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Home My WebLink AboutPermit Building 1993-06-288ES/DENIIAT PERMIT APPL'CATION lnspections: 726'3769 0fice:726'3759 sr)rlr^,(;r:tELt) JOB NUMBER 225 Fifth Street Spring lleld, Oregon 97477 &JIDALOCATION OF PROPOSED WORK: ASSESSOBS MAP: LOT: z-("r c) /oa BLOCK SUBDIVISION: 3q t/- 7Z7o C b<Q",.\nC^PHONE: OWNEFI: ADDITION DEMOLISH OTHERxREMODEL DESCRIBE WORK: NEW PHONEEXPIRESADDNESS 'R.',^,),rtlEt1 3 ./{-')z><,'\e?.1*.{1'7 >>CONTRACTOR'S NAME 3\<., " CONST. CONTRACTOR ' GENERAL: PLUMBING MECHANlCAL: ELECTBICALi ? OUAD AR _ OFFICE U LAND USE: CONSTR. TYPE HEAT SOURCE: RANGE:II/ATER HEATER: E OF BLDGS: FLOOD PLAIN ZONING CODE: ,' OF BDRM SECONDARY HEAT: SOUARE OCCY GROUP: I OF STOBIEST 8q \r^,J .l\ \st ADDRESS: CITY: STATE:o()-ZIP:'ilYal To request an insPection, You must call 726-3769. This ls a 24 hour recording. All inspections requested before 7:00 a'm' will be made the same worklng daY'lnspections requested afte r 7:00 a.m. wlll be made the followlng work day' REQUIRED INSPECTIONS Rough Meclranical - Prior to cover. Final Plumbing - When a [-l remPorarY Electric plumbing work is complete' ll 6f una"rtloor Plumbing I Mechanical V' Prior to insulation or decking' @Tost and Beam - Prlor to floor 7 insutation or decking. f-7A Floor lnsulation - Prior to Y decxtns. F P F F Site lnsPection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing I Electrical / Mechanical - Prior to cover' Fooling - After trenches are excavated. Masonry - Steel location, bond beams, groutlng. Foundation - After lorms are erected but Prior to concrete placement, Underground Plumbirrg - Prior to (illing trench. tary Sewer - Prior to filling trench Sewer - Prior to (illing trench. Water Line - Prior to lilling trench. Rough Plumbing - Prior to cover. ough Electrical - Prior to cover Electrical Service - Must be approvccl lo obtain Permanent electrical Power. Final Electrical - When all electrical work is comPlete' 7 [-l FirePlace - Prior to lacingL-J m61svi3ls and (raming lnsP' f-YFinal Mechanical - When all lltfmechanical work ls complete. fd Finat Building - When all H required lnsPections have been / approved and building is comPleted. Electrical Connection - When blocking, set-uP, and Plumbing inspecti,ons havc been aPProved and the home is connecled to the service Panel. Final - After all recluired insDections are approved and porchcs, skirtln0, decks, and venting have been installed. l-l Wood Stove - A{ter installation lnsert - nfter lireplace approval and installation ol unit. Curbcut & APProach - Af ter forrns arc ert,'ctcd but Prior to placement ol concrcte. Framing - Prior to cover' WalllCeiling lnsulation - Prior to cover Drywall - Prior to taping Sidcwalk & DrivewaY - Af ter excavation is comPlete, {orms and sub'base material in Place' Fence - When comPleted Strool Trees - Whcn all required trees are Planted. Other MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. F rf - 4/ - q r , E tt)ilcl(s Lot laces Lot sq. ltg' Lot coverage ToPograPhY Total helght Lot TYPo - lnterlor - Corner - Panhandle .- Cul'de-sac APFFIOVED: aclopteu by the City of Springfield, including the Developrnent Code, regulating the construction and use of ttuil(lings, ancJ may be suspended or revoked at any time Rcceipt Nuntber:- iv4q6 Dale upon violation of a provi EC KHcNPLAELUAVGDNULB ITEPMRGLIIDNBDUNA dsahatthetionoCndcthontedmlcexpresshiTgranSper ancn enlorcotomh0rdienalress,n CU slron al pectco [)lan Check Fee Datc Paid f said ordinances BUILDING PERMIT Rccei Eso.X To UE \ (A) Car IqtrA Building Permit Fee State Surcharge Total Fee ITEM Main Garage Systems Development Charge is due on all undeveloped properties within the City limits which are being improved.SYSTEMS DEVELOPMENT C (B) HARGE #zr (s DC) *,89"(r, - ADDTTIONAL COMMENTS 4 I ITEM Fixtu re s Residcntial Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE I ;LFT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert,/ Fireplace Unit Drycr Vent 3- No a\ \.(D) MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan 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 further certlfy that any ancl all worl< performed shall be done in accordance wilh the Ordinances of the City of Springfield, and the Laws c.rf tlre State of Oregon pertainlng to the work described lrcrcin, ancl that NO OCCUPANCY will be made of any structure without permission of the Buildlng Safety Division. I further certily that only contractors and employees who are ln compliance witlr ORS 701.055 will be used on this l)roiect. I f urther agree to ensure tlrat all required inspections are requestecl at the proper time, that each address ls readable f rom the strect, that the permit card ls located at the Irorrl the approved set of plans will rctrrain Signature Date 2 imes during constructlon. L- 2g'i3 ol the propertY, on the site at al MISCELLAN EOUS PERMITS Moblle Home Slate lssuance State Surcharge Sidewalk Curbcut .13 ',3,L ', Demolition Total Miscellaneous (E) TOTAL AMOUNT DUE (excluding elcr:ttir;al (A, tl, C, D, ancl E Corrrt)irr(-'(1) VALIDATION NECEIPT NUMBER DATE PAID e aqts AMOUNT RECEIVE llt:()l:lVI:l) l*(5 D., q@ we- MO ESIDENTIAL :RM APPuCA ;peclions: 726.3769 fice:726'3759 o TION JOB NUMBER 225 Fifth Street ((eld, Oregon 97477n 1 ADDRESS :l N OF PROPOS n iSESSORS MAP: VNER: )DRES TY: ESC EW R IBE \^/OR R ONT iENE ICATIO vtECHANICAL: TAX LOI T. BLOCK:t, - CONST. CCNTRACTOR 'EXPIRES PHONE ,LUMBING: :LECTRICAL: - OFFICE USE - OUAD AREA: f OF BLDGS OCCY GROUP: s OF STORIEST WATER HEATER Site lnspeclion - To be made after excavalion, but Prior to setling (orms. Underslab Plumbing / Electrical/ Mechanical - Prior to cover. ing - After trenches are avated Masonry - Steel location, bond beams, grouting. ndalion - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Under f loor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor !nsulation or decking. Floor lnsulation - Prior to decki ng. Sanilary Sewer - Prior to filling trenclt. Rouglr Plumbing - Prior to LAND USE:FLOOD PLAIN ZONING CODE: # OF BDRMS: SECONDABY HEAT SQUARE FOOTAGE: ll be Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set.UP - When all blocking is comPlete. Electrical Connection - \lJhen blocking, set-up, and Plumbi ng inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, sklrting, decks, and ventirrg have been inslalled. * OF UNITS: CONSTR. TYPEr HEAT SOURCE: To request an inspection, you must call 126-3269. This ls a24hour recording. All inspections requested before 7:00 a'm' wi made the same worklng day, inspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS TemporarY Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Prior to W,::X,sewer - Prior to rirrrns p}::"'^Line - Prror to rirrins cover Electrical Service - Must be approved to obtain Permanent eleclrlcal power. Fireptace - Prior to faclng materials and {ramlng lnsp. Framing - Prior to cover. Wall/Ceiling lnsulalion - Prior to cover. Drywall - Prior to taping Wood Stove - After installation. lnserl - After firePlace approval and installation of unit. Curbcut & APProach - After forms are erected but Prior to placement of concrete' Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Fence - When comPleted Street Trees - When all requlred trees are planted. PHONE: ZIP:STATE: HERDEMOLISHDITIONA cover. C\ SUBDIVISION: - NA tl E E E E E tl E E tl E E [-l Plumbing Connections - Whenu home has been connected to water and sewer. E E E E \N lHE Hls-l-o t--le PnO RICAL POSED DISTR rct, oR V!OBK ONIST GISTE A? --- THE H It Yes' ISTORI tir\s aPP\ CAL RE \cat\on rnus \ be signed H\s\o(\ca\ and aPProved r to perm it lssuance' Coo rdinator Prio APPROVED: bY thcLgt {aces Lot sq. ftg' Lot coverage ToPograPhY Total heighrt Lot TyPe - lnterior -- Corner -- Panhandle -- Cul-de-sac BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the exprcss conditi<-rn tlrat the:;aid construction shall, in all respects, conforrn 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 .it any time upon violation of any provisions of said ordinances. Receipt Number:- Plans Reviewed By Date Plan Check Fee: -Date Paid Received By: VALUE ( (A) X $/SQ. FT, Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT, FT, PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent 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 cerlify that all information hereon is true and correct, and I f urther certif y that any and all work performed shall be done in ;rccordance 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 mride of any structure without permission of the Building Safety Division. I f urther certify that only contractors and ernployees who are in compliance with ORS 7O1.O55 will be us,ed on this project. I further agree to ensure that all required inspcctio\s are requested at the proper time, that each address is readable from the street, that the permit card is locatcd at the f ront d the approved set of plans 'will remain $€t of the property, AMOUNT RECEIVED _ - S ig natu re Date on the site at mes during construction VALIDATION: RECEIPT NUMBER -o,*e per{c-=. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolitlon State Surcharge Total Miscellaneous Permits (E) A. \ CITY OF S OREGO'V SPRI,TIGFIELD BIJCTRTCAL PERI{IT APPLICATION225 FIFTH STRBET sPRrNcFrEID, oRBGON 97477 INSPBCf,ION REQUBST. 726-3769 oPFrcB: 7264759 ?* city Job Nunber tllpt l^.P R B B 1. Permi ts non-transferable and expire if vork is not started vithin 180 days of issuance or if rrrork is suspended for 180 days. . COI|TRACTOR INSTALI,ATION ONLY E1 ical Contractor Address Ci ty Supervisor Lice Expiration Date 3. COHPI,ETE FEE SCEBDIILB BBLOS A New Residential-Single or MuIti-Family per dvelling unit Service Included: I tems Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterations or Relocation: ps_ rps 000 voft 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- $ s0.00 $ 60.00 $100.00 $ 130. 00 $300.00 $ 40.00 Constr Contr. Expi rat ion Slgna 0wners Name Addres Ci ty Phone OgNBR ALI,ATION The installation is being made on ee rrBrr aSoF B anch Circuits Nev, Alteration or Extension Per Panel Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocati 200 amps or less 201 amps to 400 am 0ver 401 to 600 am Over 600 amps or 1 One Circuit S Each Additional Circuit or vith Service or Feeder Permi t _ $ Miscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/0utline Lighting- $Limited Energy/Res - $Limited Energy/Comm $ c $ $ $ss 40.00 55.00 80.00 onc property for sale Ovners S own vhich is not intended lease or rent. 3s.00 . 2.00 not included) 40.00 40.00 20.00 36. 00 5. SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL ) \_T ( Phone of Supervising Bleetri r te DATB: ure: ?r )<l- m L*fiMqtJOB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (coMt'IERcIAL & RESIDENTIAL) NAME OR Y: LOCATION: DEVELOPMENT TYPE:Mo*-xlew Drs BUILDING SIZE:SIZ F l.STORM D RAINAGE IMPERVIOUS SQ. FT.t't gb x $o.lez PER SQ. FT 2. SANITARY SEI,IER-CITY NO. OF PFU'S (See Reverse) X $39.78 PER PFU TRANSPORTATI ON NO OF UNiTS X TRIP RATE X COST PER TRIP 2 x o,b13 X $401 .05 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .0s 5. SANITARY SEWER-MWMC NO. OF PFU'S ZZ (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator TOTAL-CITY SDC $18 +>q7 $13.62 PER PFU + $IO MI,{MC ADMIN. FE r- s 3o1G! S a. Fr. $ $ SUBT0TAL (ADD ITEMS 1,2, & 3)s t151b3 3g .) 3 X X x $40I.0s x $401.0s 4 TOTAL-MI^JMC SDC TOTAL SDC 8tst9- $ Zl+t g7 f FIXTURE UNIT CALGUIJ{T,On, ,o"LE: r.rumuer of New Fixtures X Unit u.{.rivalent = Fixture Units (NorE: For remodels, calculate only theNgf, additional fixtures) NUMBER OF UNIT FIKI-URE FIKTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub....... Drinking Fountain...... Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc...""""""" Interceptors For Sand/Auto Wash/Etc.""""""""' Z Laundry Tu Clotheswasher - 3 Or More-.. Mobile Home Park Trap (1 Per Trailer)""""""""" Receptor For RefrigeratorAVater Station/Etc"""" Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stall....-........ Shower, Gang...-.-..... Sink, Bar, Commercial-. Urinal, StallflVall....ZWash Basin/Lavatory, Single. Water Closet, Public lnstallation-- Water Closet, Private....- lvliscellaneous TOTAL FIKTURE UNITS cREDlr CALCULATTON TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate cred its seParates- Credit for Parcel or tand Only tf Applicable lmprovement (if after annexation date) 2 ,8\x$z9 (Rate X Assessed Value) 2 1 2 3 6 2 6 6 1 J 2 1 /Head ?- L Residential.. Commercial lndustrial..... ""':"""" Governmental.... -... --. -..... x s- (Rate X Assessed Value) CREDIT TOTAL a2:, 2 2 1 6 4 =$I RUNOFF COEFFTCIENTS FOR STORM DRAINAGE 0.4 0.9 0.45 0.5 Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 IMPERVIOUS AREA = TOTAL LoT slzE X RUNOFF COEFFICIENT J- --4- - ---T- z -8 - 2Z 7- ?bs ,5 TIFTH STREBT ]RTNGFTELD, OREGON 97477 NSPECTION RE0UEST: 726- TPPICE: 726-3759 Authorizod I JOB Permi ts non-transferable and exPire h ELECTRICAL PBRHTT APPLTCATION w,es---w\0 sPR'. - ,.-,ELO specific land uso Ci ty Job Nunber COHPLETE PBB SCIIEDULE BELOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost .-r ,,vl , tr"'|ilrItJ s.A B EA c D Sum if vork is not started vithin 180 days of issuance or lf vork is suspended for 180 days. 2. COI{TRACTOR INSTALI,ATION ONLY Electrical Contractor Address 35V S.Pt, Ci ty pnone 744-/165 '17 7/7 s'Supervisor Li cense Expiration oate 3'15 ,, Constr Contr . nu Uer ?? 4i3 Expiration Date ?- ?4 Signature of sing Blectrician Owners Name Add ress Ci ty Phone OVNER tfi0", The installation is being made on property I own vhich is not intended for sa1e, lease or rent. Ovners Signature: s ls.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/vo1ts Reconnect 0niY Temporary Services or Feeders Installation, Alteratlon or Relocation 200 amps or less $ 40.00 ior "rbr to 4oo amps - S 55.00 over 4b1 to 6oo am-ps - $ 8o.oo Over 600 amps or lbOO voTts see rrBrr a5ffi Branch Circuits Nev, Alteration or Extension Per Panel 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DvelIing Servlce or Feeder d_lrl$ 8s.00 $100.00 $130.00 $300.00 $ 40.00 $ $ .0050 60 00 One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting- Limi ted Energy/Res SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL s 40.00 $ 40.00 s 20.00 s 36.00 5 DATB: CITY OF OREGON RECEIVBD (._ (fl q 4\