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Home My WebLink AboutPermit Plumbing 1997-11-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 ' Office: 726.3759 , - \ LOCATION OF PROPOSED WORK' /..j I l-j .; IKo~('Js'.23 ASSESSORS MAP' " LOT: .3a...Sf,Hl" ~ (') tJ-o'3 !'0J ,,--,I , BLOCK' OWNER' Jon.. 01 YY\,( \ I,r,' v"'- ADDRESS' :, 4l 4 C; ~ 0...<; 911. R-- CITY' oS p.. ; V1 '1 .{:.;..u cQ. DESCRIBE WORK: 1\JCLuJ wCLL"... UIII.L_ NEW REMODEL ADDITION CONTRACTOR'S NAME GENERA' . .PLUMBING: _VD~41J MECHANICAl' R.=.. dl STAT"" Diu.. "\(9-,-, DEMOLISH OTHER , JOB NUMBER Cj165/ (" 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: * PHON'" ZIP: ---9 "7 '-/. 7 Y! ADDRESS CON ST. CONTRACTOR . 10 . .1....\ V\'.v",^-I,...i~~Z.::(AtJ,~ ELECTRICA' . eft P.O-S EXPIRES ~I:lQNE ~-"'-'t8 t.I &;""U:)\:).5 - OFFICE USE - QUAD AREA' LAND USE' FLOOD PLAIN' . OF BLDGS' . OF UNITS: ZONING CODE: _ OCCY GROUP' CONSTR, TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: To request an Inspection, you must cafl 726.3769. This Is a 24 hour recording, All Inspections requested before 7:00 a.m, ,,!III be made the same working day, Inspections ~'\'\'eE~fter 7:00 a.m. will be made t&'RlelloWlng work day. TH\~~g,~~~~Il)l.\l~~1fio~ NOT r:J, f,lQy,gl;rty'l~lilCiliHlS l?!fJWo ~Inal Plumbing - When arr p,IJ-Il'1!oW'r.~ . S ABANDONED FOR plumbing work Is complete. ~MMENCEO OR I ~8tl,~~I~r\\l!lO.,... Prior to D Final Electrical - When ell . electrical work Is complete. o Temporary Electric D Site Inspection - To be mado after excavatlon, but prior to settIng forms. o Underslab Plumblng/Electrlca" Mechanical - Prior to cover. o Footing - After trenches are . excavated. o Masonry - Steel location, bond . .beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Undorground Plumbing - Prior to filling trench. O Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prl.or to decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - p'rior to filling trench. . O Water Llna - Prior to filling trench. ~OUgh PlumbIng - Prior to cover. o Electrical Service - Must be approved to obtain permanent electr.lcal power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/e"elllng Insulation - Prior to cover. ':'\" o Drywall -'Prior ~o, taping. o Wood Stovo - After Installation. o Insert - .After fireplace approv~1 and Installation of unit. o Curbcut.& Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and'sub.base material In place. o Fence - Vvhen completed. DjStreet Trees - Whan all required trees are planted. o Final Machanlcal - When all mechanical work Is complete. o Fln.al BUilding - When all required Inspections have been approved and building is completed, Doihar (I)m/>~ 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: o Electrical Connection - When blocking, set.up. and plumbIng Inspections have been approved and the home is connected to the service panel. o Final - After all required . Inspections are approved and porches, skirting. decks, and venting have been Installed.' Lot faces ~t~y' Lot sq, ftg. Interior Lot coverage Corner Topogrephy Total height \' Panhandle' Cul-de-sac BUILDING PERI\'I,IT :!J sa. FT, x ',1 't ITEM> >'. > , ." $/SO. FT. Main Garage Carport Total Value Bul/ding Permit Fee State Surcharge Total Fee (A) 'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' Sanitary S~wer FT. Water FT, Storm Sewer FT. Mobile Home ;\,,~~ t+-? ;.: Plumbing Permit State Surcharge +,03 Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplat:l>-Unlt Dryer Vent Mechanical Permit Issuance State Surcharge '."'u Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demollllon State Surcharge Total Mlscelleneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) "~!. 1. ,".. :~ " ,', , ,'..'L ..-'.. '> . t".f .-.,i\1-'f' l~" ~"l.."'f;' '\I>-:tff:~lil ~~.'. , '.' -:,," .,"~.jtt:'.(.,:. ' " I P.L. N S Iw IE VALUE '. FEE " too' itA () , o-c ;};,rr; I- ,. d-l> 4(4 ,; ,,~ I. "IS THE,PROPOSED WORK tN THE. ' ..... , HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Setbacks. HSE GAR ACC' I I I I I BUILDINh VhLlJE, PLAN CHECK AND BUILDING PERMIT If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance_ APPROVEC" 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. Plen Check Fee' Date Paid: Receipt Number' Received By: Plans Reviewed By Date t.. . v . , Systems Development Charge Is due on all undeveloped properlles within the City limits which are being improved, ADDITIONAL COMMENTS ;i~ ..,...:' , I,' ' '::L~l By signature, I state and agree. that I have carefully examined the completed appllcallon and do hereby cerllfy 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 , :'1 lo9kPro!ecl. - ~"v...-" 'V 1\1, lr . 1="/"'1 I further agree to ensure that all required Inspections are -'fl 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. ,~Ignaturr!:(.h-.-Ih,. 1tJL, l(Pat!! - . Ii / /3 /:; -;; VALIDATION: f RECEIPT NUMBER d.79'60 DATE PAID 1;:1, IJ~ ,'1q 7 AMOUNT RECEIVED 4t 1./ 1. ).0 RECEIVED BY c:KuJ . . SPRINGFIELD ZonlilQ 0: V( Delo ~- Ie, -9 ~ AuII",,~ SlgnalIlre r M, 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION L-I/4&> )....~ ,,-......- ~" . ' Rot . LEGAL DESCRIPT10N Mt I~tl';:)rb~~ , ()cAO~ Expiration Date lo/tlqpr ... . Constr Conti.. ~umber' 'i-OL/C;XC( I . Expirationr\ate fold '1 Y Signature ~~uL:vV6~ian Owners Nami -r:: .r:.r: /../"'''' dr-,"" Ir<Ph Address 4/ J../ C; -r; < "...,- L b",," I / Rd_ . Ci ty < f') .. <. Phone 3ft) -' "i<'4.!::t::J.- O\INER INSTALLATION' ' The installation is being made on property I own vhiCh is not intended for sale, lease or rent. Ovners~~ignature: -, - / DAT~~----------~~--- J' JC(. 'IX -- RECEIPT I: " ~ J I RECEIVED Br:-"-" (D'-"L.-/ '1 C\ ,')) . A. ELECTRICAL PERMIT APPLICATION Ci ty Job Number 0\' <6030 '2- 3. COMPLETE FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 200 amps' '01: less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits JOB DESCRIPTION 1000 sq.ft. or less $ 85.00 "'.:':"/1/;-,::'/' . r' i rr'.,;::' ..Att" ." ' :'-'::';;.: Each additional 500 ..,.. -,.-'. ,-". 1; -17" '-~'c."'-:-':sq.'ft or pordoii"~~--'c."--'--~":'::',~=-,,~:"~~''7' Permits are non-transf~~~~ ~a expire thereof $ 15.00 if vork is not startecf'(,;nJ.h"fij>,tJ80 days Each Manuf'd Home. or of issuance Or if vo~4J"~p~~d for Modular'Dvelling' 180 days. -44'1.- ~c:'~ ~Ou '-4" Service or Feeder '61 Vc:'d....~a c:'-rA ,-~~.. CO~CT~R. r.~STALLA~JiY~~ ~-9~ ~c:',l.' Services ~r Feeders . . ",.... . '.. .. ,oc:'.<l._,IS'-4e. r.9A ~~. Installatlon, Alteratlons Electrical Contractor ...,.-:- t5. ~c~ ~'~-~~r Relocation: . ~-'~J't 0-9k Address Line. c:: /AI_ / / i:b ~ (~ ~~~a lS'~a amps or less : ~. ~61 amps to 400 amps _..,;:_,~i~Y/~!:;':":':~ - . .Pho.~~~--<;:-77..u ": 40lamlls to. 600 amps . .. ., __ . . - ".~j:,c=. 601 amps to 1000 amps "Supervisor License Number -:s 'J(( 2 S ' Over 1000 amps/volts Reconnect Only Items Cost Sum $ 40.00 ,.., $ 50.00 $ 60.00 $100.00 .' , _ ,_:_~ $130':00"~"''' ...-~-~ - $300.00 $ 40.00 C. Temporary Services or Feeders .;.<'c- I_nstallation, Alteration or. Relocation ~~ - .::":.-.,~..:::::.-;' . .. . -- . ~ volts $ 40.00 $ 55.00 $ 80.00 see "Bn above " Nev, Alteration or Extension Per Panel 7r- $ 35.00 J 'J One Circuit Each Additional Circuit Or vith Service or' Feeder Permit ( p $ 2.00 J 0"- Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE . 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 -- 4 t:i p< :;r _<' ,. y- o 11 , V W~ .. ~ ' SPRINOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970516 225 North Fifth Street Springfield, OR 97477 j) Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4145 JASPER RD Assessors Map #: 18020523 Lot: Block: Tax Lot #: 00403 Subdivision: Owner: JEAN MILLER Address: 4145 JASPER ROAD Phone #: 726-1686 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: COMPLETE ADDITION ADDITION QUAD AREA: 5RSC OCCY GROUP: R3 SQ FOOTAGE: 933 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN ZONING CODE: LDR HEAT SOURCE: WH To'request an inspection, call the 24 hour recording at 726-3769. 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. REQUIRED INSPECTIONS --- ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/ceiling; Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Total Height: 15 Lot Type: INTERIOR Setbk From NPL: 130 Solar Approved: Y Item Main Garage ADDITION Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 933 64.66 = Value 0.00 0.00 60,328.00 60,328.00 Building Permit Fee Surcharge/Admin 316:00 25.28 TOTAL FEE (A) 341.28 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 250.16 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 591. 44 , I' SPAINQPIELD Job Number: 970516 Page 2 --- 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: 205.40 Date Paid: 04/09/97 Received By: LORNE PLEGER Plans Reviewed By: BOB BARNHART Date: 04/24/97 Building Site Reviewed By: LISA HOPPER Receipt Number: 25236 - - - ADDITIONAL COMMENTS PROJECT STARTED IN 1986 WITHOUT PERMITS OR INSPECTIONS. REQUIRES SEPERATE ELECTRICAL PERMIT 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 Community Services Division, Building Safety, 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 Date -- - VALIDATION Date Paid: /' 'lrr 4/1, g/cn . ( ( ~., /.4'4 -;~ Receipt Number: Amount Received: Received By: SPRINOFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: JEAN Location: 4145 Developement Type: R MILLER JASPER RD Building Job No.: 970516 Size: Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 1103 x 0.216 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 0 (see Page 2) x 44.75 Per PFU 3. TRANSPORTATION Number Of Units Trip Rate x Cost Per Trip x Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs o x X Per PFU + MWMC Admin Fee 20.690 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X 0.50 TOTAL SDC Page 1 Sq Ft $238.25 $0.00 $0.00 $0.00 $0.00 $0.00 $238.25 $11.91 $250.16 SPRINGFIELD Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL UNIMPROVED STREET Developer: JEAN MILLER Mail Address: 4145 JASPER Tax Lot #: 1802052300403 Subdivision: Job NO.: 970516 ROAD SPRINGFIELD, OREGON 97478 Phone #: 726-1686 Project Address: 4145 JASPER RD Lot: Blk: Eng. Rev. No,: Book: Street Gravel Ac Mat 4145 JASPER RD EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback NONE N N/A N/A N/A Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: Improvement Agreement: Easements: COMMENTS: IN UGB SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Comments: HAS PRIVATE SEPTIC SYSTEM. NO PLUMBING CHANGES PROPOSED. STORM SEWER Available: N Pipe Downspouts And Drains To: BAR DITCH & PROVIDE DRAIN PLAN Pipe Parking Lot Drainage To: N/A Comments: DRIVEWAY AND CULVERT EXIST. NO CHANGE PROPOSED. CONTACT MAINTENANCE DIVISION AT 726-3761 FOR CULVERT SIZE AND DEPTH. SIDEWALK AND DRIVEWAY INFORMATION New Curb cut Appr.: N Sidewalk Permit: N Curbcut Permit: N Comments: UNIMPROVED STREET ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: Sanitary Sewer In Lieu Of Assessment: SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: 04/10/97 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION ,