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HomeMy WebLinkAboutPermit Building 1994-09-02Jzl>q* fr z.o4a 5 ,A * ?y'asr NGFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PBO JOB NUMBER 225 Flfth Stre, Springfleld, O t7WORK; ASSESSORS MAP; LOT:BLOCK:SUBDIVISION lL fs PHONE: STATE:ZlPin '* CITY: ADDRESS: OWNEB: ( ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW ,T REMoDEL ADDRESS EXPIRES a CONTRACTOR'S NAME PHONE -96GENEBAL: PLUMBING: MECHANICAL: ELECTBICAL: CONST. CONTRACTOR # U t (J)CER WATER HEATER: HEAT SOU BANGE: CONSTR. TYPE: SECONDARY HEAI SO FLOOD PLAIN ZONING CODE: ,I OF BDRMS:OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: LAND USE: #OFUNI S OFFIC II To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS n Temporary Electrlc tr K tr Rough Mechanlcal - Prlor to cover. I &Final Plumbing - When allplumblng work ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Electrlcal - Prlor to F Flnal Eleclrlcal - \Aihen all electrical work is complete.'cover, Underslab Ptumblng/ Electrical / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When atl mechanlcal work ls complete. X Footlng - After trenches are excavated.Flnal Building - When all requlred lnspections have been approved and building is completed. Flreplace - Prlor to faclng materlals and framlng lnsp.Masonry - Steel locatlon, bond beams, groutlng.tr fr Framlng - Prlor'to cover. K Foundatlon - After forms are erected but prlor to concrete placement. Other Walt/Celllng tnsutatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.Drywall - Prlor to taplng tr R k ry MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decking.Wood Stove - After lnstallatlon Posl and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - WheSr alt blocklng ls complete. Floor lnsulallon - Prlor to decklng.rr 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 - Prlor to fitling trench.Electrlcal Conneclion - When blocking, set-up, and plurgbing inspections have been approved and the home is connected to the servlce panel.ff:tru, sewer - Prlor to filllns Sidewalk & Drlveway - After excavation ls complete, forms and sub.base materlal in place. Water Llne - Prior to filling trench.[-l fence - When completed Slreel Trees - When all requlred trees are planted. Flnal - After all required inspections are approved andporches, skirtlng, decks, and venting have been lnstalled. Rough Plumbing - Prior to cover. ?lrzrc *{ \t) fl tl E Lot faces Lot sg. ftg. Lot coverage Topography Total [Bight Lot Type - lnterior - Corner - Panhandle - Cul-de-sac i - THE PROPOSED WORK rN THE - HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: E, PL.HSE GAR ACC N S E qT'Kfs _bp6 DStS-q 4,+h9D | 3.Qbt AA.lo_,53lp (A) flI g" I $/so. FT. .5\o.tD 1{0-. BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfield, including the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of sald ordinances. Plans Reviewed By *ZH t Date Receipt Numbe Date Paid: Received By: Plan Check Fee:oa SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxt#res Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N"d FT. FT, FT. (c)I s*+, PLUMBING PERMIT Plumbing Permit State_ Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent . b3+ l.os I (D) fio No U !r) Vent Fan Mechanical Permit lssuahce State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood nature, I state and agree, that I have carefully the completed application and do hereby cerilfy 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 herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this prolect. I further agree to ensure that all required inspections are requested at the proper time, 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 remain 7s- z/Date By slg on the site at all times during constructlon. Slgnature .' 7-2-' MISCELLANEOUS PERMlTS Mobile Home State lssuance State Surchaqe, Srdewark -{(r,, curbcut 3€ ,, Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Comblned) DATE PAID AMOUNT RECEI RECEIVED BY VALIDATION: BECEIPT NUMB t:. 1.\ i,,,i.ij? W q-@r;@ T=.CIw OREGO'VCITY OF The lollowing Pr^iact as submtttsd tnq& '. ;..lir'.: 'inecflo bncl 225 FTFTE, STREET zcning, and apProval. SPRINGFIELD OREGON 97477 Zonin INSPECTION PAQTIEST ' 7b6;J7?/tt -u3 -l OFFICE: 726-3759 1. LOCATION OF DESCRI ON JOB DESCRIPTION B Permits are non-transferable and expire if vork is not started vithin 1-80 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY EIJSIRICAL PERHIT APPLICATION city Job *u a", ?4/2SG Ar.rhorizedsignaturo .'MEE SCmDULE BELog A. Nev Residential-Single or Mu1ti-FamilY Per dvelling unit' service rncludedt ,,",n" cost sum 1OO0 sq.ft. or less 2 $ 85'OO /7O,* Each additional 500 sq. ft or Portionthereof Z 915.00 3e Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 SPFINGFIELE, loliowing Ll0e Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -40L amps to 600 amps _601 amps to l-000 amps_ Over l-000 amps/vo1ts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation g+i , ':: Electrical Contractor 4-/**'c Address ,!/.2 3?F ..'z <-/r. -- ;:, .' 4'*-;?'$ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 aEove- $ 40.00 $ ss.00 $ 80.00 s see rrBrtvoTt Ci ty Phone Supervisor License Number ./{-71 -f -_3 C Constr Contr. Number : ')'7 7,;< Expiration Date //- /3-7 Signature.ing Electrician ,//' Ovners Name enone lz z -276/ OVNER INSTALLATION The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: DATE: 200 amps or l-ess 20L amps to 400 amps Over 40L to 600 amps Over 600 amps or 1000 Branch Circuits @ er not included)E. Miscellaneous (Service/feed -Each installation Pump or irrigat j.on Sign/Outline Lighting- Limited Energy/Res - Limi ted Energy/Comm L-- D Address Ci ty Nev, Alteration or Extension per panel One Circuit S 35.00 Each Additional Circuit or vith Serviceor Feeder Permit $ Z.OO $ 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 24*/Z,e 7,zo2f7x RECEIVED 5 Expiration Date / :"' - -'.=--..- Willamalane Park & Recreation District fob No.94rasu SYSTEMS DEVELOPMENT CHARGE WORKSHEET PHONE:NAM ADDRESS: LOCATION OF FROPOSED Street Address if Known: 1 Services gfield \3e AI srArE:W*gmg * StrrlBSITE: Platt Name:Lot Number: DEVETOPMENT 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 X $400 PER UNIT -=$ X $370 PER UNIT =$ X $277 PER UNIT =$ X $280 PER UNIT = NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufuctured Home Park NO OF UNITS WPRD SDC ,40 @ $ $40,@ 2. SDC CREDIT (lf applicable) sDC-payer must furnish proof of wPRD Credit ippi"*L s ee sot'credit worksh)eet- $ 3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credi0 $ City of on Date o I d q .1 WM -{=fl- ATTACHMENT 81 r' -18 N0.?//2SG CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CI{ARGE WORKSHEET (COMMERCIAL & RESIDENIIAL) NA}4E OR COMP/NY: I-OCATION:or/c 2 2/ DEVELOPMENT TYPE: EUILDING SIZE: STORM DRAINAGF IMPERVIOUS SQ. FT. SI zsg/ +r7f- x $0.209 PER sQ. FT.572, Ft I 2. SANTTARY SEWFR-CITY NO. OF PFU'S (See Reverse) BASE CI.IARGE ( rni g. SDC X $43.26 PER PFU tr -3/- s ?5/.72 $ H V2.fz s z 7 7tr.os' zZ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 2 X o/ X $436.19 s 77L to x x $436.i9 s x - x $436.i9 s SUBTOTAL (ADD ITEMS 1.2. & 3) S 2129./3 4. SANTTARY SEWFR-MWMC NO. OF PFU'S 2Z $i7.i9 PER PFU + $10 Ml,ll.lc AOMIN.FEE s 3EE./tr (Use PFU Total From item 2 Above) MI^IMC CREDIT IF APPLICABLE (SEE REVERSE).' TOTAI.MI^I|4C SNC SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ANMTNISTATIVE FFES s 7 5.24 ABOVE) X .05 S /3C.?o 82. SDC i nat o Date: TOTAI SDC s 2 8 7 f.7s' FIXTURE UNIT CALCULAj(loN TABLE: Number or New Fixt X Unit Equivalent = Fixture Units(NOTE: For remodels, calculate only FIXTUBE TYPE Bathtub..... Drinking Fountain....-.. Floor Drain lnterceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc.......... Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer!...... Receptor For RefrigeratorAvater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall Shower, Gang........ Sink: Bar, Commercial, Residential Kitchen Urinal, StallfaVall.. l Wash Basin/Lavatory, Single. Toilet, Public lnstallation Toilet , Private.... Miscellaneous: rT'Ht mP's *dk NET addirional fixrures! NUMBER OF NEW FIXTURES 4L UNIT EOUIVALENT FIXTURE UNITS -Z--I ^2 /Head 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 r L -7- _Z Y 2 fZ TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based calculate credits separates. on assessed value. lf improvements occurred after annexation date in tabte, Year Annexed Rate per $1,OOO Assessed Value Year Annexed Bate 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 0.61 o.44 o.15 Credit. for Parcel or Land Only lf Applicable 3.1c xs (Rate X Assessed Valuel lmprovement (if after annexation date)x $_ (Rate X Assessed Value) 2/.7so 7s,.2 f. $7s.zcCREDIT TOTAL r 7