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Home My WebLink AboutPermit Building 1995-2-7 ~- LOCATION OF PROPOSED WORt<' 03.~1l \ .t'b\ )QXl\ I\ ./ ASSESSORS MAP' \ 60~ao~ \ (\ LOT' ,~) BLOCK' OWNE~ IJrUJI F'ntov-mLlJQlJ., J.~(\" ADDRESS:' 9:l~ 1,\\\ ~~ f) rv\_ \'4t::.l\_c&J CITY: ~ ~1\ \.s\'l\ ~ Q ~ N STATE: I ~\ 0-,\ lJ\\ DESCRIBEWORi'" ,~\'(\T)\O. K(\('{\', ~ I}( 1..~.1'-.io.o Dr~ NEW \,./" REMODEL '. ~ADDITION DEJ(;~lIS~ ~ OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 .. SPRINGFIELD . ' JOB NUMSER-.9$LL/- 225 Fifth Street Sprlngfleld,Oregon 97477 TAXLOT' (J3\ O() SUBDIVISI~i\ G,r\'i\no.QS PHONE: 1144. lnQ.\al..11 ZIP: o.'l4fJ.2; CONTRACTGf\S~NAME GENERAI\ QX'u \OOnr0t, PLUMBING: 9~ ~ rt \.hUa 1 \ MECHANICA'" m I ,r\ D (\ f In.-t, ELECTRICAl" AU ~ tp l.~ CONST, CONTRACTOR' QIJ0[)9? S \l~\ q ~:2DR InRl-tS PHONE Q?3LDld)'L \o~3 '51\ \n q 2- 3tl){oOZ- 4lS,?I~q QUAD AREA: ~j(<",r - . OF SLOGS: I OCCY GROUP: -R3-+M I S . OF STORIES' WATER HEATER: ~ ADDRESS ''"- OFFICE USE - LAND USE: __.11 I I . OF UNITS:_' CONSTR. TYPF' UJJ HEAT SOURCE: (1)1-1 RANGE: F ~ EXPIRES '\,2.o...a,(1) 0... \C\~\() f).&l.q(f) C\ .<:\ . q~ FLOOD PLAIN' ZONING CODE: J.ilf2-- ,"3 . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: [2 I ( ()~ ~ To request an Ins paction, you must call 726-3769, This Is a 24 hour recording, Ali'lnspectlons 'requested before 7:00 a,m, will be made the same working dayo Inspections requested after 7:00 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 Underslab Plumbing/Electrical I Mechanical - Prior to cover. ~ootlng - After trenches are excavated," o Masonry - Steel locatIon, bond beam So grouting, ~undatlon - After forms are erected but prior to concrete . placement. D Underground Plumbing - Prior to filling trench, [g-Underlloor Plumbing/ Mechanical - Prior to Insulation or decking. ~ost and Beam - Prior to floor Insulation or decking, ~Ioor Insulation - Prior to decking, ~nltary Sewer - Prior to filling trench. ~torm Sewer - Prior to filling trench. . ~ater Line - Prior to filling trench. ~OU9h Plumbing - Prior to cover. REQUIRED INSPECTIONS ~OU9h Mechanical - Prior to cover. . ~ough Electrical - Prior to .cover. ~Iectrlcal Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp, Q-S-ramlng - Prior to cover. ~alllCelling Insulation - Prior to cover. Q-Drywau - Prior to taping, D Wood Stove - After I~sta"at'ion. D Insert - After fireplace approval and Installation 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. D Fence - Wh'en completed. D Street Trees - When all required trees are planted, ~Inal Plumbing - When all ' plumbing work Is complet,e, ~Inal Electrical -, 'When all electrical work Is complete. ~Inal Mechanical - When all mechanical work Is complete. ~Inal Building - When all required Inspections have been approved and building Is completed. D~the' MOBILE HOME INSPECTIONS D Blocking and Set,Up - When all blocking Is complete, D Plumbing Connections - When home has been connected to water and sewer. ' D Electrical Connection - When blocking, 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, sklrtln'g, decks, and venting have been Installed. Lot faces Lot Type. Seto,cks 8 THE PROPOSED WORK IN THE Lot sq, ftg, Interior I P.L HSE GAR Accl HISTORICAL DISTRICT, OR ON t\ IN I THE HISTORICAL REGISTER" _ n Lot coverage Corner Is I If yes, this application must oe signed Panhandle and approved by the Historical Topography Iw I Coordinator prior to permit Issuance. Total height n Cul.de'sac IE I APPROVED: BUILDING PERMIT ITEM SQ, FT, \\~3 ~\,.oD X $/SQ, FT, = VALUE 5\.0, ill 1...0 '3 \iIt \,\, \Q ~ ~qto Main Garage Carport Total Value '1\~l)D ,'WJ..QO A'I.C\~ ~f)\o.CVd.. Building Permit Fee State Surcharge -\- ~OIO Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) $/5" ??; tJ"f (B) 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' FEE \\ of) cD BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thai the said construction shall, In all respects, conform to the Ordinance adopted by the City of Sprlngfleldo 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: . W ~()(\ \'(\~_ \1 l-.I Plans Reviewed By - . . Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS ",-lJeb'of\.(\X , ~~ll 'n~\' X'v 04\,. \S'\~ M.N ~ f\~ \ C\ LoD ... ~~;\T-'-\ ~ \.'--DD~ ;J. \ ~ ,'?0 \I~,~ L\ ,Sf) 0... cD Wood Stovellnsert/Flreplace Unit Dryer Vent ~,co Mechanical Permit \ \ () ,SO \\J,W \, .~?1 rl ') .B3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 10 Curbcut e9lo It r"\ "() . ~ J...0,.qo It Demolition State Surcharge . \,~_\)\~f\ \)n~ 4t),cD Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrICal)~3-1.CFI (Ao B, C, Do and E Combined) 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 OrdlnancE:s 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 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 Ithe front of the propertyo and the approved set of pia will remain on the site at a~~lme.: s dU,"cons tI :::""';:r;;~ . VALIDATION: .!I \(.L RECEIPT NUMBER _ \ \Ii I Xl J DATE PAir ~ .' \ -<:\ '> AMOUNT RECEI:'1ifl ~ ,~l 04 , \q RECEIVED BY '(\\ \ t::<'\- . . SPRINGFIELD . . t S s!,.1bmittad has the followln Th.,tolloWldngd~~~J~~t ~.quir. specific land 'lreECTRICAL zoning, en ~ fJ 97477 ae.proval. 'D If..-./ 726-3769 ,v ZOOlno 00\01-/7 ~~ 3. 1. LOCATION OF INSTALLAT.tUN ..,. 1\ (VI ":? ~h:L. ~./~~Sl~~ I'". \ ro~ pE~qup'rrON _n ~ r?-.\lA.J 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 JOB DESCRIPTION ..1/-4 ;z p_ Permits are non-transferable 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 Contractor~'1 bJ9~IC- Address I:J <:'10 ~>;>! s..~d- Ci ty Wlr>rlOc4<; Phone I..j l6'..1/?/1 Supervisor License Number J tJlJlnS Expiration Date /0-1-'1,<;" Constr Contr. Number (Pg74~ Expiration Date q-<l-q$ Signature of Superv'sing Electrician ~~<'A/ l Owners N~I~A f~ Address SC\C\ ~ 3?.Nil Ci ty~t\~o.kLPhone ~\n~ , \\ OVNER INSTALLATION ./ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~A~E~-------~~ry~~---~--;--------- RECEIPT 11: J _ iio0ofX RECEIVED BY: \J\v.~ PERMIT APPLICATION City Job Number COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 :9"?~// Items unit. Cost Sum $ 85.00 P15- $ 15.00 ::1:L $ 40.00 ~ ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ $ $ $ 36.00 ~:?O ,,?~ 'R'\ .~) 40.00 40.00 20.00 . ATTACHMENT 131 .013 NO. 7'5"01/ J CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE , \~ORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ;I~k <4-f, LOCATION: 3 }u,2 j)~ v DEVELOPMENT TYPE: '5;:: /.) BUILDING SIZE: 1. STORM ORA T NAG[ IMPERVIOUS SQ, FT. , lOT SIZE' SQ. Ft. X $0,209 PER SQ. FT. $ ~~ / 2. SA!ilIARY SFWFR-CTTY NO. OF PFU'S / 'iT (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X $43.26 PER PFU '~ ::::-., ~r'18', ~./ .- -- 1 X I, () I X $436.19 ~f--f().S?) - -- X X S436,19 $ X X S436,19 $ SUBTOTAL (ADD ITEMS 1020 & 3) ,S /2/'1,2 ~ 4, SA~TTARY SFWFRc~~MC NO. OF PFU'S /?' x $17.19 PER PFU + S10 HWMC ADMIN. FEE $ ~/'l,-f'2- (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 2(" ,2 '3 IQIAI-MWMr, snr, S~3J!J SUBTOTAL (ADD ITEMS 1. 2 ,3 & 4) S I 5' /2, ~ 2. 5. AOMTNISTATTVF FFFS BAS~HARGE (SUBTOT~ABOVE) X ,05 ~ /~~ - Date: / Mary- Hornig, P.EU SDC COOrdinator ~S--(p9 2-.2-95- TOTAl S[)C $ IS- K'T, 0 "1 B2.SDC ' ?I' - , /-J ..I- ~h/~:' . -"L S/)C ~ r" I"'V' - ~"-' ~ F!XTURE UNIT CALCUa-ION TABLE: Number of New Fttes X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the liEI additional fixtures!' NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub.....,:.:.., ,:........, ,.."....,..,.""....... ,.."......,."..., ,.... Drinking 'Fountain.., ........".. ........... ......,.. ,.., ..,..,.." ,... Floor Drain...,.........,.......",........,..,.,..",."......"...,."",. Interceptors For GreaseIOiI/Solids/Etc..,..,......,.... Interceptors For Sand/Auto Wash/Etc.................. laundry Tub/Clotheswasher....,......,.,............,....,... Clolheswasher. 3 Or More...............,..........,.......... Mobile Home Park Trap 11 Per Trailer)......,........,.. Receptor For RefrigeratorNVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.............,.,....,.,.,...........,........",. Shower, Gang........ ,.................."........"..........,......... Sink: Bar, Commerdalo Residential Kitchen...............,........ Urinal, StaIlN~all..:........,..",. ,............'.,.,...",.......,.".. Wash Basin/lavatory, Single..............................,... ToilE!!, Public Installation....,..,... .........,............... .... Toilet, Private..,..,....,.........,.................................. Miscellaneous: ,TAl'll "'R~ .s.-N~ '2- z. ~ TOTAL FIXTURE UNITS UNIT EOUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ~ = FIXTURE UNITS I- 2. 2. '2- s- II? CREDIT CALCULATION TABLE: Based on assessed vaiue. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3,21 3.06 2.92 2,73 Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $2.46 2,14 1.77 1.37 0,97 0,61 0.44 0.15 2C:,.23 ,3,-1(. X $ "1,S'f~ (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit lor' Parcel or land Only If Applicable Improvement '(if efter annexation date) = = ----- CREDIT TOTAL = $ ~t,.23