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HomeMy WebLinkAboutPermit Building 1994-06-24RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOHK: ASSESSORS MAP 3 LOT: I 225 Fifth Street Springfield, Oregan 97 477 TAX LOT:o 1 roo 0 BLOCK:SUBDIVISION PHONE: 77ZIP:o,STATE: 7q7- 74 (? 2 oo eq// CITY: ADDRESS: NEW- REM.DEL ADDrroN -L /6 r ?o I fluJ,ro a dJtJ: "^ DEMOLISH OTHER DESCRIBE WORK: EXPIRES PHONE NONE coco Ato N€ ilE IQ,o .r*ty&F/-?f/? * al CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: ADDRESS PLUMBING: G EN ERAL: NST. NTRACTOR # LiA - OFFICE U WATER HEATER ZONING CODE: FLOOD PLAIN:LAND USE: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: # OF BDRMS:_ RANGE: OCCY GROUP: # OF STORIES: OUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request, made the s an inspection, you must call 726-3769. This is a24hour recording. All insoections reqqested hefore 7:oo a.m will berame working day, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS I temporary Electric Rough Mechanical - prior to cover.l--l Final Plumbing - When ailtJ plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. E 3'*rr: Electricat - prior to W Final Electrical - When alt electrical work is complete. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanlcal - When all mechanical work ls complete. E Footing - After trenches are excavated.w Final Building - When ail required inspections have beenapproved and building is completed.Masonry - Steel location, bond beams, grouting. Flreplace - Prior to facing materials and framing lnsp. a a Framing - Prior to cover.V Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulalion - prior to cover. [-l Underground plumbing - priorI I to iiiriig ir"""n Wort*.rl - Prior to taping. Underlloor Plumbing/ Mechanicat - Prior to insulation or decking. MOBILE HOME TNSPECTIONS Wood Stove - After installation m Post and Beam - prior to floorinsulation or decking.lnsert - After fireplace approval and lnstallation of unit. Tl Blocking and Ser.Up - When ail - blocking is complete. fV Floor lnsulation - prior to.-+ decking.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected towater and sewer.B w Sanitary Sewer - prior to fllling trench. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal In place. Fence - When completed. Electrical Conneclion - Whenblocking, set-up, and plumbing inspections have been approved and the home is connected tothe servlce panel.f--l Water Line - prior to filtinglJ trench. Rough Plumbing - prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, andventing have been installed. JoBNUMBE" ?y'n5JG frnnne ,E ^u t,OWNER: Et4/ r E P.L.HSE GAR ACC N /2/ S dz.>r. ,//' E q,'v. Lot taces Lot sq. ftg. Lot coverage Topography Total height L:t rype 15. 15 THE PROPOSED WORK IN THE ISTORICAL DISTRICT,lnterior Corner Panhandle Cul-de-sac OR ON STER? N OTHE HISTORICAL REGI lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: 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 Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Ptan Check ,u", 83 53 f,-29-iw Date Date Paid: Receipt Num Received By: VALUE tv> 7,86 -Szto ryEq (A)81,* fo BUILDING PERMIT SO. FT. /"r?32_ X $/SQ. FT. ,(6 8a Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B)L6,zl ADDITIONAL COMMENTS ITEM Flxtu res Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE No FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanlcal Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certlfy 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 permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. 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 oI plans will remain Signature -?- 5 Date on the site at all es durlng construction. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) R VALIDATION RECEIPT NUM DATE PAID AMOUNT RECEI RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Z4:: afi 225 FIFTH STREET SPRINGPTELD, oREGoN 97477 INSPECTION REOUEST: 726- OFFICEz 726-3759 1. LOCATI ON OF INSTALLATION 3 t/24'"37 LEGAL DESCRIPTION hA rA t 7o3.o?/ao Aot Z.f /3tkc Sec o erd 44a tV t<dL+' eAzo fc JOB DESCRIPTI ON r3'EO t4 tAJ-/' Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATTON ONLY Electrical Contractor Address city- Phone Supervisor License Number Expiration Dat" Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name TO*rUlt < l<^ YPa ttS Address 3Oo ,U ? ?t/- ? {6 The installation is being made on property I ovn vhich is not intend for sale, Iease or rent. Signature: DATE *ffi1-Lq 4v- _-, Authorizodsisnature,rlflL coHptETE ffi SCffiDIIIE BELOS J3€ Nev Residential-Single or Multi-Family Per dvelling unit. Service Included: I terns Cos t SPFINGFIEL(, One Circuit / Each Additional Circuit or vith Service or Feeder Permi t 3 ELECTRICAI PERUIT APPLICATTON city Job Nu b", ?/0ji36 The follcwlng project as subrititted has thezonrng, ai:d does rrqt roquire specific landap1>roval, A "-tz-fi tt Sum 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 $ 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amPs _401 amps to 600 amps _ 60L amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect 0n1y $ s0.00 $ 60.00 s100.00 s130. 00 $300.00 s 40.00 c D. Branch Circuits Nev, Alteration or Extension Per Panel Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voTts see ttStt "[fr[ ci tv S f ,,a?{ cld, d K Phone OIJNER INSTALI.ATION $ 3s.00 $ 2.00 4{ e E. Miscellaneous (Service/feeder not included) -Each install-ation Pump or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm $ $ $ $ 40.00 40. 00 20. 00 36.00x 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL aCITY OF SPR OFEGO'V RECEIVED aa J,B N0. 7/os36 CITY OF SPRINGFIELD SYSIEI'IS DEVELOPMENT CHARGE I.IORKSHEET' (col'il'tERcIAL & RESIDENTIAL) NAME OR COMPANY:J^ ruo.L(sE aLOCAT ION:o 5 BUILDING SIZE:OT SiZ F I. STORM DRAINAGE IMPERVIoUS SQ. FT.x $0.203 PtR SQ. FT. 2. SANITARY SEI^/ER-CITY NO. OF PFU'S (See Reverse) X $42.08 PER PFU 3 TRANSPORTAT ION NO OF UNITS X TRIP RA X COST PER TRIP x x $424.31 x -- x $424.31 x _ x $424.31 4. N0.0F PFU'i- - / x $I5.r25 pER pFU + $r0 Mt.lMC ADM FEE(Use PFU Total Frofr Item 2 Above) t4t,lMc CREDTT rF AppLTCABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FIES BASE (E) X .0s ck sQ. Ft. $ $ b 3.2 p Coord i na TOTAL SDC s 67,2 DTVELOPMENT TYPE: Res: /6,,2o, QDoTva< 32f) FIXTURE UNIT,CALCU, aTION TABLE: Number or Nerv Fixlur x Unit Equivalent = Fixlure Units (NOTE For remodels, calculAle only the fwr additiorral fixlures) NUhIBER OF NE\! FIXTURES x$ UNIT EOUIVAL FIXTURE UNITSTFIXTUBE TYPE Bathtub....... Drinking Fountain...... Floor Drain.. .-..-....:-..-.....-.-...-. lnterceptors For Grease/Oil/Solids/Etc. lnterceptors For Sand/Auto \{ash/Etc.-. laundry Tub/Ootheswasher....---..... Clotheswaqher - 3 Or More.. Mobile Hdme Park Trap (1 Per Trailer) lmprovement (rf after annexation date) Residential.... Commercial.. Beceptor For RefrigeratorAVater Station/Etc"""" Receptor For Comm erclal S ink/D ishwasher/ Etc" Credit for Parcd or tand Only If Applicable _---.\ $ -1nate X Assessed Value) ead J 6 2 6 6 1 3 2 1lH 2 2 1 b .+ Shower, Singte Stall.. Shower, Gan9........... S!nk, Bar, Commercial ' Urinal, Stall/Wail.... Wash Basin/Lavatory, Single-..-.---.."" Water Closet, Public lnstallation-- Water Closet, Private......---...--.. Miscellaneous TOTAL FIXTURE UNITS CREDIT CALCUTATION TABLE: Based on assessed vatue. lf improvements occurred after annexation date in table' calculate credits (Rate X Assessed Value) CREDIT TOTAL 0.4 0.9 0.45 $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE lndustrial.... Year Annexed Rate per $1,0o0 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984'1985 s3.21 3.13 3.08 2.96 2.82 2.68 2.51 19B5 1987 1988 1989 1990 1991 1992 s 2.24 1.93 1.57 1.18 0.79 0.44 0.28 tMpERvlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT