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Home My WebLink AboutPermit Building 1997-05-07SPF!NGFIELD TION CITY OF SPRINGFTELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY ilob Number: Page 1 97L557 225 North Fifth Street Springfield, OR 97477 tocation of Proposed Work z LL22 4TH ST Assessors Map #: 17032634 Lot: Block: Office Inspection Line 726 -37 59 726 -3769 Tax Lot #: 03700 Subdivision: ATTOF Owner: ROY POND Address : 1,1,22 4TH STREET Phone #: 74L-3869 city/state/zj-p: spRrNGFrELD, OREGON 97477 NEWDescribe Work: GARAGE ConEractor Conat. Contractor #Expires Phone General:OWNER Electricaf: OWNER QUAD AREA: 1RNW ZONING CODE: LDR VN SQ FOOTAGE: 960 -- oFFrcE USE -- LAND USE: 1111 OCCY GROUP: U To requesE an inspecEion, cal-l- the 24 hour recording aL 72G-3769. A11 inspections reguested before 7:00 a.m. will be made the same working day, inspecEions requested after 7:00 a.m. will be made the foll-owing work day. --- REQUTRED INSPECTIONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. UNDERGROI,TID ELECTRTCAL - Prior To Cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. ROUGH ELECTRICAL - Prior to cover. FRAIIING - Prior to cover. FINAL ELECTRICAL - When aII el-ectricaL work is compl-ete. STORM SEWER LINE - Prj-or to filling trench. FrNAL BUTLDTNG - when all reguired inspections have been approved and the buil-ding is complete. Lot Faces: E Sol-ar Approved: Y Garage Total Height: 18 Lot Type: TNTERTOR Setbacks SWE 2t Setbk From NPL: 12 N 1,2 Item Main Garage ToEal Value Building Permit. Fee Surcharge/Admin --- BUIIJDTNG PERDTIT --- Square Feet x 960 $/Sguare Feet L5.27 Val-ue 0.00 15, 619. 00 15,519.00 115.50 9.33 TOTAL FEE (A)125.83 # OF BLDGS: L CONSTR. TYPE: SPRIt.GFIELEt ,h, Job Nnmber: 97L557 OTT OF SPilNGFIEA. ONEGON Page 2 --- PLIIMBING PERMIT Item SEorm Sewer Plumbing Permit Surcharge/Admin TOTAL CIIARGE (c) Fee 25.00 2s.oo 2.OO 27.00 --- MISCELLATiIEOUS PERMITS --- surcharge/admin STORM SDC ELECT. PREMIT TOTAI. MISCELTANEOUS PERMITS (E) 0.00 349.30 85.40 435 .7 0 (Excl-uding Electrical) unless otherwise notsed --- TOTAL A}TOI'NT DUE ---di - 588 .53 Receipt Number:. 27853 --- BUILDING VAI.UE, PLAII CHECK A}iID BUIIJDING PERMIT --- This permiE is granted on the express condition that the said construction shafL, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating t.he construcEion and use of buildings, and may be suspended or revoked at any time upon viol-ation of any provisions of said ordinances. Plan Check Fee: 75.73 Date Paid: Rece j-ved By: Plans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER 1,0/2e/e7 1,2/01,/e7 --- ADDITIONAT COMMENTS --- By signature, I Et,ate and agree, that I have carefully examined the compleEed applicat.ion and do hereby certify that all information hereon is true and correct, and I further certify Ehat any and all work performed shall be done in accordance wit,h the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thaL NO OCCUPANCY witl be made of any sLructure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure Ehat 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 fronE of the property, and the approved set of plans will remain on the site at all times during construction. S j-gnature Date SPFIi'GFIELC, .fob Number: 97L557 gTT OF SPruilGFIEI.D, ONEGON Page 3 --- VAI.IDATION --- ReceipE Number: Date Paid: Amount Received: Received By: ^?7o" JoB N0. q7 +t7 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVILOPMENT CHARGE WORKSHEET NAME OR COMPANY ?ar ZrttD LOCATION I lzz4rs 5r DTVEI-OPMENT TYPE BUILDING SIZE LCT SIZ F S0. Fr 1 STORM DRAiI']AGI IMpERVIoUS s0 FT l, +7> x $0.220 pER SQ. Fr $ <=-2,e7 2. SANIIARY SEi^IER-CITY NO. OF PFU'S X $.16. 86 PER PFU $ (See Revers: Side) 3. TRANSP0RTAi i0N NO OF UNITS X TRIP RATE X COST PER TRIP x $472 49 x_x$47249 x $472 49 $ 4. SANiTARY SE|^IER-MUJMC N0. 0F FEU'S _X pER FEU + $10 Mt^ll'lC/ADM FEE $+ l',lI^/MC CREDIT IF APPLICABLE (SEE REVERSE)$ TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ $.312,6 7 5. ADMINISTRATIVE FEES BASE CHARGI (SUBIOIAL ABOVE) X .05 $ /6,41 X $ X SDC Coordi nator Date:*7 :7f TOTAL SDC $ 3+?,7d 9{ a tn I \.rfrL \.,t\tl I (NOTE: For remodels UHL\,ULH I I\JI\I I AI)Ltr,: Number ot New Fi: catculate o .he NET additional fixtures) NUMBER OF NEW FIXTURES :s X Unit Equivalent = Fixture Units FIXTURE TYPE Bathtub...... Drinking Fountain.... Floor Drain.................. lnterceptors For GreaseiOil/So1idsiEtc.............. lnterceprors For Sand/Auto Wash1Etc.............. Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer).......,...... Receptor For Refrigeratoriwater Station/Etc...... Receptor For Commercial Sink,'DishwasheriEtc.. Shower, Single Stall....... Shower, Gan9......... Sink: Bar, Commercial, Residerrtial Kitchen........ Urinal, Stall/Wall.. Wash Basinilavatory, Single. Toiiet, Pubiic lnstallation. Toilet, Private....... Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation dare in table. calculate credits se arates UNIT EOUIVALENT FIXTURE UNITS 2 1 2 3 6 2 o o ,l 3 2 i iHead 2 2 1 b 4 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL s Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,0OO Assessed Value 1 979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 s 3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 )z.co 2.17 1.73 1.31 0.92 o.74 0.61 0.45 o.31 o.1 7 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes OnlY) Fesioenirai........ Commerical...... lndustrial..... ..... Governmental... 0.4 o.9 o5 0.5 TMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT x s_ CITY OF SPRINGFIELD, OREGON DEVELOPMENT SER 225 FTFIfl STREET SPRTNGFTELD, oREGON TNSPECTION REQTIEST: OFFICE: 726-3759 n 1 LOCATION OF /t zz- t'*-\o LEGAL DESCRIPTION IX* I ^+ o??da 2z t:g.sfrL,,-"-il JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuanee or if vork is suspended for 1$O days. 2. COI{ItsACTOR INSTALTATTON ONLY Electrical Contractor Address ci ty-Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name Address /i2L 4@ s*, Ci ty Pnone 7y'/'38 L'( OIJNER INSTA.LLATION The installation is beLng made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: bltondtqt rJSc ETECTRICAL PERI{IT APPLICATION Job Nunber ? COHPLETE FEE SCEEDULE BELOg Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders fnstallation, Alterations or Relocation: f SPRINGFIELO SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-3753 FAX (s41) 726-368e 3 A B Sum 50.eo C. Temporary Services or Feeders Installation, Alteration or Relocation . 200 amps or less / 20L amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect 0n1y 200 amps or less 20L amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000 vol-ts $ s $ s -Each installation Pump or irrigation $ sign/outline Lightirg- $ Limited Energy/Res - $ Limited Energy/Comm $ $ s0.00 $ 60.00 $100. 00 $130. O0 $300.00 $ 40.00 40.00 55.00 80.00 ee ilBrt aEOve- D. Branch Circuits Nev, Alteration or Extension Per Panel E One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permi t /F $ 2.00 _3O.-* Miscellaneous (Service/feeder not included) 40.00 40.00 20.00 36.00 9o?o----4.-@-______=_ru -84RBCETYED 5 SP,tINGFIELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPO ASSESSORS MAP: LOT: JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION OWNER: CITY: ADD STATE: PHONE: ZIP: DEM OTHER DESCRIBE WORK: NEW - REMODEL ADDITION ELECTRICAL: ADDRESSNE EXPIRES ,A PHONE MECHANICAL: PLUMBING: GENERAL: CONST. CONTRACTOR # _ OFFICE USE - LAND USE: I OF BDRMS: WATER HEATER: ZONING CODE: FLOOD I)LAINQUAD ABEA: * OF BLDGS: SECONDARY HEAT: SOUARE. FOOTAGE: OCCY GBOUP: I OF STORIEST To request an lnspectlon, you must call 726-3769. Thls I 24 I lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 the followlng work day. REOUIRED INS Temporary Electrlc Rough Mechanlcal - Prior to cover. Flnal Plumbing - When all plumblng work ls complete. E Slte lnspectlon - To be made after excavatlon, but prior to settlng forms. Rough Electrlcal - Prior to Final Electrlcal - When all electrical work is complete.cover. E Underslab Plumblngl Electrlcal / Mechanlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. Final Mechanlcal - When all mechanlcal work ls complete. E Footlng - After trenches are excavated.Flnal Building - When all required lnspectlons have been approved and building isE Flreplace - Prlor to faclng materlals and framlng lnsp. Masonry - Steel locatlon, bond bearns, groutlng. co Framlng - Prior to cover, Foundatlon - After forms are erected but prlor to concrete placemont.Wall/Celllng lnsulatlon - Prlor to cover.h/!tt)Underground Plumblng - Prior to filling trench.Drywall - Prlor to taplng BILE E pegnoNs Underlloor Plumblng/ Mechanlcat - Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallation Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approvgl and lnstallatlon of unlt. Blocking and Sel.Up - When alt blocklng ls complete. Floor lnsulatlon - Prior to decklng.Curbcut & Alrproaclr - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrlcal Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the service panel. Storm Sew€r - Prior to fllling trench, Sidewalk & Driveway - After excavation ls complete, forms and sub-base materlal ln place. Water Llne - Prlor to filling trench. Rough Plumbing - Prlor to cover. Str€et Tr€es - When all requlred trees are planted. Final - After all required inspectlons are approved and porchos, sklrtlng, decks, and ventlng have been lnstalled. H roF fl E tl tl E fl E E tl tl E tl E t] E l--l Fence - When coiilpleted. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type- - lnterior - Corner - Panhandle I - Cul-de-sac Set 1- rs rxe PRoPosED WoRK rN THE . HISTORICAL DISTRICf,, OR ON THE HISTORICAL FIEGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) + Total Value Building Permit Fee State Surcharge Total Fee BUTLDING PENMIT ITEM Main Garage Carport SO. FT. X $/SQ. FT.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 ofbuildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. BUILDING !ryqLUr Plans Revlewed By Date Receipt Numbe Date Paid Beceived By: Plan Check Fee: LAN CHECK SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT, FT. Nc PLUMBING PERMIT ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permlt lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully 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 Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy wlll be made of any structure without perrnission of the Buildlng Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper ilme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all times during construcilon. Date Slgnatu -- MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - tt Demolitlon Total Miscellaneous Perrnits (E) State TOTAL AMOUNT DUE (exctuding etectricat) (A, B, C, D, and E Comb'ined) RECEIPT N DATE PAID AMOUNT R RECEIVED &K EC U BY FI Plumblng Permlt State Surcharoe Total Charge VALIDATION: Statement: lnformation Notice to Property Owners About Construction Responsibil ities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who ore not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701 .01 0(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 34. or 38 Permit #771ff7 Address:2Z r Issued by Date o-cc7,z (Date) 1. I own, reside in, or will reside in the completed structure 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A'. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 38. I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certi$ that the above information is correct and that I have read and do understand the Information Notice to Prop about Construction Responsibilities on the reverse side of this form. OR (Signature of permit applicant) (Vtrhite copy to issuing agency permit file, pink copy to applicant) 2 1i tr' ,tr tr RESIDENTIAL PERMIT APPLICATION lnspect Off ice: SPRINGFIELD ,/- ,ions: 726-3769 726.3759 JOB NUMBER cf //-rs 7 225 Fifth Street Sprlngfleld, Oregon 97477 TAX LOT:d37u SUBDIVISION: --- I.OCATION OF PROPOSED ASSESSORS MAP: t4/l WOFIK;2t / )uta 2 LOT - BLOCK: 7 )$^?TLFPHONE: // STATE:ZIP: L CITY: ADDRESS: NEW - REMODEL ADDITION DEMOLISH OTHER -- lhDESCRIBE WORK:9uea ADDRESS EXPIRES -, PHONECONTBACTOR'S NAME ELECTRICALI MECHANICAL: PLUMBING: CONST. CONTFIACTOFI # GENERAL: - OFFICE USE - To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspecilons requested before 7:o0 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be mac]e the followtng work day. REOUIRED INSPECTIONS Temporary Electrlc Slte lnspectlon - To lre made after excavatlon, but prior to settlng forms. l-l Underslab PtumbinglEtectrical/ - Mechanlca! - Prior to cover. Foollng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. E Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. Undertloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prior to decking. Sanltary Sewer - Prior to lllling trench. rm Sewer - Prior to fllllng rench. Water Llne - Prlor to filling trench. Rough Plumblng - Prior to cover. Rough Mechanlcal - Prlor to cover. Rough Electrical - Prior to cover. Eleclrical Servlce - Must be approved to obtain permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lrrsp. Framlng - Prior to cover. WalllCelllng lnsutatlon - Prlor to cover. Flnal Plumblng - When ailplumbing worl< is complete. Flnal Electrical - When all electrical work is complete. Final Mechanlcal - When allmechanical work is complete. Flnal Building - turihen all required lnspections have beenapproved and building is completed. MOBILE HOME INSPE TIONS Blocking and Set.Up - When allblocklng ls complete. Plumbing Connections - When home lras been connected to water and sewer. Eleclrical Connection - Whenblocking, set-up, and plumbing lnspections lrave been approved and the home ls connected tothe servlce panel. Drywall - Priorto taping. l-l Wood Stove - After tnstailation lnsert - After flreplace approval and installatlon of unit. Curbcut & Alrproaclr - After forms are erected but prior toplacement of concrete. Sidewall< & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When cciilpleted Str€el Trees - When all requlred trees are planted. Final - After all required inspections are approved andporches, sklrting, decks, andventlng have been lnstalled. fr tlotq OWNER: (na fiu tl Other -- E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner -- Panhandle i - Cul-de-sac IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: ACCPL.HSE GAR N S E 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. Plans Reviewed By t E Date Receipt Numbe Plan Check Fee Date Paid: Received By: 'it. PLAN CHECK RMIT '1 -. BUILDING ViqLUE AND BUILDING PVALUE (A) ,_ I Total Value Building Permit Fee State Surcharge Total Fee X $/SQ, FT, BUILDING PERMIT ITEM SQ. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home (0f 712; FEE ----'--@- 1o (c) N' FT. FT FT PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert / Fl replace Unit Dryer Vent (D) N0 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 certlfy that all lnformation hereon is true and correct, and I further certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Bulldlng Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 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 lrom the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Slgna Date tim n.on the site at MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut h n Demolition State Surcharge Total Miscellaneous Pennits (E) fi1: TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) 5 4. to 0j lo ? VAl.IDATION UMBER {t 1r AMOUNT RECEIVED RECEIVED BY RECEIPT N DATE PAII) a ,.1 4,? 2.c,of /.2, Vent Fan E--g o7t{{ 7 o6-oZ-7E .a^GJ,( I I i ,'u/ 74e *.or. /day' 7 ,/u. o/ 4/t r€st'/e.rt*.- & fec**L" 6r a* br-is*less, fie frrrfoi'DE] t *{e .,'2 yTrates s0,{e r Cy .{ SV,,",,g f,,"" U,.- Oqt:eGft-, e*tZ So,-.r."c-e. 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