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Home My WebLink AboutPermit Building 1995-3-22 LOCATION OF PROPOSED ~O~K: ~ 70 ASSESSORS MAP' [,g l)~4tYJ *& RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: . SPRINGFIELD ~5r,77-H A. BLOCK' OWNER' ADDRESS' CITY: Ki;/U? f1.uuJ ~5 C; 70 P/Ntt:. CT c.eCc SloC;"..J J.., eN! STAT~' O.f DESCRIBE WORK: ~. \='. \?o [)\.1 0 (\~ NEW X REMODEL ADDITION DEMOLISH OTHER L.--"" . . 1'50/15 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 - nR-G{(X) TAX LOT: SUBDIVISION: _OJ/ 5Hof) Ii-. SmT,; " PHONf' 9sL-l-c?33 L. ZIP: 9 "/C/ 2-?, CONTRACTOR'S NAME ADDRESS tEII/ C/C ;J; 0z() ~:s C<h~ p~ (; A1e-t'~ /-I-4--ff7 Nq GILLS k Ltfcr;e;'c. CONST, CONTRACTOR' (')9q-3S.:z OOPA:~ 1054~ 'cO Jl~'5i EXPIRES ItJ j;';);s- 1.r].QS ..114, ff/oZ. /9. ,/1/,45 ~m,.n~/ 4. 9KCfS ~g1-/fS5J GENERAt' PLUMBING' MECHANICAL' ELECTRICAl' 3'LcsQ- \ R?yt }J\ \ t:-.> QUAD AREA: · OF BlDGS' OCCY GROUP: · OF STORIES: ....VATER HEATER' - OFFICE USE - \ \I \ · OF UNITS' \ CONSTR. TYPE: ~ t:'S LAND USE: HEAT SOURCE: RANGE: __<r ./ PHONE 'lSYJ'352- FLOOD PLAIN: \ ZONING CODE:-1llV ~ SECONDARY HEAT: ()/ SQUARE FOOTAGE: ~f}O'?-( . OF BDRMS: To request an Inspection, you must call 726.3769. This Is a 24 hour recordIng. All Inspections 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. , ~ o Temporary Electric o Site Inspection '- To be made after excavation, but prior to selling forms, o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover, l's7f Footing - After trenches are ~ excavated. o ~asonry - Steel location, bond, . .beams, grouting. t'\:;:r Foundation - After forms are ~ erected but prior to concrete placement. r""1 Underground Plumbing - Prior --- to filling trench, .l\:7f 'Underlloor PlumblngJ Mechanical ~ - Prior to Insulation or decking, ~ Post and Beam - Prior to tloor ~nsulallon or decking. , , " f\:?r Floor Insulation - ,PrIor. 19',' ~decklng. . __ f"'iD( Sanitary Sewer - Prior to fllll~'g ~ trench, I'\:irSlRrm Sewer - Prior to filling L,C>l. trench, I"v'r'water Line - Prior to filling I.6l. trench, i"\/r Rough Plumbing - Prior to ~ cove" \ ' \ REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. fVi Rough Electrical - Prior to ~cover. TVrElectrlcal Service - Must be ~approved to obtain permanent electrical power, o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to' cove:: K7t Wail/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping, o Wood Slovo - After Installallon. o Insert - After fireplace approval ~nd Installation of unit. "f':7I' Curbcut & Approach - A~ter. . '~ forms are erected but prIor to placemont of concr~te. I'ii7I' Sidewalk & Driveway - After ~ excavatIon Is complete, forms and sub-base material In place. D Fence - When completed. :,. . ~Street Trees - When all r,equlred <.J!!7Y trees are planted. . . '. , rvr Final Plumbing - When all ~ plumbing work Is complet.e. r;;::;rFlnal Electrical - When all ~ electrical work Is complete, ~ Final Mechanlcat - When all mechanical work Is complete, I':A- Final Building - When all ~ required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPE,CnONS o Blocking and Set. Up - When all blocking Is complete. o Plumbing Connectlons- When home has been connected t6 water and sewer. o 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, sklrllng, decks, and ventIng have been Installed. Lot faces -S.- Lot Type. Setbacks Lot sq, ftg, ~O v'lnterlor i :L.l;~ GAR ACC I Lot coverage ~5'.7o Corner I I 41 I Topography ..(2.:::'LJ Panhandle I S II II ~ I I \~:y W S:S Total he~ ~ (.1\'1' c~~)~c", "~.:.J APPROVED: BUILDING PER~I; . ~~ . BUILDING VALUE, PLAN CHECK ITEM SQ, FT, X $/SQ, FT. VALUE AND BUILDING PERMIT j/5'2.. ~t;C;7(J,fi' t::;/(.., " 777,60 . I - # MaIn Garage Carport Totaf Value ~d2loLeI r ' .51~2? 2$ rl 3U ,,,4 Building Permit Fee State Surcharge / 7;'70""lo7~ Total Feo (A) . SYSTEMS DEVELOPMENT CHARGE (SDC) ~~45..~3 (B) PLUMBING PERMIT ITEM FEE FIxtures Residential Bath(s) 2 '/(On N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~.!/- 1:$0 Total Charge (C) / 2. , ~o _/72. f:,O MECHANICAL PERMIT Furnace ht$o -Iro I'o~ Exhaust Hood Vent Fan ~ N' Wood Stovellnsertl Fireplace Unit Dryer Vent 3 .()f) Mechanical Permit J"7Ji'o JO(Jo.() /,S'7 3../,07 Issuance State Surcharge ,9~ +-,55' Total Permit (D) MISCELLANEOUS PERMITS Mobtle Home State Issuance State Surcharge Sidewalk 72 fI Curbcut 20 ft 20, so /..j.,~o Demolition Slate Surcharge Total Miscellaneous Permits (E) ".:35~ -::277~~ TOTAL AMOUNT DUE (excfudlrig electrical) (A, B, C, D, and' E' Combined) ':: . ;';': ~:'.~' >:: I:: ., _S THE PROPOSED WORK tN THE, ' "HISTORICAL DISTRICT, OR ON THE HtSTORICAL REGISTER? If yes, ,this appflcatlon must be signed and approved by the Historical Coordinator prior to permit Issuance, This pelmllls 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: ::2 '5 2. 7 ~ ::::I::I::umber: ~ 1:i:-7 A"~ "',- ~A'>M evlewed By" ':( It I'T r- -/ ~te' Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved, -' ADDITIONAL COMMENTS d+T'. \ 1\\\f\~', ~ lctta) \ 1)(\ H'I \ ..'') (\11k~rtQ", ~P.LCf}QL . .D 1:., l)'w1Il' .) ~ t ~ {1V\ Q4\C1L ... By signature, I state and agree, thaI I have carefully examined the completed 'application and do hereby certify lhat all Information hereon 15 true and correct, and I further certlty that any and all work performed shall be done In accordance with the Ordinances of the Clly of Springfield, and the laws of lhe State of Oregon pertaining to the work described herein, and that .NO OCCUPANCY will be made of any structure without permission of Ihe 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 10 ensure that all required Inspections are requested at the proper time, thai 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 site at ~I:e: du~ng/1structlon. ~gnature./~~ . ---- .J" / Z-Z,./9..> Oat'" VALIDATION: RECEIPT NUMBER / (-./.,., J L MUm ~;~7r AMOUNT RECEIVED ~ , .{." RECEIVED BY , . ~ ATfACHMENT Bl ..JOB NO. 9fol-'fs CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE '. ,WORKSHEET (COHHERCIAL & RESIDENTIAL) NAME OR COMPANY: R/A~h-./ L LOCATION: "t/q'1() q;:-~ v DEVELOPHENT TYPE: SF R BUILDING SIZE: lOT S17"' SQ. Ft. 1. '~TORH nRATN~ , IMPERVIOUS SQ. FT. 2. -13'2. X SO.209 PER SQ. FT. (S;~, r?} '- - . 2. SANTTARY SFWFR-r.TTY NO. OF PFU'S . (See Reverse) /'1 . X $43.26 PER PFU (J~ 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP J X ;,0/ X S436.19 ~?a~-s-) ---- X X X S436.19 X $436.19 $ $ SUBTOTAL (ADD ITEi",s 1. 2. & 3) s J ...,. 3 ';I'.:? r 4. S8HlIARY SFWFR-~dH( NO. OF PFU'S J'f x $17.19 PER PFU + $10 HWMC ADMIN.FEE $ '?I'i, -r 2- (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) $ /3.? t- ..IOIAL-MWHC SDC ,$(3'''5':.s-,,=> SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2.~ fi .>s- 5. ~nMTNTSTATTVF FFFS GE r~OVE) X .05 ~ Date: H rnig, P.L ./ rdinatar-------- r/O.2/? ) - - --- .:2 - /0 - 9 s IOlAI SOr.. $ 2/15". r.3 B2.SDC . F!XTURE uNiT CALCULelON TABLE: Number of New Files X Unit Equivalent c Fixture Unit" (NOTE: For remodels, calculate onlYlhe tiEl additional fixtures) , ,', NUMSEf1 OF NEW FIXTUnES FIXTURE TYPE Bathtub.....,..................,."...,.,.,..,..,....,...,...........,..,.., . Drinking Fountain.., ........ .....,......... .........,................. Floor Drain. ..................... .......................................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher...... ..... ............... .... ..... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer)............:..... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwa;lier/Etc.. Shower, Single StalL.......................................:........ Shower, Gang.............. ...... ......... .... ..... ,... ... ..... ..... .'.. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StaIlN~all..:....., ....... .... ......... .... .... .................. Wash Basin/Lavatory, Single...........,...................... Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous:' ',TAl'll "'R'.s 5.1'>/):- UNIT EOUIV,\LENT FIXTUf1E UNITS I 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ z.. / z / z. I z.. 2. z. 2. <;; TOT /"l FIXTURE UNITS /:6 = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred aft~r annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value 1979 or before 1~80 1981 1982 1983 1984' 19B5 $3.46 3.33 3.32 3.21 3,06 2.92 2.73 Year Annexed -I Rate per $1,000 Assessed Value 1985 1886 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 3 A' G; 4. tnn; __' /5. 't.A Credit for Parcel or land Only If Applicable " T X $ . ,.. (Rate X Assessed Value) Improvement (if after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ . SPR''-ELO , . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEctION REQUEST: 726-3769 OFFICB: 726-3759 1. J.~TION ~ IN~~IilN \ '\-G\ In \'-{)\ ~ ' .1 () ) \ ~6QO\~n1D&qrD ~ DIi$CRInWN ;..ll \{\ r-of2 ~ ~~. IXOJ)VIOf\f'Q.... . Il ^ Permits are non-transferable and expire if york is not started vi thin 180 days of issuanc~or if york is suspended for 180 days. I 2. CONTRACTOR INSTALLATION ONLY , Elec~rical Contractor BILLS Address 3170 WEST 11TH AVENUE City 1'11r.I'N~ Phone __68.7 _ , R~ 1 Supervisor License Number 980S Expira t ion Date 10/1/95 .. " Constr Contr. Number 21351 Expi'ra tion Date 41?R/qlr , ~tWu~ctrician Ovners Nam~ll'fr ~i\&.J\O\\\O.J)JD. AddressJJ:D \ ~ (\0, 0~Dl-t-:;' City ~HttnoQO . Phone q~.Y..-=<3?-- OVNER INSTALLATION The, installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --~--- .J12.~ p- RECEIn, I: / /,. '11"'L":1" RECEIVED BY: . /f"'~:.. DATE: ELECTRICAL PERKIT APPLICATION 'Ci ty Job Number ctm\\-s 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling unit, Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 f2j" Each additional 500 sq. ft or portion c9-. ~ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80,00 see nnll above Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 5. SUBTOTAL OF ABOVE JI S.#"" 5% State Surcharge,s:lr.,..,J,€ "".~ TOTAL . /').t'M) . o !!y}!I~m~t\!!t; . , Job No. Cf.5{) tiS SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:~~0&X ~~ ~ 001\0[\ }PHONE: Q~.~3~ ADDRESS:' lll() l\J\X\Q )~")\ dj STATE: Gt.zIP~ ,,- \ lqCATION OF l"ROPOSED BUllDJN~I~ " ,",,' , Street Address if Known: ~' \( ) l Q) ) ",tt N'~\ ~ N\l~ f * T~ ld Nom"'" -1~ff\ (f) ~f) lfficb 1. DEVELOPMENT TYPE (Check appropriate dwelling(sJ. SDC Calculations and dwelling type definitions are on the back.) A. Single Familv - Detached \ Single Family home NO OF UNITS ( B, Single Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SOC Manufactured home not in a park $400.0l) X $400 PER UNIT oF" . X $370 PER UNIT = '$ X $277 PER UNIT = $ X $280 PER UNIT = $ $4-DOcD $ft ' II,~' OU $ \'U .J 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. ' 3. TOTAL WPRD NET SOC ASSESSED (If SDC reduced for Credit) C\lN\. )0\f\\~n f' ommumtv xrv~ ~n _ '] / :2...L-i <;;I Date