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Home My WebLink AboutPermit Building 1992-10-27 '''~.i ca,,'~' \C\~ tl~- TAX LOT: ()O lo[;1', ! SUBDIVISION\ ~J'l\_\ 0 0_ \~~ OWNER:" & ~~ 1\rtC{; '\'0\ t;('\ ~ PHO~ \) 4~- C\44;-~ 0 ADDRESS'~() ,qf\ \ \YL-CXIDl'(l~ - CITY: ~ f\ 0. STATE:JQ,\\O 0~ ZIP' L{,\L\O I DESCRIBE WORK' ......'Jr:;.. \< Q ~i (\.9..1\0..9 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK' . 6~ ASSESSORS MAP _L90bJ( ~\T - LOT: _--S~ BLOCK' CONST. CONTRACT'S!!'~ NAM[-, , (' ADDRESS t,. CONTRACTOR' GENERA~a~\.C~X:J'rlJ\J<;\~\Th\\ffi'()X \ . 0'L~Lp PLUMBING: (();~~\\-O ~ \j . " , MECHANICA( . ELECTRICAL: ~ "f\ 1. -R S 'c\Jl01( , (' J l' ) f) NEW REMODEL ADDITION '..... QUAD AREA: ~k~ . OF BLDGS: __\ OCCY GROUP:_~31-_~ . OF STORIES: ~. WATER HEATER: ~C:2- DEMOLISH OTHER .- , , i;.: > '~'" I; ~, . - OFFICE USE - II \ \ . OF UNITS' \ CONSTR. TYPE: jLN HEAT S~URCE: ~~ E: . LAND USE: , .. RANG'" JOB NUMBER q a L~il " "" . 225 Fifth Street Springfield, Oregon 97477 ~ . ' ',' ," .': I, I ! i:' , 1-;: " " [, ;:" t'; " ; ., " EXPIRES .A~~~ j \ \ ' \~ C\~ ~tt\T '-t-lil.o , ! [" lL/3 .q~ 81(o[-'fl41. ~ . I" " ,: ~i FLOOD PLAIN: \ ZONING CODE:-'-(')~ · OF BDRMS: -3 f. SECONDARY HEAT: F.y SQUARE FOOTAGE:~....t:) 1-=1:- !;' ;~ 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 ~TempOrary Electric D Site Inspection - To be made after excavation, but prior to setting torms. ~nderslal('PlumblnGl Electrlcall ~Mechanlcal - Prior to cover. K"'A"'Footing - After trenches are l,.6.J excavatod. I I Masonry - Steel location, bond beams, grouting, fiV1'""Foundatlon - After forms are ~ erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Un~erfloor Plumbing/Mechanical _ Prior to Insulation or decking. D Post"and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. . 'fC71' Sanitary Sewer - Prior to filling J.AI trench. ~ 1'C7f Storm Sewer - Prior to filling ~ trench. 1'C7f Water Line - Prior to 1IIIIng 106..! trench. K7f Rough Plumbing - Prior to ~cover. K7T' Rough MechanIcal - P~lor to ~ cover. . ~ Rough Eleclrlcal - Prior to ~ cover. f'V7f Electrical Service - Must be ~approved to obtain permanent electrical power. f'\;/1 Fireplace - Prior to facing ~malerlals and framing Insp. ~ Framing - Prior to co~er. ~ Wail/Ceiling Insulation - Prior to cover. g ?rywafl - Prior to taping. D Wood Stove - After I~stallatlon. D Insert - After fireplace approval and Installation of unit. k8J' Curbcul & Approach - After forms arf;} erected but prior to placement of concrete. f':A' Sidewalk, & Driveway - After ~excavatlon Is complete, forms and sub-base material In place., D Fence ~ Whe.n comPle~~d. ' \. .. "., , . .;,' ' . ,..'.~.;" jg1 Stree(";'il~s - When 'a,i':'req~iied:'" trees are planted. :3 /;y-a:::!i -~. I. I' I:: i, ," i' ~ Final Plumbing - When all ~ plumbing work Is complet,e. . rc;;>(Flnal Electrical - When all ~ electrIcal wor,k IS,complete. I, ;:. .- t. K'AFlnal Mechanical - When all J,6....! mechanical work Is complete. 1. I'v1 I"Inal Bufldlng - When all ~\ required Inspections have beon approved and building Is completed. I. , I' I.. DOther 1. .' , ,. r: MOBILE HOME INSPECTIONS \, Ii ~~ I': i: ,~ ~ " D BIOcklngj~nd Set.Up - When all blocking ts complete. " " '. ;: I L . ..~. . D Plumbing Connections - When home has been connected to wateran9 'sower. I: r ~' \: r " ... . . :.' 1'11:, J~,,,,,, . ' D Electrlcall~ConnectIon - When . bloC?~I~g~s~yup;~af)d(plufl)t?!,ng :'... Inspectlons\have been approved :_ ?- .:and~the}tion,~Hs~coni1ected .to ~. ," !the serJlce\panel;"'.';: , ';",.til,: ';'" "f~tt. .;, ;.:./:~ .. .1~',~r1~IF,lnal~""'tlfAff~~,;.~,lJ~.(~~~.I.r.ed /l'~"d' . _. nspeo ons -are~approved an I . ,.,....: ~~p'orch'es'i'tskiitlr{gt:decl<s. cind' ... ;' '. . .t-, ...J. .' , .ventlng 'have: been. Installed. I. Total height ~~ BUILDING PERMIT \&a\~ 'laC) \ x l!l~' .W, = \D~u~~ \4. \[) B~' it ITEM Main . Garage Carport \ \ ~q<M %9'.00 2'2,E 47''2 :;'5 SYSTEMS DEV,ELOPMENTCHARGE (SDC) ~ ,. , , (B) ~Z-\q"2-'2-:2 Tolal Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT " ITEM Fixtures Residential Balh(s) N' 2, SanItary Sewer FT. Water FT. Storm Sewer FT. '" Mobile Home I Plumbing Permit Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~. FEE 112.50 CJ. " "3 20? I ~ --0..60 45'0 q ,00 Wood StovellnsortlFlreplace UnIt Dryer Vent ~,DO Mechanical Permit 2'/ 50 /DOO 1.13 ~< "'-3 Issuance State Surcharge Total Permit ' (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk JJO J'b . 22.0'0 /2.?O II Curbcut It Demolition State Surcharge Total Miscellaneous Permits' 'J' :~.' 'f . ..-.. t.~,.. "(E): ,," 31. 70 rJCJt:;c: /1 ..:... .'. :'-. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) '.. , -- 'I' C"jl;I;j~,~R<?PC?,~ED~ORK,IN THE, .~' I """'IS, ro,f!I~~ND\S,Tfl!c,T,' PFl:~. N, " THE't;iISTORICALREGISTE 7 t, . : ,'.~" ,J. , ' , . ..,.....~.,,' ~ " . If yes,:thls application must be signed ' ~nd '~pproved by the' H'lstorlcal CoordInator prior to permit issuance. APPROVED: This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City 01 Springfield, Including the Development Code, regulating the construction and use 01 buildings, and may be suspended or revoked at any time upon violation of anh~vlx:lons of said ordinances. Plan Check Fee: ,"'l\),:-\- ~lJ:.f) q' Dale Paid: IT). D' '.O'..l..q!J Receipt Numb '-.J ~ n ) /t'4~A?. /' !?;a(e Systems Development Charge Is due on all undeveloped properties wllhln the City limits which are being Improved. ADDITIONAL COMMENTS ~\"~~Dslrt(J, S.\~ \>>(\ +h \ , -.. \J2\~ fl.P}L frJ t-fh.' I L{ r I S ,-(~9; T : r'l ny (') I I' 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 cerllfy that any and all work performed shall be done In accordance with the Ordlnancus of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrIbed herein, and thai 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 requesled at the proper time, that each address Is readable from the street, that the pormlt card Is located at the front of the property. and the approved set or plans WII~re aln on the site at all timos during constructlt. ~gna'ure~--n-?'~M7?J. 7k~ "lJ< , Date--L/J -,.:;l 7- P 7 ~ VALIDATION: RECEIPT NUMBER bATE PAin 05'77 /0 - 2- 7 - '72- ~ Idq .3r 4~'-L AMOUNT RECEIVED RECEIVED BY . '. .OB NO. "I21".>"'l0. CITY ~F SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 11M i; SA.lo-!D'I' t)o"'lDY LOCATION: rs<o~o C:'L..A.C.lf-~ 0":'. \€>C'2..o'-\\\ - 00<000 DEVELOPMENT TYPE: L.D~ - t-..IE.W SrI?- BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. .LOT SIZE SQ. Ft. . '2.<.,,-+ (P . X $0.192 PER SQ. FT. C-<?Of, o~ --- .--- '.;, , NO. OF PFU'S ~~ lSee Reverse) , X $39.78 PER PFU G91-fqi) ---- .-"' 2. SANITARY SEWER-CIT~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \. ODS X $401.05 X X , X $401.05 (:o~~) $ X $401.05 $ SUBTOTAL lADD ITEMS 1,2, & 3) $ \~~toO~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c;- ~I~ ') -<. ---- TOTAL-CITY SDC $ \'1\'1'72- 5. SANITARY SEWER-MWMC NO. OF PFU'S "7-? x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ "?Z?~ (Use PFU Total From Item 2 Above) 1~'_4~L.k.-- ----(j Kip Burdick SOC Coordinator 10/,,/1'1- $ '-l'iS~ TOTAL-MWMC SDC~I~~ - .--- TOTAL SDC $ -z..\'\'2~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA TI~' TABLE: Number of New Fixtures X u&uivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT z.. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 Bathtub.................................................... .... ....... ....... Drinking Fountain....................... .............................. Floor Drain................................................................ Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub IClotheswasher .... .......................... ..... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator JWater Station/Etc........ Receptor For Commercial Sink/Dishwasher IEtc.. Shower. Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, Commercia!............................................. Urinal, StaIlJWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private.................,..........................,.. Miscellaneous: .d::' ~ ., TOTAL FIXTURE UNITS = FIXTURE UNITS <t "2.. ~ "2.. ~ ,'2-, Z~ Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. I' 1\ Year Annexed Rate per $1,000 Assessed Value Year Annexed 1985 1986 1987 1988 1989 1990 1991 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 '2.71 2.60 2.46 2.33 '-t'b ~~ '2,..'b"? X $ \1,0"1 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Credit for Parcel or Land Only If Applicable = Improvement (if after annexation date) = = $ l' Rate per $1,000 Assessed Value $2.16 1.90 1.60 0.25 0.87 ' 0.50 J' 0.16 --- -- y.~~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential... .............. ...................... ................. 0.4 Commercial...................................................... 0,9 I nd ustrial....... ............:..... ......,........................... 0.45 Governmental. .................................... .............. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT '.' 16 fOlio;.';I;ict.~t,)'jccta,S',r"'i-'t':"".:m-'"'n~'lhnf, ~... . '. - --"'""". ~,. ,"", '-.:.1.'" :mmg. .,~~. d(,."ia~ "let ru-quj~!lJ..~'ifio it/,"I .1. ~.. . nn~IOVElI. "., ., '.' ..' ~:~\-.. .. 225 FIITO STREET " , L f\ ELECTRICAL PERMIT APpLICATION SPRINGFIELD, OREGON 97477 Z6nj,1~_ -urL.,~, n f\\Ilf\\'\ INSPECTION REQUEST: 726-3769 D'!ci~l6-cl8 -'td-. Ci'ty Job Number '-"\rt-.. ~'-'\.V OFFICE: 726-3759 A - - uthorized Signai~o.J):OHe.l.ETE FEE SCREDULE BELOII 1. _ I,.Q.C,A~lQ_ N..JlF I~'Ij~~T1IOON n ) f\...., ',' ... _~1-I~~( ) lJ \{}r ~ ~ / A. New Residential-Single or Multi-Family per dwelling unit. l~o!!m~'ON f'f1..oCD Service Included: '[J J.\m Di5-~PTION ;;514 -S.\- . "'0 f\l dQ.(ll'O .~ \" 0 m ~ 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 B. Electrical Contractor ffi l,(l S f\ ~{\ t; Address 4132.~ - ~lQf O..o.iLo-I ~1"X..O Ci ty SJJ!.I ro -' _ PhoneB11/J:~crJfl 0 superviso~[2icense Number ~/~ /()./-CJa Constr Contr. Number '1 r'A-f\ ~ \ \ ' \?1,q~ Expiration Date Expiration Date ,Signa~e of s~~rvising Electrician IfL-- /1 /_~ --, _. D. Owners Name \\ f\J\ '* _~ "'C\ \...\( ~ Addres~1) \C\f\ \ \'\\rm 0 viJ.f,M 0 City~ 5.'Y'IQ f\O_Phone~4-':C\c{\lp OIlNER INST~LATION- The 'installation is being made on property I own which is not intended for sa~e, lease or rent. Owners Signature: --------------------------------------- /0 - 27 - 9-2-, GS'?7 . ~~ ~,,-y;}. DATE: . RECEIPT II: RECEIVED BY: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd 1I0me or Modular Dwelling Service or Feeder -L 4 00 Li) $ 85.00 $ 15.00 $ 40.00 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 L\-(,) $ 40.00 $ 55.00 $ 80.00 see "BIt above Branch Circuits 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 \~~~ ctr{.5 \Y4~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ., .. ,., ,~ . . , ,