HomeMy WebLinkAboutPermit Building 1994-09-02),t..r&/f,2a46 )@rr ) rlou 3r
NESDENTIAL
PERMIT APPLICAT'ON
Inspections: 726.3769
}fflce:726.3759
WORK:{
JOB NUMBER
225 Fifth Street
Sprlngfleld, Ore
TAX LOT
SUBDIVISION
PHONE:
ZIP,,
LOCATION OF PRO
ASSESSORS MAP:
LOT:BLOCK:
OWNER:
ADDR
>1 STATE:/24CITY:
DESCRIBE WORK:(g-qt{"act, o/, o n DrlC lefIu
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME ADDRESS
CONST.
CONTRACTOR #RES PHONE
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
- OFFICE USE -
.EQN tr )QUAD AREA:
* OF BLDGS:
LAND USE:
* OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
FLOOD PLAIN
ZONING COD
r OF BDFIMS:
SECONDABY HEAT:
SOUARE FO
OCCY GROUP:
r OF STORIES:
WATER HEATER:
0
RANGE:€J
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
Temporary Electrlc
REQUIRED INSPECTIONS\.llzl Rough Mechanlcal - Prlor to
t cover.
J}( | Rough Electrical - Prior to,R cover.
- When all
is complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
setting forms.
nal Eleclrical - \Mren all
electrical work is complete.3
Underslab Plumbing/ Electrlcal /
Mechanlcal - Prlor to cover.
ft'etectrlcat Servlce - Must beA{ approved to obtaln permanent
electrlcal power.
nal Mechanlcal - When all
mechanical work ls complete.
lVl Footlno - After trenches areal excavaied.
Flnal Buildlng - When all
Flreplace - Prlor to faclng
materlals and framlng lnsp.
requlred lns pectlons have been
Masonry - Steel locatlon, bond
beams, groutlng.
approved and building is
completed.
&K
K
Framlng - Prlor to cover.
OtherFoundallon - After forms are
erected but prlor to concrete
placement.Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng
Krx
MOBILE HOME INSPE TIONS
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - Whep all
blocklng ls complete.
E
K
Floor lnsulatlon - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to filling
trench.
K;:fS. sewer - Prror to rrrrrns
Kly;lntrne - Prror to rirrrns
Sldewalk & Drlveway - After
excavatlon is complete, forms
and sub-base materlal ln place.
Fence - When completed
Slreel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.F Rough Plumbing - Prior to
cover.
F
E
E
tl
E
pl
Electrical Connection - When
blocklng, set-up, and plurgbing
lnspections have been approved
and the home is connected to
the servlce panel.
tl
tl
,.l ',. .,'tl'.ti+h:
P.L.HSE GAR AGC-
N I
S
E
J THE Fnoposeo wo RK TN THE -
HISTOBTCA L DISTBICT,OR ON
THE HISTORI CAL REG
It Yes,thls aPPtlcatl on must be slgned
and approved bY the Historical
Coordinator Prlor to permlt issuance'
APPBOVED:
\.
Lot faces
Lot sq. ttg.
Lot coverage
TopograPhY
Total h.elght
Lot TYPe-
-
tnterior
-- Corner
X Pannandle
.- Cul'de'sacw
BUILDING PERMIT
B.?Jdtbo 3U
(A)ffi"
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, includlng the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordlnances.
Plans Reviewed By Date
Recelpt Number:
Beceived By:
Plan Check Fee:o.%
SYSTEMS DEVELOPMENT CHARGE (SDC)(B) f ztss.rt
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixfures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
(,br4-8O
No
FT.
FT,
(c)
Plumbing Permit
State. Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
{a3 + /.aS
I
k
(D)
No
t.
Vent Fan
Mechanical Permit
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerflfy that all
lnformation hereon is true and correct, and I f urther certify
that any and arr work performed shail be done in accordance
wlth the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertainlng 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 contractors and employees who
are in compliance with OFIS 701.0S5 will be used on this
Proiect.
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 permlt card ls located at the frontof the property, and the approved set of plans will remain
,-2-V
c
Date ?e-
Slgnatu re
on the site at all times during ructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharoetc-
Sidewalk [ -) r,
, C2\Curbcut J_)_ tt
Demolition
State Surcharge
Total Mlscellaneous permits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Comblned)
DATE PAID
VALIDATION:
RECEIPT NUMBER
AMOUNT R
RECEIVED
$ffi .€Gl5 qSRk-q_4- T{"\p-,-6-,Q6
Date Paid:
ruad
FT.
'N \[U
q-e-
7;@
a@
CITY OF SPRINGFIELD, OREGorv
Th e rouowi n g, i': " :
t"l ",:,?,YibI;T,*trtH
zoning, ano gi'r" i'i
aPProval'gtiit zoning-' mV-k' '
SPRIi|GFIELD
fotiowing
BIJCTRICAT PERI{IT APPLICATION
Lise
225 FTtrE STREET
SPRINGFIELD' OREGON
INSPBCTION REQTIEST:"8a.33rvll3OFFICE: 726-3759
1 OF
LEGAL
JOB
Electricaf Contractor 'u' f /r'c 7
Ci ty Job Nunber
Slgnaturo fin^ r- -cous*rs'-+gE ScEBDIIIJ BELov
A. Nev Residential-Single or
Mu1ti-FamilY Per dvelling unit'
'-z cr€ e '.)ft
$ 8s.00
s 1s.oo
$ 40.00
$10o. oo
$130. oo
$300.00
$ 40.00
Sum
/7nP
3c:
a666
' Service Included:Items Cost
Permits are non-transferable and expire
ii vork is not started vithin 180 days
;i i;;;";"" ot if vork is susPended for
1.80 days.
2. COMRAC:TOR INSTALI,ATION ONLY
,/2> Phone
Supervisor License Number /r 7/s
Expiration Date 7s
Constr Contr. Number
*)
Expiration Date
Signat of rvising Electrician
L000 sq.ft. or less Z
Each additional 500
sq. ft or Portionthereof Z
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAI
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
0ver 1000 amPs/volts
-
Reconnect 0n1Y
TemporarY Services or Feeders
in"'t.ff.iion, Alteration or Relocation
200 amps or less
ZOi .r'p" to 400 amPs
-Over 401 to 600 amPs
-
Over 600 amPs or 1000 volt
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 3s.oo
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
Address a/a_, 32 :)
B.
c.
D
B
$ s0.00
$ 60.00
$ 40.00
$ 5s.00
$ 80.00
s7rlCi ty
-l-
Ovners Name
Address
)*ue K"ttra4,
s see rrBrl
$ 2.00
zDD O1D
)o ooaa
ci ty Ynone ?2( -Z?L/
OVNER INSTALLATION
The installation is being made on
piop"tty I ovn vhich is not intended
ior sale, lease or rent'
Ovners Signature:
s
$
$
$
40.00
40.00
20.00
36.00
5
DATE:
RECEIVED 1,4-P-
,/r,
ADDRESS:
I
LOCATIO N OF FROPOSED BUI NC
Stred Address if Known:
Platt Name:Tax Lot Number:
1 DEVELOPMENT TYPE (Check appropriate dwellingG). SDC Calculations and dwellingtype
definitions are on the back.)
Willamalane
Park & Recreation District
NO OF UNITS
B. Single Family - Attached
NO OF UNITS
c Multi-FamilvAoartment
D. Manufactured Home Park
NO OF UNITS
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
fobNo.44 IASS
lAtn.qb4
qq4lt(
PHONE:
A. Single Family - Detached
single Family home Manufactured home not in a park
X $400 PER UNIT *=
!.
X $370 PER UNIT =$
y,
NO OF UNTTS X $277 PER UNIT =$
$
d)
X $280 PER UNIT =$
WPRD SDC
2. SDC CREDTT (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)
$
d)
$
Services
City of gfield
Date
$14T-,0}
U
ATTACHMENT 81
- ,08 N0.?2 -r_{
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI CI-IARGE
WORKSHEET
(COMHERCIAL & RESIDENTIAL)
r
NAI'IE 0R C0MPAI,IY:
LOCATiON : /6 4F I /6so ,/ 2/d ,fu
DEVELOPMENT TYPE:
BUILDING SIZE
1. ryiMlM
IMPERVIOUS SQ. FT.
2. SANITARY SEI^IER-CITY
NO. OF PFU'S
(See Reverse)
SIZ
2a 12 X $0.209 PER SQ. FT -f
. Ft.
2,/ Y
ZZ X $43.26 PER PFU $ 7r/.7 z
3. TRANSPORTATTON
NO OF UNITS X TRIP RATE X COST PER TRIP
2*y /.o/ x $436.19 s 77/.to
x
-
x $436-19 $
x
-
x $436.19 $
SUBTOTAL (ADD ITEMS 1,2. & 3)s 238{,d
4. SANTTARY SEl^IER-l'{l^ll-{C
N0. OF PFU'S 7 z x $17.19 PER PFU + $10 Ml.ll'4c ADMIN.FEE
(Use PFU Total From Item 2 Above)
$ 38 8.zF
$ 7s.zaMl^ll'4c CREDIT IF APPLICABLE (SEE REVERSE) --TOTAL-MI.IMC SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)s 2o77.7 z
5. ANMTNISTATTVE FEES
BASE CI{ARGE (ABOVE) X .05 $ t ,1,7a
8-3/-7/
$ 3t2.72
SDC
ig. P.rn
82. SDC
Ho
rdi naton
Date:
TOTAL SNC 2832.F
FIXTURE UNIT CALCUL/. . tON TABLE: Number of New Fixt X unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the NET odditional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
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 Refrigerator/lvater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall..........
Shower, Gang........
Sink: Bar, Commercial, Residential Kitchen..
Urinal, StallllVall..l
Wash Basin/Lavatory, Single.
Toilet, Public lnstallation.
Toilet , Private....
Miscellaneous: tT'4tpPj gtlk
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits separates.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation datel
7.1c 7 s.zt
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL = $7r.zc
UNIT
EOUIVALENT
FIXTURE
UNITS
/Head
2
2
1
2
3
6
2
o
6
1
3
2
1
2
2
1
6
4
x$
Year
Annexed
Bate per $1,OOO
Assessed Value
Year
Annexed
Rate per $ 1,OOO
Assessed Value
1979 or before
1 9BO
1 981
1 982
1 983
1 984
1 985
$3.46
3.38
3.32
3.21
3.O6
2.92
2.73
1 985
1 986
1 987
1 988
1 989
1 990
1 991
1 993
x 5 2t,7ro
$2.46
2.14
1.77
1.37
o.97
o.61
o.44
o.15