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Home My WebLink AboutPermit Sewer Connection Record 1998-09-18SP'l InrGFIELt)RESIDENTIAL PERMIT APPLICATION lnspect 0ffice: lons: 726-3769 726-3759 q(05? rJOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WORK:5q<3 Az,\'T'o JE OA{ ED. ASSESSORS MAP:t g- oL-o :00 TAX LOT 0o So LOT BLOCK:SUBDIVISION t6r r ffilfl6 ". t El)" L,)ovSTATE: LOWNER:(,\LL1 ZIP:q t4 z: ^\ftt tUC. /z> Cq,-t b F(AN(/A(A ((\ HONE: ADDRESSI CITY: NEW - REMODEL ADDITION DEMOLISH OTHER FAl.atL.uu 3t DGJC-t(/^-JDESCRIBE WORK:AJt< ile-a ADDRESS UO EXPIRES 1 PHONE CONTRACTOR'S NAME GENERAL: MECHANICAL: ELECTRICAL: CONSI CONTRACTOR # ----++otituion€enter. Tho60 Nli6 AeBHJodh o tltefr I regon 1 S FOR pted es A]TENTIONLAND USE:uto follow rules* OF UNITS: woR6o*"r*.rvpe: in OAR 952-001-0010 IT IS NOT H 0090. You may obtain copEAT SOURCE:-----cal+ingthreenter. (NffiroQgEPhOFAr: wAT F& HF AT'FFf )Ff; tfl fi ---FIANGE:theunbermfor 1rsr - OFFICE USE - To request an lnspectlon, you must call 726-3769. Th made the same worklng day, lnspections requested n femporary Etectrlc ls ls a 24 hour recordrng. Ail rnspecilons requested before 7:00 a.m. wiil beafter 7:00 a.m. wlll be macle the followlng work day. REQUIRED INSPECTIONS Rough Mechanlcal - prior to cover.Final Plumbing - When altplumbing work ls complete. Rough Electricat - prior to Fina! Electrlcat - When ailelectrical work is complete. cover. f-l frIasonry - Steet tocatton, bond - Deams, groutlng. fl Foundatlon - After forms areerected but prlor to concreteplacement. [-l Underslab plumblng/ Electrical/ - Mechanlca! - prior to cover. Slte lnspectlon - To tre madcafter excavatlon, but prior tosetting forms. Footlng - After trenches areexcavat€d. Floor lnsulation - prlor to ng. rench ry Sewer - prior to fllllng Electrlcal Servlce - Must beapproved to obtaln permanent electrlcal power. Flreplace - prlor to faclngmaterlals and framing lnsp. Framlng - prlor to cover. Wall/Celling lnsutatlon - prlor to l-l ftnal Mechanlcat - When ail - mechanical work is complete. Flnal Building - \Aihen ailrequired lnspectlons have beenapproved and building iscompleted. [l Unaerground plumblnq - prior 'J to fllllng trench l-_l Drywalt - prlor to taplng. Underlloor plumblng/ Mechanlca! - prlor to lnsulaflon or clecking. Post and Beam - prlor to floorlnsulatlon or decklng. cover. Wood Slove - After lnstallailon. i-l fence - Vvhen coi.rrpteted MOBILE HOME INSPE TIONS Plumbing Connectlons _ Whenhome has been connected towater and sewer. fl 1.":lr - After ftreplace approval - ancr tnstallailon of unlt. [-_l Blocking and Ser-Up _ When ail.J blocklng ls compleie. Curbcut & Alrproach - Afterforms are erected but prior toplacement of concrete. Sidewall< & Drivewav - Afterexcavation is complete, formsand sub-base material in place. Eleclrical Connection _ When P]::!,19, ser.up, and ptumbinfrnspections have been approvedand the home is connected tothe servlce panel. Slorm Sewer - prlor to flllingtrench. Water Llne - prlor to fillingtrench. Rough Plumbing - prlor to cover,[-l Streer Trees - When ail requtred - trees are planted. Final - After all requiredtnspectlons are approved andporc.hes, skirting, decks, andventlng have been lnstalled. 1) PLUMBING: [--l orher Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Corner - Panhandle ! - Cul-de-sac Setback P.L.HSE GAR ACC N S E i --rS THE PROPOSED WORK tN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: This pernrit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City ol Springfleld, includlng 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. DatePlans Beviewed By Receipt l.lumbe LAN CHECK MIT E , EDGNP R Plan Check Fee: Date Paid Received By: BU I LDI NG AND BUILVALUE (A) BUILDING PERMIT ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee :tt X $/SQ. FT. Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home lze lo" FEE (c)7ieo o0 2.01 l,l o N' FT FT. PLUMBING PERMIT Plumbing Permit State Surcharoe Total Charge . FT. MECHANICAL PERMIT (o) No Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I lurther certl(y that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Bullding Safety Divislon' I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. I {urther agree to ensure that all requlred lnEp€gtions are requested at the proper tlme, that each address ls readable from tho street, that the permlt card l8 located at the lront of the property, and the approved set ol plans wlll remaln on the site at all times during construction. Slgnature J Date \- l.6-1& {*: MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk --- ft Curbcut _.-_ ft Demolition State Surcharge Total Miscellaneous Perrnits (E) 07r 24q E 7bVALIDATION: RECEIPT NUMBER DATE PAI[) AMOUNT RECEIVF.D BECEIVED BYTOIAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) . - i,. Wood Stove/ lnsert/Flreplace Unit Dryer Vent *,- C'TY OF NGFIELC' following projectas submitted has thezoningand does not require specific land use L b rr-- approval Date Zoning 225 FIFTB STREET spRrNGFrELD, oREGox gzaz?utnorized signature INSPECTION REQUESTz 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 5{ <1 ,.a.I. l/6}z^losJ AP. I,EGAL DESCRIPTIONtA-oz-oL T I Sor JOB DESCRIPTION ADp rTtDF.( Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COTTTRACTOR INSTALLATION ONLY Electrical Con trac tor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ovners N.r;-1r\^"-JAo^E R (-t Cr,'-. OVNER INSTALT.ATION The installation is being made on property I ol,n vhich is not intended for sa1e, Iease or rent. Ovners Signa o DATE: l<-O PBRHIT APPLICATION City Job Number COHPI,ETE FBE SCEEDTILE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular DveIIing Service or Feeder s 8s.00 s 1s.00 s 40.00 B Services or FeedersInstallation, Alterations or Relocation: C D. Branch Circuits Nev, Alteration or Extension Per Pane1 200 amps or less 201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0n1y Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less $ 40.00 201 arnps to 400 amps - S 55.00 over 4b1 to 600 ambs - S 80.00 0ver 600 amps or 1bO0 voT[s see uB" aEi6 3 A Sum s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 Address St 31 ArT, U€.reNod lZD, One rrJircui t cir.v a?Zl(d?E(eLD Phone 1Z(. -6sa3 Each\ Additionar s 3s.oo 50r) Circuit or vith Servicgor Feeder Permit -J_ $ 2.oo 2&) -Each installation Pump or irrigation $Sign/Outline Lighting- SLimited Energy/Res $Limited Energy/Comm S 1 E. Miscellaneous (Service/feeder not included) 5 40 40 20 36 00 00 00 00 L)SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTALRECEIVED B ture: 3to SPS'INGFIELEI NOTICE: THIS PERMIT SHALL EXPIRE IF THE AUTHORIZED UNDER THIS PERMIT rs ruoi COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 225 North Fift.h Street Springfield, OR 97477 IDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMT{I'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 980595 wof$l Office: Inspection Line: 726 -37 59 726 -37 69 LocaEion of Proposed lrlork: 5939 MT. VERNON RD Assessors Map #: 18020300 Lot: Block: Tax Lot #: 00501 Subdivision: O\^rner: MIKE/LINDA EVANS Address: 5939 MT. VERNON ROAD Descri-be Work: LMNG ROOM ADDITION Phone #: 745-4445 city/state/zip: SpRINGFIELD, OREGON 97478 ADDITTON General: Mechanical El-ectrical Cont,ractor TRENDSETTER HOM 0050386 PO BOX 70044 EUGENE OR 974010000 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 L H MORR]S OOO1838 483 SHELLEY ST SPRINGFIELD OR 97477 Const. Contractor #Expires 04/o8/ee t2 /23 / e8 06/oB/e8 Phone 485-0551 7 47 -7 445 7 47 -OBLI' QUAD AREA: SRSC ZONTNG CODE: LDR VN HEAT SOURCE: FE OFFICE USE -- LAND USE: 1111 OCCY GROUP: R3 INSUL PATH: P1 # OF BLDGS: 1 CONSTR. TYPE: SQ FOOTAGE: 261- To request an inspection, cal-l- the 24 hour recording at 726-3759. A11 inspections requested before 7:00 a.m. will be made the same working d.ay, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking. POST A.I{D BEAId - Prior to floor insul_ation or decking. INSULATION - Floor; prior to decking Wa11/Ceiling; prior to cover SIIEAR WALL NAILING - Before covering sheathing with finish materials. ROUGH ELECTRICAL - Prior to cover. FRAIIING - Prior to cover. rNsuLATroN - Floor; prior to decking wa1]/Ceiling; prior to cover DRYWALIJ - Prior to taplng. FINAL MECHAI.IfCAL - When all mechanical- work is complete. FrNAL ELECTRICAL - When all electrical work is complete. FrNAL BUTLDTNG - when al1 requlred inspections have been approved and the building is compleLe. Total Height: 16.5 Solar Approved: Y Item Main Garage Total Value Bui-1ding Permit Fee Surcharge/admin BUILDING PERMTT Square Feet x 261, $/Square Feet 64 .66 (A) Val-ue 16,876.OO 0.00 l-6,876.O0 L22 .50 9. 81 TOTAL FEE r_32 .31 I E SPRINGFIELD ilob Nurnber: 980595 Page 2 --- MECHANTCAL PERMIT --- TNSTALL HEAT DUCT Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) 3.00 15.00 10.00 1.20 26.20 --- MISCELLA.I{EOUS PERMITS Surcharge/admi-n SDC TOTAIJ MISCELLAI{EOUS PERMTTS 0 L27 00 o7 (E)L27.07 (Excluding Elect,rical ) unless otherwise not,ed --- TOTAIJ AITOI'NT DUE --- (A, B, c, D, and E combined)285.58 --- BUILDING VALUE, PLAI{ CHECK AND BUILDING PERMIT --- This permit is granted on Lhe express condi-tion that t.he said construction sha11, in all respects, conform to the Ordinance adopt.ed 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. Pl-an Check Fee t 79.53 Date Paid Received By: Plans Reviewed By: TOM MARX Date Building Site Reviewed By: LISA HOPPER os /1,8 / ee 06/1,1,/e8 Receipt Number: 29891, --- ADDITIONAL COMMENTS ELECTRICAL PERMIT REQUIRED By signature, I staEe and agree, that I have carefully examined the completed application and do hereby certify that al-l- information hereon is true and correct, and I further certify that any and all work performed sha1I be done in accordance with the Ordi-nances of the City of Spri-ngfie1d, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wil-I be made of any st.ructure without permission of the Community Services Divisi-on, Building Safety. 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 Lo ensure t.hat all requj-red inspections are reguested at theproper time, that each address i-s 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 site at al-I Eimes during constructj-on. 6.af,-q8 S j-gnature Date SPRINGFIELE, Job Number: 980595 Page 3 OTTOF --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By olo'/t I ahilrr zrf , : I JoB N0 . 480575 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET LOCATiON 513q Yt VerNosl DEVEI.OPMENT TYPt Aon T, 3 F L BUILDING SIZE CI SIZ X $.16. 86 PER PFU 0. Ft 1 STORM DRAINAGI tle*t p,x Zl t Z{,{= IMPERVIOUS SO FT E -:<5 X $0.225 PER SQ. FT. $ IZI , OL 2 . SAN iIARY SEI{ER -C iTY NO OF PFU'S s*- $ 4= $ c (See Reverse Side) 3. TRANSP0RIA i I0N NO OF UNITS X TRIP RATE X COSI PER TRIP x $472 49 x _ x $472.49 x $472.49 4. SANiTARY ST./'lER.MIAMC X X NO. OF FEU'S I MI^IMC CREDIT IF APPLiCABLE (SEI REVERSE) 5. ADMiNISTRATIVE FEES BASE CHARGT (SUBTOTAL ABOVE) X .05 PER FEU + $10 MtlJMC/ADt.l FEE $ O- $ G,O5 $ TOTAL-MI,-IMC SDC SUBTOTAL (ADD ITEMS 1,2.3 & 4) $ IZI,OZ SDC Coordi nator Date:s- zFqS TOTAL SDC $ I27.O7 NAME OR COMPANY . Yr <e 4 L,^'o^ C'tert< $ I ln I vnL \., lrl I \,ALUtJLA I lUlV I ADLtr: Number ot New Fixtr''es X Unit Equivalent = Fixture Uirits(NOTE: For remodels, calculate.on re NET additional fixtures) NUMBER OF UNIT FTXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UN]TS Bathtub...... Drinking Fountain.... Floor Drarn.................. lnterceprors For GreaseiOil/So1idsiErc................. lnterceptors For Sand/Auto WashiEtc................. Laundry Tub/CIotheswasher.... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer) ................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink, DishwasheriEtc.. Shower, Single Stall... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen.......... illfl ';:il1[ii;;;;: ;i,;i;: Toiiet, Pubiic lnstallation. Toiler, Prrvate....... Misceilaneous: TOTAL FIXTURE UNITS Head 2 1 2 3 o 2 o 6 1 3 a it 2 2 1 6 4 CREDIT CALCULATION TABLE: Based on assessed value calculate credits separates. lf improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per s'l,COO Assessed Value 1979 or bef ore 1 980 1 981 1982 1 983 1 984 1 985 1 986 s3.97 3.89 3,83 3.70.)trtr 3.39 3.20 2.91 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 vz.co 2.17 1.73 1.31 0.92 o.74 0.61 0.45 o.31 o.'l 7 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Onlyl Hesroeniiai... Commerical. lndustrial..... Governmental 0.4 0.9 o5 0.5 lMPERVlous AREA : TorAL Lor slzE x RUNOFF coEFFtctENT