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Home My WebLink AboutPermit Building 1994-11-10t' RESIDENTIAL PERMIT.APPLICATION lnspectlons: 726-3769 Offlce: 726.3759 LOCATION OF PRO ASSESSO \ SPRINGFTELD K:s2l& JOB NUMBER 225 Flfth Street Sprlngfleld, Oregon 97477 TAX LOT: LOT RS MAP:,q5 BLOCK:SUBDIVISIO l,OWN ADDR CITY:STATE: ONE: ZlPl OTHERSHDDITION DEM DESCRIBE WORK: NAM EXPIRES CONST. IADDRESS ELECTRICA co GENERA PLUMBING: MECHANI SE- \ \\ - OFFICE WATEB HEATER: FLOOD PLAIN: ZONING CODE: r OF BDRMS: BANGE: LAND USE: r OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: OCCY GBOUP: r OF STORIES: OUAD AREA: r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769, Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the game worklng day, lnspectlons requested aftor 7:0p a.m. wlll bo made the followlng work day. REOUIBED INSPECTIONSa x B B E- gE tr D B E E K R E X. E Temporary Electrlc SIlo lnspectlon - To be mado afler excavatlon, but prlor to settlng forms, Underslab Ptumblngl Elsctrlcal / Mochanlcal - Prlor to cover. Footlng - After tronches are excavated. Masonry - Steel locallon, bond beams, groutlng. Foundatlon - After formg are erocted but prlor to concrete placomont. Underground Plumblng - Prlor t9 fllllng trench. Undorlloor Plumblng/ Mochanlcal - Prlor to lnsulatlon or decklng. Post and Boam - Prlor to floor lnsulatlon or docklng, Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to fllllng trench. Slorm Sewer - Prlor to fllllng trench. Water LIne - Prlor to fllllng lrench. Rough Plumblng - Prlor to cover. Rough Mechanlcal - prlor to cover. Rough Eloctrlcal - Prlor to covor. Electrlcal Servlco - Must beapproved to obtaln permanent olectrlcal powor. Flnal Plumblng - When allplumblng work ls complete. Flnal Eloctrlcal - When allelectrlcal work ls complete. Flnal Mechanlcal - When allmechanlcal work ls complete, Plumblng Connectlons - When home has been connected to water and sewer, fl Flroplaco - prtor to factng - matorlalg and framlng lnsp. E B Frarnlng - Prlor to cover. WallrCbltlng lnsulatlon - prlor to cover, El-oo*'tl - Prlor to taPlng. n Wood Stove - Aftor lnstallatlon. l-l lnsert - After flreplace approvalH and lnstallatlon of unlt. ffi Curbcut & Approach - After - forms are erected but prlor toplacement of concrete. K. [7lt'tnat Buildtng - When ail.4 l'oqulred lnspectlons have beenapproved and bulldlng ls comploted. [-l Alocklng and Set.Up - When ail - blocklng ls complete. Othor MOBILE HOME INSPE TIONS Sldewalk & Drlveway - After oxcavatlon ls completo, forms and sub-base materlal ln place. n Fence - When completed Streel Treos - When all requlred troos aro planted. Electrlcal Connectlon - Whenblocklng, set-up, and plumblng lnspectlons havs been approved and the home ls connected lothe servlce panel. Flnal - After all requlred lnspectlons are approved andporchos, sklrllng, decks, andventlng have been lnstalled. NEW Y. q.\q.(..oPS.StlL 3RSA \\rq=- E PL.HSE GAR ACC' N s W E Lot faces Lot sq. ftg. Lot coverage Topography Total helght E - Panhandlo - Gul-de-sac Lel TYPo & ,nr"no, )(- "o,n", ffiffiw l0*7+ (A) BUILDING PERMIT Total Value Bulldlng Permit Fee State Surcharge Total Feo lTEM Maln Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT Thls permlt ls granted on the express condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the City , of Sprlngf leld, lncludlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any ilme upon vlolatlon of any provlslons of sald ordlnances. ans Rov I Date Plan Check Fee: Date Pald Recelpt Numbe Recelved By: SYSTEMS DEVELOPMENT CHAR (B) GE (SDC) fzoq7. ? t Systems Development Charge ls duo on all undeveloped propertles wlthln the Clty llmlts whlch are belng lmproved. FEE g (c)I 48C + N9 FT. Resldentlat Bat h(s) PLUMBING PERMIT FT. Plumblng Permlt Stato Surcharge Total Charge ITEM Flxtures Sanltary Sewer Water Storm Sewer Moblle Home ADDITIONAL COMMENTS 5CI (D) N0\ MECHANICAL PERMIT Mechanlcal Pormlt lssuance State Surcharge Total Permlt Furnaco Exhaust Hood Vent Fan By slgnature, I gtato and agree, that I have carofully examlned the completed appllcaUon and do horeby certlly that all lnformatlon hereon ls truo and correct, and I f urthor ceril(y that any and all work performed shall be done ln accordance wlth tho Ordlnances of the Clty of Sprlngfleld, and the Laws of tho Stats ol Oregon pertalnlng to tho work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure wlthout permisslon of tho Bulldlng Safety Dlvlslon. I further certlly that,only contractors and employees who are ln compllance wlth ORS 7O1.O5S wlll be used on thls prolect. I further agree to ensuro that all requlred lnspectlons aro requested at the proper tlmo, that each address ls read from the street, that the permlt card ls locatod of the property, and the approved set of Slgnature Date at I il able the front ill remaln on the slte at all tlmes durl MISCELLANEOUS PERMITS Moblle Home State fssuance Total Mlscellaneous Permlts (E) 4C'@- ft ,r Slate Surcharge,-lc--\ Sldewalk curbcut 4 Oomolltlon AQb3v l:i'l .'l' .r,il.9l!. 1 IS THE PROPOSED WORK TN Ti{E.' HrsToRlcAL DtsTBlcr, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be stgied and approved by the Hlstorlcal Coordlnator prlor to permlt lssuance. APPROVED: rt T VALIDATION; BECEIPT NUMBER DATE PAID AMOUNT BECEIVETOTAL AMOUNT DUE (exctudtng etectrtcat) (A, B, C, Q and E Comblned)RECEIVEO BY FT. Wood Stove/lnsert/Flreplace Unlt Dryer Vent .3.oc> ffi Jii;; fo:1x..,1;1g nrlrj.l;::t as llb*},., i ]rn, r.n.,"zo,-'i.tll, Fnrj ii ;.e,' i,oI, e,:1;,,rc i;.,r. J,,,r r.,r.,l 225 FrPTE STREET Ei:F;'JV;ii, SPRfNGFfELD, OREGON 97477 Z,:ni-i,; LVL fNSPECTION REQUBSTz 726-i769oFPrcE: 72647s; fnlijJ-[-t-0i5Y SPRII{r €LED .E,LEC:TRICAL PERilTT City Job Nunber APPLICATIONq4\\ Authcrleed $i1. LOCATTON OF INSTALT.A JOB DESCRIFTION Permits are non-transferable and exy'lreif vork is not started vithin 180 daysof issuance or if work is suspended for 180 days 2. COIiITRA TOR TNSTALT.ATTON ONLY Electrical contractor Alir11 E[:clp.ic. New Residential-Single orMulti-FamiIy per dvetling unit.Service fncluded: Items Cost 1000 sq.ft. or less I S 85.00 Each additional 500sq. ft or portion nthereof O< S 15.00 Each Manuf'd Home or -Modular Dvelling Service or Feeder $ 40.00 COHPLETB FBE SCEEDTII,E BELOg Services or Feedersfnstallation, Alterationsor Relocation: A Sum 6sa B Address \l \ttl ?, Ci ty t/\\c\^{P Phone ,{l:-J r39 200 amps or 20L amps to 401 amps to 60L amps to Over 1000 am Reconnect 0n Supe rvisor License Number I LD(o l.' Expiration Date constr contr. Number nxfiration Date 9-q - Q5 si ure of Supe ing Electrician Ovners Name Address Ci ty Phone .^( ( 44 0vners Signature: DATE: less 600 amps 1000 amps Iy Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 20L amps to 400 amps - S 55.00 over 40L to 600 amps - S 80.00 Over 600 amps or 1000 voT[s see trgt' "ffi d ,t+.$ $ $ $ $ $ 50 60. 00 00 00 00 00 00 d\100 130 300 40 1 c D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Sureharge 32 Administrative Fee TOTAL s 40.00 s 40.00 s 20.00 s 36.00 5 C'TY OF OREGO'U RECEIVED a lotl OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. t ATTACHMENT Bi ---voB no. ?y'la t r CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RISIDENTIAL) NA},IE OR COMPANY 5. szLOCATION:34, EFODEVELOPMENT TYPE OT SI FtBUILDING SIZE 1. STORl'.l DRAiNAGE IMPERVIOUS SQ. FI . 2,?67 X $0'209 PER SQ. FT 2. to*rro*v srwEn-cITY NO. OF PFU'S (See Reverse) /F X $43.26 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X l,o x s436.i9 x _ x $436.19 x x s436. i9 SUBTOTAL (ADD ITEMS i,2, & 3) $ /74,// 4. SA,NITARY SEWER-MI/JMC NO. OF PFU'S /E $17.19 PER PFU + $10 MU'I|'4C ADMIN.FEE 5 3/7. /2 (Use PFU Total From item 2 Above) |4l^ll'4c CREDIT iF APPLiCABLE (SEE REVERSE) TOTAL-|-,|WMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADl4JNTSTATIVE FEES $ t a2r.7F BASE -7 .5 $ (E) X .05 rn g. P.E SDC 7Fr.ar 82. SDC rdi nator Date://- TOTAI SDC s zo7 7.7/ FIXTURE UNIT CALCULAXON TABLEI Number of New Fixtu: X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub.....Z UNIT EOUIVALENT FIXTURE UNITS --...ill_liiili- z a Z /? 4 -r- ead 2 1 2 3 6 2 6 6 1 3 2 1tH 2 2 1 6 4 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 Befrigerator/IVater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall...... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen.... Urinal, Stalt/lvall.. :i..,....... Wash Basin/Lavatory, Single. Toilet, Public lnstallation. Toilet , Private Miscellaneous:rT,lHtoP's gtlk I 2_ 2_ TOTAL FIXTURE UNITS 2 CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. Year Annexed Bate per $1,OOO Assessed Value Year Annexed Bate per $1,OOO Assessed Value 1979 or bef ore 1 980 l981 . 1 982 1 983 1 984 '1985, $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1 98s 1 986 1 987 1 988 1 989 1 990 1 99i 1 993 $2.46 2.14 1.77 1.37 0.97 o.61 o.44 o.15 Credit foi Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$/O. azz,7/.aa (Rate X Assessed Value) X$ (Rate X Assessed Value) =$7qG 6 3.4c CREDIT TOTAL I