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Home My WebLink AboutPermit Building 1994-05-11cHl-rr-ta" /a.fu- -Baq (O*lct SPRI]{GFIELO RESIDENTIAL PERM!T APPLICATION lnspections: 726'3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 LOCATION OF PROPOSED WORK:J,ttt O*la \S-/ ASSESSORS MAP:TAX LOT: LOT:/7 BLOCK suBDrvrsro* (/.t/_uz Da*t /brZtlt oooo HE ANo i CoNSTRUCTT0N,INC *7LL5B 84959 Parkway PLEASANI HILL,OR 97455 PHON E:OWNER: - ADDRESS: CITY: - ZIP: DESCRIBE WORK:_stD NEW 7' REMoDEL ADDrroN DEMoLTSH orHER CONTRACTOR'S NAME GENERAL: - HE and i const PLUMBING: -MECHANICAI- BiIIs Electric ELECTRICAL:. ADDRESS EXPIRES PHON E a2/95 726-3898 a4/94 687*1851 _ 6BB *1931Oon Lewis Plumbins 33076 a6/94 ?5790 L2/94 7 47 -7 445 Brooks Excavation 55921 03/95 345*7564 RANGE:SQUARE FOOTAGE:b l'larshalls 0i1 & Ins CONST. CONTRACTOFI # QUAD AREA:! I OF BLDGS: - OCCY GROUP # OF STORIES WATER HEATER: ,Inc. 84959 Parkuay 7115S Pleasant HiII, Or i7455 3120 tll llt h, 21351 Eugene, Or 974A2 500 Greenfield Eugene, Or 974A4 4131 "E "St . Springfield, Or 97478 2766L Crow Rd Eugene, 0r 974A? To request an inspection, you must call 726-3769. This is a24 hour 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. REQU!RED INSPECTIONS [-l Temporary Electric t___J x N N Rough_flechani cover /riLro - Prior to Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to cover.6 X Final Electrical - When all electrical work is complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. -\---I )r{Footing - After trenches aret4 excavated.Fireplace - Prior to facing materials and framing lnsp. ___r'[/l Final Building - When ailLfl required inspections have been approved and building is completed.Masonry - Steel location, bond ams, grouting.K fr tr Framing - Prior to cover. Foundation - 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 6 w K K K F F Underf loor Plumbing/ Mechanical - Prior to insulation or decking. MOBILE HOME INSPECTIONS 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.ff,fCurOcut & Approach - Afterq{. forms are erected but prior toplacement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.KStorm Sewer - Prior to filling tren c h. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected tothe service panel. Water Line - Prior to filling trench.[--l Fence - When compteted Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover.a 7ab -aezf E E Other - Lot faces Lot sq. ftg. Lot coverage Topography Total heig Lot Type Ktnt"rio,. - Corner - Panhandle - Cul-de-sac P.L.HSE GAR Acc N S E HE PROPOSED WORK IN THE H-ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED k 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. eived DatePlans Reviewed By b Plan Check Fee Date Paid: Receipt N LUE + l\tz #/c (A) X $/SQ. BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee Crr:zGarage \-Lr\-I- Carport ITEM Main Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ARGE (SDC)fwH ADDITIONAL COMMENTS ) -v C ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE + ({scD 760- oo (c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT N0 +Q tO (n l) /)- c>,) Y> -7<) C (D) 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 OBS 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 from the street, that the permlt 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. ilrr*n-o-\.r&t**.- Date //- B-"q Signature MISCELLANEOUS PERMITS Moblle Home State lssuance state surcharge sidewark ?.1 t, curbcut .tt ,, Demolition Miscellaneous Permits (E) Surcha VALIDATION: RECEIPT NUMBER DATE PAID, AMOUNT R RECEIVED TOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) SQ. FT. HID SYSTEMS DEVELOPMENT. C &cflg,1t, N.q I SPRTNGFIEU), INSPECTION RBQUEST: 7 OFFICE: '726-3759 ioning, and doet approval. 0REGoN 97477 5-ll Authorized Signature. SPRT]llGFTELO BI,BCTRICAL PBRHIT APPLICATION City Job Nunber 3. COHPI,ETE FBE SCEEDUIA BBLOS A Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost nct reclijlre LOIL225 FIFTE STRBEf, LEGAL DESCRIPTION :ilY.0I\of\fu-- \q\3( Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork ls suspended for 180 days. 2. CO}ITRACTOR INSTALI.ATION ONLY Electrical Contracto ^ddressi/70 W ll U crtv tl(a-?uV-s-v]ZPhone 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DveIIing Service or Feeder $ 8s.00 $ 40.00 Services or FeedersInstalIation, 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 -Reconnect 0n1y C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00over 401 to 600 amps - S 90.00Over 600 amps or 1000-voT[s see flB,, a6oIE D. Branch Circuits Nev, Alteration or Extension per panel 6L A $ 1s.00 to 0ne- Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder permit _ $ Z.OO Miscellaneous (Service./feeder not included)-Each installation r$ffisffin .t Sum B $so $oo s100 $130 00 00 00 00 00 00 ,ur"rrrrilrr""*umber ?f0 s\q3 $300 $40Expiration Date ri Constr Contr. Number C- Expiration Date 4.qY) trician Add Ci ty Phone OgNBR TNSTALI.ATION The instalLation is being made onproperty I ovn which is not intendedfor sale, lease or rent. Oyners Signature: DATE: Pump or irrigation Sign/0utIine Lighti Limi ted Energy,/Res Limi ted Energy/Comm 5. SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL s E ng-s 40.00 $ 40.00 $ 20.00 $ 36.00a CITY OF SPB"VGFIELD,OFEGO'V RECETVED + 1. CITY O[: )I)RINGFIELD SYSTEHS DEVELOPMENT CiJARGE T.IORKS H E ET (coHt!ERC rAL & RES I DtNT r AL ) NANE OR COI{PAI{Y:It I ,z ,4,vsrxncvq4 OCATI0N 24// O rro Srxee fL DEVELOPI'lENT TYPE : KTS. EUILDING SIZE: I. STORI,I DRAII'IAGE iHPERVIoUS Sq. FT.x s0.203 PER SQ. FT X S4?.08 PER PFU TOTAL-Hll'MC SDC SUBToTAL (ADD ITEtlS 1,2,3 & 4) LOT SiZ F sQ. Ft. 27€/ ?. SANiTARY SEI{ER-CITY I.IO. OF PFU'S (See Reverse) 3 5. ADt't tTRANSPORTAT I ON NO OF UNiTS X TRIP RATE X COST PER TRIP x /,ol xs424.31 x _ x s424.31 x x s424.31 s s 4 SANITARY SEWER-I,lll,MC r53; 3Fr'i:;:, #k^rtii;i3i PER PFU + s10 H''MC ADr'r FEE Hh'l.lc CREDIT IF APPLICABLE (SEE REVERSE)3 C INIS TIVE F EES BAS I GE SU OTAL AB0VE) X .0s b1 .H ,3d st Coord nator TOTAL SDC I ( t-lxl UHE ulYl l,\/Ar-\/(Jr-'{r r\''rt r '1r'rLL-- FOf renrCrJels, c-rlculSle c)i'rr)' ilrc "iT ',.1-: 1r'"r..1 r'".':".: ) FIXIUNE N'PE Darhiub....... Drinl:ing Founiain...... Floor Drain. .. .. . : tnlerceplors For Grease/Oil/Solidsr'E:c..' ......' lnierceptors For Sand/Auo \'rrash/E1c......-..-. ..- . Laundry Tub/Ootheswasher..... Clothesuaqher - 3 Or l"{ore...'-...-.- l,,lobile Hdnie Park Trap (1 Per Trailer)-..-.-.- Beceplor Fgr B ef rigeratorfVat e r Station/ Et c-... "'. Fl eceptor For Commerclal S ink/D ishrva sh e r/ E t c'. ShoweG Single'Stall. Shower, Gang........... S!nk. Bar. Commercial-.-..............-..-...' Urinal, Statlf{a|l.... Wash Basin /l-zvalocy, Single.'-...-" ""' \t'ater Goset, Public lnstallation--."""' Vr'ater Closet, Private..... -.. h{iscellaneous: Credit for Parcd or LaM Only lf Applicable tmprovement (rf after annexation date) i,L;r.lrfil c,i: IE\i'Fl.{iuir 4 2 2 s /o .L {Rate X Assessed Value) L IJII t- L-LllVr'.1E l'lT '^ :-j- .1 . _ .J,- r-r'r il r=l: UI JIT S 2 i .l 3 6 ? 6 6 1 J 2 1/ 2 2 1 6 dHea 2t- --g TOTiL Fl)af UF,E Ui\'lTS etfr CREDIT CALCULATION TABLE:6ased on assessed value. If improvements occurred after annexation date in table' cajculate credhs se <4,o33.2 lx $ BUNOFF COEFFICIENTS FOR STORM DRA xs- (R.t. X Assessed Value) CREDIT TOTAL INAGE Ye;.r Annexed Rate per 51,000 Assessed ValueYear Annexed Fate per S1,000 Assessed Value 1995 1 937 19AB 19.g9 1990 1991 1&) s 2.24 1.93 1.57 1.18 0.79 0.14 0.28 1979 or before 198C 1981 1*2 1983 1994 '1985 s3.21 3.13 3.08 2.% 2.e2 2.63 2.51 II.,4PERVIoUSAREA=TOTALLoTSIZEXRUNOFFCOEFFICIENT I 4