The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-4-2 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT: L/.y . SPRINGFIELD f3S' :J.NN..rh c....-r BLOCt<. OWNER' ADDRESS' CITY' r:.... .{"..... .($ }../o....< r- e>Yfi'J- M"J,,/,C(. "b~I<lt E M-Cc...J-L. V DESCRIBE WORK' sf'tK.. NEW x. REMODEL CONTRACTOR'S NAME GENERA" ~~. If /~ PLUMBING' ~ I'L./:j MECHANICAL:Ijff- ~J ELECTRICAL: 4-0 12..~ QUAD AREA: \~l\)lu . OF BLDGS: ~ \ OCCY GROUP:\-<'- ~-\- tJ\ . OF STORIES: l C-' ~ WATER HEATER' (--- STATE: t:J........-v ....., ADDITION DEMOLISH OTHER . CtOD4Q \ JOB NUMBER 225 Filth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION~ 4.1 J ,/, 0''/ , '-/?G-,.c.I?II1U" C;~Jc-)'rr. PHON~' </rJ)-SJ7(., ZIP' ~,Vv/ ADDRESS CON ST. CONTRACTOR' REQUIRED INSPECTIONS . 'K/r Rough Mechanical - Prior to ~ cover. .. 'K71 Rough Electrical - PrIor t'O ~cover. ~ Electrical Service - Must be ~pproved to obtaIn permanent electrical power. 'K7'l "Fireplace - Prior to facing ~aterlalS and framing Insp. ~Framing - Prior to cover. 'fV'fWall/Ceillng Insulation"":'" Prior to ~cover. g Drywall - Prior to taping. o Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. ~ Curbcut & Approach,-- After forms are erected but prior'to' placement of concrete. ~Sidewalk & Driveway - After ~xcavation Is complete. forms and sub-base material in place. ~Fence - When co~Pleted. ~treet Trees - Wh'en all required ~;;'ees are planted. . . . EXPIRES t.1;3 (pJf '-- cJ. If ~ 7/~ '- PHONE (firS $17,6 Y-d r 1fC/ <.:: 7'11-000 L 9Vl.-3/,,7), oJ Ii;'J )><.17_11,,1-. ' ".?~ yf ~ . ~~ 'JO/7Y In..h~~ (y't(. e.... J OJ.. -./ tJ 7~7i13 Jj 1/ S~{,..I?JJ ;'Ic.-' 3U3 L - OFFICE USE - LAND USE: \ \. \ \ . OF UNITS: \ I CONSTR, TYPE: J.L.N ~6-J J HEAT SOURCE: T RANGF' FLOOD PLAIN' ZONING CODE: (r\p~ /.Z., . OF BDRMS: -. SECONDARY HEAT: ' SQUARE FOOTAGE: A~qQ 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 setting forms. o Under.lab Plumbing/Electrical I Mechanical - Prior to cover. ~ Footing - After trenches are ~ excavated. o Masonry - Steel locatIon, bond beams, grouting. ""f:::/(' Foundation - After forms are ~erected but prior to concrete .. placement. KA' Underground Plumbing - Prior J.6J.. to filling trench. ~ Underfloaf1'lumbln.lt{1'!iechani91 ~ - Prior tC>tnsulatlon or deCKing. f':7f Post and Beam - Prior to floor ~lnsulatlon or decking. F::7t Floor Insulation - Prior to JL:S...decking. 1'VI Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling l,L:j. trench. ~ Water Line - Prior to filling ~trench. . F::71 Rough Plumbing - Prior to ~cover. ~ Final Plumbing - When all ~plumblng work Is complete. ~ Final Electrical - When all ~ electrical, work is complete. ~ Final Mechanical - When all ~mechanlcal work is complete. l'V'1' Final Building - When all ~requlred inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel.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 have been approved and the home is connected to the service panel. o Final - After all required . Inspections are approved and porches, skirting, decks, arid venting have been Installed. Lot faces ~~~ Lot Type. Setb~cks ..... I . THE PROPOSED WORK IN THD Lot sq. fig. 7.ll!!.-7 Interior I P.L. HSE GAR ACC HISTORICAL DISTRICT, OR ON~ IN THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be Igned Is and approved by the Historical Topography J[I'" Panhandle Iw Coordinator prior to permit issuance, Total height Cul-de-sac IE APPROVED: BUILDING PERMIT ITEM . sa. FT. X $/SO. FT. X 37. fO )( -L<I. /0 Main ;;lOOD 3'10 Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE '7 S'. ;0 0 'f"l./il , ~/ .J.fftt::- , 371.~ /bers 3'1'1,95 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ .lL \0 (B) II' \"'11'2..- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' 2- Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home ~rt"'-< 1 7)W,U; Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' <: Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 4l,~ It Curbcut -:?./~ . ft Demolition State Surcharge ;::'P:11/ cE. \~(5t) Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE -I0n,tXJ / D <'-0 ~ --L79J~ &,eo 4. sa q,C70 ~&o '22.S"O IV, eo JJ3 ~ 3.t.3 22;75 13,QO 5. eo 1- /. ~S 2//72"-.,&3 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 01 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 rov sl ns of said ordinances. Plan Check Fee: . Date Paid: ~g) ,qt)-J :~~y $/;,<>42- P{a~~- Reviewed By D~ " Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~'-O~) IG(-- (lo PNr.f.-l 11= 1 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 will remaIn on the site at all times during construction. Slgnaturp ~ ~"- /b:;; Date ----3//7 /1"'-- VALIDATION: 4~~"" ) RECEIPT NUMBER .' 't" . A... f'l. /. DATE PAID ...,... ,/ j /-. AMOUNT RECEIV~ rjJFSW '- ~~ RECEIVED BY tc:r\/nn - ~ - - I - - - SI"IIING.t:"IELU 1"-..... . t/f ,;:: '..dIQWI.1g project 88 submlttod has th foJ~_ . ~... ,('nrog, nnd doclDt9're specific ,anJ lJll&.~l..IUCAL PERMIT APPLICATION 9747iPp,oval. q Yl ~ n( 726-3769 j'nino Ci ty Job Number L.-l JTL Ollle q I;q~ ' ~ 3. COMPLETE FEE SCHEDULE BELOV Lj)C;4'tJ.QUF ~ALLA+~.. D . i Olu~. / ~~~ \... \C\.f\ f\QTAJ? \ -'v A. 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders . 1.\ ' ,/\ Installation, Alterations or Electrical Contractor'\'\.9.0({\ '\'Ic \' ,,..,\ Relocation: Addres:lQ1()3 CJ\1 Sf'rnriJ.,Ruzoo amps or less (V, /' - 1141 Q./:717 201 amps to 400 amps Ci ti, - li\[C)\ 'R . Phone '-1 :\ )\0 IL401 amps to 600 amps i) n()O C::::. 601 amps to 1000 amps Supervisor License Number ~ . I 7)\-J Over 1000 amps/volts I '"\ \ q~ II Reconnec t Only Expiration Date ()' . 'd Constr Contr. Number .....~ <6<6"3(0 Expiration Date ,!), /J . q () 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LEGAL DESCRIPTION ,.~: ::?:~::f.;::~tp:'. if work is not started within 180 days of issuance or if work is suspended for 180 days. Signa.~ of Supervising Electrician LV~.A. 1\ \~ u -'\_,_~ Owners Name ~~ ~ tmni2D Address~q4c9- 1\1Qjtl./ U5 City S3Qf Jlui Phone 4~),-::S/7(P OVNER IQSTALLATION The .installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~A~~-----:2C~-~~~~-~~------------- __-~r,....., RECEIn I: ii.. . . RECEIVED BY: \;../ r.~V'A _ ) New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder C. uni t. . Cost Sum I '-~ ~ f~ $ 85.00 $ 15.00 $ 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 Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "B" 4r) above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm One Ci.rcuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ 170.C6 E) .H" '/ ~ # . \ ' +1- 'j./:; ,c:.:r) 40.00 40.00 20.00 36.00 JOB NO. q')..Oof 2-1 CITY OF ~INGFIELD SYSTEMS DEVELOPM~ CHARGE WORKSHEET I , (COMMERCIAL &. RESIDENTIAL) NM1EOR COMPANY: h)TLl~E:. ":f'? Wo,,^~S LOCATION: B?,.lfJ JA-I-lAl E:TTe CotJiZ- T DEVELOPMENT TYPE: !-r?!Z. - tJ E-W <SflZ _LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S I~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) $ (.A?~ . 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X I, DOS. X 5388.61 $ "2::o"'1o'?~ . X' X $388.61 $ . x X $388.61 S . (Se~ Attachmen~ ~ To Determine Trip Rates) . .... . SUBTOTAL (ADD ITEl1S 1.2. & 3)'1.: ""'- .' :." \(.,<1.1 s"- " 4. ADMINISTRATIVE FEES 'BASE. CHARGE (SUBTOTAL ABOVE) X ;05 s og. 9.2 - TOTAL-CITY SDC $ n-z."b~ 5. SANITARY SEWER-MWMC NO. OF PFU'S . If> x S13.25 PER PFU + S!OMWI1CADMIN. FEE S "2.46 <;~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5 TOTAL-MWMC SDC S 'Z <4 e, ~ TOTAL SDC S \ q 1"2. ~ V. ~L~ ~A<I/9"2- '~ Kip Burdick sac Coordinator FIXTURE UNIT CALCULAWN TABLE: Number 01 New Fi'1ureSX ... Equ~'alenl = Fi'1ure Units (NOTE: For remodels. calculate only the NET B'ilional lix1ures) NUMBEI' OF UNIT FIXTURE .FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub... ..... ....... ....... ............... ..... .................,. ........, Drinking Fountain..:... :........ ....... ......... .............. ......,. Aoor Drain.... .......:........:... ...... ..... ....... ................... ... Interceptors For GreaseIOif/Solids/Etc................. Interceptors For'Sand/Auto Wash/Etc..........c,...... Laundry T ub/Clotheswasher...... ..... .............. .......... C10theswasher - 3. Or More..................................... Mobfle Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorJWater Station/Etc........ Receptor For Commercial Sink/Dishwasher lEt c.: Shower, Single Stall.......................................:........... Shower, Gang........................................................... Sink, Bar. Commercia!............................................. Urinal, StaIlJWal!........................................................ Wash BasinfLavatory, Single.................................. Water Closet, Public Installation..............-............. Water Closet, Prlvate.................................--.-... Miscellaneous:. 2. 2.. TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 = 2. 2. z.. "2. z. A l~ r CREDIT CALCULATION TABLE: 8<ised on assesse<i value. If.lmprovements ~rred after annexation date in .table, calcu1ale credits separates. Year. AnneiEid 1979 or before 1980 1981 1982 1983 1984 . Rate per $1,000 Assessed Value S2.66 2.64 2.53 2.41 2.19 2.04 Year' Annexed 1985 1986 1987 1988 . 1989 1990 A_...'\....",....\:. X S (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL \00.10 ~trJ.~o Credit for Parcel or Land Only If Applicable Improvement (d after annexation date) . : Rate per $1,000. Assessed Value $1.69 1.35 1.15 0.92 0.59 0.23 = = = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL. ...................... ......... ...................... 0.4 COmmerciaL............. .......................... ....... ....... 0.9 I ndustna1....... ......... ..... ....... .......... ,...... ........ ... ... 0.45 Governmental....... ...................... ...... ........, ,...... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT