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Home My WebLink AboutPermit Building 1994-03-24Aftue SP]lINGFIELE' RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: q4 0741JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 ,4(lN,s{z a TAX LOT:114,03-ASSESSORS MAP: LOT:BLOCK SUBDIVISION $fo-q PHONE: \J \DJh ZIP:STATE:TL \t( CITY: ADDRESS OWNER REMODEL ADDITION DEMOLISH OTHER Nr^"i3 r Li, V DESCRIBE WORK: NEW EXPIRES PHON EADDRESS ELECTRICAL: CONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING SE_c T I €_f;WATER HEATER: HEAT SOUFICE: RANGE: FLOOD PLA.IN: ZONING CODE: # OF BDRMS:CONSTFI. TYPE: -oF S OF UNITS: LAND USE: SECONDARY HEAT SQUAFIE FOOTAGE: OCCY GROUP: g OF STORIES: QUAD AREA: r OF BLDGS: 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. REQUIRED INSPECTIONS ffremnorary Electric lV nough Mechanical - Prior tolAt cover. ffiRough Electrical - Prior toy'a{cover. E Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. lV1 finat Electrical - when atttAelectrical work is complete. ! Underslab Plumbing/ Electrical / Mechanical - Prior to cover.K Electrical Service - Must be approved to obtain permanent electrical power. E Final Mechanical - When all mechanical work is complete. K Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp."K Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.,Kx E Framing - Prior to cover. E Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping K F MOBILE HOME !NSPECTIONS Underllo echani,Wood Stove - After installation- Prior to on ng. Posl and Beam - Prior to floor insulation or decking.lnsert - nfter fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. IYI Floor lnsulation - Prior to&Jdecking.X Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. X K x. K' Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Sidewal k&Driveway-After on is complete, formsSlorm Sewer - Prior to filling trench.and sub-base material in place. Water Line - Prior to filling trench.l--l Fence - When completed lreet Trees - When all required Final - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover.rees are planted L+ ?Ll 161.1 tt't4o>tr;ml,Vt- 0 sff\r E E r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type X tn,"rio,. - Corner - Panhandle - Cul-de-sac Setbacks * c{30 422. r- THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N /ol S I I Z?I 9E tl E 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 builCings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. eviewed B t i*;t; Receipt Number: Plan Check Fee Date Paid Recelved L-u- /,n..-, ll/v^"- X $/SO. FT. 4t.ba E \57, ..{0.{ _2( 3 ,za(A) 4 ) dq .l.o lplhlo Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 3{r'@ /230 Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved. SYSTEMS DEVELOPMENT C (B)'oT;,ttU"P ADDITIONAL COMMENTS ff "T e i ,aXrzi- t,s (-ib PNH 7_+ITEM Fixtu res Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /ab,* /a),tu2_ 92 4o (c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge No Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Z g,o 600-F /< do /'J,nld, tat @ ,7f -) < 7-f(D) Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood No2, By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon ls 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 Springf ield, and the Laws of the State of Oregon pertaining to the work described hereln, 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 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 ls located at the front a2 pproved all set ofthb a Date of the prope on the si u ring con plans will remain ion. ,('nn"*u'" MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk 7 ,, Curbcut 32 t Demolition State Surcharge Total Miscellaneous Permits (E) 2/.3s 3(n, tZ- *o---+ CS 3(e BY DATE PAID VALIDATION: RECEIPT NUMBER AMOUNT R RECEIVED TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) ?6] .jte Willamalane Park & Recreation District fob No. SYSTEMS DEVELOPMENT CHARCE WORKSHEET 4tt (5ry+ NAM ADDRESS: LOCATION OF PROPOSED BUIL 1 PHONE: srArE:M,, Cll{t)L SITE: -d\Street Address if Known: Platt Name:Tax Lot Number: DEVETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Sinple Familv - Detached _--lL Single Family homeU NO OF UNITS B. Sinsle Familv - Attached NO OF UNITS C. Multi-Familv Aoartment D. Manufactured Home Park NO OF UNITS X $370 PER UNIT = NO OF UNITS X $277 PER UNIT = Manufactured home not in a Park X $400 PER UNIT = X $280 PER UNIT = U) $ $ $ $ $40DoWPRD SDC 2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credit) $ & Community City of Sprin \ gfield VI on Date $ c q4DB] I )oB No. 14orb1 CITY0FSPRINGFIELDsYsTEMsDEVEL0PMENTCHARGE }IORKSHEET (C0MHERCIAL & RESIDENTIAL) NAME OR COMPANY:o Sptr LOCAT ION :5*-1 Nt. ?5 rj Sr.\1ozal '7-+ ' l\5 03 DEVELOPMENT TYPE: LPR - LIUI^I 9FK BUILDING SIZE:siz I. STORM DRAINAGE IMPERVIOUS SQ. FT '?.bq6 x $0.203 PER sQ. FT Ft 2 SAN ITARY EI,IER- C ITY NO. OF PFU'S (See Reverse) g X $42.08 PER PFU x $424.31 x $424.31 x $424.31 l 3 T SPORTA NO OF UNITS X TRIP RATE X COST PER TRIP ION X x x l.or $ $ 4 SANITARY SEWER-MWMC N0.0FPFU,Sl$x$15.125PERPFU+$l0Mt^lMCADMFEE (r,iie PFU Total From Item 2 Above) Mt^rMC CREDIT IF APPI-ICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X .os bL z6 vb 8J-_ ,t 5 Kip sDc Burdi ck Coordi nator qb6? 2 1 + TOTAL SDC s bbZollo- 4 $lq2-D FIXTURE UNIT,CALCULA- ^ )N TABLE: t"r L"rJ"'s. calculAie only the NET a'dditional fixtures) Number of New Fixtures x .-- it Equivalent = Fixture Units (NOTE: Floor Drain.- lnterceptors For Grease/Oil/Sol lds/Etc" " " " " ""'-' lnterceptors For Sand/Atrto Wash/Etc Laundry Tub/Gotheswasher"" "" FIXTURE TYPE Bathtub.....-.- Drinking Fountain--.--. ClotheswaEher - 3 Or More"""""' Mobile Hdnie Park Trap (1 Per Trailer)""""""""' Receptor For RefrigeratorflVater-station/Etc""" " n"""ptot For Commerclal Sink/Dishwasher/Etc-' Shower. Single'Stall.. Shower. Gang----------.- Sink, Bar, Commercial U rinal. StaltflVall..---.. -..- --. --.'. " " " " " Wash Basin/Lavatory, Sin91e""""""""" Water Closet, Public lnstallation'-" Water Closet, Private---..- Miscellaneous: CREDTT CALCULATION TABLE: calculate credits seParates. 7 L TOTAL FIXTURE UN{TS x$,+7 ?bb9 (Rate X Assessed Value)x$ NUN4BER OF NEW FIXTURES L UNIT EOUIVALENT FIXTURE UNITS J-t 2. z 2- -3-- lg 2 1 2 J 6, 6 6 1 3 2 1/ 2 2 1 6 4 'Head I Basedonassessedvatue.lfimprovementsoccurredafterannexationdateintable, Credit for Parcd or tand Only lf Applicable lmprovement (f after annexation date) b,L\ --- tnate X c Assessed Value) REDIT TOTAL =$7'b go Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,0OO Assessed Value 1986 1 987 1988 1989 1990 1991 1992 s 2.24 1.93 1.57 1-18 0.79 o.44 o-28 1979 or before 19BO 1981 '1982 1983 1984'1985 s.21 s.13 3.08 2.96 2.82 2.@ 2.51 RUNOFF COEFFICIENTS FOR STORM DRAI NAGE 0.4 0.9 0.45 0.5 IMPERVIoUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT I I OREGO'UCITY OF SPrlI,ilGFIELO PIFTE SI3.BBf, fh6fg!!rru,:nc i:rri-'*AS submttted has the followlng BLBCIRICAL PERI'IT APPLICATI,N not require sPecific land uee225 SPRINGFIBIJ) INSPBCTION OFPICE: 726-3759 1 IOCATION OF IJGAL DBSCRTPTION r, ORBGOE 97477 REorrBsr!: 726-3769 Zon City Job Nunber Q4O 3-l 3.COHPIJTE TEB SCEBDTILE BELOV-3-ct tl HuIti-F Service idential-Single or amily per dvelling unit. Included:) o)?l)+I t<o}I Items Cost Sum DESCRIPTION permits are non-trailsferable and expire if vork is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COIITRACf,OR INSTALI,ATION ONLY Electrical Contractor 1000 sq.ft. or less I $ 85.00 nach additional 500 sq. ft or portion ,^thereof a $ 15.00 Each Hanuf'd Home or Modular Dvelling Servlce or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 5g.gg 201 amps to 400 amps - $ 60.00 401 amps to 600 amPs - $199.9q 601 amps to 1000 amps- $130.00 C. Temporary Services or Feeders Installation, Alteration or Relocation _ggu Sood r/rl i Address Ci ty f ul ewe Phone 689 0-7 0 Supervisor License Number 3st\ Expi ration Date lD- | ' 15 Constr Con tr. Number *1114 Bxpiration Date Slgnature of Supervising ElectriclanbI Ovners Name Address ) I qS \AJ I D f-I^, A^4- Ci ty OQ, pnon.LtSLl - /Sry O9NER INSTALI,ATION The installation is being made on property I own vhich is not intended for saIe, lease or rent. 0nners Signature: DATE: 200 amps or less S 40.00 201 amis to 400 amps - $ 55.00 over 4b1 to 600 amps - $ 8o.oo over 600 amps or r0OO voTts see .'gtt "ffi D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0utIine Light ing_ Limited Energy/Res Limited Energy/Comm STIBTOTAL OF ABOVB 5f State Surcharge TOTAL s 40.00 $ 40.00 $ 20.00 s 36.00 5 L1 RECBIVED l^ 5r^\M.._, OBEGO'UCITY OF The follov,,ing proiecl as submitled hae the following 225 IJ:frE s1?EEf, ';l.[il"?'t" does not require specffic lend uee SPRIIIGFIBLD' oREGoN'9!!77--- -- /-DE- INSPBCftoN itsolrBsf: 726297@ " JOB Permi ts if vork non-trattsferable and lre is not started vithin 180 of lssuance or if vork ls suspended for 180 days. COIITRACTOR INSTALI,ATION ONLY ical Contractor Address ci Supervisor Li r Exp iration Date Constr Contr.r Expirati te s of Supervlsing Elect Ovners Address Ci OITNER ALI,ATION The installatloh is being made on property I own which is not intended for sale , Iease or rent. DATE: SPRlttlcF!ELD ELBCTRICAL PERHIT e!r idential-Single or Hulti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: City Job Nunber OPFICB: 726-3759 Deta/l-,!*A *3. COHPI..RTB FEB SCEBDT'I,E BBLOII 1 OP Sum B c. 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs _ 601 amps to 1000 amPs_ 0ver 1000 amps/volts Reconnect 0n1y Pump or irrigation Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm STIBTOTAL OF ABOVB 5Z State Surcharge TOTAL $ s0.00 s 60.00 $100.00 $ 130.00 $300. 00 $ 40.00 D Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps or ress 1- S 4o.oo fr- 201 amirs to 400 amps - $ 55.00 _--'- over 4b1 to 600 ambs - $ 80.00 0ver 600 amps or 1()OO voTts see rrBrr a5ffi Branch Circuits Nev, Alteration or Extension Per Panel i one circuit $ 35.00 Each Additional Circuit or vith Serviee or Feeder Permit $ 2.00 Miscellaneous (Service/feeder not included) -Each installation E 5 $ $ s $ 40 00 00 00 00 40. 20. 36. RBCEIVBD re: CD