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Home My WebLink AboutPermit Building 1997-02-21RESIDENTIAL PERMIT APPLICATION lnspections: 126-3169 Office: 726-3159 JOB NUMBER 225 Fifth Street Sprlngflelrl, Oregon gl 4ll LOCATION OF PROPOSED WORK;*€s tv 22 6f ASSESSORS MAP:7rt9 7Lr 1 TAX LOI 0lz @LOTBLOCK:SUBDIVISION: PHONE: CITY: STATE:ZIP: OWNEB:372ADDRESS:tuzv 5J-. NEW -_ REMoDEL X ADDtroN DEMoLTsH orHER ?ilA (LL..)DESCRIBE WOFIK: CONTRACTOB'S NAME ADDRESS CONST. CONTBACTOR # GENERAL:0,lr" l/84 EXPIBES ,11 PHONE PLUMBING: MECHANICAL: ELECTFIICAL:IF IHE OUAD AREA: r OF BLDGS: FOR LAN D F LOOD }]LAI # OF UNTTS: __.---ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPEI HEAT SOURCE: , OF BDRMS: .-.- SECONDABY HEAT: _ WATER HEATER RANGE:SQUARE FOOTAGE: To request an inspectlon made the same working , you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. wlll beday, lnspections reguested after 7:00 a.m. will be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rouglr Mechantcal -{rrcr ro cover. Final Plumbing - When allplumbing worl( ls complete. Site lnspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrical - Prior to Final Electrlcal - When allelectrical work is complete.cover. Underslab Plumblng/ Electrical / Mechanlcal - Prior to cover.Eleclrlcal Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanlcal - When allmechanical work ls complete. Footlng - After trenches are excavated.Flreplaco - Prlor to faclng materlals and lraming lnsp. Final Buildlng - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framing - Prior to cover. Foundatlon - After forms are erected but prior to concrete Other acement.Wall/Celling lnsulation - Prlor to cover, und Plumbing - Prior filling trench MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prlor lo lnsulatlon or decklng.Wood Stove - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When atl blocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & AJrproaclr - After forms are er()cted but prior to placement of concrete. Plumbing Connections - When home lras been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set-up, and plumbing lnspectlong have been approved and the home is connected to the servlce panel. Storrn Sewer - Prlor to fllllng trench, Sidewalk & Driveway - After excavation ls complote, forms and sub-base materlal in place. Water Line - Prlor to filling trench. Fence - When cci,rpleted. Bough Plumbing - Prior to cover. Stroel Treos - When all requlred trees are planted. Final - After all required lnspectlons are approved and porches, sklrting, decks, and ventlng have been installed. E E ,80 DA ABANDONED fl E tl tl fl tl tl E tl E E E [-l Drywall - Prior to taping. tf USE:v E E i , ,,; Lot faces Lot sq. ftg. Lot coverage TopograPhY Total helght Lot Type - lnterior - Corner -- Panhandle: - Cul'de-sac bac P.L.HSE GAR ACC N S E IS THE PROPOSED WORK TN THE " HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned arrd aPProved bY the Historlcal Coordinator prior to permit issuance' APPROVED: This pernrit is granted on the express condition that the said consiruction shall, in all respects, conform to the Ordinance "O.pi"a by the City of Springfield' including the Oeretop.ent Code, rejulating the construction and use of Iulf Oin'g", and may bJ suspended or revoked at any time upon viotation of any provisions of said ordinances' Plans Beviewed BY Date Beceipt Numbe BUILDING VALUE AND BUILDING P , FtRu cHEcK ERMIT Plan Check Fee Date Paid Received BY VALUE (A) iMtrBUILDING PER ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SQ' FT. Systems Development Charge ls due on all undeveloped properties within tlre City limits which are being improved' (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N! ?orr.40' l^aoi iz 9 FT. FT. (c)(,2d Plumblng Permit State Surcharge Total Charge By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of ptans will remain on the site at all times durlng construction. )eDate2-2 Slgnature Wood Stove/ lnsert/Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Combined) VALIDATION RECEIPT N DATE PAID AMOUNT R RECEIVED UMBER ECEIVED 3o BY tr Ztl SYSTEMS DEVELOPMENT CHARGE (SDC) Arthorhed 225 FTFTS STREEf, SPRINGFTE! D, OREGON 97477 INSPECTION REQI ESTz 726-3769 OFEICE: 726-3759 1 OF APPTJCATION \S .q 7l 7 (?5 FEE SCMDUI,E BELOV eEftQDn"" iden t ial-Single or HuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or l,todular 'Dvelling' Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 -- t'lowing 3F ,iFIELO Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps -401 amps to.600 amps _ 601 amfis to'1000 amps- over 1b00 amps/volti -Reconnect Only SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 180 'Ds( Sum JOB DESCRIPTION Perrnits are non-transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. COI{ItsACTOR INSTALI,ATION OIILY ,,/z:f, I .8. c D. E Electrical Contractor Addres r t^)3.ttt',z- Ci ty €r*Phone 3q/ f />e Supervi "ol"i".nse Number ?3O S Expiration Date s s0. s 60. $100. $130. M.0 - 00 00 00 00 00 00 $300s40 Constr Contr. Number Expiration Date -7 t'- of sing Electrician( Ovners Name 4 Address 5 a-t* ct 5 L,/\ Phone OVNER INSTALTTTION The installation is being made on property I ovn vhibh is not intended for sale, Iease or rent. OvnerHsignature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 600 amps or fbOO-Gfts see 'Bu aEffi Branch Circuits : .. Nev, Alteration or Extension Per Panel one circuit $ 35.00 Each AdditionalCircuit or vith Service. 1r A,)or Feeder Permi r I () $ 2.00 U-u Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm s 40. s 40. s 20. s 36. 00 00 00 00 o I BRBCETVED 5 ())ooivfr ( giFrxGFtELo RESTDEMTIAL PERMIT APPIJICATION CITY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nnmber: 97L765 225 North Fifth street Springfield, OR 97477 Location of Proposed Work: 485 22ND ST Assessors t"tap #: 17033613 Lot: Block: Office: Inspection Line: 726 -3759 726-3769 Tax Lot #: 01200 Subdivision: SPruNGFIELD, Owner: Address MrKE / JEAr{ETTE }{ADD rNq Phone #: 747-673]- city/state/zip: SpRINGFIELD, OREGON 97477 ADDITION 485 22ND STREET Describe Work: ADD 2 BATHS/BDRMS General: Plumbing: Electrical Cont,ractor HANSEN BROS OWNER OWNER Const. Contractor # 0 03 9015 Expires o5/1,6/e8 Phone 588-3384 QUAD AREA: 2RNW # OF UNITS: l- CONSTR. TYPE: VN SQ FOOTAGE: 575 -- oFFrcE usE -- LAND USE: lLLl- ZONING CODE: LDR HEAT SOURCE: !\lH # OF BLDGS: OCCY GROUP: INSUL PATH: 1 R3 P1 To reguegt an inspection, call the 24 ]no:ur recording at 726-3769. A11 inspections request.ed before 7:00 a.m. will be made the same working d.ay,inspections requested after 7:00 a.m. will be made the foll-owing work day. --- REQUIRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior Eo concrete placement. ITIIDERFLOOR PLITMBING - Prior t,o insulat,ion or decking. POST AtiID BEAITI - Pri-or to floor insulation or decking. INSULATfON - FLoor,. prior to decking Wa11/Ceiling; Prior to cover ROUGH PLITMBfNG - Prior Eo cover. ROUGH ELECTRICAL - Prior to cover. ROUGH DIECIIAIiIICAL - Prior to cover. FRN{ING - Prior Lo cover. INSUIJATION - Floor; prior to decking Wa11/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAIJ PITIMBING - When all plumbj-ng work is complete. FINAL IIECIIAI{ICAL - When al-l- mechanical work is complete. FINAL ELECTRICAT - When all electrical- work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: W House Garage LoL Tlpe: CORNER SetbacksswE 1_0 10 N L4 $/Sguare Feet --- BUUJDING PERMIT --- Square Feet xItem Main Value 0.00 SPRII'IGFIELD Job Number: 97L755 OF SPilNGFIELD, Page 2 Garage AEDRM/BATH ADD'N Total- Val-ue Building Permj-t Fee Surcharge/admin TOTAT FEE 576 00 00 00 7L.t 0 40 ,954 40 ,954 (A) 242.50 L9 .41 26L .9L PIJT,ITIBING PERMIT --- It.em Fixtures Plumbing Permit Surcharge/aamin TOTAI, CIIARGE 7 Fee 70.00 70.00 5.50 (c)75.60 Vent Fan Mechanical Permit. Issuance Surcharge/admin TOTAL PERITIIT --- MECHA}IICAL PERMIT --- 2 (D) 5.00 15.00 10.00 L.20 26.20 - - - MISCELIJA.T{EOUS PERMITS Surcharge/Admin CITY SDC TOTAL IITI SCEIJLAI{EOUS PERMITS n 826 00 71, (E)826.79 (Excluding EIect,rical ) unless ot,herwiEe noted --- TOTAL A!'OI'NT DUE --- (A, B, C, D, and E combined)L,L90 .44 ... BUILDING VAIUE, PLAIV CHECK AIID BUIIJDING PERITIIT --- This permit is granted on the express condition that Ehe said construction shalL, in all respecEs, conform to the Ordinance adopted by Ehe CiEy of Springfield, including the DeveLopment Code, regulati-ng the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. PIan Check Fee t ]-57 .63 Date Paid Received By: Plans Reviewed By: DON MOORE Date Building Site Reviewed By: LISA HOPPER Receipt Number:. 28348 --- ADDITIONAL COMMENTS --- PATH 1, SEPARATE ELECTRTCAL PERMIT ]S REQUIRED HALLWAY CONNECTING GARAGE W/ HOUSE TO REMAIN UNHEATED AREA UNLESS PROPERLY INSULATED, INCLUDING SLAB EDGE. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and al-I work performed shall be done in accordance with the Ordinances of the Citsy of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that No OCCUPANCY will be made of any strucLure withouE permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with oRs 701.055 will be used on this project. t2 /2e / e7 oL/20/e8 SPRIt.GFIELD .Tob Number: 97L7Gs OTTOF Page 3 f further agree to ensure that aII requiredproper time, that each address is readable fcard is l-ocated at Ehe front of Ehe propertywill remain on the sj_te at a1I times during inspec tj-ons are reguested at the rom the street, that the permit and t.he approved set of plans construction /Z ,/? Dateignature --- VAIJIDATION --- Receipt Number Date Paid Amount Received: Received By: 28= 2y'>,2E JoB N0. q7 t 76f ATTACHMENT A C ITY OF SPRi NGFI ELD SYSTEMS DEVELOPI4ENT CHARGE WORKSHEET NAME OR COMPANY Ir1,& Je*p tit-6 Ya uvG LOCATICN 4B{Z2an 3f. A tV o>.,t fD E R. BUILDING SiZE CT SIZ S0. Fr 1 SIORI{ DRAII'JAGI il,lPERVIOUS SO FT 56r X $0.225 PER SQ. iT. $ t3l,3l C 2. SANIIARY SEi\rER-CITY 0lt'u) NO OF PFU'S I 4 (See Reverse Si cie) 3. IRANSP0RIA i iCN NO OF UNITS X IR.IP RATE X CCSI PER IRiP x-x$47249 )( SJ6 86 PER PFU S bgG,C)f $@- 5X X x $412 49 x $472 49 $ 4 SAN iTARY SE,iEEi - MI,xMC NO. OF FIU'S X PER FEU + $10 [',Ih/MC/ADM FEE $ MIiMC CREDiI IF APPLICABLE (SEE REVERSI) 5. ADl',liNiSiRATIVE FEES BAST CHARGI (SUBIOIAL ABOVE) X .05 $-- TOTAL.MI^JI'{C SDC $ SUBTOTAL (ADD ITTMS 1.2.3 & 4)$ 787,sr $ 3q,39 SDC Coordr nator Date t- )248 ToTAL SDC $ g2(4 .1? DEVEI-CPMENT TYPt: flA I Ulltr UlYl I UALUULA I lUlU I At Ltr: Number of New Fixtures- X.,Unit'Equivalent#:lFifflrelWifs.tmffi (NOTE: For remodels, calculate onl':'e NET additional fixturesl ' i ""':f i"i:i'|l'' ':i''{ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathrub............. Drinking Fountain Floor Drain......... lnterceptors For GreaseiOil/Solids,'Etc.'............ lnterceptors For Sand/Auto Washi Etc.............. Laundry TubiClotheswasher...... Clotheswasher - 3 Or More......... Mobile Home Park Trap (1 Per Trailer) .-.....'..-'.. Receptor For RefrigeratoriWater Station/Etc'.... Recepror For Commercial Sink,'DishwasheriEtc., Shower, Single Sta11.......... Shower, Gang.... Sink: Bar, Commercial, Residerrtial Kitchen....... Urinal, StalliWall.... Wash BasinrLavatorY, Single.. Toiiet. Pubiic installation. Toilet, Pnvate....... Z- Miscetlanecus rOTAL FiXTURE UNITS L/+ CREDIT CALCUL.ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable, caiculate credirs se a rate s z T 2* U adHe 2 'l 2 3 b 2 6 6 1 2 tl 2 2 1 b 4 Creciit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) XS (Rate X Assessed Value) X$ (Rate X Assessed Value) $CREDIT TOTAL Y ear Anne,xed Rate per s1,COO Assessed Vaiue Year Annexed Rate per $1,OOO Assessed Value 1 987 1 988 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 ) 2.00 2.17 1.73 1.31 c.92 o.74 o.61 0.45 o.31 o.1 7 'l 979 or bef ore 1 980 1 981 1982 1 983 1 984 1 985 1 986 $ 3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) iicsrcien iiai..... Commerical..., lndustrial....... Governmental. c.4 o.9 o5 o.5 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT 7