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HomeMy WebLinkAboutPermit Building 1993-10-18SPRINGFIELE, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSE n JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOIASSESSORS MAP:lr/,D,3+ LOT:BLOCK:SUBDIVISION STATE: OWNER ADDRESS: CITY: PHONE ZIP: REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: *.* K ADDRESS EXPIRESNE GENERA MECHANICA CONTRACTO PLUMBING E CONST. CONTRACTOR # il&o /Ll (/ dRUJ - OFFICE USE _ CONSTR. TYPE: WATER HEATEFI: HEAT SoURce, Q-A,>. fuZ/ RANGE:€s r OF UNITS: LAND USE: g OF BDRMS: SECONDARY HEAT: SOUARE FOOTAG FLOOD PLAIN: ZONING CODE OCCY GROUPT * OF STORIES: QUAD AFIEA: * OF BLDGS: To request an lnspectlon, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS femporary Electric w a Rough Mechanical - Prior to cover. Final Plumbing : When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to a Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. a Final Mechanical - When all mechanical work is complete. w Footing - After trenches are excavated.a Final Building - When all required inspections have been approved and building is completed. Fireplace - Prior to faclng materlals and framlng lnsp. Masonry - Steel locatlon, bond beams, groutlng.w w Framing - Prior to cover.a Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.W) Drywall - Prior to taping. MOBILE HOME !NSPE TIONSw a a w w w Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.w Curbcut & Approach - 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 filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prlor to filling trench. Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.d :;*tt Plumbins - Prior to A .a \ E E E E Lot faces Lot sq. ft, Lot coverage Topography Total height O-*d Lot Type - lnterior'\1 '\ corner - Panhandle - Cul-de-sac ks .IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. A.PPROVED: P.L.HSE GAR ACC N /a S /&{ /a E ?e 26 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. Plan Check r".' - 7?O'?/ Receipt Number:- /a-6-23 Dateewed v: Date Paid Recei2/.69 (A) {/8. // /o7.€ BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport Systems Developtnent Charge is due'on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHA nce rsoo aF+Ab+(B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /8.2. ua / az,yz FT. FT. FT. ?./z (c) No 2X ,./. 2a PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer vent 2 X7 -dS /.?< ae2? ?8.2f(D) 7.* 6 *'6 ./a.* MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan ?.r /- sa No 4rf3- By signature, I state and agree, that I have carefully 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 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 Building Safety Division. I further certify that only contraclors and employees who are in compliance with ORS 701.055 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 on the site at I times during construction. Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sidewatk /28 n curbcut {2 n €€neu!.oa- l(4<34aq/7€ State Surcharge Total Miscellaneous Permits (E) 7?..b ,/4.?? ?/e.ao 7"a22 /hl6.b'{ /25 20 2,AMOUNT BECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) g*ze,€z ffi.##Iffi tw ^'q'"'' - -v/6w ]OB NO .qbt+rz CITY OF SPRINGFIELD SYSTEI-IS DEVELOPMENT CHARGE }IORKSHEET (c0t'lt'IERcIAL & RESIDENTIAL) Sr AI c ENTT De. P*u LNAME OR COMPANY: l*o z 1 tu{or-l LL. C-n1sr. t -1Ob-7-bb 'f - Oo.looLOCATION: LDE Nlew D dPLElDEVELOPMENT TYPE: BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEt^lER-CITY NO. OF PFU'S (See Reverse) 62 2z \.ot x $424.31 x --- x $424.31 LOT SiZ x $0.203 PER SQ. FT. X $42.08 PER PFU sQ. Ft. 3 TRANS PORTAT I ON NO OF UNITS X TRIP RATI X COST PER TRIP 2x $ x $424.31 ZL $15.125 PER PFU + $IO MI,IMC ADM FEE s ?+';19 $X 4. SANITARY SEt,lER-Mt,lMC NO. OF PFU'S (Use PFU Tota'l From Item 2 Above ) MltlMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X -0s ,-L K p Burdick Coordinator TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4)$2qto o-1 tq bz+53 B5-l9 6Zz *bq: sDc Lo 7 TOTAL SDC bo 61c 't Equivalent = Fixlure Units (NOTE: FIXTURE UNIT CALCULA] - N TABLE: I'IUMUET Of NCW FiXIUTES X ior r",J"ls, catculAiJonry tn" Ng aJ-aitional fixtures) NUMBER OF FIXIURE TYPE NEW FIXTURES 2 UNIT EOUIVALENT FIXTURE UNITS Floor Drain.- interceptors For G rease/Oil/Sollds/Etc" " " "" """' lnterceptors For Sand/Atrto Wash/Etc"" " " " " "-"' l-aundry Tub/CIotheswasher""" "" Clotheswaqher - 3 Or More"""""' Mobile Hdriie Park Trap (1 Per Trailer)""'- Receptor For RefrigeratorAVater Station/ ttc" " " " n"""p,ot For Commerclal Sink/Dishwasher/Etc" Bathtub...---- Drinking Fountain...--."'-"' Shower. Single'Stall-- Shower, Gang-.--.------ Sink. Bar. Commercial Urinal. StallAvall-.-- Wash Basin/t vatory, Single""""' Water Closet. Public lnstallation" TED Yz,4,zt x (Rate (Rate X Assessed Value) 2 2 z Z oo $ lz.q x$ 2 1 2 J 6 2 6 6 1 3 2 1 2 2 'l /Head Water Closet, Private--.-...""""' Miscellaneous: TOTAL FIXTURE UNITS cREDlr CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits 6 4 6 .{ot? Credit for Parcd or LaM Only lf Applicable lmprovement (rf after annexation date) X Assessed Value)-{olaCREDIT TOTAL $ Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate Per $1.0O0 Assessed Value 1986 1 987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 '1979 or before 1980 1981 1982 1983 1984 1985 s.21 3.13 3.08 2-96 2.82 2.@ 2.51 RUNOFF COEFFICIENTS FOR STORM DRAINAGE IMPERVIoUSAREA=ToTALLoTSIZEXRUNOFFCoEFFICIENT JI --r+-- d z I ZZ Willamalane Park & Recreation District SYSTEMS DEVELOPMENT CHARCE WORKSHEET PHONE STATE: fob No. P NAME:.Ju L\norfl.b U.Dn .( ADDRESS:'lDScc"5cucn {fia.(Y,, T LOCATION OF PROPOSED B Street Address if Known:fltilff'le HO+ ,.--o I o*nr- 7 ,/LtBf' r'l4}9aWPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credit) 1 Platt N Tax Lot Number: DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Single Family - Detached Single Family home Manufactured home not in a park NO OF UNITS B. Sinsle Familv - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS X $400 PER UNIT =$ X $370 PER UNIT = X $277 PER UNIT = X $280 PER UNIT = co $ $ $ $ $ Community Services City of Springfield ca) l0r-\$rq3 Date ) RE3IDENTIAL - COHIIERCIAL SIDEI]JALK / CURBCUT AFPLICATIOhI / PER-1IT SPrlINGFIELE, 2?5 NORTI] FIFTI{ gTREET gPRlh{G,F IELD, OREGON 31411 =NG INEERING D IVI 5 IOI.IGlcE No. 126-71>3 IN9PECTION LINE: -]26-3169 JOB ADDRE99:l4o.t Gl1 i; rl'A5eEgrcRs rAp No.^ l'Z - c,'> - J 6 3 c{- lAx Lol 9JBDrvl9loN: OJ,h.iER:<-.,'5\Urvtcr.^'r b ADDRE99' ?O: ->. L€-^ecLl clTYtfol,g-rtl- STATE, cfu Zlp, a1-rc{(-:-7_Pl{otlE No. :B4S Oti(iS RECETPTNo: o il5+-= CA9+{ CHECK * CHECKED FOR DELNAUENCIES I 9I6NED:Zrt L- DATE,z--3 -2+ ujORK I,IJORK TO tsE FERFORIIED EY: CON;RACTOR* cr.l, SlDEllALK: CURB S|DE - 9ETBAC< - GURS-CUT, x REgtDEhiTlAl- _ coHMERtCAt_ _ g=COND DRI\EIIJAY ( gEE TRAFFIC ) R=aUlR=9 APPLlcATlol.l FOR A fcoND DRI\€IIJAY(T-4.1a) OR A COIJNTY APPLICATION FOR FACILITY P=B1IT (C AE.2O3) lF tN Tl.+E UGB. DA1E G APPLICATION X oul'{ER CO}.ITRACTOR *RSGIgTR,ATION NO.EXPIRES, Arrr<,99 Pi-lONE, PROCEDUFE FOR IN9PECTICI.I REOIIE9T: ClLL 12b-3169 (FEcO@ER ) STATE YOUR CITY DESIGNAT=D JO3 Nt,j].13=R, JOg ADDRES9;IYPE OF INSPECTIO.{ GAUESTED A\D tlrriEN YOil IUILL 3= READY FOR lNgP=CrlON, CONTRACiOR9 OR Otl}{ERg NA:1E A\D Pi-'lohlENI&"19ERREaU=STS RECEI\ED B=FORE 1zo@ /J1 TUILL BE l'iAD= rHE 9SlE DAY,REaUEgrg #iE?1too AI'1 IUILL BE I1ADE TIIE NEXT TIJOR<INC DAY EXIgTIhtG tsUILDIN6 PEB1IT NO. ( IF AFPLI cAtsLE,) q3i4\'2- *YOUR CITY DESIGNATED Joa No. tSr5EE BOOK reAUIRED INSPECTIOhIS SIDEIUALK / DRI\GiJJAY rcR ALL CONCRETE PA\1ING IUITIIIN THE STREET RIGHT OF IIJAY, TO 3E l,lAD= AFTER ALL EXCAVATING l5 coi'lPLETE AID FoBl r,ucR< AID 5LJ3-BA9E I.IATERIAL 19 IN PLACE CU@ / APPROACI{ APROl\l, AFTER rcRJis ARE ERECTED BUT PRIOF? TO POURING CONCRETE. FEE9, 9IDEUJALK5 cuRE-cuT IUALK x rlO.OO + lO.lb/LF.( X ) OF UJALK * ilO.OO+'O.\>/LF.(X) COI-IIIERICAL DRI\€IIAYS SHALL HA\€ 5'TO A'FLAIRS 3'. O'' sTA\DARD z/b ?zTOTA FEFIIIT FEE, I .]A\G CAR=FJLLY EX*1INED THE COi-IPLETED APPLICATION FOR PEBIIT, A\D DO I-]EREBY CERTIFY TI{AT ALL INTB1ATION {-]ER=ON 19 TR.]E AND CORRECT, A\D I FURTHER CERTTFY'iFiAT ANY AND ALL LT,OR< PERFOS.I=D 5I.]ALL 5E DONE IN ACCORDANCE I.UITII THE ORDINANCES G TI]E CITY OF SPRING,FIELD, AID THE LAIll9 G T}-]EgTATE OF OREGON PERTAINING TO TI{E I].JON4 PEU"RISED I.{EREIN, A\D TI.]AT NO OCCUPANCY I.IJILL BE I,1ADEd ANY STR"JCTURE IUITI-.IOJT PEB1I95IO}I OF T}..lE tsUILDING DIVISIO}.I I FURTI]ER CERTIFY TI-]AT ONLY CONTRACTORSAD DATE q oo 4a3 W f I]J{-.{O ARE IN COHPLIANCE IUITH OR' 1@IO'> II,,ILL BE USED ON THIS PROJECT. CITY OF OREGO'V 225 rTWE SITEBT sPBrNGrrELD, ORBGoN 97477 INSPBCTION RBOI ESTz 726-3769 OFPICE: '726-3759 1 SPRI^lGFIELc, ELBCTRICAL PERHIT APPLICATION Ci ty Job Nunber 3. COHPI.ETE FEE SCEEDTILB BELOS A New Residential-Sing1e or MuIti-FamiIy per dvelling unit. Service Included:Items Cost Sumtc1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each l'lanuf 'd Home or Modular Dwel}ing Service or Feeder & A,$ 1s.oo $ 8s.00 $ 40.00 s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Permi ts non-transferable and exPire if work is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COIITRACTOR INSTALI.ATION ONLY Electrical Contrae wrI{F, ELWWT !- Address city Efi&0fu6 Ptron Supervisor License Number 81 - 511o =filzS Expi tion Date (r-- q4 of sing trician s Address Cl ty Phone OTINER B. Services or Feeders InstaIIation, Alterations or Relocation: 200 amps or less 201 amps to 4OO amps -401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0niy e Expi ration Date l0- \ -q5 constr contr. r.rumuer €H$'ffi t9Zoo Temporary Services or Feeders Installation, Alteration or Relocation t a6ove D. Branch Circuits Nev, Alteration or Extension Per Panel One circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 MiscelLaneous (Service/feeder not included) -Each installation Pump or irrigation - $ 40.00 l,iili ted Energy/Res - $ 20.00 SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL 200 amps or ]ess I $ 40.00 201 amps to 400 amps -- $ 55.00 over 4b1 to 600 amps - $ 80.00 Over 600 amps or 1000 voTIs see rrB'r The installatioh is beirig made on property I ovn vhich is not intended for sa1e, lease or rent. Onners Signature: E DATE: RBCEIVBD 5 +Dgri c.