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Home My WebLink AboutPermit Building 1994-03-23SP,lII\.GFIELD JOB NUMBER 2la757 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK:546 Nonth 6th st. ASSESSORS MAP:e, LOT - BLOCK: TAX LOT SUBDIVISION 747-7057PHONE: 87477OrZIP:STATE: Mary D 11IeY SprlnEfle 546 Nonth st. CITY: ADDRESS: OWNER: DES6R1BEWoRK:COnvert a 12t wlde, 2'l I lnng ger"ege lntO tredroon & bath NEW - REMODEL X ADDITION DEMOLISH OTHER MECHANICAL: EXPI RES PHONE Sonny Jones coco Charles Cllne CONTRACTOR'S NAME GENERAL: PLUMBING: ELECTRICAL: NST. NTRACTOR #ADDRESS !{Jerreg D" Chamb RANGE: * OF BDRMS: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: * OF UNITS: SECONDARY HEAT SOUARE FOOTAGE: QUAD AREA: * OF BLDGS: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be made the same workinE day, lnspect:ons requested aftei'7:00 a.m. w'lll be made the follolving work day. REOUIRED INSPECTIONS Temporary Electric ffi Rough Mechanical - Prlor to|J cover. [-71 Rough Electrical - Prior to14 cover. w Final Plumbing - When all plumbing work is complete. Slte lnspection - To be made after excavation, but prior to setting forms.w Final Electrical - When all electrical work is complete. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrlcal Service - Must be approved to obtain permanent electrical power. W Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Fireplace - Prlor to faclng materlals and framlng lnsp. w Final Building - When all required inspections have been approved and building ls completed.Masonry - Steel locatlon, bond beams, grouting.Framing - Prlor to cover. Other Foundalion - After forms are erected but prior to concrete placement.Wall/Ceillng lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taplng. MOBILE HOME INSPECTIONSV B V Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After lnstallation. Post and Beam - Prlor to floor Insulation or decking.lnsert - After flreplace approval and lnstallation of unlt. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. aSanitary 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. Sldewalk & Driveway - After excavation is complete, forms and sub-base materlal in place. Water Llne - Prlor to filling trench. Fence - When completed. Rough Plumbing - Prior to cover. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.E HESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 a*or"o d fl E w w V E E E fl E tl tl E Blocking and Set-Up - When all blocking is complete. E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks i lS THE PROPOSED WOFIK lN 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. APPROVED: P.L.HSE GAR ACC N S E $/so. FT.VALUE 4b_@ztu (A) %2 Total Value Building Permit Fee State Surcharge Total Fee G 6a-+, 3-47 ?/.4- BUILDING PERMIT.' ITEM SQ. FT, X 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./4s> R Receipt Num Plan Check Fee Date Paid: 7 Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 7r 47 ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N0 7:*g FT. FT. FT. (c) 3- /,-zLE PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) J?-*2,*-f Vent Fan Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify 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 pertainlng to the work described hereln, 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 ln compliance with OFIS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain 74 consng A ion.on the slte at all times duri S ig natu re Date Total Miscellaneous Permlts (E) y'4,*State Surc :DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBEB TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) t#-e V^27-?oDate MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition JOB NO. ATTACHMENT BI CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE T.IORKSHEET (coHHEfcIAL & RESIDENTIAL) ?=+ NAME OR COMPANY: LOCATION: DEVELOPMENT TYPE: BUILDING SIZE: I. STORM DRAINAGE IMPERVIoUS SQ. FT. 2. SANITARY SEllER-CiU NO. OF PFU'S (See Reverse) J SIZ x $0.203 PER SQ. FT.s X $42.08 PER PFU COST PER TRIP $424 .3 I $424.3 I $424 .3 I $ $I5.I25 PER PFU + $10 Ml.lMC ADM FEE $ s TOTAL-Mt.lMC SDC $ suBTorAL (ADD ITEMS 1,2,3 & 4)$ . Ft. s?77.2 s /r.7= z> TRANSPORTATION NO OF UNITS X TRIP RATE X x x x_x x_x 4. SANITARY STWER.MI.IMC NO. OF PFU'S $ $ Y (Use PFU Total From Item 2 Above) Hl,lMC CREDIT IF APPLICABLE (SEE REVERSE) 5 ADI'II N i STRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .os B ur DC Coordinator T0TAL SpC S =o?,74 FXTURE UNIT CALCUI.ATION TABLE: For remodels. calculSte only the NEI additlonal fixlures) FXTURE TYPE Number of New Fixtures X Unlt Equivalent = Fixlure trljits (NoTE: 1 NUMBER OF UNIT FIXTUBE NEW FIXTURES . EOUIVALENT UNITS Bathtub... Drinking Fountain...-. Floor Drain.. tnterceplors For Grease/Oil/Sollds/Etc.........-..-.-.. I nterceptors For Sand/Atno Wash/Etc.................. Laundry /Head 2 1 2 3 b 2 6 6 1 3 2 1 2 2 1 6 4 I I 2- _T 7 CIothesri,aqher - 3 Or More...... Mobile Hdme Park TraP (1 Per R eceptor For R efrigeratorAVat e r Station/Et c. -'..... Receptor For Commercial Sink/Dishwasher/Etc. - Shower, Single Stall. Shower. Gang........... Sink Bar, Commercial.........-......-- Urinal. StallflVall..-. Wash Basin/l-avatory, Single..-....-. Water Closet, Public lnstallation. Water Closet, Private........ Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULAnON TABLE: BaSed on assessed value. lf improvements occurred after annexation datejn table calculate credits Credit for Parcd or Land Ody lf Applicable lmprolement (if after annexation date) x $_ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1985 1987 1988 1989 1990 1991 1992 s 2.24 1.93 1.57 1.18 0.79 o.44 0.28 1979 or before 1980 1981 1982 1983 1984 1985 $3.21 3.13 3.08 2.96 2.82 2.ffi 2.51 RUNOFF COEFFICTENTS FOR STOHM DBAINAGE IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT _-_7- Permit No:?/-=- Address: lssued Date: R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration underORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. Contractor registration number-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 3.8 I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understandthe lnformation Notice to Property Owners about Construction Responsibitities on thereverse side ol this form. c? 1 2 OR fi (/r;'*Lzt-fF )t ,.i' Signature of Permit Applicant CONSTRUCTION CONTRACTORS BOARD o244J 8t91 Date WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT OREGO'UC'TY OF SPF INSPEfiION RBQTIBST: OPPICE: 726-3759r 'q-LL- 1L 1 LOCATION OFe m City Job Nunbe, ? y'd 7 a? 3. COI{PI..ETE FEE SCEBDTILE BBLOV SPTII1{GFIELO Nev Residential-Single or Hulti-Family per dvelling Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder The lollowing project as st.rbmitted hm the lollowlng ng, and does not require sPeci{ic lend use BIJCIT.ICAL PERHIT APPLICATION225 FrmE smBBr fiJ SPRnIGFIBLD, OREGoN rovalu'r:illt r" t>e -l. A B uni t.,\ LEGAL DESCRIPTIONt)-az-?f,Z4a1 JOB DBSCRIPTION Permits are non-traisferable and expire if vork is not started vithin 180 days of lssuance or if vork ls suspended for 180 days. 2. COI|TRACTOR TNSTALI,ATION ONLY Elect rical Contrac tot t2larr4z473 Address ct Phone Supervisor License Number Expiration Date -- Constr Contr. Number Expiration Date Stgnature of Supervising Electrician Ovners Name Address Ci ty Phone ?/7.V292 OIINER INST DATE: The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signatu -\ ,: './ 1 t: wrr:- zL rez,DtZt/ffi aF ( /rri,"-'!"'- Services or Feeders InstaIIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -401 amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconneet OnlY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amirs to 400 amps - $ 55.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or lO0OETts see rgtt "[f,ffi Branch Circuits Nev, Alteration or Extension Per Panel one Circui t (/. $ 35.00 Each Additional 2€ao Circuit or with Service or Feeder Permit -2 g 2.oo 6'n Hiscellaneous (Service/feeder not included) -Bach installation Pump or irrigation _Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum $ s0.00 $ 60.00 $100.00 $130.00 $300. 00 $ 40.00 c a D B $ 40.00 $ 40.00 $ 20.00 $ 36.00 €ax RBCBIVBD 5