HomeMy WebLinkAboutPermit Building 1994-10-12>.74* /fd 60o S,fa
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lnspectlons: 726€269
Offlce:720.9759
ASSESSORS MAP:
LOCATION OF PROPOS n
ESIDENTIAL
ERMIT APPLICATION
v
JOB NUMBER
225 Flfth Street
Sprlngfleld, Oregon gZ 4ZT
SP,I,
LOT L
TAX LOT
BLOCK:
PHONE:
ZIP:STATE:
CITY:
ADDRESS:
OWNER:
L AODITION ___ DEMOLISH oTHER
AODRESS
EXPIRES EN)
CONST
CONTRACTOR
CONTRACTOR'S NAME
GENERAK
PLUMBING:
MECHANICAL:
ELECTBICAL:
?)
\\\\
- OFFICE USE -
RANGE:
* OF UNITS:
LAND USE:OUAD AREA:
WATER HEATER:
r OF BLDGS:
OCCY GROUP:
r OF STORIES:
r OF BDRMS:CONSTR. TYPE:
HEAT SOURCE:SECONDARY HEAT:
SOUARE FOOTAGE:
To request an lnspecilon, you must cail 726-3769. Thls ls a24 hourmade the same worklng day, lnspectlons requested after 7:00 a.m,
recordrng' Ail rnspectrons requested before 7:00 a.m. wlr bewlll be made the followlng work day.
[-l femporary Etectrtc
.M u:*r,li:"rri',1:?1:,::y*.,,, E
ffi Foottng - After tfenches are'- excavated.
[-l Maaonry - Steet tocailon, bondu beams, groutlng.
:
ffiouna"tlon - After forms areflerected but prlor to concrete
placement.
[-l UnAerground plumblng - prtor.- to fllllng trench.
E Underlloor Plumblng / M echanlcal
- Prlor to lnsulatlon or decklng.
REQUIRED INSPECTTONS
ffi nough Mechanlcal - prtor to
-{
cover.
Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
[-l Flreplace - prtor to factng]J materlals and framlng lnspl
X
tr
x.
tl
[-l lngert - After flreplace approval
-
and lnstallatlon of unlt.
ffi CurUcut & Approach - After,t-'\forms are erected but prlor toplacoment of concrete.
,fi',
ffiflnat Mechanlcat - When ail,F--\mechanlcal work ls complete.
[\/rtnat Buildtns - When alt,F-:t requlrecl lnspectlons have beenapproved and bulldlng lscompleted.
Electrlcal Connectlon - When
blocklng, set-up, and plurpblng
lnspectlons have been approvedand the home ls connected tothe service panel.
Other
MOBILE HOME INSPE TTONS
n Blocklng and Set.Up - Whep ail.J blocklng ls compleie,
Plumblng Connectlons - Whenhome has been connected towater and sewer,
Flnal Electrlcal - \A,(tren allelectrlcal work ls complete,c
Flnal - After all requlred
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Framlng - Prlor to cover.
i
WalllCbltlng lnst/latton - prlor tocover.
Drywall - Prlor to taplng
Wood Stovo - After lnstallatlon
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub.base materlal ln place.
[--l Fence - Whon completed.
Street Trees - When all requlred
trees are planted.
ii'ii1liin'liJ^;,Trhiiio" .&r"',: Erecrrrcar - pr,or to
settlng forms.
,X
N,
Flnal Plumblng - When ailplumblng work ls complete.
K
x
E
M
Posl and Boam - Prlor to floor
lnsulatlon or decklng.
Floor Insulallon - Prlor to
decklng.
Sanltary Sewer - Prlor to flltlng
trench.
Slorm Sewer - Prlor to fllllng
trench.
Weter Llne - Prlor to fllllng
trench.
Rough Plumblng - Prlor to
cover.
Tl € (/4
?zilsa
.qRSN
FLOOD PLAIN:
ZONING"OO.,E
tl
Lot (aces
Lot sq. ftg.
Lot coverage
Topography
Total tlolght
Lot Typ Setback IS THE PROPOSED WORK TN THE.' HISTOBICAL DISTRICI, OR ON
/. THE HlsroRtcAL REGISTER?
lf yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prlor to permlt lssuance'
APPBOVED:
0nte
.d- .ornu,
-
Panhandle
-
Cul-de-sac
E G
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit ls granted on the express condltlon that the said
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, lncludlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlsions of sald ordlnanoes.
Plans ewed By
,? ri' Dat6 /
Recelpt Numbe
Plan Check Fee:
Date Paldr
Recelved By:
VALUE
I3z
-t
2-
/57 5
ERMIT
SO. FT.
BUILDI
ITEM
Maln
Gat:age
Carport
X $/SO. FI.
f1..2o -l4,ro "
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
?4a.+*ztt) ,
(A)
61,b17
-7rot
qq/tu
ff,42a,@
Systems Development Charge is due on all undeveloped
propertles wlthln the Clty llmlts which are belng lmproved.
SYSTEMS DEVELOPMENT CH #a
(B
ITEM
Flxturest.
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE 7
FT,
FT,
FT.
___=rru_
41so'7z,go
NoZ /Oo,rc
PLUMBING PERMIT
Plumblng Permlt
State_ Surcharge
Total Charge
?)o *d,c2rPt,
(c)
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
dgo
/E"(- ?o
fr
MECHANICAL PERMIT
Mechanical Pormlt
lssuahce
State:surcharge
Total Permit
3% &vzt
(D)
Furnace
Exhaust Hood
Vent Fan
,,o
By slgnature, I state and agree, that I have carefully examlned
the comploted appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urlher cerilfy
that any and all work performed shall be dono ln accordance
wlth tho Ordlnances of the Clty of Sprlngfleld, and the Laws
of the Stato of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be mado of any
structure wlthout permisslon of the Bulldlng Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 70'1.055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspecilons are
reguested at the proper tlme, that each address ls readable
from tho street, that the permlt card ls located at the front
ol the property, and the approved set of plans wlll remaln
z(Date
srx,,.u
- c,o
on the slte at all tlmes d construct
Total Mlscellaneous Permits (E)
/4,H
6o
*---.r:_
lo/7/aO
ft
ft
#P
oE SU E,P ITSMRM ISC EL LAN
Moblle Home
State lssuance
State Surcharge
Demolltlon
State Surcharge
Sldewalk
Curbcut
TOTAL AMOUNT DUE (oxcludlng etecrrlcat)(A,B,C,QandEComblned)
/503 7
/a
VALIDATION;
BECEIPT NUMBEB
DATE PAID
AMOUNT RECEIVED
BECEIVED BY
,'. l
.ACC.P.L.
N
S
z',-z
-=//-r/ -r?-2/1-^
/?
N0
/o.ao
SJ.aZ-
hz-L)ta
SPRINGF!ELO
zclting, aiid does not requ lro epeolllc land use m
SPRfNGFIELD, ORBG0N 97477^.,- i O-rr-cicf
INSPECTION RBOUESI: 726-17'69*
OPPICE: 726-3759 A,.'tirorlzsd Signatu
1
Permlts are non-transferable and expire
if vork ls not started vithln L80 days -of lssuance or lf vork is suspended for
180 days.,
2. COI{TRACTOR INSTALI.ATION ONI.Y B
ElecLrlcal Contractor ROSE CORP
Address 8997 DAY LANE
225 PI,Ytg SI".EB[
City rucfrur Phone
Supervisor Llcen-se Number
Explration Date 10/1/95 ,'
' "iLconstr contr. Number 54431;
Explratlon Date
Slgnature of rvl Blectrician
Ovners
Add
ci
ON
The. installatioh is beidg made on
property I own vhlch is not intendedfor sale, lease or rent.
Osners Slgnature:
DATE:
City Job Nunber.
3. COHPI^ETE PEE SCEEDT'LE BELOU
Nev Resldential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
ELECTRICAL PERfiTT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
aroroval.
Tonno l-W
-APPLTCATION
41148 t
A
J_
3
s 8s.00
$ 1s.oo
$ 40.00
s s0.00
s 60.00
s100.00
$130.00
$300.00
s 40.00
Sum
.!6
1$
Services or Feeders
Installation, Alterations
or Relocation:
585-0905
c.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circui t or r.ri th Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 arnps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0nly
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 voT[s see trgrr "[f,!!-
-Each installation
Pump or irrigation
Slgn/Ou tline Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
STETOTAL OF N}OVE
5Z State Surchargerffirr=3p4wd.,
1 55BS
s 40.00
$ 40.00
$ 20.00
$ 36.00
5
I(
RBEBTV?D
@
a
t 'l
ATTACHMENT 81 r0B N0. 1+rqgG
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI CFIARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NA},IE OR COHPAI'IY:Mn>n oe.Dev.
LOCATION:?ob 1.1+lal ?r*ce.l-loZVznb 'o*7-oo
DEVELOPMENT TYPE : LPK- Ne\{9?L
BUILOING SIZE SI . Ft.
$ -l'7 a ats
s (.lo eJ
$
$
e '2!-z-b6!-s 2%' az
s taa.all
nzsl tb
g+B?:-
,U#a#
1. STORH NRATNAGF
IMPERVIOI.JS SQ. FT.tq2B ts X $0.209 PER SQ. FT $ 1?r tsf
2. SANTTARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
X $43.26 PER PFU
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X t.ot X$436.19
x
-
x $436.19
x
-
x $436.19
SUBTOTAL (ADD ITEMS i,2. & 3)
4. SANITARY SEI.ITR-Mh,MC
NO. 0F PFU'S tB x $17.19 PER PFU + $10 Mt'll\4c ADMIN.FEE
(Use PFU Total From Item 2 Above)
Mt^l[,lc CREDIT IF APPLICABLE (SEE REVERSE)
T0TAI -t'4t^lMc SnC
SUBTOIAL (ADO ITEMS 1.2.3 & 4)
5. ANMINTSTATIVE FEES
BASE CI{ARGE (SUBTOTAL ABOVE) X .05
$
, z&*
&a*Lr,.p-@
SDC Coordinator
82. SDC
Date:)o
TOTAI SDC $
t
FIXTURE UNIT CALCUT ^flON TABLE: Number of New Fi; as X Unit Equivalent = Fixture Unirs
(NOTE: For remodels, calculate only the NET additional fixturesl
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.....?-
L
TOTAL FIXTURE UNITS
q
lHead
2
1
2
3
6
2
6
6
1
3
2
'l
2
2
1
6
4
Z
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 Trailer)......
Receptor For RefrigeratorAy'y'ater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stal1..........
Shower, Gang........
Sink: Bar, Commercial, Residential Kitchen..
Urinal, StallllVall..:
Wash Basin/Lavatory, Single
Toilet, Public lnstallation.
Toilet , Private....
Miscellaneous:rTrrtt mp's *at
L
Z
Z
I
2
\a
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
't981
1 982
1 983
1 984
1 985
$3.46
3.38
3.32
3.21
3.O6
2.92
2.73
1 985
1 986
1 987
1 9BB
1 989
1 990
1 991
1 993
$2.46
2.14
1.77
1.37
o.97
0.61
o.44
o.15
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
7,qu xs
(Rate X Assessed Value)x$
(Rate X Assessed Value)
q.'? I
z-z^ bo
,J_
CREDIT TOTAL =$vvb:
I
Willamalane
Park & Recreation District
lob No.
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:
NO OF UNITS
B. Single Family - Attached
NO OF UNITS
C. Multi-Family APartment
NO OF UNITS
D. Manufuctured Home Park
NO OF UNITS
Services
,ti nl A
PHONE:
L X $400 PER UNIT;
X $370 PER UNIT =
X $277 PER UNIT =
X $280 PER UNIT =
s&ru
s4D,Q
$ 4DAD
ADDRESS:STATE:P
LOCATION OF FROPOSED BUIL G SITE:
's+
Stre€t Address if Known:
Platt Name:Tax Lot Number:
1 DEVETOPMENT TypE (Check appropriate dwellingk). SDC Catculations and dwelling type
definitions are on the back-)
A. Single Family - Detached
- L Single FamilY home Manufactured home not in a Park
$
$
$
WPRD SDC
2. SDC CREDIT (tf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet
3. TOTAT WPRD NEf SDC ASSESSED (lf SDC reduced for Credit)
$
$
, r+., ^+ \^irn
Date
d)
\\bL?273 f4zo