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Home My WebLink AboutPermit Building 1994-04-19"1r,n^, '36a Locl{ SPRINGFTEL]) RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: Zfr, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 a&t %\SZ. ASSESSORS MAP:TAX LOT: LOT:/g BLOCK:u,SUBDIVISION OWNER: . ADDFIESS: CITY: - oofEoAN, i c'NsTRUcTroN'rNc *71158 84959 ParkwaY PLEASANT HILL,OR 97455 PHON E DESCRIBE WOFIK:sto NEW y' REM.DEL ADDrroN DEM.LT.H orHER HE and i Const.,Inc. BiIIs Electric Oon Lewis Plunrbing l'larshalls OiI & Ins. Brooks Excavation 84959 Parkwav Pleasant Hill, 0r 97455 3170 ul tlth, Eugene, Ar 974A2 500 Greenfield Eugene, 0r 97404 4131 "E "st . Springfield, Ar i7478 2766L Croul Rd Eugene, 0r 97442 EXPIRES o?/95 04/94 06/94 L2/94 03/95 ADDRESS 687*LB5L21 351 688*1931 -33076 7 47 -7 44525794 345*7s64 -55921 ,-;7 f _-, 71158 CONTBACTOR'S NAME RANGE:WATER HEATER: # OF STORIES PHONE 726-3898 - SECONDARY HEAT: SQUAHE FOOTAGE: CONST. CONTRACTOR , GENERAL: -PLUMBING: -MECHANICAL: - ELECTRICAL: - H EAr D(JUt{L/tr: r L-. QUAD AREA:C s OF BLDGS:- 1OCCY GROUP: -l Rough Mechanical - Prior to cover. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. Drywall - Prior to taping. Wood Stove - After installation urbc ut&Approach-After forms are erected but prior toplacement of concrete. Sidewalk & Driveway - After ion is complete, forms and sub-base material In place. l-l Fence - When compteted w Street Trees - When all required trees are planted. To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS 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. Underground Plumbing - prior to filling trench. Underlloor Plum bing/ Mechanical Prior to insulation or decking Post and Beam - Prior to floorinsulation or decking. Floor lnsulation - Prior to cki ng p[ Rough Electrical - prior toflcover. J D(-l Electrical Service - Must beH approved to obtain permanent electrical power. Final Plumbing - When allplumbing work is complete. Final Electrical - When all lectrical work is complete, Final Mechanical - When all echanical work is complete. Final Building - When allquired inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Plumbing Conneclions - Whenhome has been connected towater and sewer. tr X w K lnsert - After fireplace approval and installation of unit. [--l Alocking and Set.Up - When ail - blocking is complete. fl-,::::;" Sewer - Prior to rirring F;*.Sewer - Prior to rirrins I FJ=YjjilLine - Prior to rirring F:r*tl Prumbins - Prior to Electrical Connection - Whenblocking, set-up, and plumbing inspections have been approved and the home is connected tothe service panel. Final - After all required inspections are approved andporches, skirting, decks, andventing have been installed. ZIPi 1tr]3., Tl femporary Etectric E E*fr F Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type Setbacks P.L.HSE GAR ACC N S E .Is..THE PROPOSED WORK IN 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: x lnte rior - Corner - Panhandle - Cul-de-sac 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' DateewedS Receipt N mber: Plan Check Fee Date Paid ceived B BUILDING PERMIT ITEM SO. FT. Main Htl=' Garase +A'l VALUEX $/SQ. FT.c-,|''t{rr.,D- i1 L) U) (:( <] (A) Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved'sYSr E Ms D EV E Lo P' . *r,"1, o*EE rr# re ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home FEEw (c) N0 FT. d) d) OO Wood Stove/ lnsert/ Fireplace Unit Dryer Vent CD c: q / -33-_tc3 (D) i ,-50oo NOJ j "cf) 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 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during construction' q- J-4 7- 7/ Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sidewark LO3 ,, Curbcut &- tt Demolition ,l Miscellaneous Permits (E) \ S ffia)Surcharge aL-\\ RECEIVED BY AMOUNT RECEIVE DATE PAID VALIDATION: RECEIPT NUMBER L AMOUNT DUE (excluding electri C, D, and F- Combined) TOTA (A, B, PLUMBTNG PERMIT A FT. FT. Plumbing Permit State Surcharge Total Charge I ,/B NO.Tb%a CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I,IORKSHEET (C0MMERCIAL & RESIDENTiAL) NAME OR COMPANY: LOCATION:23q t oT sa. DEVELOPMENT TYPE:I-DP lp-w €pe- BUILDING SIZE: I. STORM DRAINAGE IMPERVIoUS SQ. FT. Z. SANIT ARY SEI,IER_CiTY NO. OF PFU'S (See Reverse) g TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x $424.3i x $424.3i x $424.3i 4. SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total 24 56 x $0.203 PER SQ. FT X $42.08 PER PFU $15.125 PER pFU + $10 MWMC ADM FEEAbove) SIZ F S a. Ft. t8 3 X X x / $ $ zS$ 282From Item 2 Mt,lMC CREDIT iF APPLICABLE (SET REVERSE) ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .0s KJ p Burdick v4 TOTAL-MWMC SDC SUBTOTAL (ADD IIEMS 1,2,3 & 4)$t15L ol 5 z*t': SDC Coordinator TO TAL DC$za?! quc2 FIXTUREufuT,cALCULA-.-lNTABLE:NurnberofNervFixturesX- For remodels' calculAte onty tfre t'li:L aOOitional fixtures) NUN.BER oF FIXTURE TYPE NE\\/ FIXTURES I Equivalent : Fixlure Unils (NOTE: UNIT EOUIVALENT Bathtub'.-."'-" """ ' Drinking Fountain Water Closet, Private-"-"'-"'-"' Miscellaneous: : Based on assessed value' I TOTA,L FIK-URE UNITS lf imProvements o Value) FIXTURE UNITS o7 2 1 2 J 6 2 6 6 1 3 2 1l 2 2 1 6 4 H L t2. u .L I t1 ead I occurred after annexation date in table' CREDIT calcutate CALCULATION TABLE credits .tes. (Rate (Rate X C ENTS FOR S ,?I X $ b4 7 Credit for Parcd or tsnd OdY l(ApPlicable lmprovement (rf after annexation date) RUNOFF COEFFICI Residential' X Assessed $ TOBM DRAINAGE Commercial"""""-"""" lndustrial"" Governmental" ""- """"' Rvtous AREA = ToTAL LoT 1$,oo0Rateper alueedAssessYear Annexed$1 ,000peRate eValuAssessedYear Annexed 1986 1987 1988 1989 1990 1991 1992 s 2.24 1.93 1.57 1.18 0.79 o.44 0.28 1979 or before 19BO 1981 1982 1983 1984'1985 s.21 3.13 3.08 2.96 2.82 2.68 2-51 IMPE SIZE X RUNOFF COEFFICIENT ------r- :----r- 0.4 0.9 0.45 0.5 OREGO'UCITY OF 225 FIFTE STREEf, SPRINGFIELD oREGoN 97477 INSPECTI0N RBQ[ EST z 726-37 The following Proiect as submttted has the zoning, and does not require speci{ic land uso approval. LD{L BI,BCTRICAL PERHIT APPLICATION City Job Nunber PBE SCEEDII[A BELOS A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included:Items Cost SPRIiIGF!ELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular DveIIing Servlce or Feeder 69 Zoni OFPICE: '726-3759 Date 1. LBGAL DESCRIPTION tg Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COIITRACTTOR INSTALI,ATION ONLY Electrical Contractor 666ssssJ / Z0 4 citvLtC q7{dz ehone?S/12(3'? /Supervis or License Number ?po .t Expiration Date Constr Contr. Number L8 Expiration Date of Superv Electrician{' Owners Add s Phone $ 1s.00 $ 40.00 Services or Feedersfnstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reeonnect Only Temporary Services or FeedersInstallation, Alteration or Relocation B. C- c E J & Sumffi 3r a $ 8s.00 $ 40.00 $ $ $1 $1 50 60 00 30 00 00 00 00 00 00 $3oo $ao OIINBR TNSTALI.ATTON The installation is being made onproper-ty I own vhich is not intendedfor sale, Iease or rent. 0vners Signature: $ 80.00volts see rB, affi Nev, Alteration or Extension per paneL One Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder permi t _ $ Z. OO Miscellaneous (Service/feeder not included)-Each installation Pump or irrigationSign/0utIine Light ing-Limited Energy/[es "- Limi ted Energy/Comm ST'BTOTAL OP ABOVB 5Z State Surcharge TOTAL D 200 amps or less 201 amps to 400 amps0ver 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 40.00 $ 20.00 $ 36.00 DATE: RBCETVED 5 aLl q4D+t8, a