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Home My WebLink AboutPermit Building 1995-09-05SPRIltGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 ?fr, JOB NUMBER 225 Fifth street Springfield, Oregon 97 477 LOCATION OF PROPOSED WORK: ASSESSORS MAP:/7-D7 -.< I -4-z TAX LOT: BLOCK SUBDIVISION ,t t - po(@{ LOT: New l/REtMoDEL ADDlrtoN DEMoLI.H orHER PHONE ZIP:STATE: 7&7,/ CITY: DESCRIBE WORK: ADDRESS: OWNER PHONEADDRESS tt EXPIRESCONTRACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING GENERAL: ?- tr LOUAD ARE lt _ OFFICE USE _ RANGE: F'LOOD PLAIN OCCY GROUP ZONING CODE: # OF BDRMS WATER HEATER: * OF STORIES: I OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS SECONDARY HEAT SOUARE FOOTAGE: To request an inspection, you must callz26-g769. Thls ls a24hovt recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED TNSPECTIONS Temporary Electric Rough Mechanical - Prior to cover.fl Final Plumbing - When all plurnbing work is comPlete. Site lnspeclion - To be made after excavation, but Prior to Rough Electrical - Prior to L]Final Electrical.- When all electrical work is comPlete.cover setting u Electrical Service - lv'lust be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is complete.cal - Prior f,foolng - After trenches areu excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.l---] Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval [--l-gt6cking and Set-Up - When allE btockinI is compteie. an installation of unit. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. [-J-*tumUing Connections - WhentJ home has been connected to water and sewer. f-fr€anitary Sewer - Prior to fillinglJ trench. ffiorm Sewer - Prior to fillinglJ trench. l7I yil:t:ine - Prior to rirrrns Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. f--]Etectrical Connection - WhenLJ blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Fence - When completed Street Trees - Wherr all required trees are plantecl. f. TTinal - After all requiredVJ inspections are appioved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. q -Q-a CONST. CONTRACTOR # E E E n E E E E E [] [__l Wood Stove - After installation. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type.- - lnterior - Corner y' Panhandle - Cul-de-sac Setbacks P.L,HSE GAR ACC N S E E IS THE PROPOSED WORK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED 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 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. Plans Reviewed By Date Recei pt Numbe Plan Check Fee Date Paid: Received By: X $/SO. FT.VALUE lTlo b2 so<ol\,1.. - - le-l .51 ,q10^rA Garage port Total Value Building Permit Fee State Surcharge Total Fee (b14) *tso6 (A) BUILDING PERMIT ITEM SO, FT. Main SYSTEMS DEVELOPMENT C (B) HARGE (SDC) , H r+i *1# ADDITIONAL COMMENTS ctu€7To 7h2{ ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE FT. \TO zLt N0 40 I FT.+( FT.t (c) \ PLUMBING PERMIT 3 1 Plumbing Permit State Surcharge Total Charge r?o/o t2l) b d)6) LoO Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certily 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 herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contiactors and employees who are in compliance with OBS 701.055 will be used on this prolect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain Q'rS<SDate ilIl mes duri construction.on the site Signature MTSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sidewark l&.5,, curbcut lA=1 t, Dese+i*ien 3O/o Total Miscellaneous Permits (E-) &o,m 5.35 I\ RR it?s3. \Sm, TOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) & 212- roharge q . 12_ DATE PAID RECEIVED BY VALIDATION: RECEIPT NUMBER ,' /'\ AMOUNT RECEIVED __-!x F4U- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. I 225 TIFT,E SIT.EBT SPBJNGFTEU), OREGON 97 477 INSPECIrON REQUBSTz 726-3769 OFPICE: 726-3759 ArJthodzed 1 DESCRI Permi ts are non-ferable and expire on,"4{2{4,5 if vork is not started vithin 180 days of isstiance or if vork is suspended for 180 days. The tollowing Project as eubmltted hes the EI,ECTRICAL PERI{IT City 3. COHPIATE FEB SCMDUI,E BBLOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost $ 8s.001000 sq.ft. or less Each additional 500 . sq. ft or Portion thereof Each Manuf'd Home or . Modular Dvelling . ,''' - ' Service or Feeder I A L & s 1s.00 $ 40.00 $ s0.00 $ 60.00 $100. 00 $130.00 $300.00 $ 40.00 Sum 2. CO}ITBACTOR Electrical Contrac o Address ci Phone Supervisor cense Number B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps - 40L amps to 600 amPs - 601 amps to 1000 amPs- Over L000 amps/volts - Reconnect Only 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps over 600 amps or fbOO-voft D. E ONLY Exp iration Date \D\qs Constr Contr. Number u 3rs')Temporary Services or Feeders Installation, Alteration or Relocationc. Exp iration Date s $ $ss 40.00 55. O0 BO. O0 ee ilBx a5ffiSignature of Superv ising Electrician t' The installation is'being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE Branch Circuits i Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit _ $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL Ovners Name Address Ci ty fitt'S: Phone OIINER TNSTILLATION 17 tr..2 t,l I s 40.00 s 40.00 $ 20.00 $ 36.00 5 C'TY OF SPR OFEGO'V DEtr!f,!Tl/Itn f t\ Job Nunber 'I \4.q1 ' -. ..),:1 -18 N0. 15os4G CITY OT SPRINGFIEI,D SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0HMERCIAL & RESIDENTIAL) NAME OR COMPANY:TNc LOCATION : 7-7 C K OAE-G'O ^/ AVe /-/ozbt+7-- Zlo o DEVELOPMENT TYPE:LDA - xlew tvlexu. t/ome BUILDING SIZE: I STORM DRAINAGE IMPERVIOUS SQ . FT. L\. 2. SANITARY SEWER-CITY SI x $0.209 PER SQ. FT. X $43.26 PER PFU$t . Ft. $ $ $ 7rt +z l2--, Gb\ -./1. - $ l4oE,1 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x/x $436. 19 4 x _ x $436.19 X x $436. 19 SANITARY SEWER-MWMC N0.0F PFU'S tg x $17.19 PER PFU + $10 Mt^lMC ADM FEE (Use PFU Total From Item 2 Above) Mt.lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE)tr R^^a*J- x .05 Date: Kip Burdick SDC Coordinator 2-q \$Co'3 (TOTAL SDC $ l+1b NO. OF PFU'S (See Reverse) I u/s /qs ON TABLE:Number of New Fixtures X Unit Equivatent : Fixture Uoits additionat fixturest BER OF -JN IT FIXTURE -- UNITS 4I NUM=txTURE UNII NOTE: For remodels; .IXTURE TYPE I NEW FIXTURES EOUIV ALENT 2 1 2 n' 6 2 6 G 1 J 2 1/Head 2 2 1 6 t+ t4 ?- Drinking Fountain"" " "' Floor Drain-" lntercePtors lntercePtors Laundry Tub Clotheswasher - 3 Or More--- Mobile Home P ark TraP (1 Pcr Traiter) ReceP tor For Refrig erator/VVater Statio n/ttc.-. RocePtor For Commercial Sink/Dishwasirer/Etc Shower. Single Stall""""" 2 Shower, Gang""""' ;i;; ;;t, co-mmercial' Residential Ki L 2 g Urinal. StallfWatt Wash Basin/Lavatory .'Single.. Toilet, Pubtic lnstatlation""' Toilet , Private""' MisceItaneous: CREDIT CALCU LATION TABLE Based on assessed v catcul ate credits seParates Credit for Parcelor Land Only lf Applicable lmprovement-(if after annexation date) TOTAL FIXTURE UNITS atue. lf imProvem ents occurred a{ter an s,b+ nexation date in table' b2 b9 ItG z x$ (Rate X (Rate X Assessedx$ Value) Assessed Vatue) CREDIT TOTAL $b2-t Rate Per $1,OOO ./\ssessed ValueYear AnnexedRate Per S1,OOO Assessed ValueYear Annexed 1 985 1 986 1 987 1 9BB 1 989 1990 1991 1 993 s 2.46 2.14 1--l'l 1-37 o.97 o.61 o.44 o-15 1979 or before 1 9BO 1 981 1 982 1 983 1984 1 985 $3.46 3.38 3.32 3-21 3.O6 2-92 2--13 I / WillamalanePark & Recreation Oist.ict Iob No. SYSTEMS DEVELOPMENT CHARCE WORKSHEET NAA4E *0 PHONE: -1 Uo) OL qTf,ADDRESS: LOCATION OF FROPOSED 8 Street Address if Known: Platt Name: B. Single Famity - Attached C. Multi-FamityApartment NO OF UNTTS D. Manufactured Home park NO OF UNITS t1l t.ffiaCheckappropriatedwetling(s).SDCCatculationsanddwettingtype A. Single Family - Detached NO OF UNITS X $400 PER UNIT -=.. -1 Manufactr.rred home not in a park Tax Lot Numbec STATE:ztP I $ $ $ $ $ $@ X $37O PER UNIT = x $?77 PER UNIT = X $2S0 PER UNIT = Credit) $ WPRD SDC 2. SDC CREDTT (tf appticabte) SDC-o;approval.S *ibc cruait wo*<sh*ler must furnish proof of wPRD Credit a) "g3. TOTAI WPRD NET SDC ASSESSED (tf SDCreduced for <-- nmar,.nitr t \nrt,irae fi?: I-LDE w6 -