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Home My WebLink AboutPermit Building 1994-9-27 SPRINGFIELD WiLt@ LOCATlONOFPROP~E'?...WORK: 33~l 0 ("\r\ \\~ \J.J'(-. ASSESSO.RS~. .'0. \'C{.)'ri.O\o(';() . .. . TAX LOT:\J1o ("y"')qr() LOT' ry~.. BLOCt<.. . SUBDIVISION'_full~~ OWNEP'_c)\~ Q.i\ ?- f\to ffi'\\~ !:\() J) ';~'(\~HONE: t \'-\L\ . \d--{ LoCo ADDRE~~: ~~ r ;:J ~\3~ fY1 y, ~\J\ 0 0 j-' , CITY< 01\\ 1\ l r\ 1 ~. V (\I . . - STATE: ll\ 0 X"zP1'\ ZIP: 01'\, ~ DESCRIBE WORK: ~f\r'\^Q., ~QN\1.UL, \~QJ:\\c1Qf\C'L NEW-Y REMODEL . ~ADDITION . .. OEM ~ISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . .- . JOB NUMBER~ 225 Fifth Slreet Springfield, Oregon 97477 CONTRACT~'~ NAM~ C J ADDRESS. GENERA0J'r'Ll1( 1 Qf\ eJ\\l.. .. PLUMBING: ~)fC\ Q rt \ ):l \ ~\O Q \. MECHANICM . .~_..t. .-\.(1 0 (\ Tf\1--:. ELEcTRICA'\' ~\ \ Q A f] ~ '\U ~ ) CONST. CONTRACTOR . ~\ lIq':') 5 \'\ ?{l B\. '\C\S t o~'l~ q~~~~ to~~ C\~'?,-ld~ ' -41~,F)\~ ~ S,Q , \ ~ ?, -\ lv\ \ . QUAD AREA: · OF BLDGS' OCCY GROUP; . OF STORIES; WATER HEATER: ~9 -' - OFFICE USE - LAND USE; \ \ \,\ · OF UNITS: . \ . , CONSTR. TYPE: 'IV IV HEAT SOURCE' f- RANGE: EXPIRES lj.\~. q. \.4. tj:\ Q.. Q4 FLOOD PLAIN' ZONING CODE:..ill\c"" · OF BDRMS: -,.3 SECONDARY HEAT: SQUARE FOOTAGE: / lJf-K_~ 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 requested alter 7:00 a.m. will be made Ihe following work day. . , . REQUIRED INSPECTIONS ~ R~ugh M.echanlcal ...:. Prior 10 LA{ cover. o Temporary Eleclrlc o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. I'Vl Footing - After trenchas are ~ excavated. . D Masonry - Steellocallon, bond .beams, groullng. ~FoundatJon - After forms are erected.but- prior to'concrete placement. o Underground Plumbing - Prior to filling Irench. rc71 UnderUoor Plumbing/Mechanical Ll>l. -.Prlor to Insulation or decking. ~ Post and Beam - Prior to Uoor ~ Insulallon or decking. r&I Floor Insulation - Prior 10 decking. IVl Sanitary Sewer - Prior to filling L..O.l trench. rg] Storm Sewer - PrIor to filling trench. . r<:71 Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to ~ cover. I'Vl Roug.hEleclrlcal - Prior. to L.,..Or.t cover. 1::21. Eleclrlcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior 10 facing malerlals and framing Insp. ~ Framing - Prior to cover. ~ Wail/Ceiling Insulation - Prior to cover. &DryWall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and Inslallatlon of unit. C29 Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - Aller excavation Is complete, forms and .sub.base material In place. o Fence - When completed. o Slreet Trees - When all required trees are planted. ~ Final Plumbing - When all - plumbing w9rk Is complet.e. ~ Final Eleclrlcal - When all ~eJectrlcal work Is complete. @Flnal Mechanical - When all mechanical work Is complete. C11 Final Building - When all ~equlred Inspections have been approved and bUilding Is completed. o Other 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. D Electrical Connection - When blocking, set.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 porches, skirting, decks, and venting have been Installed. -j" Lot faces Lot Type. .K Interior Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle ~ Cul-de.sac BUILDING PERMIT ::I~ Jt~~T: ~lcO X $/SQ~ &.OJ 14./0 Garage Carporl Total Value Building Permit Fee State Surcharge Total Fee <.,' " " >'0) . -1" ~',. .::..... '~..1J1'~..:~:Gf :.:ti:.:: \ :-,.:, . I .. I ~,:.',_I.'- ;;':.l1:'''l' ,'-.' .PP.L. :'.'. . . . N' Is Iw IE :~ SYSTEMS DEVELOPMENT CHARGE F;5C14 (B) <:YO 'J (115'/0 ~q~ 1041+ ~ (A) 3')lo.qIJ-' PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' ~ Sanitary Sewer FT. Waler FT. Storm Sewer FT. Mobile Home FEE HOO.CD Plumbing Permll State Surcharge TOlal Charge /Jpo.oo +80 + a.w (C) /72..RU MECHANICAL PERMIT Furnace Exhaust Hood Venl Fan N' ?, Wood Slova/lnsert/Flreplace Unit Dryer Venl Mechanical Permit Issuance State Surcharge .50\ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale issuance Stata Surcharge Sidewalk 70 II Curbcut at (J II Demolition ~~S~\)~~~ 4.<fO q.t() .r~.OO / (0 .'SU /0.00 .f3~ ~ cOO _ 15 I~ .q() <\-Uq? Total Mlscallanaous Permits (E) TOTAL AMOUNT DUE (excluding e'ectr'c~.J3?3'l (A, B, C, D, and E Combined) . Satbacks . HSE GAR ACe. :. THE.PROPOSED WORK.tN THE. . .."HISTOl;ltCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be algned and approved by Ihe Hlslorlcal Coordinator prior 10 permit Issuance. APPROVED: . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permllls granted on the express condlllon thai the seld conslructlon shall, In all respects, conform to the Ordtnance adopted by Ihe City .of Springfield, Including the Development Code, regulating Ihe construction and use of buildings, and may be suspended or revoked at any time I upon violation of any provisions of said ordinances. Plan Check Fea: "--\.f'-\..J ./ Date Paid; " ~ Receipt Numbe~ y Received BY:~- ~S:>S~lLti f).~.% Date Systems Development Charga Is due on all undaveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS _~')9 try\ r-Y .b-d O..u..Yl ~ lA~ --\'. \QJjD (~1 ) \ _.~N\O.K.: \ V\ LoO J~ \ By signature, I state and agraa, that I have carefully examined the compleled application and do hereby cerllfy thet all Information hereon Is true and correct, and I further cerllfy Ihat any and all work performed shall be done In accordance with Ihe Ordinances of the City of Springfield, and the Laws of lha State of Oregon partalnlng to the work dascrlbed heraln, and thai NO OCCUPANCY will be made of any slructure without permission Of the Building Safety Division. I further certify that only contractors and employees who ara In compliance with ORS 701.055 will be used on this project. I further agree to ensure thai all required Inspections are requesled at the proper lime; that each address Is reada~le from the street, that Ihe permll card Is located at the front of Ihe property, and the approvedf}jJet of pi will remain \0"/,"\ site at al times durin ~uc , ~re ~. ['ate 7k/ \ // /7 VALIDATION: lri ~ RECEIPT NUMBER DATE PAIr> U .1: . . AMOUNTREC~d~1 ~ I .~q. RECEIVED BY _ I ^~ ATTACHMENT B1 " . ' JOB NO. 9"/-/--r/c" CITY OF SPRINGFIELD SYSTEMS'DEVELOPME~GE WORKSHEET (COMMERCIAL & RESIDENTIAL) N~~ OR COMPANY: I!a-,~ ~ , ,- LOCATION: 33 $f, G~ 4-v<. DEVELOPMENT TYPE: c,;:- 0 BUILDING SIZE: tOT SIZF SQ. Ft. 1. STORM nRAINAGE IMPERVIOUS SQ. FT. 23 0 ~ X $0.209 PER SQ. FT. e2..3 0 2. SAMlIARY SFWFR-CITY NO. OF PFU'S . (See Reverse) 3. TRANSPORTATT~ NO OF UNITS X TRIP RATE X COST PER TRIP / X I. 0 I X $436.19 /'t X $43.26 PER PFU '~11F,~ X X $436.19 ((4-~O. 5~ $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ / '70/.(;, V X X $436.19 4. SAMlIARY SFWFR-MWMC NO. OF PFU'S /'ir x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ "V9','12 (Use PFU Total From Item 2 Above) " MWMC CREDIT IF APPLICABLE (SEE REVERSE) IQIAI -MWMr. Sl1C SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3~ tJ ( 2.'8-9. y~~ $ / f ?~. "7 2 5. AnMTNTSTATTVF FFF) BAS .CHARGE (;~BrL ABOVE) X .05 ~~ .. Date: - rnig, R.E. I oordinatoV ~~~~ ~- 9-2:2-'1~ IQIAI snr. $ 20'PC..7~ B2.SDC , . '1-':' . FIXTURE UNIT CALCUlATION TABLE: Number 0' New Fixl s X Unit Equivalenl = Fixlure UnilS (NOTE: For remodels, calculale only Ihe liE! additional fixtures) NUMBER OF NEW FIXTURES ~ FIXTURE TYPE Bathtub..................................................................... . Drinking Fountain.... ........................... ...................... Floor Drain...................... .......................................... Inlerceplors For Grease/Oil/Solids/EIC................. Inlerceptors For Sand/Aulo Wash/Etc.................. Laundry Tub/Clotheswasher ............. ............... ....... Clothes washer .3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Relrigerator/Water Station/Elc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang..... ........................ .........,......... .......... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:.. ........................... ....................... Wash BasinlLavatory, Single.................................. Toilet, Public Installalion........................................ Toilet, Private....................................................... Miscellaneous: ...iI,VIIT'O"'',s SINK UNIT EQUIVALENT FIXTURE UNITS :2 4- 2 1 . 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ..l. '1r J ~ :z. r " / J.2.. 2 2- z TOTAL FIXTURE UNITS /::;( = CREDIT CALCULATION TABLE: Based on assessed value. II improvements occurred after annexalion date in table, calculate credits separates. I Year Annexed Rale per $1,000 Assessed Value L 1979 or before 1980 1981 1982 1983 1984 1985. $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Year Annexed Rale per $1 ,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 3, -1" X $ /tJ, cff) (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit fo( Parcel or Land Only If Applicable Improvemenl (il alter annexation dale) 34. 6 () ----- = = CREDIT TOTAL = $ 3~ G 0 " . ~ Tho following projOct as .ubmlttad'i'Ias the follow zoning, and does not require specific land use opproval. 225 FIFTH STREET /l. SPRINGFIELD, OREGON 97477 Zoni"" L-D INSPECTION REQUEST: 726-ciYJi9 q -Z.?-~I( OFFICE: 726-3759 ' Authortzed Slgnatu"'_r-HV'- ';OHP' "..." "KE SCHEDULE 1. LOCATION OF INSTALLATION ,-'2,5;>1-. '-::;;..J#Zl)~AJ DAf>!, Jenm~PTIO~ -:ufo . \ w:l.~8' , JO)l DESCRIPTION /11 Ji'iu~ ~f2..~/ ~ U!> Permits are non-transferable 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 \\\\'711.\ (:\pr{R;c \ :4-. s;u..~ ~ yt <;,J-e H+ Ci ty -Lr{\MP;:",C, Phone l...\l.S-dJ<,C) Supervisor License Number I n(J(n~ Expiration Date I Cl-I-qS' to~llj5 q-4- ~5 Address Constr Contr. Number Expiration Date Signature of Supervising Electrician ~. ~--~-- Owners ~~Ent Add~..ess .. JJd Ci ty ~ Phone "114-.lcfildo OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .' ELECTRICAL PERKIT APPLICATION Ci ty Job Number ~.-? , BELOV A. New Residential-Single or Multi-Family per dwelling ~nit. Service Included: Items Cost Sum 1000 sq.ft. or less \ $ 85.00 8S Each additional 500 sq. ft or portion & ,'<.0 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 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circui ts 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 n~~ ,'"')-'~ lQI~:~lL SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL