The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-03-01SPrlINGFIELDRESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WOBK: ASSESSOBS MAP: LOI 2fr, JOB NUMBEB 225 Fifth Street Spring f leld, Oregon 97 477 TAX LOT SUBDIVISION Dq BLOCK: \r\OWNER: ADDR CITY:STATE: PHONE: ZIP: AD ION - DEMOLISH OTHER DESCRIBE WORK: NEW - FIEMO CONST. CONTBACTOB #'S NAME ADDFIESS EXPIBES PHONE MECHANICAL: ELEfiRICAL: GENERAL: CONT I RANGE: - OFFICE USE - LAND USE: * OF UNITS: WATER HEATEB: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: I OF STORIES: OUAD ABEA: I OF BLDGS: To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested belore 7;00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7t00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS )Yf nough Mechantcat - prtor toAcover. EZf Rough Electrlcal - Prtor to.Acover. ffi f tnat Plumbing - When ailla\ plumblng work ls complete. Temporary Electrlc Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover. Footlng - After trenches are excavat6d. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placemont. Underground Plumblng - Prior to fllllng trench. Underll Mechanlcal - Prlor on or decklng Post and Beam - Prlor to floor lnsulatlon or decklng. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. Wood Stovo - After lnstallatlon. lnsert - After flreplace approval and lnstallatlon of unlt. Curbcul & Approach - After forms are erected but prlor to placement of concrete. Sidewalk & Driveway - After excavatlon ls complete, forms and sub-base material ln place. Fence - When completed, Street Trees - When all requlred trees are planted. Flnal Electrlcal - When all electrlcal work ls complete. Flnal Mechanlcal - When all mechanlcal work ls complete. K X lX Ptnat Buildlns - When ail 1)Arequlred lnspectlons have been approved and bullding is completed. E X X F7 Floo, lnsulatlon - Prtor to !a(decktn9. Krramlng - Prtor to cover.' Xy3li:etlrns rnsuratlon - Prror to flotr"tl - Prlor to taplng' Other MOBILE HOME INSPE TTONS Blocking and Set.Up - When all blocklng ls complete. Plumbing Connecllons - When home has been connected to water and sewer. Electrlcal Connection - When blocking, set-up, and plumblng lnspections have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalted.X Sanltary Sewer - Prlor to fllllng trench. Storm Sewer - Prlor to fllllng trench. Waler Llne - Prlor to filling trench. Rough Plumblng - Prlor to cover. Plum t- \43 PLUMBING: ln tJp nlu) I , OF BDBMS: - fl fl tl E Lot faces Lot sq. ftg. Lot coverage Topography Total helg Lot Typr v - lnterlor - Corner w - Panhandle l-de.sac HtsToRtcAL DISTR|CI, OR ON r lz\THE HISTORICAL REGISTER? ,\A-l lf yes, thls appllcailon must be slgnedand approved by the Hlstorlcal Coordlnator prlor to permlt lssuance. IS THE PROPOSED WOBK IN THE APPROVED: P.L.HSE GAR ACC N S E BUILDING PERMIT 4rt ? ??a {o (A) d'4a 'Ant*<t/U__ SO. FT. X $/SQ, FT,ITEM Main Garage Carport Total Value Bullding Permit Fee State Surcharge Total Fee P!r.[D_tNG VALUE, PLAN CHECKAND BUILDINC PI:NUIif -- Recelpt Number:_ ewed ancety ny Thls permit is granted on the express condiilon that the saldconstructlon shall, ln all res pects, conform to the Ordlnadopted by the Ci of Sprlngfleld, includlng ating the construcilon and u theDevelopment Code,regul se ofand may be suspended or revoked at any tlmetion of a rovislons of sal d ordlnancss, k Fee;o3 Recei bulldlngs, upon viola Plan Chect Date Pald: DEVELOPMENT CHARGE (SDC) (B) y'rs6. zz SYSTEMS Systems Development Charge ls due on all undevelopedpropertles within the City limits whlch are being lmproved. ITEM Flxtures Resldenilal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE No 2 o'+ /,Lo 4or FT. FT. (c)4t 70 I Plumblng permlt State Surcharge Total Charge 4o**- i7 DITIONAL CO E NTS Wood .Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT ,'>1/4) , oo / t L.- ( tlk lo J o-o O oo /Lo No Mechanical permlt lssuance State Surcharge Total Permlt ,75+ r4f (D) Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlnedthe completed appticailon and do hereby cerilfy that alllnformatlon hereon ls true and correct, and I f urther cerilfythat any and all work performed shall be done ln accordancewlth the Ordlnances of the Clty of Sprlngfleld, and the Lawsof the State of Oregon pertalnlng to the work descrlbedhereln, and that NO OCCUPANCy wlll be made of anystructure without permission of the Bulldlng Safety Dlvlslon.I further certlfy that only contractors and-employees whoare ln compliance wtth ORS 701.055 wlll be used on thlsproJect. I further agree to ensure that all requlred ln K spections arerequested at the proper ilm e, that each address ls readablefrom the street, that the pe rmlt card ls located at the frontof the property, and the a pproved set of plans wlll remalnon the slte at all ti mes durlng ructlon. Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk rr Curbcut tt Demolitlon Total Miscellaneou ts (E) ate Surcharge VALIDATION: BECEIPT NUMBER /b472 DATE PAID AMOUNT RECEIVEDTOTAL AMOUNT DUE (exclu-ding etectrica ,) 3 G1,b I(A, B, C, D, and'E Comblned)BECEIVED BY e4 VALUE FI I hoo - - <h)---Er_-_ (403- - CITY OF OREGO'V approval. 225 FIFTE STREET SPRINGFTELD, oREGoN 97477 INSPECTI0N REQUEST: 126_3MeOFFICE: 726-3759 U,DL -7( Authcrized Signaturo M The follovring proiect as submitied has the following zoning, end cioesnot reqr.iiro speci{ic land use SPFII2 T.IELD ELECTRICAL PERHIT APPI,ICATTON City Job Nunber FEE SCEEDTII,E BELOS1 A.New Residential-Single orMulti-Family per av-lling unit.Service Included: JOB DESCRTPTTON'fC-i t Electrical Contractor llo.(fu €k,t\r, c address P.O-o Ci ty 7"{e> phone Supervisor License Number 3A^L/- ) Expiration Date 7 5 constr contr. Number 757/0 Expiration Date 76 Signature. of Supervising Electrician Ovners Addre Ci Phon The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent. Ovners Signature: DNEr I tems 1000 sq.ft. or less Each addirional 500sq. ft or portion thereof Each Manuf,d Home_ or - Modular Dvelling Sertice or Feeder Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps - 40L amps to 600 amps - 60L amps to 1000 amps-0ver 1000 amps/vo1ts - Reconnect 0n1y Cos t s 8s.00 s 1s.00 s 40.00 s s0.00 s 60.00 s100. 00 $130. 00 s300.00s 40.00 Sum Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended ior180 days. 2. COI{TRACTOR INSTALI.ATION ONLY B C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or l-ess $ 40.00 201 amps to 400 amps - $ 55.00over 401 to 600 amps - S 80.00 Over 600 amps or 1000 vofts see uB" aEiEE- D. Branch Circuits New, Alteration or Extension Per panel onecircuit / S35.00 Each Additional Circuit or vith Serviceor Feeder Permit g 2.00 6co E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/Out1ine Lighting- $Limited Energy/Res - $Limited Energy/Comm S SUBTOTAL OF ABOVE 5% State Surcharge 37. Administrative Fee TOTAL 40.00 40.00 20.00 36 .00 5 RECEIVED B ATTACHMENT 81 rB N0. 7s ol/i CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I^IORKSHEET (COHMERCIAL & RESIDENTIAL) 6hNME OR COMPANY: LOCATION: DEVELOPMENT TYPE: 4 BUILDING SIZE:OT SIZ . Ft. 1. ryiu+ffi IHPERVIOUS SQ. FT tu X $0.209 PER SQ. FT. 2 3 SANITARY SFI^IFR-CTTY X $43.26 PER PFU s /2 7.lFNO. OF PFU'S (See Reverse) TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP x - x $436.19 x - x $436.19 x - x $436.19 SUBTOTAL (ADD iTEHS 1,2. & 3)s r27.7r 4. SANTTARY SFWFR-Mt,jI'.4C N0. 0F PFU'S 3 x $17.19 PER PFU + $10 Ml^lMC pOMiN.FEE (Use PFU Total Frorn Item 2 Above) $d s s $ Ml.Il',lC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MI^I}4C SDC SUBTOTAL (ADD ITEHS 1.2,3 & 4) $ T27,7? 5. ANMINISTATTVF FFFS s 6./7 2zs-2 r' Ha r g. P.i 82. SDC () x .05 rdi nator Date: TOTAI SNC r3 6.2 -"#/ F,XTURE UNIT CALCUb-flON TABLE: Number of New Fixtures X Unit Equivalent = Fixture Unjrs iNOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub. Drinking Fountain....... Flloor Drain 0ntenceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc.......... Laundry Tub/Clotheswasher elotheswasher - 3 Or More., flfrsbile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/lvater Station/Etc Reeeptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta!|.......... Shower, Gan9........ Sink: Bar, Commercial, Residential Kitchen... l , Urinal, Stall/avall Wash Basin/Lavatory, Single. Toilet, Public lnstallation. Toilet , Private Miscellaneous:tTlilftcb .g,,tt TOTAL FIXTURE UNITS 3 UNIT EOUIVALENT FIXTURE UNITS I /Head 2 't 2 3 6 2 6 6 1 3 2 1 2 2 1 6 t 4 CRGEIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. Year Annexed Bate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 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 1 988 1 989 1 990 1 991 1 993 $2.46 2.14 1.77 1.37 o.97 o.61 o.44 o.15 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation datel -- X $- (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL =$ x $_ 5l'tllh{.,F lllEL(] % l: :, l"J:Hl% 3:??""1 ?ilX'?I$:1'll3?jl; : 3:l' approv 225 FIFTB STREET SPRTNGFTELD, oREGoN 97417 INSPECTION REQUEST: 726- OFFICE: 726-3759 ar6r-31-:e-'A.Ci ty Job Number BLECTRICAL PERHTT APPLICATION 3. COHPIJTE FEE SCHEDTII,E BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems CostLEGAL DESCRTPTION 4? JOB DESCRTPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if uork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATTON ONLY Electrical Cont ractor CRoqJ Ue. / /5[e .lr','< Address Q.C B oX ^7A,o I Ci ty e??oT Phone G1Z X?72 0wners Name Address Ci tv Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: Author'rrod 9ignat'':t o, ':iCW*'o*7ll.'*"*SH*A Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: s 8s.00 $ 1s.00 s 40.00 B 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps _ 601 amps to 1.000 amps_ 0ver 1000 amps/voIts Reconnect Only 200 amps''or less 201- amps to 4oO amps -Over 401 to 600 amps over 600 amps or 1000 voTts D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit I s 3s.oo 7f Each Additional Circuit or vith Service or Feeder Permit 5 $ 2.00 4- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL s s0.00 s 60.00 s100. 00 s130.00 s300.00 s 40.00Supervisor License Number 3<^1's Expiration Date C. Constr Contr. Number ?571C Temporary Services or Feeders Installation, Alteration or Relocation Exp iration Date q Signature of Supervising Electrician Eovea 00 00 00 Brt s 40. S ss. $ eo. see tt s s $ $ 00 00 00 00 40 40 20 36 * 5 RECEIVED 3