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Home My WebLink AboutPermit Building 1995-3-31 ~. RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 =!~ LOCATION OF PROPOSED WORK: ~A < H'nr~ythi.a street ASSESSORS MAP: ~a..r ("'f...Dr H'n 1 arc::red MaD B Sec. B2 LOT: u..s ./ BLOCK: #8 ./ OWNER: ADDRESS' CITY: rb:,:"J.5 ~SheedY/Kelly O'sheedy 1nsn ~rrowhead street Bll'J<=>n<=> STATE: Oreaon NEW REMODEL ~fW Home Construction OTHER DESCRIBE WORK: X ADDITION DEMOLISH 5PZ1f) "''-' -...~ ,,' JOB NUMBER 9p~s- 225 Fifth Street Springfield, Oregon 97477 , TAX LOT SUBDIVISION: 18 02031101800 '.~II 11. Cascade Heights... '1:{Q '_ f?!iQNE' (c;n 1 \ 6[\q-1 941 ~~~~~ ~r:< ...6/0/, , 97404 ZIP: CONTRACTOR'S NAME ADDRESS GENERAl' Chris 0' Sheedy 305,0 Arrowhead st CONSt CONTRACTOR /I EXPIRES PHONE Home Owner Constructlon 689-1941 PLUMBING' MECHANICAL' ELECTRICAl' Same as Above Same as Above Same as Above kt.t7tS I IL~ /I OF STORIES: ~ WATER HEATER. _" ~ QUAD AREA: /I OF BLDGS' OCCY GROUP. l' ..,~ - OFFICE USE - LAND USE: 1111 ... r__ FLOOD PLAIN: / /I OF UNITS' RANGF' E ZONING CODE: ~-- To reOllPst em Inspertlon, you must cal! 726-3769. Th!s Is a 24 hot..r reco,d,i,g Ail ir.::.peclions requestea Detore 100 a m. will be made the same working day, Inspections requested after 7'00 a m. will be made the fOllowing work day m Temporary ElectrIc rn Site Inspection - To be made after excavation, but prior to setting forms. I o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. rvI Footing - After trenches are Lt:J excavated. , rnMaSOnry - Steel location, bond beams, grouting. rV'1 Foundation - After forms are ~ erected but prior to concrete placement. o Underground PlumbIng - Prior to filling trench rVl Underfloor PlumbIng/MechanIcal ~ - Prior to Insulation or decking I\7l Post and Beam - Prior to floor ~ Insulation or deckIng rn Floor Insulation -- Prior to decking. rYl Sanitary Sewer - Prior to filling Lp=I trench. r"'71 Storm Sewer - Prior to filling LCI trench I'VI Water LIne - Prior to filling LC:J trench. ria Rough PlumbIng '- Prior to i..-pl cove r .' REQUIRED INSPECTIONS m Rough MechanIcal - Prior to I-p.1 cover m Rough Electrical - Prior to LAJ cover. rVJ ElectrIcal Service - Must be ~ approved to obtain permanent electrical power. [y] FIreplace - Prior to facing materials and framing Insp [fJ Framing - Prlor'to cover. r\71 Wail/Ceiling tnsJlatlon - Prior to ~ cover. 00 Drywall - Prior to taping o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. IVl Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. f\Tl SIdewalk & Driveway - After Lf::>J excavation Is complete, forms and sub-base material In place. o Fence - When ~omPleted o Street Trees - When all required trees are planted. rv1 Final Plumbing - When all ~ plumbing work Is complete m Final Electrical - When all L..t:J electrical work Is complete. ~ rVl Final Mechanical - When all ~ mechanical work Is complete. rn Final Building - When all required Inspections have been approved and building Is ./-'- completed. / o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - Whe[1 all blocking is complete o PlumbIng Connections - When home has been connected. to water and sewer ,--- j o Electrical Connection - When blocking, set-up, and plurvblng 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 I\l eo,1 ~ ~ _ Corner Lot sq, .ftg Lot Typ, v' Interior Lot coverage Topography Total ~elght i.tl~C _ :iP~,nhandle _ Cul-de.sac Main /R~~ . ~~ $" ~-~~ '/~./~' " Gacage Carport Total Value Building Permit Fee State Surcharge ~~.€>~+~~ Total Fee (A) I / PLUMBING PERMIT ITEM Flxtu res , ~ Residential Bath(s) NO Sanitary Sewer FT Water FT. Storm Sewer FT Mobile Home Plumbing Permit State Surcharge q.b~~~~ Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO 4 ~s+ V\JQes gte'~;II",,,,.t/Flreplace Unit Dryer Ker:.t ~~.~ w/<t~ , Mechanical Permit Issuance State Surcharge ~.SC*" ~~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk .0 ~L.( ft ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) , ' '/. '" ~",t,1 ....' Setbacks I I HSE GAR ACC ~\O ~\ ~O lO I P.L. I IN Is W E /~.f ~2e ~-/26 ."5 FEE l q ~ ,so. l~~, ~ 1'5.~ ~O 7.11. c,. c.V ~,~ \~.~ \C;.~ 3.Q!? 5.~ 50.~ \D.~ .l-\.<E? 6t.{. C2Q ~ C). 5S? \ 3>.~ 6li . LO ~\~S.3S IS THE PROPOSED WORK tN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 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: '29;::?~ '?--<:?f~ , - Receipt Number /h~ ~ Received By. ~ PI~~::~ By Date Paid: '7 I ~..:~f5 S ~' D.te .L1': (&5) BUILDING P5RMIT ITEM sa FT. x $/SO FT = VALUE Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS /Az/:il1Y / (. /1"'/ ( \Jl~ h.s>~-\";I'~ ~1U!2~.Jb tfukh4iLL ~- ~~tcli; A,.v(' /" Iv.I, 'UtL ~ Awu(. ~k./ ~, 14(P{) 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 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 at the front of the property, and the approved set of plans will remain on the slte!l f) tlmeng ;onstructlon Slgnaturet}JAJA !)J~/ Date3-31-9SI VALIDATION: RECEIPT NUMBER /~ tfb2-4 ~</3//lr f. (-_ ~,~ 'c..'. ~ ::s ~/)a.. rs ~~ '-"I-C.'; ; - DATE PAID AMOUNT RECEIVED RECEIVED BY 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALLATION ~8 ~ ~ ~SuTl:f1A . I . LEGAL DESCRIPTION jg.O 2. 0"'3 J I 6> I 'ibbO JOB DESCRIPTION .N I!:t.U ~F. .-{'t!"f 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 Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name ~~ 5" 0 I<;'HEJ:::/Jl.1 I ~~~~J-.JZ Phone ~~~1iJ Address '"( &:> '5' D - Euc;, City OVNER INSTALLATION The installatIon is being made on property I own which is not intended for sale, lease or rent. ~2tf---- ------------~~----------------------- DATE: :J/~/)'..r RECEIPT #:~ f / ~ i2 2-4- RECEIVED BY: ,teC~ ELECTRICAL PERMIT APPLICATION City Job Number 95"D:$D5'" 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less L- $ 85.00 ~S-~ Each additional 500 sq. it or portion ~~ thereof \ $ 15.00 Each Manuf'd Home or - Modular Dwelling Service or Feeder $ 40.00 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 $ 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 -1--- 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 ~(),c $ 55.00 - $ 80.00 see "B" above D. Branch Circuits ,- New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 ,. E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ $ J 7D.6-C . ~.S'~ <:;,/ I:> .-I-~~lo.C) 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% AdminIstrative Fee TOTAL ATIACHMENT B1 . vvt3 NO. Cft5o'Po; CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COHPANY Cr\lZ-I'? ~ K~LLY 6/ ~!-tE:-'CoY------- LOCATION Co~~~ 'FD!Z-"='Y"THl/\. S-r. \<6o""Z..o~\\ - 0 \~CO DEVELOPMENT TYPE. L-D'{2... - N.E:-v-J SF~ BUILDING SIZE: 1. STORM ORAINAGE IMPERVIOUS' SQ. FT. !..OT SIZE SQ. Ft. , . . X $0.209 PER SQ. FT. 0s1~ 2.-1 '0 ~ 2. SANlIARY S8dFR-CITY NO. OF PFU' S -z.. ? (See Reverse) X $43.26 PER PFU ~94~ ---- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP \ X \.0 \ X $436.19 G446 s~ ~ ~ X X $436. 19 $ X X $436.19 $ SUBTOTAL (ADD ITEMS 1. 2. & 3) $ I ~4 t.- 83: 4. S8NlIARY SEHER-MWMC NO. OF PFU'S ~~ x $17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From Item 2 Above) $ 40'=> ~1 _ MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SIX SUBTOTAL (ADO ITEMS 1.2.3 & 4) $ <6? G\4 ($ '?'2-1 ~ ) $ "'2:2. \ Lt "L C; 5. ~OMTNTSTATTVE-FFF~ BASE CHARGE (SUBTOTAL ABOVE) X .05 C\\b~) '--- -- ~~t SDC Coordinator Date: ."?J /14/'15 I , IOI.8.I SOC $ Z?'?-49Co B2.SDC . FIXTURE UNIT CALCULA -,- ,N TABLE: Number of New Fixtur (NOTE: For remodels; calc'ulate only th~ ..iEI additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub............,." '.,..... ... ,... ...... ....... ,. .... ............ ........ Drinking Fountain....... .......... ............... ... ....... .......... Floor Drain..,............... ......... ...... ..... ........ ..... ....,........ Interceptors For Grease/Oll/Soltds/Etc................. Interceptors For Sand/Auto Wash/Etc.................'. laundry Tub/Clothesw.asher. "" ...,....... ....... ..,...... ... Clotheswasher - 3 Or More................:.................... ~obile Home Park Trap (1 Per Trailer).....,............ Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.... .................... ..... ............... ..... Shower, Gang.......................................................... Sink: 8ar, Commercial, Residential Kitchen..............::........ Urinal, Stall/Wall..... .1................................................ Wash Basin/lavatory, Single.......... ....... ................. Toilet, Public Installation...,...... ...... ........ ........ ........ Toilet, Private........ ............................................... Miscellaneous: Unit Equivalent = Fixture Units UNIT EQUIVALENT 1- 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 FIXTURE ,- UNITS c.r 2- 2.- ~ 1"2. -Z~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. ? ? TOTAL FIXTURE UNITS Rate per $1,000 Assessed Value Year Rate per $1,000 Year Annexed Assessed Value Annexed 1979 or before $3.46 1985 1980 3.38 1986 1~8.1 3.32 1987 1982 3.21 1988 1983 3.06 1989 1984 2.92 1990 1985 2.73 1991 1993 --.--. ~-- -~- .. -" $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Credit for Parcel or land Only If Applicable ":b . Lf Cc X $ '2.4. 2.-{., (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (If after annexation date) .~?~ CREDIT TOTAL = $ q '2., '" '-f 'I ~, /' ~ @ Y.'!jn~c'!!t~!g!!~ Job No. g~() ~a.5' SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: 1md~ 1JI1I!. H~ (J ~ Yl.u..t!j ADDRESS: : (, R'~ 1irl'53nJtu L PHONE: (171) &Kq,ttl/fl STATE: (JJ2.. ZIP t('7l{..1~ LOCATION OF PROPOSED BUILDING SITE: . -Street Address if Known: (0 g f-? ~5 ~.cUu.<<""; Platt Name: ~ 1(it?!dt, Tax Lot Number: ~~' ,g tJ'ZiJ:S /lot filO 1. DEVElOPMENT TYPE (Check appropriate dwelling(s>. SDC Calculations and dwelling type definitions are on the back.) A. SinQ'le Familv - Detached Single Family home NO OF UNITS r B. SinQ'Ie Familv - Attached \ NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS Manufactured home not in a park X $400 PER UNIT .::= $ 4tO . O(J . X $370 PER UNIT = .$ X $277 PER UNIT = $ (' , I X $280 PER UNIT = $ WPRD SDC $ l/.oo .M 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced (or Credit> $ $ l/aJ .~O ~ ? I {3 / 4S- o <Iff>