The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1995-8-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' / 7~-<J-2? Y"&:' LOT: . ~tS () (CU(./) a. SI-, 'ltdO Co BLOCK: OWNER' UOMtu ;("de~ :)/)" f) t au.l~ _,'{. 'ft d() c:. ADORES'" CITY' S,id. Ld., ,hr.j( 6.. DESCRIBE WORK' NEW REMODEL CONTRACTOR'S NAME GENERA' . PLUMBING' MECHANICAl' ELECTRICAl' r".'(j QUAD AREA- . OF BLDGS: OCCY GROUP' · OF STORIES: WATER HEATER'- STATE: o? ..-....-' " - JOB NUMBER '95' /<. .9c:::> 225 Fifth Street Springfield, Oregon 97477 " TAX LOT: ~V.::::c> SUBDIVISION: ,.....~ .ar ADDITION It uJ I.{)(VJ,-..j' DEMOLISH OTHER PHONE: "/1'./7. 9'0/1 ZIP: _!lJLf77 fJl/.4 V ADDRESS CON ST. CONTRACTOR' EXPIRES -. PHONE "/1"..,,, . (j ~t1. {b--L- (j "1pJ'<tr LJf(. if S 11/l/-;)~f I - OFFICE USE - LAND US". . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANGF' FLOOD PLAIN: ZONING CODE:_ ~ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAG!O: 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 O Site Inspection - To be mado after excavation, but prior to setting forms. D Underslab Plumbing/Electrical I MechanIcal - ~rlor to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. . D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or deckIng. D Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. . D Storm Sewer - Prior to filling trench. " D Waler Line - Prior to filling trench. '. . D Rough PlumbIng - Prior to . cover. REQUIRED INSPECTIONS D Rough Mochanlcal - Prior to cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D FramIng - Prior to cover. D Wail/Ceiling Insulat"lon - Prior to cove~ , D Drywall - Prior to. taping. D Wood Stovo - After Installation. D Insert - After fireplace Bpprov41 and Instellatlon of unit. o Curbcut & Approach - After forms are erected but prIor to placement of concrete. D Sidewalk & Driveway - After excavation Is compiete, forms and sub.base material In place. D Fen~e - When completed. D Street Trees - When all required trees Bre planted. D Final Plumbing - When all plumbing w~)rk Is complel.c. o FInal Eloctrlcal - When all electrical work Is complete. rn Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been epproved and building Is completed. :OOthor MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connoctlons - When homo has been connected to water and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot faces LOI sq. fig. Lot coverage Topography Total height BUILDING PERMIT ITEM sa. FT. Main Garage Carport Tolal Value Building Permit Fee State Surcharge TOlal Fee Lol TY_ Interior Corner' Panhandle Cul-de-sac X $/SO. FT. (A) ..:....li..... '\'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. I P.L. IN Is Iw IE Setbacks HSE GAR' ACC I I I I I VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (B) (C) M/~' ;f (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut fI Demolition Slate Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE /?~- /c:;:::1.-" -~ -;<6. '2P APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thai the said construction shall, In all respects, conform to the Ordinance adopted by the City ,of Springfield, Including the Development Code,'regulatlng the construction and use of buildings, and may be suspended <;>r revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee' Date Paid: Receipt Number' ~eceived By: Plans Reviewed By, Date Systems Developmenl Charge Is d~e on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 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 Slate 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 project. I further agree to ensuro 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 /k4 ~,1l tJg'-tJlf-'1'l Datp VALIDATION: RECEIPT NUMBER /gS'~ ~ DATE PAID g. cr~~ AMOUNT RECEIVEP 7t:::.~.... RECEIVED BY ~~'" .' . Tho following project as submlttod' hos tho fotlowin zoning, end does not requiro spocific lo.t:d usa approval. Zonina L--DL Oat07/ \)( -~)~ 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: . OFFICE: 726-3759 9744\thcrizad Signature 726-3769 NM ~1~tY~T~lD ~~ION rMtD . ~ n(frDION~ 4- 01 ~ ~.u.J;;n Permits dre non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, Contl'actor City Supervisor Expiration "" "" Cons t r Con tr of Supervising Electr~ ~t\ " J if. C~ Ci ty b.?M,iia+7u hone t44lfid OYNER INSTAL~TION The installation is being made on E. property I own which is not intended tor sale, lease or rent. ers Signa}-ury) .lMVP~ -A ~----------~---(s:on~-~~7a~-i--tii:\~,~' CEIPT 11:. t>:-fJ \. l. _ \ "0':'\4' I RECEIVED BY: 'CJ '\ u lA-../ . ELECTRICAL PERMIT APPLICATION q~\\qt (;1ty Job Number 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. It ems Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 t $ 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 $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80:00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servic~ or Feeder Permi t "t" $ 35.00 $ 2.00 9.. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 J;~ . _JOB NO. . Cf5li q{ / CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: (~ .::\:1") If\-eS LOCATION: '7.;\&:)0 t .P~~ 'bt ::\to- It) DEVELOPMENT TYPE: ADD/J.lC-. V'ItSH/;-IG. ~A'-I-f("'t; BUILDING SIZE: LOT SIZF SQ. Ft. 1. STORM DRAINAGI IMPERVIOUS SQ. FT. X $0.21 PER SQ. FT. ((- ") ~ 2. SANIIARY SEWER-CITY NO. OF PFU'S (See Reverse) z. X $43.43 PER PFU (( 6~ el:) ......... .- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $437.93 ((-) -- .- X X $437.93 $ X X $437.93 $ 4. SANITARY SFWER-MWMC NO. OF PFU'S x $18.75 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IE APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SOC C. - ) SUBTOTAL (ADD ITEMS 1. 2 ,3 & 4) $ 8~/'~ 5. ADMTNTSTATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 G'I!!- '> '- -- -rlo'j f'I <jJLL/7r&/L... Troy McAllister SDC Coordinator Date: -f~ft5 TOTAl SDC zo $ 1/- FIXTURE UNIT CALCU!.a..TION TABLE: Number 01 New FiX. X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate o.e tlEI additional lixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub................................,...........................""'..,. . Drinking Fountain......................................,...,.,........ Floor 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 RefrigeratorlWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang...................".,.,..,.,......,.....,...,....,...... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StalllWall.....................,.".,.."..,..".....".......... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation...................................,.... Toilet , Private....,....................................,..",.,.,.." Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 z TOTAL FIXTURE UNITS = z. CREDIT CALCULATION TABLE: Based on assessed value. II improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1 ,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 $3.4 7 3.39 3.33 3.21 3.06 2.92 2.74 2.46 1987 .1988 1989 1990 1991 1992 1993 1994 $2.13 1.76 1.35 0.95 0.58 0.41 0.29 0.14 II Improvement (il after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit for Parcel or Land Only If Applicable = CREDIT TOTAL = $