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Home My WebLink AboutPermit Building 1992-9-24 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PI10POr:r30'A ,~~ ~7r-S<rT.h'-:7' ASSESSORS MAP: ~ CI,. ()~, ' LOT: _I '7 BLOCI" A OWNER, 1I/?? ,.(Y.77,~ ADDI1ESS' -::2 /<7e 7~~~ z;> . - ... j'P?-/--p/- DESCI1IBE WORK: Si\f)Q.Q.J(.Jh ffiJLu) \ZQ l\\(hlV\9- NEW,~ REMODEL ~ ~ ,AD~'ITION ~ DEMOLlSH- - OTHER CITY' SPRINGFIELD ~,., STATE: _/'!??f , . 9'.2//Y'b ~ JOB NUMBER 225 Fifth Street. Springfield, Oreuon 97477 " .. TAX LOT: Us.. V"J , SU BDIVISION: (!{uJ C!J.J'Ip 1iQinfr {r S 1liS-t- PHONF' -;;nl?.qb~7 ZIP: " CONST, CONTRACTOR'S NAME' ADDRESS CONTRACTOR · EXPIRES PHONE "-' /,/, -~' -::?L2f?~-:Jd?P ~..-..?-/ / /.?? //-,,~ GENERAL/}@/~LPg~# ( -;;57'~;: 4/1"~--._/ /?<;""~ [,.. -7 -" 77.......~~ PLUMBING: '-vI~/ /~~-:/"t:,..:> MECHANICAL:~~P~ 6, -0...__ ELECTRICAl' Y VL;-'~'" jLC~~, QUAD AREA: L\;:QSV . OF BLDGS: ',. OCCY GROUP: _~)~ l\f\.. . OF STORIES:_ WATER HEATER: _ ,~Ct::: ~/ - OFFICE USE - \ \ \ \ \ V'N LAND USE: . OF UNITS' CONSTR, TYPE: HEAT SOURCE: Cc~ ~;z:" RANGE: rctF~- FLOOD PLAIN: ZONING CODE: . OF BDRMS: \f\\L ,~ ':. SECONDARY HEAT: ~ 4JlltL SQUARE FOOTAGE: 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 m~dc the sarno working day, inspections requested after 7:00 a,m. will be made the following work day. o Tcmpormy ElcClric o Site Inspection - To ba made after excavation, but prior to setting forms. o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. [AJ Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. IZl Foundation - After forms are erected bu I prior to concrete placement. [E] Underground Plumbing - Prior to filling trench. 00 Underfloor Plumbing/ Mechanical - PrIor to insulation or decking. C{] Post and Beam - Prior to floor insulation or decking. [Xl Floor Insulation - Prior to decking, [l] Sanitary Sewer - Prior to filling trenet1. rn Storm Sewer - Prior to filling trench. rYl Water Line - ~rlor,t~ tilling. . lLlJ trench, . ... -. . ~ Rough Plumbing - Prior to cover. .. . " - "...... REQUIRED INSPECTIONS IVI Rough Mechanical - Prior to ,~ cover. r-.. IIIl Rough ~le~lrlcal - PrIor to L4-J cover: [Xl Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing malorlHls and framIng Insp. ~ Framing - Prior 10 cover. Grl Wall/Celling Insulation - Prior to cover. !::lJ] Drywall - Prior to taping, [XJ Wood Slove - Aller InBtallatlon. o Insert - After tire place approval and installation of unit. IXJ Curbcut & Approach - After fOlms are erectocj but prior 10 placement of concrete. 1\.... I17f Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material in place. o Fence - When completed. rVl Street Trees - When all requlre.d ycJ trees are planted. . [X] Final Plumbing - Wilen all plumbing work Is complel,e. rvl FInal Eloctrlcal - When all ~ electrical work Is complete. rn Final Mechanical - When all mechanIcal work is complete. rvl Final Building - When all l4J required Inspections have been approved and building Is completed. DO'her MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blockIng, set.up, and plumbing inspectIons tmve 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. :; Setbacks I P,L. HSE 1 GAR ACC I ~ ~J~'-f' Iw ~'AtC I E /"I~ --- Lot faces J- Lot sq, ltg, '~1 Lot coverage ~ Topography ~ Total height tJ.551 L)ZYP. Interior Corner Panhandle Cul-de-sac BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. VALUE Main -::>/:>?Lj~ t./</'"/ ..~~ .LL'i3'iZZ.::<-' /~_/.c> _62~ Garage emparl Total Value /.?,,?~?7.~ Building Permit Fee f/~. ~r State Surcharge "2r.~ / Total Fee (A) ~V. %6 SYSTEMS DEVELOPMENT CHARGE (SDC) $ , (B) -u.'Z'Z.1 ,€A PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ , Sanitary Sewer FT, Water FT. Storm Sewer FT, Mobile Home L1~6]:> Plumbing Pe~mlt State Surcharge 19:? frO -~.~ Ul.~--I-~ Total Charge (e) MECHANICAL PERMIT 6P ~. '1-62 /2 .. /S." :;:.- Furnace Exhaust Hood Vent Fan N' o/"k'" ~OOd Sto~lnserllFlrePlace Unit Dryer Vent Mechanical Permll -ij~.~&> /;-,p '2 ..d3 ~2. 5'3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home' State Issuance State Surchargo Sidewalk 9-;:j ~~ ;2 ~. 95'" j~~ It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) ~~ TOTAL AMOUNT DUE (excluding electrical) ~ 1'6 (A, B, C, 0, and E Combined) '.I'S THE PROPOSED WORK iN 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. 'I APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition ttlat ttle said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating Ole constl'llction and use of blllldirl~l~t, alld may be: sllspended or revoked ilt any time upon violation of any provisions of 5:J.id ordinances. Plan Check Fee: _21..'2. /C Date Paid: .&&"72- Receipt Number: C:;-i'5~ By: #"...-?...~ ~ .~~~ , rrr:~-::> eviewed B _s~~ ;1-9:?- Date Systems Developl11ent ClwlUu is due on ,111 undeveloped properties within tile City lirnils Wllicll ;Irc ueino i/llproved. AD9!,TIONAL COMM,ENTS ~7/7 Z--~4 7~~~ < -nIIffJ)2i1irL ) 0ti'J Q J J11f/.L Cs:\+i; 1':),U~() \ ~'- uaXu; '1410/) By signalure, I state and agree, that I have carefully ex?mined 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 Witll the Ordinances of Ihe City of Springfield, and the Laws of the Stale of Orenon pertaining to the work described llerein, and that NO OCCUPANCY will 'be: made of any structure willlOut permission of the Building S<lfety Division. I further certify that only contractors and 1~ll1ployccs wllo are In compliance with ORS 701.055 will be used on ttlis project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, th<:lt tile permit card is located at tho front of the property, and the approved set of plans will remain on the sito~es during construction. Signature '/~ C-..--'~ / Date -r Q t.;'-7 2, VALIDATION: RECEIPT NUMBEFI t? ;;;: 99 '7-20":1"':2- 3/97. 'lib ~~ DATE PAIr> AMOUNT RECEIVEf1 RECEIVED BY SI-IIINGFIIZLO , \nelO ' " on'" oll.e .~'O",i\\e c~ic \ai' "'I'IlI',oieY\~i{e'l'" ELECTRICAL 97477 "","IO\'O~~o rlo~ 726-376~~~~~. City Job Number el'" , 201"1'9 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ,-~ce IDWg~N Q Jl(U _ d40 lo \J Permits are n'On-transferable and expire if work is not started within 180 days of issuance or if work is suspended f'Or lBO days. Address City Ph'One OVNER INSTALLATION The 'installation is being made on property I own which is not intended f'Or sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 1I: RECEIVED BY: q-zy'.,,-.< 6~?" " ~~." SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or P'Ortion thereof Each Manuf'd H'Ome or M'Odular Dwelling Service or Feeder 200 amps 201 amps Over 401 Over 600 Items Sum 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders \ Lr? ~ Installation, Alterations or Electrical C'Ontractor~~~ Relocation: Address ~)oI\- () 200 amps 'Or less On 201 amps to 400 amps' City ~Cl..~hone_'/U-?'f;.,clr401 amps to 600 amps - 601 amps to 1000 amps Supervisor License Number :)SS rS Over 1000 amps/volts , ~ . Reconnect Only Expiration Date J"( 1'2..- c. Temporary Services qr Feeders . Constr Contr. Number ~~J of Installation, Alteration or Relocation Expiration Date /O/..,-z---- f Signature of Supervising Electrician ~p~ 1/ Owners Name Cost - $ B5.00 AS" I./~ '1 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00, $130.00 $300.00 $ 40.00 * or less ' ~,$ 40.00 t'O 400 amps $ 55.00 to 600 amps $ BO.OO amps or 1000 volts see "B" D. Branch Circuits above 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 not included) -Each installation Pump or irrigati'On $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL /7~.- s.~ / 7A 5"0 . .OB NO. ""12/1 4 C" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Titvl HOL. Tc LOCATION: iOfYi? r::Of<,5y,HIA DEVELOPMENT TYPE: L.D~ - f...\ E:W <7F-~ J'i{Oz.-OZ.2-2 - O??OO , BUILDING SIZE: I, STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ, Ft. '2.."1\7::> X $0.192 PER SQ. FT. C:"')7-D 9~ '- --- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 'Z? X $39.78 PER PFU G9\y9~ ----------- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X I.OOS X $401.05 c: YtJ~00 -- --- X X $401. 05 $ x X $401.05 $ SUBTOTAL (ADO ITEMS 1,2, & 3) $ \€)?e>9~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c;- ~I~ ~ ~ TOT AL - C!TY SDC $ \C'j?:>o e,'f- 5. SANTTARY SEWER-MWMC NO. OF PFU'S '2:2;> x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ?'2.:'?-z..ce (Use PFU Total From Item 2 Above) ~ ~.L-&.- () Ki P Burdi ck SDC Coordinator ~ /'2-1 /q-z. I $ 4z~ TOTAL-MWMC SDC~f)~ ~ --- TOTAL SDC $ 'Z-z., \ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULAT!N TABLE: Number of New Fixlure~ X It Equivalent = Fixlure Units (NOTE: For remodels, calculate only the NET additional fixlures) FIXTURE TYPE Bat hlub......... .......... ........., .................:........ ............... Drinking F ounlain.., ......",........,.,..,.,..,...,.."..... ........, Floor Drain".,....,.,.,.,.,..,........,.,.",.."..,..,..,........."..,.. Interceptors For Grease/Oil/Solids/Etc................. InterceplorS For Sand/Auto Wash/Etc.................. La und ry Tub /Clotheswasher.,.""."",..,..,.., ......".,... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).......,.......... Receptor For Refrigerator jWater Station/Elc.....,.. Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL,.,.,....,.,."'."""""'."'.,..,...,..,.... Shower, Gang"" ".", "".,....",.,.,'" "..',."",.."..,..,...," Sink, Bar, CommerciaL,..,........,..,....,................,..,... Urinal, StalljWall.,.",.,..,..." ,..,.,." ",'" ",."."..,......,...,' Wash Basin/Lavatory, Single..............................,.., Water Closet, Public Installation........,......,............. Water Closet, Private.,.,....,.,."""...",.".."..,....."...,., Miscellaneous: NUMBER OF NEW FIXTURES 7:> ? TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 = FIXTURE UNITS '2- '2- z "2 ? \2 z? CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. - --.- - - -- -. ---" Year Annexed 1979 or before 1980 1981 1982 1983 1984 Rate per $1,000 Assessed Value $2,83 2.76 2,71 2,60 2.46 2,33 Year Annexed 1985 1986 1987 1988 1989 1990 1991 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) 2.,~? _ X $ Ie;, 02- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL ~ 42.'=>...!. \1 Rate per $1,000 Assessed Value $2.16 1.90 1.60 0.25 0,87 0.50 0,16 II I ~ =$ L\-2~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.....,...", ... ,.,...,.........,.....'.. ....,......... 0.4 Commercial..............,......,...,..,.,....................,.. 0,9 Industrial.".., ......"................,..,......,..,.......,....... 0.45 GovernmentaL...."...........,...,......",.... ............'. 0,5 IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT