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Home My WebLink AboutPermit Building 1995-4-3 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office' 726 3759 NEW REMODEL .. SPRINGFIELD OTHER ~OB NUMBER q!5J....'J..P{) 225 Fifth Street Springfield, Oregon 97477 W~ TAX LOT ( )~3I.X' ) SUBDIVISI"",Q:h\ IND ~f)l\r\Offi - y- - -~ PHONE M4 InCllnl11 ZIP q'\4f]y, CONTRACT~~~NAME ADDRESS GENER^'\ \DC'u 100nr:<lt> PLUMBING y~ ~ r\.. ~rJ.lQ l \ MECHANICAL I Q-\() l \r\.O (\ f JIlL ELECTRICAL I Au ~ ~ ~ CONST CONTRACTOR # q00[)~ CS \\ ~\ q t:2DR InRl"\-S PHONE q13ln\d)L to ~i<l sn \n QZ30tOoz. 4.-lS ?I~q EXPI RES 1\ 2.a.. 0.lo C\ \C\ C\\() 'I 2q q(O L\ ~ qs - OFFICE USE - OUAD AREA '- ~ ,,,(I _ LAND USE III I FLOOD PLAIN # OF BLDGS I # OF UNITS I ZONING CODE LD12-.. OCCY GROUP !<?,+}I\ CONSTR TYPE iJ;U # OF BDRMS .1 # OF STORIES I HEAT SOURCE 11 JI-.f SECONDARY HEAT {2 WATER HEATER E--, RANGE p--- SQUARE FOOTAGE /( c/f. "J To request an Inspection, you must call 7263769 ThIs Is a 24 hour recording All Inspections requested before 700 a m will be made the same working day, Inspections requested after 700 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 UndersJab Plumblng/Electncall Mechanical - Prior to cover ~ootlng - After trenches are excavated D Masonry - Steel location, bond beams, groutmg ~undatlon - After forms are erected but prior to concrete placement D Underground Plumbing - Prior to filling trench [9-Underfloor Plumbing/Mechanical - Prior to Insulation or decking REQUIRED INSPECTIONS ~ough Mechanical - Prior to cover ~ough Electncal - Prior to cover lli:lectncal Service - Must be approved to obtai n permanent electrical power o Fireplace - Prior to facing materials and framIng Insp Q-P-rammQ - Prior to cover ~all/Cellmg Insulation - Prior to cover Q-Drywau - Prior to taping o Wood Stove - After Installation [jd-post and Beam - Prior to floor Insulation or decking .. 0 Insert - After fireplace approval - _" .... '" ~ and Installation of unlt "....... .... .. ....~..........~\ ~Ioor Insulation...,:; Prior to \ ,..._ decking"..... ,... G;:urbcut & Approach - After '" ~ ,........ forms are erected but prIor to ~anltary Sewer _ Prior t~"flllmg placement of concrete trench ~torm Sewer - Prior to filling trench ~ater Line - Prior to filling trench ~OU9h Plumbmg - Prior to cover B'Sldewalk & Driveway - After excavation Is complete, forms and sub base material In place D Fence - When completed o Street Tree. - When all required trees are planted. ' .- , r ~Inal Plumbing - When all plumbing work Is complete ~Inal Electrical - When all electrical work is complete ~mal Mechanical - When all mechanical work Is complete [g'Flnal Building - When all required Inspections have been approved and bUilding IS completed o Other MOBILE HOME INSPECfIONS o Blockln9 and Set Up - When all blocking Is complete o Plumbing Connections - When home has been connected to water and sewer o Electrical Connection - When blocking, set up, and plumbing inspections have been approved and the home IS connected to the service panel o Final - After all required InspectIons are approved and porches, skirting, decks, and venting have been Installed Lot faces L?P Setbacks " IS THE PROPOSED WORK IN THE I PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON t\ Lot sq ftg _ Intenor IN I THE HISTORICAL REGISTERQ..., n Lot coverage Corner Is I If yes, this application must be signed Topography Panhandle and approved by the Historical n Iw I Coordinator prior to permIt Issuance Total height CuI de sac ~~,) IE I APPROVED - BUILDING PERMIT ITEM sa FT \\~3 ~lQD X $/sa FT 5\.011) V\. \l'L Main Garage Carport Total Value Building Permit Fee Slate Surcharge -\- ~OIO Total Fee (A) VALUE \.o'2l~ '1 <60. to lj\~f)D ,y,p., 00 A. f) C\~ ()r')\O.C\~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ \ '2eB~B) 1\".,", '1 ""7- PLUMBING PERMIT ITEM FIxtures Residential Bath(s) N" ~ Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge +3.% Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk '7D It Curbcut ALOft Demolition State Surcharge \~_ \l\~ (\ \l0\~00 FEE \\ 00 p:J H__DDCO \ :4. '?D \I~7':D L\ Sf) 0.. ,cD ~co \\n 5Q lOCO \ 33 ~f") B3 I:R'~ 4\)cD Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electncar<983.-rQg' (A, B, C, D, and E Combined) L_ 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, regulatlng 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 \\.~~ Receipt Number .(? ,~ Received By ~ ~t'iD \\\~ . \l W Plans ReViewed By . v . Date Systems Development Charge Is due on all undeveloped propertles within the City limits which are being Improved ADDITIONAL COMMENTS ,,'lob'r)('\ flY , ,,~Aou n~~ 1:v J..+ \, '1 sPO \.5A\\c:\,~}l , \ Dela() ~(\*,h \ 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 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 set of p~ans wi remain on the sIte at ~ tImes dUr~COn"tl:; _. s,gnature.~A#// /h/, ~ Date ~ ~f/q ~ - ~ - ~ / I-~ /-- VALIDATION \ aZa RECEIPT NUMBER f'> -\ DATE PAID ~ "4--l ~ _ .~ RECEIVED BY _ Lih_ rhe followIng pro1ect as submtttad has tre follov ~ z_" lj';; ...,nd uoe9 not requlia specifIc land use 225 FIFTH STREET op",o,al ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Z"nlna /..-0& l1'e f'\'Jf"'17'\ INSPECTION REQUEST: 726-3Z~,? I, _'2, .;..;' C1ty Job Number '--1.C':LI~j OFFICE: 726-3759 c ~ 1. ~ AU\I,urlzed Signature LOCATION OF INSTALLATION "'" :'\ -;;z, ';4"'i?/ /'/hfi.Y.-!:?R'~ f-Vd.. .......-:...- ". I ~r;ffff:f10N Or1.-:J.(U lUAo0 ;B DESCRIPTION ff.V'" '"'S J?- 2- ,. Permits are non-tra^sferable and expire if work is not started wlthin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Con trac tor ---.BlIF u EItc:f12/r Address I;) s'IA 1 ;<.r;;;\ ~A Ci ty _/Y\.-\rlRA" Phone-=tlS-J./:>,q_ Supervlsor License Number / QOfo S Expiration Date tn-/-q::; Constr Contr. Number lo~7i./r: Expiration Date q-tf-q::; tV3'A COMPLETE FEE SCHEDULE BELOV A. New Residential-Slngle or Multl-Pamlly per dwelling un 1 t. SerVlce Included' Items Cost Sum 1000 sq ft or less I $ 85.00 PD Each addltlona1 500 sq. ft or portion c!J. 30 thereof $ 15.00 Each Manuf'd Home or Modular Dwelllng Service or Feeder $ 40.00 B. Serv1ces or Feeders Installat1on, Alterat10ns or Relocat1on. . Signature of Supervising lectrician t:?/'&A' ,t;P y(J / ~ D. Owners Name-,~~"" 1!:.",)7': -4/1t:.~ Address <j(":J'! ""5, =?;::) ~ <:Jh City..:;z;>F'h'I; Phone 7LJ/!-h9~ OVNER INSTALLATION . The lnstallation 1S be1ng made on property I own wh1ch 1S not 1ntended for sale, lease or rent Owners Signature: ~A~~~-------------~~~-~<:;--------- RECEIPT 11: 11. ! r. ~ ) \'AI!9 RECEIVED BY: urtVlJt~ ~ 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 Relocat1on 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 C1rcu1ts New, Alterat10n or Extens10n Per Panel One CHCU1 t Each Add1t1onal CIrCUIt or Ylth SerVIce or Feeder Perm1t $ 35.00 $ 2.00 E. M1scellaneous (Servlce/feeder -Each 1nstallat1on Pump or 1rr1gat1on Slgn/Outl1ne L1ght1ng L1m1ted Energy/Res L1m1ted Energy/Comm not 1ncluded) 5. $ 40.00 $ 40.00 $ 20.00 $ 36 00 \\S~ ~?~S laA.~O SUBTOTAL OF ABOVE 5% State Surcharge ~~ NO. 9'SO'?€:>D CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY l-\A'(\)E:.N. tt-.1TE.R-f'R\SE:.':>, ~c... LOCATION ?~e, \ QJ-\-i:.R.-olC--E-E:. --p,z..'VE. \"60'2..0(0"2..\ -0'2.""'00 DEVELOPMENT TYPE l-D f2.. - w,E:.W SPf2.. BUILDING SIZE LOT SIZE SQ, Ft. L STORM DRAINAGE: ~ IMPERVIOUS SQ FT 1-164 X $0 209 PER SQ FT 2 SANITARY SEWER-CITY NO OF PFU'S I'D X $43 26 PER PFU 0756~ (See Reverse) 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01 X $436 19 cC 4%5:) X X $436 19 $ X X $436 19 $ 4 SANITARY SEWER,MWMC NO OF PFU'S \ '1 x $17 19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ":> 1"'\ 4-~ TOTAL-MWMC SDC L.Z.~Z2 ~~'>J~ ~ '--. _____ ""f\/ ~ $ I~ \&? \~./" SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) ~ ~ -S . _J-.-~ , -'lj Klp Burdlck SDC Coordlnator X .05 Date. ,?h4-)Cj S , I TOTAL SD~ C,~l~~ $ ~<# \6~goj: Unit Equivalent = Fixture Units FIXTURE UNIT CALCULA ~'<)N TABLE: Number of New F,xtur (NOTE For remodels, calculate only tl ..lEI additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub .. __ , Orlnklng Fountam Floor Dram Interceptors For Grease/Oll/Sollds/Etc Interceptors For Sand/Auto Wash/Etc laundry Tub/C1otheswasher Clotheswasher - 3 Or More Mobile Home Park Trap (1 Per Trailer) Receptor For RefngeratoriWater StatlOn/Etc Receptor For CommercIal Sink/Dishwasher/Etc. Shower, Smgle Stall . . ... . .. . . Shower, Gang ... Smk: Bar, CommercIal, ReSidential Kitchen, ... ..... Urmal, StaUiWall , Wash Basm/lavatory, Single Toilet, Public Installation Toilet, Private Miscellaneous /'. 2- 7-- TOTAL fiX I UriC U,''1TS 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- '6 1~ CREDIT CALCULATION TABLE 8ased on assessed value If Improvements occurred after annexation date III table, calculate credits separates Year Annexed Ratc pcr $1,000 Assesscd Value 1979 or before 19BO 1981 1982 1983 1984 1985 $346 338 332 321 306 292 273 L Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $246 214 177 1 37 097 061 044 015 - -- - -.-..-'--. '2-10 'Z.-? ( . t:;.redlt for Parcel or land Only If Applicable 'I Improvement (If after annexation date) ., I' '- , " " -' < " . , , , - . I -, 3.4-10 X $ I.?B (Rate X Assessed Value) X $ (Rate X Assesscd Value) CREDIT TOTAL $ Zr" 'Z- .:?