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Home My WebLink AboutPermit Building 1995-06-12SPRI}rGFIELc, RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PRO ED WOBK: ASSESSOBS MAP: LOT: on JOB NUMBER q 225 Fifth Street Sprlngf leld, Oregon 97477 TAX LOT: SUBDIVISION:1ao3BLOCK: PHONE: ZIP: I ORSTATE:4p {6FtA-)CITY: ADDRESS: OWNEB: OESCRIBE WOFIK:€*<-ru NEw / REMoDEL ADDITION DEMOLISH OTHER cocoNAMEADDFIESS PIRES PHONE t1 7n - z)b c,3 N N SI. TBACTOB f tl 1t'r/ tl ,// /1 .? CONTFIACTOR PLUMBING: GENERAL: MECHANICAL: ELECTRICAL: €,FIANGE: OCCY GROUP: FLOOD PLAIN ZONING CODE: r OF BDBMS: -o LAND USE: WATER HEATER: I OF STORIES: E OF UNITS: OUAD AREA: I OF BLDGST SECONDARY HEAT: SOUABE FOOTAGE; CONSTR. TYPE: HEAT SOUFICE: To request an rnspecilon, you must cail 726.3769, Thrs rs a24hourmade the Same worklng day, lnspectlons requested after 7;00 a.m. recordrng. Ail rnspecilons requested before 7:00 a.m. wilr bewlll be made lhe followlng work day, REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - prlor tocover. Slte lns pectlon - To be made Rough Electrlcat - prlor tocover. Flnal Plumbing - When ailplumbing work ls complete. Flnat Electrlcal - When allelectrlcal work ls complete. Flnal Mechanlcal - When allmechanlcal work ls complete. af ter excavatlo n, but prlor tosettlng Mechan - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent electrlcal power. Flreplace - prlor to faclngmaterlals and framlng lnspl Framlng - prlor to cover.. tlng -After \\\\\ tre excavated t LJFlnatJ requ I Buildi ng - When all [--l rvtasonry - Steet tocail - beams, grouilng. lred ln spec tlons have beenon, bond approved an completed. I db uil flFoundatlon - After forms are - erocted but prlor to concreteptacement. Othor Wall/Celllng lnsulatlon _ prlor tocover. [l Underground plumbln6 - Frinr - to fllllng trench [--l Drywall - prlor to taping Underlloor plumblng/ Mechanlcal - prtor to lnsulatlon or ctecklng. Post. and Beam - prior to floorrnsutailon or decklng, Floor lnsulatlon - prior toc,ecklng. Wood Stovo - After lnstailation MOBILE HOME INSPECTIONS lnsert - After flreplace approvaland lnstallailon of unlt. l-Ekmac*lng and Ser.Up _ When ail.- btocktng ls compleie, Ef_:l,l:o Sewer - prior to filins - trench. curbcur & Approach ^,lfj:l ETlH.i*x 3::1"""J:,"*";yJ"^i?:T"1"1;,";?""T1"?:','":''"'1" water and sewer, rm Sewer - prior to fll Sidewalk & Drtveway _ Afterexc.availon ls completc, formsano sub-base material ln place. Fence - When completed. bt trlcal Connection _When ch ling ln ocki ng, s pec tlo set.up, and plumbing and the ns have bee n approvedhome is con nected toWaler Llne - prlor to fllllngtrench. Rough Plumblng - prlor tocover. the servl ce panel. Inal - After all requiredlnspectlons are approved and g, decks, andporches, sklrtlnf] ly_eer Trees - When ail requtred - rrees are planted.venting have been lnstalled. /s93 q'o E tl E E I rl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type _ -/ rnr"no, -- Corner - Panhandle - Cul-de.sac KS \ -S THE PROPOSED WORK TN THE .HlsToRtcAL D|STR|CT, OR Ot{ THE HISTORICAL REGISTER? - lf yes, thls appllcailon must be slgnedand approved by the Historlcal Coordinator prlor to permit lssuance. APPROVED: PL.HSE GAR ACC N S E Total Value Bulldins Permit Fee 5N0 state surcharse d.$3 -1 l.1D Total Fee (A) to { 4 3 l.,l .03 Ca X $/SQ. FT. 3reearo Garage BUILDING PERMIT ITEM SQ. FT, Main BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT Thls permit is granted on the express condiilon that the sardconstructlon shall, ln all respects, conform to the Ordlnanceadopted by the City of Sprl ngfleld, includlng theDevelopment Code, regulailng the ctnstrucilon and use ofbulldlngs, and may be suspended or revoked at any ilmeupon violation of any provisions of sald ordlnancas. Becelpt Number:_ Plans Revlewed By Date Received By: Plan Check Fee Date Pald SYSTEMS DEVELOPMENT cHARGE (SDC)(B) 4-t999e Systems Development Charge ls due on all undeveloped properties wlthln the City limlts whlch are belng lmproved. ITEM Flxtures Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE w (c) N0 FT. PLUMBING PERMIT FT. Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed applicatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done ln accordance wlth the Ordlnances of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvlslon. i further certlfy that only contractors and employees who are ln compliance wlth ORS 701.055 wlll be used on thls prolect. I further agree to ensuro that all requlred lnspectlons are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front the approved set of plans will remaln tlz /qe. of the property, a ngc nst ruct Date on the slte at mes Slgnature MISCELLANEOUS PERMITS Moblle. Home State lssuance State Surcharge sidewark \fr ,, curbcut \t, ,, acmet+trun 3qO State Surcharge Total Mlscellaneous Permlts (E) 00 .$cs IS VALIDATION: RECEIPT NUMBE DATE PAID AMOUNT REC BECEIVED BY TOTAL AMOUNT DUE (excluding electrlcal) (A, B, C, D, and'E Comblned) VE sT- -7- 225 PTFTtr SI?EEf, SPRTNGPIEI.D oREGoN 97477 aDoroval. 69 zonins l-D L -o,t&J24{ s. SPfltNGTtEL() SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL m The following project as submitted h*s the zoning, and doeE not require 6Pecific rgmCfntcAl, PERHTT APPLTcATToN , INSPECTION REOUBST: 726-37 OFPICB: 726-3759 1.Airthorized Permlts are -transferable and expire if vork is not started vithln 180 days of lssuairce or lf vork ls suspended for 180 days. ! 2. CO}ITRACTOR INSTALI.ATION ONI,Y ElecLrlcal Contractor BC ELECTRIC Address P0 BOX 371 Ct ty ELMIRL Phone 935-5210 Supervisor Llcense Number 3452S Explration Date Constr Contr. Number 667ssit Exolratlon Date 6/4/94 ture of lsing Electrician Ovners Address Ci ty Phone OgNER ON The. installatioh is beirig made on property I ovn vhich is not intended for sale, lease or rent. Onners Slgnature: DATE: City Job Nunber s entlal-Single or Hulti-FamiIy per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf 'd Home or ---l s 8s.00 $ 1s.00 Hodular DveIIing Servlce or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: _&_& Sum B 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0nIy Temporary Services or'Feeders Installation, Alteratlon or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voTts see uB" aEF $ s0.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 c. D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circui t or !,i th Servicq nor Feeder Permit I $ 2.00 6|_ E. Hiscellaneous (Service/feeder not inc).uded) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm s 40.00 s 40.00 s 20.00 $ 36.00 5 @) f/1 IRBCEIVED ffi. FEE SCEEDIILE BELOU I 1 n/1 /qq CITY OF SPR OREGON SPR! FIELI, DEVELOPMENT SERVICES DEPARTMENT \t/ - Manufactured Home blocking - llater line c.onnection - Street tree standards gna ure 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726-3689 MANUFACTI.JRED HOME SET-UP AGREEI'IENT As required bY the City-of SPri ngf ield Developmen t Code, I understand and agree that vith the aPP roval of the a t tached following manufactured home s viII be placed at Springfield, Oregon, City Job Number Tvoe I Manufactured Home. A multi-sectional (double vide or vider) oor area of not less than 1,000 square-feet' if,"i t,." a norinai-roof pitch of 3 feet in height for each 12 feet in "iatn, that has no bare metal siding or roofing, and that has been ""iiiii"a by the manufacturer to have an exterior thermal envelope ;;;ii.g p"rfor*.nce standards vhich reduce heat loss to levels ;;;i;;i";i io tt,e performance. standards required of single family dvellings "onstructed under the State Specialty Codes. Tvoe II Manufactured Home. vith an enclosed troor area a nominal roof Pitch of 2 feet in hei that has no bare metal siding or roof less than 12 feet in vidth han 500 square feet, that has for each t2 feet in vidth and A unit of not of not less t ght ing I further State, by my signature belov, that I have been provided vith the folloving information: - Sanitary sever connection - Electrical connection - Minimum requirements for permanent steps r also understand that if r am installing a Type r Manufactured Home, the home sha1l be enclos"J.t the perimeter vith Itone,-brick or other masonry materials, and vith no more than L2 inches of the enclosing material exposed above grade' e , /o Willamalane Park & Recreation District NAA4E 5335 NO OF UNITS C. Multi-FamilyApartment NO OF UNITS D. Manufactured Home Park . NO OF UNITS SYSTEMS DEVELOPMENT CHARGE WORKSHEET Iob No. t \r -- PHONE:14,tss3 ADD LOCATION OF PROPOSED BUI Stre€t Address if Known:3 Platt Name: 1 Tax Lot Numbec X $370 PER UNIT = x $?77 PER UNIT = X $280 PER UNIT = srArE: ffur,r%15 t%a cb DEVELOpMiNT TYPE (Check appropriate dwellingO. SDC Calculations and dwelling q.Pe definitions are on the bacld A Single Family - Detached t -t NO OF UNITS X $4OO PER UNIT;" $ B. Single Famity - Attached ' r $ $ $ CD WPRD SDC 2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credi t Worlcsh*t 3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credit) $ $ famarr.nit r (nn ,ratr.\n Da q-YilJb ruM "\B NO. 190119 CITY OF SPRINGFTELD SYSTEMS DEVEI'OPMENT CHARGE WORKSHEET (C0NMERCIAL & RESIDENTIAL) NAME OR COMPANY Ta<-FLY 1-lA Gtuu \-?o'2-7 r 4r ?- ' 01 oo p 0 LOCAT TON: ?a N lAa*t d.t'^EDEVELOPMENT TYPE:LD (L. N tl"r,,rg Oa.PPoRf S<bR P'l'd ' BUILDING SIZE: %t+ot l?-*'2-5/Bt<torrzttq LUt 5Il . Ft. 1.STORM INAGE IMPERVIoUS SQ. FT.\12 2 SANIT ARY SEWER -C ITY x $0.209 PER SQ. FT- X $43.26 PER PFU\9,NO. OF PFU'S (See Reverse) 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP tx x $436. 19 x $436. t9 x $436.19 l.o $ X X 4. SANITARY SEl,lER-I'1WMC NO. OF PFU'S ts $17.19 PER PFU + $IO Ml,lMC ADM FEE \q +" Y (Use PFU Total From I Mt.lMC CREDIT IF APPL tem 2 Above) ICABLE (SEE REVERSE) tbz TOT L - MI,IMC SDC 5 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) x -os ip Burdi ck SUBT0TAL (ADD ITEMS 1,2,3 & 4) $ l1(nt3 r5bb 440 6$ b*9 SDC Coordi nator oate, s fe" fqs TOTAL SDC s l$56b3 tl" s FTXTURE UNff C.ALCULATTCN TABLE: Number of New Fixture i*oia, For remodet'sl catbutirte only the r* - additional fixturesl NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub---.. s X Unit Equivatent - UNIT EOUIVALENT Z 1- -t-oTAL I-lxl ulll- ul'lll :) lf improvements occurred after annexatlon b . *t-X$z 8.4 +lb2- :-Fixture Units FIXTURE -. UNITS + date in table, lcG Receptor For Refrigerator/Water Station/Etc Receptor For Commercial Sink/Distrwasher/Etc" Drinking Fountain Floor Drain tnterceptors For Grease/Oil/Solids/Etc"'-"""""-' lnterceptors For Sand/Auto Wastr/Etc""'-""""" Laundry Tub/Clotheswasher" " " Clotheswasher - 3 Or [More"""-""""" Mobite Home Park Trap (1 Pcr Trailcr)' Shower. Single Stall..-.-.." """"' Shower, Gang-------.- Sink: Bar. Commercial, Residential Kitchen' Urinal, StallArVatl---.---.-. --.: -. "'-' Wash Basin/Lavatory,'Singte"" Toilet, Public lnstallation.-"""- Toilet , Private..--. Miscellaneous CREDIT CALCULATION TABLE: Ba sed on assessed value. calculate credits seParates Credit for Parcel or Land Only lf Applicable lmprotement (if after annexation date) 2 1 2 3 6 2 6 6 1 2 i 2 2 1 6 ad/He z 2 --tr (Rate X Assessed Value) X$ (Rate X Assessed Value) ub CREDIT TOTAL $\ Year Annexed Rate per $1,OOO Assesscd ValueYear Annexed tlate per $i,OOO Assessed Value 1 985 1 986 1 987 1 9BB 1 989 1 990 1 991 i 993 s 2.46 2.14 1.77 1.31 o.97 o.61 o-44 o-15 1979 or before 1 980 1 981 '1982 1983. 1 984 1 g8s $3.46 12Q 1 '7') 3.21 3.O6 2_92 2.73 ---i,, -.-_.-_.---1- Z