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Home My WebLink AboutPermit Building 1995-07-18IELD URESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOBK: ASSESSORS MAP: LOT JOB NUMBER 225 Fifth Street Springfleld, Aregon 97 477 TAX LOT: BLOCK:SUBDIVISION OWNER: ADDRESS: CITY: PHON E: ztP: T STATE:(n tont* ( ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW K REMoDEL ME AD ESS 1C c -q {r+ -q 1 CONTRACTOR PLUMBING: GENERAL:-7G MECHANICAL: ELECTRICAL:6k- 6rz-( -767-7 CONST. CONTRACTOR ,EXPIRES PHONE VNJ Dp- m ,L re (,L esk{__ I ffNJ;lil FLOOD PLAIN - OFFICE USE _ LAND USE: FIANGE: ZONING CODE: # OF BDNMS: * OF UNITS: OCCY GROUP: r OF STORIES: OUAD AREA: I OF BLDGS: SECONDARY HEAT: SOUABE FOOTAGE: CONSTR. TYPE: HEAT SOUBCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons recluestecJ before 7:oo a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS l)il remporarv Erectrrc m ff#: Mechanrcar - Prror to re 5ll;].?l;Ti?nn," "],li?"il1 :1,':"$ff;'llJ},-offo?i.,:i:o' ry1 H# Erectricar - Prior to settlng forms. ffi Final Electrical - When ail)F- electrlcal work is complete. w ;4Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundallon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. Posl and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon * Prlor to decklng. Sanltary Sewer - Prior to filling trench. Storm Sewer - Prlor to fllling trench. Water Llne - Prlor to filling trgnch. Rough Plumblng - Prlor to cover. Eleclrical Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor to cover. Wall/Celling lnsulallon - Prlor to cover. Final Mechanical - When all mechanical work ls complete. W "t*^" - Prlor to taping [-l Wood Stovo - After lnstallation. tnsert - After flreplace approval and lnstallatlon of unlt. w Curbcut & Approach - After forms are erected but prior toplacement of concrete. w Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal ln place. [-_l Fence - When compteted a Slreel Trees - When all required trees are planted. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When altblocking ls complete. Plumbing Connections - When home lras been connected towater and sewer. W w w w w w w w a Electrical Connection - Whenblocklng, set.up, and plumblng lnspections have been approved and the home is connected tothe service panel. Final - After all required ins'pections are approved andporches, sklrtlng, decks, andventing have been lnstalled. t{ '7qf-clqt{) Ao, + WATER HEATER: [] Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Tyfu)o _d tntJrio, - Corner - Panhandle 5t - "ur-o".uu" Setbacks APPROVED: PL.HSE GAR ACC N c\\^^u? S "AY n Ur, VALUE lgdb l3f,to4g ,? (A) E X 4Va.t d.All,q,Main *7do Garage Carport $/so. FT. fb,&o Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. trr H, @ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the exprgss condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfleld, 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 sald ordinances. € DateBy Receipt Numbe f Recei Date Paid: Plan Check Fee ,03 SYSTEMS D EV E Lo P * =*r,"1' ^Erua Systems Development Charge ls due on all undeveloped properties withln the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ./?.* r?z-p ((,, FT. FT. FT. 22h.;af'v -E-9, PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge N0 ADDITIONAL COMMENTS nk.f MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N" f,x 7 ace U /fr* /€."e 1?,? /2.'+ (D) /.*tP ra v.* Mechanical Permit lssuance State Surcharge Total Permit Wood Stove/inser Dryer Vent By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed 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 OBS 701.055 will be used on thls proiect. 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 Signature Date on the site at ;rll m d structlon. MISCELLAN EOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk ?Z' rt curbcut 22 / tt 77./aTotal Miscellaneous Permits (E) frao lq,8a t7.? Demolition State Surcharge TOTAL AMOUNT DUE (excluding electrica\ 2l'?86,?5 (A, B, C, D, and E Combined) DATE PAID VALIDATION: BECEIPT NUMBE AMOUNT FIEC BECEIVED BY IS THE PROPOSEO WORK IN THE . HISTOBICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance.?i1 4a-1 ffr;t i t ,?rzae- %Z 2.19/.9/ *.fl OBEGO'UCITY OF lrD SPfiTIllGFIELD BLECTRTCAL PERHIT APPIJCATION 3. COHPI,RTB FBE SCEEDT'IJ BErcg A. Nes Residentlal-Single or Hulti-FamilY Per dvelling unit- Service Included:Items Cost 225 Fl,frg STREEf, SPRINGPTBLD, oREGoN INSPECTION REQTIESf,: OPEICE: 726-3759 1 Dale &Sfueq.ature IJ M e'ty Job Nuuber Permits are non-transferable and expire lf vork is not started vithin 180 days of lssuahce or lf vork ts suspended for 180 days 2. COIITRACTOR INS'TALI.ATION ONLY Electrical Contract or Philios ac fri c Address 3170 nw [-ana City Frrto,.,o Phone 97402 Supervisor License Number ?71 oc Exp iration Date L0/95 Cons tr Contr. Number z0-L79C c.Temporary Services or'Feeders Installation, Alteratlon or Relocation B 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 500 amps - 601 amps to 1000 amPs- 0ver 1000 amps/volts - Reconnect 0nly I g Bs.oo 4 s 1s.oo $ 40.00 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Sum €S rd) Inc. Exp Slgna ture of Electrician 0vners Na,ne, Address Cl ty Phone OI]NER The installatloir is belrig made on property I own vhlch ls not intended for saIe, Iease or rent. Orners Signature: DATB: iration Date t0/95 200 amps or less --[-201 amps to 400 amPs 0ver 401 to 600 amps 0ver 600 amps or 1000 volts Branch Circuits -Each installation Pump or irrigation Sign/Outllne Lightlng- Liilited Energy/[es -Limited Energy/Comm 40.00 55.00 80.00 ee trBr affi s $ $ s 10 D.; E Nev, Alteratlon or Extension Per Panel One Circuit $ 35.00 Each AdditionalCircult or vith Service or Feeder Permit $ 2.00 -Hiscellaneous (Service/feeder not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 @5. STIBTOTAL OP ABOVB 5Z State Surc[arge,frrf,,tr- 3?) RECBIVSD L% ., Willamal ane DistrictPark & Recreation Iob No.ctSD(11 b SYSTEMS DEVELOPMENT CHARCE WORKSHEET NAA4E PHONE:h!b:!24/ ADDRESS:(tLnuntttu fu,*f STATE: J&z,e 441-J LOCATION OF FROPOSED BUILDINC SITE: " in* Address if Known: PlattName, - ]L\UW Tax Lot Numbec 1.DEVELOPMENT IYPE (Ched appropriate dwellingG). SDC Calculations and dwelling typeffiu A. Single Family - Detached II Single Family home NO OF UNITS t Manufactured home not in a park X $400 PER UNIT;. ir' *ot,tl B. Single Family - Attached $ -$ $ NO OF UNITS X $370 PER UNIT = C Multi-FamilyApartment NO OF UNITS X $277 PER UNIT = D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = WPRD SDC 2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit WorksheL 3. TOTAL WPRD NET SDC ASSESSED (tf SDC reduced for Credit) $ $ $ ^6^i'.nit r (nn ,aCtf_\n ( $4m"oo fhl,thnL r Mr- tofl+. b-, 0 11 hh hLL14 tto(t1 hrvl "oo rB No. 15o47b CITY OT SPRINGFIELD SYSTEMS DEVEI'OPMENT CHARGE WORKSHEET (C0HHERCIAL & RESIDENTIAL) NAME OR COMPANY:EuutE aN 1 7t-ar z Coggt -u LoCATI0N: l4bb tN traoLL DoN ?ua 1707b 4zz- ooa t7 DEVELOPMENT TYPE:LDA _N ,FR ^J EU BUILDING SIZE:OT SIZ 1. STORM DRAINAGE IMPERVIoUS SQ. FT.Zbbo x $0.20e PER sQ. FT 2. SANITARY SEl,lER-CITY NO. OF PFU'S (See Reverse) X $43.26 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I x l,ot x$436.19 X x $436. 19 X x $436. Ie 4. SANITARY SEWER-MWMC N0.0F PFU'S L+ x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Tota'l From Item 2 Above) Mt.lMC CREDIT IF AppLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .05 !*-!-- Kip Burd Ft $ $ S 42269 $ 2412 Z \o7A 7* 4zz 6tc SDC Coordinator Date: TOTAL SDC s ?-bt1 41,1l' FIXTURE UIUIT CALCULATTaN TABLE: Numberof New Fixture' (NoTE: For remodeis; ""iittuto only th. - jT additionat tixturesl. NUMBER OF FIXTURE TYPE NEW FIXTURES Unit Equivalent :'Fixturc Units UNIT FIXTURE.- EOUIVALENT UNITS 4 Z -4-- 6 4 \'2_ Bathtub- Drinking Fountain...-... Floor Drain. tnte(ceptors For Grease/Oit/Sotids/Etc. -. -.. - - -.. - - -. - - lnterceptors For Sand/Auto Wash/Etc-..--...----------., Laundry Tub/Clotheswasher....-.- ---:---..'--- Clotheswasher - 3Or. More..-.. Mobile Home Park Trap (1 Per Trailerl Receptor For Refrigerator/Water Station/Etc------.- Receptor For Commercial Sink/Dishwasher/Etc-. Shower, Single Statl Shower, Gang......... .-....-..:-.-.--- Sink: Bar, Commercial, Residential Kitchen.--- Urinal. StalllWall-. Wash Basin/Lavattrry,' Single Toilet, Public lnstallation. Toilet , Private.... MiscelIaneous: 2 1 2 aJ 6 2 6 :6 1 J 2 1 2 2 1 dlHea z b TOTAL FIXTURE UNITS 24 CREDIT CALCULATION TABLE: Based on assessed value. lf improvements o ccurred after annexation date in table, calculate credits separates -a- Credit for Parcel or Land Only lf Appticabte lmprov'ement"(if af ter annexation datel X$ (Rate X Assessed Value)x$ (Rate X Assessed Value) -aCREDIT TOTAL $ Year Annexed Rate per $1,OOO Assessed ValueYear Annexed Rate per $1,OOO Assessed Value 1 985 1 986 1 987 1 9BB 1 989 1 990 1991 1993 $2.46 2.14 1-7'/ 1-3-l o.97 o-61 o.44 o-15 1979 or before 1 9BO 1 981 1 982 1 983 1984 1 985 $3.46 3.38 3.32 3.21 3.O6 2.92 2.73 2 I