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Home My WebLink AboutPermit Building 1994-5-27 ~' . . RESIDENTIAL PER'MIT APPLICATION , Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: _. ASSESSORS MAP' LOT' :5f(" OWNER: IIA Y7'l ;",v . 'F('.;'9 EA/T. :2: -V"t'", ~_ ~!.l. -..I sr: ADDR~"'" CITY' .,;-, ~L')) , ('1."..,>>..;-7". DESCRIBE WORK' NEW '/... REMODEL ~. BLOCK' STATE:"_..?J~ . ~ 1;: ~ I 2J Ji: .A ./,..-13 ADDITION DEMOLISH OTHER ~ '- .,.. ~i ..- ) , JOB NUMBER ""7" ~ '~4()~~ _ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ~~6../ t-; oIP-".-I/<;; PHONE: 7,#-f/-{.7~ ZIP' '77'-~? CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR # GENERAL: ;/,A~L>~_ (.0/ .,.wI, 3)~',.Q):"),~";..., ~?gr PLUMBING: EM ~ LJI-,. J/A/lA.. - S#.o SO-.-""~ S"P.I':b. iltr" '7 I :7 / MECHANICA' . ELECTRICAL: ~ I 'pl.8,.f - /2. ~ LV .lIP s"T _ At/>> 1'4 " EXPIRES .,h~/<;~ 91/~/9.u PHONE 1'43 -Lc.~:> t.?3 ..O/~ ,,-.L ~ 74r "1,4.1.<;"( ~ >.r- .21.7,7 - OFFICE USE - QUAD AREA: s'\<?J0 ./ LAND USE: \ \ \ \ FLOOD PLAIN: # OF 8LDGS: \ # OF UNITS' " ZONING CODE: / Lf)(2/ OCCY GROUP: ~8-\N\ CONSTR. TYPE: VtJ # OF BDRMS: ~ # OF STORIES: ~ HEAT SOURCE: WH 1. SECONDARY HEAT: g WATER HEATER' 'U RANGE: y, SQUARE FOOTAGE: \ r:\?J) To request an Inspectton, you must call 726.3769. This Is a 24 hour recordIng. Alllnspectlons 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel location, bond beams; grouting. ~Foundatlon - After forms are ~~rected but prior to concrete placeme~t. o Underground Plumbing - Prior to filling trench. -r7f underfloot"Piumbinj[J:Mechanlc!i> 25::J- _ Prior ~-suration ~'r 'oeCKlng. ~Post and Beam - Prior to floor ~Insulatlon or decking. f"'\::A Floor Insulation - Prior to ~ecklng, rvr Sanitary Sewer - Prior to filling ~ trench. f\:7r Storm Sewer - Prior to filling ~rench. . roo< Water Line - Prior to filling ~rench. ~ough Plumbing - Prior to ~over. L ~ REQUIRED INSPECTIONS r\:?I"" Rough Mechanical - Prior to ~cover. '. t""f\::/r Rough Electrical - Prior to ~cover. 1C71' Electrical Service - Must 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 ~over. ~DryWall - Prior to tapl.ng, o Wood Stove - After l~starrat'lon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prIor to placement of concrete. o SIdewalk & Driveway - After excavation Is complete, forms and 5:ub-base material In place. o Fence - When completed. ~treet Trees - When -all required ~ees are planted.. . .0. Final Plumbing - When all plumbing work Is complete. ~ Final Electrical - When all J6l electrical work is complete. I'\7f Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all k:::S...requlred 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 service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and ventlng have been Installed. .. - ~ ,'..... \ l" _HE PROPOSED WORK' IN THE 'Lot Type Setbacks I P.L I I I I HISTORICAL DISTRICT, OR ON . Interior HSE GAR ACC Z IN ;'J I THE HISTORICAL REGISTER? Corner If yes, this application must be signed Panhandle Is 34- I and approved by the Historical Iw .1 Coordinator prior to permit Issuance. Cul-de-sac -;l:r ~. ~ IE S 5 I APPROVED: ,.. ~- - , ~ Lot sq, ftg, ~ Lot coverage ~ Topography L. 2po Total height ti ( en"=!:-') , . BUILDING PERMIT SQ, FT. ~Jf Lot faces X $fSQ. FT, ~ I ~ALU~ aO-~{) L02.\'-ti . \~ .\0 t::)( I ITEM Main Garage Carport \.o~ ,5?'A Building Permit Fee ~~ OC (/.:9,20'1'/7,6-0 ~7t-&P 3(b.~ SYSTEMS DEVELOPMENT CHARGE (SDC) $/'/ s8'. .92., Total Val ue 'State Surcharge Total.Fee. . (f')'. . '. (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' "2 Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home / (LX) 6<l Plumbing Permit State Surcharge 4,$4 +-8,00 (C) /2.S0 /77. ~ t) Total Charge MECHANICAL PERMIT Furnace 4So 9,&0 Exhaust Hood Vent Fan N' .s Wood Stove/lnsertlFlreplace Unit Dryer Vent 3. c:ro Mechanical Permit /~ ,sz, /D.e~ 1..5 J ;:z. 7, 'ib:J ", Issuance State Surcharge Total Permit .~:> +,!;"o (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk \ c:x:J ft Curbcut .d.i.c2. ft Demolition c9.5~ I.~~ State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlcal~t)I&16 (A, B, C, 0, and E Combined) ~ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT " This permit Is granted on the express condition that the saId constr~ctlon shall, In all respects, co~f.orm' to t'he 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 tlme upon violation of a'l\~OVISiO)bOf said ordinances. Plan Check Fee: r,j _ \ 0 Date Paid: q - ~, ,44. Receipt Number:-J,Jj, -.:\q{~') Received By: '6\~ '''~~ !:""h.V""7' .~lanS-Reviewed By t!f/~} 7( Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS ~ ~1tJ(l d' t _011 Q u......Yl QLLJ \ ~+ T: _ \O,OCO LU\t ') , d\l\ MlLJJO t 0) ~ \q l t20 Ab'A7tJa5.\ ,ff"A-IPt (/~ 1. J 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 certlfy that any and all work performed shall be done In accordance with the Ordinances 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 Salety 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 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 PlanSZ11I r In , on the site at all t es durln/?truc~ , _ /Cgnature (~. AA~ ,'7) Date VALIDATION: 111 TV'') n RECEIPT NUMBER ~ / DATE PAIl" <-5 -c<:1').Lf7 ~ , AMOUNT RECf.W.ei :'.l.{)~ ,t-;5 RECEIVED BX:'XlLn _ ) , """" , . JOB NO. '1-16S3< ... CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CI/^RGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NANE OR COI1PANY: J/,u,L f-...7.', ~, . . / ' LOCATION: ~:25"5"" t-~ j)./? DEVELOPNENT TYPE: 5PR NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ~"f~li',~ ~ ,$ S I X /,0 I X $424.31 X X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S IX x S15.125 PER PFU + SID MWMC ADM FEE S 27.<,zs- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s 3.:2,/6 TOTAL-MWMe SDe ~ '- .-/ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S /8"s,~~ 5. ADMINISTRATIVE FEES 8ASEZ~A(;;a,El X.OS ./ ill' .1uhliE:rb /' SD~oordinator ~?3,2?) '- ...-/ TOTAL SDe S / '?~-8, '? 2 FIXTURE UNIT,CALCU~ION TABLE: Nlllllt'N 01 Ncw fj'1. Unil Equi\':llcllt = Fi\1Ule Units (NOIE: For remodels, c.,lcul!Jte only Ihe""ddi;i"n:llli\lIl1l"') I-IUI.\GEII OF l':,lrrIXIURE FIXTURE n'PE NEW F1X'lUf1ES EOL'I\'i,I.EIH U:"TS Oalhlub.............. ..... ..................... .... ................ Drinking Founlain.......................... .......................... Floor Drain.... ........................... \................................ Interceptors For Grease/Oil/SoJids/EIC................. Interceptors For Sand/Auto Wash/Elc.................. Laundry Tub/Oolheswasher................................... OOlheswa~~er . 3 Or More..................................... Mobne Hdme Park Trap (1 Per Trailer).................. Recep)or F9r Refrigerator/Waler Station/Etc........ Receptor For Commercial Sink/Dishwasher/Elc.. Shower, Single.Stall................................................. Shower, Gang........................................................... Sink, Bar, CommerciaL....................................:...... . Urinal, Slall!\Vall....................................................... Wash Basin/Lavatory, Single.................................. Water Oosel, Public Installation............................. Water Ooset, Private............................................... Miscellaneous: .2 ., 1- .. .\ J 3 G 2 G 6 1 3 2 I/Head 2 2 1 6 4 2. :z z ~ 2 8' TOT,'.L FIXTURE UNITS = If" CREDIT CALCULATION TABLE: Flate crOOhs;:s. 1979 or before 1980 1981 1982 1983 1984 '1985 Based on assessed value. If improvements occurred after annexation date in lable, Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value L $3.21 3.13 3.06 2.95 2.B2 2.66 2.51 1986 19B7 1968 1989 1990 1991 1992 S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Credit for Parcel or Land Only If Applicable 3..21 X $ /", 0'lJ"V (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = :?.2.r'O Improvement (rt after annexation date) = ....-- = $ J..2JCJ RUNOFF COEFFICIENTS FOR STORM DRAINAGE R esidenlial........................... .................. ........... 0.4 Commercial...................................................... 0.9 Industrial.................... ........................ ............... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT SYSTEMS DEVELOPMENT CHARGE WORKSHEET 01\ Enb. PHONE: f)44-I~w(O B q bn ~'Lrd ~\ ~ STATE:(QLIP Q~400 (;ClJ\r\t Xl \J xi ~ ~ .J Tax Lot Numbe~ fkn Gr\ n r\.u16 ) - . fi 1!.'!ill.!!!!!!~.!!!! NAME: t ADDRESS: LOCATION OF IilROPOSED BUILDING SITE: . O"'r'-'r- Street Address If Known: I J C'"lIl \, , Plan Name: .. Job No, ~4{\~?JL 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A. Simile Familv - Detached -L Single Family home NO OF UNITS l B. Simile Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park $ 4{)f)~ X $400 PER UNIT _= , X $370 PER UNIT = '$ X $277 PER UNIT = $ X $280 PER UNIT = $ $4\)[)PO $ 0 $400~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~~;~;~ City of Springfield fu{)? lo/f Date ------ ~. . SPRINGFIELD ~.~~!~~~"~~d dO~S' not require specific land uso 225 FIFTH STREET Cppr(;/D'~cnina L.'[)(2.. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ")-cn...tjU rrAnc::..'1/'1 INSPECTION REQUEST: 726D37('~ .'. \. '^ ^ City Job Number ~ ,LY L- OFFICE: ~6-3759~..... . H'~c:):ledf.ll'li>\Ur. I" r v ' . . ~~ Cl/~L/~. 3. COMPLETE FEE SCHEDULE BELOV 1, LOCATI OF INS ALLATION 1,,-1 :< <7 - W.A+;j)~ ~#h~ A. New Residential-Single or Multi~Family per dwelling unit. LEGAL DESCRIPTION Service Included: JOB DESCRIPTION II c:..fy......r5 $K-.J.fJ ~.<;'?'j)>>"'j~ ~ , Permits are non-traftsferable 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 t\\\SI'\ ~\td:Rl'r, Address lci. SId ~~ ~-I-. City_M;:.-.\I?/<.<'" Phone LJ15-::2IM- Supervisor Licen;;e Number I Ol'Xo:) Expiration Date 1 n-I-q.;- C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number (o~l'-l~ Expiration Date q -1./- Clt.j . Signature of Supervising Electrician , ~_____ ~,.,... A~/ Owners Namepf"n~.I\ l5"""/~;:Z::-~ Address 1rq-q Ss::>. 3::1-ud1% City .<~"}-., Phone )~L.I-~94;; OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------ ,,- DATE: ....c:::s.o)-, RECEIPT I: 'Ff\b'\-~ RECEIVED BY: ~ J( A. Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder -'- d 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Cost Sum $ 85.00 f!n $ 15.00 0() $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "8" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E, 5,. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 1~~T_345 r a ~ .cSl()