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Home My WebLink AboutPermit Building 1994-12-06SPR!NGFtELO RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MA LOT:o5 .s JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION lZta E rra-ZIP:STATE: PHONE:@6rd44 3l 5q CITY: ADDRESS: OWNER: ADDITION OLISH OTHER DESCRIBE WORK NEW l( REMODEL EXPI RES PHONEADDBESS rl€+l .24 v7 CONTRACTOR'S NAME ELECTRICAL: MECHANICA CONST. CONTRACTOR # GENERAL: PLUMBING €_,€, OUAD AREA:\RIO\D WATER HEATER HEAT SOURCE: RANGE: _ OFF]CE USE _ CONSTR. TYPE: # OF BLDGS * OF BDRMS: * OF UNITS: LAND USE: SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24hour 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 l-l temporary Electric V/Site lnsoection - To be made fitt., exiavation, but prior to' setting forms. ;;o/Ls X X, ,K X E Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Fireplace - Prior to facing materials and framing lnsP. Framing - Prior to cover, Wall/Ceiling lnsulation - Prior to cover. Drywall - Prior to taping lnsert - After fireplace apProval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in Place. Fence - When completed Streel Trees - When all required trees are planted. f--l Final PlumbinglJ plumbing work - When all is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. lV Footing - After trenches are4excavated. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underl echanical - Prior on or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to f illing tren c h, Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. R-TElectrical Service - Must bejX{ ,pprored to obtain permanent electrical power. X K X X N & E ,R lumb qn* FLOOD PLAIN: zoNrNG coDE:-tDE- E E E T E E r Wood Stove - After installation. tl P.L.HSE GAR ACC N /51,,E) S ZZ a E /o Lot faces Lot Typqv, 4nrcrior - Corner - Panhandle Cul-de-sac Lot sq. rts. @ Lot coverase tZ?o ;:::1":,;'=ffu -rs rHE PRoPoSED woBK tN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED0 Total Value Building Permit Fee state surcharse Z/l+* /4f4 Total Fee (A) %A /44 /3J(4.sa VALUE 8&Zeo ru75A?o /fb? 5e1UpFns. /223p3y 4947s' 3g78 52 3.s3 3?17 X $/SQ. FT. scg \ BUILDING PERM!T ITEM SQ. FT. Main Garage Carport 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 buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Itq\r Plan ry zi!"; (") 021€(b;Receipt Numbe ?3 Received /4Plan Check Fee: Date Paid: < /-9,o7 -Zo/, ?3 SYSTEMS DEVELOPMENT CHARGE I z ss€-6tb Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT /T// ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /?150 q9\ + ,za FT./.-----.-:\ FT. - FT. (c) /5.4r -7 r.r" .4 /Oo foI /4.Plumbing Permit State Surcharge Total Charge zqfi! ADDITIONAL COMMENTS Z MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan ftf' I( Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance state surcharge 1 4{7 ,87 Total Permit (D) 6,€o /o,op ??L4t 3z_+_t+ 3,eo Da|aa2t, 4.fo_____9-- /9, oo 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 701.05b will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain /zDate s durin conston the site at all on. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sidewark /O/ t curbcut $Q- r Demolition State Surcharge o,- /d4>, Total Miscellaneous Permits (E) ) *b lil-4oNil/a .4)L// TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)3ba2-:-3 ) 3 VALIDATION RECEIPT NUMBER DATE PAID RECEIVED BY AMOUNT RECEIVED B/a e a stDttrN(;r:rG, Lo roiiogiggglalcAl pERHft 0se City Job Nunber D. Branch Circui ts E SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL ab 225 FIFTE STBBEI SPRINGFTEI.^D OREGON 97 INSPECTfON REQUBST: 7 oFFICE: 726-3759 1 LOCATION OT IJGAL JOB hes the ilic land APPLICATIONq4//33 aar--lZ-Q-'7af 3. coHprarg pEE scBEDuLE BBLoy tial-Single or U Hulti-FamiIy per dwelling unit. Service Included: f tems Cos t Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. i000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manufrd Home or -Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterations or Relocation: Sum s 85.00 E s 1s.00 $ 40.00 s s0.00 $ 60.00 $100.00 $130.00 $ 300. 00 s 40.00 _E 2. COITTRACTOR INSTALI.ATION ONLY B Electrieal contrac torTipnrat flw.rucc marcs s / 52 ..9rr- uraz (n,,sr fiz {uae+* ci pnone 3(2- g?41 Supervisor License Ndmber Expiration Date 30/7s Constr Contr. Number Expiration Date (e /r Signature of Superv clan Owners Name 200 amps or less 201 amps to 400 amps 401 amps to 600 arps -601 amps to 1000 amps- over 1000 amps/vorts -Reconnect 0n1yra/ | C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or l.ess g 4O.OO 201 amps to 400 amps - g 55.00over 401 to 600 amps - $ go.oo Over 600 amps or 1000 ,GTis see ,,8,, a 4e Eot'e Address z, Ci ty E Phone, Ar{a4zt OIJNER INSTALIdTION The instalLation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent. Ovners Signature: Nev, Alteration or Extension per panel one Circuit $ 35.00Each Additional Ci rcui t or vi th Servi ceor Feeder permit _ S 2.00 _ Hiscell,aneous (Service/feeder not included)-Each installation Pump or irrigation Sign/outline Lighting- Limi ted Energy,/Res - Limi ted Energy/Comm $ S $ S 40. 40. 00 00 00 00 20 5DATE: RECEI 6 RECEIVED BY: \d)p 36. ao The orrd not ^204 OL /?oo, ,t t -CITY OF SPR'NG ON The loilovring prolact as submitted.has the ,liing,ind'Abes not roquiro speci{ic land aoproval.77" SPRTNGFIELD u9e BLEqIRTCAL PERITIT APPIJCATION225 FTTTE STREBT SPRINGFTEID, OREGON 974 INSPECTTON REQUEST: OFPICE: 726-3759 1 JOB Permi ts areif vork is nof issuance 180 days. 726-3769 zo.tii----_ City Job Number DstB-3. COUPI,ETB EEE SCEEDT'I.E BELOS A Nev Residential-Single orl{ulti-Family per dvelling unit.Service Included:I^EGAL DESCRTPTION transferable and ex:piot started vithin 180 dor if vork i s suspended for INSTALI,ATTON ONLY EIec t Con trac tor Address Ci ty Supervisor License Expiration Date Constr Contr. Expi ra t i te of Supervising EIec Ovners Address Ci Phone b OVNER ALT,ATION DATE ftens L000 sq.ft. or less Each addi tional 500sq. ft or portion thereof Each Manufrd Home or - Modular Dvelling Service or Feeder Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum - 2 The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent. Services or Feeders fns tallation, Alterationsor Relocation: 200 amps or less 20L amps to 400 amps - 401 amps ro 600 amps - 601 amps to 1000 amps-0ver 1000 amps/volt Reconnect 0n1y Temporary Services or Feedersfnstallation, Alteration or Relocation i!! :iff:; lii"",p" +- I 19.38 4D Over 401 to 600 amps - S 8O.OO0ver 600 amps or fOOOfE'fts """ rrfri affi Branch Circui ts ; .. Nev, Alteration or Extension per panel One Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder permit _ $ Z.0O Miscellaneous (Service/feeder not included)-Each installation B $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 c D. E rs Pump or irrigation _Sign/Ou tline t ighting- Limi ted Energy/Re Limi ted Energy/Comm s 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAI Phone DD^r,iTlrrrn El ture: @ ,/ W"ilLemglalt.s fob No. sysrEMs riyjk?glt.T, cH ARc E NAM ADDRESS: LOCATION OF FROPOSED Street Address if Known: PHONE: STATE: Tax Lot Number: Manufactured home not in a Park d x $?77 PER UNlr = X $280 PER UNIT = $ $ BUILDI D 1 DEVELOPMENT TYPE . ($utk a;Tinitions ate on the back') appropriate dwelling6). SDC Calculations and dwelling type A. Single Family - Detached I single FamilY home NO OF UNITS X $400 PER UNIT =$ B. Single Family - Attached NO OF UNITS X $370 PER UNIT = Platt Name: C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS c__i^.*;nt.t' $ $ {) dM WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet 3. TorAL wpRD NET SDC ASSESSED (tf SDC reduced {or Credit) Date $ 4lneq a t a JoB No. 7/ns=ATTACHVIENT 81 NA}4E OR COMPINY: LOCATION 25 DEVELOPMENT TYPE:D BUILDING SIZE: OT SI 1. STORII NRAINAGF IMPERVIOUS SQ. FT.2 gGo.'{ X $0.209 pER SQ. FT 2. to*rroot srwrR-cITY crrY 0F SPRINGFIE\d{IffiEtEVEL0PMENI CHARGE TCOUUENCTNT- & RESIDENTIAL) Ft 3 NO. OF PFU'S (See Reverse) 9o X $43.26 PTR PFU ,**spoRtnTT0N NO OF UNITS X TRIP RATE X COST PER TRIP l x /,o/ x $436.19 x - x $436.19 $ x _ x $436.19 s SUBTOTAL (ADD ITEMS 1,2, & 3) S ZZ 73.y'. 4. SANITARY SEI^IER-MWMC NO. OF PFU'S o $17.19 PER PFU + $10 Ml^lMC POMIN.FEE $ s2 s,70 (Use PFU Total rom Item 2 Above) Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-I.4hIMC SDC SUBTOTAL (ADD ITEMS 1,2.3 & 4) $ 27 /?.fF 5. ADMINISTATTVE FEES BASE CIIARGE ( Mary g. P. SDC //-2F- ?* E) X .05 3s./ o, f5' ,r,7F 82. SDC i nator Date: TOTAT SDC $ 2 6fS.rC -- a RE UNTT GALCU LA*O NTA For remodels'calculate onlY tI,- ,'{ET additiona\ FIXTURE TYPE BLE: Numbe'r ot New Fixture^ X tt**'"if ueffi.o,jnes Unit Equivalent = Fixtu(e Units uoffir.*"tliHt (NOTE: Bathtub-."' Drinking Fountain"" Floor Drain i;;;;";oi"ts For Grease/oil/Solids/Etc " " ;" " " " " " i.i*".o..ts For Sand/Auto Wash/Etcr""""""""' Lau ndry Tub/Clotheswasher " "'ffilt Clotheswasher - 3 Or More""' """'l:"""" iiouilL-Horne Park Trap (1 Per Trailer)' il"" plot For Ref rigeratorAl/ater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc" 2 1 2 3 6 2 6 6 1 3 2 1 4 2 A 2 4 -+-t2 2 - Shower, Single Stall""""" Shower, Gang........' iintt a"t, Coirmercial,' Residential Kitchen"" Urinal, StalllYVatl..l Wash Basin/LavatorY, Single' Toilet, Pubtic lnstallation' Toilet , Private.... Miscellaneous: t*14*nr. tlTlt tr{ CREDIT CALCULATION TABLE: BASEd ON 2 --_T- TOTAL FIXTURE UNITS assessed value. lf imProvements occurred after annexation date in table, 2 2 1 6 4 I /Head 2 3o calculate credits !eParates. 7,46 (Rate X Assessed Value) 7?.c / x$ ^ (Rate X Assessed Valuel CREDIT TOTAL $Tzor Year Annexed Bate per $1,OOO Assessed Value Year Annexed Rate per $1,O00 Assessed Value 1979 or before 1980 , 1 981 1 982 1 983 1 984 1 985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1 985 1 986 1 987 1 9BB 1 989 1 990 1 991 1 993 $2.46 2.14 1.77 1.37 o.g7 0.61 o.44 o.15 3 Cred.it for Parqel or Land Only lf Applicable ^ tmprovement (if after annexation datel x $ 23. O/o