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Home My WebLink AboutPermit Building 1994-09-30SP]l BESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCAf,ION OF PROPO WORK: ASSESSORS LOT q4\sg\ BLOCK: JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 TAX LOT SUBDIVISION OWNER: ADDRESS: CITY:STATE: PHONE: ZIPI ITION - D LISH - OTHEB DESCRIBE WORK: NEW- REMODEL 'S NAME ADDBESS EXPIRES PHONE MECHANICAL: ELECTRICAL: CONT CONST, CONTRACTOR # GENERAL: PLUMBING q ?- - OFF]CE USE - RANGE: I OF BDRMS:OCCY GROUP: LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: * OF STORIES: r OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: I OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request an Inspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. Sr.-oo,ary Etectrtc K X Slte lnspectlon - To be made after excavatlon, but prior to settlng forms, Underslab Plumblng / Electrlcal / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundallon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. - Prlor or Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prior to fllling trench. Storm Sewer - Prlor to fllling trench. Water Llne - Prlor to filling trench. Fough Plumblng - Prior to cover. REQUIRED INSPECTIONS TITnough Mechanlcal - Prtor toiA(cover. Ft/-ef S6UE Vf nougtr Electrlcal - Prlor toQ cover- E ffi flnat Plumbing - When ail4+ plumblng work ls complete. [/f'Final Electrlcal - When al.fr electrical work is complete. s f\1y' Final Mechanlcat - When ailJAJ mechanlcal work is complete. X [-l Alocking and Set.Up - Whep ailu blocklng ls complete. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. Framlng - Prlor to cover. Wall/Celllng tnsutatlon - Prlor to cover. Drywall - Prlor to taplng tl ,K E X. K. E Pf Curbcut & Approach - After.Rterms are erected but prlor to placement of concrete. fr Sia"*rlk & Drlveway - Af terIAl-excavation ls complete, forms and sub-base materlal ln place. Flnal Buildlng - When alt requlred lnspectlons have been approved and bullding ls completed. Other MOBILE HOME INSPECTIONS,K E E x E X K K Pe/q Wood Stovs - After lnstallatlon lnserl - After flreplace approval and lnstallatlon of unlt. Fence - When completed. Slreet Trees - When all requlred trees are planted. Plumbing Connections - When home has been connected to water and sewer. Electrlcal Conneclion - When blocking, set.up, and plurgbing lnspections have been approved and the home is connected to the service panel. Final - After all required lnspectlons are approved andporches, skirting, decks, and ventlng have been lnstalled. UnP-- .qg E , , ui" ,,r,. ,i, , Lot faces Lot sq. ftg. Lot coverage Topography Total [elght tu /A2o w Lot Type X tnt"rio, - Corner - Panhandle - Cul-de-sac ( . ,.J THE PROPOSED WORK TN THE . HISTORICAL DISTRI T, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: P.L.HSE GAR ACC N 13 S t+ 20 E so. \!4D \ (A) r4 50 BUILDING PERMIT 2?-,79 Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport FT. X $/SO. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditlon that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, inctuding the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any tlme iewed I =*zlt Receipt Numbe ron Plan Check Fee: Date Paid Recelved By: upon violation of a said ordinances. SYSTEMS DEVELOPMENT C (B) HARGE (SDC) fzs16, ts Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved. ITEM Flxfures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home JCo-* FEE /6o ?' ,+dr-.r)--ffi FT. FT. PLUMBING PERMIT Plumbing Permit State_ Surcharge Total Charge 32n (c) . FT. fl I Z {^i-rlAnzr <a1i *ooffi "*Wped6g6tntrtz*;J6) Dryer Vent MECHANICAL PERMIT Ja-a' (D) (D €x)r ) <Do / -J.\? c, No C) I l_3 Mechanical Permit lssuahce State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned tho completed application and do hereby cerilfy that all lnformatlon hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCy will be made of any structure without permission of the Building Safety Divislon. I further certify that only contractors and employees who are ln compllance with ORS 701.05S wlil be used on thls project. I {urther agree to ensure that all requlred inspections are requested at the proper ilme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln on the site at all times during construcilon. Y/ Slgnature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge( tE-Sidewatk _\J tt curbcut .N- ,, Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctuding etectricat) (A, B, C, Q and E Comblned) AMOUNT R EIV RECEIVED DATE PAID VALIDATION: RECEIPT NUMBER qqq N0 ADDITIONAL COMMENTS re Willamalane Part a Recreation District lob No. SYSTEMS D EVELOPMENT CHARG E WORKSHEET NAME:0 )PHONE: ADDRESS: LOCATION OF FROPOSED Ste€t Address if Known: Platt Name:Lot Number: 1 DEVELOPMENT TYPE (Chect appropriate dwellingG). 5DC Calculations and dwelling type definitions are on the back-) .3Fnft \mFrh,\ln, tP srArE:U[ -', qffi1 Bot L A. Single Family - Detached -I Single FamilY home NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufuctured Home Park NO OF UNITS Manufactured home not in a Park d)t X $400 PER UNIT = x $370 PER UNIT = X $277 PER UNIT = X $280 PER UNIT = $ $ $ $a WPRD SDC 2. SDC CREDIT (lf applicabte) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet 3. TOTAL WPRD NEf SDC ASSESSED (lf sDC reduced for Credit) $,0 f i+., ^( C ^.1 ^*inlA Date N CITY OF INGFIELD, OREGO'V 225 FTfrE STREEf, SPRTNGFTELD, OREG0N 97477 INSPECIION REQITEST z 726-3 Zon LDL tue-l:S g:- 0 EIJCTRICAL PERI{IT City Job Number BELOg A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: !SPRI]llcFIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each !'lanuf 'd Eome or Modufar. Dvelling Sertice or Feeder The lollowing projecl ag submitted has the zoning, and doee not roquire specific lend approval. OFFICE: 726-3759 1 OF Permits are non-transferable and expire - if vork is not started within 1B0 days of issuance or if work is-suspended for 180 days. 2. COT{TRACTOR INSTALI.,ATTON ONLY Electrical Contractor C. Address P0 Sl)( 1 Ci Phonel U, - 13 03 Supervisor License Number 'Lb-r r5 Expiration Date to l,lqr-, constr contr. Number b5{orcl Exp iration Da z?vo qb Services or Feeders Ins tallation, Alterations or Relocation: I tems I _L Cos t $ 8s.00 $ 1s.00 $ 40.00 s40 ee trBil a56!6 Sumw _@ B 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ over 1000 amps/volts -Reconnect 0n1y 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps 0ver 600, "rp" or 1000lol[-ts Branch Circuits 50 $300 100 130 $ $ $ $ $ $ $ s 00 00 00 00 00 00 60. c D. Temporary Services or Feeders Installation, Alteration or Relocation 40.00 55.00 80.00clan ress Ci ty Phone ALI"ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: Nev, Alteration or Bxtension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E.' Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/0utLine Light ing- Limited Energy/Res Limited Energy/Comm SUBTOTAT OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECETVED a Authorlzed S,enru.%CEEDt LE ,'t JUU NU.-7 I 7 5/ CIT.-)F SPRINGFIELD SYSTEMS DI''-'.OP WORKSHEET (COMMERCIAL & RESIDENTIAL) MENT CI-IARGE NME OR COMPAI'IY: LOCATION:5 DEVELOPMENT TYPE : 5Ft) BUILDING SIZE SIZE- SQ. Ft 1. STORH NRATNAGF IHPERViOUS SQ. FT.X $0.209 PER SQ. FT 2. SANTTARY SFWFR.CTTY NO. OF PFU'S (See Reverse) ZO x $43.26 PtR PFU TRANSPORTATTON NO OF UNITS X TRiP RATE X COST PER TRIP x /.ot x s436.19 x - x s436.19 s x - x $436.19 $ SUBTOTAL (ADD ITEHS i,2, & 3)s 2/ a7.7 V 4. SANTTARY SFWER-HWMC N0. 0F PFU'S .D x $i7.19 PER PFU + $10 M'FIl.lC pCMIN.FEE (Use PFU Total From Item 2 Above) S 35AFo I'il^ll'4c CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MI^I}'4C SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4)S zl 63.-r7 5. ANMINISTATIVE FFFS 8 3 BASE (SUB r 'l g.P. SDC ABOVE) X .05 o- 7 f6 9,zo 23.r 82. SDC i nator Date: TOTAI SNC 2586,f / f ln I L'Ill- L'lYl I tvltLrrL, l-Ft I lt!, ltl I 11L, l-l-. NumDef OI New ftxtures /l \JntL Equrvatent = FlXlUrg Units(NOTE: For remodels, calculare only the NET addirional fixturesl _ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURE> EOUIVALENT UNTTS Bathtub.....J Drinking Fountain.... Floor Drain lnterceptors For Grease/Oil/Solids/Etc................ lnterceptors For Sand/Auto Wash/Et Laundry Tub/Clotheswasher...--z- Clotheswasher - 3 Or More........... Mobile Home Park Trap (1 Per Trailer) Receptor For Ref rigerator.ryVa ter Station/Etc Receptor For Commercial Sink/Dishrvasher/Etc.. Shower, Single Sta11.......... Shower, Gan9........ Sink: Bar, Commercial; Residential Kitchen.. Urinal, Stall/lvall 2 1 2 3 6 I dlHea 2 6 6 1 3 2 1 2 2 I 6 4 4 Wash Basin/Lavatory, Single. Toilet, Public lnstallation. Toilet , Private.... Miscellaneous: tT,q,!t me3 gxL Z z -i- zo A TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value calculate credits separates. lf improvements occurred after annexation date in table, Year Annexed Bate per $1,OOO Assessed Value Year Annexed Rate per S1,OO0 Assessed Value i979 or before 1 980 1 981 1 982 1 983 1 984 1 985 $3.46 2?O 3.32 3.21 3.06 2.92 2.73 1 985 1 986 1 987 1 988 1-Q89 1 990 '1991 1 004 s2.46 2.14 1.77 1.37 0.97 0.61 o.44 o.15 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) xs (Rate X Assessed Valuelx $-- (Rate X Assessed Value) CREDIT TOTAL $ 2-