The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-10-18LOT: .-_- SPNTNGFIELD RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 LocATloN oF PROPoSED WoRK: %5 ASSESSORS MAP: h, JOB NUMBER 225 Fifth Street Springlield, Oregon 97477 s 3?[Plor€, TAX LOT:D %S BLOCK:SUBDIVISION PHONE OWNER: - ADDRESS: CITY: U STATE ZIP:q1 \1t DESCRIBE WORK: ADDRESS CONST. CONI'RACTOR #RES PHONE CONTRACTOR'S NAME 5 GENERAL: - PLUMBING JO MECHANICAL lrTar ll:o)l t Tns- ELECTRICAL: l\/ - SE_ \ (-FIANGE: * OF BDRMS: _ OFFICE U OCCY GROUP: ZONING CODE: FLOOD PLAIN WATER HEATER: # OF STORIES:SECONDAFIY HEAT SOUARE FOOTAGE: COI'ISTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS \ \\QUAD AREA: I OF BLDGS: To request an inspection, you must call 726-3 made the same working day, lnspections req 769. This is a24 hour recording. All inspections requested before 7:00 a'm' wlll be uested after 7:00 a.m. will be made the following work day' REOUIRED INSPECTIONS [Zl femnorarY Eleclric l--7 Rough Mechanical - Prior to 4 cover.w IZ q w Final Plurnbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to settlng forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. w Raugh Electrical - Pr;oi'to Final Electrical - When all electrical work is comPlete.cover. w Electrical Service - Musl be approved to obtain Perrnanent electrical power. Final Mechanical - When all mechanical worl< is complete. w Footing - After trenches are excavated.Fireplace - Prior tc facing materials and framing lnsP. Final Building - When all required insPections have been approved and brrilding is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placetnent. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to tapin0. MOBILE HOME INSPE TIONS w E a q m a 8 Underf loor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installatron Post and Beam - Prior to floor insulation or decking.lnserl - After firePlace aPProval anC installation of unil. Blocking and Set'UP - When all blocki ng is comPlete. Floor lnsulation - Prior to deckirrg.Curbcut & APProach - After lorms are erected but Prior lo placement of concrett:. t,lurnbing Connections - When home has been connected to water and sewer. SanitarY Sewer - Prior to filling trencll.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. Siclewalk & DrivewaY - A{ter excavation is comPlete, forms ancl sub-base materi2l in Place. water Line - Prior to tilling trench. Fence - When comPleted. Street Trees -- Wlren all required trees are planteJ. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. ? C.L,^ "\..1. )+ k -qtJ) fl a n n tl fl tl L] i] Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type Se t bac ks rS THE PROPOSED WOFIK lN THE IlISTOFIICAL DISTRICT, OR ON THE HISTOFIICAL REGISTEFI? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: ru?.?r- rnreror @V- corner & )! eannancJte La - cur-de-sac ACCPL.HSE GAR N /8 J t//v *Ce' E e , X $/SQ. FT. = VALUE sz3:- 5541a44_ _522 (A) Main /rOZ 1 Carport Total Value Building Permit Fee State Surcharge Total Fee 1%--aa 7$"> //'-/a ?fr:-ta BUILDING PERMIT ITEM SO, FT. Garase -3@- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmit is granted on the express condition tlrat the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springficld, 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. ?-zz-7v Date 2a228 cwe Date Paid Receipt Number:- Recci Plan Check Fee:/a.oo SYSTEMS DEVELOPMENT CHARGE (SDc) dk(B) frlq:to?, Systerrrs Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE FT. > SA FT.) * FT. >fu azzf,(c) ts oc - 2O** Noz- PLUMBING PERMIT /r-/f Plumbing Permit State Surcharge Total Charge -/a-r/5 L/. )f /a,z? Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D)aaaz q-- Vent Fan t C1a_b._ -fle-4.* Mechanical Permit lssuance State Surcharge Total Permit /2P-/o-a.?a MECHANICAL PERMIT Furnace Exhaust Hood NOZ By signature, I slate 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 f urther certify that any and all work performed shall be done in accordance with the Ordinances of tlre City of Springfield, ancJ the Laws of the State of Oregon pertaining to the work described herein, arrd that NO OCCUPANCY will be merde of any structure without permission of the Building Safety Division. I further certify that orrly contractors and employees who are in compliance with OFiS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the slreet, that the permit card is located at the front of the property, and the approved set of plans will remain Sig na tu re 'ol , i lqeDate L-' on the site at all during construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge /Z i'f ,; q,a, a 5a<- Total Miscellaneous Permits (E) qe-- ToTAL AMoUNT DUE (exclucling electrica,) Z&!-Jf (A, 8, C, D, and E Combined) faLtOtos-+/ RECEIVED BY AMOUNT RECEIVED 2" s/.6 to lo lg.43DATE PAID VALIDATION: RECEIPT NUMBER I@ITY OF OFEGO'U SPRI,\ IELO ELEGTRTCAL PERHIT APPLICATION225 ?Tfrfl STREET SPRINGPTEIJ), oREGoN 97477 INSPBCTION REOTIEST: OFPICE: 726-3759 726-1769 i?.Jrx le= !-DQ__ _ A q3ffi53 1 Ovners Address ci Phone OSNER ON The installation is beidg made on property I own vhich is not intendedfor sale, lease or rent. Onners Slgnature: DATE: City Job Nunber PEE SCEEDTILE BELOV Nev Residentlal-Single or MuIti-FamiIy per dvelling unit. Service Included: I tems Permits ar non-transferable and expire if vork is not started vithin 180 days of lssuance or lf vork is suspended for 180 days., 2" CO}{TRACTOR INSTALI.ATION ONLY ELecLrlcal Contractor Address LYNN'S ELECTRIC Fe EOX A 726:7985. FALL cR$frogfL e74s8ci Supervisor License Number "2-3q'Z - S Explration Date 3 Constr Contr. Number A3/o/ Exp lratlon Date /o,h3 Slgnature of Superv {=ing Blectrieian 1000 sq.ft. or less Each additional 500 sq. ft or portionthereof I Each Manuf'd Home or -Hodular Dvelling Service or Feeder Services or Feeders Insta1lation, Alterations or Relocation: 200 amps or less "'- 201 amps to 400 amps -Over 401 to 600 amps -Over 600 amps or 1000 voT[ 200 amps or less 201 amps to 400 amps -401 amps to 600 amps 601 amps to 1000 amps- Over 1000 amps/vo1ts -Reconnect 0nly \\13 Cos t $ 85.00 $ 1s.00 $ 40.00 Sum a€ 6. B s s0.00 s 60.00 $100.00 $130.00 $300. 00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteratlon or Relocation 40.00 55.00 80.00 s see rrBrr a5ilt $ s $ la D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Serviceor Feeder Permi t $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm STIBTOTAL OP ABOVB5f State Surcharge TOTAL /q2.f:- s 40.00 s 40.00 s 20.00 s 36.00 C'> RECEIvED l()5 r$t2. JoB No.1lt15z CITY OF SPRINGFIELD SYSTEI'IS DEVELOPMENT CHARGE UIORKSHEET (cot'IMERcIAL & RESIDENTIAL) NAME OR COMPANY:Ttvt o L.TE LOCATI 0N:7b5 s. ?1Ty fi-/7 ozbr4V - 00306 DEVELOPMENT TYPE:LDP -,E ut SFz BUILDING SIZE: I. STORM DRAINAGT . IMPERVIOUS SQ. FT 2. SANITARY SEI,IER.CITY NO. OF PFU'S (See Reverse) SiZ x $0.203 PER SQ. FT. X $42.08 PER PFU a. Ft. /8 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP / xl .ol x $424 .3 I 4 X x $424.31 X x $424.3I SANITARY SEt,lER.t'4t,IMC N0. OF PFU'S 18 x $15.125 PER PFU + $10 MlllMC ADM FEE (Use PFU Total From Item 2 Above) MI,IMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 $ $ g 282 zS Z1 ga 5 Kip Burd ck 57y ?-uz U. SDC Coordinator o 7 TOTAL SDC s /74003 tq2-b FIXTURE UNIT,CALCULA" )N TABLE: For remodels. calcutAie only the NE additional fixtures) FIKTURE TYPE Number of New Fixtures ) rit Equivatent = Fixture Unitr(NOTE NUMBER OF UNIT FIXTURE NEW FIXTURES EOUIVALENT UNITS 2-2 1 2 ., 6 2 6 6. 1 3 2 1/Head 2 2 1 6 4 8athtub.....-.- Drinking Fountain..---. Laundry Tub/G Floor Drain.- lnterceptors For Grease/Oil/Sol ids/Etc" " " """""' I nterceptors For Sand /Auto Wash/Etc" " " " " " "" "z Clothes-walher -.3 Or More Mobile Hdnie Park TraP (1 Per Trailer).........--.-.-. Beceptor For Ref rigeratorflVate r Station/Etc" " " " Receptor For Commerclal Sink/Dishwasher/Etc" 2- ?- a l8 Shower, Singte'Stall- Sink, Bar, Commercial Urinal. StallflVall.--- Wash Basin/Lavatory, Single-' Water Goset. Public lnstallation'- Water Closet. Private.---.L Miscellaneous: TOTAL FIXTURE UNITS cREDrr CALCULATToN TABLE: Based on assessed varue. lf improvements occurred after annexation date in table' cajculate b.zt x $1.> t q 7,n Credit for Parcd or tand Only lf Applicable lmprovement (rf after annexation date) 8124 Z -1nate X Assessed Value)x $- lnate X Assessed Value) CREDIT TOTAL $ BUNOFF COEFFICTENTS FOR STORM DRAINAGE 0.4 0.9 0.45 0.5 Residential.. Commercial...--......-...---- lndustrial.... Govemmental.-.-..-....-..... Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,00O Assessed Value 1986 1 987 198B 1989 1990 1991 1992 $ 2.24 1.93 1.57 1-18 0.79 o.44 0.28 1979 or before 1980 1981 1982 1983 1984 1985 s3.21 3.13 3.08 2.96 2.82 2.68 L51 IMPERVIoUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT I I fob No. SYSTEMS DEVELOPMENT CHARCE WORKSHEET NAME:PHONE: ADDRESS: LOCATION OF PROPOSED BUIL 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. Single Family - Detached iI Single Family home Manufactured home not in a park NO OF UNITS I X $400 PER UNIT = B. Single Family - Attached NO OF UNITS X $370 PER UNIT = Park & Recreation District C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS Willamalane %Hs3 OC) 1 Commr City of $ $ $X $277 PER UNIT = 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 NET SDC ASSESSED (lf SDC reduced for Credit) $ $ $ unity Sprin gfield Divi Date CO srArE:S[r,, gffi\q SP,lIl{GFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3755 LocATloN oF PRoPoSED WORK: -265 ru ASSESSORS MAP: JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: LOT: -- BLOCK: OWNER: - PHONE: ADDRESS: CITY:STATE: DESCRIBE WORK: NEW-.REMoDEL-ADDITIoNDEMoLISHoTHER ZIP: ELECTRICAL" PHONEEXPIRESADDRESSAMECONTRACTOR G EN ERAL: PLUMBING CONST. CONTBACTOR # RANGE: g OF BDRMS: OUAD AREA - OFFICE USE _ LAND USE ZONING CODE: FLOOD PLAIN WATER HEATER: SECONDARY HEAT: SQUARE FOOTAGE: r OF BLDGS:-.. OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: 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 l--l Temporary Electric tl Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspeclion - To be made af ter excavation, but Prior to setting forrns. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.COVCT Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-l Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Posl and Beam - Prior to floor insulartion or decking.lnsert - After firePlace aPProval ancl installation of unit. Blocking and Set-UP - When all blocking is complete. Floor lnsulation - Prior to deckirrg.Curbcut & APProach - After fornrs are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. B 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. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - Af ter excavalion is comPlete, forms and sub-base material in Place. Water Line - Prior to fllling trench. Fence - When completed. Rough Plumbing - Prior to cover. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. w e/= SUBDIVISION: ?/?s-> MECHANICAL: - E fl T E tl tl r E P.L.HSE GAR N o Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks ACC IS I HE PROPOSED WORK IN THE }]ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPFIOVEDE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is (JrantL,d on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted L.ry 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 provisions of said ordinances. DatePlans Reviewed By Plan Check Fee: Date Paid Receipt Nuntber:,-- Received By BU ILDING PERM 1T ITEM SQ. FT. X $/SO. FT.VALUE (A) Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee Systems Developtnent Charge is due on all undevcloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) ?z ?w eZ/2a-* NO FT. ,/>a-= PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge il-Ezz FT.MZ Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood 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 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 in compliance with ORS 701.055 will be used on this project. I f urther agrce to cnsure that all required inspections are requested at the proper time, that each address is readable from the street, tlrat the permit card is located at the front of the property, and the approved set of plans will remain j uring constru ct io 5- /tq S ig rratu re on the site at al o"," Oe MISCELLANEOUS PERMlTS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) G'- ,/a€-'-2 DATE PAID AMOUNT FIECEIVED RECEIVED BY - VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /a- t- f24_*