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HomeMy WebLinkAboutPermit Building 1994-5-20 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . 51'" '3tq JOB NUMBER Q4{X:01 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' ;;" X' s: t/ ASSESSOljl\' MAP' (~A nAt1.~ LOT' r',) \. . BLOC~' --( . J e.SS IfYA- 'Dr, . TAX LOT: np/JOIJ SUBDIVISION:,rr:utt11iPjij\ ) OWNER: ADDRESS: f! IL.ds /) rfi1.- ol/ d-; .5: CITY' 11/ f>~uJ DESCRIBE WOR~' NEW vREMODEL ADDITION 70 PC-- STAT'" S-Ff;J, DEMOLISH OTHER . PHON'" ZIP: ~ CON ST. CONTRACTOR'S NAME ADDRESS /) _ CONTRACTOR # GENERA" t.oP, l.1 /4'2S..6Q aJ~ .f3~9L/7 PLUMBING: t.J; da.h #~,.vl"y()wq~04 (1 [g3Ldf3S MECHANICAL: /)/1 R ;::~ fa 1)8-60:? ' <;,~''l ELECTRICAL: p_ii/s \..~/!)[)LV U J F~ -:c-913~1' QUAD AREA: ~ # OF BLDGS: l OCCY GROUP~ Q'T M # OF STORIES: ,.Q -v WATER HEATER' '';'" OFFICE USE - LAND USE: _I \ I I 1 CONSTR. TYPE: V Ai HEAT SOURCE: Fu 'f..- # OF UNITf" RANGE: I oYOCH-. rWl.10Bl(2f In.sqq. l4b.q~l (0 ,1().94-'f4.1.~ 4~lfUr2)" r6)1' FLOOD PLAIN' ZONING CODE: LJ )IL # OF BDRMS: ' ~ '" / k? SECONDARY HEAT: SQUARE FOOTAG E: _ A(~ /) AI. - . 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. . D Temporary Electric 'tv'r Site Inspection - To be made ~after excavation, but prior to setting forms. -:;11 It.- o Underslab Plumbing/Electrlcal/ Me~hanicaJ - Prior to cover. '1\:'"AFooting - After trenches are JA..lexcavated. D Masonry - Steel location, bond beams, grouting. i"'Vl, F Foundation - After forms are ~rected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS p<;;fJ Rough Mechanical - Prior to ~ove~ . .F;?1' Rough Electrical - Prior to ~cover. f'Jr Electrical Service - Must be ~pproved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing ~nsp. ~ramln.g - PrIor to cover. ~ Wail/CeIlIng Insulation'- Prior to J...6..lcover. . ~ryWall - Prior to taping, '1C/l' Underjlo~umblna~chanic0 ' ~ -,Prior to ,rl~U'cld()n"'t.~-ut:(;~mg. 0 Wood Stove - After Installation. rc:;;{ Post and Beam - Prior to floor ~insulation or decking. r\:71' Floor Insulation - Prior to ~decklng. '("/'f-Sanitary Sewer - Prior to filling ~ trench. I\7f Storm Sewer - Prior to filling ~ trench. . !'VI Water Line - Prior to filling , ~trench, rVI Rough Plumbing - Prior to ~cove~ ' o Insert - After fireplace approval and Installation of unit. , I\7T Curbcut & Approach - After ~ forms are erected but" prior to placement of concrete. ~ Sidewalk & Driveway - After ...1CS""excavatlon Is complete, forms and s:ub-base material in place. D Fence - When completed. "; ~,;. ~treet Trees - When all reqUired:' '~ees are planted. . . ~ Final Plumbing - When all ~ plumbing work Is complete. r'Vt Final Electrical - When all ~electrlcal work Is complete. ~Final Mechanical - When all ~ mechanical work is complete. 1C/l' Final Building - When all ~ requIred Inspections have been approved and building Is completed. o Other 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 ,servl?e panel. I o Final - After all required Inspections are 'approved and " porches, sklrtln'g, decks, ,i'nd venting have been Installed: Lot faces ~ .~30 Lot sq, ltg, . ~ Lot coverage 10ft> Topography 1!20 +- Total height ,~ I \104"') BUILDING PERMIT ITEM sa, FT. B~'cl -(~() 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 Furnace Exhaust Hood Vent Fan LfY'ype . 6, Interior Corner Panhandle Cul.de.sac I L.....HE PROPOSED WORK IN THE "I'!rsTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. I P.L IN Is Iw IE Setbacks HSE GAR ACC I I 37' 3'1' I 201 I , S', I APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT x .!ip~ff) = \rA~.ffG2.. l:Lill- -.!] I' 1~1- . (A) N' ;:<; FT. FT, FT, S.78+,/,&" (C) Dryer Vent Wood Stove/lnserlfFlreplace Unit N' ~ Mechanical Permit Issuance State Surcharge Total Permit (J.n -1-1.'2.& (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~/" ft , , Curbcut ~ L It Demolition StR Surcharge i __ t N \f\ \\ \\ r .cWiJL... ;otal Miscellaneous per~J FEE c:::>--?S.::J J/~, -:2.1:)'7.1',- - . '-<- ...6.0-0 ~S-O /;:2. .(1 &> /10- -?c, So .... J D,DO '2. ." 5 2,7.S-.r -2! .~i9 l~f;O \ 4,DpQJ (E) TOTAL AMOUNT DUE (excluding electrical) ~s. '76 (A, B, C, D, and E Combined) 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. ::t~ :::~k Fe..~~ 9J / ~, Receipt Number: . \ ~t ~ Re~ J.J,\ s;0er PlanS- Reviewed By ~ate . Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~ I)() Jll.O . , <;\W \ ()n~ . , 1~\'0" I~ 0 f'-p q:..l{)\~ \ ~TI OIGU\t O( l ~l'Q): \CA.\)<6 ~1;(lL 0HJ\bf.:\.((1Q ,~n Q II niU---> " ., 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 Ordlnanc~s 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 Dlvis!on. 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 tlme~ 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 wll.1 remain on the site at all...-~e~)rlng construction. :::""" ~/;Zif VALIDATION: \ n f51@ n RECEIPT NUMBER ~mJ . DATE PAID 1..~.,{20 .9Lf AMOUNTRE~. ,~(, 2--9. I~ RECEIVED B '.!..~_ ) f,r \ ")"[.-11 e &~ +/43 ~ ; '-- . . o !!!i!IJ:!!!!!!~!!!! JObNO'~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: .tht~0Q {tl AODRESS0!f1 tQ.~S0() PN~'I ~ PHONE: ~ STATE:OC-ZIP ~7 . LOCATION OF I'ROPOSED ~UIL.R!NG ~ITE: \ ^ Street Address if Known: t D K S <-t ~ ul\l f'f) ) Platt Name~ 111l-h PltJI cy Tax Lot Number: J2(J 8DtJ.;)..\~ff)oc) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A. Sinl'le Familv - Detached / ( Single Family home NO OF UNITS I Manufactured home not in a park C() . X $400 PER UNIT _= $ 4rf), - . B. Sim~le Familv - Attached . NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ $ 4ff)~ $kJcr) $4CO. WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Cledit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) k&,~~~) City of Springfield /l /J).O /31- Date . . SPRINGFIELD 225 r H u. STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: . 726-3759 , ~. LOO~J!~ O~ f8~Fb _ ) A. lP1f)rIJ!:!)''i~J~DB1d) S~~~S~rl\(f'l fMo_~2f 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 Electrical Contractor E/ il", f:/f' cft.t'C Address3/?!.? 1.41 t'/7,t City EttcEllIe Phone~-SY<17 Supervisor License Number 9(1(0 S Expiration Date l (). \ ~ , Constr Contr. Number ~ f) g 1/ cA~c::...J Expiration Date 4. ~B.q1- S~} f :1er;:~ Ele/i~ ) io O::ers ;a,~ffi( _ ~J:L/ Address IlJfJc; ~{ City~ . Phone ~~ALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: DATE~--------------~-~W '~1;: "'> 5. :g:~~D I~~'f -\..." · 3. ELECTRICAL PERKIT ~.ON , City Job Number -In ^- l .J \ COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less -L $ 85.00 B~ Each additional 500 sq. ft or portion '"~. 4s thereof $ 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 1 $ 40.00 40 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see nB" 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 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 \ f)'D ~ XJ~~i-.s'(D J!' . .B NO. q';Of,D"} CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 1-1 U f) S P &- -(1-' LOCATION: C, r5 '-I S'e<7S/CA PIa... DEVELOPMENT TYPE: LOK. - A1~w ~~Ji?,. 18o'2-07.-].~ .. O?7l:iO BUILDING SIZE: LOT SI7F SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. --Z/U:> ? X $0.203 PER SQ. FT. r;-o.f6q ~l) '-- ,./' 2. SANITARY SEWER-CITY NO. OF PFU'S 'Z-'? X $42.08 PER PFU (q("7B:!) (See Reverse) '--- .......... 3. TRANS PORT A TI ON NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ~'l.~-~) ------ -------- $ $ 1 X 1.01 X $424.31 X X $424.31 4. SANITARY SEWER-MWMC $ 2. L: 7 i']. NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE ~~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 70 't!. TOTAL-MWMC SDC ~ '--- ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Z/<f2,~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~Lcl... '-f /2D IN ~ Kip Burdick I I SDC Coordinator rs--- /D7 '0 '-- / ~2. TOTAL SDC $ 2-"2--60 -- ~ --- .."",.... ~ 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 4- 2. Bathtub........... Drinking Fountain..... . ................. Floor Drain............................... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /OotheSWasher............................ ....... Ootheswa~her - 3 Or More....................................'.. Mobile Home Park Trap (1 Per Trailer)..................: Receptor F9r Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.StaIL.............................................. Shower, Gang.....................................................'..... Sink, Bar, CommerciaL..,........,................................ Urinal, StalljWaIL..................................................... Wash Basin/Lavatory, Single.................................. Water Ooset, Public Installation............................. Water Ooset, Private............................................... Miscellaneous: 2- I 1. 7, ~ _11. CREDIT CALCUU\.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. TOTAL FIXTURE UNITS 'U:> I' Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Year Annexed $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 :1 1979 or before 1980 1981 1982 . 1983 1984 '1985 $3.21 3.13 3,08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 ] Credit for Parcel or Land Only If Applicable -z,."2.--1 X $ 1.-1. "I~ to '!! (Rate X Assessed Value) Improvement (If after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ If) .;q --- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...................................,.................. 0.4 CommerciaL................................................... 0.9 I nd ustriaL............................. ........... ................ 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT