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Home My WebLink AboutPermit Building 1995-03-28SPFrIr\lGFIELc) RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PBOPOSED WORK: JOB NUMBER L 225 Fifth Street Sprlngfleld, Oregon 97 477 TAX LO'I: N- 374 sf- he-rc /t'4+lt;ut ASSESSORS MAP:ffi ?- ot- 1r) - A/ilJ LOT://BLOCK:SUBDIVISION ZlPl YJ PHONE:7q1-s3zY STATE:OR 1o h M +u e{-. CITY:Sprilqfi.l OWNEB; ADDRESS ' 5ba ruEw X REMoDEL ADDrroN DEMoLtsH orHER Illes i 'f.vcffea7 nCtDESCRIBE WORK: EXPIFIES 8q -s3Z stl€ o 1h ". tt(. (tr,^-,"rtf'hn -1{ 7 sc lf PHONEADDRESSCONTRACTORNAME MECHANICAL: ELECTRICAL: GENERAL: CONST. CONTRACTOR # oq-/ 3P nl U - OFFICE USE - FLOOD PLAIN FIANGE: LAND USE: WATER HEATER: ZONING CODE: , OF BDRMS A OF UNITS: QUAD AREA: * OF BLDGS: OCCY GROUP: r OF STORIES:SECONDARY HEAT: SQUARE FOOTAGE: CONSTR, TYPEI HEAT SOURCE: To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wllt be made the same worklng day, lnspections requested after 7:00 a.m, wlll be made the followlng work day. ffifootlng - After trenches arel+Irexcavated. f{founaatton - After forms areHerocted but prlor to concrete placement. x K p.DrVwall - Prlor to taplng Electrlcal Servlce - Must be to obtaln permanent ectrlcal power. Flreptace - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor to cover. Wall/Celllng lnsutatlon - Prlor to cover. Temporary Eleclrlc Slte lnspectlon - To be made after excavation, but prlor to settlng forms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Masonry - Steel locatlon, bond beams, groutlng, Posl and Beam - Prior to floor lnsulatlon or decking. Sanltary Sewer - Prlor to fllling trench REQUIRED INSPECTIONS [>(RouSh Mechanlcal - Prlor tor- cover. Ef Rough Electrical - Prtor tolacover. E ..K .E ffi flnat Building - When ailf--\equlred lnspections have been approved and building is completed. Rl other rry MOBILE HOME INSPE TIONS Flnal Plumbing - When altplumblng worl< ls complete. Flnal Electrical - When all electrical work ls complete. Final Mechanical - When all mechanical work ls complete. Blocking and Set.Up - When ail blocklng ls complete. Plumbing Connections - When home has been connected to water and sewer, Electrical Connection - When blocking, set.up, and plumbing lnspections have been approved and the home ls connected to the servlce panel. Flnal - After all required inspections are approved and porches, sklrtlng, decks, and venting have been installed. Underground Plumblng - Prior to fllllng trench. gndertloor@i@D - Prior to iTTsulation-brdEfino.K B J<7 Ftoor tnsulallon - Prlor to ,lAdecxtng. B: B' F. Vf nough Plumbing -A.cover. ]!l'Curbcut & Approach - After flforms are erected but prior to placement of concrete. x'Sldewalk & Driveway - After excavqtlon ls complete, forms and f.base material in place. Fence - When completed. Wood Stovo - After lnstallatlon lnsert - After flreplace approval and lnstallatlon of unlt. Slreet Trees - When all requlred trees are planted. Storm Sewer trench. Water Llne - Prl trench. Prlor to fllling to filling to <, \f PLUMBING: trrl E E E a Lot faces Lot sq. fts. /A/)O Lot coverage EJs Topography Total helght Lot Tyg r lnterior __ Corner - Panhandle - Cul-de-sac Set IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICI, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicailon must be slgnedand approved by the Historlcal Coordinator prior to permit issuance. APPFIOVED: P.L.HSE GAR ACC N 37 S ?" /( E /-f Total Value Bullding Permit Fee State Surcharge Z/ ,2o t /2,72 BUILDING PERMTT SQ. FT. ga:zo_4/* _ 3<?\622:Total Fee /oc 344- (A) 70 ! ITEM Main Garage Carport VALUE ?o r*? /-3oz X $/SO. FI. $bZ- Pgt_LD_tNG VALUE, PLAN CHECKAND BUILDING PERMIT Thls permit is granled on the express conditron that the saidconstruction shall, In all respects, conform to the Ordlnanceadopted by the City of Springfield, includlng theDeve.lopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any ilmeupon violatlon of any provisions of sald ordinances. ewed ByPI te Receipt Num Received Date Paid Plan Check Fee:60 GE (SDC) /4zza , st ESYST SM D EV E LO MP E N cT H A R B) Systems Development Charge is due on all undevelopedproperties wlthin the City limits which are being lmproved. ITEM Fix t u res Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT No ?.6 3* 5]8 FEE -5 FI FT. FT. (c) 92f. Plumblng Permlt State Surcharge Total Charge /5ll %?,?r ADDITIONAL COMMENTS Wocd Stove/ Insert/Fireplace Unit Dryer Vent State Surcharse /,zL + ,77 MECHANTCAL PERMIT Total Permit (D)37,rs .o5 N0 -d?-4.5o Mechanical permlt lssuance Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlnedthe completed application and do hereby cerflfy that alllnformatlon hereon is true and correct, anO I lurther ;;;il;that any and ail work performed shail be done in accordancewith the Ordinanccs of the Clty of Springfield, and the Lawsof the state of oregon pertarnlng to the work descrrbedherein, and that NO OCCUPANCy wlll be made of anystructure wlthout permission of the Building Safety Divislon.I further cerilfy that only contractors and employees whoare ln compliance with OFS 7O1.OS5 will be usec, on thlsproject. I further agree to ensure that all requlred lnspectionsrequested at the proper ilme, that each from the street, that the permlt card ls of the property, and the approved set are address ls readable located at the front of plans wlll remalnon the site during construct lon. nature Date MISCELLANEOUS PERMTTS Mobile Home State lssuance State Surcharge Sidewatk fu n curbcut 3 L t, Demolition State Surcharge Total Miscellaneous permils (E) /./ &/(a ' rorAL AMouNr DUE (exctu_dins electricaD 316OEe(A, B, q D, and'E'Combined) vALrlloN: BECEIPT NUMBER DATE PAID 7-2a -25 AMOUNT BECEIVED RECEIVED BY 7 /2"o 2tust -t1{oZ- ,,/, . 1o::_ //,tu CITY OF OFEGO'U r!ot require specific land SPGII.rGF'€LO submittsd has the rollowing % 225 FTTTE STREET SPRINGFTEI.,D OREGON 97 INSPECTION REQ{IEST: 7 oFPICE: 726-3759 Autiroi.ized 1. I,EGAL DESCRIPTION JOB DESCRIPTION ALAR},I SYSTEM Electrical Con tractorADT SECURITY Address l50l Pearl Suite B Ci tY Eugene phone 3t+2- 1 313 Supervisor License Number R-17 7 7 Expiration P31s 10-1-96 Cons t r Contr. Number 59 944 Expi ration Date 4-L-E Signature of SuPerv ising Electrician SS (7 ,se EI^ECTRICAL PERHIT APPIJCATION City Job Nunber aYbZ SCMDULE BELOU Nev Residential-Sing1e or Multi-FamilY Per dvelling unit' Service Incfuded: I tems Cos t zoning, and approval. Zon A Sum Permits are non-transferabfe and expire if vork is not started vithin 180 days oi i."u"nce or if vork is suspended for 180 days. S_JS_?S 2. COMRACTOR INSTALI.A:TION ONLY 1000 sq.ft- or }ess Each additional 500 sq. ft or Portion thereo f Each Hanuf'd Home or Hodular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 4C0 amPS - 401 amps to 600 amps --601 amps to 1000 amPS- Over 1000 amPs/vo1ts - Reconnect OnlY s 85.00 s 15.00 s 40.00 s 3s.00 $ 2.00 B C D. s s0.00 s 60.00 $ 100 .00 s 130. 00 $300.00 s 40.00 TemporarY Services or Feeders fnslallaiion, Alteration or Relocation 200 amps or less $ 19'99 ZOr "rp" to 400 amPs - t ::'99o""r abr to 6oo amps - S Bo'oo over 600 "*p" o.-iOOO uoIT" see trB, aSove- Nev, Alteration or Extension Per Panel 53 One Circuit Each Additional Circuit or vith Service or Feeder Permit E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting- Limited EnergY/Res SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI 20 Ci ty OVNER INSTALLATION The installation is being made on ptop.tty I ovn vhich is not intended for sa1e, lease or rent' Onners Signature:{o:To s 40.00 s 40.00 $ 20.00 s 36.00 5 DATE: PI:CI]T\rtrN B o Z7*+=An,a , -'7. oD SPF.INGFIELO ELECTRICAT PERHIT APPLICATION Ci ty COHPLETE FEE SCHEDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit Service Included: I tems Cos t s 8s.00 dfr, 225 FIT'TE STREET SPRINGFIELD, OREGON 97 477 INSPECTION REQIIEST: 726-3769 OFPICE: 726-3759 1. LOCATION OP INSTAILATION3 LEGAL DESCRIPTION 3 A 7 The inptallation is being made on propgrlt/I ovn vhich is not intended for slYe, lease or rent. Sum 8E,nDE Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor Address city- Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name .Phone'?y?-fr/ Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less / 201 amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000-iio-Its Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps tori.000 amps_ Over 1000 amps/vo1ts Reconnect Only SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admi.nistrative Fee TOTAL B C 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Sertice or Feeder v s 1s.oo zs* $ 40.00 130.00 300.00 40.00 /a,a 50.00 60.00 100.00 s s $ s s $ s $ $ s 40.00 55.00 80.00 ee rrBrr a6ove D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E- MiscelLaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limi ted Energy/Res -Limited Energy/Comm ignature: DATE 7-%-2' RBCEIFTT]/6nn2 s 40.00 s 40.00 s 20.00 $ 36.00 RECETVED Bffi**' 5 arl> Job Nurnbe, ?522.// eaaress :lZa 51 ?OZ V. Willamalane Park & Recreation District lob No. SYSTEMS DEVELOPMENT CHARGE WORKSHEET PHONE:NAME: srArE: fu,, q1+loCI ADDRESS: LOCATION OF FROPOSED Street Address if Known: Platt Tax Lot Number: 1 DEVELOPMENT TYPE (Check appropriate dwellingG). SDC Calculations and dwelting type definitions are on the back) A. Sinele Familv - Detached \\ Single Family home Manufactured home not in a park o0 NO OF UNTTS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufaoured Home Park NO OF UNITS x $400 PER uNlT; X $370 PER UNIT = X $277 PER UNIT = X $280 PER UNIT = t $ $ $ $ 4il]CDWPRD SDC $ 2. SDC CREDIT (lf applicabld SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit WorksheeL $ 3. TOTAL WPRD NET SDC ASSESSED (tf SDC reduced for Credi0 $ f':+.. ^l Q ^*i^lA OO Q"$ql' \x\nNs\ ATTACHMENT 81 r0B N0.fo2zt CITY OF SPRINGFIELD SYSTEMS DEVELOPMEI{I CHARGE WORKSHEET (COMMERCIAL & RESiDENTIAL) NA}4E OR COMPANY: LOCATION: /7t/{ /Y./12 DEVELOPMENT TYPE <FD BUILDING SIZE SI 1. TryiHW iMPERVI0US SQ. FT. 2z48,ro x $0.209 PER SQ. FT. 2. SANTTARY SFI,IFR-CTTY NO. OF PFU'S (See Reverse) 23 X $43.26 PER PFU 3. TRANSPORTATION NO OF UNiTS X TRiP RATE X COST PER TRiP . Ft. I x l,ot x $436.19 s zya,F4 x - x $436.i9 x - x $436.i9 $ SUBTOTAL (ADD iTEMS 1,2, & 3) S / AO€,/V 4. SANTTARY SFWFR-MWMC N0. 0F PFU'S 2s x $17.19 PER PFU + $10 Ml,lHC pO|4IN.FEE (Use PFU Total From item 2 Above) s 409,V7 $ HI^IMC CREDIT IF APPLICABLE (SEE REVERSE) T0TA| -MI^IMC SnC SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ANMTNISTATIVF FFFS CI{ARGE (ABOVE) X .05 21-v{ H rni g. 82. SDC ,oordi nator Date TOTAI St]C s7426 ,7F rii'r, -:- FIXTURE UNIT CALCULATION TABLE: ruumuer of New Fix' s X Unit Equivalent = Fixture Unirs {NOTE: For remodcls, calculate only -: Nf[ odditional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub.....z Drinking Fountain.... Floor Drain lnterceptors For Grease/OiliSolids/Etc lnterceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer)...... Receptor For RefrigeratorArVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.... Shower, Gang........ Sink: Bar, Commercial, Residential Kitchen.. urinal, stall/aVall..:............. Wash Basin/Lavatory, Single Toilet, Public lnstallation. Toilet , Private.... Miscellaneous:tTtm mzb TOTAL FIXTURE UNITS L3 2 1 2 J 6 2 6 6 1 3 2 1 2 2 1 6 24 I ad/He 2 4 o 7L CREDIT CALCULATION TABLE: Based on assessed value'lf improvements occurred after annexation date in table, calculate credits seParates. 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 ebs s3.46 3.38 3.32 3.21 3.O6 2.92 2.73 1 985 1 986 1 987 1 988 1 989 1 990 1991 1 993 $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) (Rate X Assessed Value)x $- (Rate X Assessed Value) "4,A cREDlr roTAL s x s- I _4__