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Home My WebLink AboutPermit Building 1992-08-28^ssESSoRS M^P: --/?- -a3-u.-4 SPrlIN(:FIELc, BLOCK Zfr, <--)( Lor: /7 =oa t-ocnTroN oF PtloPosED worlK: - J Z{8- SUBDIVISION TAX LOT: JOB NUMBER RESIDENTIAL PERMTT APPLICATION lrrspections: 726'3769 Of{ice: 720-3/59 225 Flf th Street Spring field, Oregon 97 477 o PHONE ztPSTATE /, C:a/2 /r Q z<,/ 7 7 7*,.d6 CITY: ADDRESS OWNER: NEW --- REMoDEL X- ADDlrloN \'/ DEMoLISH orHER LDESCRIBE WORI< PLUMBING: MECHANICAL: -_- R#EXPIRES PHONE 7 ELECTRICAL MECONTRACTOR'S GENERAL: _ CONST. CONTR / OF BLDGS: .." OCCY GROUP: - r OF STORIE-S: - WATER HEATER: _ OFFICE USE _ * OF BDRMS: RANGE: QUAD AREA LAND USE: _ / OF UNITS: FLOOD PLAIN: ZONING CODE SECONDARY HEAT SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: 'd5 I To request an inspection, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:O0 a.m. wlll be made the same working day, inspections requestecJ after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS ,K N x x, X X X X. X Temporary Electric Site lnspection - To be made af ter excavation, trut prior to setting fortns. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. Footing - After trenches are excava tecr. Masonry - Ster-.| location, bond bearns, grotrting. Founclaliorr - After forms are erected but l)rlor to concrL.te pl:rcenrerr t. Underground Plumbing - Prior to filling trench. Underl ,(:;Hrt Electricat - Prior to Rough Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prlor to facinO rnaterials and framlng lnsp. Framing - Prior to cover. Wall/Ceiling lnsul:rtion - Prior to oover. Drywall - Prior to taping Wood Stove - After installation. lnsert - After flreplace approval and lnstallatlon of unit. Sidewalk & Driveway - After excavation is complete, fornrs ;rnd sub-base nlaterial in place. f_] Fence - Wlren completed Street Trecs - When all required trecs are planted. [siZ finat Ptumbing - When all/ plumbing worl( is complete. 1-7 Final Electrical - When all /A ulu"trical work is complete. .K Final Mechanical - When all mechanical work is complete. Final Building - When all required lnspections have been approved and building is completed. Other -- - Pric)r to Mechanical or cleckinO.on MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocklng is complete. Plumbing Connections - When home has been connected lo water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, sklrting, clecks, and ventlng have becn installL.d. V Floor lnsulalion - Prior to,,lAl decxing. Posl and Beam - Prior to floor insulation or decking. Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to filling trench. Water Llne - Prior to f llling trench. Rough Pltrnrbing; - Prior lr.r lum X cover. E k4..lqT- tl fl il E Curbcul & Approach - After lorms are erected but prior to l)lacement of concrctc. il Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type. _ - lnterior - Corner -- Panhandle .- Cul-de-sac Set R :rck IS '[IIL t'IIOIJOSED WOFII( IN T}IE - r-rrslontcAl DtsrFttcr, oR oN THE HISTOFIICAL REGISTER? - lf yes, this application must be signed ancj approved bY the Historical Coordinator prior to permit issuance. APPROVED ACC E P.L.HSE N S BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tlris pernrit is granted on the express condition that the said construction sl-rall, in all respects, conform to the Ordinance ac.lopted by the City of Springfield, including the Developntr.'nt Code, regulatirrg the construction and use of builclings, and may bc suspended or revokcd at any time upon violatiolr of any provisions of said otdinances' Pran crrcck Fcc: ., 4/- 5>- v R P By: Rcvicwed Date Paicl Rccr:ipt Nutttbct:.. BUILDING PERMIT VALUE <*>%3e (A) -/za -r77v 7/35 e,5: 4s SQ. FT. X S/SQ. FT.ITEM Main Garage Carport ,4?v) Total Value Building Permit Fee State Surcharge Total Fee Systems Developtnent Chargc is <lue on all undeveloped propcrties within tlre City limits which are being irnprovcd'SYSTEMS D EVELo P* u*r,ul r^ -gHa ADDITIONAL COMMENTS ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBTNG PERMIT N0 FT. FT. FT. (c) FEE30 Plumbing Permit State Surchargc Total Charge -/!: -3/.f,o Wood Stove/ lnsert/Fireplace Unit Dryer Vent o@ Mechanical Permit 7{ (D) 7{ /o aP? lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By signature, I state ancJ agree, that I have caref ully examined the completed application and do hereby cerlify that all informationhereonistrueandcorrect,andlfurthercertify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of tlre State of Oregorr pcrtaining to the work describcd herein, ancl 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 lle used on this prolect. I f urther agree to ensure that all required inspections are requested at tho propcr time, that each address is readable from the street, that tlle permit card is located at lhe f ront of the property, and the approved set of plans will remain bon the site at all tirnes during ) construction ignatu/re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -.---.- {t Curbcut -_.- ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDAIION: RECETPT' NUMBER - 4rA53-- E^2?.-q'> FIECEIVED BY .'--,-- DATE PAID 3z AMOUNT BECEIVED TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 45ry,37 skh' MECHANICAL PERMIT sa.rllN(;FrI:Ll) 225 FIFTE STREEf, SPRINGFIEID, ORBGON 97477 INSPBCTION REQUBST:. 7264769' oPPICE: 726-3759 m 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _0ver 600 amps or 1000 volt t 1. LOCATION OF INSTALI,ATION/24R IJGAL DESCN.IPTION JOB DES(NIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork ls suspended for 180 days. 2. CONTRACTOR TNSTALI.ATION ONLY Electrical Contractor Address ci Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Addcess /Z/A,Z/' -.,-r City A,fm-;> phone 7421-€42. OSNER INSTALI.ATION The installation is being made onproperty I own which is not intendedfor sale, Iease or rent. Ovners Signature: COHPI..BTE PBE SCEEDULE BELOS idential-Single or HuI t i-per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular DveIling Service or Feeder $ 8s.00 $ ls.00 $ 40.00 Services or Feeders Instal-Iation, Alterations or Relocation: A Sum B 00 00 00 00 00 00 50 60 00 30 40. 55 80 $ $ $ss $ $ $1 $1 c Temporary Services or Feeders Installation, Alteration or Reloeation One Circui t Each Addi tional Circui t or wi th Service or Feeder Permi I '2 Miscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/outline Lighring- $ Limi ted Energy/Res - SLimited Energy/Comm $ SUBTOTAL OT ABOVE 5Z State Surcharge TOTAL s300. $ 40. 00 00 00 ee rrBrr above ./ $ 35.00 4<-/ $ z.oo / not included) 40.00 40.00 20.00 .<? ,az. D. Branch Circuits Nev, Alteration or Extension Per Panel E *7 5 DATE: RECETPT RECEIVED t2/. ^ a-=-Z,A-(ft /27oa (r /:1 :t i r77 - 7-= , ''. - * .c 2 JOB NO.aztt bb CITY OF SPRINGFIELD SYST-EI4S DEVELOPMENT CHARGE WORKSHEET (coMt{ERCIAL & RESIDENTIAL) NAME OR COMPANY:o L o 2 .{ LOCAT ION : DEVELOPMENT TYPE:LP Z PI f tox\ BUILDING SIZE: B * II. LOT SI 1. STORM DRAINAGE IMPERVIOUS SQ. FT. SQ. Ft 2 3 \ab x s0.192 PER SQ. FT. SANITARY SEWER-CiTY NO. OF PFU'S -7 X $39.78 PER PFU (See Reverse) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRiP x x x x s401 .05 x $401.05 x $40i .05 s 4. ADMIN IST TiVE F EES BASE CHARGE (SUBT0TAL ABOVE) x '05 $ SUBT0TAL (ADD ITEMS 1,2, & 3)$2zob btbl 3 o4 TOTAL-CITY SDC NO. OF PFU'S (Use PFU Tot al From Item 2 MWMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator $13.62 PER PFU + $10 MhlMC ADMIN Above ) L.MI^,MC SDC FEE z+'s 21b .[u 8 Z 7 TOT TOTAL SDC 5. SANITARY SEWER-MI^,MC $ $ FlxTuRE UNIT CALCULATIoN rAgLE: r.rumUer of New Fixrures X Lrnit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NEJ additional fixtures) FIXTURE ryPE Drinking Fountain. NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS Z Bathtub....... I --T- 2 't 2 3 b 2 6 6 1 3 2 1/Head 2 2 1 b 4 Floor Drain. lntercePtors For Grease/Oil/Solids/Etc......-.-..-"" lntercePtors For Sand/Auto Wash/Etc. Laundry Tub Clotheswasher - 3 Or More.-.- Mobile Home Park Trap (t Per Trailer)""""""""" Receptor For RefrigeratorAVater Station/Etc"""" Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stall Shower, Gang......... Sink, Bar, Commercial Urinal, StallflVall Wash Basin/Lavatory, Single-...-...-. Water Closet, Public lnstallation-. Water Closet, Private......-.. Ir,4iscellaneous: TOTAL FIXTURE UNITS cREDlr cALcuLATloN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits seParates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL = $ Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 .1981 1 982 1983 1 984 $2.83 2.76 2.71 2.60 2.46 a a') 1 985 .t986 1987 1988 1 989 1 990 1991 s2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercial lndustrial..... Governmental-...-.-...... 0.4 0.9 0.45 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I x $---