDC Coordlnator X .05 Date. 5,4.'3 hr; / / TOTAL SDC G 75';; '- ............- $ 1'56804 FIXTURE UNIT GALCULA TION TABLE: Number of New F.xtures X Unit EquIvalent = FIxture UnIts (NOTE: For remodels, calculate only the [additIOnal ftxturcs) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub .. Dnnkmg Fountain Floor Drain Interceptors For GrcascfOlllSol1ds/Etc Interceptors For Sand/Auto Wash/Etc laundry Tub/Clothesw3shcr Clothcsw3..11er - 3 Or More Mob(lc Home. Par"- Trap (1 Per T raller) Receptor For Hefngeralor!Vyaler Slatlon/Etc Receptor For CommercIal Slnk/Dlshwasher/Etc. Shower, Single Stall Shower, Gang Smk 8ar, CommercIaL Resldenttal KItchen Unnal, StalliWall Wash BasIn/lavatory, SIngle T ollel, PublIC InstallatIon TOIlet Pnvate Ml..;cellancous 2. z. z.. TOTAL I-I>,TUHE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 FIXTURE _ UNITS 4- z z. 2- 8 \€, CREDIl CALCULATION TABLE Based on assessed value If lmprovements occurred afler annexatIon date m table, C3\CU!3tC credlls scpJrdlC~ YCJ' Annc>.cd L 1979 or before 1980 1981 1982 1983 1984 1985 ndle per $1,000 A,sessed Value $346 338 332 321 306 292 273 CredIt for Parcel or land Only If Applicable Improvement (If after annexatIon date) Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1 000 ;"..;scsscd Value 'j $246 214 177 1 37 097 061 o 44 015 1.." 2-~ ? 4(, X $ ,.'S8 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 2.(,2~