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Home My WebLink AboutPermit Building 1992-8-4 ~. SPRINGFIELD RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORI<' YIY ;::r"''''NCt-k ASSESSORS MAP: LOT' -:iJ. 3. 7 BLOCK' ~,_./.-,..... t3!'1e _d_ d. 9 Y .L ru..!o(,,,, ~ :0 ~ P",-,,-c-vC- &'-L1Gr <.J I c...J . sF~ OWNER: ADDRESS' CITY' DESCRIBE WORK- NEW v" REMODEL STATF' ADDITION DEMOLISH OTHER '- . q~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SU~DIVISION' 1Y6'.dhov t:: J-k.{c>..-- PHONE:--5LIJ .5/7 (/' ZIP: <r)</o/ CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' ~EN~RAL'.~ r&. 40.-.- ~ftj)...J"',"t,. ,A2. L "ol7?b'l99 P~UMBING: ~ (/1.. tz,; 3,). '(~ ~/_. , ~ .:..~ I aO(7<( MECHANICAL:~ ~.J 3:no ];",1- Iy'f~!... I#- ,.:;1D.J..<(,:) . ELECTRICAl- Ill._ .J}~L-'L. ?'i7<,(n::bU 3J... ~t .;J.Ff 3& (I \ R rvu) - OFFICE USE - QUAD AREA: LAND USE: \ \ \ I . OF BLDGS: \ . OF UNITS: OCCY GROUP: R?J1""NI_ CONSTR. TYPE: VN . OF STORIES: \' HEAT SOURCE: t='V WATER HEATER' E.- RANGF' f) EXPIRES lole;. .3 to/iiV' 3/ y_? 7/tft/ PHONE <")&s3 0 I:.. YA-..//Vr-. 7 Y/-6CJO L- '71/<'-]&,7 FLOOD PLAIN' . , '1 ZONING CODE:--.LlJ1::../ ~ OF BDRMS: - ~ 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. ~TempOrary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. , ~ Footing - After trenches are ~excavated. o Masonry - .~teel location, bond beams, grouting. ~ Foundation - After forms are ~ erected but prior to concrete placement. REQUIRED INSPECTIONS ~Rough Mechanical - Prior to ~cover. . . 'QI" Rough Electrical - P~ior to. ~cover. ~Iectrical Service - Must be pproved to obtain permanent e ectrical power. . ~ Fireplace - Prior to facing' ~materlals and framing Insp. ~raming '- Prior to cover. ts?f'Wall/Ceiling Insulation -, Prior to ~cover. O Underground Plumbing - Prior ~ Drywall -, Prior to.t.aping. to filling trench. lXf' Under"o~ Plumb,"~echanlc'lD . , _ Prior to msulcHrOn or deCKing. 0 Wood Stove - After installation. 'fQ( Post and Beam - Prior to floor ~sulation or decking. ~Floor Insulation - Prior to '" ~decklng, ~ Sanitary Sewer - Prior to filling ~rench. f':A" Storm Sewer - Prior to filling ~trench. ~Water Line - Prior to'filling ~trench. . . rdRough Plumbing - Prjor to ~over. o Insert - After fireplace approval and installation of unit. rv('Curbcut & Approach - After ~forms are erected but .prior to placement of concrete. 1'\:/( Sidewalk & Driveway - After ~excavation is complete, forms and sub-base material in place. o Fence - When completed. ~ Street Trees - When all required ~ trees are planted. , 19( Final Plumbing - When all ~Iumbing work is complete. ~ Final Electrical - When all ~rectrjcal work is complete. ~ Final Mechanical - When all ~mechanical work Is complete. 1x1 Final Building - When all ~eql;lired inspecti.on.s h'7ve been . iapproved and bUIlding IS . 'completed. DOlher 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. " - D Elect~ical <;:onnection - When blocking, set-up, and plumbing. inspections have been approved and the home is connected to the servic~ paneL o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. -.- Lot faces X Type. Sett acks I . THE PROPOSED WORK IN THE Lot sq. Itg. Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography '\'1 f' Panhandle Iw I Coordinator prior to permit issuance. Total height Cul.de-sac IE I APPROVED: 1J!4 7En 4(;/o?S" 2.3.31- 490. tJ'1 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ .It 1\ (B) wZ.2?~- BUILDING PERMIT sD4 \C1 _ _ ,-~52- ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Fu mace Exhaust Hood Vent Fan , ~';. 2b - j(Y,f:~ \4 . \1)' (A) FEE N' "2- /~o,oo FT. FT. FT. (C) fPlpo Ih~PO N' "2, ~.oo 4.50 , qt70 Dryer Vent Wood Stove/Insert/Fireplace Unit ,~.oo Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) 22.5"0 10,00 JJ3 ~~, C.3 State Issuance State Surcharge Sidewalk ~ It Curbcut '31J It Demolition State Surcharge .b) iPPt//Pu) FeE 22.;>0 ---1f50 '. 30~ .'3'l Total Miscellaneous Permits (E) 3?v.,772. 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: .::<? D.::i? .3T' Date Paid: q ~~~ I Da Receipt Number' Recelv:~ ___ Pla~~ed~/~ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS '~no, (l_f)/ ?CJ-1 ()i(1k]Dti~ ~)\ fI 0 Y , \\(fb_,~1t l () 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 th~ 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 a~mes during construction. ~q~ Slgnaturp 7/flCit _ Date VALIDATION: RECEIPT NUMBER &::;7:?,C;- 1f?- y"- "7'7 AMOUNT RECEIVED !? -I{!?4. :;2.2. ~ / --, DATE PAI["l RECEIVED BY .' . .OB NO. "'\')...0"1'-\<' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) BUILDING SIZE: I. STORM DRAINAGF. IMPERVIOUS SQ, FT. -?::>'-\-<-\-'i':> X $0.192 PER SQ. FT. NAME OR COMPANY: FLA--n.J\<:-t:: ~ +-\.otv\"'E:.S LOCATION: B \ e, -;\ p,1--l1._l!::"TTe. DEVELOPMENT TYPE: LV~ - t-lBw Sf-~ .LOT SIZE 2. SANITARY SEWER-CITY NO. OF PFU'S ~O X $39.78 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP \ X \. DOC, X $401,05 X X $401.05 X $401.05 X .SQ. Ft. C;CoCoZ~ ~ --- c;qS~ ~ C-c+o?'~ ---- -- $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ \ <0 CoO "':- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G q?o~ ---------- TOTAL-CITY SDC $ \q??"!!.. 5. SANITARY SEWER-MWMC NO. OF PFU'S "1..0 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ -z....'O"1.. ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V' ~L.c.k- ,It? /ql.- ~ Kip Burdick SDC Coordinator $ TOTAL-MWMC SDC~~~~ "-. --- IOTAL SDC $"1..2 ?Co~ . . . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) , .,' j ., FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub.... .............................................................. .... Drinking Fountain...........................................,..... .... Floor Drain........................................... ........... .......... Interceptors For Grease/Oil/Solids/Etc..........,...... Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswashe.r................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL................................................ Shower. Gang............................. ............................. Sink, Bar, CommerciaL............................................ Urinal, StallfWall........................... ........................... Wash Basin/Lavatory. Single.................................. Water Closet, Public Installation............................. Water Closet, Private..... ......................................... Miscellaneous: 1. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 t -z.. 7_ TOTAL FIXTURE UNITS FIXTURE UNITS L\- ?- 2.- -z. 'Z- ~ '2-0 Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: cialCUlate. cr~dlts separates. Year Annexed Rate per $1,000 Assessed Value 1 Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 .$2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 NoiJ-J.co AIIA-Il-ABLE:. X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAIN'AGE R esid ential............ ............................................ 0.4 CommerciaL..................................................... 0.9 I nd ustrial................................................ .... ....... 0.45 Governmental..................... ...... ,............ ........... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Sf.f"NGt:IE~O ;::,~ """0,>' 225 FIFTH STREET ,">g, ~ lr'g {J SPRINGFIELD, OREGON 97477 .~1. "ctO"o~OI"ecI~ INSPECTION REQUEST: 726-376.9 flOI'e~.lI6 OFFICE: 726-3759 u",. fl1i,{) 'e - ~I#", 1. !&.CAWN QF, INSTALLATIPN 0'~6ct s; - ~ I.h " '() I\ f\ O"lTL Pfl~llIl4 tt, ELECTRICAL PERMIT APPLICATION . City Job Number~ ect!) H~e~ SCHEDULE BELOV . "_e '>iflq Resid~ntial-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION s~B\f~~NLf{b. ~0' 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'contracto~~()(lJur)l Address ~C11.{):\ ruv ,~-\$')1)L ed. City(' (~.r-C5l e... Phone Q4~.,~ 1L Supervisor License Number ~ r'){'{6S 1D. \ .q~ Constr Contr. Number ~lJ c9. .c:9 .q ~ . Expiration Date Expiration Date Si~re of Supervi~ing Electrician . ~ K~ ~, ~(U)-'C;~- Owners Name ~ ltt I no":> b Address dqq,Q fI'\J-b\ \ $~ Ci ty ~U1Q..-. Phone 4Pf)-o\llo OVNER INSTALLATION The .installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: g-cr-9~ .'''''"r.J.n: 11: <:'~ ~ RECEIVED BY: /~ _ ~ 'r Items Cost Sum 1000 sq. . or less <---- $ 85.00 g'S~ Each additional 500 sq. ft or portion ~5.t:JO thereof g $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. 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 $ 40.00 $ 55.00 $ 80.00 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 Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL )3o.~ ~.$O /10>_!TO