The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-10-6 'ti;f LOCATION OF PROP~E'?.WORK: \ 9>'t:A,\""'\onr\o f\ ~(\\-:f " ASSESSORS MAP' \'CU'd-O\.orY")" ~. -'" TAX LOT:\llo tJ:'""P.r() LOT: ril. BLOCI<", ~ SU8DIVISI0N\ JKu~ OW~E\>'_ci\\\ \ {\ Qj'\ r f\t~ '(\\~ \~f\~HONE: t \~ .\d-{ L()lo ADDREp~: 'R>l.\ ~~~r-) ~~{J rY1 \ ,hh ~O 0]-\ CITy:~lJ\)\\f\ lO'V(\) ,- STATE:1)JJlX)(C)'(\ ,\ ~- DESCRI8E WORK: ~ f\r\^ Q, ~Cl N\lV '1 \. ~Q 1:\\0. ill0L NEW Y REMODEL ~DDITION' DEM~ISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Olllce: 726.3759 . . . J08 NUMBER q4~S 225 Flllh Street Springfield, Oregon 97477 .. ZIP: Ol~""1 C(J) CONTRACT~'~ NAM!:l E J' ADDRESS' GENERA0)'(,,'u;( 1 Qf\ 1\\"\. PLUM8ING: ~)fC\Qrt \. p'\~OO 1 MECHANICA1 ~~...L.\ct Of'\ r.N-). \ ELECTRICAi\. ~\. \ ~ A fhfl1\i [',~ CONST. CONTRACTOR . '-9-.ll\q~ 5 \'\ ?{1 B\.'\<\S' \ n<?rl~ q~~1d~ ~o~.~\, lo Q~"?'-ldN)/ L\15.A\x-f QUAD AREA: ~ ~Q , . OF BLDGS: \ OCCY GROUP', ?-.?, -\ lv\ . \ . OF STORIES: WATER HEATER: _9 ..- - OFFICE USE - LAND USE: \ \ \ \ · OF UNITS: \. , CONSTR. TYPE: V 1\.1 HEAT SOURCE:.. \ f)\-\ f_ RANGE: EXPIRES fj.\~. q. \.C\. "l:\Q.. l\4 FLOOD PLAIN' ZONING CODE: -.ill\C- . OF BDRMS' ~ SECONDARY HEAT: SQUARE FOOTAGE: \\~~ 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. Inspecllons requested alter 7:00 a.m. will be made the following work day. / ~ . I . REQUIRED INSPECTIONS o TemporarY Electric o Site Inspoctlon - To be made after excavation, but prior to setting rorms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. r'Vf Footing - Alter trenches are ~ excavated. . o Mosonry - Steel 'location, bond .beams, grouting. ~Foundatlon - After forms are erected-but prior to.concrete placement. o Undorground Plumbing - Prior to filling trench. " rc7I Underlloor Plumbing/Mechanical ~ -Prior to Insulation or decking. rD Post and Beam - Prior to floor ~ Insulation or decking. (gj Floor Insulation - Prior to decking. fV1 Sanitary Sewer - Prior to filling LAl trench. _ ~ Storm Sewer - Prior to filling ~ trench. f'V1 Waler Line - Prior 10 IIllIng ~ trench. ~ Rough Plumbing - PrIor to cover. r'i1I R~ugj, M'echanlcal -:. Prior to ~ cover. f'ViI RoughEleClrlcal - Prlor'to L..Al cover. . C2l Electrical Service - Musl be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. . ~ Framing - Prior to cover. ~ Wail/Ceiling Insulation - Prior to cover. [ZlDryWall - Prior 10 taping. o Wood Stove - After I~stallatlon. o Insert - After fireplace approvel . and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation Is completo, forms and "sub-base material In place. o Fence - When completed. o Street Troeo - When all required trees are planted. [2g.Flnal PlumbIng - When all . plumbing Work Is complel,e. r-::r1 FInal Electrical - When all ~electrlcal work Is complete. @'Flnal MechanIcal - When all mechanical work Is complete. iJ1 Final Building - When all L.Z:::J'"'1equlred Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connecllons - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up. end plumbing Inspections have been approved and the home Is connected to the servIce panel. o FInal - After all required Inspections are approved and porchos, skirtIng, decks, and venting have been Installed. J' ,\ ~ft~.:: \" :1 '; Lot faces Lot Type . .K. Interior h~L. ;"1' " N Is Iw IE " Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle ~ Cul-de.sac BUILDING PERMIT ::I~ I \~T: '~lcO X&~;D .~L E 14.10 " ~ - Garage Carport Total Value 7)1~?S3 L.i4Y . 1011+ ~ (A) '3'Jlo.q')- I 8ulldlng Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (8) ~.z~?~,/~ PLUMBING PERMIT ITEM FEe Fixtures Resldenllal Bath(s) N~ 4- Sanllary Sewer FT. Water FT. Storm Sewer FT. Mobile Home llOo.aJ PlumbIng Permll State Surcharge Total Charge f{oo. Cf) +80 + B.W (C) 172..~U MECHANICAL PERMIT Furnace Exhaust Hood 4.fD <:..i.CO Vont Fan N' ~ . Wood Stovellnsert/Flreplace Unll Dryer Vent 'r~.OO Mechanical Permit l(o.SU 10.00 .f3~ ~ Issuance State Surcharge .50\ Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State issuance I State Surcharge Sidewalk '1.(") It Curbcul ~ It Demollllon ~ ().S) , \~.q{) S'('l(l Surch'R~ ~ a. \, l<g 1':\ V\.Q ~~ 4-UqJ. Total MIscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (~!J4~ 0<0 (A, B, c, D, and E Combined) ':'r "..r ',;::i"h(i.;I!~\..... . ..... ;;;..1.:1.'1\;, Selb lcks ' HSE GAR ACC' ._ THEPROPOSED WORK.tN THE. . ....HISTORICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes, this apPIIC~1I0n must be signed and approved by the Historical Coordinator prior to permit Issuance. APPRoven. ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permllls granted on Ihe express condition that the said construction shall, In all respects. conform to Ihe Ordinance adopted by the City, of Springfield, Including the Development Code, regulating the construcllon and USe of buildings, and may be suspended or revoked at any lime , upon viola lion o'f any provisions of saId ordinances. Plan Check Fee: ,,~\.t-\ J ./ Date Paid: J ~ Receipt Numbe~ Y Received BY:~. ~S:>S~lui .' f).~~ Date Syslems Development Charge Is due on ~II undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~rlffi r-X _ ~d Qu Ja I.lUY 'lA~\" \D.QD (~ ) ~ ~N\QX \ C\ {oO- J~ \ .' By slgnalure, I slate and agree, that I have carefully examined the completed applleallon and do hereby certify that all Information hereon Is true and correct, and I further certify thai any and all work performed shall be done In aecordaneo with the Ordlnane~s of Ihe City of Sprlngflold, and tho Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of Ihe Building Safely Division. I furlher certify that'only conlractors 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 slreet, Ihat Ihe permit card Is loealed at the' fr~nt , tOf the property, and the approved set of plans .' ,remain o he site at ~" es durl~stru n. S alure _r/~" 'A -r:' .... ~- 'Date Y VALIDATION: fl ~~ RECEIPT NUMp,ER \L\V\ '--! DATE PAID JO. h .Cf4 AMOUNTREC~D ~s<lolo. ~ RECEIVED BCllfmrT " ) . 225 FIFTH STREET Tho lol!c,wing project as submitted hcs the ElliJroImuCAL SPRINGFIELD OREGON 974 77 ,,'r.:ng. and does not require specilic land u.e INSPECTION REQUEST: 726-3?69/al. '.. no City Job Number OFFICE: 726-3759 Zoning" oIYvr~ ' q 3 COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLAT.!91f Io-I;~ '-( . 3-=<::::uJ h'.aPbfi;I) _,t~li;lri7.edSianatlJre fI~ New Residential-Single or Multi-Family per dwelling ~nit. Service Included: \ ~r,'7D~ CJ::Atf) \\J\?:}3 JOB DESCRIPTION ;(J~I' l <:.:e.R , Permits are non-transferable and ex~ite if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~\\t~.) t:JfdR.lC Add ress 1 d.. 'S L0 ?-,~ C:;--l?.?~ t Ci ty _N\ ~c-\c:., Phone 1..j lC;-J.{~ 9 Supervisor License Number IO()foS Expiration Date IO-I-Cf? Constr Conte. Number (0'8 7i.J-:- Expiration Date Cl-LJ-qS Signature of supervi~g Electrician -t?$./ _~d...-c-, "'"--1 Owne'rs'Name IrIAk.m2hU z;d ; - Address 1>"/7 <;" 3:2-~f. ~ Ci ty ,~v-/T) _ Phone ?.!I/I-.!. 9~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .' DATE~=----T(j:lO~.t::{1=--~~ RECEIPT 11: Ck - - REC,EIVED BY: _ (L Y . PERMIT APPLICATION Cf4~ , Items Cost e6 1000 sq,ft. or less , $ 85.00 Each additional 500 sq, ft or portion L 30 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts $ 40.00 $ 55.00 $ 80.00 see "B" 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 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 J1.5.CO t:;.~::') ',A,. , c:::. T,Q~ .~CL SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL . . ATIACHHENT Bl -, .'" . JOB NO. q ~/..p'~ CITY OF SPRINGFIELD SYSTEHS'DEVELOP~ CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: II~ U . , LOCATION: 7,3';'''1 &~ ]).4. DEVELOPMENT TYPE: '5'&'/) BUILDING SIZE: LOT SIZF SQ. Ft. .. 1. ~TnRH nRATN~ .' IMPERVIOUS SQ. FT. 2-32-'6 X SO.209 PER SQ. n. ~_~,S?) - 2. SANTTARY SFWFR-CTTY NO. OF PFU'S . (See Reverse) 3. TRANSpnRTATTnl~, NO OF UNITS X TRIP RATE X COST PER TRIP } X /,0/ X 5436.19 If X 543.26 PER PFU ~8', ~!) '---. X X $436.19 ~~->0 5; X X $436.19 s SUBTOTAL (ADD ITEMS 1.2, & 3) s I 'f05.1'i" 4. SANTTARY SFWFR-MWMC NO. OF PFU'S I<i" x $17.19 PER PFU + S10 HWMC ADMIN.FEE $ 3/'f'.f'< (Use PFU Total From Item 2 Above) H'WMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3~," 0 '. IQIAI -MWHr. snc r2.}f"4,~z:-.-.. - SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ I 9~O.~ e; 5. AnHINlSTATTVF FFFS 'BASE~E (SU~~OVE) X .05 ~ 4! ; Date: t?-;;z.?'~7?! ftad Holnig: P.EU /' SDn~06rdinator 0r..s-~ ') ..... - --- TOT AI SOC 5; 2-0 yt),/3 B2.SDC . - . FIXTURE UNIT CALCUL..Q;.TION TABLE:. Number of New Fees x Unit Equivalent a Fixture Units lNOTE: For remodels, calculate on.e NEI additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain....:................................................ Floor Drain................................................................ Interceptors For Grease/OiIlSolids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall...............:................................. Shower, Gang.......................................................... Sink: Bar, 'Commercial, Residential Kitchen........................ Urinal, StaIlNvall..:... .......... .......... .......... ........ ........... Wash Basin/lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous:' ,TAl'll TOP's SoINJ;- .2 4. 2 1 2 3 6 2' 6 6 1 3 2 1/Head 2 2 1 6 4 ..l / 2.. I -z. :z. -:z.. x 2. TOTAL FIXTURE UNITS 17 = Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate creeits separates. r- I' .I '? ,~~ X $ /0. on) (Rate X Assessed Value) X $ (Rate X Assessed Valuel Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 19B1 1982 1983 1984 19B5 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 IL- Cree it for Parcel or Land Only If Applicable Improvement (if after annexation datel Year Annexed Rate per $1,000 Assessed Value 19B5 1986 1987 1988 19B9 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 .I = ~?(;t1' --- = CREDIT TOTAL = $ 3.f'.~o