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Home My WebLink AboutPermit Building 1995-4-24 ~ /,.. .", RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 '(LOT' #- ,4-S 7"9c:P6' .APA2?-r~~ Cq1/011) 3-m9 SPRINGFIELD " ... . J JOB NUMBER 9 ~t!)J.&L BLOCK' 225 Fifth Streel Springfield, Oregon 97477 , TAX LOT' ()l C{C() to SUBDIVISION: t13/6hbP kS779'rt.S &t@ LOCATION OF PROPOSED WORK: 7"90& /i:J-t?s'?7'7fr4 >(ASSESSORS MAP: IP02.CY\ ('YJ :5 OWNER' ti3v~ 6en.o . '/.:--;;..<: 5 ..z::;vc.. ADDRESS' &, ?O ~//V~ cr ~tf:'f,WUC ,O..e CITY' STATE: C!le~..e-,..-, PHONE' 95'7-3:3 '3 ?-.. ZIP: :? >-7'2....'=' DESCRIBE WORK: NEW '((; REMODEL /LIf-W /~ .:$ /.#fC.<f:, ~""h;, I'~y ADDITION DEMOLISH OTHER CONTRACTORnNAME J / ADDRESS.., GENERAL: It:rvte134?O /~<:, , :_ /) /P . PLUMBING: r --<",.~~, ~ MECHANICAL: (;,/her'I3/9v / I~ :T/N~ ELECTRICAL' c8/LL S .i..t~'nz./c. I CONST, CONTRACTOR' () 9L7 3-52. (~~~~.., ,-Qr.~") I EXPIRES PHONE /~~~.5 950/a:?52. 0l2LgS .j~'4 J!J~f.4S ,~,-~ 4.,9_~.q~~1.1~1' ~ n L QUAD AREA: 0R..~G · OF BLDGS' \ OCCY GROUP: ?-. ~ +-JJ\ . OF STORIES: , WATER HEATER: _Cf '" - OFFICE USE _ III I \ LAND USE: · OF UNITS: CONSTR. TYPE: ~ H EAT SOURCE: F= E... e..- RANGF' FLOOD PLAIN: ZONING CODE: _ll2P .. . OF BDRMS: 3 . SECONDARY HEAT: .0 SQUARE FOOTAGE: J!11J To request an Inspection, you must, call 726.3769. This Is a 24 hour recording. AlllnspectJons requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspoctlon - To be made after excavation, but prior to settlng forms. o Underslab Plumbing/Electrical/ Mechanical - PrIor to cover. [Jd"Footlng - After trenches are excavated. o Masonry :... Steel location, bond beams, groullng, ~undall6n - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, ~derlloor Plumbing/Mechanical - Prior to Insulation or decking. ~St and Beam - Prior to floor InsulatIon ?r deckIng. ~Ioor Insulation - Prior to decking, [jd-sanltary Sewer - Prior to filling trench. r/l..-storm Sewer - Prior 10 filling L.::1 t;.ench. ~ater Line - Prior 10 filling ~ ~ench: o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS ~ough Mochanlcal - Prior to cover. ~Ough Electrical - Prior to cover. ~ectrtcal Service - Must be approved to obtai n permanen 1 electrical power. o FIreplace - Prior to facing materlafs and framing Insp. Q-1"ramlng - Prior to cover, Q-:Wall/CeJllng Insulation - Prior to cover. ~ryWall - Prior to taping, D Wood Slovo - After Installation. D Insert - After fireplace a'pprov~1 and Installation of unit. Q;:urbcut & Approach - After forms are erected blll prior \0 placemont of concrete. ~dewalk & Driveway - After ~ ~~lcavatlon Is compicto. forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted, ~Inal Plumbing - When nil plumbing wor!~ Is complete. r:--l..-Flnal Electrlcnl - When all LL,..d electrical work Is complete. Ci:J:lnaJ Mechanical - When all mechanical work Is complete. ~ Building - When all required Inspecllons have been approved and building is completed, o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blockIng Is complete. o Plumbing Connections - When home has been connected to waler and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the servIce panel. o Final - After all required Inspections are approved and porchos, skIrting, decks, and venting have been installed. X $/SQ, FT. VALUE 5\o,W flD~~ \ ,4.\U "~~ .... ...,'.' Lot faces , ~ 70~ LOI TYP. InterIor Lot sq, ltg, Lot coverage Corner Topography TOlal height '10 ,.. , (-90:-\ BUilDING PERMIT ITEM ' SQ, FT. 1fh7:D '5\\0 ,/ Panhandle Cul'de,sac Main Garage Carport " ' Total Value Building Permit Fee State Surcharge -+ 3DJO Total Fee (A) Setbacks I P.L, HSE GAR ACC I ~1-t&-1i&-1-1 ,I W ~\.ol 1 -I E ---L,I '.;,.'., '. J , , , rtf')9,nl) ..~l aflCO ~q~ :3q{O .?(p SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~'2.I"1\ Ie ~ Wood Slave/Insert/Fireplace Unll Dryer Vent Mcctlanlcal Permit Issuance Slate Surcharge +- 2PJu Total Permit (D) MISCEllANEOUS PERMITS Mobile Home Slate Issuance Slate Surcharge Sidewalk .I ~ .~ II Curbcut \~, II Demolition ~ ~\r\r{\a\k)lO \1) FEE \ld)cD \loD~ \S.W ~Q.,~ ~:~ I G pO :j ,00 ~q.~ \(),dJ \,5'] .3 \ .D7 lLffi \\00 tn\ ) ,00 Total Miscellaneous Permits (El TOTAL AMOUNT DUE (excluding electrICal)~ (A, B, C. 0, and' E' Combined) " .\",:," " "J,ti'.: " 'IS ~H~ PROPOSED WORK IN THE'~"""".' '..'HiSTORiCAL DtSTRICT, OR ON THE HISTORICAL REGISTER? II 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 gran led 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 01 buildings, and m'aYbe suspended or revoked at any time upon vIolation of any provIsions of said ordinances, ..:-"_', ..'I Plan .Check F.ee: Date Paid: Receipt Number: ~~n1\ ' , PI~ns,Rqvlewed By ~,;" 3'J4il2 Date Systems, Development Charge Is due on all undeveloped properties within the Cl,ty limits whlch.ilre being Improved, -,..." ." -' . ADDITIONAL COMMENTS , \ A-\- T: 4 f1(')() C~ ri-, A1\ \.t \, '\ \D\.l$\~~ fYl'to'')\ \0..\ O() $-' \\l~'[j)<\0<L, ~~ ~ 1) \\rn \'\\("\l url. L '( \. L\ 0 C' \..JU (\ n Q ~ UCI '()"'i\. \.. r \ By signature, I stale and agree, that I have carefully examined the completed application and do hereby certlfy that all Informallon 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 Sprlnglleld, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further cerll fy that only contractors and employees who are In compliance with ORS 701,055 will be used on this protect. I further agree to ensure that all re~ulred Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is loeated at the front of the property, and the approved set of plans will remain on the site at all es du Ing canst lon, Date VALIDATION: RECEIPT NUMBER /.? /~/, DATE PAID 5I'~:2. Y9~ 'J. "c:: F ~ l .::l AMOUNTRECElvm~,>-5.....J.\~\ /~~ RECEIVED BY ~2 z."._: I , .~. ., . e ~ fill? ' -- ....~ Wi llama lane '-t-g' Park & Recreatio~ District Job No. ~oL PHONE: C{Sf. [\332- " 1. DEVELOPMENT TYPE (Check appropriate dwellirig<sl. SDC Calculations and dwelling type definitions are on the back.) , .' A. Sinl!le Familv - Detached ~ ' Single Family home NO OF UNITS 1 Manufactured home not in a park " r:lJ X $400 PER UNIT _=" $ 4fO. , B. Sinl!le Familv - Attached . \ NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Aoartment, NO OF UNITS X $777 PER UNIT = $ D, Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC . $ 4. rf) pi) $fI $4ffiaJ 2. SDC CREDIT (If applicable> SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet, 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced (or Credit> ~'~"\~ I I n~fp ,... . sttGFIELO " "....".., The, following, project as submlttsd has tha following 2:0nlng, 6nd OO&i> not require spocific land use aporoval. ' , Zoning L- DI ~ Dole Lj -2A -!15' ELECTRICAL PERMIT APPLICATION 974-'-'-'- ApW.d~gnaturs I-JM City Job Number 9~c:?%2 3. COMPLETE FEE SCHEDULE BELO\l 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 'L LOCATION OF INSTALLATION ~~66"re.,,-$:',j~h"~ A_ LEGAL DESCRIPTION /~ -e>?-r:::> y~ ~ p~ /<-~ , JOB DESCRIPTION ...c: n 1....~/.:O~ r::-,/.-f' ?~/~,<=, ~Tf11~rvc I L. _ _ ,,_ 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 BILL'S ELECTRIC 3170W11THAVE EUGENE OR 97402 SUPERVISOR'L1C. #980S EXP. DATE ,10/30/95 CCB #21351 EXP. DATE 4/28/95 Expiration Date Signatu;~p Op~~rician ~-- " ~~ D Owners Name~ .t ~ ~.H-'e>.::::> . Address ~7~ 73~ if. .. --.. Ci ty ~~Phone ~'; .~ .. -'/ Z O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: D~~E~------~-;?-~~~-------------- ~~~~:'::n ll~u, /:-.?(~ New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less --- $ 85. 00 ~' Each additional 500 sq. ft or portion thereof '2 $ 15.00 ~- Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 40.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee orn'l'^ T $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00' volts see "B" above .' New, Alteration or Extension Per Panel $ 35.00 $ 2.00 " E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ,B. Services oi 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 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits One Circuit Each Add i ti onal Circuit or with Service or Feeder Permit #~-~ . "".~ . <i.5' I"'" LL ___ v; . --.' ,;','),..,::, ,':;...';,;:;,:,'-".. NO. q,?o""~ ' GITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 1<\\1"'2... 'EJE:..JD I-l-oM~_.,,"INC. LOCATION:...M..f.(-:> 1===~2...~'r'-rJ.l.IA \9.,0'2..04-00 - 0'2-"100 Plb DEVELOPMENT TYPE:, I J':>12.. - tJrt:..W S~e... BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGF" IMPERVIOUS SQ. FT. -z..c;c:n:;, X $0.209 PER SQ. FT. ~~~ 2. SANITARY SEWER-CITY NO. OF PFU'S \'b X $43.26 PER PFU ~I~~V (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP \ X 1,0 \ X $436.19 G 446"'~ -------- X X $436.19 $ X X $436.19 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S \ ~ x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) '5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V. ~~cA.. Date: ,,:>h.-'?I"fl? '~ Kip Burdick / r TOTAL SDC SDC Coordinator $ ?\q~ $ I":> S+ ~?~ --- ---- $ '2-0c.,'11~ ( \D?~~ t& $ 'Z,..\'1 \ - ":","1' I ~ l FIXTURE UI\JIT C.AL~ULA~N TABLE: Number of New Fixtu,.unit Equivalent = Fixture Units:' (NOTE: For rem'odels, 6alc~.date o'nly ~ additional fixtures) NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.................................. ............ ........................ Orinking Fountain. .............. ..... ................ ............... ..... Floor Drain.. ................... ... ...... ......... ... ................ ...... Interceptors For Grease/Oil/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc.................. . Laundry Tub/Clotheswasher ...... ..... .... ...... ..... ...~..:'.;.: Clothes washer - 3 Or More...................,.,...,..,......... '.' ,'" Mobile Home Park Trap (1 Per Trailed....:;...........::. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang... ....... .........................................:~..... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/W all................................................. ~...... Wash Basin/La~atory i .Single.... .......... ..... ............... Toilet, Public Installation...................................._.. Toilet , Private..................................................:,... Miscellaneous: 2 1 2 3 6 , : 2' .6 " 6 1 .,3 2 lIHead 2 2 1 6 4 ,:' ," ;, \ ,2-- '2-- TOTAL FIXTURE UNITS ''2- -z. '2- '2- -z.. "i \8 Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 -I \ Assessed Value $2.46 I 2.14 1.77 1.37 0.97 0.61 0.44 0.15 , ? S4- CREDIT CALCULATION TABLE: calculate credits separates. r Rate per $1,000 Assessed Value Year Annexed Year Annex~d 1979 or before 1980 1981 1982 19,63 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 Credit for Pilrcel or Land Only If Applicable 1>. Ala X $ 4-. 0 (Rate X Assessed Value) Imprbvement,lif after annexation datel X $ (Rate X Assessed Value) CREDIT TOTAL = $ I'?~