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Home My WebLink AboutPermit Building 1994-6-30 RESIDENTIAL PERMIT APPLICATION Inspections: '126.3769 Office: 726,3759 . ~ qtf()0D5 JOB NUMBER -' 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: hVC; A 7".1 1.2 I J. /?A'( ~~(P 72/7? TAX LOT' SUBDIVISION' ASSESSORS MAP' LOT' ('~I~J"" ~ I" BLOCK' OWNER: /ld~ T'~ L ""// ':;k- hI /ri'~ ADORES:>' b,7/ 1"'_ /",_J,~/ /Jr CITY: ' }1I',~/_.f1 STATF' ' Db DESCRIBE WORK: _1""-,"""'/"'/ "F' J:JII ,h -w(',~,r NEW REMODEL~' ADDITION 0 DEMOLISI:i /J(,~ '"'/ j;; OTH PHONE: /(,It /-Wr) ZIP: 774"77 t'f.,.~ 1'.,...'(\ J} of "1: ' I reCd.#,)"r,cJ I ~,tllJ( CONST. CONTRACTOR . CONTRACTOR'S NAME ADDRESS' , GENERAl' /Z4, f",/, ./ // ..7'- _, red, PLUMBING: MECHANICAl' ELECTRICAl' M,of",/.. _;:z, 0'1. .'r'~, '" QUAD AREA: 5$.,\$\;)_ :~;yB~:::~: ~~ . OF STORIES: ~ WATER HEATER' - OFFICE USE - \\\\ · OF UNITS: \ CONSTR. TYPE: ~ LAND USE: HEAT SOURCE: RANGF' EXPIRES PHONE '7J/-Pr.'7/\ " FLOOD PLAIN' ZONING CODE: U)'f2 J . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726,3769. This Is a24 hour recording. All Inspections requested before 7:00 a,m. will be made the same working day. Inspectlons requested after 7:00 a.m. ~III be made the following work day. REQUiRED INSPECTIONS I'Vl R~ugh M~ch~nlcal ...: Pr.lor to ~ cover. . . ~ D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Under,lab Plumblng/Electrlcalf Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel 'location, bond beams, grouting. D Foundation - After forms are erected but prior to'concrete placement. D Underground Plumbing - Prior to filling trench. ~ Underlloor PlumbIng/Mechanical ~ - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, rr1 Sanitary Sewer - Prior to filling ~ trench. rvJ Storm Sewer - Prior to filling L--f"J trench. " fVl Water Line - Prior to filling L-f"J trench. rvl Rough Plumbing ~ Prior to ~ cove~ . rvt Rough' 'Electrical - Prior to ~. cover. .. " D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to c?ver., . ~ Wail/Ceiling Insulation - Prior to cover. . ~ Drywall - Prior to taping. . . ." '. D Wood Stove - After Installation. D Insert - After fireplace approv~1 and Installation of unit. DCurbcut & Approach - After forms are erected but prior to placement of concret,e. D Sidewalk & Driveway - After excavation Is complete, forms and.sub-base material In place. . D Fen~e. - When completed. D _Street Trees - When all required trees are planted. m Final Plumbing - When all L.f>'J plumbing Work Is complet.e. rY1 Final Electrical - When all '-fJ.J electrical work Is complete. rvI Final Mechanical - When all ~ mechanical work Is complete. I\ti Final Building - When all L.jaJ required Inspections have been approved and building Is completed. D'Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking I, complete. . D Plumbing Connections - When home has been connected to water and sewer. I 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, skirting, decks, and venting have been Installed. Lot faces L~t>~y~e. . ," , ~.:. ,0\ -I;.". ;l. .,'. " ,.::., ,..\. y,..~ .1~''''1;:.1o:f' ":~~,~: \., _j, >iT;;':i:?,.oJ ~'~:.,\: ~.~~:&.:'~,.:" '1 , C. .HEPROPOSED WORK IN THE, HISTORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical . Coordinator prior to permit Issuance. Interior Setbacks ' 'HSE GAR'ACC' " Lot sq. Itg. I'P.L. IN Is' Iw IE Lot coverage Corner Topography Total height Panhandle Cul.de,sac BUILDING PERMIT ITEM SO, FT. X $/SO. FT. VALUE Main Garage " Carport Total Val ue f)AJf.V ~.OV f"~ Building Permit Fee State Surcharge 9<..' k' '::.'\\d........ (A) Total Fee SYSTEMS DEVELOPMENT CHARGE (SAC) (B) l )(""\ \:")_ PLUMBING PERMIT ITEM FEE 4D.~ Fixtures 4- Residential Bath(s) N' Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit ~QO I'll eo> '1 't1Ak. 1" e.!I, '. 1, ~1 (C) ~~ ~, State Surcharge Total Charge ,. MECHANICAL PERMIT ~. (;Ql Furnace Exhaust Hood ,q...'50 Vent Fan N' 1::\ \~~, Wood StovellnsertlFlreplace Unit Dryer Vent =6.00 \ ~, ;:; Mechanical Perml t ~t::..'~ Issuance Ca'lo) \O~~ + \\,~ State Surcharge I Total Permit (D) "1'~J ?=. . - , . ,F MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition / State Surcharge Total Miscellaneous Permits (E) 2J ~i~ , 'q(C . <-(~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 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: Receipt Number' M)~ ' Plans :Revlewed By ~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS . By signature, I state and agree, that I have carefully examined the completed appllcailon 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 01 Sprtngfleld, and the Laws of the State of Oregon pertaining to tho work described herein, and that NO OCCUPANCY will be made of any structure without permission 01 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 agre~ 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 plans will remain on t site at all tlmes,durl~g Ejn'1ucllon. gnature ~bL/} W~-- I'(~~~i? . ~:~~::::MB~" 13d=1 S DATE PAID\'" ~) -94'. _, AMOUNT RE~EI:ezE ~ '10.CG RECEIVED BY (f"..^- J ..... - - - " " , .---~ ;',~'CONTRAcrOR INSTALLATION ONLY ~.,,/ ,~!/,.~. ~~ E~!i_al ContractorR05E CORP. ,-..~ Address: 89976 DAY LANE ~.;/.,'~V,. ,;{'~/:~~~".: .",.",-,~ .....;>';.~.\'h'? '~."; {Ci'tylEUGENE ;.;\,:,;:",~, 1~,.,~~,.t~,~i~Uf..~,t;Y..fsf,~\License Number 15685 ,~,.;;Ji'<"', .." ;""I'~;Expirat.r'on Date 1 0-01-95 ''4':\''''''~' '.;;';;.~t~n;~lcontr. Number 54431 Expiration Date 9-30':'95 , 4IJ ' " Sign~ Supervising Electrician ,. ~d2 '.' ::::.,'2~O~ri~l~nie~~ ~i#-s--5"ef\ ., ';-:Addi!!!is; ~, ~_ o\il\ l \X <=< "Cityl.. ~ Phone . ~ - ,: '. ' '7." ';"'.':-1. ',' , "'OWER' 'F' '''fe' '~ The'i!llltallation is being made on properJY I own which is not intended "'" for sale, lease or rent. ,.,,~ awnel:'s ~ignature: r . ; ,~' .l. DATE"iJI ,~' '." RECEI.J,rr I: , RECEIVED B tat,... Phone 686-0905 Items 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: .,1.., .' .~~.~ '.:-- . , f" . Cost 'i;'. Sum';" l!; -.', . ' .. 11,;,." ',,' :'5:" Q'" $ 85. 00 '.s?..t; ..:-. ~~ - :, ':~ ::.~ C. Temporary Services or Feeders '. Installation, Alteration or Relocation ALLATION --- ',\~' " New, Alteration or Extension Per Panel 'J,~i ",.-,;l ~,35. oo~".~t --;:j.~~, .: ~'" 't,', ;: $ 2.00' 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting' Limited Energy/Res'~ Limited Energy/Comm ., 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.001" $ 55.00' : $ 80.00' .,.'. see "B"~".above .~ ~~;,'';'; .,-," ....., .. , \,\.,', . ~ not inCluded) ',;' $ 40.00 $ 40.00 $ 20.00 ,$ 36.00 4/cJ~ ~ .4' ""\ ~ $/t'J~ eL " ',' ,i , . "., ' ~q !:!i!Ii!!:!!~!~;!!~ .' JObNO.~lE SYSTEMS DEVELOPMENT CHARGE WORKSHEET . ~ ,1\ \\\.\:\Q ~ , N~ \\, ~~0 ~\Q \Q ADDRESS: LP~'\ en\ CJ{\,tfl bj ~ PHONE: fl4 \ .?im STATE: L1e...zIP ~ .... LOCATION OF jilROPOSED BUI~DI~~: (\ \ (\ f'\ .;J Street Address if Known: I PKL1 \. . b\.(),,\\ ,\. r\. \J '), U)( Platt Name: \\ CLJ Tax Lot Number: J.JD'3QQ \g) ()LU 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back,) A. SimIle Familv - Detached \ Single Family home NO OF UNITS I B. SimIle Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D, Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park <::::\ w X $400 PER UNIT .r $ 00 _, X $370 PER UNIT = . $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4D0.CO $0 $40000 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) \~~y~~J-' City of Springfield _ 5 / \ S lqt Date