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Home My WebLink AboutPermit Building 1991-09-11t RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPRINGFIELO JOB NUMBER Zfr, 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK:tv!: ASSESSORS MAP:TAX LOI LOT:*/6 BLOCK:SUBDIVISION OWNER F-zt lut tV*nUr Ktso4_PHONE: ADDRESS:6977 D sTvegT CITY:STATE:aR_ZIP: DESCRIBE WORK:,F NEW L/ REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PHONE G EN ERAL: PLU M BI NG MECHANICAL: ELECTRICAL: 3Rn\_ OFFICE USE _ OUAD AREA: # OF BLDGS LAND USE:FLOOD PLAIN: * OF UNITS:ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPE:* OF BDRMS:l HEAT SOURCE:F SECONDARY HEAI SQUARE FOOTAGE:WATER HEATER ?-,RANGE:o l1-{ 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. REOUIRED INSPECTIONS |7l remnorary Electric E Rough Mechanical - Prior to cover.a Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to ffi Final Electrical - When alt lH electrical work is complete. fl Final Mechanical - When ail4 mechanical work is complete. cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.w Electrical Service - Must be approved to obtain permanent electrical power. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. ffi Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.a a Framing - Prior to cover,a E a a B a a a w Foundation - After forms are erected but prior to concrete placement. 0ther Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior fA Drvwalt - Prior to taping.to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.w Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. ffi Sidewalk & Driveway - AfterE excavation is compiete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover.E ? ?es <PR//DfrF/a)q7r77 \\rr E w EE Lot faces Lot sq. ftg. Lot coverage Topography Total height o^<% Lot Type - lnterior - Corner - Panhandle / crt-d"-"."w P.L.HSE GAR ACC 5:G4N t36 / lnz , S 6't"#v'E , E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SQ. FT.X $/SO. FT.VALUE Mai n Garage Carport //?"'57L 70 560 t4 /o 9/21 ffbe2,'o ?/. aa Total Value Building Permit Fee State Surcharge Total Fee 't-af, (A)v/4-6 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 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisi ons of said ordinances.o<Plan Check Fee: Date Paid &'2/'7/ Receipt Number: Recei By: 7-//-? Date SYSTEMS DEVELOPMENT C (B) HARGE (SDC) .4tt zz13 Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE 4l.ze FT. FT. FT. Plumbing Permit State Surcharge Total Charge q/- "aq.16 (c)15-14 ADDITIONAL COMMENTS c MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan ./ cO(e. No 3r v /-7 ?. o6 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent T €, Mechanical Permit lssuance State Surcharge Total Permit 2?-# /a.60 (D) /. z7 7/ .l= 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 further 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 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further 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 of the property, and the approved set of plans will remain on the site at imes duri "1 ction Signatu Date MISCELLANEOUS PERMlTS Mobile Home State lssuance I '. .State Surcharge Sidewark f 4 ,, curbcut 2L tt Demolition State Surcharge /L-@ 17,2a Total Miscellaneous Permits (E)1.d.ra VALIDATION RECEIPT NUMBER 2 ^.3 DATE PAID AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excludins electrica0 ru%,-Az (A, B, C, D, and E Combined) _2 No/ S'D'IINGFIEL(, '&HB'H'A-l3HfiflQ- 225 FIFTE STRBEf, SPRTNGFIEIJ, ORBGON 97477 INSPECTION RBQIBSTI 726-3769 oPPICE: 726-3759 ELBCIRICAL PERHIT APPLICATION 2ie qlrqK3 d $ 1s.* 50are non-transferable and expire is not started vithin 180 days City Job Nunber COHPI,ETE FEE SCEEDULE BBLOV Nev Residentlal-Single or HuIti-FamiIy per dvelling unlt. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder ($ 8s.00 3 A r-?ffi#ffiTro*oobt4 Sum _N Pe ifof issuance or if vork is suspended for 180 days. 2. CollTRACToR ONLY $ 40.00 $300. $ 40. Electrical Contract Address Ci ty Supe Oi 35lz\ 00 00 00 00 00 00 B. Services or Feeders 'Installation, Alterations or Relocation: (flrv, amps or ress $ so. 201 amps to 400 amps _ $ 60. 401 amps to 600 amps _ $100. 601 amps to 1000 amps_ $130.rvlsor se Ntimber Expiration Date Constr Contr. Number Expiration Date IA AqI Supervising Blectri Address Ci ty Phone The installation is being made on property I ovn whlch is not intendedfor sale, lease or rent. Ovners Slgnature: DATE: Over 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 4oo amps - $ 55.00 Over 401 to 600 amps $ 80.00 0ver 600 amps or 1000-\roTts see uBu aEiIE D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit s 3s.00 $ 2.00 E. Miseellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/OutIine Lightins_ $Limited Energy/Res $ Limited Energy/Comm $ STIBTOTAL OT ABOVB5f State Surcharge TOTAL 40 40 20 36 .00 .00 .00 .00 od5 RECEIVED B CITY JPRII{GFIELD SYSTEI.IS DEVL , .ENT CHARG WORKSHEET NAHE OR COMPANY:be*t,4 t*,[*p-,e. Vr+oz r*a \oaa3 LOCAT I ON :Z+bz N. i2g 5-T.l-r oZ tR?t{ - Oo<.>r4 DEVELOPI{ENT TYPE:L\2 P BUILDING SIZE: I. STORI'I DRAINAGE IHPERVIoUS SQ. FT (See Reverse For' 2 SANITARY SEWER-CITY NO. OF PFU'S t I x $38.55 PER PFU sIzE_sQ. Ft. az4z x $0.186 PER SQ. FT. otS GoZ_ Runoff Coefficients If Actual Imperv. Area Is Unknown) 3 (See Reverse To Determine Total PFU'S) TRANSPORTATION IIO OF UNITS X TRIP RATE X COST PER TRIP t x \,ooE x $388.51 x $388.61 x x $388.61 (See Attachment C To Determine Trip Rates) SUBToTAL (ffn ITEMS 1,2, & 3) (Use PFU Total From Item 2 Above) HI,IHC CREDIT IF APPLICABLE (SEE REVERSE) t*L n-zz--11 TOTAL-Mt.lHC SDC $ \".Iry s *z"l o9 oqzs S $ slqE"+ 4. ADHINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 s -toE TOTAL-CITY SDC s l+s8*a 5. CREDITS IF DEVELOPHENT IS PROFESSIONAL OFFICES OR INIX'STRIAL: TOTAL-CITY SDC X (s0%) = AIIJUSTED CITY SDC s (/n 6. SANITARY SEI.IER-HI.JMC NO. OF PFU'S $I3.2s PER PFU + Sl0 HUMC ADHIN. FEE $ \5:=J2 LI 7t Ki p Burdick SDC Coordinator rorAl spc s lbzzg FIXTURE UNIT CALCUIAI ra-,.. IABLE: ttumoer of New Fbctures X - For remodels. calcutate only the NE[. additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES - -.luivalent = Fixture Units (NOTE: UNIT FIXTURE EOUIVALENT UNITS Bathtub....... ..;................. Drinking Fountain..... Floor Drain.............r..-5. lnterceptors For Grease/Oil/Solids/E1c................. I nterceptors For Sand/Auto Wash/Etc.................. Laundry Tu a- Clotheswasher - 3 Or More.. Mobile Home Park Trap ('l Per Trailer)........ Receptor For RefrigeratorAVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Statt.-............. Shower, Gang................. Sink, Bar, Commercial........... Urinal, StallflVall.... Wash Basin/l-avatory, Single......... Water Closet, Public lnstallation.-T Water Closet, Private............. Miscellaneous: TOTAL RXTURE UNITS tl CREDIT CALCUI.ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in taue, calculate credits 2 1 2 3 6 2 6 6 1 3 2 't 2 2 1 6 4 /Head z t ( '1979 cr beiore 1980 1981 1982 1983 1984 s2.e6 2.64 2.53 2.4',1 2.19 2.04 Year AnnexeC 'i -:85 1985 1987 1988 r989 1S0 x $ _g.o I ZI Rate per 51,000 Assessed Vaiue (1 A3 1.35 1-15 0.92 0.59 0.23 3( Credit for Parcel or l-and Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value)X$ (Rate X Assessed Value) CREDIT TOTAL = g 2.1-(- 7tzl Year Annexed Rate per $1,000 Assessed Value RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercia|................... lndustrial..... Governmental...... ItvIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT i t I c.4 c.9 0.45 0.5 ,a aC'TY OF 225 FIFTE STRBEf, SPRINGFTETD, oREGoN 97477 INSPBCf,ION RBQIIEST: 726-3769 OPFICB: 726-3759 1. LOCATION OP INSTALI,ATION2.492- N2 7 ?/2 f7 . IJGAL DESCRIPTION JOB Permits are non-transferable and expire lf vork is not started vlthln 180 days of issuance or if vork is suspended for 180 days. 2. COTflRACTOR INSTALI.ATION ONLY Electrical Contractor Address Ci Phone Supervisor License Number Expiration Date Constr Contr. Number Exp iration Date Slgnature of Supervlslng Electrlclan 0vners Name Address €3 22 b'sr ci phone ?/?-7/97 OTINER INSTALI,ATION The installatlon is being made on property I olrn vhich is not intended for sale, lease or rent. st,rrtNGFtEuo BIJCTRTCAL PBRIIIT APPLICATION City Job Number 3. COI{PI,RTE TEE SCEEDUT,E BELOS Nev Residential-Single or Multl-Family per dvelling unit. Service Included:Items Cost 3 A Sum B $ 40.00 Servlces or Feeders Installation, Alterations or Relocation: 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 C. Temporary Services or Feeders Installatlon, Alteration or Relocation 1.000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelllng Service or Feeder STIBTOTAL OT ABOVE 5Z State Surcharge TOTAL / g Bs. oo *fr* z $ ls.oo -V-n ? aEF $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less / $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see trBtr Branch Circuits 40.00 40.00 20.00 36.00 D Nev, Alteratlon or Extension Per Panel one Circuit $ 35.00 Each Adrli tional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Bach installation Pump or irrigation _ $ Sign/Outtine Lighting_ $ Limited Energy/Res _ $ Limited Energy/Comm $X DATB: RECEIVED 5 d-