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Home My WebLink AboutPermit Building 1993-03-12SPRINGFTELE, RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Olfice: 726-3759 ?fr, JOB NUMBER ? 9??7t^n3s sTLOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT:3 -2 BLOCK: TAX LOT: SUBDIVISION t/t,< Lt e D,A ?a/ -/s'?/&a rTH PHONE: - ,2 qoLZIPSTATE h) Ot{ 7/rA /t>7A// q,tADDRESS OWNER: crv, Er,qate-- NEW / REMoDEL ADDlrloN DEMoLISH orHER 2<wetliaattX**t*L PDESCRIBE WOBK: ADDRESS ol\4?tt-r L{6 PHONE CCNTRACTOFI'S NAME EXPIBES /-25- 7/ CONST. CONTRACTOR # R.c- fu rTH GENERAL: PLUMBING Faaz-r l4-1 Ilt r _ OFFICE USE _ FLOOD PLAIN CONSTR. TYPE WATER HEATER: HEAT SOURCE: FIANGE: ZONING CODE: # OF BDRMS: LAND USE: # OF UNITS OCCY GROUP: I OF STORIES: OUAD AREA: ,l OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE: Torequestaninspection,youmustcall 726-376g.Thisis a24hour recording.All inspectionsrequestedbeforeT:00a'm'w made the same working day, inspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS ill be fl'"to"rarY Electric X X X., IRough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Etectrical Service - Must be approved to obtain Permanent electrical power. Final Plumbing - When all plumbing work is comPlete. ,N. X t7 Post and Beam - Prior to floor ,F insulation or decking. ff Floor lnsulation - Prior to ,A{ decking. lV1 Sanitarv Sewer - Prior to filling I l trench.- X;:t;5, Sewer - Prior to rirrins XY;:nLine - Prior to rirrins MRougtr Plumbing - Prior to /A{covet. Fireplace - Prior to facing materials and framing lnsP' ,(tt"t"tng - Prior to cover' lVwatllceilinq lnsulation - Prior tolAouer X'tr*'tl - Prior to taping' [-l Wood Stove - After installation. lnsert - After firePlace aPProval and installation of unit. Curbcut & APProach - After forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base rnaterial in Place. Fence - When cornPleted treet Trees - tlJh:n all required Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.UP - When all blocking is comPlete. Plumbing 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 inspections are approved and porches, skirting, decks, and venting have been installed. Site lnspection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. n derl echanical to NS nor decki ng F/ rirrrt Electrical - When all 4te"trical work is comptete. Ir.-7 Final Mechanical - When alljAl.rnecnanical work is complete. X mbin 225 Fifth Street Springfield, Oregon 97 477 //*L/ I //L/S 3R-$l^ tl tl trees arc planted. E tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner Setbacks 697oZ4 r- r'HE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application ntust be signed and approved by the Historical Coordinator prior to permit issuance. APPFIOVED: <22"w F Panhandle Cul-de-sac P.L.HSE GAR ACC N S /g E (A)44,/o /o lo€( X $/SQ. FI. %.ze = VALUE ?e_za _€c?a_rb Total Value Building Permit Fee State Surcharge Total Fee /.//7A.4 3%? BUILDING PERMIT ITEM SQ. FT. Main Garage Carport ./aq /Y-/b 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 Spri ngfield, including the Developnrent Code, regulating the construction and use of buildings, and rnay be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Numoer, 766? ewed By 'lF PI Plan Check Fee: Date Paid Recei ved SYSTEMS DEVELOPMENT CHARGE (SDC) Lb(B) xLsi:2 *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 CP bP /G@ oo(c) FT. FT. FT. N' ?- PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge t AD DITIO NAL OMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent i70<D ./ o.e o ,7{ 25.(D) ./dLQe 7, 4.€a 2/,/. /5d Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood No =- 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 cornpliance rvith ORS 701.055 will be used on this proiect. 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 Date set of ans will remainof the propert an te all n. /t- 2> during const MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewark 42 t, curbcut bL tt Demolition State Surcharge Total Miscellaneous Permits (E) //-?o 31,/ o H TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)"4"5!/ 3 tr I VALIDATION RECEIPT NUMBER DATE PAID RECEIVED BY AMOUNT RECEIVED ek: 5t.rilt{(:lrrt:Lt) m :).25 IIII.TII STRI.:IIT sPtUNGFIIiU), oltt':G0l-l 97 477 INSPIICf,I0N RDQUIIS'I: 7?-6-3'169 OPPICE: 7?.6-375t) 1. LOCATION OI',N LpK TLBCTRICAL PINHIT APPLICATI ON Ci ty Job Number q 70Ab COHPLIITII T'EB SCTIEDULII I}BLOV Nev Residential-Single or Hultl-Family per dvelling unit. Service Included: I tems Cos t I5 1r q.3 A l+ PTIONl\ry4 J Pcrnrits are non-transferable and explre It vork is not starred vlthin 180 days of issuance or if vork ls suspended for 180 days. 2. CO}NT,ACf,OR INSTALIJ\TION ONLY Iilcctrical Contrac tor Add r:ess t$ L), Ci ty trll ,ru 77311 ( 1000 sq.ft. or less Each addltlonal 500 sq. ft or portlon tlre reo f Each Manuf 'd llome or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Rclocation: 200 amps or less 20L anrps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect OnIY SI'BTOTAL OP ABOVB 5f State Surcharge TOTAI, / $ ss.oo Ssoo r' g ls.oo tr $ 40.00 50.00 60.00 100.00 130.00 300.00 40.00 LECAL DESCRI t1 dL?] z.l Sum Pho $ $ $ $ $ $ Supervi.sor License Ndnrber 518l. 5 Expi ra t i on Da te /6-?r Constr Cotrtr. Number Expiration Da si ture of Electri cian Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less $ 40.00 0ver 600 amps or 10001oft-s see i'B' above Branch Clrcults Nev, Alteratlon or Extenslon Per Panel c t D ers Name A<ld rcss ,/4S u I City Prronc 4gq4f7 OVNIiR IN:;'TALI.NTION The installarion is being made on propcrty I ovn vhich is not intended for sale, Iease or rent. 0vncrs Signattrre: One Cl rcui t Eaclr Addi t ional Circuit or vith Service or Feeder Permi t $ 3s.00 s 2.00 E. l'liscellaneous (Service/feeder not incltrded) -Each installation Plrmp or irrigation Sign/Outline Lighting- Limi ted Energy/Res /00'on $ s s s 00 00 00 00 40. 40. 20, 36. onrg: RIiCII rr ti(:tiI ?3 dcI VIiI) I}Y: :-l e.W*- 5 -Na" ) ,a l! t ,OREGO'UC'TY OF t,ttlra(:rrr:Lt) The {ollowing as qr'--/ zoning, and does not require sPecilic land uEo\- 225 FIFTE STREEI approval. SPRTNGFTELD, ORBGON 9747 INSPECTION RBQIBSTz 726 OPEICE: 726-3759 Authorized 1. LOCATION OF ON a A€- I,BGAL DESCRIPTION /702 3 2 JOB DESCRTPTTON Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2 COITTRACTOR INSTALI.ATION ONIY EIJCTRICAL PERHIT APPLICATION City Job Nunber SCTEDULE BELOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portionthereof S 15.00 Each Manuf'd Home or -Modular Dvelling Service or Feeder S 40.00 Serviles or Feeders Installation, Alterations or Relocation: Sum B. Electrieal Contracao, Ra.*LrrJ d".4- Address ,ir, Fol/ G 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0nly SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL t $ s0.00 $ 60.00 $100.00 s130.00 s300.00 s 40.00 Phone Supervisor License Ndmber 3+yXS Exp iration Date ?; Constr Contr. Number bs 8r-r '*.: ,;}Expiration Date s ture of r1c].an rs Name o Address ll49 li I +L Ci ty U -t r^-,1 Phone 494-tJ7 OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: Temporary Services or FeedersInstallation, Alteration or Relocation amP s or les , s 40.00 * o amPs $ ss.00 0ver 401 to 600 amps $ 80.00 Over 600 amps or 1000 ET[s see "Btr a6ove D. Branch Circuits Nev, Alteration or Extension Per Panel Onb Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 t-Hiscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/Outline Lighting- $ Limited Energy/Res $Limited Energy/Comm S not included ) 40.00 40.00 20. oo 36.00 c EIe 4 DATE: RECEIPT RECEIVED BY: 5 4D '-oo2,ao@ JoB No. 4voztc- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (CoMMERCIAL & RESIDENTIAL) NAME OR COMPANY:RoseRT I K*rr+{ Smtr* LOCATION:527 5. V5 r! sr LDZ - t<l 3tLDEVELOPMENT TYPE BUILDING SIZE:sQ. Ft. 3 I. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANIT ARY SEt^IER _CITY to T SIZ ZLY 6 x $0.192 PER SQ. FT. x $401 .05 x $401 .05 TOTAL-MI^IMC SDC No. oF pFU,s I I x $3e.78 PER PFU (See Reverse) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I x I,ppS X$401.0s X x $ $ suBToTAL (ADD irEMS 1,2, & 3 ) $ 1558 09 4. ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABOVE) X .0s TOTAL-CITY SDC 5. SANITARY SEWER-MWMC N0.0F PFU,S lg x $13.62 PER PFU + $I0 Mt,tMC ADMIN. FEE s 255L2 (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator ?3L'- 2 L TOTA SDC $/gLb L- TOTAL FIKI-URE UNITS ,t Equivalent = Fixture Units (NOTE: UNIT FIKTURE EOUIVALENT UNITS l8 Bathtub.......2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 o s I + 'l- l-/ Drinking Fountain...... Floor Drain.. I nterceptors For G rease/Oil/Solids/Etc--.. -..... " " " I nterceptors For Sand/Auto Wash/Etc.. -. -----.... --... Laund ry Tub/Clotheswasher Clotheswasher - 3 Or More..--.-.......-......-.--....-..""' Mobile Home Park Trap (.1 Per Trailer).--..."""""' R eceptor For Ref rigeratorflVater Station/Etc" " "' Receptor For Commercial Sink/Dishwasher/Etc' Sink, Bar, Commercial Urinal, Stall/YVall Wash Basin/Lavatory, Single-......-.. Water Closet, Public lnstallation.. Water Closet, Private..... Ir/iscellaneous: Z g CREDIT CALCUI.ATION TABLE calculate credits separates. Based on assessed value. lf improvements occurred after annexation date in table, Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) z.g)x$g .+2-2183 (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL = $L?82 Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 Year Annexed Rate per $1,000 Assessed Value 1 985 1 986 1987 1 988 1 989 1990 1991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.'16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..0.4 0.9 0.45 Commercial.. lndustrial....... Governmental...........0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT FIXTURE UNIT CALCULAl " JN TABLE: ruumner of New Fixtures X For remodels, calculate only the NEJ additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES 4, I