Loading...
HomeMy WebLinkAboutPermit Building 1994-10-24r FIELE, B P ESIDENTIAL ERMIT APPLICATION lnspectlons: 726.3769 Olflce:728.3759 LOCATION OF PRO ASSESSOBS MAP: LOT ?fr, JOB NUMBER 225 Flfth Street Sprl ngfleld, Oregon 97477 TAX LOT: SUBDIVISION: _ \\\ BLOCK: OWN CITY: ADD STATEI PHONE: ZIP: SH - OTHERoELD AOORESS CONST. CONTRACTOR #co N E EXPI ES G ELECTBI MECHANICAL: PLUMBING: t t\ \ - OFFICE USE - LAND USE: OCCY GBOUP: FLOOD PLAIN: RANGE:WATER HEATER: r OF STORIES: ZONING CODE: r OF BDRMS: E OF UNITS: QUAD AREA: r OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE; To request an lnspectlon, you must call 726.3769. Thls ls a24 hourmade the same workrng day, rnspecilons requested after 7:00 a.m. recordlng. All lnspecilons requested before 7:00 a.m. wlll bewlll be made the followlng work day. l_uzfTemnorary ElecIrtc REQUIRED INSPECTIONS Rough Mechanlcal - prlor tocover. Rough Electrlcal - prlor tocover. ffi Ftnat ptumbtng - When ail-f ptumblng work ls complete. ffi ftnrt Eleclrlcat - \Mfren all--t etectrlcal work ls complete.c F il$l#ffi"*L?,;#ffi?"ii: ffi flnal Bulldlng - When alt-T requtred lnspecilons have beenapproved and bulldlng lscompleted. Slte lnspectton - To be madeafter excavatlon, but prlor tosettlng forms. l--l Undaralab ptumblng/ Etecrrlcal/lJ Mechanlcat - prloi to "orui.-" ffi Footlng - After tfenches are - excavated. W Masonry - Stoel locauon, bond .beamg, grouilng. Foundallon - After forms areerected but prlor to concreteplacement. Underground plumblng - prlor to fllllng trench. Underlloor plumblng/ Mechanlcal - prtor to lnsulatlon or decklng. Post and B6am - prlor to floorlnsulatlon or decklng. Floor tnsulatlon - prlor todecklng. tr F tr Eleclrlcal Servlce - Must beapproved to obtaln permanent etectrlcal power. Flreplace - prlor to faclngmaterlals and framlng lnspl Framlng - prlor to cover.tr ry E T Other F m F ry m ry ry Sanltary Sewer - prlor to fllllngtrench. Slorm Sewer - prlor to fllllngtrench. Waler Llne - prtor to fllllngtrench. Rough Plumblng - prlor to cover. 11"-"lt -; After ftreptace approvatanct Installailon of unlt. Curbcut & Approach - Afterrorms are erected but prlor toplacoment of concrete. Sldewalk & Drtveway - Afterexc_availon ls complete, formsand sub.base materlal in place. Fence - When completed. WalllCblttng cover. i lnstl latlon - prlor to Drywall - prlor to taplng. Wood Slove - After lnstallatlon MOBILE HOME INSPESTIONS [-l elocklng and Set.Up _ When ail..J blocklng ls compleie. Plumblng Connectlons _ Whenhome has been connected towater and sewer. Eleclrlcal Connecllon _ When P_,9:Illp, ser-up, ano prumurnsrnspecilons have been approveda.nd the homo ls connected tothe servlce panel. ffi Street Trees - When all reoulred.t. trees are planted. Flnal - After all requlredrnspecilons are approved andporc.hes, sklrilng, decks, andventlng have been lnstalled. -?B Ir"1\tr, P.L.HSE GAR ACC' N S E Lot faces Lot sg. ftg. Lot coverage Topography Total [elght Lot Typ riv A tntertor - Corner - Panhandle - Cul-do-sacrc' IS THE PROPOSED WORK TN THE - HlsroBlcAL DtsTRlgr, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor tg permlt lssuance. APPBOVED: BUlLDtNb PERMIT ITEM .SO. FT. Marn l\35 Galase 4tC3 Carport Total Value Bulldlng Permit Fee State Surcharge + 3% Total Fee X $/SO, FT. ailr8 VALUE w1g45\n,?.Ct t4'to 'lo3\5 341.o PP (A).313trr . t528 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the Clty . of Sprlngf leld, includlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme Recelpt Number:- Revlewed ByP By: s Plan Check Fee: Date Pald: upon vlolation of any ordlnances. SYSTEMS DEVELOPMENT C (B) HARGE (SDC) {z ol7. rz Systems Development Charge ls due on all undeveloped propertles wlthln tho Clty limits wtiich are being lmproved. ADDITIONAL COMMENTS ITEM Flxturest. Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE N0 ItoO.o' \4 80 a FT, FT. FT. (c)112,8() PLUMBING PERMIT ntulOtng Permlt State.surcharge * 3alO Total Charge Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent ,.-t{\uf\. 3F6- (D) T oN0 L EOVent Fan cfo 1_O Mechanical Permlt lssuahce State:surcharge Total Permit MECHANICAL PERMIT Furnaco Exhaust Hood @ By slgnature, I state and agree, that I havo caref ully examlned the completed appllcatlon and do hereby certlfy that all lnlormatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordlnances of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permlssion of the Bulldlng Safety Dlvislon. I further certlfy that only contractors and employees who are ln compllance with ORS 701.055 wlll be used on thls proJect. I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that each address ls readable from tho street, that the permlt oard ls located at the front of the property, and the approved set of plans wlll remaln Date Slgnature on the slte at all rlng constructlon, MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Total Mlscellaneous Permits (E) Sldewalk Curbcut -D ,, ,@ r, Demolltlon State Surch B DATE PAID VALIDATION: RECEIPT NU AMOUNT B RECEIVED TOTAL AMOUNT OUE (oxcludlng electrlcal) (A, B, C, Q and E Comblned) W u9 t'le I Ir=n F(rrurg Irrc.6l----?A2AbAa Novenrber I5 , 19tJ,rr I'u rhe Ciry ot Springticldr ALtention I,isa, L' kuber"r I.J. Hilr will agree to clo rrhat is requtred torelocated sewer liue -L'or l,Onnie ltar.Lingorr resiclerrCe ()11btleer, Sprirrgtield. Or.egotr. So thet construcflc]n (:atr l0tli c()rrLirlue at- IlJtr l0rh stl:eet,priugt ieId, 0r.egur.r Rotrert In. Hill b82 Sunset DrlveSprlilgtieId, 0r.trgon gl tr/ I i- - Ll -' /Ai/li+k_ 'r ATTACHMENT BI JoB NO. 7//{/7 cIrY 0F SPRI Ntt "'?uotilililEr?-:::PMENT CFTARGE ' tcouuEntr-ru - & RESIoENTIAL) NAI{E 0R COHP/I\Y:4 LOCATiON 'o DEVELOPMENT TYPE SfD. FtSIZ BUILDING SiZE: i. STORI':I NRAINAGF IMPERViOUS SQ. FT.227?50 X $0.209 PER sQ. FT' 2. .o*rronv sFwFR-CTTY NO. OF PTU'S (See Reverse) r x s43.26 PtR PFU 3. TRANSPCRTATTON NO OF UNITS X TRIP RATE X COST PER TRIP X /,o/ X s436.19 x X 5436. i9 x _ x s436.i9 4. SA.NTTARY SfWFR-M'uJl'4C $ S (Use PFU Total From item 2 SUBTOTAL (ADD ITEMS 1,2. & 3) 5 / 6Og'b{ $i7.i9 PtR PFU + $1C Mi^ll'lc ADMIN.FEE s ?'/?'12 Above) 3G MI^JMC CREDIT iF APPLICABLE (SEE REVERSE) TOTAI -l',lhIMC SNC SUBT0TAL (ADD ITEMS 1.2,3 & 4) s r r 1?.1 t 5. ANMTNTSTATIVF FFFS BASE CI{ARGE (S ) x .05 /o'/z- 7* Hary NO. OF PFU'S r s. P.E. fj SDC 82. SDC i nator Date: T}TA| _SD[)0 7 I -- r--__-r{t FIXTURE UNIT CALCULA DN TABLE: ru,-u er ot New Fixtu {NorE: For remodels, carcurare onty tnf NEr addirional fixtures} NUMBER OF NEW FIXTURES _ X Unit Equivatent : Fixrure Unirs FIXTURE TYPE Bathtub......... Drinking Fountain.... Floor Drain lnterceptors For Grease/Oil/Solids/Erc................. lnterceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer)...... Receptor For RefrigeratorMater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11.......... Shower, Gang........ Sink: Bar, Commercial, Besidential Kitchen.. Urinal, Stall/Wall..: Wash Basin/Lavatory, Single. Toilet, Public lnstallation. Toilet , Private.... Miscellaneou's:',Ttat mp's UNIT EOUIVALENT FIXTURE UNITS /r 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 b 4 I I Z z TOTAL FIXTURE UI'IITS 2 CREDIT CALCULATION TABLE: Based on assesse dv alue. tf improvemenis occurred after annexation date in table, calculate credits separates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) 9,46 x $ /T'tr?o (Rate X Assessed Value)x$ 6s.3 6 6s.sa (Rate X Assessed Value) CREDTT TOTAL s Year Annexed Bate per $1,OOO Assessed ValueYear Annexed Rate per S1,OOO Assessed Value 1 985 1 986 1 987 lvoJ 1 989 1 990 1 991 1 002 $2.46 2.14 1.77 1.37 o.97 o.61 o.44 o.15 1979 or before 1 980 i9Bl 1 982 1 983 1 984 i 985 $3,46 3-21 5.U0 2.92 2.73 a 4 a 2_ t 2 €&#lt"emeler.g lob No. SYSTEMS DEVELOPMENT CHARCE WORKSHEET uKl-j\. PHONE: STATE: ADDRESS: LOCATION OF FROPOSED BU Stred Address if Known: Platt Name: 1 +V\ Tax Lot Number: Manufacu,rred home not in a Park 3 DEVELOPMENT TYf E . (Check Affiitions "are o" the back') appropriate dwell i ngG)- S DC Cal culations and dwel I i ng type A. Single Family - Detached -L Single FamilY home NO OF UNITS B. Single Family - Auached 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 = 4lDt WPRD 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 Credi0 X $277 PER UNIT = X $2S0 PER UNIT = $ $- $ $ $ $ \ \ /-:+., ^C C .,(i ^l A Divi Date CO Permi ts are non-trans ferable Lre if vork is not started vithin 1'80 days of issuance or if vork is suspended for days. 2. EIe Add cit INSTALI,ATION ONLY Contractor Supervisor License ber SPF|INGFIELD Services or Feeders Installation, Alterations or Relocation: us€ apprwal.EI,EGTRICAL PBRHIT APPIJCATION 97477 726-31ff" lL-zt- q7 City Job Nunber Authorized SCEEDTII,E BBIOV A. Nev Residential-Single or Mu1ti-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 $ r.s.00 Tn. toito*ing prolec't ae eubm'Itted lreg thq ffi;;ffi ?Siiiirr iiquire sPecrric rand 225 PTrI,fl STREEf, SPRTNGFTELD, OREGoN INSPBCTTON REQTIEST: OFPICE: 726-3759 1 OF\J\ Sum $ 40.00 B ctri ress v Expi rat Cons t r expifat 200 amps 201 amps 401 amps 601 amps Over 1000 Reconnec t or less to 400to 600to 1000 amps _ amps _I amps_ /voIts $ s0. s 60. $100. $130. 00 00 00 00 00 00 amps 0n1y $3oo Con t s Ci ty Phone OgNER The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. c Temporary Services or Feeders Installation, Alteration or Relocation aEove D. Branch Circuits Nev, Alteration or Extension Per Panel One Cireuit $ 35.00 Eaeh AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00 Miscellaneous (Service/feeder not included) -Each i.nstallation 200 amps or less I $ 40.00 201 ambs to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 10008I'ts see rtBrf M ion Date $40 $ 40.00ng- $ 40.00 s 20.00 Pump or irrigation Sign/0utIine Lighti Limited Energy/Res Limi ted Energy/Comm 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL E DATE: CITY OF OREGON Supervising Electri Number igtsEruI,(JI\J ')rr(z L )RBCEIVED 36. Q0d) Da te