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Home My WebLink AboutPermit Building 1992-01-10SPtlINGFIELO /o-,TAX LOT: SUBDIVISION Zfr, 3i lnspections: 726-3769 Office: 726-3759 35( POSED JOB NUMBER RESIDENTIAL PERMIT APPLICATION LOT - BLOCK: LOCATION OF PRO ASSESSORS MAP;/7 0z 3a 2- 225 Fifth Street Springfield, Oregon 97 477 JT PHON E: STATE:ztP c?7 +7t)CITY: ADDRESS: OWNER NEW }(- REMoDEL ADDtrtoN DEMoLtsH orHER 5{. ?-6DESCRIBE WORK: PHONEADDRESS 5.arlL t MECHANICAL:lv.A<se*1JL t-z_ avu -/c; 3 ELECTRICAL: CONTRACTOR)S NAME EXPIRES CONST. CONTRACTOR # GENERAL: PLUMBING 3RJUC1 I ln I F-RANGE:WATER HEATER: _ OFFICE USE _ LAND USE: * OF UNITS: SECONDARY HEAT: - FLOOD PLAIN ZONING CODE: * OF BDRMS: seuARE FoorAGE: l8,IPS OCCY GROUP: C OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Electric SfRougtr Mechanicat - Prior toElcover.Final Plumbing - When all plumbing work is complete. x Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Underground Plumbing - Prior to f illing trench. Sanitary Sewer - Prior to filling trench. ffi-nougtr Electricat - Prior tol- cover. #lectrical Service - Must be4 "pptored to obtain permanent electrical power. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. lV-Foundation - After forms areAI erected but prior to concrete placement. K Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. J-l Drywall - Prior to taping Wood Stove - After installation lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed. Streel Trees - When all required trees are planted. IVT-u n d e rl I oo rt(Iiiiinrra ec n arriiarr \ - Prior to insulationEFdecking. l9-Post and Beam - Prior to floor6{ insulation or decking. 'lV/Floor lnsulation - Prior tot\ decking. ffistor- sewer - Prior to fillingrJ trench. < ly;::lline - Prior to firrins ,{norgh Plumbing - Prior to - cover. J '771, -775q QUAD AREA: S OF BLDGS: r E E E E tl E rE E Lot faces Lot sq. ftg. Lot coverage Topography Total height Z2?re .06 m' Lot Type - lnterior - Corner - Panhandle - Cul-de-sac , THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: X $/SQ. FT.VALUE ?q.7o 5dl'?4b a t4"tD I ,84''t) (A) t7-71 hl )670'*\3/F, c Total Value Building Permit Fee State Surcharge Total Fee t ,,?, Z--rt f9 BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Spri ngfield, 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. €-7O.. Date Receipt Numbe Plan Check Fee: Date Paid Received (B) SYSTEM S EV LOE MP NE cT AH GR E D(s c) /PT€.EE5, Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE t 6d.0c) ,/6 0^ eo A (c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge N0 7a- r77EP Wood Stove/ lnsert/ Fi replace Unit Dryer Vent /. {a 7^ea /A.eO ,F,3,50 1,ao 38,/g(D) ,68 Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood -)No) 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 certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 f urther certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front Signatu re / Lo -'q?Date of the property,d the approved of plans will remain on the site ru ctionmes during MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical (A, B, C, D and E Combined) 7 Ta-e /^ /a-22- ?8,74 DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER P.L.HSE GAR ACC N S IA' RC, E 8"Oo /a8,oo ADDITIONAL COMMENTS /a* : SDc- fae . r'%c f.,//fl.=z ' l'rlt c ?,pz ab 225 FIFTE STREET SPRINGFTELD, OREGON 97477 INsPEcf,ION REQUBSTT 726-3769 OFFICE: 726-3759 1 LOCATION OF INSTALI.ATION Z .E>>7 IJGAL DESCRIPTION .F .1r.9 -R- JOB DESCRIPTION +. clt' 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. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor Address ELECTRICAL PERHIT APPLICATION ci Job Number PEE SCEEDULE BELOV Residential-Single or i-Family per dvelling unit.MuI t Service Included:Items Cost 1oo0 sq.ft. or ress '/ S 85.00 Each additional 500 sq. ft or portion thereof L g 15.00 Each Hanuf'd Home or Hodular Dvelling Service or Feeder $ 40.00 -€ @fs Surn 2a*- citv 4/&qei*€Phone ar32-/g;/ Supervisor License Ndmber Expiration Date /ay'92 Constr Contr. Number Z-/V,T,/ Expiration Date -/-2q-72-- ture 1 Electrician S 0vners Name Address ci ty-Phone OIINER INSTALI.ATION The installation is being made on property I own vhich is not intendedfor sale, lease or rent. 0vners Signature: DATE: RECEI Services or Feeders Installation, Alterations or Reloca t ion: 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconneet 0nly . Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or Less / S 40.00 le 201 amps to 400 amps - g 55.00 --Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see trBrr above D. Branch Circuits Nev, Alteration or Extension Per Panel B $ $r $1 $r s 50.00 60.00 00.00 30.00 00.00 40.00 C One Circui t Eaeh Additional Circuit or vith Service or Feeder Permit SI,BTOTAL OF ABOVE 5Z State Surcharge TOTAL s 35.00 s 2.00 E. Miscellaneous (Service/feeder not included -Each installation Pump or irrigation $ Sign/OutIine Lighting_ $ Limi ted Energy/Res S Limited Energy/Comm S 40.00 40.00 20.00 36.00 5Z RECEIVED BY: a /Az-z? tropolitan astewa ter nagement ommission COMMISSION ME[,4BERS Rob Benneft-Eugene Councilperson Sleve Dufly-Eugene Lay Representatrve Scott Engstrom-Springlield Lay Representative Chris Larson-Springlield Councilperson Chris [4atson-Lane County Lay Representative Jerry Rust-Lane County Commissioner Mark Westling-Eugene Lay Representative FIFTH AND A STREETS SPRINGFIELD Crry HALL SpRtNGF|ELD, OBEGON 97477 TELEPHONE (503) 747 4551 MUMC CONNECTION CHARGE Building Address: Reference Number: J35l -Ve*z / Tax Lot Number I OA^/e? Ovner: Address: Ci ty: Phone Number z VZ,-Z-,Y State, 4? - zipz ??7>* y'nesidential ree (g222.00) _ Commercial Fee (nev non-residential development/ remodel ) Total fixture unit charge (see reverse of this form) $ SUBTOTAL S 2-- -a4411.. $ Credit Due (see reverse of this form) TOTAL MIIMC CHARGE <$ 'vgt_ /g > 82$ Date Received: Receipt Number t 7:* a Received By: Building Job mber:7r7 -,/a €2 a,/ i Fixture Unit Calculation Table:equivalents. NOTE: For remodels Fixture Type Ba th tub Drinking fountain Floor drain fnterceptors for grease,/oiI/solids/etc. ...fnterceptors for sand/auto vash/etc....... Laundry tub/clothes vasher... Clothes vasher (3 or more) Mobile home park trap (1 per M.H.) Receptor for refrig/vater station/etc..... Receptor for Commer sink/dishvshr/etc..... Shover, single staIl Shoverr gang (per head) Sink, bar, commercial.... Sink, commereial/indus trial/etcUrnial, stal1/val1..... Vash basin,/lavatory, single Lrater closet, public installation.. Vater closet, private MiscelLaneous: Number of nev fixtures multiplied by r.rnit , calculate or-rIy the I,IET additional fixtures. # of Unit Fixtures Equivalents Total Uni ts: x $13.25 each = Tota1 Charge: $ Fixture Uni ts 2 1 ) 3 6 2 6 6 1 3 2 1 2 3 2 1 6 4 Total fixture units Credit Calculation Table:Based on total value of property at time of permit appl i cation. Juru /r,ze>z Year Annexedto the Citv !97 9 1980 19 8l 1982 1983 1984 1985 1986 1987 19BB 1989 1990 Credit per $1,000assessed value 2 .66 2 .64 2.53 2.4L 2.79 2.O4 1. 69 L.35 1. 15 o.92 0. 59 0.23 x $ /2 ,95-a s 34/8 $ $ $ $ $ $ $ $( $( C Credit 2 - Rate Assessed Value TotaI Credi t