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Home My WebLink AboutPermit Building 1992-7-6 r~ fJ ~ d f"ql-- ~-12, tur: ~~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORt<. .ASSESSORS MAP' Lor st3 LOT' OWNER: ADDRESS: CITY' DESCRIBE WORK' S '"F~ NEW' ~RE~ODEL '. CONTRACTOR'S NAME GENERAL: ...f...;b;.. dl ,( '.. . PLUMBING: ~,r?t p~ MECHANICAl J:p- I (;ti ELECTRICAl' . . ( QUAD AREA\~'X\\)UJ . OF BLDGS: :\ . OCCY GROUP~~~ "^ c.!J . OF STORIES: WATER HEATER: s . SPRINGFIELD . . nn i\oA/'\. JOB NUMBER~ 225 Filth Street Springfield, Oregon 97477 TAX LOT: I SUBDI~ISION.;rq,..,.b..vt::Jt~ h,jA/,!. PHON~' <,IF:>-317 fP ,f '-/3 ::Jo.n/,vdte (:;f- BLOCK: STATF' ADDITION OTHER ZW: CONST. ADDRESS . &." CONTRACTOR' .J..99L)>(.LJe~'",-, .tIl: . ~;) .3t,v'PP j,J-YcI-- ~~ ~"fl-' ..Jon<l .Jno ~ /l(tt, ~ 7f 7ln3 {J(/ ).t~l (. V- REQUIRED INSPECTIONS T'57f Rough Mechanical - Prior to ~ cover. . . ~ Rough Electrical - Prior to ~cover. ~ Electrical Service - Must be , approved'to obtain permanent electrical power. 'f\:7'(Fireplace - Prior to facing ~ materials and framing Insp. -gFraming - Prior to cover. ~ Wall/Ceiling Insulation - PrIor to cove~ ~ ~ Drywall - Prior to t'~p.ing. D Wood Stove - After installation. D Insert - After fireplace approval and Installation of unit. "fV1' Curbcut & Approach - After ~forms are erected but prio~ to placement of concre!e. l':/T'Sidewalk & Driveway - After ~xcavation Is complete, forms and sub.base material in place. o Fence - When completed. ~Street Trees - When'all'required ~ trees are planted. . EXPIRES h/~~ t,/9<./ r J/f .3 7/rL- PHONE (,I,r.J-;JI? "" </.d-J?l'/ ~ 7V/-t!JooL t;VL ]672- FLOOD PLAIN: ZONING CODE: W~ . OF BDRMS: --zt _ SECONDARY HEAT: ~V j), c...:.4..L111 SQUARE FOOTAGE: .{ .."IT:.... 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 b~"made the following work day. DEMOLISH .).0 2.. <,I,;} ?.f.f 3& - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS: \ CONSTR. TYPE: i11L HEAT SOURCE: t=-G S RANGF' , ~FlnaJ Plumbing - When all ~plumblng work Is complete. " ~ Temporary Electric o Site Inspection -:- To be made after excavation, but prior to setting forms. D Under~lab Plumping/Electrical! Mechanical - Prior to cover. ~ Footing - After trenches are ~excavated. , D Masonry - Steel location, bond beams, grouting. ~ Foundation "- After forms are ~erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. K7f' Underflow rlumbin~echanic~ ~ - Prior tornsulatlon or decKln:J. ~Post and Beam - Prior to floor J,25J.. Insulation or decking. 'i':7f Floor Insulation - Prior to ~ decking. ~Sanitary Sewer - Prior to filling ~ trench. i'Y'f'Storm Sewer - Prior to filling ~ trench. ~ Water Line - Prior to filling ~trench. T';7( Rough Plumbing -. Prior to r-.::s cover. ~inal Electrical - When all .JLSJ. electrical work is complete. ~Final Mechanical - When all ~mechanlcal work is complete. rv(Final Building - When all ~ required inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been conl'}ected to water and sewer. D Electrical Connecti'on - When blocking, .set-up. and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and ventfng have been Installed. Lot faces JL Lot Type . Setbacks ' . THE PROPOSED WORK IN THE Lot sq. Itg. ~ K Interior I PL. HSE GAR ACC HISTORICAL DISTRICT, OR ON IN /2/ THE HISTORICAL REGISTE~ Lot coverage ~ Corner If yes, this application must signed A2?D S and approved by the Historical Topography Panhandle q/ X- I Coordinator prior to permit issuance. Total height Cul.de.sac W IE 1/21 APPROVED: BUILDING PERMIT ITEM SO. Fe X $/SO. FT. VALUE Main I/SU /-. 5"&,,::2.0 rAtP:?) Garage iffy x: /,/,/ ;; f), 'i Carport ,?J fto-.-- /.1./3 x. s~~ _ .6$170 -, - Total Value 13'1t.21- " . Building Permit Fee 52~~ State Surcharge 7.Co/) Total Fee (A) S..;.CJ .IS SYSTEMS DEVELOPMENT CHARGE (SDC) ti3 (B) {l.'2..-I~O~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO ~ 1;2 S"D Sanitary Sewer FT. FT. Water Storm Sewer FT. /0.0-0 9.02 fO //)/3 2/), ~.3 State Surcharge Total Charge (C) MECHANICAL PERMIT ~,80 ~,s-o 12..~ . Furnace Exhaust Hood Vent Fan NO 4. Wood Stove/Insert/Fireplace Unit Dryer Vent 3,&9. Mechanical Permit ?~, S:O Issuance State Surcharge /. '- f> <(~.7fJ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk -Gi!> It Curbcut ~ It ';:',,,,v,:_pbw ~WICW /9, !O '14.2.0 m.ts ~tat~ ~~~ge. (\ ~ 5 ,cO TO~Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) 3?1':....r::... ,Pi\ (A, B, C, D, and E Combined) 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 Springlleld, including the Development Code, regulating the construction and use of buildings, and may be suspende.d or revoked at any time upon violation of any provisions of said ordinances. ~?c:>1S Plan Check Fee: .:::>;> ". Date Paid: , ,~-. :i:;: ';<~W- e-A:..;, Receipt Number' dO .- Received By: ~~ Plans. Reviewed By 7 h 1",2.- I~tci' Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~N\QJ{.J lli\-o.>: . / I'- \l.\, t 0 \mt~ \ ~~~ - Ctk' ..... - -'. ~. J ~z 'f'\.. ~ -- \'-~ ....JJ \1\\l1Jl...-l By'Slgnature, 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. Signature~'f ~ (,1/ L-J f L.-/ Datp VALIDATION: ~ A '2... RECEIPT NUMBER ~ DATE PAIr> f1 J to -q z- _ . AMOUNT RECEG1S :$VI\). 00 RECEIVED BY ().....J JOB NO. <1')..08 <It) CITY OF StltINGFIELD SYSTEMS DEVELOPMI- CHARGE WORKSHEET I , (COMMERCIAL &. RESIDENTIAL) LOCATION: 8'13 :r A-IV IV .E -r'T!;' 4nM ~_ <:, C-r. rW1E OR COMPANY:. F fA. 'T u (Lf3. 13 DEVELOPMENT TYPE: LVR - NE-W SF==R.. BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'Z-I'islo X $0.186 PER SQ. FT. (See Reverse For Runoff.Coefficients If Actual Imperv. Area LOT SIZE SQ. Ft. Ctfot.~ ~ Is~ 2. SANITARY SEWER-CITY NO. OF PFU'S '2."3> X $38.55 PER PFU (See Reverse To Determine Total PFU'S) G'1G,~ 7~~~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X t. (J(J 5 X $388.61 X. X $388.61 . 6q06~ $ X X $388.61 i . oJ (Se~ Attachment C To Determine Trip Rates) . .'. . ~o .. . . . . .' SUBTOTAl(AOD ITEMS 1,2, & 3) 1.:. .f 7(,;, 0 - " .' 4. ADMINISTRATIVE FEES BASE. CHARGE (SUBTOTAl ABOVE) X ~05 o ~~O~) TOTAL-CITY SDCS /53'-1fl,'f!:.., 5. SANITARY SEWER-MWMC NO. OF PFU'S Z<:> x S13.25 PER PFU + S!()M..~1C ADMIN. FEE S ;<1-1 ~ (Use PFU Total From Item 2 Above) MWMC CREDIT .IF APPLICA8LE (SEE REVERSE) ~ ~t;~ ~/11/r2- sac Coordinator. S TOTAL-MWMC sac ~ - - TOTAL SDC S ""2-\"'1 D -z.~ "" FIXTU R E UNIT CALCU LAa:> N T AS LE: Number of New Fi'1ures>;A]il Equivalen1 = Fi'1ure Unils (hiOTE: For remodels, calculate only the NET ~ilional fi'1ures) . .. NUMBEfl OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Batht ub...................... ....... ......................................... Drinking Fountain..:...:... ........................................... Roar Drain...........:........:........ ................................... Interceptors For Grease/OiIjSolids/Etc................. Interceptors For-Sand/Auto Wash/Etc..........:....... Laund ry Tub /Ootheswasher..............,.................... Ootheswasher - 3. Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Oishwasher/Etc.: Shower, Single Stall.................................................. Shower. Gang................................._.......__.......... Sink. Bar, CommerciaL............. Urinal, StallfWall..................:..............__.......... Wash BasinfLavatory, Single._.._._ Water Ooset, Public Installation.. Water Ooset, Private_............ Miscellaneous:. z 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 I -z, .", TOTAl AXTURE UNITS = .; .... 1- "Z- .", (7..- 2S y CREDIT CALCULA.nON TABLE: Based onassessoo value. If.tmprovements ~ after annexation dale in .table, calculate credits separates. Year. .. Annexed Year. AnneXed Rate per $1,000 Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 . Rate per $1,000. Assessed Value $1.69 1.35 1.15 0.92 0.59 0.23 I . ~ 1979 or before 1980 1981 1982 1983 1984. 1985 1986 1987 1988 1989 1990 /..10 :MJP; .4VAII..J'TIJ!>LC X S = (Rale X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = S' I . I . j' :i I Credit for Parcel or Land Only If Applicable Improvement (d alter annexation date) , RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...................................................... 0.4 COmmerci21...................................................... 0.9 IndustriaL.... ....................___...... .... ................... 0.45 GovernmentaL....... .......... ....... ......... ................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT SI..IINGr.II.:.LU The fOl/owlng project as submitted has the 101/ ~~ 225 FIFTH. STREET . ;~~~~~'nf.nd does nOlfiJlre specfflc 1J!M:<muC L PERMIT AP, PLICATION SPRINGFIELD, OREGON 97477 ~ . \"\ a "Dt;)/\O INSPECTION REQUEST: 726-3769 ..onmg ~} . Ci ty Job Number -'N 0\' OFFICE: 726-3759 Lo,ts_ QJn .c 2J . AUlho.izod S' . ,.1 I COHPLETE FEE SCHEDULE BELOIl 1. LOC~T:m.N Ol'!\I1!.STALLAT~ ~gna,ura .~ ~~~ '-\t"\ ~ \\~ \ '\Q \..:..A A. New Residentia:-Single or -- Hulti-Family per dwelling unit. Service Included: LEGAL DESCRIPTION j.L)r 4':~ A?:lVJJPn.)~-S~AOf) <' JOB DES~ION ,,\. r.. ri"\ !;) ~'1~ r5 "-.J ~ '--A"U fu ~ )\JU \,\..' ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. . Electrical Contractorth.o 0p.S'\d Address \q$)'~ $~. Sbt::D\.. ~ Ci ty ~G.\N. -R - . Phone Q4-L-.3\Dl ~ Supervisor License Number ~ ~08~ Expiration Date \D . \ - C\L Constr Contr. Number ,,<CS ~~~\.o Expir~tion Date d' A .~ Si~e of Supervising Electrician V~_ (\. ~LL<--1'~' I 'I:. , \j Owners Nanie ~.l ~ \ 1\ Q ~ Address AC\C\,;\ ~\\\~ City crlWO l'hone <\~S~\lw OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~;~------'1-~1J?~Li~~~-----~------- N>l.I>.ll''l' I: ,I. _ ~ <~"") RECEIVED BY: 771 LUlA..../ Items Cost Sum 1000 sq.ft. or less 1 $ 85.00 ~8-Q Each additional 500 sq. f t or port ion 4 6O,fH> thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 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 ~ $ 40.00 ~ 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits 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 irrigation $ 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 J~S ## Q2S j94,2S .