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Home My WebLink AboutPermit Building 1995-03-07I SPrlIt\.GFIELDRESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726-3759 JOB NUMBER ?Soz a-o Zfr, 225 Fifth Street Sprlngf leld, Oregon 97 477 LOCATION OF PHOPOSED WOBK:I Ll nA ASSESSOFS MAP;/voz 3 0 *TAX LOT o LOT iI BLOCK SUBDIVISION PHON E: STATE: 0k ztP ry T 7/4-/ /67 471/ 7 2CITY;,C, "tn, Eel), OWNER: ADDRESS: *.* Y REMoDEL ADDITION DEMOLISH OTHER DESCRIBE WORK: EXPIRES tl nO( d 7 CONTRACTO NAME 7 7,tt- ?vqr ELECTRICAL: MECHANICAL: ADDRESS 657GENERAL: CONST. CONTBACTOR '' 7ri- FAca( 4b5- ostj PHONE I RANGE: OCCY GBOUP: HEAT SOURCE: CONSTR. TYPE: I OF UNITS: WATER HEATEFI: I OF STORIES: I OF BLDGS: QUAD AFIEA: r OF BDBMS: - OFFICE USE - LAND USE: Q;SECONDAHY HEAT: SQUARE FOOTAGE: FLOOD PLAIN: ZONING CODE To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng clay, lnspectlons requested after 7:oo a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS ff"*'" I--l Underslab Plumblng/ Electrlcat/.- Mechanlcal - Prlor to cover.8 rary Electrlc Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. to lon ng Sanltary Sewer - Prior to lllllng trench, Storm Sewer - Prior to fllllng trench. Water Llne - Prlor to filllng trench, \f Rough Mechanlcal - Prtor to t?cover. llf nough Etectrtcat - prtor toG cover. )t'et"ctrtcal Servtce - Must be/Aapproved to obtaln permanent olectrlcal power. lfr ftnat Plumbins - When ail6.}r plumblng work ls complete. ffiflnat Electrlcat - When ailff electrlcal work is complete. [!]-Flnat Mechanlcat - When ail1€mechanlcal work ls complete, ft'nlnat Building - When ailFrequlred lnspectlons have beenapproved and bulldlng ls completed. E [-l Alocklng and Set.Up - When ail.J blocklng ls complete. Flreplace - Prlor to faclng materlals and framlng lnsp. \.{ Framlng - Prlor to cover, /.2>L\Other '5 MOBILE HOME INSPECTIONS ffi Foundatlon - After forms areHerected but prlor to concrete placemont. [-l UnOerground Plumbing - Prioru to fllllng trench. Eq flf,'Post and Beam - Prlor to floor ,! lrlnsulatlon or decklng. K#-l;;suratlon - Prror to ,tr' X X .K** Plumblns - Prlor to Wall/Celllng lnsulatlon - Prlor to cover. Drywall - Prlor to taplng. Wood Stovo - After lnstallatlon Sidewalk & Drlveway - After excavatlon ls complete, forms and sub-base materlal ln place. I-l fence - When completed, treet Trees - When all requlred roes are planted lnsert - After flreplace approval and lnstallatlon of unlt. ffi CurUcut & Approach - After--'t forms are erected but prlor toplacement of concrete, E' Plumbing Connectlons - Whenhoma has been connected to water and sewer, Electrlcal Connection - When blocking, set.up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Final - After atl required inspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. I t ,*4+'an t PLUMBING: ltt E Prlor tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght A39oj3% 19" Lot Typty' rnr"r,o, - Corner - Panhandle - Cul-de.sac IS THE PROPOSED WORK TN THE .HlsToRtcAL OtsTRlCr, OR ON THE HISTORICAL REGISTEFI? - lf yes, thls applicailon must be slgnedand approved by the Hlstorlcal Coordlnator prlor to permlt issuance. APPBOVEDi ("S PL,HSE GAR ACC N s4 S /bg E b G State Surcharge 2O ?o * /Zff/ BUILDING PERMIT Total Fee (A) <2 a # ty',.o ITEM Main Garage Carport X $/SQ. FT. ,fe,'" VALUE 8Zz zz 74/G Total Value Building Permit Fee P!J.ID_|NG VALUE, PLAN CHECKAND BUTLDING PENMiT Thls permit is granted on the express condrilon that the sardconstrucllon shall, ln all respects, conform to the Ordlnanceadopted by the City of SprlngftelJ, lnctudlng theDevelopment code, regulating in" .-on"tir"iion and use ofbulldlngs, and may be suspended or revoked at any tlmeupon violatlon of any provisions of sald orJln"n""". ewed By Z PI ans a Vo Date Pald Flecelpt Number; Flecelved B Plan Check Fee: s DEVELOPMENT CHARGE (SDC) lzsc6. tr6(B) SYSTEM Systems Development Charge ls due on all undevelopedproperties within the City limlts which are belng lmproved. ITEM Fixtures Resldenilal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE bo,a * /,ao FT. FT. FT. (c) ,/a o,oc z?o 72p" No7 Plumblng permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No -Z Wood Stove/ lnsert/ Flreplace Unit Dryer Vent 6eo1* ?*-_E=+'-- /,6 7 o7 /o @ /o.@ ,50Mechanlcal permlt lssuance State Surcharge Total Permlt ,?3t,51 (D) By slgnature, I state and agree, that I have caref ully examlnedthe completed appllcation and do hereby cerilfy that alllnformation hereon is true and correct, and I turtner cerilfythat any and all work performed shall be done In accordancewlth the Ordinances of the Clty of Sprlngfleld, and the Lawsof the state of oregon pertarnrng to tho work descrlbedhereln, and that NO OCCUpANCy wlll be made of anystructure wlthout permission of the Bulldlng Safety Dlvlslon.I further certlfy that only contractors and employees whoare ln compliance wtth OFIS 701.055 wlll be used on thlsprolect. I further agree to ensuro that all requlred lnsrequested at the proper ilme, that each add from the street, that the permlt card ls Iof the property, and the approved set slg Date pectlons are ress ls readable ocated at the front of plans wlll remalnthe sl s durlng constructlon. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge sidewalk 45 ,, curbcut 31- n Demolitlon State Surcharge /c.7t €rTotal Mlscellaneous permits (E) 4 ,6o VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVEDTOTAL AMOUNT DUE (exctudtns etectricaD .3A53JL(4, B, C, Q and E Comblned)RECEIVED BY L SQ. FT. t95-2- 0 I - CITY OF SPR OREGO'V Jh: lc] b,vitg. projeci as su bmlttecl. has t he lollowing l,;;I,;y;iro does not require specific i";; u;;".,, t-D225 FTrTE STREET SPRINGFIELD, OREGON INSPECTION REQTIBST: OFFICE: 726-3759 SPFlI^l'FIELI) EI^ECTRICAL PERI{IT APPLICATION Ci ty Job Number Zfr, 97 47 72 Atrihorlzod Sisnature N fnt-ffi 1. LOCATION OP TION LEGAL DESCRTPTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COI{ITRACTOR INSTALI,ATION ONLY Electrical Contractor eddress 3 i6 4v ft SCEEDUI,E BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost A Sum L000 sq.ft. or }ess Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular DvelIing Sertice or Feeder $ Bs.oo b5 P 3 g 1s.oo /t* $ 40.00 L/' CiryW Phone 7(7 7a8t Supe rvisor License Number '3/ 3 {S Expi rat ion Date ,/C -?{ B. Services or Feeders Installation, Alterations Relocat ion: 200 amps or less 201 amps to 400 amps -40L amps to 600 amPs _ 601 amps to 1000 amps_ Over L000 amps/volts Reconnect only SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 00 00 00 00 00 00 $ s0. S oo. s100. s130. $300s 40. constr contr. Nunber 7/D ff Expiration Date /0*?f Signature of Supervising Electrician rs Name Address /7 3 3 ,V, /Df, Ci ty phone Zy'C -/76 ? OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. Onners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less $ 40.00 201 amps to 4oo amps - $ 55.00 over 4b1 to 6oo amps - $ 8o.oo 0ver 600 amps or tbOO vofts see uB' a666 Branch Ci rcui ts ; .. Nev, Alteration or Extension Per Panel One Circuit $ 35.00 c. 7^0- jof1 D Each Additional Circuit or vith Service or Feeder Permit s 2.00 E. Miscel-laneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting_ Limited Energy/Res $ 40.00 $ 40.00 s 20.00 $ 36.00 5 _/s# ?,t o+-/4o#RECETVED BY: Willamalane Park & Recreation District lob No. q SYSTEMS DEVELOPMENT CHARCE WORKSHEET PHONE:NAA4E ADDRESS:u) LOCATION OF FROPOSED LDIN Street Address if Known: Platt Name:Lot Number: 1 DEVELOPMENT TYPE (Check appropriate dwetling(s). SDC Calculations and dwelling type ffit.l A. Single Family - Detached -t Single Family home Manufactured home not in a park NO OF UNTTS L X $4OO PER UNIT; $ X $370 PER UNIT = x $?77 PER UNIT = X $280 PER UNIT = $ r\\ty\sreTE:DLz'r {l(ll OD B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufuctured Home Park NO OF UNITS $- AD $ WPRD SDC $ 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit ippio*r. se soi'tiiait workshleL $ 3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credi0 $ -JJ--Zr r5 Community t;^lA vrsron Date CITY OF SPB"VGFIELD, OREGO'V l he tollowinq project as submhtcd i"arr the fo:'i i"ii"ei, ""0"0[es'not requiro spo:iltc ii.]Ir(i rric SPA TFIELO ELECTRICAL PERHIT APPLICATION approval' L--Vt* 225 FIPTE STREET SPRINGFIEI,D, OREGON 97477 )- INSPE0f,ION REQIEST: 726-ffi$p"6 OFPICE: 726-3759 1. LOCATI OF IJGAL DESCRTFTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if work is suspended for 180 days. Nurqber 3. COHPI,ETE FEE SCEEDTILE BELOII A. New Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00 trach additional 500 sq. ft or portion thereof Each Manuf'd Home- or -Modular Dvelling Service or Feeder $ 1s.00 200 amps or less %D s 40.00 Sum 2. Elec Addr Ci ty Supe S COI\ITRA TOR INSTALLATION ONLY B. SCTViCCS OT FCCdCTS - Installation, Alterations trical Contracto r h(il Sru/q 6lff, or Relocation: ess G s s0.00 s 60.00 $100.00 s130.00 s300.00 s 40.00 ltz Phone 74/-n/ 3 z rvisor License Number Reconnect 0n1Y Expiration Date constr contr . ttunaer %*? Temporary Services or Feeders Installation, Alteration or Relocationc Expiration Date r./ths- 203. amps to 400 amPs _401 amps to 600 amps _ 601 amps to.,1000 amps- Over 1000 amps/volts 200 amps"or less L-- $ 40.00 201 amps to 400 amps - $ 55.00 over 40L to 600 amps - $ Bo.0o Over 600 amps or 1000 vofts see rrBrr A* -------T7 0vners Name Address OITNER INSTALT.,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: of Supervising Electrician a6ove D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 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/Out1ine Lighting_ Limited Energy/Res SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI b $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 DATE:, RECEIVED I ao 34 A) city ;/Fa Phone 7/of ?c,7 ATTACHMENT 81 r0B N0. jLs-a2 o o CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI CI{ARGE WORKSHEET (COMMERCIAL & RESIDENIIAL) NA}4E OR COHPANY:4 LOCATiON 5FDEVELOPMENT TYPE: BUILDING SIZE:OT SIZ Ft 1. ffi+iMyffi IMPERVIOUS SQ. FT.28r'{X $0.209 PER SQ. FT 2. SANITARY SEWER.CTTY NO. OF PFU'S (See Reverse) 2o X $43.26 PER PFU 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I x l,o( x$436.19 x - x s436.19 $ x - x $436.19 $ SUBTOTAL (ADD ITEMS 1,2. & 3) $ / A00.36 4. SANITARY SFt,lFR-Mt^lMC NO. OF PFU'S $17.19 PER PFU + $iO }4l,lMC ADMiN.FEE s 3fs'ta (Use PFU Total rom Item 2 Above) Ml.lt4c CREDIT IF APPLICABLE (SEE REVERSE) T0TAI -l'4t,ll4c s0c SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ANMINISTATIVF FFFS. BASE CI.IARGE (SUBTOTAL ABOVE) X .Oti s z zf,-za 2-2/-?s- SDC rni g. rdi nat /.6 t tr6 s'.2 0 .5 t / /s, 7/ 82. SDC P E Date: TOTAI SDC s 2366. 16 FIXTURE UNIT CALCULATTON TABLEI Number of Ncw Fi: :s X Unit Equivalcnt = Fixrure Unirs (NOTE: For remodels, calculate onl. FIXTURE TYPE Bathtub..... e NEI additional fixtures) NUMBER OF NEW FIXTUBES Z TOTAL FIXTURE UNITS UNIT EOUIVALENT FIXTURE UNITS --T- no 2 ,l 2 3 6 2 6 6 'l 3 2 1 2 2 1 6 z Drinking Fountain.... Floor Drain lnterceptors For Grease/Oil/Solids/Etc................. lnte For Auto Wash/Etc.......... swa Clotheswasher Or More Mobile Home Park Trap (1 Per Trailer)...... Receptor For RefrigeratorMater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.......... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen.. Urinal, Stalulvall Wash Basin/Lavatory, Single. Toilet, Pubtic lnstallation. Toilet , Private Miscellaneous:tTl4rmpS .g*t I z 2 Z /Head I 7^ 47 2 CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, catculate credits sepdrates. Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value '1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 $3.46 3.38 3.32 3.21 s.06 2.92 2.73 1 985 1 986 1 987 1 988 1 989 1 990 1 991 1 993 $2.46 2.14 1.77 1.37 o.97 o.61 o.44 o.15 Credit for Parcel or Land Only lt Applicable lmprovement (if after annexation date) x $_ (Rate X Assessed Value)xs (Rate X Assessed Value) --r-f .*,*//' (,0,4/"Lh) CREDIT TOTAL $L4 I ATTACHMINT B1 -18 N0.7ta:oo CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMHERCIAL & RESIDENTIAL) NAfiE OR COI'1PANY ,1/, .J92-LOCATION:2s 5FDEVELOPMENT TYPE: BUILDING SIZE OT SIZ f. ilts+m{w IMPERVIOUS SQ. FT.2 8/{X $0.209 PER SQ. FI. 2. SANTTARY SFWFR.CTTY NO. OF PFU'S (See Reverse) 2o X 543.26 PER PFU 3. TRANSPORTATiON NO OF UNiTS X TRiP RATE X COST PER TRiP x l,o( x$436.19 x - x $436.19 x --_ x s436.19 SUBTOTAL (A.DD iTEMS 1,2. & 3) 4. SANITARY SFI.IFR-MWMC N0. 0F PFU'S 7o x $17.19 PER PFU + $10 MtllMC ADMIN.FEE (Use PFU Total Frorn Item 2 Above) MI.lt.lC CREDIT IF APPLICABLE (SEE REVERSE) TOTAI -['Il.IMC SDC SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ANMINISTATIVF FFFS BASE CI-IARGE (SUBTOTAL ABOVE) X .05 - 2-2/-?s- Ha SDC . Ft. $ s s t ?oo.36 s 3f3-€a s z zf,-za is. P i nato E /.a t tr6 s'.2 0 .8o //s.7 82. SDC Date TOTAI SDC s 2 366. E6 l 5: FIXTURE UNIT CALCUI -TION TABLE: Number or Ncw Fi^ {NOTE: For rcmodels, calculate only rhe l{Ef oddirional {ixturesl NUt\4EER OF FIXTURE TYPE NEW FIXTUNES Barhtub....... Drinking Fountain Floor Drain lnterceptors For Grease/Oil/Solids/Etc lnte For Sa A to Wash/Etc. theswa 2 Clot Or More..... Mobile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/lvater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta1l.......... Shower, Gang......... Sink: Bar, Commercial, Besidential Kitchen.. Urinal, StallAVall Wash Basin/Lavatory, Single. Toilet, Public lnstallation. 4 Toilet , Private. Miscellaneous: TOTAL FIXTURE UNITS ) 1 2 J 6 2 6 b 1 3 2 l l4ead 2 2 1 6 4 I a .es X Unit Equivalcnt = Fixture Unirs UNIT FIXTURE EOUIVALENT Ul'ttTS --7- ^o 2 I Z 2 Z -JT'4t roei gxk CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits sepdrates. Year Annexed Bate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value i 979 or before 1 980 1 981 1 982 1 983 1 984 1 985 s3.46 1ea 3.32 3.21 3.O6 2.92 2.73 1 985 1 986 1 987 1 988 1 989 1 990 1 991 100'l $2.46 2.14 1.77 1.37 o.97 o.61 o.44 o.15 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) .L-r#/ x $_ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL - $L4 (4J"Lh) 2