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Home My WebLink AboutPermit Building 1992-10-16 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 CITY: DESCR\} WORt<. NEW -f"L REMODEL ADDITION . SPRINGFIELD . .,qjJljjr; DEMOLISH OTHER JOB NUMBER 225 Fifth Street ,. . - ZIP: 11, CONST. CONTRACT~~..~. to?VlLJ t\ . ADDRESi?1. (\^ r.v-r-h,C::,NTRACTOR' a. )/:XP\~ES _ ))H9~ GENERAL_'\:=l'1'U-li&J\ \~J1A- M:1LLlVllW~/ 9/2.u~.l() ~( rt-'-f$ ~~::::~~:~~s---- -- ~~;~ \\~tfl~1J~. / QUAD AREA' ,'\/R S~_ . OF BLDGS: - - ~\-~-rf\-- OCCY GROUP: go3:iL':~L- II OF ~iTORIES: ___ , WATEr~ HEATER: 6 - OFFICE USE - LAND USE: \\ \ \ h OF UNITS: -'--'~Tf-J CONSTR. TYPE: __....V.N __I HEAT SOURCE: __-#E____:0 RANGE: .---A FLOOD PLAIN: ZONING CODE: \l')(:'J ~ . OF BDRMS: SECONDARY HEAT: II 1/iLi. SQUARE FOOTAGE:~ "10 request an inspection, you must call 726-3769. This Is a 24 hour recording. All InspectIons requested before 7:00 a,m. will be maclc the same working day, inspections requested. after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS ~ Temporary Electric D Site Inspection - To be made after excavation, but prior to selting forms. rv1Underslab~mbin1tbEreClricall ~ Mechanical - FtlOr to cover. ~ o Footing - After trenches are excavated. Masonry - Steel location, bon(l beams, grouting. f.'V1' Foundation - After forms are ~erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/ Mechanical - Prior to insulation or deckin!). o Post and Beam - Prior to floor i Insulation or deckin!). ~ Floor Insulation - Prior to ~8GI\I"g. /!!ii}::;e '5"~ ~ ~ Sanitary Sewer - Prior to filling trench. . , , ~Slorm Sewer - Prior to filling . ~ trench. F\:/f Water Line - Prior to filling ~ trench. 1\:71 Rough Plumbing - Prior to ~ cover, ~ Rough Mechanical - Prior to cover. ~ Rough Electrical - Prior to ~ cover. ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing malerlals and framing Insp, ~ Frmnlno - Prior to cover. lV1 Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping.' o Wood Stove - After installation. o Insert - After fireplace approval and InstallatIon of unit. K::7( Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. rvf Sidewalk & Driveway - After ~excavation Is complete, forms and sub-base material in place. o Fence - When completed. ~Street Trees -. When all required ~trees are pl~lI1ted, 1':71 Final. Plumbing - When all J.C::S. plumbing worl< is complet.e. f'::/f Final Electrical - When all ~ electrical worl< is complete. ~ Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all ~equired Inspections have been approved and building is cornplote<1. DOlher " 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, sklrtln'g, decks, and venting have been installed. L:iii -.- -~--- - As THE PROPOSED WORK IN THE --r-JISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to pcnnil issuance. Lot faces ...!':>i- Lot Type. Setbacks Lot sq. ltg. ~ Interior p.L. HSE GAR ACC l:L_12f1..'-_ Lot coverage 3.S.. c X Corner afi /L Topography Panhandle -L-_ ___ Total height liaS"" Cui-dc-sac W 17( . ----- E 2/)' -------- BUILDING PERMIT '~~ X ,~\;,ili= q~~lldt t) \2t1[) I o,1.d\ ITEM Main Garage Carport ~~~~i~ 2.1. H f,c;rr.3~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . . (B) .iI-'2-0~t... ~ Total Val ue Building Permit Fee . State Surcharge Total Fec (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home _LQ2.!"D Plumbing Permit State Surcharge 9_(03 ~~J Total Charge (C) MECHANICAL PERMIT ?,OD 4.~D . /2.8'0 ,. Furnace Exhaust Hood N' 4 , Wood Stovellnscrt/Fireplace Unit Vent Fan Dryer Vent ..J::iA-S LJU.E 3.80 2-."0 27.~'D /0.00 L'3~ -<,~ Sf!, -;, Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /1-'{ It Curbcut 2("" It ~2. ;35" 13. "Ia Demolition State Surcharge Total Miscellaneous Permits (E) -#'" ~ 5" -?:'790 ?,d.s ~ . TOTAL AMOUNT DUE (excluding eloctrlcal) (A, B, C, 0, and E Combined) , ..... APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permH is granted on the express condition Ihat the said construcl1on shall, in all respects, conform to the Ordinance adopted by the' Ci ty of Springfield, including the Development Code, regulating the construction and use 01 buildings, and may be suspended or' revoked at any time upon violation of an~~ns of said ordinances. Plan Clleck Fee: . ':t. J:/71 Date Paid: -lk, . ~ Receipt Number: M .5'()-'\.Ci\ Rece~~_Lro J -~ ~- ~ri"'" Reviewed By. ~.f1 ~~ L Y-f,~ r Systems Development Charge is due on all undeveloped properties within tlle City limits which are being improved. ADDITIONAL COMMENTS v-Ac:\- T; IUI4Ai) ~0 f\Q)[ 1)11Q; \ql)~ D~'LLtW.rU~I_{~OO ~ ~ \ () 0 2~-d.D-W, \'0i fNytS 8ji#q2-, . \ pkf.7f 1 tU/ .~~Ci!:Ld/flk!.L .' j /'!c.LL/~ ~.&7:r. By signature, I state and agree, that I have carefully cx?mined 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 Stale of Oregon pertaining to the work described herein, anu that NO OCCUPANCY will .be made of any structure without permission of the Building Safety Division. I further certify 1l1at only contractors and employees who arc In compliance with ORS 701.055 will be useu on this project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, thai the permit card is localed at the front of the property, and the approved set of plans will remain i~g~::u:~Z:ir;;s.t~ Datp //) -/h -? 1-- VALIDATION: _ II 11~ RECEIPT NUMBEFI _ \ (;fI'-"1 / _ / DATE PAID (0 ' Lh ..!.l-/ ~ - 6S- AMOUNT REC :1\1 - _~~9 1:,/. RECEIVED ": ~ JP _ ) 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 . 7'h~ fOIlOWl :;;;;ng, ~ndgg:Ojact as sw} . COMPLETE FEE SCHEDULE BELOII 1 ~. ~~OF~NS\lLLATIOWVa/' a not reqUir mitred has . . r\ . e Pecil...._ the 10JI ""' U , .l ~I _ . ,. .lVeWr~!1s"lll'\!elltial-Single or . ~ Multi-Family per dwelling unit. I.~~ GA ~, . ION ervice Included: ---l.!:LHlAl\ Items JOB DESc;a;{PTION.......\ '" '" 2) \= I. A\!O,~ (lQn~ 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~,Q~ Address l ti Q fuJu) Ci t~~ PhonemJrr '- qC/4-! Supervisor License Number 1~'7-1~ Expiration Date If). I .Q!2.J Constr Contr. Number f\ '\4-f\L Expiration Date \ \ ' \ ~ . q ~ Sig~re o~Jupervi~ Electrician /--'-~ - ~S9- Owners Nanie~nnlj)mf\j\S\-ri\} D. Addres~n \ qf\ \ '\'{\.f)I\}J,..~~~. Ci ty TIT, e ~ Phone 4; '(f\-~lo OIlNER IN~ALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~;~-----77:>~-T7~-~~::f------------ RECEIPT I:, I _ r ;'4-f.,f I/) . RECEIVED BY;~j.J,{)( / ~ 51"IIINl.;r-II.:;LU sq.ft. or less a 'tional500 .sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder r ,,~ QQ\\\'7 Cost Sum $ 85.00 !Cl5 16 , $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: B. 200 amps or less 201 amps to 400 'amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts R~connect 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 Branch Circuits ~ $ 40.00 4Doo $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) .-Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL / 71?.~ ~5_0 / '7 ?J.SO . .OB NO. _91.\ \ n CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: C'I-\\Z\'? MA.t2-.Sl0N LOCATION: '-\1?e.9 1-+o\..L-o.< ~;-. \~o'2-0-':::'\"2. - oe'?oo DEVELOPMENT TYPE: LOR" t-..\.E-W <::>F'e BUILDING SIZE: LOT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT. "'-J\'?4- X $0.192 PER SQ. FT. 2. ~ANITARY SEWER-CITY NO. OF PFU'S r'6 X $39.78 PER PFU (See Reverse) 3. TRANSPORTATION SQ. Ft. c~O?~ ------ G-lI <0 o'f ') ----------- NO OF UNITS X TRIP RATE X COST PER TRIP \ X \ ,oo'? X $401.05 G'-+ 0"'::> 0 0 --- --- X X $401. 05 X $401.05 $ X $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ lI'V-I-"'2 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~) ------- TOTAL-CITY SDC $ \~\()~ 5. SANITARY SEWER-MWMC NO. OF PFU'S \ ~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 2-??~ (Use PFU Total From Item 2 Above) l::::...~:13-<A.--. L J.- . , 0' Kip Burciick sac Coordinator ~ /\4/<1'1-- I $ '2-9 o?.2. TOTAL-MWMC SDC~"2.~ <..... --- TOTAL SDC $ 'l.O?lC s~ . MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULAT~N TABLE: Number of New Fixtures X I Equivalent ~ Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE lYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT 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 Refrigerator jWater Station/Etc,....... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL........,..................................,... Shower, Gang..........................,.................,...,......... Sink, Bar, CommerciaL.......,........,...,................,..,... Urinal, StalljWaIL............,.....,............,.,.....,............, Wash Basin/Lavatory, Single....,.................,........... Water Closet, Public Installation..........,..,............... Water Closet, Private...........,................................... Miscellaneous: z 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 1- 7... TOTAL FIXTURE UNITS FIXTURE UNITS 4 2- '2. z B tB Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates, II ! Year Annexed Rate per $1,000 Assessed Value Year Annexed $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 1979 or before 1980 1981 1982 1983 1984 "Z."1 '" z. Credit for Parcel or Land Only If Applicable Z,'6?:> X $.lo,'-i<f- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL ~ $ -z..9<?~ ~ Improvement (if after annexation date) ~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE . Residential...,....,..............,....,..,........................ 0.4 CommerciaL..,.......................:......,.................... 0.9 t nd ustrial....,......;,...,..........,..."...........,............., 0.45 GovernmentaL..................,.....................,........ 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value II \ $2.16 1.90 1.60 0.25 0,87 0.50 0.16