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Home My WebLink AboutPermit Building 1993-01-05J1 P'TINGFIELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PRO ASS RS MAP: BLOCK TAX LOT: SUBDIVISION PHONE: ZIP:STATE: OWNER: CITY: AD REMODEL NAME EXPIRES PHONE BE ACONT DESC NEW ION - DEMOLISH CONST. CON'TRACTOR # MECHANICA ELECTRICAL: GENERAL: PLUMBING V \F€)L f. _ OFFICE RANGE:WATER HEATER: FLOOD PLAIN ZONING CODE: # OF BDRMS LAND USE: r OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: I-IEAT SOURCE: To request an inspection, you must call 726-3769. This ls a 24 hour recording. All inspections requested before 7:oO a.m. will bemade the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Temporary Electric Rough Mechanicat - Prior to cover. Final Plumbing - When allplumbing work is complete. Site lnspection - To be made fl Rough Electrical - Prior to ffiv;,Electrical - When allafter excavation, but rior to cover cgLaar ri calsettfo com Y Electrical/Electrical Service - Must be approved to obtain permanent electrlcal power. Final M allMechanical - Prior mechanical work is complete. ollng - After trenches are al Building - When allexcavatedFircplace - Prior to faclng materlals and f rarnlng lnsp. required inspections have been approved and bui Masonry - Steel locatlon, bond beams, grouting. completed [ /l FoundatlonlY#er cted but( placement. - After forms are $r,. r",EeirSrW Other prior to te Wall/Ceiling lnsulation - Prior toqcover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPE TIONSUnderlloor Plumbing / Mechanical - Prior to lnsulation or decking.Wood Stove - After installation Post and Beam - Prior to floor lnsulation or decking. ing and Set.Up - When all lnsert - After flreplace approval and lnstallation of unit. blocking ls complete. Floor lnsulation - Prior to decking. umblng Conneclions - When )L"(Sanilary Sewer - Prior to filling f trench. Curbcut & Approach - After forms are erected but prior to placement of concrete. home has been connected to water and sewer. Sewer - Prior to filling Sidewalk & Driveway - After excavation is cornplete, forms and sub-base material in place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. trench Water Llne - Prior to fllling trench. Fence - When completed. inal - After all required Slreet Trees - When all required trees are planted. inspectigns are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. 3,0 lAo'/ E tl tl E E tl il fl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac. Se t bac ks PL.HSE GAR ACC N S E S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: Buirdrns permrt r.. (834I ) X $/SO. FT. Value E ,) 1- ?.'(A) State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage 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 buildings, and may be suspended or revoked upon violation of any provisions of said o ans Reviewed By Date R an Plan Check Fee Date Paid Receipt Num any time ces. SYSTEMS DEVELOPMENT C (B)'^T,?:?!'*Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE OO (c) No FT. FT. PLUMBING PERMTT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERM!T Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully examlned the completed application and do hereby certi(y that all information hereon is true and correct, and I f urilrer 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 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 wilt remain Xnatu Date I - 5- on the site at times during construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharoe sidewatk &A.,, curbcut 4A ,, Demolition State Surcharge Total Miscellaneous Permits (E) Cr) TOTAL AMOUNT DUE (excluding electric (A, B, C, D, and E Combined) 7/ ?4 BECEIVED BY AMOUNT H DATE PAID VALIDATION: RECEIPT frll,lfiriocn 4?,D . FT. JOB NO.q L 1159' CITY OF SPRINGFIELD SYSTEMS DEVELOPMEITT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY: 5-rau f.APPue LOCATION:\("r.l 'ba ry gt lloZzDlq'L - ol-7-o 3 - NtA^t -+??DEVELOPMENT TYPE:Le Dw Elora€SIZBUILDING SIZE:6 1. STORM DRAINAGE IMPERVIOUS SQ. FT.\-1 x $0.192 PER SQ. FT. 2 SANITARY S EWER-C ITY NO. OF PFU'S Ig X $39.78 PER PFU (See Reverse) TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP 3 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABOVE) X .05 5. SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total From Item 2 Above Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator $ $ SUBT0TAL (ADD ITEMS 1,2, & 3) $ \boub9 -CITY SDC s t59l 1.r% TOTAL $13.62 PER PFU + $10 MI^IMC ADMIN. FE E $ 255t9 a. Ft. TOTAL-MWMC SDC X X x \.oa 6 x $401.05 x $401.05 x $401.05 4 ) 60 4slry ^065- zub@ \z 2-q 2- S l$zo lg x TOTAL SDC FTXTURE UNIT CALCULAT. N TABLE: t'tumuerof NewFi(uresx ' -'Equivalent = Fixture Units (NorE: For remodels, calculate only theNEI additional fixtures) NUMBER OF UNIT FIXTURE FI)CTURE ryPE NEW FI}CTURES EQUIVALENT UNITS Bathtub....... Drinking Fountain.-...- Floor Drain. Interceptors For Grease/Oil/Solids/Etc""""""""' I nterceptors For Sand/Auto Wash/Etc" " " " " " "" " Laundry Tub/Clotheswasher... """" Clotheswasher - 3 Or More..-.......""" ".""" " """"" Mobile Home Park Trap (t Per Trailer)"""" Receptor For Ref rigeratorflVater Station/Etc" " " " Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stall......--....- Shower, Gang......---.- Sink, Bar, Commercial Urinal, StallAvall.... Wash Basin/Lavatory , Sin91e................ Water Closet, Public lnstall ation..Z Water Closet, Private...-..... tvliscellaneous: TOTAL FI}CIURE UNITS cREDtr CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table' cal culate credits separates. +o Head 2 1 2 3 6 2 6 6 1 3 2 1/ 2 2 1 o + z.$j - tnate X 2 x g 5.83 Assessed Vatue)x$ \r- Credit for Parcel or tand Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed CREDIT Value) TOTAL -$\G 5o RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercial lndustrial..... Governmental. 0.4 0.9 0.45 0.5 Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1985 1986 1987 19BB 1989 1990 199'l $2.16 1.90 1.60 0.25 0.87 0.50 0.16 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERVIoUSAREA=ToTALLoTSIZEXRUNoFFCOEFFICIENT + 2 2-Q -L--9- t8 I a,a I ;a e-oir ON Pernri ts arc lf vork is n -tratrsferable and exp I re o started vlthln 180 daYs o[ issuance or if vork ls suspendecl for 100 days. 2. CO}N'RACf,OR INSTALINTION ONLY trical Contractor Add r:es Ci ty Supcrvi.sor Li Iixpi ra t ion Da te Con:;tr Colltr.er '/.25 rIl'-Tll :;TRI':lir sPruNGFIliLI), OIII|GOI{ 91471 INSPIfCI'I0N RDQUIIST: 72'6-3 OFI'ICE: 7?-6-)751) 1 oN 0lI Iixpir Signa ation te c o[ Supcrvis ing EIectr Ovne rs Narne Atld rcss R P,LCCTRICAL PINUIT APP LICATION City Jotr Number C0lrlPLB'rll PBE SCIEDULI', DELOV A. Nev Resitlential-Single or Hultl-FamilY Per dvelling unit' Servlcc Included: Items Cost 1000 sq.ft. or less Each addltlonal 500 sq. ft or Portlon tlrereof Each Hanuf 'd llome or Hodular Dr.relIing Service or Feeder s Bs.oo $ 1s.00 s 40.00 D Services or Feeders Installatlon, Alteratlons or Relocatlon: d_OO L 't 69 Sum ON J 200 amps or Iess 201 anrps to 400 amps - 401 amps to 600 amps - 601. amps to 1000 amps- Over 1000 amps/volts - Reconnect 0nIY Qne Ci rcui t Eaclr Additional Circui t or vi tlt Service or Feeder Permi I I Temporary Servlces or Feeders Installatlon, Alteration or Relocatlon 200 amps or less $ 40'00 over 4b1 to 6oo amps - $ Bo.oo , 0ver 600 amps or 1000 volts see I'B'r above Dranch Circul ts Nev, Alteratlon or Extenslon Per Panel $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c an D i Ci ty ,^on"-14J-r0to E 5. SI.IDTOTAL OF AI}OVB 5f State Surcharge TOTAI, l'liscellaneotrs (Servlce/ feeder -Each installat ion Plrmp or irrigation S sign/outline Ligtrting- S Limi ted Energy/Res S Limi ted rnerly/comrn - S $ 35.00 not lncluded) 40.00 20.00 36.00 s 2.ro 400vNlinALLATION The installation is being made on propcrty I ovn vhich is not intendcd for sale, lease or rent. 0vncrs atrtrc: NECIIPT I'hone se Ntinrbcr tili('tirvt.:l) ltY od ED (