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Home My WebLink AboutPermit Building 1993-03-31GF!ELD RLSiDINTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED ASSESSORS MAP: blv^.r JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT SUBDIVISIONLOT:5 BLOCK: PHONE: ztPSTATE: OWNER ADDRESS: CITY: TION)L DEMOLISH OTHER DESCRIBE WORK: NEW REMODEL C EXPIRES PHONEMEADDRESSSN GENERA MECHANI CONTRACTO PLUMBING: ELECTRICA CONST, CONTRACTOR # I a 2> g \ltl- OFFICE USE _ * OF BDRMS: RANGE: * OF UNITS: LAND USE: OCCY GROUP: ZONING CODE: FLOOD PLAIN: WATER HEATER: * OF STORIES:SECONDARY HEAT SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: QUAD AREA: C OF BLDGS: To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [l Temporary Electric tr w Rough Mechanlcal - Prior to cover.x Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to x Final Electrical - When all electrical work is complete.cover, Underslab Plumbing/ Electrical / Mechanical - Prior to cover.a Electrical Service - Must be approved to obtain permanent electrical power. x Final Mechanical - When all mechanical work ls complete. K5::i;x1"- Arter trenches are Fireplace - Prior to facing materials and framing lnsp. VI Final Buildino - When allGrequired insp-ections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.,xx Framing - Prior to cover. F Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.E'OrVwatl - Prior to taping. MOBILE HOME INSPE TIONS ,Kg Unde Mechanical or decking.Wood Stove - After installation.- Prior Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and lnstallation of unit. Blocking and Set-Up - When all blocking is complete. lV Floor lnsulation - Prior to )A decking.X Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer.x B E 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. Slorm Sewer - Prior to filling trench. IVI Sidewalk & Driveway - AfterJA e*"aration 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. Plumb ffi nougtt Plumbing - Prior to r- cover. r E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height tot/voe v X rnterro, - Corner - Panhandle - Cul-de-sacT, ,, --<S THE PROPOSED WOBK lN l'HE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:C P,L.HSE GAR ACC N S E JO. FT. X $/SQ. FT.or\? 5ba(\.3D4 '1 , lC lol.oo t5,35 .322,3 5 I (A) VALUE BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City of Spri ngfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. 7->- 7r F6E RevGwed Ef Date 4r*, nv-'z Date Paid Fleceipt Number: Received By: Plan Check Fee:/ 71 . ss SYSTEMS DEVELOPMENT C (B) HARGE (SDC) -#$r+tv?Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE 4/, zo 9l.zt qg,t ((c) 1,.s/ FT. FT. FT. N.a PLUMBING PERMTT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS + Wood Stove/ lnsert/Fireplace Unit Dryer Vent +,5 0 3,oo l0,na .53 (D)34r 3.an Vent Fan Mechanlcal Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood N"/ By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, 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 ln compliance with ORS 701.055 will be used on this project. I f urther 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 Sig natu re Date I mes during construction.on the site MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewark * 1 t curbcut ZC tt Demolition State Surcharge DI nn o Hf=ra 7-3,35 (E) / 49,a5 13,0 0 LJ S ,?ATotal Miscellaneous Permits TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 7/3t,2 ?ECEI DATE PAID VALIDATION: RECEIPT NUMBEFI lSra-TLr C'TY OF SPRINCFIEIJ.,OREGON SPKTNGFIELD as submtttsd hm the lollowing 'e specific lend use ELBCTRICAL PERHIT APPLICATIONThe follcv;irP Prciect 225 FI,rm SI"'EET zcn:r'3' anrr coes nct SPRINGPIELD, OREG0N: 97 477 INSPECf,TON REQTIEST: 7 OPPICE: 726-3759 Ddq 1 OP LEGAL DESCRTPTION Permi ts are non-transferable and exPire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Address 3t t CCOAZ- HILL S CityP LEA(A FULL Phone -7LL'C65i Supervisor License Number 3't 1z S ExP iration Date tO-l-zi5 Constr Contr. Number zqb i c1 Expiration Date 7'l 1- 4* Signa ture of Supervising Electrician Ovners Name Address Ci ty f on{fn--- Phone OgNER *$orrorron The installation is beirig made on property I ovn vhich is not intended for sa1e, lease or rent. Orners Sigaature: DATE: JobNunbe,q,3W85Ci ty 3. COHPI^ETE PBE SCMDULE BELOS Nev Residential-Single or Hulti-FamiIy per dvelling unit. Service Included: Items Cost s 8s.00 &t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations c Sum i5 2. COMRACTOR INSTALI.ATION ONLY Electrical Contractor L AilTZ- ELECT L.zilCor Relocation: s 1s.00 s 40.00 $ s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 200 amps or less 201 amps to 4OO amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nIy Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less --L S 201 amps to 400 amps - S 0ver 401 to 600 amps S 0ver 600 amps or 1000-I6-Fs s Branch Circuits 40.00 40 55.00 80. 00 ee ItBt' aSove D Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permi t $ 2.00 B. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting- Limited Energy/Res Limi ted Energy/Comrn SIIBTOTAI OP ABOVE 5Z State Surcharge TOTAL $ s s $ 40 40 20 36 .00 .00 .00 .00 C;C)5 RBCEIYED ) Willamalane Park & Recreation District NAME:PHONE: fob No. q 3Ft DSs -< SYSTEMS DEVELOPMENT CHARCE WORKSHEET t srnr*O&,,.,, c|PtU,ADDRESS: LOCATION OF PROPOSED BUI NC SITE:+t\,L,fiStreet Address if Known:U Platt Name:Tax Lot Nu C 1. PEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Single Family - Detached II Single Family home Manufactured home not in a park NO OF UNITS I X $400 PER UNIT = X $370 PER UNIT = X $277 PER UNIT = NO OF UNITS X $280 PER UNIT = WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAT WPRD NEf SDC ASSESSED (tf SDC reduced for Credit) $ r\l\-ttnalu- B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park d_, & $ $ $ 1DD$ $ $ Com City rvrsron Date I tr +tfi&' JoB N0. 3b)Ab5 NAME OR COMPANY: CITY OF SPRINGFIELD SYSTEI.{S DEVELOP}IENT CHARGE }IORKSHEET (cot'lt'IERcIAL & RESIDENTIAL) % 9r.Vrxtc-€r.ff DePq.rL r)z5B Cr ID zbtb\'ILOCAT iON :z'bb DEVELOPMENT TYPE:L>7-- New 9?3 BUILDING SIZE:si 1. STORM DRAINAGE IMPERVIOUS SQ. FT.\(.{ o x $0.203 PER SQ. FT. 2. SANITARY SEt^IER-CITY NO. OF PFU'S (See Reverse) X $42.08 PER PFU TRANSPORTAT ION NO OF UNITS X TRiP RATE X COST PER TRIP I X t'ot X$424'31 x -- x $424.31 X x $424.31 4. SANITARY SEl,lER-Mt,lMC NO. OF PFU'S t\ X $15.125 PER PFU + $10 Mt,lMC ADM FEE (Use PFU Total From Item 2 Above ) MhIMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 . Ft. 3 $ s be g 5 K p Burdick bLt9 \551! ob SDC Coordinator TOTAL SDC s l5tb 2,5 \ FIXTURE UNITCALCUL _ ON TABLE: Number of New Fixlure: For remodels, calculAte only the NEJ additional fixtures) NUN,iBER oF FIXTURE TYPE NEW FIXTURES 'nit Equivalent = Fixlure Units (NOTE: UNIT EOUIVALENT FIXTURE UNITS z L ----J- I 2 1, J 6 t 6 6 1 3 2 1 2 2 1 Drinking Fountain...... Floor Drain.- lnterceptors For G rease/Oil/Sol id s/Etc..--... --.." " lnterceptors For Sand/Auto Wash/Etc- -.-.... -.-..."' L-aund ry Tub/Cl otheswasher. - -. Clotheswaqher - 3 Or More---.-..-.... Receptor F6r R efrigeratorAVate r Station/ Etc-. -. -..' Receptor For Commdrclal Sink/D ishwash er/ Etc" Shower. Gang..-.....-.. Sink, Bar, C,ommercial Urinal. StallflVall..... Wash Basin/Lavatory, Single---...---- Water Closet, Public lnstallation.-. Water Closet. Private...-.. Miscellaneous: ?-I \ /Head 6 4 TOTAL FIXTURE UNITS CREDIT CALCUI-ATION TABLE: calculate credits separates. Based on assessed value. lf improvements occurred after annexation date in table, v.Ll x $ G.?61Credit for Parcd or tand Only lf Applicable lmprovement (rf after annexation date) (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL z-o+9 497o$ RUNOFF COEFFTCIENTS FOR STORM DRAINAGE Residential. Commercial...... lndustrial.... Governmental... 0.4 0.9 0.45 0.5 Year Annexed Rate per $1,00O Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 19BO 1981 1982 1983 1984 1985 s.21 3.'13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 19S1 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT \