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Home My WebLink AboutPermit Building 1994-03-29SPRTNGFIELO trt<-e- Z3Og LI)CII 6trRESIPENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED WORK: JOB NUMBER 225 Fifth Street Springf ield, Oregon 97477h,aab{ Ctfo \+ ASSESSORS MAP TAX LOT3BLOCK:SUBDIVISIONLOT: owt ADE CIT\ oonof nr{o i coNsTRUcTroN , rNc #zL15B 84959 Parkuay PLEASANT HILL,OR 97455 PHONE: IATE:ZIP: DESCRIBE WORK: NEW A REN 3 OUAD AREA 4Rft)r]J g OF BDRMS: HEAT SOURCE: RANGE:WATER HEATER # OF BLDGS ZONING CODE: FLOOD PLAIN - OFFICE USE _ CONSTR. TYPE: * OF UNITS: LAND USE: SECONDARY HEAT SOUARE FOOTAGE: OCCY GROUP: # OF STORIES To request an inspection, you must ca\726-3169. This is a24hour recording. All inspections requested before 7:00 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 |-X( t"-potary Electric ,K ,K K Rough Mechanical - Prior to cover.&,6 Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. U nderslab P!umbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. &r:*:"- Arter trenches are Final Building - When all Fireplace - Prior to facing materials and framing lnsp. uired inspections have been Masonry - Steel location, bond beams, grouting. approved and building is completed. X K Framlng - Prior to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping K ,K X X K MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanilary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. SidewalLk&Oriveway-After ion is complete, formsStorm Sewer - Prior to filling trench.d sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Rough Plumbing - Prior to cover. Slreel Trees - When all required trees are Planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. CONTRACTOR'S N G EN ERAL: PLUMBING:- MECHANICAL. ELECTRICAL: E r E tl E E l---l Wood Stove - After installation. A-LX FlY"." Il ;,fil iJ"t'i? P I ace a P P rovar tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v X tnt.rio, - Corner - Panhandle - Cul-de-sac Set _,-HE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED HSE GAR ACCPL. N S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express cond construction shall, in all respects, adopted by the City of SPri atevansReviewe Receipt N U R Plan Check Date Paid that the said to the Ordinance struction and use ofDevelopment Code, regulati or revoked at any timebuildings, and may be s of said ordinances.upon violation of d, including the VALUE (A) X $/SO. FT, Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) *zte # ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE a\) (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0 C)o MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Fu rnace 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 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 project. I f urther 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 is located at the front of the property, and the approved set of plans will remain Date on the site at all times durin g construction tl q*t Signatu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge lv '-rrr sidewatk l*t -J tt curbcut fi- t, Demolition e l Miscellaneous Permits (E) Surch TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) EI E VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT FI FIECEIVED EC BY o 0 , d) 4 m JoB No. 11o258 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }IORKSHEET (C0MMERCTAL & RESTDENTTAL) NAME OR COMPANY:&e 4 T. Cou:r. Ilc LoCATIoN L?>a4 oaro DEVELOPMENT TYPE: UDR- NE'^I +TR BUILDING SIZE:OT SiZ I. STORM DRAINAGE IMPERVIOUS SQ. FT.Zo bz x $0.203 PER SQ. FT 2. SANITARY SE[,JER-CITY NO. OF PFU'S (See Reverse) 24 X $42.08 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X l,ot a. Ft. SANITARY SEt,lER-Ml,lMC NO. OF PFU'S Z4 (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) $ $15.125 PER PFU + $10 MI,JMC ADM FEE $ 3-1'b"9 I X x $424.3i x $424.31 x $424.31 $ 4 TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) 02 $ ?-zoo o? 5 ADlt4iNISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 ?-B**^A^-..L= z /zLlqr+0 Ki p Burd'ick SDC Coord'inator 4zub2 nLOO,q \za 59 bbbnl oc2o TOTAL SDC $ zbto oS FTXTURE UNIT CALCULA - )N TABLE: NUMbET Of NEW FiXIUTES / i"i L*J"rs, calculSie only the Ng iooirional fixtures) NUN4BER oF FIXTURE TYPE NEW FIXTURES ( Bathtub.....-. Drinking Fountain.--....' Floor Drain.. tnterceptors For Grease/Oil/Sol ids/Etc" " """""" lnterceptors For Sand/Auto Wash/Etc" " " "" """'' L-aund ry Tub/G otheswasher' Oothes-waqher - 3 Or More--...-- Mobile Hdme Park TraP (1 Per Trailer)................. Receptor For Ref rigeratorflVater Station/Etc" " " " Receptor For Commerclal Sink/Dishwasher/Etc-' Shower, Single Stall.- Shower. Gang...---.---- rit Equivalent = Fixture Units (NOTE: 2 I 2 J 6 2 6 6 1 3 2 1 2 UNIT EOUIVALENT $b+aZ FIXTURE- UNITS t- z z -T- /Head 2 1 6 4 Sink, Bar, Commercial Urinal. StallfrVall..--L{- Wash Basin/Lavatory' Single""" Water Goset. Public lnstallation'v Water Closet, Private....----. Miscellaneous TOTAL FIXTURE UNITS 2+ cREDlr cALcuLATloN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits separates- b4 ob ?- Credit for Parcd or Land Only lf Applicable tmprovement (if after annexation date) 5.Lt X $O,G (Rate X Assessed Val ue)x$ (Rate X c Assessed Value) REDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE Year Annexed Rate per $1,0O0 Assessed Value Year Annexed Rate per $1,000 Assessed Value 't979 or before s.21 3.13 3.08 2.96 2.82 2.ffi 2.51 19BO 1981 1982 1983 1984 1985 19B6 1987 19BB 19a9 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 a-44 o-28 tMpERvlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT t ::l,-I OFEGO'VCITY OF SPR SPRIttrcFTELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dwelling Service or Feeder Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. CO}ITRACTOR INSTALI,ATION ONLY Blectrical Contrac rcrM .2, t|/, /1U-t I:,1"J'$!%3:?x-1- as require specific land use ipprovat.ux,BIJCTRICAL PERT{IT APPLICATION 974 oJe6-v6Z-J\A\City Job Nunber Adho*zrd erc'naure 3I:-TffiFjrE PEB SCEEDT I,E BBLOV A. Nev Residential-Single or MuIti-FamiIy Per druelling unit. Service Included:Items Cost 225 TITTE SltsEEf, SPRTNGFIBLD, OREGoN INSPECTION RBQTIEST: 0FPICE: '726-3759 1.OF LEGAL DESCRTPTION C- $ 8s.00 $ 1s.00 s 40.00 -r--L Sum t<^E:) {s ci Phone 5 Superv License Number y'go s Expiration Date,\ Services or Feeders Installation, Alterations or Relocation: 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 B Address *?/s so.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c Temporary Services or Feeders Installation, Alteration or RelocationCons Expi tr Contr. Nuqber ration 0"." Q \f, trician Add Ci ty Phone O9NER INSTALI.ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: 200 amps or less I $ 49.00 201 amps to 400 amps - $ 55.00 over 4b1 to 600 ambs - $ 80.00 Over 600 amps or 1000-6Tts see I'8" Branch Circuits aSoF D.a S Nev, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Light ing- Limited Energy/Res - Limited Energy/Comm E 40.00 40.00 20.00 36.00 $ $ $ $ 15. SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL RBCBIVBD OD_t