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Home My WebLink AboutPermit Building 1997-01-06gTTOFSPFINGFIELE, RESTDENTIAL PERMIT APPLICATION CITY OF SPRTNGFIEI,D COMMI'NITY SERVICES DIVISION BUILDING SAFETY a Office: Inspection Line: Page 1 ilob Nnnber: 97L652 726 -37 59 726 -37 69 225 North Fifth Street Springfield, OR 97477 Location of Propoeed Work: 7217 THURSTON RD Assessors l"tap #: ]-7023524 Lot: Bfock: Tax Lot #: 05903 Subdivision: Owner: ROLLIE KORNIEK Address:. 72L7 THURSTON ROAD Describe Work: FAI{ILY ROOM ADDIT Phone #: 726-7859 city/state/zip: SPRTNGFIELD, OREGON 97478 A.DDITION Const. Contractsor #Expiree Phone GeneraL Contractor OWNER QUAD AREA: 4RNE -- OFFICE USE -- LAND USE: 1111 To request an inspection, call the 24 howr recording at 726-3769. A11 i-nspections requested before 7:00 a.m. wj-1L be made the same working day, inspections requested after 7:00 a.m. wilf be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOtIIDATION - After forms are erected but prior Eo concrete placement.. POST AIID BEAII - Prior to fLoor insulation or decking. INSULATION - Floor; prior to decking Wal1/Ceiling; Prior to cover ROUGH ELECTRICAL - Prior Lo cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAITIING - Prior to cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all reguired inspections have been approved and the building is eomplete. Item Main Garage ENCLOSE 95FT Total- Value Building Permit Fee Surcharge/admin TOTAI. FEE --- BUILDING PERMIT --- Square Feet x 72 $/Square Feet 64 .55 Value 4 ,656 . OO 0.00 3,104.00 7 ,76O.OO 68. s0 5 .49 73.99 96 32.33 (A) --- MISCELLAIIEOUS PER}TITS Surcharge/admin SDC 0.00 23 .26 TOTAIJ MISCELI'ANEOUS PERMITS (E)23.26 gPFIi.GFIELE, ilob Nnmber: 97L662 OTT OF SPf,INGFIELD,a o Page 2 (Excluding Electsrical) unless oEherwise notsed TOTAL AIIIOI,NT DUE - - - (A, B, C, D, and E combined)97 .25 --- BUII,DING VAI,UE, PI,AIiI CHECK AI{D BUII.DING PERMIT --- This permiE is granted on Ehe express condition t,hat t,he said construction shall, in afl respects, conform to the Ordinance adopted by the Citsy of Springfield, including the Devefopment 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. Plan Check Fee: 44.53 Date Paid: Received By: Pl-ans Reviewed By: TOM MARX DaLe: Building Site Reviewed By: LISA HOPPER Tt/2L/e7 1_2/1,5/e7 Receipt Number: 28075 --- ADDITIONAI, COMMEMTS ELECTRICAL PERMIT REQU]RED By signature, I atate and agree, that I have carefully examined the completed application and do hereby certify thaE all information hereon is true and correct, and I further cert,ify Ehat any and alL work performed sha1l 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 Communit,y Services Division, Building Safety. I further certify that only cont,racEors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree Eo ensure EhaL all required inspections are requested at the proper time, that each address is readable from the sEreet, that the permit card is located at the front of the property, and the approved set of pl-ans will remain on the site at all times during construction. Ur<t:I 7r S ture te --- VATIDATION --- Receipt Number Date Paid Amount Received Received By: )840{ t- u- I v hal){ 4<,u) Jots N0.q7 / Aaz- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY RouLtG Voztr's€lt LOCATICN 7L l-7 7tr rB<-, on/ Et= DEV.EL0PMENT TYPE : A Dn r aont 7,, 5, [7 lL , BUILDING SIZE CT SI Ft 1. STOR|\4 DRAINiAGI *r.Js..r Roop - lytq IMPERVIOUS SO FT q8 x $0.225 PEP. SQ. ir $ 22.tir 2 . SAN ITARY SEi\rER -C iTY NC OF PFU'S X 5J6.86 PIR PFU e .O- (See Reverse Sr cle) 3. IRANSPORIATION NO CF UNIIS X iRiP RATE X COSI PER iRiP x $472 49 $ a-.- x_x$4t249 q X x $472.49 $ 4. SANiTARY SE'/ER-MI/IMC NO. OF FEU'S PER FEU + $IO MI^II"IC/ADM FEE $ _6- X X M!,\II'1C CREDIT IF APPLICABLE (SEt REVERSE) 5. ADl'lINISTRAIIVE FTES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ TOTAL-MI^JMC SDC $ SUBTOTAL (ADD ITTMS i.2.3 & 4)$ z-2, r<- SDC Coordi nator DaLe: ll- 2L-7 7 TOIAL SDC $ 23 ,26 s l;ll [-lza I UnE UlUl I lvAL\rlJLA I ltJlY I AOLE: Numoer oI l\ew Frxturp^ x Unlt tsqutvalent = Fixrure Units (NOTE: For remodels, calculate only NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...... Drinking Fountain.... Floor Drain.................. lnterceptors For GreaselOil/SolidsiEtc... lnterceptors For Sand/Auto Washi Etc... Laundry TubiClotheswasher. Clotheswasher - 3 Or More........ Mobile Home Park Trap (1 Per Trailer)............... Receptor For Ref rigerator/Water Station/Etc....... Receptor For Commercial Sink,'Dishwasher/Etc.. Shower, Single Sta11.......... Shower, Gan9......... Sink: Bar, Comme16ial, Resider-rtiai Kitchen......... Urinal, Stall/Wall... Wash Basinilavatory. Single Toiiet, Pubiic Installation...... Toilet , Privare Misceilaneous: TOTAL FiXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation dare in rable, caiculare ci'edits separates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ (Rate X Assessed Value) (Rate X Assessed Value) $ eaCH 2 ,l 2 3 6 2 6 6 1 3 2 tl 2 2 1 6 4 X$ CREDIT TOTAL Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per S1,COO Assessed Value 1 979 or before 1 9BO 'r 98',l 1 982 1 983 1 984 1 985 1 986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 v2.3() 2.17 1.73 1.31 c.92 o.74 o.61 o.45 o.31 o.17 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) liesroen ciai........ Commerical....... lndustrial........... Governmental.... 0.4 0.9 o5 o.5 IMPERVIOUS AREA : TOTAL LOT slzE X RUNOFF COEFFICIENT SPRToIGFIELO e lollowing.prcriei a rtDfnltod has tho following,o-ing and doee nol ,€S*€ sp€clric land useaooro/aJ @fi,I 225 FIFTE STREET SPRINGFIEI,D, OREGON 97(7ZEd INSPECf,ION REQIESTT 726-3 OFFICE: 726-3759 1 OF BLECTRTCAL PERHIT ty Job Nurnber 3. COHPI,ETE FEE SCEEDT'I,E BELOV .4.Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less gach additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular 'DveIIing' Sertice or Feeder $ 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: rq s s0.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 $ 3s.00 s 2.00 Sum a566 Permits are non-t ferable and expire lf vork is not start ed vithin 180 days of issuance or if vork is susPended 180 days. 2. CONTRACf,OR INSTALI.ATION Electrical Contractor (u,) City Phone Supervisor License Number 7trO amps amPs 200 L amps anps or lessto 400 amps -to.600 amps _to 1000 amps_ amps/volts _0nly 1000 ct Expiration Date Constr Contr. Number e /3 Expiration Date -7 f,'- s Electrician L Owners Name Add ci Phone The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. OsnersESignature: DATE: c Services or Feeders on, Alteration or Relocationti 200 amps"or less $ 40-00 201 amps to 400 amps - $ 55.00 over 4b1 to 6oo amis - $ 8o.oo 0ver 600 amps or I()OOETts see rBr' D. Branch Circuits Nev, Alteration or Extension Per PaneL One Circuit I Each AdditionalCircuit or vith Serviceor Feeder Permit I €5_ '114 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0utline Lighting_ t,imi ted Energy/Res -Limited Energy/Comm 5. SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 s 36.00 RECEIVED q) \ SP RIhrGFIELE'RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP: LOT:BLOCK: c\t t\0 ?fi, JOB NUMBER 225 Fifth Street Spri ng f leld, Oregon 97 477 TAX LO'I: SUBDIVISION: RK: OWN ADDR CITY:STATE: PHONE: ZIP: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS CONST. CONTRACTOR EXPTRES ,t PHONECONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: OFFICE USE - RANG /* FLOOD PLAIN:OUAD AREA: r OF BLDGS: SECONDARY HEAT: SOUARF. FOOTAGE: , OF BDRMS: - OCCY GROUP: * OF STORIES: ZONING CODE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour All lnspectlons requested before 7:00 a.m. wlil be made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS [-l Temporary E!ectrlc ly-{Rougn Mechanlcal - Prior to - cover. Flnal Plumblng - When allplumbing work ls complete. Slte lnspection - To be made a{ter excavatlon, but prior to setting forms. Rough Electrical - Prior to Final Electrlcal - When atl electrical work is complete.cover. Underslab Plumblngl Electrical/ Mechanlcal - Prlor to cover.Electrlcal Service - Must be approved to obtaln permanent electrlcal power. n al Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.tl Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Bulldlng - When att required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. n Framlng - Prlor to cover. l--l WalltCeltlng lnsulatlon - Prtor to|J cover. Foundatlon - Alter forms are erected but prlor to concrete placement. Other Underground Plumblng - Prior to fllllng trench. E MOBILE HOME INSPECTTONSUnderlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon. lnsert - After flreplace approvql and installatlon of unlt. Blocklng and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set.up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to filling trench. Water Llne - Prlor to filling trench.Flnal - After all required lnspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. Rough Plumblng - Prior to cover. a 4t,. WATER HEATER: E tl tl fl l--l Orywall - Prlor to taping. tl E tl E E [--] Sidewalk & Drlveway - Afterr--r excavation ls complete, forms and sub-base materlal ln place. [-| Fence - When coiirpleted.ll I-l Street Trees - When all requlredu trees are planted. Posl and Beam - Prlor to ,loor lnsulatlon or decklng. E Lot faces Lot sg. ftg. Lot coverage Topography Total helght Lot Type._ - lnterior - Corner - Panhandle I - Cul-de-sac Se P.L.HSE GAR ACC N S E i- IS THE PROPOSED WORK TN THE . HISTORICAL DISTRIGT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: BUILDING PERdttT .i VALUE (A) t ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SO, FT, BUILDING VhIUe, i5mru 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 ol Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any flme upon violation of any provisions of said ordinances. Plans Reviewed By Date Beceipt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home FEE (c) N' FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit (D) N0 t Vent Fan Dryer Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accortJance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon perlalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure without permission of the Bulldlng Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.OSS wlll be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the sls natu of the property, a the approved set plans wil on the site at al ring MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - lt Curbcut - tt Demolitlon State Surcharge Total Mlscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) ED RECEIPT NUM ER 5(VALIDATION: DATE PAID AMOUNT REC BECEIVED BY It}iP-L ^21offi-