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Home My WebLink AboutPermit Building 1995-05-24RES'DENTIAL PERIIIIT APPLICATION lnspectlons: 726.3769 0lfice:726.3759 LOCATION OF PROPOSED WORK:,=lqDai\31 h, JoB NUMBEa ?5-a ?: 225 Fif th Street Spring fleld, Oregon 97 477 TAX LOT:ASSESSORS MAP: 2. LOT BLOCK:SUBDIVISION CK 7.-S& zePHONE: ztP 40otzCITY:€oaqJ€STATE: 2o,5 3, Se-l-Ez-aADDRESS: OWNER: NEW r REMoDEL ADDrroN DEMoLTSH orHER b€ Je€/o0b5rrU?DESCRIBE WORK:DOO MECHANICAL: ELECTRICAL: ADDRESS EXPIBES PHONE 8 CONTRACTOR'S NAME PLUMBING: GENERAL: CONST, CONTBACTOB '' \\\\ v, 3tlw 3 @ - OFFICE USE - -trtrT- WATER HEATER:RANGE: * OF UNITS: LAND USE: r OF BDRMS: ZONING CODE: FLOOD PLAIN SECONDAFIY HEAT SQUARE FOOTAGE: CONSTFI. TYPEr HEAT SOURCE: OCCY GROUP: r OF STORIES: QUAD AREA: # OF BLDGS To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. witt be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Eleclrlc Site lnspectlon - To be mado after excavatlon, but prior to settlng forms. Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover, Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decking. Posl and Beam - Prlor to lloor lnsulatlon or decklng. Floor lnsulallon - Prlor to decking. Sanitary Sewer - Prior to filllng trench. Storm Sewer - Prlor to filling trench. Waler Llne - Prlor to filllng trench. Rough Plumblng - Prlor to cover. w N ry N [Yl orywall - Prlor to taping? Rough Mechanlcal - Prlor to cover. Rough Eleclrical - Prior to cover. Eleclrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prlor to cover. Wall/Celllng tnsulatlon - Prlor to cover. ffi finat Plumbing - When allu/:t plumbing work is completc.t [7] Final Electrical - When attLf'J electrical work is complete. F7l Finat Mechanical - When att T mecnanical work ls complete. ffi Flnal Building - When ail f required lnspections have been approved and building is completed. tr W g F tr m N w tr tr tr r w r r Wood Stove - After lnstallation lnserl - After flreplace approvql and lnstallation of unlt. Curbcut & Approach - After forms are erected but prlor to placemont of concrete. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Fence - When completed. Slreet Trees - When all requlred trees are planted. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocklng is complete. PJumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required lnsPections are approved and porches, skirting, decks, and venting have been installed, l./,, tt"-t t-- STt^io'^'Y tl tl Etl tl Lot laces Lot sq. ftg. Lot coverage ToPograPhY Total heig Lot TY l/ lnterior E' Corner ..- Panhandle - Cul-de-sac PROPO SED WORK N THE IS THE HISTORICAL DIST RICT,OR ON THE HISTOBI GAL It yes,this aPPlicatlon must be slgned and approved by the Historlcal Coordinator Prlor to permit issuanoe' APPROVED: P.L.HSE GAR N a I S \G E us Total Value Buildlng Permrt Fee state surcharse 15,35 +1.5t 3,e I , ss. @ Total Fee (A) x $/so. FT. ,r42? z9!o ITEM Main Garage Carport SO. FT. ?=> Gaq VALUE ^72<*,' /r4a, BUILDING VALUE, PLAN lNil BtilLDlNG PERMIT Thts permit is granted on the express condition that the said construction shalt, in all respects, conform to the 0rdinance adopted by the City of Springfield, including the Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ewed ByPI Plan Check Fee:/*.r Received By: CHECK Date Paid SYSTEMS DEVELOPMENT CH TiliT,?p(B) Systems Development Charge is due on all undeveloped properties within the City limits which are being impreved. Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE tt ag tr.e-;F- SO FT. FT. 'q FT. Plumbing Permit State Surcharge Total Charge "t.s6 r [.1.1 (c) PLUMBING PERMIT ITEM Fix t u res ADDITIONAL C MMENTS t MECHANICAL PERMIT Fu rnacc Exhaust Hood Vent Fan No \ Wood Stove/ lnsert/ Fi replace Unit Dryer Vent rs. C)^,3 Sla. q.sa nois{. 3?. s Mechanical Permit lssuance State Surcharge Total Permit t .b.8 + .1? (D) By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther cerilfy that any and arr work performed shail be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure wlthout permission of the Building Safety Division.I further certify that only contractors and employees who are ln compllance with ORS 701.055 will be used on thisproject. I further agree to ensure that all required lnspections are requested at the proper ilme, that each address ls readable from the street, that the permit card ls located at the front the approved set of plans will remainof the property, a on the sit Slgnature s ,L.4. e at all mes during Date MISCELLANEOUS PERMITS Mobile.Home State lssuance Slate Surcharge Sidewalk t6 rt curbcut I I rt Demolition Total Miscellaneous permits (E)&&t.ss 35ltet tt P-rb. r 5. ?lr TOTAL AMOUNT DUE (excrudins electricat) &I3il= 33(A, B, C, Q and E Combined)RECEIVED BY AMOUNT RECEIVED 31, 3a DATE PAID VALIDATION: RECEIPT NUMBER I \) BUILDING PERMIT &q. Receipt Number:_ s/rr /s sI olt6- Not - c4Ds.- \ o. q82 N5.e 7 NO. ?So 4qn CITY OF SPRINCFIET'D SYSTEMS DEVELOPMENT c:HAr.<;r WORKSHEET (c0mMERcIAL & RESIDENTIAL) NAME 0R C0MPANY , 5r. ltx.eur DeTauu LOCATION:255 A/. b5 7t+ cT. l10zV tbt - o />ob DEVELOPMENT TYPE: LDR - NLN *FR BUILDING SIZE:SIZ . Ft. 1. STORM DRAINAGE TMPERVI0US SQ. FT. lgbs x $0-20e PER SQ. FT' 2 SAN ITARY Et,lER-C ITY NO. OF PFU'S (See Reverse) X $43.26 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I x X$436.1e rl X x x $436.19 x $436.le $ $ 4. SANITARY SEl^IER-MI,/MC NO. OF PFU'S I I X $17.19 PER PFU + $10 Ml,lMC ADM FEE $ lqao3 (Use PFU Tota'l From Item 2 Above) MI.IMC CREDiT IF APPLICABLE (SEE REVERSE) TOTAL-MI,IMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .0s p Burdick n!- $ l4r(,?24 5 t5112 SDC Coordinator Date:+f z+f qq TOTAL SDC t5 t1 TJHY*:"Y$.[.":'tifi:',s 1 2 J 6 .2 6 6' i 3 2 1 Receptor For Commercial Sink/Dishwasher/Etc" Shower. Single Statl....-....- Shower, Gan9......... ---......:'.""' Sink: Bar, Commercial, Residential Kitchen.---..'..."' : """"' Urinal, Stall/Wall... Toilet, Public tnstallation eadIH ?- ll 2 2 1 6 4 4Toilet , Private..... Miscel{aneous TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE calculate credits separates. Based on assessed value. lf improvements occurred after annexation date in table. Credit for Parcel or Land Only lf Applicabte lmprovement (if after annexation date) x $ lz.lL 44t (Rate X Assessed Vatue) X$ (Rate X Assessed Value) -$iln9 3 CREDIT TOTAL ,l 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 '1984 1 985 $3.46 , .>o 3-32 3-21 3.O6 2-92 2-73 1 985 1 986 1 987 1 9BB 1 989 .1990 1 991 1 993 $2.46 2-14 1.77 1-37 o.97 0.61 o-44 o.15 Units ri FTXTURE '' UNITS 'L- UNIT EOUIVALENT { I V a, Willamalane Park & Recreation District lob No. SYSTE,V{S DEVELOPMENT CHARC E WORKSHEET NAME ADDRESS: LOCATION OF FROPOSED BUILDINC SITE: Stred Address if Known: Plaft Name:Tax Lot Numbec 1 DEVELOPMENT TYPE (Chect appropriate dwellingG). SDC Calculations and dwelling type definitions are on the bacld JT,l),nunJ,U-h ar0 PHoNE: \8tl-t8Z) srer*W^, %UL NO OF UNITS B. Sinsle Familv - Attached 3. TOTAL WPRD NET eO (lf SDC reduced for Credit) A. Single Family - Detached It Single Family home Manufactr.rred home not in a park L X $400 PER UNIT;. t.. NO OF UNITS X $370 PER UNIT = C. Multi-FamilyApartment NO OF UNITS X $277 PER UNIT = D. Manufactured Home Park ' NO OF UNITS X $2S0 PER UNIT = $ -$ $ $ 4m"o, CD WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Workheet $ $ fama.,.nit'.r Dato c 225 North Fifth Street Springfield, Oregon 97477 PBNCB PBRUIT APPLICATION CITY OF SPRINGFIELD BUIIDING SAPBTY DIVISION SP'TI'{GFIELO Office: INSPECTION LINE: 726-3759 726-3769 CITY OF OREGON Job Location:7,-5; 0-i 3s-g of, Assessors Map #: Ovner: rax Lot #: D/3D= 5^--\ vt ^c-o--\ D'AL, \ Address,;tD5 5 $er',--",-* City: €y \ e.-L State: D {Z- &o-,, Phone *:ZDa Zip:1o 1r-<) Value of Fence:Fence Permit is $5.00 a^;-I V r.c---+ G,*- (}--, \Con t rac tor/Ins taller : Address:Phone #: Ci ty:State:Zipz Construction Contractors Registration *:Ires: By signing this permit/application, I agree to caII for an inspection once my fence has been constructed (726-3769). I also stated that all information onthis applic Developmen t tion/permlt ls correct and that I vas provided wlth the Sprlngfield <^?-% Date FOR OFFICE USE de rements for fence standards. ure Date of Application: Receipt f Total Amount Collected: JOB #: Issued By: Checked for Delinqueneies:Checked for Historical Status: A,n,*'l* 4f- O yq7 rIELI, aine following project as submitted hes the following zonin*, end does not require specific lenC uso appioval ? 225 rrrrg sTREET o*" Y'244m SPRINGFIELD' OREGO!(ugl6Z INSPE(f,ION REQUESTz 726-. OFFICE: 726-3759 BLECTRICAL PERTIT Ci ty Job Nunber 3. COHPLETE FEE SCEXDIILE BELOV A. Nev- Residential-Single or MuIti-FamiIY Per dvelling unit. Service Included:Items Cost 3 69 1. LOCATION OP INST ON 2 ON v 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 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home. or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 40L amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect OnIY _l_ _t_ \5 ]b Sum Electri Address Ci ty 4l Phone cal Contractor )- B D. s 8s.00 $ 1s.00 $ 40.00 00 s 100. 00 s130.00 $300.00 $ 40.00 50 60 $ s 00 Supervisor cense Number Expiration Date Constr Contr. Number N7*t)?z Expiration Date ,t/fl / 'q( Signature o Supe Electrician Ovners Name A Address Ci ty Phone OVNER The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps"or ress t/ $ 19.99 @ over 4b1 to 6oo amps - $ B0.oo Over 600 amps or 1b00 voTIs see rrBrr aEilE- Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utIine Lighting- Limited Energy/Res _Limited EnergY/Comm C T \D.. \ S E $ $ $ $ 00 00 00 0 40 40 20 5. SUBTOTAL OP ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL OREGONCITY OF SPR RECEIVED B L SPRI 'IELD JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithj-n 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contrac tr, 574Cil) )4P/t( Address ciry tEt a'Phone @7 -fiGZ O Supervisor License Number Expiration Date C. Constr Contr. Number Expiration Date Signature of rvising Electrician Ovners Name Address 225 ETFTH STREET SPRINGFIELD, OREGON 97 477 INSPECTI0N REQUEST: 72f-3lffi6s6 OFPICE: 726-3759 1. LOCATION OF TNSTATI-ATION Ci ty Phone OVNER TNSTALT^ATION The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent. Ovne Signature: DATE: a8 submltted has the require speciflc land use 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 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL ELECTRICAL PERHIT APPLICATION 1rJ rmber 3. COHPLETE FEE SCffiDTII;E BELOV A. Nev Residential-Single or MuIti-FamilY Per dvelling unit' service rncLuded' ,a"*s cost 1000 sq.ft. or less S 85'00 Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular DvelJ.ing Service or Feeder s 1s.00 Services or Feeders Installation, Alterations or Relocation: The following Proiecl zonlng, and doee not apprwal. \* Sum $ 40.00 s s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 00 -&.r, Temporary Services or Feeders Insiallation, Alteration or Relocation above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Ci rcui t or vi. th Servi ce or Feeder Permit $ 2.O0 E. Miscellaneous (Service/feeder not included) -Each instalfation Pump or irrigation - Sign/0utli.ne Lighting_ Limited Energy/Res Limited EnergY/Comm 200 amps"or less l- $ 40.00 2oL amps to 400 amps - $ 55-00 over 4b1 to 600 amps - S 80.00 Over 600 amps or- 1000-tofts see rtB" s 40.00 $ 40.00 $ 20.00 s 36.00 aOO RECEIVED BY: 5 -7'ioz7 2a--'-7--7? LEGAL DESCRIPTION/7;= z/ ?/ ot3o3