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Home My WebLink AboutPermit Building 1992-4-8 .- , RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED ""p,RK: 5[J'7/4 ASSESSORS ~A~~" _.J ~() ~ 511' ... - ~ '\"1 · \ LOT: --!::.1 BLOCK: OWNER' keu,f ~i+J ADDRESS' /63 - ;J, CITY' 6/,e11li6,clt"L/) /.-J-J4d.LJ"-. ;O-t!:. STATF' oe. DESCRIBE WORK- NEW 'i. REMODEL 5m::u~Er j 1tw6T~~T~O<l ~. -JOB NUMBER flI)J)~ 225 Fifth Street springfield,oregonx. TAX LOT- ~ V SUBDIVISION: &z.t::EA.l ,-rtEil,z,..K.E.. PHONF' 726-4064 ZIP: 4747'2:> ADDITION DEMOLISH H114tl/~7VLEY) /-bH-tF.." OTHER -.If1. k - !JL/IIUE./MP.:Xrr. i, CON ST. CONTRACTOR' CONTRACTOR'S NAME ADDRESS GENERAl' ~-HIh(Il.I">nAI lb.J"r. to /44( f+W'l 99~. 1Tv~E:,o"', o/7~'Z- PLUMBING:~<t<":>OA/ {c;e,-r, c..o II,I'--4-L-Ul.N QO..t. E~, a(. , <1'7<kJ'Z- MECHANICAl' ELECTRICAl. ./kK1-rJA{.,€. E.e2.r~/c.. QUAD AREA: .~ ~~. .; \ OCCY GROUP: ~~-\ N\ \ WATER HEATER: .' S . OF BLDGS' . OF STORIES' 6tP44'7 ZO- 23(,> '(J e. EXPIRES PHONE -'?-7-Q'L ~-77h7- \ t.. -"O-q 1.. t.fYJ - 77t;z.- Z_~G 2o-~ !!hi? v.J. 2.1./ ~ ~UbeJ€., 0'<' <n4b&:. - OFFICE l!J..~'\. LAND USE: \ \ ~ . OF UNITS: t CONSTR. TYPE: ~J HEAT SOURCE: ~ f ..., RANGE: -f=' .. 1Z./CJ"l- 3'-1'1-IQ::o FLOOD PLAIN' ZONING CODE:~~ . OF BDRMS: ,":;) SECONDARY HEAT: SQUARE FOOTAGE: I-'L~ To reque::>l-an inspection, you muSI call 726-376~. This Is a 24 hour recording. All inspections requested before 7:00 a.m. will be ~madc the same working day: inspections requested after 7:00 a,m. will be made the following work day. REQUIRED INSPECTIONS ooting - After trenches are excavated. D Masonry - ~tcel location, bond ~eams, grouting, . oundalion - After forms are erected but prior to concrete placement. o .Underground Plumbing - Prior to filling trench. o UnderUoor Plumbing/Mechanical - Prior to insulation or decking. D Posl and Beam - Prior to floor insulation or decking. D Floor Insulation - Prior to decking. ~anitary Sewer""':' Prior to filling I A~nch. ~torm Sewer - Prior to 1IIIII1g .IL1:::~Line _ Prior to filling ~cnch. ' , D Rough Plumbing - Prior to cover. o Rough Mechanical - Prior to cove~ . D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power, D Fireplace - Prior to facing ~,:::~ o Wall/Ceiling Insulation - Prior to cover, o Drywall - Prior to taping. D Wood Stovc - After installation. o Insert - After fireplace app,roval ~/ and inslallation of u.nit urbcut & Approach - After I' ,forms are erected but prior to , placement of concrete. ~ewalk & Driveway - After excavation. Is complete, forms and sub-base material in place. o Fence - When completeD. o Street Trces - When all required trees are planted. o Final Plumbing - When all plumbing work is complete, D Final Electrical - When all electrical work .is complete, o Final Mechanical - When all mechanical work is complete. ~nal Building - When all equired Inspections have be~n . approved and bru1~; ~s~ \ completed. ~l ) DOlher MOBILE HOME INSPECTIONS ~ Blocking and Sel.Up - Wtlen all ~ blocking is complete. . ~ Plumbing Connections - When home has been connected to water and sewer. [RJ Electrical Connection - When blocking, set-up, and plumbing lnspectigns have been approved and the home is connected to the service panel. [XJ Final - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. c Lot faco;, ~ Lol TYP. ..x Interior Lot sq. fIg. Lot coverage Corner Topography Panhandle Tolal height Cui-dc-sac BUILDING PERMIT ITEM SQ. FT. ...",n. ffi.t\.., ~. - Garage U \11) , , '.. .IS 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 penni1 issuance, Se I bac ks P.L. HSE GAR ACC I W ; I ~__~.-J N S X $/SQ. FT 4D1~So. 93.:w ~. '~m -\:)~n~ Total valle \4-\~q Building Permit FCC) /10.00 Slale Surcharge . ____5._53 . \lL:t03 Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) . (B) 'It. \qU~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N" Sanitary Sewer FT. Water FT. Storm Scwer FT. Mobile Home Plumbing Permit State Surcllargc Total Charge (C) MECHANICAL PERMIT Furn01ce Exhaust Hood Vent Fan N" Wood Stove/lnscrt/Fireplace Unit Orycr Vcnl Mectlanical Pcrmit Issuance State Surchargc Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surchargc Sidewalk It Curbcut It Oemolition SK61\ar~ r k... Total Misccll-aneous pe\~ (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combincd) FEE ~~ 'S Cl&=S fJ5,LU .~.'15 /Jf5~~ -f) 1m ,cD C<)Q,cD 0.2) }~~. 5'2- ,p:> ~ APPIlOVED' BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT This pcrmit is granted on tile express condition lllat the said construction shal', in. all respects, conform 10 the Ordinance adopted Gy the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any ProvisioA~id ordinances. Plan Check Fee: _,_5"L...!.....- Date Paid: Recci pt Number: Received By: Plans Rcviewed By Dale Systems Development Charge is due on all undeveloped propertics within the City limits which are being improved. ADDITIONAL COMMENTS f ,- (111JLb$llk, -3 rim nJLt, \-J\. '+T~ \,:\~Q{} " c:A{\f\\L~ C\()--rO{ \t1 0 crm0 . \?\\N' t-tl'll It. ~~ By signature, I state and agree, that I have carefully examineeJ the completed application and do hcreby certify that all information hcroon is true and correcl, and I further certify that any and all work performed shall be done in accordapcc with tho Ordinances of the City of Springfield, and the Law3 of the St;:Jte of Oregon pertaining to the worl{ described hercin, and that NO OCCUPANCY will be made. of any structure without permission of the Building Safely Djvjsi~n. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this projec t. I further agree to ensure that all requircd inspections ,arc 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 Ole approved set of plans will rcmnin on the site at all times during construction. Signaluro ~ J. f~ , Date 3/;o/~'Z- ~ ' ~:~:I::::M~1l 112. ~3 ,a: f .fl DATE PAID _, ('.J -( _ AMOUNT RECEIl'ED.tY..L. :51. r L~ RECEIVED B~IIr.~ _ ') . ""'l3 . SPRlalELD 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. Ci ty of Springfield that with the approval of the attached manufactured homes will be. placed at Springfield, Oregon, City Job Number )( Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been ce~tified 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. Development Code, I understand p.~mt1l:fio li!J}jow)ng and agree Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor 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 - \later 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, and with no more than 12 inches of the enclosing material exposed above grade, jg;. i f~ 4-6-e;z.... Date SPIIINGr-IELD ~ The lonOWlng pro"edl . ELECTRICAL PERMIT APPLICATION 97477 10niIlQ'Dnd<1oesJnOI"~SU~rt:;UO~'~'UlY.:.0foUO\\1ii6 qr1~r\ ~ 726-37 ({9"oval. \ t\1 ." .pc"",~ IC(t'ilft Job Number tl..)<...J..-^.... Dtt" ~n~Cb--C\~ :--COHPLETE FEE SCHEDULE BE~OV 1. LOCB~N Oil I"~T~TION :::-. , \ 'd.J 11 1 'l'\f\ V ntt~ed ~Jno1uro t_~ --l~F)~TY4\~ ()~m 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ~.~ ~7.:~:: ~d ..pi" if york is not started vi thin 180 days of issuance or if york is suspended for -180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Heritaqe E1 ect Address 855 West 24th Avenue City Euoene' Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12/27/ The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------- . -7?-~-~j------------- MTE: 4,5~~'~~,~ .u.l.r.J.PT #: \ . I / RECEIVED BY: (-; Nev Residential-Single or Multi-Tam11~er dvelling Service Included: Items unit. 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 [)veIling TV Service or Feeder r-X.' $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only PO B. Services or Feeders Installation, Alterations or .Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "B" above or Extension Per Panel ---L $ 35.00 2fS 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 TOTAL 200 amps or less 201 amps to 400 amps Signature of Supervising Electrician Over 401 to 600 amps L20AA, tJ. ~ rfG-s, Over 600 amps or 1000 volts .~ J).." II I. \~ fl- ~ 1\ n.D,...." Branch Circuits Ovners Name~~~ \J...UJ1)w..) Address ,)\'0 rll ()~ Nev, Alteration City W~one-'21cr4D~ f '. OVNER INSTALLATION $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ll~~ t;;t]J.' :{;; CITY OF . JOB NO. Q1oSo2, SPRINGFIELD SYSTEMS DEVELOPMEt, CHARG~ WORKSHEET I . (COMMERCIAL & RESIDENTIAL) NANEOR COHPANY: KE:t-.I i :lnA-,,1 ~A.e:l2..IS LOCATION: '?,"11 KALlv\ll>, l'iSO'2-0'-\\'-\: -~"'oo DEVELOPHENT TYPE:-.b.Q1Z. -"I",_1oV ,IV\AI<-ILlFA,(;-r"'~I':J) I~~^,," BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. "2<'\ '7? X $0.186 PER SQ. FT. (See Reverse For Runoff Coefficients If Actual Imperv. Area LOT SI7F SQ. Ft. Is '5Lf9 ~ I Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S I~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION Is l.~~~ NO OF UNITS X TRIP RATE X COST PER TRIP \ X I, Dn'? X $388.61 X' X $388.61 X X $388.61 (Se~ Attachmen~ C To Determine Trip Rates) .' .' 0 0 0 SUBTOTAL (ADO ITEl1S 1,2, Is ~"lO~ l s oS & 3)' s \ ",,,,,?"D.- 4. ADMINISTRATIVE FEES 'BASE. CHARGE 0 (SUBTOTAl ABOVE) X .05 TOTAL-CITY SOC Is b I C;:ll 0\ oJo s 11S- 5, SANITARY SEWER-MWMC NO. OF PFU'S f<i5 x S13.25 PER PFU.+ S!OMWHC ADMIN. FEE S 7..'-/-'0 ~ (Use PFU Total From Item 2 Above) /t:~'~~L-~ - 0 Ki P Burdick. SDC Coordinator ~4,/1v / ' o o~ s ?I- TOTAL-MWMC SDC Is '2.1\ +..::!.- I TOTAL SDC s \"I1--~ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCU L.tAO N T AS LE: Number of New Fi'1ures.'it Equivalent = Fi'1ure Units (NOTE: For remodels, calculate only the ~dilionalli'1ures) . NUMBEfl OF UNIT FIXTURE .FIXTURE TYPE NEW fiXTURES EQUIVALENT UNITS \. 2 1 2 3 .6 2 6 6 1 3 2 l/Head 2 2 1 6 4 <-I Bathtub...................................................................... Drinking Fountain.,.'..,;..............,.........,.....,............... Floor Drain...........:,......,:... ....................c..,................ Interceplors For Grease/QiIjSolids/EIC................. Interceptors For'Sa'1d/Auto Wash/Etc...........:....., Laundry T ub/Ootheswasher.......,....,...................... Ootheswasher - 3 Qr More...................................., Mobile Home Park Trap (1 Per Trailer}................., Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/DishwasherjEtc,: Shower, Single Stall....,.....:.............."..,..,................ Shower, Gang..........,........"...,..........,..,.....--....'.. . Sink. Bar, COmmerclaL...................,....-_...,_.... Urinal, SlalljWall.........,..,....,:.,................ Wash BasinfLavatory, Single._..,... Water Ooset, Public lnslallation.,.,.... Water Ooset, Private........_....,__...,.. Miscellaneous:. -z.. \ '2.. -z. '2.- '2- "2-- ~ TOTAL FIXTURE UNITS c lB CREDIT CALCULATION TABLE: calculate creOlIS silparntes. II I Based on assessed value. If ,Improvements occUrred after. annexation date in .lable. 1979 or before 1980 1981 1982 1983 1984 ' Rate per $1.000 k.sessed Value 52.66 2.64 2.53 2.41 2.19 2.04 Year . AnneXed . Rate per $1,000 ~:-'<.J Value Year. AnneiEid 1985 1986 1987 1986 1989 1990 $1.69 1.35 1.15 0.92 0.59 0,23 -' Improvement (rt after annexation date) . "1'3- 2,(.,(, X S l"::,- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL ?.., b:;" Credit for Parcel or Land Only If Applicable c = S ?I 0..2. 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