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Home My WebLink AboutPermit Building 1994-7-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . . Q4\[Ol JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 OTHER OWNEP' C}\'(\ W Qj\ ?- f\.to m ADDRE~: ~C1q::s '",,(') 3Q rY1 y,- CITY:U\ \ i\ \ (\~. V ~ STATE: X"zp1'\ ZIP: 01'\, <(7) DESCRIBE WORK: ~ f\'l\\ Q, ~Ct~tU ~: \ ~I:\\c\.2J\C'Q...... NEW Y REMODEL . ~ADDITION . OEM ~ISH CONTRACT~'~ NAM~ E J ADDRESS. GENERA0) 'ell ),( 10 f\ f\'t1.. . PLUMBING: ~)f(\Qrt \ ):l\~OQ \ . MECHANICAi. ~L\rt Of\ T.N-). ELECTRICA'" cA\~, IJ..9J'~\Ll {' ) CONST. CONTRACTOR . ~\ lIqi?) 5 \,\?{l At~C\~ t {)~'l~ f.,HqN,E q:i~ 'ldrro-- lo~.~\no ~ ~"?"ldcro / 415.A\~ QUAD AREA: ~ S,Q J · OF BLDGS' \ OCCY GROUP:, ~ '3 -\ 1J\, \ '( -' . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ :~:S~::T;PE' 0 rJ HEAT SOURCE: l(:)t\ f--- RANGF' EXPIRES lj.\~. q. \.C\. '1:\ Q.. Q4 FLOOD PLAIN' ZONING CODE:-ID\C..., 2. . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: _ \ lo~ '- 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 Ihe same working day, Inspections requastad after 7:00 a.m. will be made the following work day. . , . REQUIRED INSPECTIONS ~ R~ugh M~chanlcal ...:. Prior to ~ cover. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. rvl Footing - After trenches are ~ excavated. . D Masonry - Steel "location. bond .beams. grouting. ~ Foundation - After forms are erected-but- prior to'concrete placement. o Underground Plumbing - Prior to filling trench. rc71 UnderUoor Plumbing/Mechanical ~ -.Prlor to Insulation or decking. ID Posl and Beam - Prior to floor ~ Insulation or decking. 1"<;71 Floor Insulation - Prior 10 ~ decking. IVl Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling trench. . . . . [';ll Water Line - Prior to filling L.L::S..trench. . ",,, ~ Rough Plu~blng~ Prior to'" ~ cover. I'JI Roug.hElectrlcal - Prior. to ~ cover. C2l Eleclrlcal Service - Musl be approved to obtain permanent electrical power. o Fireplace - Prior 10 facing malerlale and framing Insp. ~ Framing - PrIor to cover. ~ Wail/Ceiling Insulation - Prior to cover. ril,DryWall - Prior 10 taping. D Wood Slove - Aller Installation. o Insert - Aller fireplace approval and Inslallatlon of unit. 129 Curbcut & Approach - Aller forms are erected but prior to placement of concrete. I8l Sidewalk & Driveway - Aller excavation Is completo. forms and .sub.base material In place, D Fence - When completed. o Street Trees - When alf required trees are planted. ~ ,--" ~ Final Plumbing - When all - plumbing work Is complete. . . I"'Zl Final Electrical - When all ~ electrical work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r::11 Final Building - When all L.Z::I'i'equlred Inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, sel'up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - Aller all required Inspections are approved and porch os, skirting, decks, and venting have been Installed. Lot faces L~I'~pe. .x Inlerlor Lot sq. ftg. Lot coverage Corner' Topography _ Total height /4,1;) BUILDING't.reRMIT \t Panhandle Cul.de.sac ITEM x $/SQi) &. /4.10 Main Garage Carport " Total Value Building Permit Fee State Surcharge Tolal Fee ?i~: \').:~:; . '\r-;"~ ~ 'J ~~..'~~l,,~~r;. .;,' , .. Setbacks. ,.. . .h~L. HSE GAR ACC:' I.N . Is Iw IE :~ SYSTEMS DEVELOPMENT CHARG~J~~C),1 (B) c9~~ 7J1E:(Jg ~i'\y . ID11+ ~ (A) ~I)..' PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' c9- Sanitary Sawer FT. Waler FT. Storm Sewer FT, Mobile Home FEE iLoO.uJ Plumbing Permit Stale Surcharga Tolal Charge 0/'\ I (oV.W. 4.C:IJ + B.a; (C) 172..~c) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 2> Wood Stove/lnsert/Flreplace Unit Dryer Venl Mechanical Permit Issuance State Surcharge .501 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale issuance State Surchjl\1I'\ Sidewalk 'IV II Curbcut cQ.(p II Demolition S'fI{l Surch<<R~ \). \ 't< g k\ Y\C'l t\. ~ Total Miscellaneous Permlls (E) 4.~ q.CO .r~.OO I (n .SO /0.00 .f3~ ~ c')n.50 !~.C{Q '\Uq? ., THEPROPOSED WORK. IN THE. . -HISTORICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes, Ihls application musl be algned and approved by the Historical Coordinator prior 10 permit Issuance. APPROVFn,. . ,. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on tha express condlllon that the said construcllon shall,ln all respects, conform 10 the Ordinance adopted by the City. of Springfield, Including the Devalopment Code, regulating Ihe construcllon and uSe of buildings, and may be suspended or ravoked at any time , upon violation Of any provisions of said ordlnancas. Plan Check Fee: ~'\t'\ J ./ Dale Paid: \'J ~ Receipt Numberu y Received BY:~' ~~~Ltti f). \~ % Date Syslems Devalopmcnt Charge Is due on all undeveloped propartles within the City limits which are being Improved. ADDITIONAL COMMENTS ~lUffi r-X ,~dOh"Xl\i~ .~~~\" \()J{D (~) \..~~: \ I.l\ loO ~~ \ By signature, I state and agraa, Ihat I hava carefully examined the complaled ,application and do hereby cerllfy that all Information hareon Is Irue and correcl, and I further cerllfy thai any and all work performed shall be done In accordance with Ihe Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and Ihat NO OCCUPANCY will be made of any structure wlthoul permission of tha 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 ensure that all required Inspections are requested at the proper time" that each address Is readable . . from the streal, Ihat the permit card Is located al the front of Iha property, and the approved set of plans will remain on the. site at ~"pes during ~tlo. Slgnalure ~~ . 'ff 'a'7 Date 1-1 fL"'9'// . ~ - I VALIDATION; ~ RECEIPT NUM'7;R r~i'_~' DATE PAID 1.~S:1',,-:-, . ,.,... 'i :;:~~;DR:~E~~ A~ ,()~L~ TOTAL AMOUNT DUE (eXClud~~torlqt~". . :.', '. :jtl~'- (A, B, c. 0, and E Combined) ..', . ,. . J _'.._ ... .,_!J"" JOB NO. CITY OF ~NGFIELD SYSTEMS DEVELOPM~T CHARGE C\A(\(()~ WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ;/~h ~ ,/~, / /'. LOCATION' ,O?lo<; C-~ /Jd. DEVELOPMENT TYPE: '5 ~ /? BUILDING SIZE: . ~.- 1. STORM nRAT~ lOT SIZE - SO. Ft. IMPERVIOUS SQ. FT. ;l./~~ X $0.209 PER SQ. FT. $ "TStC. 1'1 2. SAMlIARY SFWFR-rTTY NO. OF PFU'S (See Reverse) 3 . TRANSPORT A TT ON NO OF UNITS X TRIP RATE X COST PER TRIP I X /,c)! X $436.19 IV X $43.26 PER PFU $ 71 a. " F $ ~.oflO..>;5- X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. SAMlIARY SFWFR-MWMG NO. OF PFU'S /~ x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 3/1,7'2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE> $ !>,?, C C) . . IQIAI -MWMr snr $ .:Llr"f:. ~~ SUBTOTAl (ADD ITEMS 1.2,3 & 4) $ I '7c.0, <12. 5. ~nMTNT5IATTVF ~ G~ (S7rOVE) X .05 . ~~ Date: --;:-/-fZ- 9"7l ~g?C~or ~~at~rEU $ '1 Y'.os TOTAl SDC $ :2-05"'iJ.?? B2.SDC . FIXTURE UNIT CALCULAillQN TABLE: Number of New Fixtur~ Unit Equivillent = Fixture Unils (NOTE: For remodels, calculate only ttWu addrllOnal frxtures) . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Balhlub..................................................................... . Drinking Founlain.... ....... .... .................. .................... Floor Drain........ ........... ..................... ... ..................... Interceptors For Grease/Oil/Solids/EIC................. Inlerceplors For Sand/Auto Wash/Elc.................. Laundry Tub/Clotheswasher................................... Clolheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailerl.................. Receptor For RefrigeratorNvater Slalion/Elc........ Receplor For Commercial Sink/Dishwasher/Etc.. Shower, Single Slall................................................. Shower, Gang........;.............................................:. .'. Sink: Bar, Commercial, Residential Kilchen........................ Urinal, Stall/Wall..:.................................................... Wash Basin/Lavalory, Single.................................. Toilel, Public Installation.................... .... ................ Toilet, Private....................................................... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separales. I I 2. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 4 l... '2. 2.. <;if /7 Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rale per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 J I z. 2. TOTAL FIXTURE UNITS = Year Annexed Rate per $1,000 l Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 7, of r; X $ /0. Q7J-o (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or Land Only If Applicable Improvement (if afler annexation datel '37':.~ C) ----- = = $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 CREDIT TOTAL = $ ~6 0 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . . Q4\[Ol JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 OTHER OW~E'p. C}\'(\ W Qj\ r f\to m ADDRE~: ~C1q::s ,,1,,(") 3Q rY1 y,- CITY:U\ \i\ i (\~'!) ~ STATE: rz~f\ ZIP: 01"1:-,<(7) DESCRIBE WORK: ~ f\~\ Q, ~Ct~tU ~: \ ~I:\\c\.2J\C'.Y....... NEW Y REMODEL '~ADDITION ' OEM ~ISH CONTRACT9j'~ NAM~ E.I ADDRESS' GENERA0) 'ell ;.( \ 0 f\ f\t'\., . PLUMBING: ~Jf(\Qt1 \ ):l~~OQ \ . MECHANICAi . ~L{'\ 0 f\ TN-)- ELECTRICA'" ~\ ~_ IJ..9J'~\L(0) CONST. CONTRACTOR . P, I f1q '?) 5 \,\?{l A\~C\~ \ {)~'l~ ,e..HqN,E q:i~ .tarro-- lo~.~\no ~ ~'?,'ldcro / 415.A\~ QUAD AREA: ~ ~Q / · OF BLDGS' \ OCCY GROUP:, ~ '3 -\ 1J\, \ 'F -' . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ :~:S~::T;PE' 0 rJ HEAT SOURCE: l(:)t\ f--- RANGF' EXPIRES '1.\~. q. \.C\, '1:\ Q.. Q4 FLOOD PLAIN' ZONING CODE:-ID\2...... 2, . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: _ \ lo~ '- 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. . , , REQUIRED INSPECTIONS ~ R~ugh M~chanlcal -.:. Prior to ~ cover. D Temporary Electric D Sfte Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. rvl Footing - After trenches are ~ excavated. . D Masonry - Steel "location. bond .beams. grouting. ~ Foundation - After forms are erected-but- prior to'concrete placement. o Underground Plumbing - Prior to filling trench. rc7I UnderUoor Plumbing/Mechanical ~ -.Prlor to Insulation or decking. ID Post and Beam - Prior to floor ~ Insulation or decking. i"<;71 Floor Insulation - Prior to ~ decking. IVl Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling trench. ' . . . [';ll Water Line - Prior to filling L.L::S..trench. . ",,, ~ Rough Plu~blng~ Prior to'" ~ cover. I'JI Roug'hElectrlcal - Prlor'to ~ cover. C2l Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materlale and framing Insp. ~ Framing - PrIor to cover. ~ Wall/Celllng Insuletlon - Prior to cover. ril,DryWell - Prior to taping. o Wood Stove - After Installation. D Inaert - After fireplace approv41 and Installation of unit. 129 Curbcut & Approach - After forms are erected but prior to placement of concrete. I8l Sidewalk & DrIveway - After excavation Is completo. forms and'sub.base materiel In place. o Fence - When completed. D Slreet Trees - When alf required trees are planted. ~ ,--" ~ Final Plumbing - When all . plumbing work Is complete. , . I"'Zl Final Electrical - When all ~ electrical work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r::11 Final Building - When all l..Z:J'i'equlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D 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 Bre approved and porch os, skirting, decks, and venting have been Installed. Lot faces L~t'~pe. .x Interior Lot sq. Itg. Lot coverage Corner' Topography _ Total height /4,1;) BUILDING't.reRMIT \t Panhandle Cul.de.sac ITEM x $/SQi) &. /4.10 Main Garage Carport '\. Total Value Building Permit Fee State Surcharge Total Fee ?i~: \').:~:; . '\r-;"~ ~ 'J ~~..'~~l,,~~r;. ';,' , .' Setbacks. . '. ' ,h~L. HSE GAR ACC:' I'N ' Is Iw IE :~ SYSTEMS DEVELOPMENT CHARG~J~~C),1 (B) c9~~ 7J1E:(Jg ~i'\y . ID11+ ~ (A) ~I)..' PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' c9- Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home FEE iLoO.uJ Plumbing Permit State Surcharge Total Charge 0/'\ I (oV.W' 4.C:IJ + B.a; (C) 172..~c) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 2> Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge .501 Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State issuance State Surchjl\1I'\ Sidewalk 'IV It Curbcut cQ(p It Demolition S'fI{l Surch<<R~ \). \ )<g k\ Y\C'l t\.~ Total Miscellaneous Permits (E) 4.~ q.CO 'r~.OO I (n .SO /0.00 .f3~ ~ c')n.50 !~.C{Q t:\Uq? ., THEPROPOSED 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. APPROVFn,. . " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,ln all respects, conform to the 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 time , upon violation 01 eny provisions of said ordinances. Plan Check Fee: ~'\t'\ J ./ Date Paid: \'J ~ Receipt Numberu y Received BY:~' ~~~Ltti f). \~ % Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~lUffi r-X .~dOh"Xl\i~ .~~~\" \(')J{D (~) \..~~: \ 1..0'\ loO ~~ \ 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 or the City of Sprlnglleld. 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 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 ensure 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 ~"pes during ~tlo. Signature ~~ ''ff 'a'7 Date 1-1 fL-9// , ~ - I VALIDATION: ~ RECEIPT NUM'7;R r~i'_~' DATE PAID 1.~S:1-,.-:_. , '""", 'i :;:~~;DR:~E~~ A~ ,()~L~ TOTAL AMOUNT DUE (eXClud~~torlqt~.,. . :.'. '. :jtl~'- (A, B, c, 0, and E Combined) ..', , ,. . J _'.._ .._ .,_!J"" JOB NO. CITY OF ~NGFIELD SYSTEMS DEVELOPM~T CHARGE C\A(\(()~ WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ;/~h ~ ,/~, / /'. LOCATION' ,O?lo<; C-~ IJd. DEVELOPMENT TYPE: '5 ~ /? BUILDING SIZE: '~.- 1. STORM nRAT~ lOT SIZE - SO. Ft. IMPERVIOUS SQ. FT. ;l./?"~ X $0.209 PER SQ. FT. $ "TStC. 1'1 2. SAMlIARY SFWFR-rTTY NO. OF PFU'S (See Reverse) 3 . TRANSPORT A TT ON NO OF UNITS X TRIP RATE X COST PER TRIP I X I.c)! X $436.19 IV X $43.26 PER PFU $ 71 a. " F $ ~"flO..>;5- X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 4. SAMlIARY SFWFR-MWMG NO. OF PFU'S /~ x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 3/1.7'2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE> $ !>? c C) . ' IQIAI -MWMr snr $ ;Llf"-'f:. ~~ SUBTOTAl.. (ADD ITEMS 1.2,3 & 4) $ I '7c.0, <12. 5. ~nMTNT5IATTVF ~ G~ (S7rOVE) X .05 . ~~ Date: --;:-/-fZ- 9"7l ~g?C~or ~~at~rEU $ '1 Y'.os TOTAl SDC $ :2.05"'iJ.?? B2.SDC . FIXTURE UNIT CALCULAillQN TABLE: Number of New Fixtur~ Unit Equivillent = Fixture Units (NOTE: For remodels, calculate only ltWu addrtlOnal frxtures) . ' NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain.... ................................................. Floor Drain................... ............................................. Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailerl.................. Receptor For RetrigeratorNvater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang........;.............................................:. .'. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:.................................................... Wash Basin/Lavatory. Single.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates. I I 2. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 4 l... '2. 2.. <;if /7 Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 J I z. 2. TOTAL FIXTURE UNITS = Year Annexed Rate per $1,000 l Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 7, of r; X $ /0. Q7J-o (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or land Only If Applicable Improvement (if after annexation datel "37':.~ C) ----- = = $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 CREDIT TOTAL = $ ~6 0