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HomeMy WebLinkAboutPermit Building 1995-4-3 LOCATION OF PROPOSED WORK: ~' ~SSESSORS MAP' 1F!n!),(J~'f; LOT: ;':Z BLOCK' OWNER: --/J4#.1! V ADDRE~".I ,/..., ~ CITY' e () IrE.1E:. RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 ..~ u;75't:. /VV , , TAX LOT: D\~r() SUBDIVISION:~ ,~ . ~ -,..., ~-- L ,4 II f1 >>~;/-'L M/ W 94- D,{L I)r- DESCRIBE WORI<" (fu,')) NEW x---- REMODEL , STATE: ---o.~ 111.... / f1 <7 1-11-<.. . 9~60~7 ADDITION DEMOLISH JOB NUMBER 225 Fifth Slreet Springfield, Oregon 97477 ~ PHONE: r u )-- ~'-4-P . , ZIP: _C?7 4_..1..2..1 . , OTHER CONTRACTOR'S NAME GENERAL: f1 tu.;; f f PLUMBING: MECHANICA' . ELECTRICA' . QUAD AREA: 4~SE _\ OCCY GROUP:'\\-;),... \oJ\. . OF STORIESr:J -\ 'D~ C(./ ' . OF BLDGS' WATER HEATER: CON ST. CONTRACTOR' f,07-Lr., - OFFICE USE - \ \ \ \ \ VtJ LAND USE' · OF UNITS: CONSTR. TYPE: HEAT SOURCE:-1;kJ;;rUeMA:Sr~..rf1 RANG~' :./ EXPIRES /- Lr:::.f (, PHONE ~4 7-5'<./77 - I - , FLOOD PLAIN: ZONING CODE: '. OF BDRMS: l,DU ~ ADDRESS' L A- V 4.,..U.E' c/4 ("""'" . ~A~A _ . /"1/-' - SECONDARY HEAT: ,'SQUARE FOOTAGE:.s0 7") \5 To request an Inspection, you must cafl 726,3769. This Is a 24 hour recording, AII,Jnspectlons requesled belore 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 )X1 Site Inspection - To be made after excavation, but prior to setting forms. O Underslab Plumbing/Electrical/ Mechanical - Prior to cover, 't71 Footing - After trenches are ~ excavated. . o Masonry - Steel location. bond beams, grouting, ~ Foundation - After forms are ~erected but prior to .concrete placement. REQUIRED INSPECTIONS ~R~ugh Mechanlca' ...: prl~r to ' ~ cover. . 'f;?f'Rough Electrical - Prior to ~cover. M Electrical Service - Must be ~approved to obtain permanent electrical power. o FIreplace - Prior to faCing materials and framing Insp. ~ra~lng - Prior: to cover. )<;;:7f Wail/Ceiling InsJlallon - Prh>r to ~cover. o Underground Plumbing - Prior '1\7f Drywall _ Prior to t,aplng. to filling trench, ~ O Underlloor PlumbIng/Mechanical -.Prlor to In,5ulatlon or decking. o Post and Beam - Prior to floor. Insulation or decking, o Floor Insulation - Prior to deckl ng. 'Jv1Sanltary Sewer - Prior to filling ~ trench. ~Storm Sewer - PrIor to filling ~rench. ~water Line -'Prior to filling trench. , , Rough PlumbIng - Prlor:to over. o Wood Stovo - AUbr InstallalloA, o Insert - After fireplace approv41 and Installation of unit. .' ~. , Curbcut & Approach '- Afte, forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After ~excavatlon Is. complete, forms and sub.base material In place. o Fence - When ~ompleted, ffi'ktreet Trees - Wh~n all ~eq.Ulred ~trees are planted.' . ~ Final Plumbing - When all ~plumbln'g Work Is complele. . ~ Final Electrical - \AIohen all .~electrJCal work Is comple.te. C l"i7i Final MechanIcal - When all ~~9hanlcal work Is complete. ~Inal Building - When all ' ' re:qulred Inspections have been pproved and building Is completed, DO'her MOBILE HOME INSPECTIONS o 'Blocking and Set.Up - When all blocking Is complete, o Plumbing Connections - When . home has been connected to . water and. sew?,. ,. o Electrical Connection - When blocking, set,up. and plurgblng Inspections have been approved and the home Is connected to the service panel. o Final - Alter all required Inspections are approved and porches, skirting, deCks. and venting have been Installed. ~ : --0-- " Lot sq, Itg. /-~<2,0 Lot coverage 2=!,~% Topography ~ Total height . r: Il,s" ') '--- BUILDING PeRMIT ITEM SQ, FT. 23'?4 4.'34 Lot ~yp. Interior K Corner Lot faces Panhandle Cul.dc.sac f\1aln X '$/SQ, FT, a <:;"('",,?-'" ---,-~"p " Gacage Carport ~o-T 5~~D / /)-"2 to I P.L, IN Is Iw IE VALUE /3{/7() . ~~24 579"fbtp i7S'~g,O Building Permit Fee ~7'oo 32. .;.r+-/917 5.;' (n_ State Surcharge . .':. , Tolal Fee (A) -7tl,''J_92- SYSTEMS DEVELOPMENT CHARGE (SDC) , , (B)l~c, y6.c" f- Total Value PLUMBING PERMIT , ITEM Flxlures , Residential Bath(s) N' ~ Sanitary Sewer FT, Water n Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge q.~3+ 5.76 Total Charge (C) MECHANICAL PERMIT' Furnace Exhaust Hood Vent Fan N' 4 Wood Stovellnsertl Fireplace Unit Dryer Vent Mechanical Permit Issuahce State :Surcharge / ,Z 2> +- .77 , Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk I"~ . 32.. It It Curbcul Demolition State Surcharge FEE j"j;2 f.:J / S .-11 '7.87.1'/ &, 6-0 4,)"0 /2,40 --::<~ 2C;;-,S-O /D.lJr:> ? oS" ~7~r , ~4 7.r '-L4-.60 ,47',55 TOTAL AMOUNT DUE (excluding electrlcalt, ~7 (A, B, C, 0, and E Combined) Total MIscellaneous Permits (E) ~ .' ..:.:" '::",:\1':.\,; . THE PROPOSED WORK. IN THE " ' HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prior to permit IsSuance. Setbacks ' HSE GAR ACe' I I :.! I APPROVED' ' 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 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: J.:z1. i!!.5' . ./ Date Paid: / j J 3;1'5" ( (j , Receipt Number' 5"5?J- Received By: # ~ Plan<~' L ~ 2/e/J..r . D.l!'te Systems Developmenl Charge Is due--en all undeveloped properlies within the City limits which are being Improved. ADDITIONAL COMMENTS f~u\~ ,...~INO tJ"'o\)X - - - - . ,t9\+T O?~ cy}() l~N\QlI: \ n1b;. \C\I\?, i : j:J A77f.:[ By signature, I_stale and agree, that I have carefully examined the completed application and do hereby cerlify that sll Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordlnanc~s of Ihe City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thaI NO OCCUPANCY will be made of any ~tructure wIthout permIssion of the Building Safety Division. I further cerlify that only conlractors 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 st the front of the properly, and the approved set of plans will remain on the site at all times during ~structlon. ~gnatur;I.#'//"l_./ /&..-... . '--1_ 1- ef r- Date VALIDATION: RECEIPT NUMBER Uf7R~ DATE PAir 4. 'l, .ac; " AMOUNT RE~EI~~ ~ Uffi15:i7 " RECEIVED BY - , -I i / . ATTACHMENT B1 . \", '- B NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) 95-0039 / NAME OR COMPANY: d/ 2.. t/~ /:::...- ' nq I (\ , I). -/J..... I ~ LOCATION: 99t:J_'J...-~._/?~ 1 0' I 0 ",:::::il)1 .L~~O A ~ o ~- VW DEVELOPMENT TYPE: '5;<= /) BUILDING SIZE: 1. SIQBM DRATN~ IMPERVIOUS SQ, FT, I,OT SIZ( SQ. Ft. Z130 X $0,209 PER SQ, FT. $~r.0 2. SANTTARY SFWFR-r.TTY NO, OF PFU'S (See Reverse) 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP :l-'1 X $43,26 PER PFU 'cm?~ I X /. 0 ( X $436.19 X X $436,19 $~ L--- $ X X $436,19 $ SUBTOTAL (ADD ITEMS 1. 2. & 3) LY/ c. . -9 ~ 4. SAMlIARY SFWFR,HWMC NO. OF PFU'S :l-t x $17.19 PER PFU + $10 HWMC ADMIN,FEE $ "1?'?,/3 (Use PFU Total From Item 2 Above) , MWMC CREDIT IF APPLICABLE (SEE REVERSE> $ 79. # r "IQIAI,HWMr. snr n9~,';S") SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ .z 5"//,0 f 5. AnMTNTSTATTVF FFF~ BAS~GE (SciBT TAl ABOVE> X ,05 ~J4 / r ~~ /-/~ Date: ~ary\Hornfg. p,~, \ / SDC CW'rdi nator V csJ 2 ~ - S':,"') - /-;;ZC-'1~ mIAI snc $ 2 C. 3C:;. (;7" B2 . SDC . fIXTURE UNIT CALCULelON TABLE: Number of New FiX. X Unit Equivalent '= Fixture Units {NOTE: For remodels, calculate only the liE! additional fixtures) ~ , NUMBER' OF NEW FIXTURES FIXTURE TYPE Bathtub..",."."",..."...."."",......"..".",.."..".,.,.,.....". , Drinking Fountain,.... ...,'.. ..,..,............",...,.,..,.','..'.." Flc:lr Drain.. ..,........, .......,.....,..................,..,.,..,.,.""" Interceptors For Grease/Oil/Solids/Etc................, Interceptors For Sand/Auto Wash/Etc................., Laundry Tub/Clotheswasher,...................... ............ Clotheswasher, 3 Or More.........................,........... Mobile Home Park Trap (1 Per Trailer)................., Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall........,.....,...............................,.. Shower, Gang,. ....... ....,...,.... ......................,...."..,..,. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall" :,................... ...........'.................... Wash BasinlLavatory, Single..,............................... Toilet, Public Installation",...""".............,..,........... Toilet , Private,.....,...."....,..""""....,........"..,......... Miscellaneous: I TAN/rtJP',s .shVr 3 I / 3 3 TOTAL FIXTURE UNITS UNIT EQUIVALENT FIXTURE UNITS 2 1 2 3 6 '2 6 6 1 3 2 l/Head 2 2 1 6 4 .2. '" :1.. 2. 2. ~ I" = .:z7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits 'separates, Year Annexed Rate per $1.000 Assessed Value 1979 or before . .1980 1981 1982 1983 1984 " 1985 $3.46 3,38 3.32 3,21 3,06 2,92 2.73 Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1.000 Assessed Value $2.46 2,14 1.77 1,37 0.97 0,61 0.44 0.15 Credit for Parcel or Land Only If Applicable = _1../. -0' Imp~ov~ment !if after annexation date) ,3.4(;;, X $ .2..2. Y 70 (Rate X Assessed Value) X $ (Rate X Assessed Value) ~ = CREDIT TOTAL = $ ;ff.-;rg- '. .. o !!y}!I~I!!!!~.!!~ Job NO.q~~ SYSTEMS DEVELOPMENT CHARGE l C \ '\ _ :~R.K~:EET NAME:\ ~\ ~~~ PHONE: ...OA~.~y:/\ - I . ADDRESS: \t'\()~ lli.0M ) \ r J STATE: ~IP a""f\6 \ ' LO~:O~~:S:~~~~~~~ BUIL~~~) ~; 3\~~~~~ PlattName:~*" \\'U.\~ ~LotNumber: \<{(mD.~\4 t)\OCD 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definilions are on the back.! Manufactured home not in a park $ 4ti)..g) X $400 PER UNIT .5=-, X $370 PER UNIT = '$ X $277 PER UNIT = $ X $280 PER UNIT = $ $~~ $lf $ 40n .00 WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~~~~~f) r:4........( (""....~:......rl";'"'IA 4 I ~ I~ Date .GFIELD " ,,', , rh~ k'I1('\Il/i'lt'l Dmiro.::t ~G 511brnttted has the following z.,..nlll~J. t\"u"dot)!: .,VI. rvq~jjc specific land use approva.L Zoninp i... D L- 225 FIFTH STREET " :L.. ..-r SPRINGFIELD, OREGON ~1?7J!:!'~~-'7~ INSPECTION REQUEST: AZ;?,lirrJ.llfiJ?gnature iJ,..... OFFICE: 726-3759 , 1. clt~fON OFr\lNSTALLATION L( (n ...'J.l)t ~? ~~~IO~['Qrn non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. CONTRACTOR INSTALLATION ONLY Elect 'cal Contractor ~ / Address City Supervisor Expiration of Supervising The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signatu~J / , -1JLLA,/ ~'- ~~TE~----------------~~~-i:l')--==--- RECEI1'l ii: L D. ,l~-"'" RECEIVED BY: l~YA ~ ELECTRICAL PERMIT APPLICATION C~ ty Job Number q~::f1 . 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular Dvelling Service or Feeder ,B. 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 Items Cost Sum $ 85,00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40,00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less l $ 40, 00 .1b. 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits .' Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E, 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2.00 .' no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4J:\CP ~:-p~ 43.~