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Home My WebLink AboutPermit Building 1994-03-29-BirLs 6r..r.J Lilcr q3o8 t$c RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED WOBK: SPRINGFIELO Othc JOB NUMBER 225 Fifth street Springfield, Oregon 97 477 ASSESSORS MAP:TAX LOT: LOT:t3 BLOCK:SUBDIVISION A* lca- Pt<NoQ*\ PHONE:7ab - 38q 8oooo HE ANO i CONSTRUCTION,INC *71158 84959 Parkway PLEASANI HILL,OR 97455 o A c STATE:ZIP DESCRIBE WORK:BFO NEW v REMODEL ADDITION DEMOLISH OTHEB HE and i Const.,Inc, BiIIs Electric Oon Leuis Plumbing l'larshalls OiI & Ins. Brooks Excavation 84959 Parkuay 71158 Pleasant Hill, Ar 97455 3170 tlJ llt h, 21351 Eugene, Ar 97402 500 Greenfield 33076 Eugene, Or 97404 4131 "E "5t . 25790 Springfield, Or 97478 2766L Crow Rd 55941 Eugene, Ar 974A2 ADDRESS EXPIBES PHONE 7?6-3898a2/95 687-1851 -o4/94 a6/94 688-1931 - L2/94 345*7564a3/94 SQUARE FOOTAGE atSD- >tr,UL.'I\UAFiT r1EAI:I 747-7445 _ CONTRACTOR'S NAME WATER HEATER: g OF STORIES:HEAI 59U[It'E RANGE: CONST. CONTRACTOB # AUAD AREA: C Y OF BLDGS: - OCCY GROUP: - 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. REQUIRED INSPECTIONS Temporary Electric Site lnspection - To be made after excavation, but prior to settlng forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Underground Plumbing - Prior to fi lling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Rough Plumbing - Prior to cover. X electrical Service - Must be4--\ approved to obtain permanent electrical power. ts ,K X ,K Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover. Wall/Ceiling lnsulalion - Prior to cover. Final Electrical - When atl electrical work is complete. Final Mechanical - When atl mechanical work is complete. Final Building - When atl required inspections have been approved and building is completed. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and ptumbing inspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. .K .tr" 8- ,E Final Plumbing plumbing work - When all is complete. ffirounaation - After forms area erected but prior to concrete placement. tr Other MOBILE HOME INSPECTIONS K K X )qls,or- Sewer - prior to filting - Irencn. Kyg:;:ine - Prror to rirrins tr Curbcut & Approach - After forms are erected but prior toplacement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Street Trees - When all required trees are planted. [-l Blocking and Ser.Up - When alt - blocking is complete. q- GENERAL: -PLUMBING:- MECHANICAL: - ELECTRICAL: - X' l--l Pence - When compteted. tl fforVwalt - Prior to taping. [--l Wood Stove - After instailation. I--l lnsert - After fireplace approvat - and installation of unit. E F Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type Se P.L.HSE GAR ACC N S E HE PROPOSED WORK IN THE H-ISTORICAL DISTRICT, OB ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPFIOVED X lnterior 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 viotation of any provisions of said ordinan Date 3'^ql PI S Reviewed By Plan Check Fee: Date Paid Recei pt Number: ived By: BUILDING PERMIT dl {1 ls 'Lbi ?*(A) |,CIqVALUESQ. FT. X $/ITEM Main Garage 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. SYSTEMS DEVELOPMENT CHAR (B) GE (SDC) #zt-+fe ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE TqT*\ (c) N0 FT. FT. FT. m.x)q6& 4!4.13 PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT \ L?, Stp'18 d (- (D) ro N0 Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By slgnature, 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 further 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 ln compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable Irom 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. Signature Date Nr-"r-,r*>''^r-Uv-.,t.]tL, MTSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharoq Sidewark Ld { t, ^LCurbcut .14-+- ft Demolition Total Miscellaneous Pe ) (E) St Su rc harge r { DATE PAID AMOUNT REC RECEIVED VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) I 4eq 3a i.-o cc +,tc\4,6 4 ,@_ i,,B No. lulobSi CITY OF SPRINGFIELD SYSTEMS DEVELOPI,IENT CHARGE }IORKSHEET (C0MMERCTAL & RESIDENTTAL) NAME OR COMPANY:#€T CotsT, Txtc LOCATION : 24 9I OTTO LDF_- NEN 5-TLDEVELOPMENT TYPE: BUILDING SIZE:OT SiZ I. STORM DRAINAGE TMPERVI0US SQ. FT.Zo4l-x $0.203 PER SQ. FT. 2. SAN ITARY SEI,IER-C ITY NO. OF PFU'S (See Reverse) Zb X $42.08 PER PFU TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP a. Ft. 3 I x l.ot x $424.31 x $424.31 x $424.3r X X $ tI 4. SANITARY SEWER-MWMC NO. OF PFU'S 7V X $15.125 PER PFU + $iO MI^IMC ADM FEE (Use PFU Total From Item 2 Above) MI,IMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES 87gb61 a7 BASE CHARGT (SUBT0TAL AB0VE) X .0s d---'B*,&^-L s z'q( rip gurdick SDC Coordinator -4ob'- T6TAL SDC $ ZZ4 t 5o FIXTURE UNIT,CALCULA' iot t"*oo"rs, catculAie only the llll FIXTURE TYPE )N TABLE: Number of Nerv Fixrures X'''it Equivalent = Fixture Units-ir"{OTE: dEditional fixtures) Drinking Fountain.-.--- Floor Drain-. lnterceptors For G rease/Oil/Sol id s/Etc" - "'- " " " "" lnterceptors For Sand/Auto Wash/Etc" " "' -'- "- " "' Bathtub........ Laundry Tub/Glotheswasher Shower, Single Stalt-- Shower, Gang.....---.-- Sink, Bar, Commercial Urinal. StallflVall.--.. Wash Basin/Lavatory. Single"""-""""' Water Closet, Public lnstallation'- Water Closet, Private..-..-... Miscellaneous- NUt!4BER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS L7 2- 2- t- z 2- t- Head 2 '1 2 J 6 2 6 6 1 3 2 1/ 2 2 1 6 4 Clotheswaqher - 3 Or More-..."""' Mobile Hdnie Park Trap (1 Per Trailer)' Receptor For Ref rigeratorAVater Station/ Etc" " " " Receptor For Commercial Sink/D ishwash e r/Etc" v 3 TOTAL FIXTURE UNITS CREDIT CALCUT-ATION TABLE: Based on assessed value lf improvements occurred after annexation date in table' calculate credhs /0,62#7+o2 Credit for Parcel or Land Only lf Applicable lmprovement (rf after annexation date) 1 .2-t x $ (Rate X Assessed Value)x$ (Bate X Assessed Value) CREDIT TOTAL = $34 ov RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..-. Commercial.. lndustrial.... Governmental............-... 0.4 0.9 0.45 0.5 Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,0OO Assessed Value '1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 o.28 1979 or before 1980 1981 1982 1983 1984'1985 s.21 3.13 3.08 2.96 2.82 2.68 2.51 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT t 'tl OFEGO'VCITY OF zoning, and approval. does not L as su.bmfttd lm the followirg require speci{ic land ueo % SPRIt{GFIELE, BLBCTT,ICAL PERHIT APPLICATION A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Servlce or Feeder I $ 8s.00 s 40.00 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_ Over 1000 amps/volts Reconnect 0nly c. 225 YTFT,E STREBT SPRTNGFIBLD, oRBGoN rNspBcrroN REQI Bss$+ -.7:L6=i769 .3 _>^ _ qY City Job Number OFPICB: '726-3759 ,,"L.* COUPIATB FEE SCMDTILE BBLOV 1. IJGAL DBSCRTPIION permits are non-transferable and expire if vork is not started within 180 days of lssuance or lf vork ls suspended for 180 days. 2. COIIISACTOR INSTALI.ATION ONLY 3 $1s.oo+5- tr $40 $ss $80s see Sum aSove ffi B Electrical Contract Address .9 / 7L)h/, t r d,$ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 ci Phone Supervi r License Number Expiration Date /c, Constr Contr. Number Expiration Date d Addres Ci ty Phone finers Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation oydu.i 2 ?ro s trician 200 amps or less 201 amfs to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voTI .00 .00 .00 flB'l a D. Branch Circults Nev, Alteration or Extension Per Pane1 one Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscelfaneous (Service/feeder not included) -Each installation Pump or irrigation - $ 40.00 t,imited Energy/Res - $ 20.00 5. SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL s OSNER INSTALI,ATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. E RBCEIVBD rc I .l qi.I OFEGO'VC'TY OF SPRINCFIEL SP.:lI,\lGF!ELO The following proiect as submlttod has the followi hzoning, and does not require enecific INSPECTION RBQTIBST: OFEICE: 726-3759 1 I,EGAL DESCRTPTION 726-3769 S.E':q!1 225 FTVtg, STRBEf, approva! SPRTNGFIELD, OREGoN s7477 " LDZ ELBCTRICAL PERHIT City Job Number l/2.1. coHpLETB FEB scmDul,u BELos A. New Resldential-Single or Multi-FamilY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or Iess Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Modular Dvel}ing Servlce or Feeder $ 8s.00 s 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: $40 Sum Permits are non-t lf vork is not st of lssuance or if 180 days. ferable and exPire arted vlthln 180 daYs vork ls susPended for COI|TRACTOR INSTALI,ATION ONLY cal Contractor, Address ci Supervisor Li Exp iration Date Constr Contr Bxplrat Date Ovners Address Ci ty 200 amps or less ZOf "ri" to 400 amPs -401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconneet OnlY c.Temoorarv Services or'Feeders Installaiion, Alteration or Relocation 100 130 $ $ $ $ 50. 60. 00 00 00 00 00 00 $300r 200 amps 201 amps Over 401 40 55. $ $ $ s- amps _ or les to 400 to 600 80. 00 00 00of Supewlslng Elec Over 600 amps o amDsr 1000 volts see lrBn a56F D. Branch Circuits Nev, Alteration or Extension Per Panel One Circult Each Additional Circuit or vith Service or Feeder Permit - $ 3s.00 $ 2.00 E Miscellaneous (Servlce/feeder not included) Phone 1Lb (\(r The installatloir is beirig made on piop"itv I ovn vhich is not intended for sa1e, lease or rent' 0mers Slgnature? -Each installation Pump or irrigation Sign/Outline Light lng- t,imited EnergY/Res \ry$ 40.00 $ 40.00 ,$ 20.00 $ 36.00 SI,BTOTAL OE ABOVB 5Z State Surcharge TOtrAL Phone RBCBIVBD 5 .r a i