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Home My WebLink AboutPermit Building 1994-06-1393t SPRINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 q4 a\d/0 Zfr, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97477 LOCATION OF PROPOSED WORK:J43l Olrfo ASSESSORS MAP TAX tOT: LOT:t5 BLOCK:SUBDIVISION OWNER: - ADDRESS CITY: - ooooHE ANO i CONSTRUCTION,INC #71158 84959 Parkway PLEASANT HILL,OR 97455 PHONE: ZIP: DESCRIBE WORK 3Ft-) r=* V REM.DEL ADDITION DEMOLISH OTHER 71158 21351 33076 ?5790 s5921 CONTF GENEI PLUME MECH ELECT QUAD #OFE OCCY GROUP: S OF STORIES: WATER HEATER:e HE and i Const.,Inc. BiIIs Electric Oon Lewis Plumbing llarshalls oiI & Ins. Brooks Excavation 84959 Par kulay Pleasant Hill, 0r 97455 3170 UJ ltt h, Eugene, Or 97402 500 Greenfield Eugene, Or 97404 4131 "E "St . Springfield, 0r 97478 2766L Crow Rd Eugene, Or 97402 CONSTR, TYPE VM HEAT SOUFIC RANGE: 02/95 726-3898 o4/e6; 687-18s1 06/94 6BB-1931 t2/94 7 47 -7 445 03/95 # OF BDRMS SECONDARY HEAT: SQUARE FOOTAGE: .NE To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS [-l Temporary Electrictt Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Final Electrical - When all ectrical 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.r Footing - After trenches are excavated. al Building - When all Fireplace - Prlor to facing materials and framing lnsp. required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.rywall - Prior to taping MOBILE HOME INSPECTIONS nderlloor Plumblng/ Mechanical - Prior to insulation or decking 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.rbcut &Approach - After Plumbing Connections - When home has been connected to water and sewer.are erected but prior to Sanitary Sewer - Prior to f illing t ren ch. placement of concrete. ry w W Storm Sewer - Prior to filling trench.Y Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Water Line - Prior to filling trench.l--l Fence - When completed Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. KCt ).4 345-7 564 [r"/l Rough Electrical - Prior to !\ cover. f M I Wood Stove - After installation. tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Setb r5THE PROPOSED WORK IN THE HrsToRrcAL DlsTRlcT, oR oN6,1 rH E H |STOR|CAL REG |STEEiAFLLI_ lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:t - Panhandle - Cul-de-sac P.L.HSE GAR ACC N J E 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. Reviewed By Date Plan Check Fee: Date Paid Fleceipt Numbe ceived n. @ra$ (A) /SQ. FT.$ Nc peirvrm FT. X ,?l)a5l5z')-5r BUILDI ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHA (B) RI GE (SDC) Zl/o:4 Systems Development Charge is due on all undeveloped properties within the City limits which are berng improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE +a$b) n OI (c) oo cx) c() FT. FT. FT. PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge N0 ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent 3.oo oo o C 5q) €olm(D) Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERM!T Fu rnace Exhaust Hood Vent Fan N. ..q By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all times durlng construction. d*,,tla Date €rt t r--r, -;Signature MlSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge r Total Miscellaneous I tS (E) rllo ,,Sidewalk Surcha Curbcut - ft Demolition TOTAL AMOUNT DUE (excluding electrica (A, B, C, D, and E Combined) I RECEIPT Ni DATE PAID Atv4OUNT R RECEIVED BY VALIDATION U TvI BER ECEIVED Lot Type K tn,"rio.il .o,.n", 4f\re W CITY OF SPRINGFIELD, OREGO'V SPRTNGFIELO :,:,;;J 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Hqme or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL EIJCTRICAL PBRHIT APPLICATION225 TIFTE STREET SPRTNGFIEID, OREGoN 97 INSPECTION RBQTIBST: 7 OPFICE: '726-3759 1 OP 477 .fu:,i:,i1-.LDA q4DbLb26ril!.$:b*t_b:1j Ar-tlr';riled gtiiji,lt:-i , *.. r-a_ g_.-_T:=:: ",j, City Job Number SCEEDTILB BBLOV Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Items Cost Sum DESCRIPTION Permits are non-transferable and expire if work is not started vithin 180 days of issuance or lf vork is suspended for 180 days. 2. CO}TTRACTOR INSTALI,ATION ONLY Electrical Contractor -J_ \L/nc.- gI,EGAL Address 3/ 7D Cl ty f)ta Phone (),ry -5/e 7 Supervis ( ,r""n"e Number ?E'i : Expiration Date \.q5 Constr Contr. Number Expiration Date +Tb EIect Ovners N, Addressr City Phone OIINER INSTALI,ATION The instaLlatloh is belng made on property I own vhich is not intended for sale, Iease or rent. Ovners Siguature: DATE: I &85 @_ A B $ 8s.00 $ 1s.00 $ 40.00 w, // c. D. Branch Circuits E. Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit - $ 2.00 Hiscellaneous (Service/feeder not included) 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 am[rs to 400 amps - $ 55.00 over 4bt to 6oo amps - $ 8o.oo Over 600 amps or 1b0O voTts see I'Brr aEF -Each installation Pump or irrigation $ sign/outline Lighting- $Liilited Energy/Res - $ $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 a 40.00 40.00 20.00 36.00 RECBIVBD 5 +3. - JUd liu. 7/o 62 C CITY OF SPRINGFI ELD SYSTEHS DEVELOPMENT CI]ARGE . . ,. I.IORKSHEET (cot'il'lERctAL & RESIDENTiAL) ilrt .f &nsrr.NANE OR COI'IPAI{Y: LOCATiON . % 3/o rro DEVEL0PHENT TYPE: SFD. .-- BUILDING SIZE: I . STORI'I DRA I NAG E it'lPERV I0US SQ . FT.Z7 5 ?. SANITARY SEI{ER-CITY OT SIZ x s0.203 PER SQ. FT. 77 Ft I,IO. OF PFU'S (See Reverse) /7 X 542.08 PER PFU 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x /, o /x s424.3i x s424.3i x s424.31 N BASE TOTAL-M[\'I'IC SDC SUBT0TAL (ADD ITE|4S 1,2,3 & 4)$ 2 a-27. 72 \ t2.z s- sy'.o = x S 4. SANiTARY SEI{ER-I.ll{I'iC N0.0F PFU'S /7 x $15.125 PER PFU + $10 Ht{ttc ADt't FEE Use PFU Total From item 2 Above) H1{'I4C CREDIT iF APPLiCABLE (SEE REVERSE) ( 5 BTOT vE) x .0sL 5 f-s / 7t 7, 8. rr a2. rd i nator TOTAL SDC 7O, Z/ I FIXTURE UNIT CALCULAI IOI'I T.\IJLE For remirJeli, c.'lliul3lc orlly tlrc ' ;i l'.i.: i.'::.,i i'':i:rt: i FIXTUNE N'Pi: Dathlub....... Drinking Founi;irr...... Floor Drain. . ... :.. lnlerceplors For Grease/Oil/Solicsr'Ilu-..,..- ... ... .. lnterceplors For Sand/Aulo \\'ash,i Etc............ . . Laurdry Tub/Clothestvashe r...... Gotheswaqher - 3 Or More........... llobile Hdme Park Trap (1 Per Trailer).................. Receplor Fgr R efrigeratorAVater Station/Etc........ Beceptor For Commerclal S in k/Dishrt'a sher/ El c.. Showei Single'Stall. Shower, Gan9........... S!nk, Bar, Commercia1.................. ' Urinal. StallftValt.... \Vash Basin /L-avalory. Singie......... \Vater Goset, Public lnstallation. Water C)oset, Private........ l,{iscellaneous: i.'Lrl,1::Iii C.,-- lli:\'J l'1.(l Ut1[ S 2 Ii... l.CLri\','iLt:l',i I UiJl L'l TS ,_-+=_ -i 6) 6 6 1 J 1 2 2 1 6 I dits, L Z z TOT,I.L FlXf Un E U,"' ITS 4 s 7 CREDIT CALCULATTON TABLE: BaseJ on assessej value eJculate creo'iis separates. if improvemenis occurred ai.er annexation date in tiible, Yezr Annexed Fate per S1,0OO .r.ssesseC Value Yeer Annexed Rate per S1,000 Assessed Value 1979 or before ISJiJ 1981 1SB2 1983 1984 1995 s3.21 J. IJ 3.03 2.95 2.82 2.68 2.51 I Y\i5 1 937 1933 1939 'tggJ 1931 1992 s 2.24 1.93 1.57 1.1 I 0.79 o.44 0.28 Ct{t for Parcd or LaM Only lf Applicable lmprovement (rf after annexation date) 7,2 /xs ,/O,6 o-a XS (Rate X Assessed Value) CREDIT TOTAL 7/,o7 s 74,o2 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Commercial......................... 0.9 ........... 0.15 ........... 0.5 lndustrial. Governmenia1.................. lh,lPERVlOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIEI{T i,t ; l.r,:1ii,-.','I-i..:r; ..:;.'. t':' i i L:..',..:lf :.1 - i ;'.it;:t'Lirt'15 (fiLrl:l (Rate X Assessed Value)