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Home My WebLink AboutPermit Building 1992-4-2 u RESIDENTIAL PERMIT APPLICATION. Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LO" ~~1I ,U~ OWNER' r~ <8 ~ ADDRESS: ~ 7f J- '!If..L~,,,p,,, -12.. CITY:S~~.~ !j7 yO/ <c; F f<, DESCRIBE WORK' NEW .~ REMODEL CONTRACTOR'S NAME GENERAL:U-' f3:, ~. PLUMBING; /,.....;l...M @. ...t.._' MECHANICAL:~ d*J ELECTRICAL: ~ (();:zl) QUAD AREA: \ Ri\Ju) I f.<~AI\ , '7./ . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER: . . q:)()~SI SPRINGFIELD Ii c" ::r. O'(! 7/;( [./ BLOCK: STAT'" ADDITION DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISI~N'~ ~ PHON'" I/.{~'.so G::. ZIP' ADDRESS dyf.l. ~~. f:... K-P:;-...-.!J L.. \I 3no E I vA. &I 711'7 n 11 ".~ ;e1? ' CONST. CONTRACTOR' 3" yy? .,)O/? V c)d'-y</ '.(.r tf~(o PHONE L./d- r 30 ( t? <.ld.O/V( '" -7 V/-ooc<.... f'YL. -3612. - OFFICF l{SE - LAND USE: t l , . OF UNITS: . - ) , CONSTR. TYPE: ~\J. HEAT SOURCE: F:' U V RANGF' EXPIRES (,/f 3 M7. ..sff 3 7/1'{ - FLOOD PLAIN' ZONING CODE:--W~ . OF BDRMS' ?J-. SECONDARY HEAT: ~ SQUARE FOOTAGE~ ~ ~ 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 !=>e made the following work day. ctJ Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting. 1':7( Foundation - After forms are ~ erected but prior to concrete /) placement. ~ Underground Plumbing - Prior ~to filling trench. REQUIRED INSPECTIONS ~Rough Mechanical - Prior to ~ cover. . . "N:7( Rough Electrical - Prior to J6l cover. 'R/f Electrical Service - Must be J.L:S. approved to obtain permanent electrical power. 191 Fireplace - Prior to facing ~ materials and framing Insp. ~Framing - Prior to cover. 'K7f Wall / Celling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. ~ Underfloo~u;-;:;:;,;~/~echaniC'a1). ,r& . ~_ Prior to inSUlatlon or aecKlng. Wood Stove -: After Installation. 7'-l5<D ct.rn<. F.P. ~ Post and Beam - Prior to floor ~lnsulation or decking. 0 Insert - After fireplace approval . and Installation of unit. 'R7f Floor I.nsuiation - Prior to ~decklng. ~ Sanitary Sewer - Prior to filling ~trench. . , l""VrStorm Sewer - Prior to filling ~trench. 1'.:71 Water Line - Prior to filling ~ trench. ~ Rough Plumbing....:. Prior to "JL:S.. cover. ~ Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. . ~ Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material in place. o Fence - When completed. ~treet Trees - Whe'Ii'all ;eq~lred L.J~ees are planted. . ' . /~(lJ 7;... i .~. ).., -I- s 9.. l-- 71; 1,),,/. SV oJ. vtJ,rt.) r ,- I; .' K:7r Fin.al Plumbing - When all ~plumbing work is complete. ~ Final Electrical - When all ~ electrical work is complete. 'f;::71 Final Mechanical - When all ~ mechanical work is complete. "h7i Final Building - When all ,.Y"--I.......quired 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 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 ~ Lot Type. Lot sq. Itg. 72/i) 1 Interior I P.L. Lot coverage 3!do Corner IN Topography L2~ Panhandle Is N Iw Total hel ght Cul-de.sac IE Setbacks HSE J GAR 3,,1 ,Gl /0'-1 BUILDING PERMIT sa. FT. \00';) ~)j) X $/sa. FT. ..39. J 1L/.r VALUE $ ti;>>.s ')".0 --5.9~ ITEM Main Garage Carport 'XI SSO";lV 37'1,rfD /f#,'75 311. q~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ '1 t<8 (B) Z'?fA - Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. "' Mobile Home \ "&y-;? rl.,w 7Jt?1/ICC Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood FEE J9z FO /n.d-V ::202,50 -,!?,.~: 'U~.~3 ~;ro 3,i:)O /2!~O /~.,..,." 3.6-0 N' d. Vent Fan Wood Stove/lnserf(1"Fireplace ~ Dryer Vent Mechanical Permit -:z.. 9. b-D -1/.1 CO -/,95 !;O,9S Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge ~.c;.q5 /4.05 . Sidewalk 1'/7; . ~1 It It Curbcut Demolition State Surcharge \ IDCD :st?V SC:;".OO 3/D!.r21 ~AlrE. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ACC I . THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. /e/ 5' I APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City of Sprlnglield, 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: 'J Lf ~. "2, ~ '~II{)I",'1- Receipt Number: ?, q<; J, Received By: e~ P~~,m( Date Paid: .y~1 A- 2- Dal(, Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~\\~ \ \U( \ \n P/rTH / 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 /? dC. .#71-_ Date v~ol f l..- VALIDATION: n RECEIPT NUM"~ ~7 DATE PAID ~?: . q ';L./ , AMOUNT RECE~V D "?:j. 7'f.?<I ") RECEIVED BY. IJ VA_ ~ -- - . ~ ,. Th. 'r..llvwinQ project eo "ubm't1 d h . . l.""ing, Clnd doc. nol rerz; -'. 39 the followr,. . I... .225 ""'''.0 ..."""'. . ep,.roval. 4Qq e elfieland '!t.ECTRICAL PERMIT APPLICATION . SPRINGFIELD, OREGON 97417 ~oriin .. .. . . . q' f\ 0-.'"2 r-'(), . INSPECTION REQUEST: 726-3769 . '?fl.. 0). .. City Job Number .. ~U UI OFFICE: ,'726-3759 . Date . . Z. . G/ , .. '. -: . ., . Authorlz5tfd 51 =0 t {13. COMPLETE FEE SCDEDULE BELOV 1. ~~ IN~"kLAAIO~ -. ' .r .A f\ ___ \I '0 n ~\O .0,.. A. New Residential-Single or . Hulti-Family per dwelling unit. LEGAL DESCRI~ON Service Included: '.'S~D~~~ru i\(\Q J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 dllys. Items Cost Slim' IO<Z:> ~ sq;ft. or less .// $ 85.00. 9,.!;;. Each additional 500 sq. ft or portion thereof ~ $ 15.00 . ~oo Each,Hanuf'd Home or Hodular Dwelling, Service or Feeder $ 35.00 2. CONTRACTOR INSTALLATION ONLY ~B' Services or Feeders (10 Branch Circuits I \ included). Installation, Alterations Electrical Contractor' \\. 00 C){J. J\ or Relocation: Address 'lC\1c)~ t).\J. 3(\ t\rY' 00 amps or less $ 35.00 (\ I' . .eM./\"':2..\.., 101 amps to 400 amps $ 60.00 City,' . l:::l.'\t"\ Dhone~ 0Q/{l 401 amps to 600 amps $ 90.00. . ()~ 601 amps to 1000 amps $130.00 Supervisor License Number ~ ~ Over 1000 amps/v~lts $300.00 .. . J 0 I n Reconnect Only $ 35.00 Expiration Date. " r-J.... . 'Constr Contr. Number 3 8'lS3 ~ :l.il~C{~ .Expiration Date The installation is being. made on property I own which is not. intended . for sale, lease or rent; Ovners Signature: -- /76.... DATE: 4-'~ L/ , /1~ . RECEIPT ,: . lA.. -., ~\=-l RECEIVED BY: -' r- C. Temporary Services or Feeders Installation, Alteration or Relocation ~ $ ~OO .5i2.:...-c $ 40.00 $ 80.00 see "B" ahove 200 amps or less 201 amps to 400 amps Over 401 to 600 amps. Over 600 amps or 1000 volts D. Branch Circuits Signature.of Supervising. Electrician .. ;. Q,._,,, ~'l)\), ~,~ .. owner~ame ~l J\ D .I:\ tiddr~ssc9 qq~ fJ\Oj1)\\\~ . City , fDqenopho~e 4~~'~(71o . .. OVNER INSTliLATION . ' . -, New, Alteration or'Extension Per Panel One Circuit . Two ,to ten Circuits .. Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E~ Hiscellaneous (Service/feeder -Each 'installation. Pump or irrigation.- Sign/Outline Lighting Signal Circuit or limited. energy panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . not included). $ 36.00 $ 36.00 $ 36.00 ~.I?P . -~"~ ~~ /?.?. .\-0 ~ t JOB NO. "lZ.O'??7 CITY OF .INGFIELO SYSTEMS OEVELOPMe CHARGE WORKSHEET ' (COMMERCIAL & RESIDENTIAL) NA~lE DR CD~lPANY: hJ 'n) ~~ 1Z" WOMC c;, LOCATION:_ BoLt J""AN~T-re G-r. DEVELOPMENT TYPE: LD/Z.. - New SPe. BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~\ e'2.- (See Reverse For Runoff Coefficients LOT SIZE .SQ. Ft. X SO.186 PER SQ. FT. s ~'11 e,t;; If Actual Imperv. Area .Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S -ZS X S38.55 PER PFU (See Reverse To Determine Total PFU'S) $9"""'!:>~. ."'''~' 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ./ $...,., . 55 -rIa -__ X I.ot!) 5 X 5388.61 r X. X 5388.61 $. . , ..'"C". ,.... X..,.,.=. X $388.61 . ... . (Se~ Attachment C To Determine Trip Rates) .... '~BTOTAl '(ADD ITEMS 1.2. .,.. . -.-.--.. .$ _. '. . ,"" d."_ &.3): $ .\C\4(P - .., 4. ADMINISTRATIVE FEES 'BASE CHARGE . (SU~TOTAl ABOVE) X ;05 S 91~ TOTAL-CITY SDC S "Z0o..t?*4 5. SANITARY SEWER-MWMC .- x S13.25 PER PFU .+ S!OMWMC ADlUN. fEE S ~"H-z.~ NO. OF PFU'S '2."; (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S TOTAL-MWMC SDC $ ~""' I-z.~ TOTAL SDC S "Z.?f>"f ~ ~'..~L:L.. () kip Burdick SDC Coordinator ~/'7 /9,... ~ FIXTURE UNIT CALCULATION TABLE: ,:,,,nbcl 01 No": ;:i,1ures X Un;, =qu~'alent = i'i,-,ure Units (I,OTE. for remodels. calculate only the N~ji~ional fi)..1ur~S) . . NUMBEr OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub............. .............. ...... ...................... ..... .......... Drinking Fountain..:...:....:.. ... .................... ................ Floor Drain....... ....:........:....... ..................... ............... Interceptors For Grease/OiIjSolids/Etc................. Interceptors For'Sand/Auto Wash/Etc..........:....... Laundry Tub/Ootheswasher................................... C10theswasher - 3 Or More..................................... Mobne Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator JWater Station/Etc........ Receptor For Commercial Sink/Dismvasher IEtc.: Shower, Single Stall..........:...................................... Shower, Gang........................................................... Sink. Bar,. Commercial............................................. Urinal, SlliIlJWall.............................................__...... Wash Basinjl.avatory, Single.................................. Water Ooset, Public InstaUation............................. Water Ooset, Private.................................. Miscellaneous:. 1... 2 t 2 3 6 2 6 6 1 3 2 t IHead 2 2 1 6 4 \ "3 1, TOTAL FIXTURE UNITS ~ 2- 2. z. ~ 1"2. "2.'7 .- CREDIT CALCULA1l0N TABLE: Based on assessed value. If.improvements ~ed after annexation date in .table. calculate aedits separntes. Year AnneXed Year' Annexed 1985 1986 1987 1988 1989 1990 NO ~"" -:-j,:..vA.\ I,..A~l-E.. Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.66 2.64 2.53 2.41 2.19 2.04 Credit for Parcel or Land Only If Applicable x $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 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 Industrial... ............................................... ......... 0.45 GovernmentaL... ...... ........ __............... ...., ......... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT