The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-6-20 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOT NEW REMODEL -, SPRINGFIELD BLOCK OTHER JOB NUMBER q~\olo 225 Fifth Street Springfield, Oregon 97477 00 ~ TAX LOT (rffY) SUBDIVISloo9h\ \~ 811J\r\.QflS PHONE 1144 lno,lnl,1J ZIP qfl4f1PJ CONTRACT~~.NAME ADDRESS GENERAI\ Q:'{U :\c1 On f nt, PLUMBING 9~ ~ rt \.nilo I \ MECHANICA' , Q-\C'l \ \,r\ 0 (\ f JIlT, ELECTRICAL I ~ll ~ t ~ CONST CONTRACTOR' qI)0{)~ ~ \l'?--\ q tW'B:, Inbl"\-S EXPIRES ~ n C\lo C\ \C\ C\\() f) 2.q Q/o C\ '\ C\S PHONE q? :3la\rQb 1o~3 Sl\ tn Qi3fotdJZ. -\lS 2J:],q - OFFICE USE - QUAD AREA ".'jl<~r _ LAND USE __.Ll' / FLOOD PLAIN . OF BLDGS I . OF UNITS I ZONING CODE .1iJJ2-. OCCY GROUP Q~+}J\ CONSTR TYPE I/JJ . OF BDRMS ,'j . OF STORIES I HEAT SOURCE Iv I-! SECONDARY HEAT 0 WATER HEATER EJ RANGE F___ SQUARE FOOTAGE /{()~~ To request an Inspectlon, you must call 7263769 This Is a 24 hO...Jr 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 D Temporary Electric o Site Inspection - To be made after excavation, but prior to settlng forms o Underslab Plumbln9/Electrlcall Mechanical - Prior to cover ~ootlng - After trenches are excavated \ o Masonry - Steel location, bond beams, grouting ~undatlon - After forms are erected but prior to concrete placement o Underground Plumbing - Prior to filling trench [J}-Under'loor Plumbing/Mechanical - Prior to insulation or decking ~ost and Beam - Prior to floor Insulation or deckrng ~Ioor Insulation - Prior to decking ~n1tary Sewer - Prror to flIllng trench ~torm Sewer - Prror to filling trench ~ater Line - Prior to frlllng trench ~OU9h Plumbing - Prior to cover REQUIRED INSPECTIONS ~ough Mechanical - Prior to cover ~OUgh Electncal - Prior to cover @:lectncaJ Service - Must be approved to obtain permanent electrical power o Fireplace - Prior to facing materials and framing Insp Q-Pramlng - Prior to cover ~all/Celllng Insulation - Prior to cover Q-Drywau - Prior to taping o Wood Stove - After Installation D Insert - After fireplace approval and Installatlon of unit ~urbcut & Approach - After forms are erected but prior to placement of concrete ~Sldewalk & Driveway - After excavation Is complete, forms and sub base material In place o Fence - When completed rn Street Trees - When all required trees are planted 8Fmal Plumbing - When all plumbing work Is complete ~Inal Electrical - When all electrical work Is complete ~mal Mechamcal - When all mechanical work Is complete ~Flnal BUilding - When all required Inspections have been approved and building Is completed DOthsr 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 Electncal Connection - When blockrng, set~up, and plumbing Inspections have been approved and the home Is connected to the service panel o Final - After all required Inspectlons are approved and porches, skirting, decks, and venting have been Installed - \~ Lot faces Lot Typ, "'/Intenor Lot sq fig Lot coverage Corner Topography Panhandle \~I Total height ..l:;,.L lld\' ') BUILDING PERMIT so FT \\~3 ~~n.o Cui de sac ITEM X $/so FT 5\.r>7D V\, $) Main Garage Carport Total Value Building Permit Fee State Surcharge -t- ~DID Total Fee (A) I PL IN Is Iw IE Setbacks 'HSE'GAR'ACcl I I I I VALUE \..0'3\.111- r"1<6C\to '1\~l')D '-~ CO Af")c\~ 2/)\o.C\~ SYSTEMS DEVELOPMENT CHA~E (SDC) (8) /5'it'lD+ f./3> PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge +~% 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 (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ fI Curbcul _9.10 fI Demolition State Surcharge \~, \l\t\f\ $O\~~ Total Miscellaneous Permits (E) ~' TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) FEE \\ 00 cD \ '--O[)CO \~?:O \I ~ 7';D <\ Sf) q,cD ~co \ \ () SQ IDCO \ ,~~ d.j 63 ~D~) \ ~ YO 4\)cD 'LlS1 Cf\ v IS THE PROPOSED WORK IN THE - HISTORICAL DISTRICT. OR ON '" THE HISTORICAL REGISTERQ" J \ C> , 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 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 \ "-1""\ ~ Receipt Number .(? ,~ Received By ~ \\tlC\ \:\\~. \ ll;\. Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the CIty limits which are being improved ADDITIONAL COMMENTS ,bob\)r\ [\Y , ,,-~Ao 11 'h ~ '(XV u4\, rtSPD ~\\\\.~)[ ~ \ C\.lo() ~(\t-h \ By signature, I state and agree, that I have carefully examined the completed applicatIon and do hereby certlfy 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 herem, 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 apP:2'~WIII remain , ~n the site at a time: d?!rln cons ct_l nature . . ~ .. \".0"". - --- Date 4'-< VALIDATION (\(\:\ f"\ RECEIPT NUMBER \ \V\ \ \ ) DATE PAID \ 0 n }l\~ AMOUNT REC~~V (l- 1P;\Ef\, \q RECEIVED BY \ ['() - - - The 101::)\0\1("\9 i:'~()J,crf ~$ ...t.O'11r~P'd rr, ~ .... :":'~.",l1g 225 FIFTH STREET zom"lg ard (loY1.. ,....(. 1~,I...II". ,Pl <. ~IM l~...l;( lillorovaJ SPRINGFIELD, OREGON 974/7 L-.....fJ INSPECTION REQUEST: 726-37~)"" 9_/-AL-- OFFICE: 726-3759 D.I- D,r2n'-QS . _u 3 1. LOCATION OF INSTALIlATION)c ~1"".~.-lJJjJ <-:< :1'-:' /'.A/fl..rr>rk~ j")k- A. \ ~~Co~IJIO("XJ?-cO JOB I)ESCRIPTION /1/ 9;"~P . Perm1ts are non-traftsferable and expire if work is not started w1thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~AJ ~lfr+el~ Address /J. ,SuJ ~1lP .sf Ci ty /Y\;0RA" Phone ...!JJS-:1 /JjL Supervisor License Number / On/a ~c., Expirat10n Date /C'H-q.<; Constr Contr. Number /(,&')% Expiration Date q-4-q:-,~ . ~a~u~e of Supervisi~ Electrician ~ fJf ~-4~~---- , D. Owners Name . J.-/ LkID?!EA~ ?:' A' ~ .d2J.A:;- Address 75-<1;9 <:; '<::J ~ ~ ., - - C1 ty S-~".eLll Phone:JLI 0 -h 9,C,( " OVNER INSTALLATION The installat10n 1S be1ng made on property I own wh1ch 1S not 1ntended for sale, lease or rent. Owners Slgnature: DAT~~-----------l-o~~~~--------- RECEIPT It: \ \ _ I Ie{ VI RECEIVED BY: {J\~-\}- \ . 'v . City Job Number COMPLETE FEE SCHEDULE BELOV New Residential-S1ngle or Mult1-Family per dwell1ng Serv1ce Included: un1t. Items Cost Sum 1000 sq ft. or less \ $ 85.00 Q5 Each add1tIona1 500 sq. ft or portion .&... W. thereof $ 15.00 Each Manuf'd Home or Modular Dwell1ng Service or Feeder $ 40.00 B. Serv1ces or Feeders Installat1on, Alterat10ns or Relocat1on: 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 Serv1ces or Feeders Installat1on, Alteration or Relocat1on 200 amps or less 201 ~mp~ to 400 amps Over 401- tor'600"amps Over 600 amps or 1000-vorts Branch C1rcUl ts r $ 40.00 $ 55.00 $ 80.00 see liB" above . Il'} , Ne~, Alterat10n or ExtenSIon Per Panel $ 35 00 M1scellaneous (Service/feeder -Each 1nstallat1on Pump or 1rr1gat1on Slgn/Outl1ne L1ght1ng LImIted Energy/Res LIm1ted Energy/Comm One CI rCU1 t Each AddItIonal CIrcuIt or vlth SerVIce or Feeder Perm t E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 'FeTty,. ~ $ 2,00 not Included) $ 40.00 $ 40.00 $ 20,00 $ 36,00 ,\~~ p~,~ ...(~" ~ - 1&,\ &0 , NO. 95oC?t-.C" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR CO~lPANY t-IAYOE3.N Et-J-rE.ef'fi?-6E.S Llc LOCATION :?~2"(" C.-H-€R-IJiCE3.E. De DEVELOPMENT TYPE L-!)R.. - NE=.fAI SFR. BUILDING SIZE / 'If 0"2.-0'" '2-1 - OCl~OO LOT SIZE SQ Ft 1 STORM DRAINAGE IMPERVIOUS SQ FT NA X $0 209 PER SQ FT. ~-e-- ) "- 2 SANITARY SEWER-CITY NO OF PFU'S /"6 X $43 26 PER PFU (778V (See Revel'se) 3 TRANSPORT A TI ON NO OF UNITS X TRIP RATE X COST PER TRIP ~ '\ / X / Of X $436 19 \ S 440 S5 ) '-.. ----- X X $436 19 $ X X $436 19 $ 4 SANITARY SEWER-MWMC NO OF PFU'S 1ft x $17 19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From item 2 Above) $ ;'''I4-!. TOTAL-MWMC SDC $ 2(,,2.;!o ~ ~ LL2/1- 4-2- MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) ~~~~- ({ Klp Burdlck SDC Coord1nator Date: 5/1-3/<1<5 TOTAL SDC C 75'2-) '-.. .....-/ $ 156604- X .05 - FIXTURE UNIT CALCULATION TABLE: Number of i.iew Fixtu;es Xifnit Equivalent:"; Fixture_Units-' "c ",'- ~ ~~ ... ~~~ ~ ....~-;:\',~;.:::r'.,,<; F~ .- ' w~~<;. (NOTE' For remodels. calculate only the , addltlonal fixtures) , , ' - - - " -- NUMBER OF UNIT FIXTURE -' FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub Onnktng FountaIn Floor Drain Interceptors for G(casc/Od!Solid~/Etc Interceptors For Sand/Auto Wash/ClC Laundry Tub/Clothes\Jasher Clothes washer - 3 Or More Mobile Home Park Trap (1 Per Trailer) Receptor For Refngerator!Vvater Slat,on/Etc Receptor For Commercial Smk/Dlshwasher/Etc Shower, SlIlgle Stall Shower, Gang Sink Bar, Commercial, Residential Kitchen Unnal, StallIWall Wash BaSin/Lavatory, Slllgle T ode!. Publtc Installation T odet , Private Miscellaneous ~ ... -- -~- '2. z.. z.. TOl AL rill Ull.: u,'ll S 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ 4- 2 z.. '2- B \e CREDIT CALCULATION TABLE Based on assessed value If Improvements occurred alter annexation datc In table, C3\CU!3tC credits ->cparatc~ Ii Year Annexed YC3f Annexed t 1979 or before 1980 1981 1982 1983 1984 1985 n~HC per $1,000 Acccsscd Valuc $346 338 332 3 21 306 292 273 Credit (or Parcel or Land Only If Appltcable Improvement (If after annexatIon date) 1985 1986 1987 1988 1989 1990 1991 1993 ? ,4'" X $ '1';8 {Rate X Assessed Valuel X $ (Rate X Assessed Value) = CREDIT TOTAL '\ Rale pcr $1 000 hsscsscd Value .1 $246 2 14 177 1 37 097 061 044 015 'l."Z~ $ 2"'Z~ -