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HomeMy WebLinkAboutPermit Building 1994-12-5 LOCA;ION OF PROPOSED WORK', 0.9?, ~ '/1 L;A-.c/ ~ ASSESSORS MAP' "I Rn ~ nri- .Q.,~ c, RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOT: ~ . l... . JOB NUMBER t7~c)~?~ BLOCI<' 225 Fifth Street Springfield, Oregon 97477 7'JA .',' - C )S~J..[X) <Lf~~~/77S/~ TAX LOl' SUBDIVISION: 7 ~/?7?9" /ULlVZ:>S<-- /~~L~/DO~ PHON!" "7 $1";> -6 YS-=? ' /;3YV C"L~~;";'/f..>>'/ _'j'~' 1'M?Jlt~ 1S~.I"1-~J ~~LZ>__ STATE:~~~ZIP: 4?~B- , - /' :':E --~" _ ..-=;;. ,,,?:', ~ =- .:::;' - -.... - OWNER' ADDRESS' CITY' DESCRIBE WORK: 6,v?,/.,.z1.tt->~ ,?'- NEW.( REMODEL ADDITION CONTRACTOR'S N~E GENERA" ~~~~ .. PLUMBING: MECHANICAl' ELECTRICA! . '" .., QUAD AREA' ~~ . OF BLDGS: -, OCCY GRoup:K~"\ N\ . OF STORIES:' ' A f'f WATER HEATER: DEMOLISH OTHER \ ADDRESS' CONST. CONTRACTOR . PHONE I'V"I'Rough Eh.ctrlcal ...... Prior'to ..I::::::::.J.cover. .. , . I'V't Electrlca' Service - Must be IAJ approved to obtaIn PCtrmanent electrIcal power. ;, ~:..~ o Fireplace - prior to facing materials and framing Insp. ~ Fra;"lng - Prior to cover. ~all/Celllng Insulation - Prior to ~ cover. , ~DryWall....... Prior to taping. o WoodStoVG - After Installation. o Inaert - After fireplace approval and Installation of unit, ,) ~Curbcut & Approach - After ~forms are erected but prior to placement of concret,e. ' - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS' ','}) CONSTR. TYPE: l/. HEAT SOURCE: G{:;cc::;r. Ci:fZ ~ --RANGE: f' .../ EXPIRES FLOOD PLAIN: l r\ I'd.-- ZONING CODE: A J · OF BDRMS' ~ SECONDARY HEAT: ~p SQUAREFQOTAGE: ~\81 ...... .- ',-, request an Inspection. you must call 126-3769, This Is a'24 hour recordll;g, All Inspections requested before 7:00 a.m. will be I rriade the aame working day. lnapactlons requeated after' 7:00 a,m. will be made the following work day. ,rI REQUIRED INSPECTIONS IC7f R~ugh Mech~nl~al ....: Prior to ~ cove~ . ~emporary Electric r<::7r'Slte Inspecllon - To be made ,JOJ after excavation. but prior to aettlng forma. ~ t!> ~t. S; o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. I"=VI"Footlng - After trenches are ~xeavated. .. o Masonry - Steel location. bond ,beams, grouting, 1"<;7( Foundetlon - Atter forma are ~erected'but prior to.concrete placement. o Underground Plumbing - Prior to filling trench, -r:::;;;r Underlloor. ~/Mechani~ ~ Prior to rnSUl8t10n o'r deCKing. ~ Post and Beam - Prior to floor ~ Insulation or decking. rv;( Floor Insulailon -' Prior to ~ decking. I'\7l'Sanltary Sewer - Prior to IIl1ing ~ trench, rc:::t Storm Sewer - Prior to filling ~ trench. ' 1'1:71 Water Line - Prior to tilling ~ trench, ~ Rough Plumblng'- Prior to t..J.4...! cover. I"V( Sidewalk & Driveway - After )<'="-excavatlon Is complete, forms and'sub-base'materlalln place. o F~n~e,'- When co.~pleted. .' .' @ Street Trees - When all required trees are planted. , r... -. . I's?('Flnal Plumbing - When all ~Plumblng Work Is complet,e. ~ Final EI~ctrlcal - When all ~ electrical work Is complete. "f;7I' Flnat Mechanical - When all ~ mechanical work Is complete. ~Flnal BUilding - When all ~ required Inspections have been approved and building is completed. D'Olher 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 aervlce panel, o Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. ,. - Lot faces ~ . ,.~' . .~t~P.. Interior Lot sq, fig. Lot coverage TOPOgraPhY~ Total helg( ,tff1 Corner Panhandle f Cul.de,sac ~ ITEM Main , Garage Carport Total Value Building Permit Fee Slale Surcharge Total Fee 27 ~+I(,'3 (A) . .:.~ ':1 ....~. ,~ " :.': ".!,..,;::t.,~ ~:.'.:' '.~:'.'~eJ:'~:. IP.L, IN Is' Iw IE Setbacks ' HSE GAR tz.. 5 "2--'7 BVILDING PERMIT ~'~;;c: ~~2- ~1 _d-3.g-. 5:Y1.1> (B) SYSTEMS DEVELOPMENT CHARGE (SDC) 12JJt:.. 'Ie. PLUMBING PERMIT ITEM Fixtures Residenllal Bath(s) N' -;z. Sanitary Sewer FT, Water FT, Storm Sewer FT. Mobile Home 1--, Plumbing Permit State Surcharge Total Charge e~f-4~ (C) MECHANICAL PERMIT Furnace Exhauat Hood Vent Fan N' :z.. Wood Stove/lnaert[FT",~lace '.lnIP" Dryer Vent Mechanical Permit Issuance /,73 r /.0.1 State Surcharge TOlal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ fI 3-1- fI Curbcul Demoilllon State Surcharge ~ A!i!'P/6:J Tolal Mlsceilaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) /2.~(,SIO , -~,- ~ FEE -L?~CO J7~,SO , ~8'0 4..9D , C::. ,~ .L5 tH' ~ ,(1"0 ~,?O ,/to. 0fD 2..77 ~727 :2.2 ,90 /5/0 ~1:$"8>' 4:.7Z.!6. ,3t;>/'O.?'<' : ACC I I I .S THE PROPOSED WORK IN THE, ' ""HISTOI;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. . APPROVE,.,' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condillon lhat the aald construcllon shail; In all respects, conform to the Ordinance ad.opted by ,the City ,of Springfield. including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. -:z _-/, .!;f, / ~.~ Plan Check Fee: d. "" ~ ~ ~ Date Paid: ,Receipt Number' Received ~ ,~~ Plans ,Reviewed By /~~h / Date) Systems Development Charge is due on ail undeveloped properties within the City i1mlts Which are being Improved, ADDITIONAL COMMENTS \~\ , \'-U\\N:1~G:c\~ ~~\,:~,q{d)~ , t 9\r\f\9.X:.1\'\ ~: \~ l n(') ~ ~f)lOA~- . , U 'In Vl'.. 'bJ l6(,11i11()1V d^'~~ LJt;!J;f . By slgnature,l,stale and agree, that I have carefully examined the completed application and do hereby certify that ali Information hereon is true and correct, and I further certify that any and ali work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wlil be made of any structure without permission of the Buliding Safety Dlvlsl,?n. I further certify that only contractors and employees who are In compliance with ORS 701,055 wili be used on this project. r ! I further agree to ensure that all required Inspections are requested at the proper time; that each addresa Is readable from the street, that the permit card Is located at the front of the property, and the approved set 01 plans will remain on the site at ali tlmea during construction. ~ature o"qh~,r;;;~~~ ~,L---" '(/~' Date .I ;;J/o{'/o, 1/ r VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY, /5&&']' , ..o'~). L:( i'J14J :Iifn.,3S1 ' ~~" -, - \.- \' ..J ~ ~ . ~~F~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN_IlARGE WORKSHEET (COMMERCIAL ~ RESIDENTIAL) ~ NAME OR COI1PANY: LOCATION: tP'1Z3 v;~ f ~ -q~L/7 G~ d. \. DEVELOPMENT TYPE: c,pL) BUILDING SIZE: ,lOT SiZE SQ. Ft. l. STORM DRAINAG~ IMPERVIOUS SQ. FT. fo11s0 , X 50.203 PER SQ. FT. (}21.0 2. SANITARY SEWER-CITY, lW. OF PFU'S ;"i X 542.0B PER PFU ~S7'.#) ~- (See Reverse) 3. TRANSPORTATlOll, NO OF UNITS X TRIP RATE X COST PER TRIP / X /,0/ X $424.31 0.2J'.5'~ <..... ..-/ X X $424.31 S X X 5424,31 s 4. SANITARY SEWER-t1WI1C, NO. OF PFU'S /f' x 515.125 PER PFU + 510 MWMC ADM FEE S 7-'82.25- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S 10,19 TOTAL-MWMC SDC,~ .----" '-- ./" SUBTOTAL (ADD ITEMS 1,2,3 ,. 4) S :z. 2~S",.,r -...----- "5: ADMINISTRATIVE FEES, , \, GE <J[jYT . ABOVE) X .05 (Iv' -:f-/s--7fZ . i: ~ C Coordin all,,2:-> ........... ../' ~" , TOTAL SDC s...s:3.;~.r::' 2.> 311.7 J " .' . ,fr~TURE UNIT.CALCU.~ON TABLE: 1~1I11\~'t'r (11 New l'i,ll1/('s X L1n;; [qlliV:i1t'1l1 ~ Fi,'.Jle Unlls('-:VI<:: For (cm~t'ls. c.l'cul~le only Ihe ~fl;l(1n:i1 '''l'''l''.) . ' l~l'l,lGEn OF L':':Il" f1XTl,lRE FIXTURE n'pE NEW F1X1UI1ES EOl'l\'i,L1:IH UNI IS " 2. Balhtub......................,......"""..,.., ",.."...."..' Drinking Fount3in,.,.........."..,..,..., ..,....,........,.."...." Floor Drain......................,...., '..0...""'........'.. ...........', Interceptors For Greasc/Oil/Sollds/EIC................. Interceptors For Sand/Auto Wash/Etc,................. Laundry Tub/Ootheswasher.........,.....,... ....,.....,..... Ootheswa~her . 3 Or More..................................... MoLlile Hdme Park Trap (1 Per Trailer)................., Recep!or F9r Refrigerator {Water Slation/Elc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single.StaIL....,............,.............,.............. Shower, Gang...........................................,........:..... Sink, Bar, Commercial..................,...............,.......... . Urinal, Stall/Wall....................................................... Wash Basinflavatory. Single.................................. Water Oose!, Public Installation...............,............. Water Ooset. Prr..ate........,.......,............."..,......,...,. Miscellaneous: ~ ., :z. 3 G 2 G G 1 3 2 I/Head 2 2 1 6 '2. I :z. 2. 'Z" '2. ~ '1 TOT;',l FIXTU?E UNITS = /'i CREDIT CALCULATION TABLE: rCUlate cred~s ~~:~S. Based on assessed value, If improvements occurred after annexation date in table. Rate per $1.000 Assesse-j Value Year Mnexed Rate per $1.000 Assessed Value II II 1979 or before 1980 1981 1982 1983 1984 '1985 $3,21 3.13 3.08 2.!f5 2,82 2,63 2.51 1986 1987 1988 1989 1990 1991 1992 S 2,24 1.93 1.57 1.18 ,_-_-_..J:?a _~ Improvement Cd after annexation date) ~..2/ 'X $ .2/,9~o (Rale X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = 10.47 ~ 1tJ.n .. Credh for Parcel or land Only If Applicable = = $ " RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid ent iaL..... ...................................,..:......... 0.4 CommerciaL................................................... 0.9 Ind uslrial........,...............,......., ...... ..,...........,..... 0,45 GovernmentaL..................,............................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT " . . o y!i!I.1!,I!!!!~!!~ Job No. Cttl:PH2.. SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME \&xYl t' ~ 11\~! ~ \n'~ ~QNE f\'\f\ lcA'i:13 ADDRESS: \~l\.4 ~~~ la\-VQ X ~ STATE:~IP ~ LOCATION OF ~ROPOSED ~UllRW.G SITE: C \ ' . Street Address if Known: l rfJ..<I:1J \.":'1_ ~ ()_ ,?_, Platt Name: IDD{'~nO<\\rth~ax Lot Number: \p{')9..illEr3 (y5:H') \~ .~ - 1. DEVELOPMENT TYPE (Check appropriate dwellingCsl. SDC Calculations and dwelling type definitions are on the back,) A. Single Familv - Detached \ Single Family home I NO OF UNITS Manufactured home not in a park .II T'!\ c() X $400 PER UNIT ~, $ \\.)0, , B. Single Familv - Attached NO OF UNITS X $370 PER UNIT = , $ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $4CO~ $ (2f $4ro~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for CreditJ ~' /2... I_S IY/ Date Community Services "Ji,sion City of Springfield I," . . The, foilo'Ning prcjec1 es sllbmlttad has tho foil zOillllg, and doeo not roqulrEl r.peciflc land u"'e approvel. ., 225 FIFTII STREET L-p/J SPRINGFIELD, OREGON 97477 Zoninil IC,./, INSPECTION REQUE'ST: 726-Oli1roJl-11 - Lq /'t'-t OFFICE: 726-3759 I Authorized Slgnalure City Job Number ELECTRICAL PERMIT APPLICATION q4D30~ ~ r.OMPI~TE FEE SCHEDULE BELOV 1. t~lj/~ ~~!.ro e A. \ytfjfL~N O~-=ro P.~: ;:!:",:'~:l::~~ if vork is not started vithin 180 days of issuance or if,vork is suspenaed for 180 days. 2.-' CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician . , - - Ovners Name \lO rY1.1' \ , Address t?-.44 (\ ~ \. Ci ty~r1. Phone t\l.[~ OVNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. . ~wners Signature: ~ /. ~ tt'-.-r- ~-~-7'---tT-7JfD'T't?t-------- DATE: 'L-, ''11~. ,{/\ RECEIPT 1I: (; I \~ RECEIVED BY: ~(jl(). / ,- Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder S 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 Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Nev, 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 vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less \ $ 40.00, 1[}W 201 amps to 400 amps S 55.00' " Over 401 to 600 amps S 80.00 Over 600 amps or 1000 volts see "B" above $ 35.00 S 2.00 no t included) S $ $ $ 36.00 40 .ex? r-f/.l!,U ~~ 40.00 40.00 20.00