HomeMy WebLinkAboutPermit Building 1992-9-14 LOCATION 01' I"FlOF'OS[D WorU(: __~'1 175 ASSESSOH~; IMP: _ .l(J,t) 2._D_<f_ I 4 BLOCK:_ , . RESIDENTIAL PI;BMIT. APPLICATION Insp0.cliol'l~;: /:~6.376D Ollic0: '/20-:1(,:9 LOT: __I? . SPRINGFIELD ~ ti', k~W\ \ ~ ?-r. OWNER: __ ~1I ,::"L-l "t'~..8_2e..~~;s', ADDnESS:. _6.lB\9...,_~I~J2.?j--"'I ~D_~ -z..:z., CITY: _~LlbEQl)_e: STATE:_r:J< DESCRIBE WORK: __.JV\~ll.~"W_~_-j-lpMā‚¬. N'EW __-x.., IlEMODEL___ ADDITION V"A-U<; WI. ewT OTHER ~:-' DEMOLISH t8 NUMBEH .:z2,L~3' CL 225 Fillh Slrcet ~ Sprinofield, OreUOJn 97477__~ TAX LOT: 34 C7CJ _ _ SUBDIVISION: h>u:Jr::W T8t:R.~.._ PHONE: 34<-/- 76b0 -. -- ZIP: C)'4.o_,- _4 ~ "rG. / tl1 Prt.tNe, /iI1.~_ CONST. CONTRACTOR" CONrRACICiI(S NAME ADDRE~;S . 1441 HW'1 ~") N G EN ERAt.: hDe:N"-~i\J__.__.;fVb,,,~./I:::'__ -.c-, /. . 1t~'1 / ffW'1 ")"l 'V, PLUMBINC:e:<>oJle:N:~~11l ""LJ~.;;yvE_. .MECHANIC;'.I : _... EXPIRES PHONE 6"'1~ 2.O-1-'3Cc P& t:7bJ.9?;2_ _b~711:)?- l \ -- ;'0 ::"l) -z. be''')- T1b"Z- . - - - ..- ELECTRICI\L r: c. 1:Xi,X 3, / ~.G:~~~_._._~,t1....~I{,__ h"',~__ _'\ 'S"_ -_4~/o QUAD AREA ..3R~ . 01' BLj)<'''~ ~ ___ _ -._ ~:~YS~;:::lr;li, .~. y~= WATEll HFAII'll: __ ..S--- _ __ LAND USE: OIT~) - H OF UNITS:. '-'VL ~t CONSTR. TYPE: _J}L, ...re-_____ HEAT sounCE: RANGE: _ __U. " ~LOOD PLAIN~ -:r-f\-p,' ~--- ZONING COOlo:..l.J,.J _._ H OF BDRMS: -3- ~,ECONDARY HEAT: SQUARE FOOTAGE' ~[~O To request ,if I 11lspeClioll, you ri'ltlst call 72G.3769, TIlls 1~::t?4 tlollr recOI(jing. All inspections requcslcdlJefore 7:UO ;1.111, wilt [lC flla(jl~ tile :;Wtn: w01kinO day, in:.peclioIIS mqueslccJ after 1':00 a.m. will be made the following work day, CI TelHr'lIld'-Y Eh:clrk D Site 1l1spection - To be l/lade after ,~:,'(;avation. llul plio! to ~ettinn IOOIlS. o Undcl $1 llb PlumbingJ EJeGtricaJ' Mcch:lllical - Prior to C(J....er. rs?1 Footin9 - Allel trenche~ are ~ excavali:d. o Masomy - Sted location, bonel beallls, fJrouling. " f':/( Foullcl~l1ion - Aller forms are ~Crcl;tC(j I)ut plior' to COllclcte plact":rrl.:nl. o Unclur{llound PhuHbing - rrlor to IirJiII~1 trcncll, D UndlH floor Plumbingl Mechanical - PduI 10 Insul;:llion or dllckino. o Post alld Beam - Prior 10 floor inSIII<:ltion or oecldng. o Floor Imiulalion - Prior to decl..;illU, ~.A" SaniwlY Sewer - Prior 10 lillinO ~trencll. 'KA' Slortl\ ~;cwer - Pdor to filling ~trcnch. ~ Water Line - Pdur to filling ~trenclt, o ROUflh Plumbing - Plior 10 co....er, REQUIRED INSPECTIONS I~ Rough Mechanical - Prior 10 cover. I~ Rough Electrical - Prior to cover. ~ Electrical Scrvice - Must be ~pproved 10 olltnin pellllnnenl clectrlcal power, o Fireplace - Prior to facing materials and framing Insp. ~Frnming - Pliol to CQVllr. [.==I Willl/Ceilill~1 In~ulation - Prior to cover, [~ Drywall - Prior 10 taping. I~ Wood Stove - After installation. D Insert - After fireplace approval and Insl<:JlI':lIiof.l of unit. 'lVf Curbcut & Approach - After /~fOlrns arc erected bul prior 10 ptacemenl of concrete. ~ Sidewalk & Dri....eway - After ~excavatioll i~ c;olllpletc, forllls and SUU.I.I:ISC lll<:Jterlal in place. D Fence - When completed. @treet Trees - When all required tre(~s are planted, D Final Plumbing - Wilen all pllllnbin!) wOII< is COlllpfulC. I I Final Electrical - Wilen atl 01ectrical WalK is curlrpl.:le. o Final Mechanical - Wllun all lIlechanical work is corllplett~, K7f Final Building - When :111 )L:S required inspections Iwve b<::l:ll approved and buildirl!J is completed. D Other MOBILE HOME INSPECTIONS ~ Olocking and Set.Up - Wlll:1l :111 ~ I)tocking is complel!::. .:gf Plumbing Connections - Wlll~n Ilome has been conni~cled 10 wallJr and sewer, '\(.-:;.('Eleclrical COllnectioll - Wtlt:1l ~ i)locking. set-up. amI ptumbinu inspections Ilave bCI:1l approvl:d and the home is conncclcej It. tile service panel. -' K71" Final - After all required ~inspectlons arc applo....ceJ antl porches, sl<irting, decks, antJ venting have been in~ililtrcd, Lot faces Lol Type. Sclbacks I P.L. , , I Lot sq. fig. Interior HSE GAR ACC IN Lot coverage Corne r Is Topography Panhandle -- \W Total height Cul-de-sac ~-== 1 further agree to ensure that all required Inspections ;uc requested at the proper time, that each address in rcadablc !'~ OD from the street, that the permit card Is locale(l at 1I1C front ( 1;. of the property, and the approved set of plans will remain C:)U, W on the site a17, times furi,? eon;I~1I0n. o ,&~ ~gnaturc ~ Ltw.MI \5.~ Date 15/I'IIC)z-- 16l6~ BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT. =3J^S(1) , Main Garage 1.9,~ - (112719t.JF- 4f' ,__ ~2n) .'!j..~ 18~-~ Carporl &vi ~,~, 2.St;,S .'5'$t"0 2- Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) #3 (B) flB'f"\ ~ PLUMBING PERMIT ITEM FEE Fixtures Residcnlial Balll(s) N' /JS% 61'~ 'cD Jl e:; . Sanitary Sewer FT. Watcr FT. Storm Sewer FT. Mobilc Home PlumbIng Permit 2,,<=).00 <~,f~ ~R,1~ State Surcharge Total Cllarge (C) MECHANICAL PERMIT Furnace Exhaust Hood , Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale surc~a~ " Sidewalk It Curbeul vi ft Dem-oli tion State Surcharge /J!A-"v A?;:v/~) ~f;J Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrieal)'o,Q 1~..12- (A, B, C, D, and E Combined)' ~ As THE PROPOSED WORK IN THE ~~ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? .- If yes, this application mU:it be signed and approved by the Historical Coordinator prior to permil issuance, APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tllis permit is granted on the express condition thflllhe said construction shall, in all respects, conform to ttle Ordinance adopled by the City of Sprlngrield, 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 ordln:mces. Plan Check Fee: ___~~ ~'3 Date Paid: Receipt Number' Rccelve~~._ A Pla~~t:'/~ _7'/642- , Dk ~ Systems Development Charge is duc on all undeveloped properties wlthiri the City limits which are beinu improved. A DITIONAL COMMENTS . , , (Dpn~~)- ,fL)1flO~ JJLq~~'~~~=_ ~9\- :iJ_.l. j 3/d-W. .. ---- I. c:AnfLVL.J.)J n ~: 19,f)!1 (\ 11 n h~rirL By signature, I state and agree, thalI Ilavc carefully ex.1I11incd the completed application and do hereby certify tl1al all lnformalion hereon is true ;:md correct, and I furl her certify that any and all work performed shall be donc in ;l(~Gordnnc:c with the Ordinances of the City of Sprin{Jficld, :tnc1ll1c Lnws of the SIClte of Grenon pcrlalnlnn to lhe woll\ \h;~;crillf;d herein, and th3\ NO OCCUPANCY will be IlIalle 01 ;IIlY structure without permission of the 8uilding SClfely Divi::-:ion. I further certify that only contractors and cmplo'{f)cS who arc In compliance with QHS 701.055 will be usC{1 on this project. VALIDATION: CI~d. DATE PAID 0 -I L/ -t)) AMOUNT FlECEIVED :;2../'2--, ~~, 5" 2- ~ FlECEIPT NUMBER RECEIVED BY . SPRIAIELD DEVELOPMENT SERVICES ~ PUBLIC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that wi th the approval of the attached..B~.nlliJ...,~e p,f the" following manufactured homes will be placed at ,~'/1J/~ fJ11/j)) Springfield, Oregon, Ci ty Job Number Lf N i~~' . .~ Type I Manufactured Home, A multi-sectional (double wide or wider) ,~ unit with an enclosed tloor area of not less than 1,000 square feet, that has a nominal roof pitc~ of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed tloor area of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: - Manufactured Home blocking - Vater line connection - Street tree standards - Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, of the enclosing material exposed above grade, '9 /;4 Icy? Date . I, .,~ . "JOB NO.'1Z,I"2?O CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: W \\...L.\AM A.. '"':;JA...Jp..&f:. LOCATION: 5,1..":> K'~I-rv\\'" S..,... \ '6 O'2.-0'-t1'-\ - '?4tlD I-Oe.. DEVELOPMENT TYPE: N.eY-l N\A>JllFM:n.l~t::D \-\oMf:. Ho~e C-.lt-I'b"" t:'w BUILDING SIZE: U:tr'r1'.l"OI I"H1.~.. \\-lit LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ, FT, 'l.'"Z-'1c... X $0,192 PER SQ. FT. C-Y-"?(" ~!) ---- --- 2, SANITARY SEWER-CITY NO, OF PFU'S (See Reverse) \6 X $39,78 PER PFU c;; ( (" O~-:; ------ --- 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP \ X 1.00SX$401,05 X X $401. 05 c: 40?~ ---------- $ X X $401. 05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ \~~toOj 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 GT1~ -------- TOTAL-C!TY SDC $ \ (a??B~ ;1 5, SANITARY SEWER-MWMC NO, OF PFU'S 'is x $13,62 PER PFU + $10 MWMC ADMIN. FEE $ 'Z,?~I~ (Use PFU Total From Item 2 Above) ~'~~L~ '--~ Kip Burdick SDC Coordinator 'l/af-/'i'}.. I $ ? J13~ TOTAL-MWMC SDCG"S-1l) ~ --- TOTAL SDC $ , f><f'l ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) . ... . FIXTURE UNIT CALCULATION TABLE: Number 01 New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional lixtures) FIXTURE TYPE Bathtub.. ...... .............. ....... ....... ....... .................. ......... Drinking Fountain................. ......... ........................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RelrigeratorfWater 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: CREDIT CALCULATION TABLE: Based on assessed value. cralCUlate credAi~Sn~~;:~ates. Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS --+ z. 'Z. -z. B 15 Z,~3 X $ \"?.an. ~9?j (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ =-::,~ ?"'l II improvements occurred after annexation date in table, RUNOFF COEFFICIENTS FOR STORM DRAINAGE 1.... 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 z. 1.. TOTAL FIXTURE UNITS = . Rate per $1,000 II Assessed Value . ;1 I $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Credit lor Parcel or Land Only If Applicable Improvement (il after annexation date) Year Annexed 1985 1986 1987 1988 1989 1990 1991 Residential....... ...................................... ........... 0.4 CommerciaL..................................................... 0.9 Ind ustriaL........................... ............................... 0.45 Governmental.. ................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . b it\ed has the folloV/loll t/tr .ctassum. de' The folloV/lr,gdPrcleoot require specific lao us ELECTRICAL P'ERHIT APPLICATION 'ng and oas 974'~1ro';a\. 11 9 7f(,-3769. L- 'D I<..... _ Ci ty Job Number 2/23 0 Zonlna.. C/-I,-/ C-/J ome_ LOCATION. OF IpSThLLATIO'<<"~.a\U19 C,10 S <<' tUI~~-SL, 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LEGAL DESCRIPTION I <;( O~ OY I 4 n'2.J..+oo JOB DESCRIPTION (J.((Yh/( -/.IOM;;:- ,.t./t,ot:::JLp Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ~lectrical Contractor &f/f"r71'.lc.(J<2:- Address Po h()J( ~7 / Ci ty hflf /~A. Phone..2_-'3 C;-c::;? ~o Supervisor License Number ~~MZ ~ Expiration Date 10 -(- 9' Z Constr Contr. Number ht, 7'19 Expiration Date t.- </-- 93 Signature of Supervising Electrician ILl, ^:I- A9- tot/I. Ovners Name Sct-\f (-^.tJ\P-1 . if Address City Phone OVNER INSTALLATION The .installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: C) -1'-1 ...c/~ RECEIPT #:' ("'!'i~ RECEIVED DY: . QP, ~. .:60 A. COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling Service Included: uni t. It ems Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder .z..... $ 40,00 g$O~ 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 $ 50,00 $ 60.00 $100.00 $130.00 $300,00 $ 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 Nev, Alteration or Extension Per Panel One Circuit $ 35,00 Each Additional Circuit or vith Service or Feeder Permi t -1- S 2.00 2-f'%> E, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ADOVE 5% State Surcharge TOTAL ~'!"" <1-/0 5bh/o