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Home My WebLink AboutPermit Building 1994-4-15 RESIDENTIAL PERMIT APPLICATION Inspections; 726.3769 Office: 726.3759 ASSESSORS MAP' Lo.T: 3~ o.WNER' Go.ry~, r41l.....so" ADDReee. ~Ol< 19 CITY: H'lrr,ib~~ DESCRIBE Wo.RK' tvtw Home NEW ./ REMo.DEL . SPRINGFIELD e '5P :3.18 Jo.B NUMBER qq-o~Lo I 225 Fifth Street Springfield, o.regon 97477 5()(,'~uf;e'{J Q1Lf7g. ( oJ TAX Lo.T: (Y") I(Y) SUBDIVISlo.N: S"c,.ti ~111} N".,tL.. PHo.NE:-.iQS-;l110 / %'1-l;o'lO. , ';.... OFFICE USE - \\ U I Co.NSTR. TYPE: \I fj HEAT So.URCE: \='1' - /1-\ \-" RANGE: f ,..J I LAND USE: # o.F UNITS' REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~over, ~ dbM.. ?,jf!, ~ Rough ElectrIcal - Prior to J6.l.Cover. t5<f Electrical Service - Must be . ,;.,pproved to obtai n permanent electrical power. o Fireplace - Prior to lacing materials and framing Insp. ,.0:Framlng - Prior to cover. '!V7I Wail/Ceiling Insulation' - Prior to ~over. gDryWall - Prior to taping. . : ' o Wood Stove - After Instarrat'lon. o Inserl - After fireplace approval and Installation of unit. ", TYI Curbcut & Approach - After ~forms are erected but prior to . I placement of concrete. ~ Sidewalk & Driveway - After ~xcavatlon Is complete, forms and sub-base .materlal In place. BLo.CI<" STATe. o~ ZIP: _ql '14" Co.NTRACTo.R'S NAME GENERAl' OIl.WGS T C'''Sf. PLUMBING' voS MECHANICAl' l+c. tV_ y ~ >,..... A f'J.c.. GIn/;' 'Co.NST. ADDRESS . Co.NTRACTo.R #"r'~5EXPIRES PHo.NE g./: 1({ Hr,rr'f'-."1 o/l., "10 ').-7-'$ 'ff>~12./~ 111 V&~~l"e'\ (5M.,. 4-1r:t>5 .:ro.4.0f4 L{~)-o>)[ l{('f/~ ~,~ u..a A (D ^';" {I. II ~~0gz ZM.JL.{ r.. -7' 71 5! C; lfl 3 J.j./;~W&" (15, G(<<{I~( Carli?) 1~'ibcf4. ?'if -O<{'1't ELECTRICA' . QUAD AREA:~' . o.F BLDGS: \ \\.,1'--1.. o.CCY GRo.Up:C\_..Yr kJ\.. . o.F STo.RIES: d-.. WATER HEATER: . y--", ADDITlo.N DEMo.LlSH o.THER FLo.o.D PLAIN' Zo.NING Co.DE: I Jl'2.- # o.F BDRMS' ,,;.:S SECo.NDARY HEAT: ~-V SQUARE Fo.o.TAGE: Affi ~ 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. ~TempOrary Ele;t;lc C7I' Site Inspection - To be made ~fter excavation, but prl9r to setting forms. ~& I (..... o Underslab Plumblng/Electrlca" Mechanical - Prior to cover. F><:J Footing - After trenches are . ,;..~cavated. o Masonry - Steet location, bond beams, grouting. ~ Foundation - After forms are ~rected but- prior to concrete placeme~t. o Underground Plumbing - Prior to filling trench. "1':71' Underfloort-,umoll!l/i! Mechanl<:,Pl ~- Prior to ffi......,a..:i\....rl~v, ....O';:I,.;l'\lng. ~ Post and Beam - Prior to floor ~Insulatlon or decking: ~Floor Insulation -~:Pr'ior to' ...JbJ, decking. rYf Sanitary Sewer - Prior to filling ~ trench, IV1' Storm Sewer - Prior to filling ~ trench. . 1\:71 Water Line - Prior to filling ~ trench. FV1 Rough Plumbing - Prior to J.O...Lcover. o Fence - When completed. ~treet Trees - When 'all required rees are planted. . ~ Final Plumbing - When all plumbing work Is complete, i'9"'l Final Electrical - When all ~electrlcal work Is complete. D?1 Final Mechanical - When all ~ mechanical work Is complete. [\;t Final Building - When all ~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, 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 ventlng have been Installed. , , LVype - Lot faces ~ Setbacks Lot sq. Itg. ~tJ.D I P.L HSE GAR ACC _"'nterlor IN Lot coverage ~ Corner Z() Topography I~ Pan.handle Is Iw :~ Total height fiJ Cui.de-sac ... L'. ;'0 ii II BUILDIN'G' PERMIT':' .. ITEM ,,,SQ. FT. . X $/SQ.::{'ii\ ~ VAL~ ~ "Maln o.Oc:{t ,5lo.rJQ \\9, V\U~ <~A -\4.\D ~~:rJ..rlj Garage , Carport 1~1f)C\ ~D 4~2.S .t.. ~f. 5of,2(p SY~TEMS.DEVELOPMENT CHARGE (SD1C) ti. , . " (B) HZ1..r.,ct t.i " PLUMBING PERMIT ITEM Total Val ue Building Permit Fee . State Surcharge .Total.Fee (A) FEE FIxtures Residential Bath(s) N' ~ /92.1'17 Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit ~~~ 282 -'~ State Surcharge Total Charge (C) MECHANICAL PERMIT ~p-p 4-.5'1) /2 f-O /5.~ :"? ,frO Furnac.e Exhaust Hood Vent Fan N' 1- Wo~d Stove/lnser~eplace un!p Dryer Vent Mechanical Permit ~~.5'O 6/),00 2,193 <'2.. %,3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ It Curbcut -4- It Demolition -:2.0.eS" 15. 10 State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B, C. 0, and E Combined) 3!J(P'3.-e,/ l' THE PROPOSED 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. ,. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on t~e express condition that the said construction shall, In all respects. conform"to'the Ordinance adopted by the City of Sprlng'fleld, 'Including the Development Code, regulating the construction and use of buildings, and may be suspended orrevoked'at any time upon violation of any provisions of said ordinances, Plan Check Fee: ~'3/~. 1(0.__ Date Paid: t 'i'~ A-I nCX)' I. Receipt Number' I C:rl. ~ .I j'{) ') = .~j~d ID~T Systems Development Charge Is due on. all undeveloped . properties within the City limits which are being Improved. , . ADDITIONAL COMMENTS .!J 1 ~X' (,/yyi ('0 ~y (iJlf1~DOho, ,SL(12~ , - & - - , +T: IY~ '. C~ flOAIJ! '()'JJ) l jq( tfJ . , Llb&?Lt7 /.<: ~~ , 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 of the'Clty 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 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 Inspec!lons 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 Slt~ at "';1 times '1rif I construction. Xgnature~ A1)t/~ Date If-tr...,,, VALIDATION: \ f\ "'Jr'J /l RECEiPT NUM",R a~ DATE PAin.' \ ~-L1""\ AMOUNT REC~~D <~,!).5. &1 RECEiVED BY \~IM ) . .. o Y..'!i!I.!!.!!!!~!!t; Job No. !}jrlll 0/ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME ~))"A ~crol1llf11'0 PHONE qq5/K11/) ADDRESS~ !-wL'/B) ~ (l~m Ufllf9 STATE GrGp ~44~ LOCATION OF Ii'ROPOSED BU)LDING SITE: 'J \ . ~ Oh.-ll- Street Address if Known: I (JR~S \ Y:::\J~J~ 4\....u.ooN Platt Name~ ~ {tt11iJ~1l TaX-Lot Number: ~pfjQo. ~t4. OOlcO 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back'> A. Sinl!le Familv - Detached ---t- Single Family home NO OF UNITS I B. Sinl!le Familv - Attached - NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS Manufactured home not in a park $~.dJ X $400 PER UNIT? X $370 PER UNIT = . $ X $277 PER UNIT = $ X $280 PER UNIT = $ WPRD SDC $ q(1)~ $ fJ cxJ $4(){) . 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. \'1 :' W:~ET5OCASS:JDC"d~ f~ ;", \s ,G4 Community Services ~ Date City of Springfield \ The following project as submMed has lh - 225 FIFTH STREET zoning, end doe. not require .pecif1'!!~~CAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 epprovel. LO(2. n/f l\ ':2/ ~ I INSPEctION REQUEST: 726-3769 Zoninp '<:i ty Job Number '-1/( A. )l1J OFFICE: 726-3759 4' ~/S-qlf Delo , j. COHPLETE FEE SCHEDULE BELOV 1. (LO~,{9~OF I1;lsrr~TIO~l>oriz"2-Signaluro tJ ~ - O~).., \ 'll'\llll..l j ~'1J..1lQ/f A. New Residential-Single or - 0" Hulti-Family per dwelling unit. J8~~03.tJFTIflnl ('i() Service Included: I terns Cos t - JOB DESCRI~JjJ) 1 ") g /~ lUt~' Permits a non-Jransferable and expi e if work is not started within 180 day of issuance or if work is suspended for 180 days. ! CONTRACTOR INSTALLATION ONLY Contractor / / Address City "" Phone/ Licen~u~ Date '^ " ,.- "...... "" .. Supervisor Expiration Expirati Date Sign' ure!of Supervis~n~ Electri~ Owners Nam'10 ~ I ') . D. Address 6'))(, R c~, ~01~Phone Cf!1:s.!)()/{) OVNER INSTALLATION The, installation is being made on property I own which is not intended for sale, lease or rent. I- ~- ~~;r\j;;nu RECEIVED B 1 ( J\... ) r- Temporary Services or'Feeders Installation, Alteration or Relocation 40 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20l amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps 'Over 1000 amps/volts Reconnect Only C. 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 Branch Circuits Sum $ 85.00 $ l5.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 I $ 40.00 $ 55.00 $ 80.00 see "BII above volts 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 4j)9l2 4Li.~ ( . .OB NO. 9'-/05(:,1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: GAR. Y S, I-/A N S aM LOCATION: ("B55 UCL-LY 'Sr. N07-03/Lt - 00/00 DEVELOPMENT TYPE: 1 DK.. - AlP_IN .s~1<. BUILDING SIZE: LOT S ~ZE SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT. 7-7./ 7.-D x $0.203 PER SQ. FT. C!7oq9 2. SANITARY SEWER-CITY NO. OF PFU'S t."? x $42.08 PER PFU ~07'6!-) (See Reverse) ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 X $424.31 X $424.31 ~t./-7-B 53.) '--- ----- $ $ / X 1.0/ X 4. SANITARY SEWER-MWMC NO. OF PFU'S '7..~ x $15.125 PER PFU + $10 MWMC ADM FEE $ "?S7 ~ (Use PFU Total-From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ &'? ~ TOTAL-MWMC SOC ~ ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ "21(,,1 Ii~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 r/. ~LuL ? he /'1<1- U Kip Burdick ' SDC Coordinator CIOB~ TOTAL SOC $ "ZUd'l"!i FIXTURE liNIT,CALCUue:>N TABLE: Numb~r of New FiXlUres.lt Equivalent = FiXlure Units (NOTE: For remodels. calculate only the NET additional fiXlures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUiVALENT UNITS Bathtub........... ................... ......... . ............ Drinking Founta in.............................................. Floor Drain................................................................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /C1otheswasher.................... ......... ...... C1otheswa~~er - 3 Or More...................................:. Mobile Hdme Park Trap (1 Per Traiier).................. Receptor Fgr RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single' StalL................................... ....... ..... Shower, Gang........................................................... Sink, Bar, Commercial............................................. Urinal, StalljWall....................................................... 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 ? ~ TOTAL FIXTURE UNITS 'I- 2- '2.. ? /1- 2:7, CREDIT CALCUUl.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Rate per $1,000 Year Rate per $t,OOO Annexed Assessed Value Annexed Assessed Value 1979 or before $3.21 1986 ~. '$ 2.24 1980 3.13 1987 1.93 1981 3.08 1988 1.57 1982 2.96 1989 1.18 L 1983 2.82 1990 0.79 1984 2.68 1991 0.44 '1985 2.51 1992 0.28 -. Credit for Parcel or Land Only If Applicable ~.7-' X $ 1<1.'1> (;,?~ (Rate X Assessed Value) Improvement [If after annexation date) X $ = (Rate X Assessed Value) G.?5~ CREDIT TOTAL = $ II J RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..... ........ ............... ................. .... ... .... Q.4 CommerciaL.................................................... 0.9 I nd ustrial............... .... ............... ..... ....... ............. 0.45 GovernmentaL.................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT