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Home My WebLink AboutPermit Building 1993-02-05SPFrTNGFIELE' RESIDENTIAL PERMIT APPLICATION lnspections:726'3769 O{fice: 726-3759 LOCATION OF PROPO D ASSESSORS MAP: Zfr, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97477 TAX SUBDIVISION )t^o LOT: - BLOCK PHONE: STATE:dz€ ?2c-oq?7 ZIP:q2y'27d3c>CITY: ADDRESS: OWNER: NEw y' REMoDEL ADDtrtoN DEMoLISH orHER DESCRIBE WORK: MECHANICAL: EXPIRESADDRESSCONTRACTOR'S NAME G EN ERAL:a)a aS ,?4 726 2J >i*tz z "./?o. PHONE ELECTRICAL CONST. CONTRACTOR # =ot U * OF BDRMS: t\ 4- _ OFFICE USE - RANGE: * OF UNITS: LAND USE: OCCY GROUP ZONING CODE: FLOOD PLAIN WATER HEATER: # OF STORIES: c OF BLDGS: OUAD AREA: SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPEr HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a'm' will be macle the same working day, inspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS fl TemporarY Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made ugh Electrical -or to al Electrical - When all af ter excavation, but Pri to cover.C0-electrical settin form q g Electrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical -en all U mechanical work is comPlete.cal - Prior to Footing - After trenches are excavated. al Building - When all Fireplace - Prior to facing materials and framing lnsP. required inspections have been approved a completed. nd building is Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement. Wall/Ceiling tnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Pnor to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After firePlace aPProval and installation of unit. Blocking and Set'UP - When all blocking is complete. Floor lnsulation - Prior to decki ng.rbcut&Approach-After nls are erected but Prior to Plumbing Connections - When home has been connected tc water and sewer. 'sdnitary Sewer - Prior to filling trench. placement of concrete' lectrical Connection - When Sewer - Prior to filling Sidewalk & DrivewaY - After excavation is comPlete, forms ancj sub-base material in Place. blocking, set-up, and Plumbing inspections have been aPProved and the home is connected to the service panel.trench er Line - Prior to filling trench inal - After all required Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. inspections are approved and porches, skirting, decks, and venting have been installed. ectrical/ D;-etJt /, E'4/?, rAQSQ_ r Fence - When comPleted. r r [--l Drywall - Prior to taoing' tlr F @ E il Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac t bac ks HE PROPOSED WORK IN THE HlEroRrcat DrsrRtcl oR oN THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E (taoLl t (q 13trt u3(A) Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage X $iSO. FT. : VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Spring{ield, 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. Plan Chcck Fee: --- DatePlans Reviewed By Date Paid Rcceipt Numbcr: Received By SYSTEMS DEVELOPMENT CHARGE (SDC) "(B) #-o'rr9ffi Systems Development Charge is due on all undeveloped properties witlrin the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE 15l]{? (c), N0 FT. FT. FT. I PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADD IONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I statc and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described lrerein, and 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 be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom 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 all tirnes during construction. \nnur,.r€A* /r*t Date -1 * MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk ZO tt curbcut % fi Demolitlon State Surcharge Total Miscellaneous Permits (E) /O5 QC 5.?5 /v po dc,a TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D and E Combined) ?ry3.2?2 / <?.3, 2-q-"3DATE PAID AMOUNT RECEIVED - RECEIVED BY - VALIDATION: RECEIPT NUMBER t2- oD SPR!?'lGFIELD Zfr, R SUBDIVISION TAX LOT: JOB NUMBER LOCATION OF PRO ASSESSOFIS MAP: RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 O(fice: 726-3759 LOT - BLOCK 225 Fitth Street Springf ield, Oregon 97477 _:1 11t,l loNE: zlP'. __STATE:1 OWNER: -- ADDRESS CITY: DEMOLISH O-THEFI DESCRIBE WOR NEW -.--.-- REMODEL ADDITION EXPIFIES PI-IONEADDRESS I1Z ELECTRICAL: CONTRACTOB'S NAME MECHANICAL PLUMBING: G EN ERAL: CONSI. CONTRACTOR / # OF UNITS: ---CONSTR. TYPE: - HEAT SOURCE: -_ ... RANGE; SECONDARY HEAI: WATER HEATER:SOUARE FOOTAGE: QUAD AREA: , OF BLDGS: LAND USE: OFFICE USE._\\=l) OCCY GROUP: C OF STORIES: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:OO 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 Rough Mechanical - Prior to cover.t:]Final Plumbing - When all lrlumbing work is corrrplete. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Unclergrounrl Plumbing - Prior to filling trench. Underlloor Plumbing / Mecharrical - Prior to lnsulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to f illing trench. er Line - Prior to filling trench Rough Electrical - Prior lo COVCT, Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Frarnirrg - Prior to covcr, WalllCeiling lnsulation - Prior tcr cover, Drywall - Prior to tapirrg Wood Stovo - Aftcr inst;rll;rtion lnsert - Af tcr ilreplacc ;rgrlrrrtval and installation of unit. Curbcut & Approach - Af ter for[rs are erected but prior to placemenl of concrele. Sidewalk & Driveway - Af ter excavation is complete, folrns and sub-base material in placc. Fence - When completed Slreet Trees - When all requirecl trees are planted. Final Eleclrical - When all electrical work is corrtplete. Final Mechanical - When all rnechanical work is complete. Final Building - Wlren all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking arrd Set.Up - Wtrcn all blocking is cornpletr:. l:l Plumbing Connections - When home has been connected to water and sewer. Eleclrical Connection - When blticking, set-up, and plumbing; inspections have bccn approvert and the home is connectecJ tcr the service panel. Final - After all required inspections are approved and porches, skirting, decks, and vcnting havc been installed. Rough Plumbirrg - Prior to cover. L_t FLOOD PLAIN:,o,;;";;;,I08_ # OF BDRMS: -- SLqL tf fl E E E tl E r Storm Sewer - Prior to filling trench.r Lol faccs Lot sq. ftq. Lot coverage TopograPlrY Total height Lcrl lylre *.- - lrt tct iol Cornt-'r - P;rnltirrrdlc -,.- Cul-cle-sac Sctb PL.I.ISE G ACC N IS -)ROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? .-- lf yes, this application must be signed ancl aPProved bY the Historical Coordinator prior to permit issuance' APPROVED q_ F. BUILDTNG VALUE, PLAN CHECK AND BUILDTNG PERMIT This permit is granted on the express condition that the saicj construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Cocle, regulating the construction and use of buildings, and may be suspended or revoked at any tirne upon violation of any provisions of said ordinances' DatePlans Reviewed By Plan Check Fee Date Paid Receipt Number:, Received BY BUILDING PERMIT VALUE (A) SO. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Builcling Pernrit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS Fixtures Residential Bath(s) Sanitary Sewer Water 'Storm Sewer Mobile Home J- AD-'D trEE o0 FT. (c) PLUMBING PERMIT ITEM Plumblng Perrrtlt State Surcharge Total Charge OD Wood Stove/ lnsert/ Fi replace Unit Dryer Vent MECHANICAL PERMIT Mechanical Pcrmit (D) I ssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan No 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 f urther certify that any and all 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 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 proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain site at all times during construction Date :5 on the Signatu Moblle Home State lssuance State Surcharge Sidewalk -.--- ft Curbcut --=- ft Demolition State Surcharoe MISCELLANEOUS PERMITS Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, f), ancl E Cornbinecl) VALI DATION FIECEIPT NUM DATE PAID AMOUNT RdCE RECEIVED R N:__ _ ,_, a,aa sr.t ilN(il: lELt) I T.% 225 IIFTII STRI|IiT DESCRI Pcrnrits are n i f vork is no ransf er e exp ed vl thin 180 days SPIUNGFIELD, 0Rt':GoN 97477 INSPP.CTION REQUIIST: 726-3769 onrrcn, 7?.6-37si ?=1-t: Lg?-City Job Number q3 W K ELBCTRICAL PSNHIT APPLICATION COHPLETB FEB SCIIEDULE BBLOV Nev Residential-Single or HuIti-FamiIy Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portlon thereo f Each Manuf 'd llome or Modular Dvelling Service or Feeder $ 85.00 $ 1s.00 $ 40.00 A DE Sum t start of isstrance or if vork is suspended for 180 days. 2. CONITArTOR IN:;TALI.ATION ONLY D. Services or Feeders Installatlon, Alterations or Relocation: 200 amps or less 201 anrps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/voIts - Reconnect 0nIY c 200 amps or less 201 amps to /r00 amps - 0ver 401 to 600 amps _ Over 600 amps or 1000 volts cr- Iilcr: trical Con t rac tot'S7-2b..* Z cz /rddr:css Ci ty Plrone SW4soo Supervi.sor License Number 7y';=s Expiration Date /o ?.< constr contr. Number 63 3 Jo ,<. Expiration Date /o Signature of Supcrvising Blectrician L). r&to'-n- 0vners Name Arld rcss citvS[v.LrL Phone Temporary Services or Feeders Insiallatlon, Alteration or Relocation s $ $ $ $ $ $ $ $ $ s 50 00 00 00 00 00 00 60. 100. 130. 300. 40. 40.00 55.00 80.00 ee trBil affi D.Branch Clrcui ts Nev, Alteratlon or Extenslon Per Panel One Ci rcui t s 35.00 Each Addi t ional Circuit or vith Service or Feeder Permi tffio*I s z.oo _e The installation is being made on property f ovn vhich is not intended for sale, Iease or rent. 0vncrs Signaturc: DATE: RECEIPT E. l'liscellaneous (Service/feeder not included) -Each installation Prrmp or irrigation Sign/0utIine Light ing- Limi ted Energy/Res SI'BTOTAL OP ABOVE 5f State Surcharge TOTAL s 40.00 $ 40.00 s 20.00 s 36.00 5 I(Ii(:t.]IVI]D IIY: -5- q) 1. t' CITY OF SPRINGFIELD IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP We, the undersigned property owners, request permission to connect the followjng described property to the san'itary sewer owned and mainta'ined by the City of Springfield. We therefore agree to pay a charge of $0.17 per square foot of the benefiting future assessment property for the first 150 feet of depth as a deposit against s for sanitary sewer.r +3Tax Lot No. 17 02 31 42 05600 Property Description: C ITY F SPRINGFIELDr A port'ion of Lots 6, 9 and 10, Block 3, D0UGLAS GARDENS, as platted and recordedi.n Book 4, Page 73, Lane County Plat Records, in the City of Springfield, described as follows: Beginning at a point in the center of Oregon Avenue North 89'49'30" West 293.05feet from the point of intersectjon of the center line of sajd South 37th Streetwith the center ljne of 0regon Avenue in the PLAT 0F D0UGLAS GARDENS ADDITIoN T0SPRINGFIELD,1.1.. county,Oregon, Township 17 south, Range 2 West of theWillamette Merid'ian, as said Plat js recorded in Book 4, Pale 73, Lane County0regon Plat Records; thence North O'05'30" East 147.29 feet td the True pojnt oi P.glln!!9i from sa'id beginning point run North 0'05'30u East 80 feet ; thenceSouth 89'49'30" East 87 feet; thence South 0'05'30" l,lest 80 feet; thence North89'49'30" west 87 feet to the place of Beg'inning, in Lane county,Oregon ^ Thjs agreement does not include the cost of a house connectjon to said CitySewer, sewer user charges, connection fees, plumbing permits or other such costito be assumed by the property owner. . The .applicant^ agrees to waive all right to remonstrate against an iTp.:y:r:l! f-loi:.t for sanitary sewer to be auiv intiated uv *re ciiv Cor*ii,but not tfg right to protest the amount or manner of spread-ing the issessmentthereof, jf the same^shall.appear to Appl icanf to bLar-i..qritiuir-r;-;;f;i;i'yupon said property of Appl.icant. NOt'l THEREF.0RE,. tlq. Ci_ty agrees that if Appi icant compl jes wjth the termsof thjs agreement and wjth ali oiher applicable'l'aws of the State of oregon,-i;;;County, and the City, the sajd Appiicant shall be .niiii.A-to connect theexjstjng residence to the public iewer systems. The covenants herejn contained shall run with the land herein described,and shall be binding upon. the heirs, executJrs, ass'igns, aOministrators,-;;asuccessors of the parties hereto, and shall be constru-ea io be a benefjt inJ iburden upon the prop.erty herein d'escrjbed. itir.g..ement shall be recorded jnthe Lane County Deed Records. 1^,WHEREF0RE, the.pg_tjes have set thejr hand and seal this 5/E day offebrcar.l _, ygk. - Recej pt No. Address APPL ICANT Ve *ofuaBy before m D ctor of Pub ic Works STATE OF OREGON Ruth M. Kegley , rc73, there personaliy appeared Notar'v Pub jc for 0regon Hy Commiss'ion expires 6 lg -?S le e.-L ) )SS COUNTY OF LANE )0n th'i s 5 day of v(e and signed the a edo t Finance Department Information:Trunk Sewer Lateral Sewer s 87'x $0.77/sf= . 183.20 80'x CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD, OREGON <# JoB No. clboolS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (CoMMERCIAL & RESIDENTIAL) NAME OR COMPANY:t/eB Yt- 4 Kur*,G f LOCA TI0N: 3b g o Z 7 -D tzO DEVELOPMENT TYPE:LDR - New l.Aa,.tuc*' TttrED OHve C*PA,ea Cc*t.e BUILDING SIZE:I 20it2- 7 g T SIZ I. STORM DRAINAGE IMPERVIOUS SQ. FT.l9 oo x $0.192 PER SQ. FT SANITARY SEWER-CITY NO. OF PFU'S X $39.78 PER PFU (See Reverse) TRANSPORTATION NO OF UNiTS X TRIP RATE X COST PER TRIP X /.M5 X $401 .05 X x $40r.05 4o-r SQ. Ft 2 3 $ $ 4 X x $401.05 SUBToTAL (ADD ITTMS 1,2, & 3)s i4u419 ADMINISTRATiVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 TOTAL-CITY SDC $ t 5?-1 q7 5. SANITARY SEWER-MWMC N0.0F PFU'S x $13.62 PER PFU + $10 Ml.lMC ADMIN. FEE $7 t 5t'9 (Use PFU Total From Item 2 Above) MI^,MC CREDIT IF APPLICABLE (SEE REVERSE)Zo 43 ,-/.-TOTAL-MWMC SDC TOTAL SDCKp Burdick 3 tr3!'1tt, zb+12 SDC Coordinator s t11z bt? FIXTURE UNIT CALCUIATI-I TABLE: ttumber of New Fixtures X L * lquivalent = Fixture Units (NOTE For remodels, calculate only the NE additional fixtures) NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITSFIXTURE TYPE Bathtub....... Drinking Fountain...... Floor Drain. I nterceptors For Grease/Oil/Solids/Etc.-............... lnterceptors For Sand/Auto Wash/Etc..-----...-..-.... Laundry Clotheswasher - 3 Or More.................,i-................. Mobile Home Park Trap (1 Per Trailer).-.....-.--....... Receptor For RefrigeratorAVater Station/Etc.. -..... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall............. Shower, Gang........... Sink, Bar, Commercial Urinal, Stall/YVall....ZWash Basin fLavatory, Single... Water Closet, Public lnstallation... Water Closet, Private.........L Miscellaneous: TOTAL FIXTURE UNITS cREDlr CALCUIATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits zo 42 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 o 4 l- z (- g /Head g Credit for Parcel or l-and Only lf Applicable lmprovement (if after annexation date) 7.b7 x$1270 (Rate X Assessed Value)x$ Residential.. Commercial................... lndustrial..... G overnmental............... - (Rate X Assessed Value) CREDIT TOTAL =$76 RUNOFF COEFFICIENTS FOR STORM DRAINAGE 0.4 0.9 0.45 0.5 43 Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 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 0.16 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ..72 i CITY OF SPR"VGFIELD, OREGO'U SPr --r.lGFlELD DEVELOPMENT SERVICES PUBLIC WORKS M ETROPOLITAN WASTEWATER M AN AGEM E NT MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-375s that vith the approval of the attach manufactured homes viIl be placed at Springfield, Oregon, City Job Number ed on t ing >4 Type I Manufactured Home. oor that has a nominal roof pit vidth, that has no bare met certified by the manufactur meeting performance standar equivalent to the performan dvellings constructed under A multi-sectional (double vide or vider) area of not Iess than 1,000 square feet, ch of 3 feet in height for each 12 feet inaI siding or roofing, and that has beener to have an exterior thermal enve)-ope ds vhich reduce heat loss to levels ce standards required of single family the State Specialty Codes. Type II Manufactured Home. A unit of not less than l-2 feet in vidth ffiEloor area of not l-ess than 500 square feet, that has a nominaL roof pitch of 2 feet in height for each 12 feet in width andthat has no bare metal siding or roofing. I further state, by my signature belov, that I have been provided vith thefolloving information : - Manufactured Home blocking - Sanitary sever connection - Uater line connection - Electrical conneetion - Street tree standards Minimum requirements for permanent steps I also understand that if I am installing a Type f Manufactured Home, the homeshall be enclosed at the perimeter vith stone, brick or other masonry materials,and vith no more than 12 inches of the enclosing material exposed above grade. 2-5-/3gnaureDa te ,fufuilna,,-/6/