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HomeMy WebLinkAboutPermit Building 1992-12-14TELE}?zftar/RESID ENTIAL PERMTT APPLICATION lnspections: 726'3769 Office: 726-3759 JOB NUMBER 225 Flfth Street Sprlngfleld, Oregon 97 477 #-8_LOCATION OF PFIOPOSED WORK:-- ASSESSOBS MAP:F, lr 7-1 SLID6 7Et TAX LOT LOT:9-g BLOCK: RANGE: SUBDIVISION FLOOD PLAIN ZONING CODE: * OF BDRMS: SECONDARY HEAT SQUARE FOOTAG _ OFFICE USE - LAND USE:\l'\ \OUAD AREA: # OF BLDGS OCCY GROUP r OF STORIES: WATER HEATER: tN OF UNITS: CONSTR. TYPE HEAT SOURCE:r oa ?t+ttZIP:STATE:CITY: ADDRESS: OWNER LDESCFIIBE WORK: ADDITION DEMOLISH OTHERNEW ( REMODEL CONTRACTOFI'S NAME GENERAL: SayeAAGru6IO- PLUMBTNG: .&aIMJD _Pll/rfu EXPIRES o-7 ooooc- spll? )-(J ADDRESS PHONE MECHANICAL ELECTRICAL:oA CONST. CONTRACTOR f To request an lnspectlon, you must call 726'3769. Thls ls a24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the sarne worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED !NSPECTIONS ('"-o"rary Eleclrlc x I(t nouOh Etecrrlca! - prtor to/-----\cover. N XSlte lnspectlon - To be madeafter excavation, but prlor tosettlng forms. Underslab Plumblng/ Electrlcal /Mechanlcal - Prlor to cover. Fooling - After trenches are excavated. Masonry - Steel locailon, bondbeams, groutlng. Foundallon - After forms are erected but prior to concrete placement. Underground Plumblng - prior to filling trench. Underll - Prior n ng. Post and Beam - Prlor to floorlnsulation or decklng. Floor lnsulatlon - prlor to decklng. ffi etectrtcal Servtce - Must beJqapproved to obtain permanent electrlcal power. p[ Flreplace - Prtor to factngr.+ matorlals and framlng lnsp, X rt",,lng - Prio, to cover. ffi WatttCelllng tnsulatlon - prtor toHcover. X o'r"''t - Prlor to taplng. ffi *""0 slove - After lnstallatlon. [--l tnsert - After ftreplace approval - and lnstallatlon of unlt. ,E Curbcut & Approach - Afterforms are erected but prior toplacement of concrete. fptsta"*"tk & Drlveway - AfterFl, excavatlon ls oomplete, formsand sub.base materlal ln place. [-l Fence - When compteted. flon"'M MOBILE HOME INSPECTIONS l-_] elocklng and Ser.Up - When ail.J blocklng ls compleie. Plumblng Connections - Whenhome has been connected towater and. sewer, Etectrical Cohnectlon - Whenblocklng, set.up, and plumblng tnspectlons have been approvedand the home ls connected tothe servlcg panel. ' Flnal -red Rough Mechanlcal - Prlor to cover. Flnal Plumblng - When allplumblng work ls complete. Flnal Electrlcal - When alt electrlcal work ls complete. Final Mechanlcal - When all mechanlcal work ls complete. Flnal Bulldlng - When ailrequlred Inspectlons have beenapproved and buildlng is completed. x ,xN ,X X E ,K ,tr X ,tr Sanitary Sewer - prlor to fllllng trench, Slorm Sewer - prlor to fllllng trench. Water Llne - Prlor to fllllng trench. fig;y;t Prumbins - Prior to @;,y."e,"[H;flnun arr requried tlng ed, lumbl OAa. r(-ss SOUfdg16,r...1 EUtLtrelR\, pHoNE: 7q-.*C Ogth -t+ll MoD c)( l,/l and and Lot Type THE PROPOSED WORK IN THE -AIISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISTER? - lf yes, thls appllcatlon must be slgned and apProved bY the Hlstorlcal Coordlnator prior to permlt lssuance. APPROVED ADDITIONAL COMMENTS #z _x lnteriorLot sq. ftg. Lot coverage TopograPhY Total height e_L%LLf Lh, -- ibrn", __ Panhandle ,( cut-0"-""" P.L,HSE GAR ACC 6,5 S /o ls E 2l BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt is granted on the express condition that the said constructlon shall, ln all respects, conform to the Ordinance adopted by the City of Springfleld, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of sald ordinances' Ptan check ,.u, _-3J16-2-- Date paid: - /4'D:2 - ewed v: t',*i! ^ S v Fleceipt Nutnbe Recei BUILDING PERMIT SO. FT. +73 /4€, rso (A) L47t /4 e ITEM Maln Garage Carport VALUE'<437o 66/,? Total Value Bullding Permit Fee State Surcharge Total Fee X $/SQ. FT. 5[^.e Systems Developnrent Charge ls due on all undeveloped properties wlthln the City limits which are being lmproved'RGE (sDc) fi ub\z! ANEcTHPLOMEVEDMSESYST w (B) ITEM Fixtures Flesidential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE +?2,f9 FT. (c)/3 63Plumblng Permlt State Surcharge Total Gharge Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent MECHANICAL PERMIT Mechanical Permlt t3 5y',63 @4 ffo Z (D) oo s.oo o,oo Ltr1,\.LS s?" lssuance State Surcharge Total Permlt '' Fu rnace Exhaust Hood Vent Fan Fy slgnature, I state and agree, that I have caref ully examined ihe completecl application and do hereby certify that all lnformation hereon is lrue and correct' and I f urther certlly that any and all work performed shall be done In accordance wlththeordlnancesoftlreCltyofspr|nglleld,andtheLaws of the State of Oregon pertalnlng to the work <Jescrlbed hereln, and that NO OCCUPANCY wlll be made ol any structure wltlrout permission of tlre Buildlng Safety Dlvlslon' I lurther certify that only contractors and employees who are ln compllance with ORS 701'055 wlll be used on thls proiect. I f urther agree to ensure that all required lnspections are requested at the proper time' that each address is readable from the street, that the permlt card ls located at the f ront of the property, and the approved set of plans will remain on the slte at all times durlng constructlon' nature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge srdewark -5b tt, curbcut %t- t Demolltlon State Surcharge (E) (o GO oo Total Mi scellaneous Permlts 5a D DATE PAID RECEIVED AMOUNT VALIDATION: RECEIPT NUM TOTAL AMOUN (A, B, C, D, and T DUE (excludlng electrlcal) E Comblned) 3{43v33 P4t1 N N:-5- FT. / odr?, .n 4,to )YOF OREGO''' :iPrraNGFrELo ( 225 FIFTB STREET SPRTNGFTELD, oREGON 97477 INSPECf,ION REQTIBST: 726_3769 OFFICE: 726-3759 1 |' LDR city Job Nuurber ). 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder ELBGTRICAL PERHIT APPLICATION 0b COHPIJTB PEE SCBEDULE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: Items Cost IJGAL DESCRIPTION Permits are non-transferable and expireif work is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALI,ATION ONLY Electrical Contracto 0r rized Sig A _t_L $ 8s.oo $ 1s.00 s 40.00 $100. $130. $300. $ 40. Sumffi @ AddressdqgNmue fxw.Ap=,, Expiration Date bupervlsor License Ntimber Jqlm 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_ Over 1000 amps/vo1ts Reconnect 0n1y B Ci Phone 00 00 00 00 00 00 $so $60 Constr Contr. Number Mrr-qb Expiration Date \L \D -q0- C. Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps or less I $ 40.00 201 amps to 400 amps _ $ 55.00 _fi Signat of 0vners Name Add ress The installation is being made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 volts see I'8" above D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit S 35.00 Each Addi t ional Circuit or vith Service or Feeder Permit S 2.00 E. Miscell"aneous (Service/feeder not included) -Each installation Ptrmp or irrigat ion Sign/0ut1ine Light ing- Limited Energy/Res Linri ted Energy/Comm trician ci,vr-T)I{ rl-14-NlqPhone osNE[ L]ror*rro* $ 40.00 $ 40.00 s 20.00 $ 36.00 5 L- -r RECEIVED B SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL '@^5.oo 425-n7 SPRINGFIELC, ' 0ffi ce: INSPECTION LINE: 7 26-3759 7 ?6-37 69 BACKFLOI.I PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DiVISION 225 Fifth Street Springf ield, 0regon 97 477 CITY OF OREGO'V Job Locati on : LZ U\,v:cl ?)7 c-t- As s es sors 14ap #: h*^a S{xrs.e.Tax Lot #: 0wner: Address: la l-A Ld , yr ('J ,. Phone #: ') L1+'r State:OQ L1 p:q 1V"71C'ity : Backflow Permjt'is $15.00 + $0.75 State Surcharge Contractor: Address:3.ls8r (L{-lnt^n'-.q. ?A-Phone #: 141 -94/- City:Statet OA zi p: Q1vo3 Construction Contractors Registration #:Sll .?Ex pires:-)l tlqz By signing this permit/application, I agree to call for an inspection once the backfiow prevention dev'ice has been installed and is visible for inspection (726-3769). I also state that all jnformation on this app'lication/perm'it is correct. Lltqlrz na ure nate FOR OFFICE USE Total Amount Collected: aDate of App'li cat'ion:b Rece'ipt l/:fi IQG Job #, ?)lU l-,Ll Issued Ay: OA \1 ]Y Q rr.o.,ne.- OB NO.1zr '+b+ CITY OF SPRINGFIELD ^SI:]Iif DEVELOPMENT CHARGE WORKSHEET (col4MERCIAL & RESIDENTIAL) I NAME OR COMPANY:o 2' LOCATION:Z DEVELOPMENT TYPE: BUILDING SIZE:OT SI DRAI AGE IMPERVIOUS SQ. FT-4o8o x $0.192 PER SQ- FT. ?. SANITARY SEI.'ER-CITY NO. OF PFU'S (See Reverse) X $39.78 PER PFU TRANSPORTAT ION NO OF UNITS X TRiP RATE X COST PER TRIP I l.oo E x $40i.05 x $401.0s x $401.05 sQ. Ft. 1. 3 x x X $ $ 4 ADM INIST TiVE F EES BASE CHARGE (SUBTOTAL ABoVE) X '05 5. SANITARY SEWER-MWMC NO. OF PFU'S .l- (Use PFU Total From Item 2 MI^IMC CREDIT IF APPLICABLE (SEE REVERSE) Ki p Burd ick suBTorAL (ADD ITEMS 1,2, & 3) $2ZGo9 TOTAL-CITY SDC $ $13.62 PER PFU + $10 Mt,lMC ADMIN. FEE $ ?1-1-U Above) TOTAL-MWMC SDC bbb \or,'l* ob oZ SDC Coordinator o TOTAL SDC S Z1b\29 ,ON 6or DL -^/ FIXTURE UNIT CALCULATIOil TABLE: t'tumoer of New Fixtures For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES t, X Lrrnr-Equivalent = Fixture Units (NOTE: UNIT FIXTURE EQUIVALENT UNITS Bathtub-..-.-. Drinking Fountain""' 2 2 t+9 deaH t 2 1 2 3 6 2 6 6 1 a 2 1/ 2 2 1 6 4 Floor Drain- i nierceptots For G rease/Oil/Solids/Etc""""""""' lnterceptors For Sand/Auto Wash/Etc""""""""" Laund ry Tub/Clotheswasher""" Clotheswasher - 3 Or More"""" ""':""."""""""" "' HlloUif" Home Park Trap (1 Per Trailer)""'*""""" Receptor For RefrigeratorAVater Station/Ltc"""" n"""'p,ot For Commercial Sink/Dishwasher/Etc" Shower, Single Sta||...""""" Shower, Gang--.--.--.-- Sink, Bar, Commercial Urinal, StallflVall.>(, ------f-Wash Basin/Lavatory, Single"""-' Water Closet, Public lnstallation" Water Closet, Private.."' Ir,4iscellaneous: TOTAL FIr|URE UNITS 21 CREDIT CALCULATToN TABLE: Based on assessed vatue. lf improvements occurred after annexation date in table' calc ulate credits seParates- L Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$ (Rate X Assessed Value)x$ (Rate X Assessed CREDIT Value) TOTAL =$N A. Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1985 1986 1 987 1988 1989 1 990 1991 $2.1 6 1.90 1.60 o.25 0.87 0.50 0.16 1979 or before 1980 1981 1 982 1983 1984 $2.83 2.76 2.7'l 2.60 2.46 2.33 RUNOFF COEFFICIENTS FOR STORM DRAINAGE IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT 9