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Home My WebLink AboutPermit Building 1993-9-21 LOCATION OF PROPOSEO WORK' 7 2..s-" 2- /~-.::S.2 -0<. ~ _ .- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT_/-'2 Y . SPRINGFIELD , . JOB NUMBER ""73~y~ ~tlI Nou..'r' Sr: , 225 Fifth S~reel Sp,ingfield, Oregon 97477 TAX LOT' /PlP M~/~#~s'; SUBDIVISION: /~" -""'7-' - ... -,/ -r"'?> _ PHONE: r \R '_n - ?}iSq ZIP: C{ ll4-fl '7 OWNER' F..eA.vK -J. ..s~S~ 'iO~I!.~l/J!."'VA.'6 ^,""'t~~ R,t\\\ mnO '''=---+cr - . CITY ~})1~LQ D @ . STATE: \.V~O ~ ~ DESCRIl3EWORK\.~ 0.0 \ L ~ro~\ \.. ~ ~~\:)\.'f\of$\ Q ") NEW ~ REMO~EL . $ AOOITION DEMOLl~, . q:rHER BLOC~' CONST. CONTRACTOR' g301 CONTRACTOR'S NAME "AODRESS . ,,-,.L /'J ' I 'Z- 99 s: 7..,-. GENERAl' /7"~VL.'" v..IU_GFI171'"lS PLUMBING:;7ZnV!:o-' C;e~ MECHANICA' . /7?~t<Yn-t:-CS ELECTRICAL: ~R/~<#" , QUAO AREA: 4Qst=-~ II OF BLOGS: l ' OCCY GROUP: '~0"\ ffi__ 8-.. '< . OF STORIES: WATER HEATER: _? ./ --- '. - OFFICE USE - \ \ \ \ \ CONSTR. TYPE: X) f\) HEAT SOURCE: /:7. ~/.7 - RANGE: _ t;: ~ LAND USE;: . OF UNITS: \ EXPIRES //9.s- PHONE 7"6-0?S-~ . FLQOD PLAIN' o ") ZONING COOE:'j...D ~ . OF BORMS: --Li? SEGONDARY HEAT' SQUARE FOOTAGE: >.c"a8~ \ {2 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 mnde the same working day. Inspections reque5tc:! afler 7:00 a.m. w::1 he made the following work day. ell Temporary Elcctri.c [K] Site Inspection - To be ll1ade~ nfter excavation, but prior 10 ~etting forms. o Underslah Plumbing I F.lectricall Mechanical - Prior to co'/cr. [Z] Footing - After trenches are excavated. o Masonry - .Stc~1 location, bond beams, grouting. [Xl Foundation - Afl~r forms are erected t)ut prior to concrete placement. o Underground Plumbing - Prior to fi~ling trench. rn Underlloor Plumbing/Mechanir::al _ Prior to ins4lation or decking. rn Pasl and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to <leckin!]. [2} Sanitary ::iower - Prior to filling trench. [1'J Sto.m Sewer - Prinr to fi::lng trench. ~ Water Lino - Prior to f.j~l~ng trench. . ell Rough Plu~mbing -' Prior to cover., . _ ._ REOUIRED INSPEC..JtONS Iil Rc,u';h Mechanical - Prlor to t,.a.J cover. IYl Rough Electrical ~:. Pr;c.r to ~ cover. ~ Electrical Service -":';" ~.1l;St be ~ apD~oved to obtain permanent ele-:trlcal power. - o Fi.eplace - Prier To'laGlng materials and framing :nsp. ~ Framing - PrIor to cov~r. .' ~ < " I'Vl W<::lIl'lCeiling Insula~Lon ~ Prior to lL1J C0',1'er. ~ Urywall - Prior t~ t~p;n'g..:... _ - -.... ~ . n71 ". . -, AI'.' II t. ~ ..__ __ _ __ _ - .ef 1l1S.~ a Ion. ~,8t> CL~~ rp;'p~ . o Insert - After flrcpla.r..c aporovar c:nd installation c.i un:!. !A C(lCbCllt & Approa?h - A Her forms arc crected.but prior to pl;IC~/Ile:lt 01 C(lIlr.ret2. [<<'l Sidewalk & Driveway - After N CXG<lv..dion is Gor,-!;:::!8Ie, form::; a'~J glJb-b8.se ma!~rjal in pla;:;c. [=-J r-l!n(:e - When c~mp:(:lCd.. -: [lJ S_t:.~;!. T~ee~ - _\~hen.~I!.1 r-equlred 1I..t;;.j .Ire p.~1nlcd. . - . [l] Final Plumbing '- \flJhen all plumblng work l:~ complete. r-i1 Final Electrical - When all . ~ electrical work is complete. r-:7I Final Mcchnnical - When all ~ mechanical work is corYtolnte. rJ1 Final Building - When all lfL\..J required ln~spcctions have beer; approvcC: and building is completed. DOthcr MOBILE HOME INSPECTIONS 11 Clocking and Set-Up - When all blocking is Gom;>lcte. o f.Jlumhing Connections - When home has been connected to water ~tnrj sewvr. I'i Electrical Con~c~tion - When blocking, :;cl-up, and plumbing inspections have been approved fl.!td th(~ homn i$ cor.n~cled to the sOI',ice pan~1. I~ Final -- After all required .._.J i:~::pections are approved and porches, sl<irting, decks. and I/e~iinu !':.:::vc bc;:m installcd. Lot Type . .' " Setbacks . I.. IS THE PROPOSEO WORK IN THE Interior PL. HSE GAR ACC I. HISTORICAL OISTRICT, OR ON ! THE HISTORICAL REGISTER? Corne r N If yes, this application must be signed Is i and. approved by the Historical Panhandle Iw I Coordinator prior to permit issuance. Cul.de.sac IE I ...".... APPROVED' Lot facos Lot sq. Itg. Lot coverage Topography Total height BUILDING PERMIT "' sa. FT. ITEM Main 2fr~2.. YKSI Garage Carport Total Value Building Permit Fce VALUE 16~s9'};{JI. :> ,TQiS permit is granted on the express condilion that tho said . construction shall, in all respects. conform to the Ordinance h$2'/. Yc adopted by the Cily of Spring'field, including the Development Code, reoulating the construction and use of buildings, and may be suspended or revoked al any time upon violation of any provisions of said ordinances. Plan Checl, Fee: _"'38".c>. 96 b -?c:>-5"3" Receipt Number. 9'~6 7...:....~~- '''',U.,.y ",p~'l'levtewed B /- Oate v Systems Development Charge is due',on all undeveloped properties within the City limits which are being improved. ., "' X $/SO. FT. 5'b. 2p L!t:/~ #766$. ~ ' ( ~.R.6 00 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Date Paid: ::?~. ;;lI6 (f;./5?O SYSTEMS DEVELOPMENT CHARGE (SDC~!, . . (B) fl2.0T1- State Surcharge Total Fee PLUMBING PERMIT ITEM \ (A) FEE Fixtures Residential Bath(s) N' ..c;- Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan (C) /9:i?s;:;, 9.~ ::2"2./~ Dryer Vent Wood Stove/lnse,t(!"Yreolaee U~J.V ~~ h.-e> ~ ~5Z' ./ J?i:- -.::> ,?S"_ 0-0 ~o<'- Mechanical Permit Issu~nce State Surcharge Total Permit .;I~.S-o Mobile Home MISCELLANEOUS PERMITS (D) ~__c> '2.3::r <~P,. A~ State Issuance State Surcharge Sidewalk .6..6- fl CurbCUl _~:z. fl Demolition State Surcharge /'3''90 -Lt/ .So Total Miscellaneous Permits (E) 3..~ 70 ~..zz. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ADDITIONAL COMMENTS S'r /VI ". /J?'l. 7'0 67 'f .I9.ao S-+.s€;11I€AlT: 'S . T~A.LJ 5t--:.zs~~~~ C~/~ ,,_ d\ + \"', \4)'~1l () '~J\OX \:~ \l\\ 6~ l' 11.5\ ~\ nO) ~~,/"'/L5"N' /?#A'rr ~7"" F"",,_? ~~~~~g~fj;,t/.'~. C t;r;~/; ? ~C<-""~. () By signature, I ztate and agree, that I havq carefully e(~1 cd the completed application and do hereby certify that all ~nformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with t~e Ordjnanc~s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein. antI that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify 1I1at only cornractors and employees who are in compliance with ORS 701.055 will be used on this PflJjcct. I further agree to ensure that all 'requlrctJ inspectio.ns arc requested at the proper time. that each address is readable from the street, that,tlle permit card is located at the front or. tile property. and the approved sel of plans will remain on'the s~tjr! times during construct'ion. Signaturj'l~ t.J~~ . . /. Dale 6 - 3 0 - "(3 -- --- VALlDATICN: RECEIPT tWMiJER __Jtt:J;:J<;iC> DATE PAID _t-?/-93 AMOUNT RECEIVED .:so 50.~.2 RECEIV'O~' BY ~~ /~./- , " . . SPRINGFIELD 225 FIPTu STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OPPlCE: 726-3759 1; LOCATION OF INSTALLATION ?2~ ~',~ 7>"'- ~ LEGAL DESCRIPTION ...L8..e>2 -t!:>~ -2 y~ ~/~.." r 7:!,OB DESCRIPTION /;Z::/H7> r--_~ ~ ./?~- . . Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 ~ays. 2... CONTRACTOR INSTALLATION ONLY . Electrical Contractor Address City Phone Supervisor License Number Expiration Date .Constr Contr. Number Expiration Date . Signature of Supervising Electrician 3. ELECTRICAL PERMIT APPLICATION City Job Number Q'3G'9Yy' , COMPLETE FEE SCBEDULE BELOV A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion 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 $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300,00 Reconnect Only $ 40.00 ~~~v , D. -Y-~Name ~~~ ~i'!.:,~ Address ;1 ::Z~7 ~'-L ~ ~< .J . City. ,~~ Phone. ~-/S~ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. OVners Signature: --------------------------------------- . . . DATE: RECEIPT. I: . RECEIVED BY: 9-2/-93 IO.3Y~ /L' J'~ " ". 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 $ 40.00 $ 55.00 $ 80,00 volts see "u" ......--- ~ above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35,00 $ 2,00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40,00 40,00 20,00 36.00 not included) 5. $ $ $ $ 'Itf'. .- -::? ~ y-2-- SUBTOTAL OF ABOVE 5% State Surcharge TOTAL .' / . .JOB NO. ~3D"'L/'-I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: F~F1NJ< j SUSAN PAL-UDOtJ1J& LOCATION: 71... S"2 40LL y S7. / 'l ()"2 0"2- 7-'-1- Io-a DEVELOPMENT TYPE: LvI<. - New 5F-1Z. BUILDING SIZE: I. STORM DRAINAGE -IMPERVIOUS SQ. FT. LOT SIZE~ SQ. Ft. 7--0'-/9, X $0,192 PER SQ. FT. C 3'1"?"2-?) --- --- 2, SANITARY SEWER-CITY NO. OF PFU'S 2'? (See Reverse) X $39.78 PER PFU G"1I'-J9i) ------------ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /,005 X $401.05 X X X $401. 05 ~ ------ $ X $401,05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ f7 (/ '2-3;. 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G<i<55~ --- ---- < /10' ~ TOTAL-CITY SDc;. L.LC'lb 5. SANITARY SEWER-MWMC "2-1- NO, OF PFU'S -z..~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ :,"2.~ - (Use PFU Total From Item 2 Above) ~ ~L.'c.lt- V Kip Burdick SDC Coordinator 7/2./13 .$ 'i2~ TOTAL-MWMC SDC~ TOTAL SDC $ 2-0// <t~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNITCALCULA Tie TABLE: Number of New Fixtures X ueqUivalent = Fixture Units (NOTE: \. For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub... ...................... ........... ....... .......,................... Drinking Fountain.... ............. ....................... ............. Floor Drain.................................................;,..........:..' Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry 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, StaIlJWall........,.........................................'.... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private......................,........................ Miscellaneous: I 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 " ? TOTAL FIXTURE UNITS FIXTURE UNITS -z. -z. 1.- '2- ~ 1"2-- -z..~ Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: jcutate cred:::;:ates. Rate per $1,000 Assessed Value l Rate per $1,000 Assessed Value Year Annexed 1979 or before t980 1981 1!)82 1983 1984 $2.83 2.76 2,71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.t6 ,log {2- Credit for Parcel or Land Only If Applicable Z,f,3 X $ N,n (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL . I., "II = $ ..., t..- Improvement (if after annexation date) - RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential...... ............ ........ ............... ......... ...... 0.4 CommerciaL................................."................ 0.9 Industrial............... .... .......,........... ................ ..... 0.45 Governmental......................... ......................:... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT