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Home My WebLink AboutPermit Building 1994-04-14SPRINGFIELD ^8'*- a3A LeJ) q4RESIDENTIAL PERMIT APPLICATION ions; 726-3769 726-3759 I ns pect Oftice:qfr, JOB NUMBER 225 Fifth Street Spri ngfield, Orcgon 97 477 33og otto \*"LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT: LOT:-11 BLOCK:SUBDIVISION d*l-,qLPd*k fb,{Jt OWNER: . ADDRESS: - CITY: -_DESCRIBE W( *=w X CONTRACTOF GENERAL: - oorotoo*o i c,NsTRUcrr'N,rNc *zlts'PHON E: PLUMBING: MECHANICAL: ELECTRICAL: JRIXO I t t- USE _ Iu_ OFFICE RANGE:WATER HEATER: * OF UNITS: LAND USE:FLOOD PLAIN ZONING CODE: * OF BDRMS: OUAD AREA: S OF BLDGS: CONSTR. TYPE: HEAT SOUFICE: OCCY GROUP: S OF STORIES:SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This is a 24 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 k K Rough Mechanical - Prior to cover.r F F 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.COVET, 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. IVJ Footing - After trenches arela{ excavated.Fireplace - Prior to facing materlals and framing lnsp. \J | )(l Final Building - When all frequired inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. ffirornoation - After forms arel.{J erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping X Underlloor Plumbing/ Mechanical - Prior to insulatlon or decking. MOBILE HOME INSPECTIONS Wood Stove - After installation N Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. T.} Floor lnsulation - Prior to decki ng.Curbcul & Approach - After Plumbing Connections - When home has been connected to water and sewer.'ms are erected but prior to Sanitary Sewer - Prior to filling trench. placement of concrete. k&Driveway-After Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.l--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. K Rough Plumbing - Prior to cover.E r F Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type X hterior - Corner - Panhandle - Cul-de-sacISs' Setbacks P.L.HSE GAR ACC N S E rS-TNC 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: 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 ed by the City of Springfield, includi upon violation of any provisions of sai DatePlans Reviewed By adopt Development Code, regulati ng the constructio buildings, and may be susPe nded or revo he Plan Check Fee: Date Paid Repeipt Nu Received By: USE Of at any time rdinances $/SQ. FT. Yfu.ID \4() EX (A) .o SQ. BUILDING PERMIT Total Value Buildlng Permit Fee State Surcharge Total Fee ITEM Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved' cT AHMEDSVELOEMPNESYST B) ADDITIONAL COMMENTS Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No wa FT. FT. FT (c) PLUMBING PERMIT ITEM Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent MECHANICAL PERMIT N0 ) d) q oo (D) Mechanical Permit lssuance State Surcharge Total Permit Fu rn ace 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 f urther certlfy 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 tlme, that each address is readable from the street, that the permlt card is located at the front o{ the property, and the approved set of plans will remain on the site at all times during constructlon' ilcua^-\Signature Date /- z-7f MISCELLANEOUS PERMITS Mobile Home State lssuance state surclfA, Sidewalk (- \-' curbcut 3l Demolition Total Miscellaneous Permits (E) +Drx)-*-) ft ft Su rcharge RECEIVED AMOUNT DATE PAID VALIDATION: RECEIPT NUMB TOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) _2 d) ,/rr;* ) B NO.1404t"7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE T,IORKSHEET (collllERcIAL & RESIDENTIAL) NAME OR COMPANY: LOCAT ION :o T A/EN 9FRDEVELOPMENT TYPE:Lo BUILDING SIZE: l.STORM D RAINAGE IMPERVIOUS SQ. FT OT SIZ "155 X $0.203 PER SQ. FT. lg X $42.08 PER PFU sQ. Ft. NO. OF PFU'S (See Reverse) 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x t.o x $424.3 I x -- x $424.31 x x $424.31 s 4. SANITARY SEWER-MWMC NO. OF PFU'S tg $15.125 PER PFU + $10 MtllMC ADM FEE $ ?b7x (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-Ml,lMC SDC suBTorAL (ADD ITEMS 1,2,3 & 4)s lqt" 5. ADMINiSTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .os Kip Burdick SDC Coord'inator 7-5 ot B Lbs: TOTAL S DC $ 2az1 tl 57.Zb 2. SANITARY SEt,lER_C ITY $ 0 FIXTURE UNIT,CALCULAT - N TABLE: Numuer ol Ner^t Fixlures X, ior- *rnoOnrs, calculSie only the trlE ad7irional fixtures) r.tUhlDER oF FTXTURE TYPE r'.rFW rrrxTUnES Equivalent = Fixture Units (NOTE t=IXTURE UNITS UNIT EOUIVAI-ENT Floor Drain-- i"Lr""pi.o For Grease/oil/Solids/Etc""""""''' i"i"i""p,"- For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher""""" Gothesr,vaqher - 3 Or More-""""" ffiii;il;e Park Trap (1 Per Traiter)""',;;""""' n JJpto, fpr R ef rigeratorAVate r Station/ ttc'- " " " ;;;6i", For commerctai sint<7o ishwasher/ Etc" Bathtub.-.----' Drinking Fountain'"""'-""" Shower. Single'Stalt" Shower. Gang"""""-' Sink. Bar. Commercial' Water Closet, Private""" l'4iscellaneous Urinal. StalUWaII""""""" "" "" """"' Wash Basin/Lavatory. Single"""""" Water Closet' Public lnstallation'- "'-' 2- L TOTAL FIKI'URE UNITS ments occurred after annexation date in table' lot b r67+- 2 1 2 J 6 2 6 6 1 3 2 1 Head 2 2 1 6 CREDIT CALCUI'ATION TABLE: Based on assessed value' lf improve calculate cred its seParate ?X$ J. Credit for Parcd or tand Only lf Applicable lmprovement (rf after annexation date)(Rate X Assesst\ _ CREDIT TOTAL $"r+* (Rate X Assessedx$ Value) Ass essed Value Rate Per $1'O00Year AnnexedRate Per $1'00O Assessed ValueYear Annexed 19B6 1987 1988 1989 1990 1991 1992 5 2.24 1.93 1.57 1.18 0.79 o.44 0.28 1979 or before 1980 1981 1982 1983 1984 '1985 s.21 3.13 3.08 2.96 2.82 2.68 2-51 RUNOFF COEFFICIENTS FOR STORM DRAINAGE ......-.-.....""' 0'4 Commercial"" lndustrial-'-""" Governmental' IMPERVIOUS AREA = TOTAL LOT Residential'0.9 0.45 ,...-..........-.. 0-5 SIZE X RUNOFF COEFFICIENT I + :1, 1,, 7, tC., g lq I b. C'TY OF SPF'NGF'ELD, OREGO'U The followlng Proiect zoning, and does not :iPRI'\lGFIELO as submttted hm require speciflc EIJSTRICAL PERHIT APPLICATION ty Job Number FEE SCEEDTILE BBLOS Nev Residential-Single or HuIti-FamiIy per dr,relling unit. Service Included:Items Cost 225 FITTE SltsBEf, sPRrNGrrELD, OREGON 97 477 INSPBCTTON RE0UESTz 726-3769 OFFICE: '726-3759 approval.LDL Authortasd1 A B c. I,EGAL DESCRIPTION a L A Sum6 3Dpermits are non-transferable and expire if work is not started vithin 180 days of issuance or if work ls suspended for 180 days. 2. COIIIBACf,OR INSTALI,ATION ONLY Electrical Contract Addres 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Servlce or Feeder C2SJ ?,,Y-S/'.17 QtrO S $ Bs.oo $ 1s.00 $ 40.00 40.00 00 00 00 Ci ty Phone Supervi License Number 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 Oniy 200 amps or less 201 amfs to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000G'Fs Expiration Date D-[qS Constr Contr . NunUer ,?D rl c Temporary Services or Feeders Installation, Alteration or Relocation s so.oo s 60.00 s100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 5s.00 $ 80.00 see rrB" aSoiE $ $ $ $ i Exoiration Date f Blectrician rs N, Address Ci ty Phone OITNBR INSTALI.ATION The installatioh is being made on property I ovn vhich is not intended for saIe, lease or rent. Orners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each ins taIIati.on Pump or irrigation Sign/0u tline Light ing- Limited Energy/Res Limited Energy/Comm STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL 40. 20. 36, RBCBIVED 5 d)