Loading...
HomeMy WebLinkAboutPermit Building 1992-7-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORt<. ASSESSORS MAP: /.....d-i- 1./-/ LOT' . SPRINGFIELD ~~~\/) BLOCK: OWNER: r....fu. <-< 13 ;:h,A.-I'r" .:JrjlfJ M.. f-o{,,,-y LL. ADDRESS' ,..' CITY' {;...... jl.'!. PC- DESCRIBE WORK: S f6C NEW / REMODEL STATF' O-c .0# ~ ADDITION DEMOLISH -JOB NUMBER q!Jn 831<" 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' K~,.vh-,b kt.-J3~ tl4Id PHON~' l./Jr-317v" ZI P: '1 7 <,(E.J I ~, OTHER CONST. CONTRACTOR' EXPIRES PHONE ~IA ..r~-? /q/~J. <,t.. ,- .3 I 7 c.., .3..0/7<./ to/~'-I 'IdS"ll v"" J doJ.-'I'v SN3 7 ~/-ooo 1- 3<f-tf fV 7/9 '- (j</ L- 3" 7 .l- CONTRACTOR'S NAME ADDRESS . ./ ./ GENERAL' r...L.. gl1~-:- ~H'/.- jt,.rc~.f2., 's.", <./.>/ /J ' (]. PL~MBING: C,,- ..I-e_ p/"_/.,,..-, .l~ {J K. (Z;,. Cu.. </UI MECHANICAL:~f-~' J3:no ~ ~T+ /<//"1;. .Ve~ ELECTRICAl' ;It..~a_1 EiY~,; 7f}(,J D t/-sd.. f.c!... [&- QUAD AREA: \ ~ \'0W . OF BLDGS: \ . OCCY GROUP: \~ ~-T ~ # OF STORIES: . ;) WATER HEATER: cr-----, - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS' \" \ CONSTR. TYPE: \J \\J HEAT SOURCF' ~ <r- J V FLOOD PLAIN' ZONING CODE: -ill.\2....J # OF BDRMS' ~~ SECONDARY~EAT: f~ SQUARE FOOT~E:rJ~ 'K'K' I I To request an Inspectlon, you must call 726.3769. This Is a 24 hour recording. All Inspections requested bef9re 7:00 a.m. will be made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day. Q(J~orary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab PlumbinglElectrical1 Mechanical - Prior to cover. IXI Footing -" After trenches are excavated. o Masonry - ~teel location, bond beams, grouting. [l] Foundation - After forms are erected but prior to concrete placement. [Zj Underground Plumbing - Prlor to filling trench. [ZJ Underlloor Plumbing/Mechanical - Prior to Insulation or decking. ~ Post and Beam - Prior to floor Insulation or decking. ,.--;71 Floor Insulation - Prior to '-?'\-' decking. rJI1 Sanitary Sewer - Prior to filling I trench. [] Storm Sewer - Prior to filling trench. rt7I Water Line - Prior to filling L4-J trench. IV1 Rough P,lum.blng. ~ Prior to ~ cover. RANGF' REQUIRED INSPECTIONS 171 Rough Mechanical - Prior to ~ cover. [Xl Rough Electrical - Prior'to' cover. r-v1 Electrical Service -" Must be LAJ approved to obtain permanent electrical power. n Fireplace - Prior to facing L,.LU materials and framing Insp. [lJ Framing - Prior to cover. r71 Wall/Ceiling Insulation ~ Prior to L,LlJ cover. [JEI Drywall - Prior to -t.aPlng. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. m Curbcut & Approach - .After forms are erected but prior to placement of concrete. - ITl Sidewalk & Oriveway.- After l...LU excavation Is complete, forms and sub.base material in place. lL] Fence - When completed. C!) Street Trees - 'When all required trees are planted:. ..& Jl7I Final Plumbing - When all L,A.J Plumbinfwork is complete. Final EI ctrical - When all CAJ electric I work is complete. \ "-- QfJ Final Mechanical - When all mechanical work Is complete. . rn'f Final Building - When all LA.J required inspections have been approved and building is completed. o Other \ MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete. D Plumbing Connections - When home has been connected to 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 "' . porches, skirting, decks,"and venting have been installed. Lot faces 6- Lot Type . Setbacks I . THE PROPOSED WORK IN THE Lot sq. Itg. ~o ~ Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR OM ./b% IN ;7' 1 THE HISTORICAL REGISTEg. Lot coverage Corner Is 12' 1 II yes, this application must be signed Topography t?--29c> _ and approved by the Historical Panhandle mi.,' ~ Iw I~' 1 Coordinator prior to permit Issuance. Total height Cul-de-sac IE I. ~:?' 1 APPROVED: BUILDING PERMIT so. FT. X $/SO. FT. ~ itJbJ" .( ~~.b.2~ L/..33. 5" K 1'1. I ITEM Main Garage Carport }vJ H,,__ J./3 x ~~2D Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE ~$'55~. 6/J.~. "ilS" %5;h~P.~ .j//t"!S,q!? ,- //lfo.OI:'" ~_dO '1~. e=C SYSTEMS DEVELOPMENT CHARGE (SDC) oU Jj I"!oW (B) If'Z-l \4 - PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ""3 Sanitary Sewer FT. Water FT. Storm Sewer FT. ~~~(fi~) Plumbing permlU State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' t/X""':j' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk g~ft -:;z..6 f t ?~ ~CW'C.:<.J Curbcut DQ.....~litiQ-- \ (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE /9:7.,'5Z> /.0.- -;2b2.50 /0./37 ::< I :2. 63 c..- I/.. 5 C> /2. -e> ~.~ '75"'. $'0 /0_- /.:::<$ --:?b.. 7~ /'5: ~ /9'. :70 <y.::p,- , S.UU 7<1.60 '4<7-:2-/.1<( 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: ~O. = Date Paid: ~ 0 r ,\.. ~ f1'\ I T'-- Recei pt Num~~~ Receive By: ~ - ~~ 'PIa<\: evlewed B1 /" ?-"2.~~ Date Systenis Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \d~l\~ V \)l1tu " . . - .- \~ { - \l.\t \.0 ,I-j\ffio, (\ ~ ?3S\ n ~ ill h.Q 0 (C\li\ 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 Ordinances 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 wlll remain on the site at all tImes during construction. Slgnaturf" If. ~ Date o,/u/UL--' I VALIDATION: LA A 4 RECEIPT NUMBERS ,,:), DATE PAID ~ - Co . V\ 'l- AMOUNT RECEIi'"D .:::, t:P57. 0 "I RECEIVED BY C'1\ l f"{).../ j SI.IIINGt=I~LO ti, 225 FIITH STREET ,g~~""'\:~:'~('roJe<:l~HY~Wl\\ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9747W~t'~\'UI ,.'....<l~~nQ((<lI\~ .. ~~tIM.'RIllIWIml O^()Q..f)Q INSPECTION REQUEST: 726'::3769' . '!IO!I'~'~Y.~Tty" Job Number -/0( c).:::r"') OFFICE: 726-3759 ~nj " - 0%. ~OHPLETE FEE SCHEDULE BELOI/ 1. ~~~ ~"'M\Ir~~_ 1-41. .,. ''''',.''''-Sl..'' ., ~ ~""'''":''IIPY per dwelling unit. LEGAL OESeR! N Service Included: L.ur <(/ ;?A"/~64> t....."";/'.A-./r-= ~ Items Cost Sum ~~ D~~Ci~ i\f\ Q ~ 2.?~~It' 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 ElectriC~l Contractor ~ 0.0 no f\~ Address\~lffi \J.\\, ~~~\ .~&-.. City ~. C"\~hone q4fl..-~\P11. Supervisor License Number c-Q r\n~S \\). \,C\2.. Expiration Date 'Constr Contr. Number ~R~c:>LD A.A,Cl~ Expiration Date Signa~ of Superv~\ing Electrician L/ A-r^ (\. \cl ~~ ~L Owners Name \1 \ \\ t ~_ \~ ~\1.i0' Address~C\C\ n.' f\\QJn \\ Q~ City h, ,)~ffi-~hone -~3S,-~ \l \.0 OI/NER INSTALLATION The "installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------c--- . ---~-------------- DATE:_ fJ. 17. ,YO- :. Rr."t.J.r1 II: , p _ _ .c:;q..ry RECEIVED BY:CJ\\LXfi.. _ . . 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder .~ $ 85.00 ~5":~ B. Services or Feeders Installation, Alterations or Relocation: $ 15.00 ~ 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 C. $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" Alo above New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation .Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 One Circuit Each Additional Circuit or with Service or Feeder Permit j=JP. ~... 0""'""~ 0b- :>C> CITY JOB NO. <120%""5 OF StINGFIELD SYSTEMS DEVELOP~H:t CHARGE WORKSHEET J , (COMMERCIAL &. RESIDENTIAL) NAME.OR COMPANY: F u.. -f!..( /Z...t:= 1'b J-/..o All E. S LOCATION: ~'5 <f SANA.! E-rT1::. DEVELOP~lENT TYPE: L..D ja. - t..)E:..v-I c;.r~ BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ.FT. -Z? '+1 X SO.186 PER SQ. FT. (See Reverse For Runoff Coefficients If Actual Imperv. Area 2. SANITARY SEWER-CITY NO. OF PFU'S --Z:? X S38.55 PER PFU (See Reverse To Determine Total PFU'S) ~~ c,i) ...... ---- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $388.61 ~ S I X / ,Ej() 5 X $388.61 x X $388.61 (Se~ Attachment C To Determine Trip Rates) ..... . . . SUBTOTAL '(ADD ITEMS 1,2, i' ~' '. . 70 &. 3)'Lnr~-" 4. ADMINISTRATIVE FEES BASE. CHARGE (SUBTOTAL ABOVE) X ,05. ~ ,; _ b~) . S 0':>- \ - TOTAL-CITY SDCS 17C}"'I ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S x S13.25 PER PFU .+ S!O.MWMC ADMIN. FEE S ~\,-\1~ (Use PFU Total From Item 2 Above) V'.~L..L- (j Kip Burdick SDC Coordinator t.,/',/'1v I I S TOTAL-MWMC S~ ~I~~ TOT AL SDC S '2.- I \ '-l- 0- MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA.N TABLE: Number of New Fi,1ureS .i1 Equ~'alenl = Fi'1ure Units (I,OTE: For remodelS. calculate only the NET additional li>.1ures) , . NUMBEf' OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 1 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 '2- I Batht ub........... ......,....... ...... .... ....... ............. .............., Drinking Fountain..:...:...... ........ .......... .............. ........ Roar Drain..... ..... .:........: .... ..... .......................... ....,... Interceptors For Grease/OiI/Solids/Etc................. Interceptors For.Sand/Auto Wash/Etc..........:....... Laundry Tub /Ootheswasher.................... ............... Ootheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receplor For Refrigerator JWater Station/Etc........ Receptor For Commercial Sink/oishwasher IEtc.: Shower, Single Stall..........:...................................... Shower, Gang.............................................._.......... Sink. Bar. COmmercial............................................. Urinal, StaIlJWall........................................._.......... Wash Basinflavatory, Single..................._............ Water Ooset. Public Installation............................. Water Ooset. Private................................ Miscellaneous:. . -z.. ./ 1. I '2. ? ? ? 17.. TOTAL FIXTURE UNITS '2'7 r . CREDIT CALCUlATION TABLE: Based on assessed value. If.lmprovements ~rred afler annexation date in.table. calcu\ate credits separates. 1979 or before 1980 1981 1982 1983 1984 Rate per $1.000 Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 Year' Annexed 1985 1986 1987 1988 1989 1990 Rate per 51,000. A~~"" Value '. .'j $1.69 1.35 1.15 0.92 0.59 0.23 Year Anneiect No IN rD 4VA-IL,4-S<...E. Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) Improvement (If after annexation date) : X $ (Rate X Assessed Value) . CREDIT TOTAL = s RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...................................................... 0.4 COmmerci21...................................................... 0.9 Industrial.............. .................... ........... .............. 0.45 G overnmenl2.l...... ....... ....... ...................... ......... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT