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Home My WebLink AboutPermit Building 1993-06-28ST'tIIN(;FIELL) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Ol(ice: 726'3759 ?fr, JOB NUMBER 225 Fif th Street Springfield, Oregon 97 477 trt LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: , z-(i c-r i UA TAX LOT: SUBDIVISION:BLOCK: ZIP:oaSTATE: PI-IONE:3 qq_ 7270tL)tq,,7 )Yal\\^.J8q OWNER: ADDRESS: CITY: ADDITION DEMOLISH OTHER,x BEMODEL DESCRIBE WORK: NEW PHONEEXPI RESADDNESS ure "7'{{_ ri 2>a.R.',*,\r.(l_:ti x'r "{i-'i'7 stCONTRACTOR'S NAM PLUMBING GENERA CONST. CONTFIACTOR ' MECHANICAL: -_ ELECTRICAL: EU E RANGE: _- OCCY GROUP: _ OFFI WATER HEATEB I OF STORIES: FLOOD PLAIN ZONING CODE: * OF BDRMS: SECONDARY HEAT SOUARE FO OUAD AREA: , OF BLDGS CONSTR. TYPE: HEAT SOURCE: LAND USE:, , OF UNITS To request an inspection, you must call 726'3769' This is a maOe'tne same worklng day, lnspectlons requested af ter 24 hour 7:00 a.m recording. All inspections requested belore 7:00 a'm' wlll be will be made the followlng work day' PECTIONSREOUIRED INS [-l remRorarY Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work ls comPlete' Site lnsPection - To be made after excavation, but Prior to setting forms. Underslab Plumbing I Electrical I Mechanical - Prior to cover' gh Electrical - Prior to Final Electrical - When all electrical work is comPlete'cover ectrical Servicc - Must tle Final Mechanical - When all mechanical work is comPlete' approved lo obtain Permanent electrical Power. ing - After trenches are Fireplace - Prior to facing materials and frarning lnsP' Framing - Prior to cover' Final Buildirrg - When all requlred insPections have bcen approved and building is completed. excavated MasonrY - Slcel location, bond beams, grouting.F Olher undation - After forms are l/Ceilirrg lnsulation - Prior toerected but Prior to concrete placement.cover, Underground Plumbing - Prior lo filling trench.MOBILE HOME INSPE TIONS w 7 Undertloor Plumbing/ Mechanical - Prior to insulation or decking' Post and Beam - Prior to floor insulation or decking.lnsert - Af ter lirePlace aPProval and installation of unit' Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decking.F Curbcut & APProach - Af ter forms are erectcd but Prior to placement of concrete' Plumbing Conneclions - When home has been connected to water and sewer. itary Sewer - Prior to lilling Electrical Connection - When blocking, set-uP, and Plumbing inspections have been approved and the home is connected to the service Panel. trench.Pd"ror^ Sewer - Prlor to lillingl(-J trench. .ffi w^tor. Llne - Prior to lilling F trencn' l-Z Rough Plumblng - Prior to f corer. Stroot Treos - When all required trees are Planted. Final - After all required inspections are aPProved and porches, skirtlng, decks, and venling have been installed.q I Pr P P Drywall - Prior to taping' l-l Woocl Stovc - After installation' E tl tl Sidewalk & DrivewaY - Af ter excavation is col'nPlete, forms and sub-base material in Place l-l Fence - Wtrcn comPletecl' P.L.HSE N S E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot lypc' - lnterior - Corner -_- Panhan(lle - Cul-de'sac ACC M, (.) t b.rcks BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tlris perrnit is grantecl on lhe express condition that the said oonslruction shall, in all respects, conform to the Ordinance BUILDING PERMIT VALUE Datearrs [1ovi b *s (A) \ ;icl o p ted by the City of Sprlnglield, including the Developmcnt Code, regulati ng the construction and use x $/so. FTso. t)lan Check Fce Dato Paid Rcceipt Nu Rccci mebuiltlings, an<l may lte suspended or revoked at cesupon violation of any provisions of said ITEM Main Garage Carport Total Value Building Permit Fee Statc Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within thc City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) *(B) {z't*?* ADDITIONAL COMMENTS *[>:(-,0( ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /84.{o, FT. FT. FT. N0 \, (c) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert./ Fireplace Unit Dryer Vent + /a (D) {) /29- - SZLAA Mechanical Permit lssuance state surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan r1 No +_ By signature, I slate ancl agree, that I have caref ully examined the completcd application and do hereby certify that all information hereon is lrue and correct, and I f urther certily that any ancl all vrork performed shall be done in accordance witlr tlre Orclinances of the City of Spririgfield, and the Laws of the Statc of Oregon pcrtaining to the work described lrerein, and that NO OCCUPANCY will be made of any structure witlrout permission of the Building Safety Division. I {urther certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on this lrro jec l. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable at the permlt card ls located at the front d the approved set of plans will retrrain Signature Date LK'77 f rom the streel, t ol the property, on the site at all mes cluring constructlon Miscellaneou IS I'HE PROPOSED WORK IN THE I]ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, this application must be signed ancl approved bY the Historical Coordinator prior to permit issuance. APPROVED MISCELLAN EOUS PERMITS Moblle Home State lssuance state surchar5 sidewalkfJ--'f\- ft curbcut 13& ,, Demolltion S rcharg VALIDATION RECEIPT N DATE PAID BE Its (E) TOTAL AMOUNT DUE (excltrtlinl; eler:ttit:it (A, B, C, D, ;in(l l--- C.rttrl'rtrr'':t) ,9blA NMOUNT NECEI$,-SJ rtt:()t tvt:t)\1v,,{ I ED 948 , a d) SIDENTIAL RMIT APPLICATION )ections: 726'3769 rce:726-3759 CATION OF PRO SESSORS MAP rT: WNER DDR ;ITY: )ESCAIBE WO o h, JOB NUMBER 225 Filth Street Spring tleld, Oregon 97477 BLOCK: c J stZ FI oot SUBDIVISION NEW-- R CONST. CONTRACTOR #EXPIRES PHONE CONT GENERAL: NAM 1 ADDRESS PLUMBING: MECHANICAL: PHONE: ztPSTATE: OTHEFIDEMOLISHADDITION RANGE r OF BDRMS: _ OFFICE USE - OCCY GROUP: # OF STORIES: ,---- FLOOD PLAIN: ZONING CODE SECONDARY HEAT SOUARE FOOTAGE: OUAD AREA: , OF BLDGS LAND USE: 'T OF UNITS CONSTR. TYPEr HEAT SOURCE: WATER HEATER: Torequestaninspection,youmust call 726-3T6g.Thislsa24hourrecording.All inspectionsrequestedbeforeT:00a'm' made the same working day, inspectlons requested after 7:00 a.m. will be made the following work day' will be REOUIRED INSPECTIONS TemporarY Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is cornPlete. Site lnspection - To be made af ter cxcavation, but Prior to setting {orms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is complete. ting - After trenches are Final Building - When all required inspections have been approved and building is completed. excavated Fireplace - Prior to facing materials and framing lnsP' Masonry - Steel location, bond beams, grouting.Framing - Prior to cover Other undation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taPing. MOBILE HOME INSPECTIONS Post and Beam - Prior to floor insulation or decking'tnsert - After firePlace aPProval and installation of unit. Blocking and Set-Up - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior to ptacement of concrete. Plumbing Connections - When home has been connected to water and sewer. itary Sewer - Prior to filling Electrical Connection - When blocking, set-up, and Plumbing inspections have been approved and the home is connected to the service panel. trench. Sidewalk & DrivewaY - After excavation is complete, forms and sub-base material in Place.Slorm Sewer - Prior to filling trench. er Line - Prior to filling Fence - When comPleted. trench Final - After all required inspectlgns are approved and porches, skirting, decks, and venting have been installed. Slreet Trees - When all requlred trees are planted. v Rough Plumbing - Prior to cover. TAX LOT E r E E E E fl duna.rlloorPlumbingrMechanical rY Y7",i';,"1J ''^11'L,,.; or deckins. I _l wood stove - After lnstallation' E tl E E poseo wo nr rs rne IS THE PRO HISTORICAL DISTRICT'OB ON ISTEIl? Lot taces Lot sq. ftg' Lot coverage TopograPhY Total height Lot TYPe - lnterior -- Corner - Panhandle - Cul'de-sac H THE HISTORI tf yes,tfris aPPlication CAL BEG must be signed and approved by the Historlcal Coordinator Prior to permit lssuance APPROVED: S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition tlrat the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating thc construction and use of buildings, and may be suspended or revoked at any time upon vrolation of any provisions of said ordinances. Receipt Number:- DatePlans Reviewed By Plan Check Fee. --Date Paicl Received By: BUILDING PERMIT VALUE (A) SQ. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE I (c) No FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANTCAL PERMIT Fu rn ace 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 ;-iccordance with the Ordinances of lhe City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be madc of any structure without permission of the Building Safety Division. I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspe ctiorls are requested at the proper time, that each address is readable from the street, that thc permit card is located ;rt the f ront of the property, and the approved set of plans will remain Signature Date I D on the site at al DATE PAID HECEIPT NUMBER VALI ON AMOUNT RECE RECEIVED BY MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) ) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. times during construction. TOTAL AMOUNT DUE (excluding electrical) - (A, B, C, D, and E Combined) C'TY OF OFEGOil 225 YTYTE STREET SPRTNGFIELD, OREGoN 974 INSPECTION RBOIBST. 72 OPPICE: 726-3759 BLECTRICAL PERHTT APPLICATION Ci ty Job Number COHPLBTE PEE SCBEDULE BBLOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost SPRIL */.-IELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf 'd ttome or -Modular Dvelling Service or Feeder Services or Feeders Insta1Iation, Alterations or Relocation: qp ,L k) Auttrorizerl not require \DB 1.OF 8t PTION Permi ts a non-transferable and exPire if vork is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COMRACTOR INSTALI,.ATION ONLY Electrical Contractor 352 3.Pt, A $ 8s.00 s ls.00 $ 40.00 Addr Ci ty Supe ess rvisor Li cense cl7 tflu", 3s ?,1 s' 200 amps or less 201 amps to 400 amps -401. amps to 600 amps -601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect 0nIy Pump or irrigation Sign/0utline Ligh ting-Limi ted Energylfes u- r,rmr ted Energy/Conm - B sll $ s0.00 $ 60.00 s100.00 $130. 00 $300.00 $ 40.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 Expiration oate 3 -?5 ,, Constr contr. Number *q 4iZ Expiration Date,?- e4 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 0ver 401 to 600 amps - g 80.00 Over 600 amps or 1000 voT[s see "8" affi Branch Circuits Nev, Alteration or Extension per panel One Circuit $ 35.00 Each Addi tional Circui t or vi th Serviceor Feeder Permit _ $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Signature of Su ing Electrician 0wners Name Add ress Ci ty Pho OIJNER STALI.ATTON The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Oyners Signature: DATE: E RBCEIVED 5.;rI!#:sl.lf:H" TOTAL q3DAk Sum n0 pnone 744-/165 Ft )O.( ll P - \(+ - JoB no. albozl5 CITY OF SPRINGFIELD _SI:]I$ DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:s Tev t ?n t-tA 9T LOCATION:25 DEVELOPMENT TYPE:Dk-^/ BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEl,IER-CITY ')o,3 X $401.05 NO. OF PFU'S (See Reverse ) TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP T SIZ x $0.192 PER SQ. FT. X $39.78 PER PFU TOT L-C ITY 2 sQ. Ft. s SDC g 5 3 x X X x $401.05 x $40I.0s 4. ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X -05 suBToTAL (ADD ITEMS 1,2, & 3) $ 1151c3 57 5 . SAN ITARY SEI^IER-Mt,lMC NO. OF PFU'S ZZ x $13.62 PER PFU + $IO Mlr{MC ADMIN. FEE S3O7C! (Use PFU Total From Item 2 Above jg MhlMC CREDIT IF APPLICABLE (SEE REVERSE) p Burdick TOTAL-MI^IMC SDC TOTAL SDC ) 1Z StEtb SDC Coordinator z1+u g7 s6I q FIXTURE UNIT CALCUI-ATION IABLE: t'tumuer or New Fixtures X Unit For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FITTURES Bathtub....... Drinking Fountain...... Floor Drain-. lnterceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc.................- Laundry Tub/Clotheswasher........... Z 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 L Urinal, StallflVall.. tivalent = Fixture Units (NC-I-E UNIT FIXTURE EQUIVALENT UNITS I 2 1 2 3 6 2 6 6 1 .) 2 .t 2 2 1 6 4 /Head 4LWash Basin/Lavatory, Sin91e............. Water Closet, Public lnstallation......,. Water Closet, Private...... It/liscellaneous. a L TOTAL FIXTURE UN|TS 12 CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. Credit for Parcet or Land Only lf Applicable tmprovement (if after annexation date) 2.83 x $295 (Rate X Assessed Value)x$ B (Rate X Assessed CREDIT Value) TOTAL =$z:, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 198'l 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1 986 1 987 1988 1989 1 990 199'l $2.1 6 1.90 1.60 o.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..0.4 0.9Commercial.. lndustrial.....0.5 IMPERVIOUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT