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Home My WebLink AboutPermit Building 1992-8-4 : RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' /?../')~-~ ~-z 4' 3Y LOT: OWNER: h~,,~, ADDRESS: .;l <; f( A.. ..-- CITY: '=' ^- <CNt ~ I-I/)~r ~ {..((u.., D,- iO~.., ./ DESCRIBE WORK' <" FtR NEW V REMODEL ADDITION -. SPRINGFIELD &~t., -:r ~ '" .., < t-f-f ..- Cl~00A7 BLOCK' STAT'" DEMOLISH OTHER JOB NUMBER 225 Fifth Street Sp(ingfleld, Oregon 97477 TAX LOT: _f.U77 SUBDIVISION' kt;,':" h"..., fh f. k .-?/i'Z " PHONF' </.Is 3/7 (0, ZIP' y7VO/ CONST. CONTRACTOR'S NAME ADDRESS ( CONTRACTOR' GENERAl' r~ t!,. J,. a~f-J.. '"".Q,d... A2.,. ~ do/' ",3.<'> Y:~9 P'LUMB;N~': c.. - r: . ~~ ?....o!F- Yo If::. /J t.. C/o/ .;1011 L/ MECHANICAI'~ /olz .7,,-,0 G,...J /l/Il ~ or ,}.oL40 t.J . I) ELECTRICAL: ,L I _ /J ct,. C: 7~ I/'3 h I/:S.t. f( c.u: '/.i.y u-f-3 I. . ""'('\ . QUAD AREA ,\ ~ \\')0 . OF BLDGS' - \ OCCY GROUP: ~~-\ tv\ \ <(1../ . OF STORIES' WATER HEATER: - OFFICE USE - ~\\.\ . OF UNITS: "") CONSTR. TYPE: \ J f\" - HEAT SOURCE: - ff'...-/ y..-J LAND USE: RANGE: EXPIRES t.>/fj.!, M9</" J/~l 7/'/<./ PHONE wS"$ll(~ 51th- /1 </f.... 7<//-0001..... ~'h- ~/'7 L FLOOD PLAIN' ZONING CODE: '- '1\((~ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: 6,)5::JD- TO request an lnspectlon: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. .wlll be made the following work day. . ." . ~ [XI Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. r:::;-} Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. , r:7l Foundation - After forms are LA-J erected but prior to concrete placement. ILil Underground Plumbing - Prior to filling .trench. r:7I Underlloor Plumbing/Mechanical ~ - Prior to Insulation or decking. [Z] Post and Beam - Prior to floor Insulation or decking. !Vi Floor Insulation - Prior to '-74-1 decking. ell Sanitary Se.wer - Prior to filling trench. Ih1 Storm Sewer - Prior to filling L.4J trench. rM Water Line - Prior to fililng ~ trench. [t] Rough Plui1)b!ng -:- 'Priqr to cover. REQUIRED INSPECTIONS r7l Rough Mechanical - Prior to ~ cove~ ' \. , ~ Rough Electrical - Prior to' ~ cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. [Z] Framing - Prior to cover. r7l Wall/Ceiling Insulation':'" Prior to IL\-l cover. l2P Drywail - Prior to~aplng. D Wood Stove - After Installation. D Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. r1if Sidewalk & Driveway - After L.....4J excavation is complete, forms and sub.base material In place. ~ Fence - When' com'pleted. IZl Street Trees - When ~all requlrea trees are plantedr . ..' .: [2r Final Plumbing - When ail plumbing work is complete. IY'1 Final Electrical - When all ~ electrical work is complete. rn Final Mechanical - When all mechanical work Is complete. fN7I Final Building - When all lp:1-I required Inspections have been approved and building Is completed. [Z] Other ~..c~~ /5.oy;~~ r MOBILE HOME INSPECTIONS D Blocking and Set.Up - When ail 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. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed. . Lot faces ~ ';:!pe . Setbacks . THE PROPOSED WORK IN THE Lot sQ. ftg, ~9 I P.L. 'HSE GAR'ACCI HISTORICAL DISTRICT, OR ON _ Interior IN THE HISTORICAL REGISTER? Lot coverage ~ Corner ~~' j If yes, this application must be signed ~~ S /~ M-W and ap'proved by the Historical Topography Panhandle "') Coordinator prior to permit issuance. Total height ~ Cul-de-sac W I I IE 5~~#J I APPROVED: BUILDING PERMIT ~~ X $/SO.FTb- J(4L~23 4P4 ~ lo:~24 ITEM Main Garage Carport laJ/J.4'/ yg2.~ -:?t.J. 13 6Pb. C:? SYSTEMS DEVELOPMENT CHARGE (SDC) ~ ~-z.?~-z..,~ Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ';i? Sanitary Sewer FT. Water FT. Storm Sewer FT. /92 .'2:? Mobile Home 114~R-L>1A/ ?Ev/cP / L). ,p-&> ~b2. ~c:> /L).0 "2/2.;13 Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT ~- t./..~ /2~- I~- ~-- Furnace Exhaust Hood Vent Fan N' (/ x? Wood Stove/lnsertl<f'Treolace UniU Dryer Vent Mechanical Permit p~.<"LJ !/?_e> 2.~? ~2 .~"3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk s;?&:> ft '72 - ~ '::4.& ft Iv _ '2~ .ll..~~':~'" ~H frWE~ ~ '3/<;>.1f3 Cu rbcut State Surcharge ~/V\ _rEA/E \ \ll1Wd... Total Miscellaneous Permits (E) ~- ?~ B"3 q5'~J;3_7,/ TOTAL AMOUNT DUE (excluding electrical) (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 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 provisions of said ordinances. Plan Check Fee' =?/"3'.h3 Date Paid: Receipt Number' ~- y:. 7~_? P eviewed ~ - .~.. 7-2'9-'9::2. Date Systems Development Charge is due on all undeveloped properties within the City limits w.hich are being improved. ADDITIONAL COMMENTS \.~\I\Q)C .{jliL; Ic-{(Ho 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. Slgnature~ [' ~ 711 1ft-- Date VALIDATION: RECEIPT NUMBER :)'"7R? ~7G92. DATE PAIl' AMOUNT RECEIVED -::{7n2. .99 /?'~ RECEIVED BY , , $1.IIIN(;.r-ICLU ~ '/f}{), ~ "'!1'1(! .o!JrO"~tnC/ ':IO':;'%CI ~" ~" ~. ~? ,v $-nOlroq~7,~'?itt"J!"LEcrRICAL PERHIT APPLICATIOAN / 97/.77 to "'?g -IJeCiPCi.Slilet. n n r\(). 726-376,-'" - . . clWJ~'if6umber '-"( o.l r\ ~eC/S' - 1Bnat<,'ro ~C HI' TE PEE scnEDULE BELOI/ ~Ay\Otl OPl lALLATION '-. ~ 'd--IO \ () f\. n 0 U i") A. eW~Residential-Single or - - - Mul ti- ily per dwelling unit. LEGAL DESCRI 0 Service In ,uded: Items 225 FIITII 5TlUmr SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. IS ~B ~QfITC1w~ 9..~Of3 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~ ^ ^I' ~~ Installation, Alterations or Electrical contractor~Lk'JLl.,(l J}JLL/ Relocation: Addl:essJ9:Jn~ D .\f,~.l hrM1A?d~oo amps or less Ci ty (1.. G en 'f: ~ Phone q~ \~/'1 4gi :::~ ~~ ~gg :::~ II '\~<2~ 601 amps to 1000 amps Supervisor License Number C)( '7(JC'0 Over 1000 amps/volts l ('"""_' \ . (1J n Reconnec t Only Expiration Date .) '-1......1 Constr Contr. Number O~~ ~ Expiration Date ~. ~ .~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Signature of Supervising Electrician . o""?,::i,.~~ ~ 1\~~. Addressc0QQ ~ IYlOlrjCUM Ci ty f.J JQ) ~one O\1NER INStALlATION . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ,. DATE: .R..o/~ RECEIPT I: -'? /"$"' ./ HECnVF.D J1y:______~ ~- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manu f' d lIome or Hodular Dwelling Service or Feeder \ 4 Cost Sum $ 85.00 .JB<:' d> $ 15.00 6?.q $ 40.00 $50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~$ $ $ volts see "B" 40.00 55.00 80.00 ,t./ e:> . 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps- amps or 1000 above Branch Circuits New, Alteration or Extension.Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. H'iscellaneous (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: <='C> 0/.:2"'1: _ /<q4,-=<S . .JOB NO. CI, '2.0<=\'-\"1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: C"l - . "FlI'\Ue.,. 1'? ~"""'_f'::c.., LOCATION: <6"2-<0 "\A-N.S\\t:. DEVELOPMENT TYPE: L..D[Z.. - t-.l~"'-l 7F12- BUILDING SIZE: .LOT SlZF SQ. Ft. I. )TORM DRAINAGE IMPERVIOUS SQ. FT. "?"?'-tb . X $0.192 PER SQ. FT. 2. SANITARY SEWER-CITy NO. OF PFU'S 1/~ X $39.78 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \ ,ooS X $401.05 X X $401.05 c;:,'-t"2. <2>2:) ---- ~ ~I~::i) ---- -- GyO? o!:- ') ---------- $ X X $401. 05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $19("'o~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 5. SANITARY SEWER-MWM~ cC 'Y6 0:0 TOTAL-CITY SOl;. $1.0?e~ V, NO. OF PFU'S 1/~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ~1-?- (Use PFU.Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~ \j Kip Burdick SDC Coordinator 1/1"2;>/4'2.- $ - TOTAL-MWMC SDC~~~ - '--- TOTAL SDC $ 'l-"?B7.;::::" .. . FIXTU HE UNIT CALC U LA TI 0 N T AS LE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE Bat htub.. .......... .... ....... ..........,................. ................... Drinking Fountain..... ...... ....... ,.................................. Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher..,................................ Clotheswasher - 3 Or More...................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc...,.... 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. 1 ? 1:> TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 FIXTURE UNITS '2- 1.- 1- 2 J3 /1...- '2-'? 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 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) -I Rate per $1,000 Assessed Value Year Annexed 1985 1986 1987 1988 1989 1990 1991 -- N.o \,J. Fo A\/ 1><\ L_IVibt...t X $ (Rate X Assessed Value) X $. (Rate X Assessed Value) CREDIT TOTAL $2.16 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE = $ IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Residential............ ..................... ....................... 0.4 Commercial...................................................... 0.9 I nd ustria1.......... ................................ ................. 0.45 Governmental... ................. ............................... 0.5