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Home My WebLink AboutPermit Building 1995-6-20 ASSESSORS M,op U\ ::::E~~~\ ~~~~~d~(\' CITV "-~J\ \ s\(\~ Q_~ N. STATE I %0\ O~ l'J(\ DESCRIBE WORK ~q\.l)\() ,K(\fI\\ ~ I h \..~~OO f\CiL--- NEW ............ REMODEL ~ADDITION DEJciLIS~ OTHER . RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOT ~ SPRINGFIELD JOB NUMBER C\~\ol~ BLOCK 225 Fifth Street Springfield, Oregon 97477 TAX LOT ~m SUBDIVISIr\"Qh~ G,f)J\~ PHONE M4 InC\l/) 1/1 ~ ZIP C{fj4(1PJ CONST CONTRACT~ME ADDRESS CONTRACTOR · EXPIRES PHONE GENERAI\ ..)0 Q n f (\-\-; q'71[)~ Ij 2.0. C\lo q? .3ln\,d')L PLUMBING y~ ~ r\..\,n.l1a I \ S \\~\ 0.. \C\ o,\() \0 ~~ 611 t!:) MECHANICAl' Q\r, ~ D n fitX-, q t'2DR I) 2.q cj f.LJ QZ30f002- ELECTRICAL ,Au 0 P ~ InRl<\-S C\ '\ o.s <\-1 s .?J:l,q - OFFICE USE - QUAD AREA "~<,,r _ LAND USE 1111 FLOOD PLAIN . OF BLDGS I . OF UNITS I ZONING CODE Lill2... OCCY GROUP R~+.M CONSTR TYPE UAJ . OF BDRMS ,'j . OF STORIES I HEAT SOURCE lul-! SECONDARY HEAT 0 WATER HEATER L RANG" f.-' SQUARE FOOTAGE (I()~~ To request an Inspection, you must call 7263769 This Is a 24 hour recording Alllnspecttons requested before 700 a m will be made the same working day. Inspecttons requested after 700 a m will be made the following work day D Temporary Electnc o Site Inspection - To be made after excavation, but prior to setting forms o Underslab Plumblng/Electncal! Mechanical - Prior to cover ~ootlng - After trenches are excavated o Masonry - Steer locatton, bond beams, grouting ~undatlon - After forms are erected but prior to concrete placement o Underground Plumbing - Prior to filling trench @-Underlloor Plumblngl Mechanical - Prior to insulation or decking ~ost and Beam - Prior to floor insulation or deckIng ~Ioor Insulation - Prior to decking ~n1tary Sewer - Prior to fillIng trench ~torm Sewer - Prior to filling trench ~ater Line - Prior to filling trench ~OU9h Plumbing - Prior to cover REQUIRED INSPECTIONS [J}-:'ough Mechanical - Prior to cover ~ough Electncal - Prior to cover ffi:lectrlcal Service - Must be approved to obtain permanent electrical power D Fireplace - Prior to facing materials and framing Insp Q-P-rammQ - Prior to cover ~all/Celhng Insulation - Prior to cover [;}-Drywall - Prior to taping D Wood Stove - After Installation D Insert - After fireplace approval and /nstallatlon of unit G-;:urbcut & Approach - After forms are erected but prior to placement of concrete G'Sldewalk & Driveway - After excavation Is complete, forms and sub base materIal In place o Fence - When completed D Street Trees - When all required trees are planted 8::lnal Plumbing - When all plumbing work Is complete ~Inal Electncal - When all electrical work Is complete ~mal Mechanical - When all mechanical work Is complete c::g--Flnal BUIlding - When all requIred Inspections have been approved and bUlldmg IS completed DOther 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 D Electncal Connection - When blockln9, set up, 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 Q Lot Typ( Setbacks ,~ IS THE PROPOSED WORK IN THE V I PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON h Interior I THE HISTORICAL REGISTER(1_. ("). Corner N If yes, this application must be signed Panhandle S I and approved by the Historical Iw I Coordinator pnor to permit Issuance Cui de sac IE I APPROVED Lot faces -, Lot sq ftg Lot coverage Topography Total helght(i n\ ~ldY ) BUILDING PERMIT ITEM sa FT \ \ '213 ~\oO X $/sa FT 5\.o7D V\. \[) Main Garage Carport Total Varue Building PermIt Fee State Surcharge + ~DID Total Fee (A) VALUE lo'3\.!lt ~<6C\lo '1\~f)D "m 00 A f) C\~ 2/1\oa.~ SYSTEMS DEVELOPMENT CHARGE (SDC) -$ (B) 1t6e5~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' c9. Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + ~D/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk '17) Curbcut 4 ft ft Demolition State Surcharge \~_ ~\t$\ \Jo\:100 FEE \\ 00 (:D ~ ~DD CD \~ro \I~&J t\ s[) q,c:D ~co \\n SQ \\JCO \ L~?J J/J ~ ~ ~o :l) B~) 4$cD Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlcal~l1--1 (A, B, C, D, and E Combined) .Y1 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 ~ -,.)-/ Receipt Number '#-' Received By . 'I ~\'(\~.\IW Plans Reviewed By - " . Date Systems Development Charge 15 due on all undeveloped properties Within the City limits whIch are being Improved ADDITIONAL COMMENTS ,,~D bl('l\. r- X , '" ~r\ 0 u 'n ~ '( 1::v ~\, ~\\\\~}.[ '1 SPO \ DeloO '--'J (\ m \ 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 Ordlnanc~s of the City of Sprlngfleld, 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 VALIDATION \-G' \ RECEIPT NUMBER r\ t DATE PAID G 7n~,:) - AMOUNT RECEltJi CQ...~ rA: H RECEIVED BY 'r1\\~ -) . ~ SPRINGf-.t:::LD W ""t;. find cfv~ "s'J<Jn1"t,,~... Sp/JrovaJ ~G ilot r~r-u re t; I I ii:'C 'tlf' f.., I 1 SPt:.I.."j / '-""/'J 225 FIFTH STREET 974-"'7" J:~g~/-YI2- _- ''',0 "" SPRINGFIELD, OREGON T _ ''') INSPECTION REQUEST: 72fi>.,:P69'" Clty Job Number Jl'....'/J-edr-> ~ OFFICE: 726-3759 ~"1n~'ura__ -_ r.OHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INS~LAT:jipN ?2,/2 /1..-#~1? A. New Residential-S1ngle or Hult1-Family per dwell1ng un1t. SerV1ce Included: \~~~~FTION crfJ..r:D JOB DESCRIPTION \' n~ /!Zu'.J ./ 7'"e-L.- UM\J Permits are non-tra^sferable and expire if work is not started w1thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electncal Contractor.JlUz.10 ~ 150(,-[1" i(-, Address 1.1 ~lu .:l.,~ S+ City /Y\;.MI2A"- Phone '-nc,-..l12'l9 Supervisor License Number I f){)(n.\ Expiration Date IO-I-t1.c:; Constr Contr. Number /f)~ 7L/!: Exp1ration Date Cf-L/-q~ , Signature of Supervislng E}ectrlcian Z?rpt~ UP a4 /1-7~/b-J ~, .....-- '--0 Owners Name~~~~ ~./~ . Address c;r-q f '5, 3::2 ~~ City -<;f)~L:"J) Phone 7/JP ~~~ -, , OVNER INSTALLATION The installation 1S be1ng made on property I own Wh1Ch 1S not 1ntended for sale, lease or rent. Owners Slgnature: DATE~---------------'---to~~~~~~/ :g~i~D .~Y: L\ V~U I Items Cost Sum 1000 sq.ft. or less \ $ 85.00 ~ Each add1t1onal 500 sq. ft or portion 2- &J thereof $ 15.00 Each Hanuf'd Home or Hodular Dwell1ng Service or Feeder $ 40.00 B. Serv1ces or Feeders Installatlon, Al tera tlons 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 Servlces or Feeders Installation, Alteration or Relocatlon 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circu1ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extens10n Per Panel One C1rcu1t Each Add 1 t 10nal CIrCUIt or vlth SerVIce or Feeder Permlt $ 35 00 $ 2.00 not lncluded) Hlscellaneous (Servlce/feeder -Each lnstallation Pump or lrrlgatlon Slgn/Outl1ne Llght1ng Llmlted Energy/Res Llmlted Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ $ 36 00 \\~~ ,~ 1'1 '?~ \df\ .dD 40.00 40 00 20.00 ~~ ~" l. .J NO. :J.'50 h 7~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY f..-IAYOE3.tJ EJ..1TE:.Rf"f?--6E:.S INc LOCATION. ??/7. ('J-fE.I{OJ<E.E:.. DI2- DEVELOPMENT TYPE L-Df<.. - NE=.fN SFR BUILDING SIZE. I<;/t! 2.. 0(,,2-/ - oCJqOo IcOT S17F SQ Ft I STORM DRAINAGE IMPERVIOUS SQ FT NA 2 SANITARY SEWER-CITY NO OF PFU'S I~ (See Reverse) 3 TRANS PORT A T! ON x $0 209 PER SQ FT ((-e-) X $43 26 PER P,U ~77~~i) NO OF UNITS X TRIP RATE X COST PER TRIP ~ "'\ I X I Of X $436 19 \ $ 44<J55 J '-...... ~ X X $436 19 $ X X $436 19 $ 4 SANITARY SEWER-MWMC NO OF PFU'S 1<6 x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ 3/q 4-!- TOTAL-MWMC SDC $ Z/,pZ; G~ '--. .---" $ 1 '5/'2- 4-Z- MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) o ~L.,L U Klp Burdick SDC Coordinator X .05 Date, ':/'2-?/ '1 S TOTAL SDC G 75'2-) '-- ~ $ /see 04- FIXTURE UNIT CALCULA TIf"'\1 TABLE: Number of N~w fixtures X Ifrut Eq~ival';nt,-:..:'Fixture Uniti > '- {', 1 I "t-~~_ ~ ~-~ ,~-' \ ~ (NOTE' For remodels, calculate only the L ~ addItional ftxtures) ., >, .-,' ,;' :', ; ,:y' ,. !~~i., NUMBER OF UNIT FIXTURE., - FIXTUI1E TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub Drlnkmg Fountam Floor Dratn Interceptors For Grcasc/OdlSollds/Etc Interceptors For S3nd/Auto Wa<;h/Etc Laundry Tub/Clothcsv"3shcr Clothcswashcr - 3 Or Morc Mobtie Home Par, T rar (1 Per Trader) Receptor For Refngerator!Vvater Statlon/Etc Receptor For Commerctal Stnk/Dlshwasher/Etc Shower, Stngle Stall Shower, Gang Slllk' Bar, Commercial, Residential Kitchen Unnal, Stall/Wall Wash Basin/Lavatory, Stngle T o,let, Public Installat'on Totlet, Prlvate Ml..:,ccllancous 1.. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 . . ...... . ~ Z- z.. TOl AL fill UP,!: UI,m s 4- 2 Z- '2- B \B CREDIT CALCULATION TABLE Based on assessed value If Improvements occurred after annexation date tn table, calcul3tc credits sepuClc::, Yew natc per $1 000 !\::;..>cssed Value YCJf knnc^cd Rate per $1 0001 !\.;scssc...d Value Annc^cd 1979 or before 1980 1981 1982 1983 1984 1985 $346 338 332 321 306 292 2,73 1985 1986 1987 1988 1989 1990 1991 1993 $246 214 177 1 37 097 061 044 015 I I '2.."Z~ Credit (or Parcel or Land Only If Applicable ? 4'" X $ {,'58 (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (If after annexation date) CREDIT TOTAL = $ Z"''Z-~