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Home My WebLink AboutPermit Building 1994-01-05LD 5(b3 JOB NUMBER ?=/g>a 225 Fifth Street Spri ngfield, Oregon 97 477 RES!DEN'iIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFIK: ASSESSORS MAP:o LOT:€ I,L BLOCK: TAX LOT: SUBDIVISION aOWNER: ADDRESS: CITY: PHON E: ZIP:STATE: 7-54> NEW - FIEMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: CONST. ADDRESS PHONEEXPI .\ CONTRACTOR'S NAME G EN ERAL: PLUMBING MECHANICAL: ELECTRICAL: \t\ \ VlU t a - OFFICE USE _ RANGE: LAND USE: * OF UNITS: OCCY GROUP:* OF BDRMS: SECONDARY HEAT SQUARE FOOTAG CONSTR. TYPE: HEAT SO WATER HEATER: S OF STORIES: ZONING CODE: FLOOD PLAINQUAD AREA: * OF BLDGS: To request an inspection, you must call 726'3769. Thls ls a24hour recording. All inspections requested before 7:OO a.m. will bemade the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS tr x E F F x [I Temporary Electric Sile 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 Plumbing/ Mechanical - Prior to insulation or decking. Posl and Beam - Prior to floor insulation or decking. Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Line - Prior to filling trench. Rough Mechanic cover. \- Rough Electrical - Prlor to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materlals and framlng lnsp. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. Final Plumbing - When allplumbing work is complete. Final Eleclrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When ail required inspections have been approved and building is completed. Other Plumbing Conneclions - Whenhome has been connected to water and sewer. 4 N X N K F F F F MOBILE HOME INSPE TIONS [-l Blocking and Set.Up - When ail - blocking is complete. r Rough Plumbing - Prior to cover. 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. oozL-{ - .9ft 2qz- AS.\w , \ E (o'r*,'l - Prlor to taping. [-l Wood Stove - After instailation. f--l lnsert - After ftreplace approvat - and installation of unlt. ffi Curbcut & Approach - AfterF forms are erected but prior toplacement of concrete. 15f "tr"*"tk & Driveway - After )ts excavation is complete, forms and sub-base material ln place. l--l Fence - When compteted. [-l Street Trees - When all requiredu trees are planted. tl Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type v - lnterior - Corner - Panhandle { "u,-0"-""" ks P.L.HSE GAR ACC N S E r-1S THE PBOPOSED WORK.iN THt. HISTORICAL DISTRICT' OR ON h TH E H ISTO RICAL REG lSreRr-l,LQ lf yes, this application must be signed and approved bY the H istorical 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 adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildlngs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. /-5 --q* /2 /2^4= Datevewed Receipt Numbe Plans Rev Plan Check Fee: Date Paid Received By: BUILDING PERMIT ITEM SO. FT, X $/SQ. FT.VALUE (A) /22."/E-----f-22 //. ^ Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport /szf Systems Development Charge is due on all undeveloped properties within the City limits which are being improved.SYSTEMS DEVELOP* t*r,"]' ^TW ADDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE No 3 FT. FT. w ACA is(c) Plumbing Permit State Surcharge Total Charge 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 in compliance with ORS 701.055 will be used on this proiect. \ sis Date of the property, and t app on the si te at all ti du construction. I required insPections are each address is readable card is located at the f ront set of plans will remain I further agree to ensure that requested at the ProPer time, from the street, that the PeMTSCELLANEOUS PERMITS Mobile Home State lssuance State SurchargeF{q,Sidewalk L)-,lt/aJ- Curbcut '-21--I- ft Demolition State Surcharge Total Miscellaneous Permits (E).\/.3 5' \\ C D DATE PAID AMOUNT RECE RECEIVED VALIDATION: RECEIPT NUMBE TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 2,11q3no5 MECHANICAL PERMIT Fu rn ace Exhaust Hood Vent Fan N0 4 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Me ical Permit cx) IC ) 6- oo lssuance State Surcharge Total Permit (D) m::./) FT. aCITV OF SPR"UGFIELD, SPRT,{GFIELO SPRTNGFIELD, oREGoN 974U nrspscrrou nsouBst, tzMt eq":las]er OPPICE: 726-3759 rquli'.,::,r,... i,;. .i, ,-, 1 lvri5g !oni. . ;:rJ doesapt'-. ,il 225 PTfrg STREET Ovners Address Ci ty Phone OVNBR INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATB: BIJCTRICAL PERHIT City Job Nunber SCMDUI^B BELOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included:Items Cost as eubmittod hae thenot requiro speciflc land usE *b permits are non-transferable and explre lf vork is not started vlthln 180 days of Issuance or lf vork ls suspended for 180 days. 2. COIII"ACTOR INSTALI.ATION ONLY Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DveIIing Servlce or Feeder _L n\-_, $ B5.oo $ 1s.00 $ 40.00 $100. $130. $300. $ 40. Electrical Contracto rGe *-J {laJi,c Address ct 'f t.i pnonehtirs?G Supervisor License Number -36S ,-/s Explration Date /o* I -'.ls Constr Contr.Number Z-l N5 Expiration Date D_ Slgnature of Supervlsing Blectrician 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts Reconnect 0niy Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVE 5f State Surcharge TOTAL B r 00 00 00 00 00 00 s s0. $ 60. 40.00 55.00 90.00 $ $ $ s c.Temporary Services or'Feeders Insta}lation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000 voT[s ee trBu aEiE t D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit -- $ 2.00 Miscellaneous (Service/feeder not included)B 5 -Each installation Pump or irrigation _ S Sign/OutIine Lightine - $ Limited Energy/Res - $ Limi ted Energy/Comm $ 40.00 40.00 20.00 36.00 RECEIVBD B d) (- b € /la.dn,s :iPFI ELO Th,e to\\Qur!5q Pr oiect w(lot t',es rsquire specitic iand use . i.i .. 2.25 YTfrfl STREEf, SPRINGPIEID, ORBGON 97477 INSPBCf,ION REQUEST: 726-3769 tt. l(,,tOPPICB: 726-3759 - l)i';"- EIJ,CTAJCAL PERHIT NPLICATION City Job Nuuber PEE SCEEDTIIJ, BELOS s 8s.00 $ 1s.00 $ 40.00 $ s0.00 $ 60.00 s100.00 $130.00 $300.00 s 40.00 ee 11Brl a6ovF 1 (o Permi ts are non-transferable and 1if vork is not s tarted vi thin 180of lssuance or I f vork ls suspended t,180 days. ! COI\ITRACTOR TNSTALUITION ONLY EI lcal Contractor Add res Ci ty Supervisor r Expiration Date Constr Contr. Expira ti trician Omers Address Ci ty Phone The installatioir is bei Nev Resldential-Single orHuIti-Family per dv-Iling unir.Service fncluded: I tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanufrd Home or - Hodular Dwelling Servlce or Feeder Services or Feedersfnstallation, Alterationsor Relocation: 200 amps or less 201 amps to 4OO amps --401 amps to 600 amps - 601 amps to 1000 amps-over 1000 amps/volt; - Reconnect 0nIy Temporary Services or'Feedersfnstallation, Alteration oi-nelocation 200 arnps or less I S201 amps to 400 amps - i0ver 401 to 600 amos qover 600 amps or fbOO-roTts I Branch Circuits re s or A. B. c. D. E Sum 40.00 55.00 80. 00 1D_ made ont intended Nev, Alteration or Extension per panel One Circuit S 35.00Each Additional Y r' Circuit or vith Serviceor Feeder permit _ $ 2.OO Miscellaneous (Service/feeder not included)-Each instalLationproperty r own vhichfor sale, Iease or re IYrp.gr -irrigation S 40.00Sign/Outline Liqhting- S ab.OO iifiit:s Iffi:EIii:;m '- i 33:33 Oyners S DATE:5 SIJBTOTAL OP ABOVE5Z State Surcharge TOTAL s aa.C'TY OF OREG ol, Date of Supervlsing RECBIVED ls \ a co iB No. 1e t81o CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }IORKSHEET (cot'ttlERcIAL & RESIDENTIAL) NAME OR COMPANY:N)r <€frL *nt KENgi+tP LOCATiON:'L ,T*ue>toN Ro KD /7 oz24l2- oo?-oLb5t- DEVELOPMENT TYPE: BUILDING SIZE: .Lp tr EN 'FR SiZ I. STORM DRAiNAGE IMPERVI0US SQ. FT.-Ll ,-+ x $o.zo3 PER sQ. FT 2. SANITARY SEt.IER-CITY NO. OF PFU'S (See Reverse) zb X $42.08 PER PFU TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP Ft. 3 x/,c,l x $424.31 x $424.31 $ x $424.31 $ $15.125 PER PFU + $10 Mt^lMC ADM FEE $ 451 4 X X SANITARY SEI,IER-MI,JMC NO. OF PFU'S 21 (Use PFU Total From Item 2 Above) Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) 81 TOTAL-Mt,lMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) bv 5.9 $ Ltzr 1 5. ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05&:E-^-r-l /z s 4 Kip Burdick SDC Coordinator T' louol o TOTAL SDC g Zzz-l'9 FXTURE UNIT.CALCUTJ 'ON TABLE: ruUMUET Of NCW FIXIUTES io, t..oOas, calculAte only the NEl-rdditional fixtures) NU'!4BER OF FIXTURE TYPE NEW FIXTURES I nit Equivalent = Fixture Unils {NOTE: UNIT EOUIVALENT FIXTURE UNITS ?- 2- Floor Drain----.--.--.-----" " "' lnterceptors For Grease/Oil/Sollds/Etc" "" "" "" "' l nterceptors For Sand /Atrto Wa sh/ Etc" " " " " " " " -' Drinking Fountain.---.. Laundry Tub/Gotheswasher" "" " Credit for Parcd or Land Only lf Applicable lmprovement (rf after anne)Gtion date) (Rate X Assessed Value) CREDIT TOTAL $ 5b 2 1 2 J 6 2 6 6 1 3 2 1 Oothes:walher - 3 Or More"""""' Receptor F6r RefrigeratorAVater Station/Etc" " " " Receptor For Commerclal Sink/Dishwasher/Etc"'7: Shower, Single'Stall-- Shower, Gang----.----.- Sink. Bar, Commercial Urinal. StallflVall.--. Wash Basin/Lavatory, Single" Water Gose! Public lnstallation" " " "' -"' -"-"'- - " " "' Water Closet, Private.--..-- Miscellaneous: TOTAL FIXTURE UNTTS 'L4 CREDIT CALCUT-ATION TABLE: Based on assessed value lf improvements occurred after annexation date in table' calculate credits 3 Ll x s lar'K a n5G2- /Head ? 2 1 6 + /-- -_-: v lnate X Assessed Value) X$ Z/ RUNOFF COEFFTCIENTS FOR STORM D 0.4 0.9 0.45 0.5 RAINAGE Residential. Commercial..--.-..----"""' lndustrial-..- Governmental--..----... ""' Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,00O Assessed Value 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 't.18 0.79 a.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 7 '"1 IMPERVIoUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT Willamalane Park & Recreation District lob No.s3\t1\ SYSTEMS DEVELOPMENT CHARCE WORKSHEET \J NAME:\ ADDRESS: LOCATION OF PROPOSED BUILDINC SITE: Street Address if Known: Platt Name: srArE:US zP qIq1B \u0 * PHONE: r14h,lq\ 1 PEyFTOPMENT fYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Single Family - Detached ( Single Family home NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home park NO OF UNITS $ x $280 PER UNIT =$ Tax Lot Number: Manufactured home not in a park X $400 PER UNIT = X $370 PER UNIT = X $ZZt PER UNIT = ($ WPRD SDC 2. sDc cREDlr (tf-applicable) sDC.-payer must furnish proof of WpRD Creditapproval. See SDC Credit Workshbei. 3. TorAt WPRD NET sDC ASSESSED (rf sDc reduced for credit) $ $ $ CO P City of Di Date $_ Services