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Home My WebLink AboutPermit Building 1994-04-20ELE, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP: LOT JOB NUMBER 225 Fifth Street Springfield, aregon 97 477 posED woRK: - I n b Vr 5'/\ruLb TAX LOT: - ,dJD BLOCK:q SUBDIVISIO OWNER ?oa F<ilq,rst,rt PHONE; ADDRESS: CITY:STATE:ZIP: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: EXPIRES-26 L9 t L ,aI 1 6 ADDRESSCONTBACTOR'S NAME PHONE GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # \ EWATER HEATER: FLOOD PLAIN: ZONING CODE: # OF BDRMS RANGE: * OF UNITS: LAND USE: OFFICE USE -//5() SECONDABY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. will be made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS [--l temporary Electrlc Rough Mechanical - Prior to cover. Final Plumbing - When Ellplumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms.X Rough Pri to fr Final Electrical - When allcover.elect work i lete. Underslab Plumbing / Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrlcal power. Final M I - When all mechanical WO rk ls complete. d rooting - After trenches areR excavated.Flreplace - Prlor to faclng materlals and framlng lnsp.x Final Building - When all required inspections have been Masonry - Steel location, bond beams, grouting. Foundation - After forms are approved an completed. b ldi S F to D,Lrowerected but placement.. [.--l ottrer arhreteWall/Celllng !ulation - Prior to cover. 'rPUnderground Pl to filling trench Drywall - Prior to taping Underlloor Plumblng/ Mechanical - Prior to insulation or decking. MOBILE HOME INSPECTIONS Wood Stove - After installation. Posl and Beam - Prlor to floor insulation or decking.[-l lnsert - After flreplace approvat - and lnstallation of unlt. Blocking and Set-Up - When allblocking is complete. Floor lnsulatlon - Prior to decking.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected towaterrand sewer.& B B Sanitary Sewer - Prior to filling trench. Storm Sewer - Prlor to fllling trench. Sldewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Electrical Conneclion - Whenblocking, set-up, and plumbing rnspections have been approvedand the home is connected tothe service panel. Water Line - Prlor to fllllng trench.l-l Fence - When compteted. ffisrr""r Trees - when all requiredH trees are planted. Rough Plumbing - Prior to cover. Final - After all required inspections are approved andporches, skirting, decks, andventing have been installed. PLUMBING: F', E E E E x F Lot faces Lot sq. ftg. Lot coveiage Topography Total height Lot Type "- - lnterior - Corner - Panhandle - Cul-de-sac IS THE PROPOSED WORK IN THE 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: P.L.HSE GAR ACC N S E 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 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time Plans Reviewed By Date Receipt Numbe s said ordinances. Plan Check Fee: Date Paid Beceived By: upon violation oftD10- (Aqn) rt { ) BUILDING PERMIT.' VALUE al Value SQ. FT. X $/SQ. FT,ITEM Main Garage Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties wlthin the City limits which are being improved. SYSTEMS DEVELOPMENT CHA (B) RqE (sDc) +F # tqbsg DITIONAL .1 )515 ME TS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 \ FT. FT. FT. 5c: (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth 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 certity that only contractors and employees who are ln compliance with ORS 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 street, that the permit card ls located at the front of the property, and the approved set of plans will remain Signature Date on the site at du ring on. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Dernolltion Total Miscellaneous Pe rc (E) oo oo AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, O and E Combined) (A) U SPRIT{GFIELO The.lollowing zoning, and proJect qs submltted hm the following r€quire speciiic lanoi use INSPBCf,ION REOTIEST OPEICE: 726-3759 1.OF INST z 726-3769 rLl approval. 225 FIFTE STREEf, SPRINGPIELD, ORBGON 97477 BIJCTRICAL PERHIT APPLICATION City Job Nunber qlrt3l A. Nev Residentlal-Single or Multi-Family per dve Service Included: 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanufrd Home or Hodular Dvelling Servlce or Feeder .-1 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or'FeedersInstalLation, Alteration or Relocation 200 amps or less $ 40.00201 amps to 400 amps - S SS.OOOver 401 to 600 anps - S g0.OO0ver 600 amps or f0OOl6llts s.e-nfri affi- Branch Circuits Nev, Alteratlon or Extension per panel One- Circult $ 35.00Each Additional Authorizod Sign :;:^|";EII, IN&P& COHPLETE FEE SCEBDTILE BBLOV A ,1 LBGAL DESCRTPTION JOB Services or Feedersfnstallation, Alterationsor Relocation: 200 amps or less 201 amps to 4OO amps - 401 amps to 600 amps - 601 amps to 1000 amps-Over 1000 amps/volts -Reeonnect Only Circuit or vith Serviceor Feeder Permi t unit. Cos t $ 8s.00 $ 1s.00 s 40.00 $ z.oo z not i ncluded ) -_- <lb, IIing I tems Permlts are non-transferable and expirelf vork is not started vithin 1gO d;t;-of lssuance or lf work is suspended ior180 days. 2. COIITRAqTOR INSTALII\TrON ONLY Sum 8a Electrical Contractor (rr\CQ,in"t Address D. Cl ,e.JTL3 G Ct ty lfi Phon"4 ):{{aT I Supervisor License Number 3 -S Expiration Date L Constr Contr. Number ze^2(i (c. B D. Slgna of Supervlsing trlcian 0mers Address Cl ty Phone DATB: OIJNER TNSTALLTTTON The installatloir ls beirig made onproper-ty f ovn vhlch is not intendedfor sale, Lease or rent Orners Signature: Miscellaneous (Service/feeder -Each installation Pump or irrigation SSign/0utline Lightins- $ i. E. 40.00 40.00 20.00 36.00 5. SI'BTOTAL OP ABOVB5Z'State Surcharge TOTALRECEIVED 27 E.56 z.ntns LD2. Expiration Date rcfzl/2, - - - . C'TY OF SPR,,VG Onecor SPrl'NTGFIELO 225 srws STREET SPRINGFTET.D,ORBGON 97 INSPBCTION RBOTIEST z 726-3769 b -'t OFEICE: 726-3759 Dqto 1 I.OCATION OPbw /1 IJGAL DBSCRIPTION and uge EIJCTRTCAL PERHIT APPLICATION Ci tY Job Nunber rirod Signature -MB scffiD,LB BELos A. New Resldentlal-S Multi-FamllY Per Service Included: ingle or dvelling uni t. Items Cos t $ 8s.00 $ 1s.00 $ 4o.oo h 3 Sum -{d.- C .& Pernlts are non-transferable and lf vork ls no t started vlthln 180 of lssuance or lf vork ls susPended for '180 daYs 2. CONTRASTOR INSTALI,ATION 1000 sq.ft. or less Each additional 500 sq. ft or Portlon thereof Each Hanuf'd Home or Hodular Dvelling Servlee or Feeder Services or Feeders Installation, Alterations or Relocation: JOB Electrical Contractor w/ tadt,z Address V,o $.of L6 Ctty Phone 1 {Y-o ,lor Supervisor Llcense Number 200 amps or less 201 anps to 400 amPs 401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0nIY Temporary Services or'Feeders Installaiion, Alteratlon or Relocation 200 amps or less $ 10.00 Over 401 to 600 amps - $ 80.00 0ver 600 amps or fbOO-?6Tts. see 'Bn aE6F Branch Circuits Nev, Alteratlon or Extension Per Panel one Clrcuit L>- $ 35.00 35.* Each Additional Circuit or vlth Service Mlscellaneous (Servlce/feeder not included) -Each lnstallatlon Pqinp or lrrtgatlon st gir/ou tI lnt- l,i gh t r ngT t lttted Enercv/Res Linited Enerfr/Comm 1::, ( ONLY B. c. s 50.00 $ 60.00 $100.00 $130.00 $3o0.oo $ 40.006t-s Explra tion Date Constr Contr. Number 2rr- Z?t C I Explratlon Date I ":lx_:f Supervlslng Blectriclan D! 0uners c1 Address Phone The. lnstallatloir ls befuig made on property I ovn vhich ls not intended for iale, 'Iease or rent. OSNER INSTALI,ATTON Orners Slgoature: B. $ 40.00 $ 40.00 ,$ ,20.90 $ 36.00 DATE: 5. STIBTOTAL OP ABOVE 5f State Surcharge ?f,ao -7-T &3e,7r RBCBIVED +306 Admrn E<OS Willamalane Park & Recreation District fob No. SYSTEMS DEVELOPMENT CHARGE WORKSHEET CN PHONE: ADDRESS:0 LOCATION OF FROPOSED BUI Street Address if Known: Platt srArE: f)E-p( 1 PEVEIOPMENT fYPE , (9heck appropriate dwelling(s). SDC Catculations and dwelling typedefinitions are on the back.) A. Single FAmily - Detached single Family home -L Manufactured home not in a park NO OF UNTTS I B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UN]TS D. Manufactured Home park NO OF UNITS Tax Lot Number: x $400 PE: uNtr -= X $lZO PER UNIT = X $277 PER UNIT = X $280 PER UNIT = 0,d) $ $ $ $ 2' :ir:;:[?X" !tz2[*,'f'*:?;#!er must rurnish prooror*PRD credit .g WPRD SDC 3' ToTAt WPRD NET sDC ASsEssED (rf sDC reduced for Credit) $ $ 4 MU City of Springfield Div Date $ r27s<. m JoB No . 140!29 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I.JORKSHEET (c0Ml'IERCIAL & RESIDENTIAL) NAME OR COMPANY:7n uL FeoDeF orJ /tlc N. b-7 i! St /70 2bo47 - oZbooLOCATION: I DEVELOPMENT TY BUILOING SiZE: STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SAN ITA RY SE[,JER_C ITY NO. OF PFU'S (See Reverse) zt7+x $0.203 PER SQ. FT X 542.08 PER PFU x $424.3 1 x $424.31 x $424.31 x $15.125 PER PFU + $10 MI^IMC ADM FEE2 Above) TOTAL _SDC SUBToTAL (ADD ITEMS i,2,3 & 4) I 3. TRANSPO RTAT I ON NO OF UNITS X TRiP RATE X COST PER TRIP x Y ,o/ $ $ 4. SANITARY SEt,JER_MI.IMC NO. OF PFU'S I (u se PFU Total From Item MI,/MC CREDIT IF APPLICABLE (SEE REVERSE) $ 2 8zL3 z4 t3 5. ADMiNISTRATiVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .0s Kip Burdick SDC Coordinator 9 + / g aa TorAL spc $ l16gs+ iquivalent = Fixture Units'(NOTE: FIXTURE UNIT.CALCU LATTT-T'I TABLE: ruUMOCT Of NCW FiXIUTCS X L - io, *.oO"fs. calculSte only rhe NET additional fixtures) NUN,BER OF FIXTURE TYPE NEW FIXTURES L UNIT EOUIVALEI'.IT FIXTURE UNITS i.,ierceotors For G rease/O il/Sol id s/Etc" ". " " " " " " i"i.i."p,"* For Sand/Auto Wash/Etc""" """""' laundry Tub/Clotheswasher" " " " " " ffiil. dil. pur.t Trap (1 Per Trailer)" "',:""""" il;;; iai n"r'isu'ioilvut"' Station/ Etc" " " " Receotor For Comme'"Lf sinrtT o ishwa she r/ Etc " Sno*.r, Single'Stall-' ino*"r. Gang"""-"" iint<, eur. Commercial Bathtub.--.--.- Drinking Fountain""-' t,'liscellaneous CREDIT calculate CALCULATION TABLE credits separa LU ). Urinal, StaltAvall""""",.: "' -; - " "' Wash Basin/Lavatory' slngre'-"' ;;,;; o"Jt Public Installation Water Closet. Private"-"' ? X Assessed Value) XS Assessed Value C REDIT TOTA 0.4 09 0.45 0.5 2 1 2 J 6 .) 6 6 1 3 2 1/ 2 2 1 6 Head 9 TOTA.T* FIXTUR-: tJ l'l ITS Basecj on assessed value- if improvem ents occurred atter annexation date in table' XS 1 .51 ApPlicable date) b.7l 7L Credit for Parcel or t-and OnlY lf lmprovement (rf after annexation RUNOFF COEFFICI Residentiat' Commercial (Rate (Rate X ENTS FOR s ?-4L STORM DRAINAGE lndustrial-"' Governmental"""""""" IMPERVIOUS AREA = TOTAL LOT Asses sed Value Asse ssed Value Rate Per S1,000 Rate Per 51'0O0 Year AnnexadYear Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $.21 3.13 3.08 2.96 2.A2 2.8 2.51 198,3 1 937 1988 1989 1990 1991 1992 5 2.24 1.93 1.57 1.18 0.79 o.44 o.28 SIZE X RUNOI-F COEFFICIENT L4"3