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Home My WebLink AboutPermit Building 1994-03-07,ENTIAL T APPLICATION lnspections: 726.5769 0llice: 720.3759 LOCATION OF PROPOSED WOBK: BES/D PENMI o JOB NUMBER 225 Fllth Srreer Sprlng(leld, Oregan 97477 I 4y g {DlL /-r ASSESSORS MAP:1Q)nt4-13 TAX LOT:D-q{oo LOT:BLOCK:SUBDIVISION STATE: t?f - ZP: fis>_r*"Br -L_1 ut-- CITY: ADDRESS: OWNER: "'r.9-7.y1&r':Hz.b _ -,/.-21 f4 r)&z- t-TeADp^,-'-l+DEMOLISH OTHEB DESCRIBE WOFIK: NEW - REMODEL ADDITION PLUMBING: MECHANICAL: ELECTRICAL: 5'4 RACTOR #EXPIRES PHONE ) ADDRESSI1r*anA,*JCONTRACTOR'S NAME GENEBAL:3*,.r14", RANGE: ,V OF BDRMS: - OFF]CE USE - FLOOD PLAINOUAD AREA: r OF BLDGST SECONDARY HEAT: SOUARE FOOTAGE: OCCY GBOUP: I OF STORIES: CONSTR. TYPE: HEAT SOUBCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the {ollowlng work day, REQUIRED INSPECTIONS l-l remporary Eloctrlc Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When all plumblng work ls complete. Slte lnspection - To be made after excavatlon, but prior to settlng forms. Rough Electrlcal - Prlor to Flnat Electrlcal - When all electrlcal work is complete.cover Underslab Plumbing/ Electrical / Mechanlcal - Prlor to cover.Elestrlqal Servlce - Must be approved to obtaln permanent olectrlcal power. Final Mechanical - When all mechanlcal work ls complete. Footlng - After trenches are excavat€d.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Building - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng,Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placem6nt, Other Wall/Celllng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench,Drywall - Prlor to taptng. Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or decking. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallatlon. Posl and Beam - Prlor to floor lnsulatlon or decklng,lnsert - After flreplace approval and lnstallatlon of unlt. [-_l Blocking and Set.Up - When alt - blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer, Sanitary Sewer - Prior to filling trench, Storm Sewer - Prlor to filllng trench. Sidewalk & Driveway - After excavatlon ls completo, forms and sub-base material in place. Electrlcal Connection - When blocl<ing, set.up, and plumbing inspections have been approved and the home is connected to the servlce panel. Water Llne - Prlor to filling trench.l-_l Fence - When compteted. Streel Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. ,K Rough Plumblng - Prior to cover, pHoNE: :\zl? _ -- C-Z-Z_ LAND USE: WATER HEATER: ZONING CODE: _., OF UNITS: - E E E E E E E E Lot laces Lot sq. ltg' Lot Coverage ToPograPhY Total helght r lt TYP. - lnterior Corner - Panhandle - Cul'de'sac APPROVED: VALUE (A) X $/SQ. FT. Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SA. FT. Main Thls permit ts granted on the express condition that the said construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfleld, including theDevelopment Code, regulating the ctnstruction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordinances. Plan Check Fee: _ Date Pald: DatePI Recelpt Numbe ans Revl ewed By BUILDING VALU AND BUILDING E, PLAN CHECK PERMIT Received By: EMS DEVELOPMENT CHARGE (SDC) (B) SYST Systems Development Charge is due on all undevelopedproperties within the City limits which are being improved. ITEM Flxtures Resldenlial Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBTNG PERMIT FEE N0 -) L1 01,25 +- ,7i Fr. FT. (c) FT.1{n /\-,4* 27 a€ Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanlcal Permlt lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlnedthe completed application and do hereby cerilfy that alllnformatlon hereon ls true ancl correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordlnances of the Clty of Springfield, anct the Lawsof the State of Oregon pertalnlng to the work descrlbedhereln, and that NO OCCUPANCY wlll be made of anystructure without permission of the Buildlng Safety Divislon.I further cerilfy that only contractors and employees whoare ln compllance wlth ORS 701.055 wlll be used on thlsprolect. , 'v on the s at all times d s Date construcilon. set of plans wlll remalnof the property, and the ap all requlred lnspections are hat each address ls readable t card ls located at the front I further agree to ensure that requested at the proper ilme, I lrom the street, that the permlMISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk _ ft Curbcut -- ft Demolitlon State Surcharge Total Miscellaneous permits (E) VALIDATION: RECEIPT NUMBER /96. DATE PAID AMOUNT FIECEIVEDTOTAL AMOUNT DUE (excludtng etectrtca|r .'Z7r/(,(A, B, C, D, and'E'Comblned)RECEIVED BY -<a- &+dD '': I , ,/z a OFEG oA, Nev Residential_Single orMulti-Family per. a"Eiiiig unit.service rncluded' ,,"r" cost _1000 sq. f t. or lessEach additional 500sq. ft or portion thereof SP GFIELO fcllr.u,ir,g i ii,a ELECTRICAL PERHTT APPLICATTON City Job Nunber q LI lZ cl €l FBE SCEEDIII^E BELOY $ 8s.00 s 1s.00 JOB ON Electrical Contractor Address Ci ty Address Ci ty Permits ire non_transferable and expireif vork is not started "iihin-i;O daysof^issuance or if voi[ i;';;;#ded for180 days. 2. CON:TRACTOR INSTALI,ATTON ONLY rkl, fu-,, 'l fr ?v Dqo/ ' Th" tourrr, *,;$tr",-'Jno3J:,if,ffi _.":iJ jffi :,[T jjl? sP_RIry FIELD, oREGON 9747 IMEITIoN REeuEsr: 126OFPTCE: 126-3tSg 225 FTFTE SIREET 1 7 -3il69 Zcnl () -4-'t t Authonzed Slgnalure 7.A .8. Sum Each Manuf ,d llome. or .- Modular DvellingSertice or Feeder Services or Feedersfns_ta-Ilation, A1 terationsor Relocation: 200 amps or less201 amps to 400 amps - 40L amps to 600 amps -- 601 amps to 1000 amps-0ver 1000 amps/voIt Reconnect Only Supervis License Number Expiration Date 0 Constr Contr. Number Expiration Date Signat nnone .7// -Jif3 ng Electrician Phone s 40.00 s s0.00 s 60.00 $100. 00 s130.00 s300.00s 40.00 see C D E Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or less 201 amps to 400 amps - over 401 to 600 amps -0ver 600 amps or 1000 vrof[s.t- Branch Circuits aEoG- .00 .00 .00 rf Brl Saosss $80 New, Alteration or Extension per panel oneCircuit t Sgs.OoEach AdditionalCircuit or vfth Service -.,or Feeder permit q) S 2.OO e5 La- The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent. Omers. Signature: Miscellaneous (Service./feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited Energy/Re Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL $ 40.00 s 40.00 $ 20.00 s 36.00 5 DATE: RBCEIVED qr- Owners Name D ATTACHMEI'II BI .toB N0.?4tz 7 v CITY OF SPRINGFIELD SYSTEMS DEYELOPMEMT CI{ARGE [^/ORKSHEET (COHMERCIAL & RESIDENTIAL) u,2 NAI4E OR COMPANY: I-OCATION CIEVELOPHENT TYPE: BUILDING SIZE: t Ot IMPERVIOUS SQ. FT 2. SANITARY SFWFR-CITY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRiP x $436.19 x x s436.19 x $436.i9 5.*/ "av+z SI / x 25' EluA CaU&€A G€ From item 2 $17.19 PER PFU + $10 }4\,,It.1C ADMIN.FEE Above) X $0.209 PER SQ. FT s 6 ./3 X $43.26 PER PFU $ SUBTOTAL (ADD ITEMS 1,2. & 3)s .^/ /3 Ft 4. SANITARY SFhIFR-MhJI4C NO. OF PFU'S (Use PFU Total 5 ANMINISTATIVF FFFS BASE ABOVE) X .05 g, P. s IMMC CREDIT IF APPLJCABLE (sEE *"tot'ioro,--**. '0. SUBTOTAL (ADD ITEMS 1,2.3 & 4) s s ).>D ( -7 4 Ma SDC 82.SDC rdi nator Date:?-r TOTAI SDC gZ /,1s /z g .2A,tz FTXTURE UNrT CALcuLATToN TABLE: r.rumuer or New Fixueq X Unit Equivarent (NOTE: For remodet', *t"'i"'" only"roe NET additional fixturesl*rr* O, UNIT Niw r,xrunrs EoUIvALENT FIXTURE TYPE = Fixture Units FIXTUBE UNITS Bathtub..... Drinking Fountain-.-. Floor Drain lnterceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc.......... Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Traiter)...... Receptor For Refrigerator/lVater Station/Etc Receptor For Commercial Sink/Dirshwasher/Etc.. Shower, Single Sta11.......... 2 1 2 3 6 2 o 6 1 3 2 1/Head 2 2 1 6 4 Shower, Gang......... Bar, Commercial, Residential KitchenSink: Urina Toilet . Private Miscellaneous: Wash Basin/Lavatory, Sing Toilet, Public lnstallation..- CREDIT CALCULATION ,ta rT'nt topl gnr TABLE: Based on assessed value. tes. TOTAL FIXTURE UNITS lf improvements occurred a calculate credits separa after annexation date in table, Year Annexed Flate per $1,OOO Assessed Value Year Annexed Rate per $ 1,OOO Assessed Value 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 s3.46 3.38 3.32 3.21 3.06 2.92 2.73 1 985 1 986 1 987 1 988 1 989 1 990 1 991 1 993 $2.46 2.14 1.77 1.37 o.97 o.61 o.44 o.15 Credit for parcel or Land Or$/ lf Applicable lmprovement (if after annexation date) (Ra te X Assessed Value)x$ (Rate X Assessed Value) x$ $CREDIT TOTAL - BESIDENIIAT PERIfrIT APPLICATION lnspections: 726-3769 0ffice:726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: - BLOCK: ke JOB NUMBER ?u/22A, 225 Fifth Street Springf leld, Oregon 97 477 TAX LOT:O.ftz'^ SUBDIVISION: ZIP:STATE: -OWNER: ADDRESS: CITY: ADDITION Y DEMOLISH- OTHER DESCRIBE WOBK:2 NEW- REMODEL PLUMBING: MECHANICAL: ELECTBICAL: ADDR EXPIRES PHONENAMEAaCONT GEN CONST. CONTRACTOR # M \ "3RSC-Itil- OFFICE USE - RANGE:WATER HEATER: LAND USE:FLOOD PLAIN: * OF UNITS:ZONING CODE: r OF BDRMS: QUAD AREA: r OF BLDGS: OCCY GROUP: r OF STORIES:SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Rough Mechanlcal - Prlor to cover. [---l Final PlumbingtJ plumblng work - When all ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. m Rough Electrlcal - Prlor to ry Final Electrlcal - When all electrical work is complete.scover. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.tr Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated,Flreplace - Prlor to faclng materlals and framlng lnsp.ry Flnal Bulldlng - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.tr m F Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other WalltCelllng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.Drywall - Prlor to taplng MOBILE HOME INSPECTIONSUnderlloor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. [--l Blocking and Set.Up - When ail - blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrical Connection - When blocking, set-up, and plurlbing inspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to tilling trench. Sldewatk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. Water Llne - Prior to filllng trench.[-_l fence - When compteted Rough Plumblng - Prior to cover. Street Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrting, decks, andventlng have been installed. q7D= PHoNE: 7{7-%72 z2=. \ n Temporary Electrlc tl E M tl E E tl E E E E E tl fl E Lot faces Lot sq. ftg' Lot coverage ToPograPhY Total helght Lot TYP _- lnterlor - Corner - Panhandle - Cul-de-sac ui P.L.HSE GAR ACC N S E \ ISTH E PROPOSED WOBK TN THE HISTO RICAL DISTRIgT'OR ON THE H ISTORICAL REG ISTER? lf yes, thls aPPl icatlon must be slgned and aPProved by the Historlcal Coordinator Prlor to permit issuance' APPROVED: f (,/e ., r?/2/.6o VALUE @- l(l ur x $/so. FT, 3E BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Total Value Buildlng Permit Fee State Surcharge Total Fee 3lBSdr^\,. (A) 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 Ordinanceadopted by the City of Springfield, includlng theDevelopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Reviewed By t /rqlqq P a-5 9V Receipt Numbe lffic Plan Check Fee; Date Paid ved By: SYSTEMS DEVELOPMENT CHARGE (SDC)/zt . y's(B) Systems Development Charge is due on all undeveloped properties within the City limlts which are being improved. ITEM FixLures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. PLUMBING PERMIT FT. Plumbing Permit State_ Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent (c,) NoVent Fan Mechanical Permit lssuahce State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without permission of the Building Safety Divislqn. I further certify that only contractors and employees who are ln compliance with ORS 701.O55 wlll be used on thls project. I further agree to ensure that all required lnspections are requested at the proper time, that each address ls roadable from the street, that the permlt card ls located at t Date he front on the s at all times duri of the property, and the a set of plans will remain tructlon. MISCELLANEOUS PERMTTS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition Stale Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Comblned) to?.tO ID ? o DATE PAID AMOUNT HECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER .. ., 1,. i $.r..1 FT- 6