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HomeMy WebLinkAboutPermit Building 1993-03-30Sr^.^g w. ?83 S qrP RE-IDENTIAL PERMIT APPLICATION lnspections: 726-3769 Olfice: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: 5r-?tInal,FIEl-1, .OB NUMBER 225 Flfth Street Sprlnglleld, Oregon 97477 TAX LOT:- o5-L SUBDIVISION 2 BLOCK: Th PHONE: ZIP:STATE: \-.oOWNER: ADDRESS: CITY: toN __4-DEMOLISH OTHER DESCRIBE WORK NEW BEMODEL A PHONEIRESS3 Fo a ) CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: coNsT. CONTRACTOR ' \ 3 c( OUAD A ?- L - oFFtcE usE - WATER HEATER: , OF BDRMS: FIANGE: A OF UNITS: LAND USE: , OF BLDGS:ZONING CODE: FLOOD PLAI SECONDARY HEAT SOUARE FOOTAGE: CONSTFI. TYPE: HEAT SOURCE: OCCY GROUP: r OF STORIES: To requesl an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecllons requested before 7:(X) a.m. wlll be madethesameworklngday,lnspectlonsrequestedafter7:ooa.m.wlllbemadethefollowlngworkday. ffEOUIRED INSPECTIONS Temporary Eleclrlc 4 w a Rough Mechanlcal - Prlor to ffi flnat Plumblng cover. tz-Y plumblng work - When all ls complete. Slle lnspecllon - To be made after excavation, but prlor to settlng forms. Rough Eleclrlcal - Prlor to fr Flnal Eleclrlcal - When all electrlcal work ls complete.cover. Underslab Plumbing/ Electrlcal / Mechanical - Prior to cover. Electrlca! Servlce - Must be approved to obtaln permanent eleclrlcal power. 4 , Flnal Mechanlcal - When all mechanlcal w6rk ls complete a Footlng - After lrenches are excavated.Flreplace - Prlor to faclng materlals and lramlng lnsp. w Flnal Bulldlng - When all requlred lnspectlons have been approved and bulldlng ls completed.Masonry - Steel locatlon, bond beams, grou.ting.w a w Framlng - Prlor lo cover. w OtherFoundallon - After forms are erected but prlor to concrete placement.WalllCelllng lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to fllllng trench.Drywal! - Prlor to taplng. MOBILE HOME INSPECTIONS @ E a q 4 l-l Wood Slove - Afier lnslallallon. Posl and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After llreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When all blocklng ls complele: I Plumblng Connecllons - When home has been connected to water and sewer. Floor lnsulallorr - Prlor to decklng.a Curbcul & Approach - After forms are erecled but prlor to placement of concrele.Sanltary Sewer - Prlor to fllllng trench.Eleclrlcal Conneellon - When blocklng, set.up, and plumblng lnspectlons have been approvod and the home ls connecled lo the servlce panel. Storm Sewer - Prlor to lllllng lrench. W Sldewalk & Drlveway - After excavatlon ls complele, forms and sub-base materlal ln place. Water Llne - Prlor to fllllng trench.n Fence - When completed. Rough Plumblng - Prlor to cover. Street Trees - When all requlred trees are planted. Flnal - Alter all requlred lnspectlons are approved and porchos, sklrtlng, decks, and ventlng have been ln3talledlwa tl ciz t QLI i Underlloor Plumblngl Mechanlcal - Prlor to lnsulation or decklng. E Lol laces Lot sg. ltg. Lol coverage Topography Total helghl @ *P LolrType X tnr.rro, - Corner - Panhandle - Cul-de-sac a*ia-- :AA-> IS THE PROPOSED WORK IN THE HISTORICAL OISTRIGT, OR ON THE HISTORICAL REGISTEB? - ll yes, thls appllcatlon must be slgned and approved by the Hletorlcal Coordlnalor prlor lo permll lesuance. APPROVED: P.L.HSE GAB ACC N 5? S gr' W lt E ?o $/SO. FT. - VALUE 5ze €/2,>a/?-- e22 BUILDING PERMIT llso (A) 4 0c) SQ. FT. XITEM Main Garage Carporl Total Value Bulldlng Permlt Fee Slale Surcharge Total Fee ?e/22e *.-// a.o a?a v/2 7a BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granled on llre express condlilon that lhe sald conslructlon shall, ln all respects, conform lo lhe Ordlnance adopted by the Glty of Sprlnglletd. lncludlng the Development Code, regulallng lhe construcUon and uge ol bulldlngs, and may be suspended or revoked al any tlme upon vlolallon ol any provlslons of aald ordlnances. q lcqlqt By: Recelpt Numbe & Date Pald: Recel Plan Check Fee: -^95 Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) f :fr Systems Developrnent Charge ls dus on all undeveloped propertles wllhln the Clly llmlts whlch are belng lmproved. ITEM Flxtures Resldentlal Bath(s) Sanllary Sewer Waler Slorm Sewer Moblle Home FEE 4 ./za FT. FT. FT. (c)€tr6 ./b.* PLUMBING PERMIT Plunrblng Permlt Slato Surcharge Total Charge E.* ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Venl Fan N' V Wood Stovellnsert/Flreplace Unll Dryer Vent (D) 7. -5 ?-f>.a +, Mechanlcal Permlt lssuance Slale Surcharge Total Permlt /Z.SP ,/D.+ .F= ??.7v I By slgnature, I stat€ and agree, that I have carelully examlned the completed appllcatlon and do hereby pertlly that ail lnlormatlon hereon ls true and corrsct, and I lurther cetilly that any and all work perlormed shall be done ln accordance wllh the Ordlnanccs ol the Clty ol Sprlnglleld, and the laws ol the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wll! be made ol any slructure wllhout permlsslon ol lhe Bulldlng Salety Dlvlslon. I lurther certlfy that only contractors and employees who are ln compllance wlth ORS 701.055 wlll be used on thls prolecl. I lurther agr€e lo onoure that all rggulred lnrpectlona are requested at the proper llm6, that each address ls readable lrom the str€st, that ths pormlt card le located at the ltont ol the properly, and the approved set ol plans wllt remaln Date the slte at all tlmes d ng con8tructlon. MISCELLANEOUS PERMITS Moblle Home Slate lssuance Slale Surcharge Stdewatk 6O I curbcut AZ n Demolltlon Slale Surchargetrt4e/a,/:fur UPc Tolal Mlscollaneous Permlls (E) //-* /7.=.gd 1be *,D /?.* ToTAL AMoUNT DUE (exctudlng etectrtcat ZZ-fi-CZ. (A, B, C. D. and E Comblned) VALIDATION: BEoETPTNUMBER- /z//too-. ' DArE PArD 3r/S or/2r',t AMOUNT REC RECEIVED BY N'. z. q\ '.'!",, ,:CITY OF OFEGO'U SPflINGFIELEl Il:,l'J1"#l!%B:"lH'?ilx.P$*tr'#: 225 vLwfl s1"BBf, aPProval' t 'nO SPRINGPIBLD' ORBGON 97477 Zonias [-zl-t- INSPEcTIoN REOI BsTz 726-T169 " 43OPPICB: 726-3759 e"'to.1ff-X- 1 IJGAL DESCRIPTION 2, DESCRIPTION permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days., 2. COIII?AC;IOR INSTALI.ATION ONLY EIecLrical Contractor RoSE CORP u$e ELECTRICAL PERHIT APPLICATION Ci ty Job Nunber PEE SCEEDTILB BELOU A Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Eaeh Hanuf'd Home or -Hodular DveIIing Servlce or Feeder $ 8s.00 $ 1s.00 s 40.00 B Services or FeedersInstaIIation, Alterationsor Relocation: D. Branch Circuits Nev, Alteration or Extension Per Panel m OFa Sum Address 89976 DAY L , City prrcrrup Phone GBG-090S Supervisor License Number 1 55BS Expiration Date 10/1/95 Constr Contr. Nurnber 54$;it Exp lration Date 9/3019s Slgna ture I Electrician 0wners Name Address ci ty-Phone OgNER INSTALI,ATION The. installatioir is beirig made onproperty I oun whlch is not intendedfor sale, lease or rent. Onners Slgnature: oxrYz {-6^? / RBCBIPT-T: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts -Beconnect Only C. Temporary Services or'FeedersInstallation, Alteration or Relocation 200 amps or less - S 40.00 qA 201 amps to 400 amps - S 55.00 over 401 to 600 amps - g 80.00 Over 600 amps or 1000 voTts see rrgrr "ffi[- F s s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 00 00 00 00 One Circuit Each Addi tional Circuit or vith Service or Feeder Permi t SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL s 3s.00 $ 2.00 ?Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limi ted Energy./Res -Llmi ted Energy/Comm s $ s $ 40 40 20 36 -72- RECEIYED 5 ^a\ I /a- 5t.t ul'a(;l: IGLIJ The following Proiect as submittad hm the lollowirg zoning, and does not require proval specifi c,"nO u*U rBarra,CAL PERH IT APPLICATION Ci ty Job Number SCIIEDULE BBLOU m 225 IIII.TII STIU.:IiT ;:lr N 97477 LDEst,tutlcIrIELl), oltlico INSPIICIION REQUI'.ST z 726-3-16 oFPICE: 726-3159 Date 1 OII INST N Pcrnrits arc non-transferable and explre It vork is not started '/1thin 180 days of issttance or if vork Is suspended for 180 days. 2. CO}IITACf,OR INSTALIJ\TION ONLY Iilcctrical Contract or Rose Corporatlon ^ r_t_-_ _^ 89976 Day LaneAdd r:ess Ci ty Eugene l'hone 686-0905 Supervisor License Ndnrber 1 568-S Expiration Date 10-01-93 Constr Contr. Number 54431 Expiration Date 9-30-95 S ign ature of Su pervising Blectrician 0wne rs Arld ress City hone OVNFJT ALLA The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signaturc: DATE: A. Nev Residential-Sing1e or Multl-FamilY Per dvelling un Service fncluded: I tems I c L000 sq.ft. or less Each additlonal 500 sq. ft or portlon thereo f Each Manuf 'd llome or Modular Dvelling Service or Feeder Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less 201 anrps to 400 amps - 401 amps to 600 amPs - 601 amps to L000 amps- Over 1000 amps/volts - Reconnect 0nlY ( ll -b JD it: Cos t $ 85.00 $ 1s.00 $ 40.00 Sum .00 .00 .00lgrr ,f,f,f $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less $ 201 amps to /r00 amps - $ over 4b1 to 600 a,nps - $ 0ver 600 amps or 1000 volts se 40 55 BO re D. Branch Circuits Nev, Alteratlon or Extension Per Panel one Cl rcui t S 35.00 Each Addi t ional Circuit or vith Service or Feeder Permit $ 2.00 E. l'liscellaneous (Service/feeder not included) -Each installation Plrmp or irrigation Sign/0utline Liglr t ing- Limi ted Energy/Res - Li /Comm AL Or AD0VB 5Z Sta $ $ $ s 00 00 00 00 40. 40. 20. 36. ArO RIiC[IPT I(Ii(:I.IIVIII) IIY: o TOTAI, D., ': Willamalane Park & Becreation District fob No. NAM AD LOCATION OF PROPOSED BUI N SI Street Address if Known Platt N 1 B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park SYSTEMS DEVELOPMENT CHARCE WORKSHEET Tax Lot Number: ONE: DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Single Familv - Detached I I Single Family home Manufactured home not in a park NO OF UNITS I X $400 PER UNIT = X $:ZO PER UNIT = X $277 PER UNIT = NO OF UNITS X $280 PER UNIT =$ WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NFI SDC ASSESSED (lf SDC reduced for Credit) d) $ $ $ CC) $ $ $ 6 Community City of Sprin Services D gfield Date K\Aq srn*:(S r'r fi8,3tk 5&rfr )B No. 7l t 414 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }IORKSHEET (CoMMERCIAL & RESIDENTIAL) NAME OR COMPANY :9ua 5. 4t {!T./g 02 o5l 2- - SaoOLOCATION LPP - *lew SreDEVELOPMENT TYPE: BUILDING SIZE: 1 STORM DRAINAGI IMPERVIOUS SQ. FT 2. SANITARY SEt,lER.CITY NO. OF PFU'S (See Reverse) SiZ zt o4 x $0.203 PER SQ. FT. X $42.08 PER PFU x $424.31 x $424.31 x $424.31 TOTAL-MI,IMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) a. Ft. 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x X X /,o/ 4. SANITARY SE1,lER-Mhlt.4C NO. OF PFU'S x (Use PFU Total From Item 2 Above) Mt.lMC CREDIT IF APPLIC.ABLE (SEE REVERSE) $ $ $I5.125 PER PFU + $IO MhlMC ADM FEE s zbz z5 1 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL AB0VE) X .05 Kip Burdick SDC Coordinator b 5 ,lzl'! 15143 /o 5 b TOTAL SDC 2-a s 1151 ') * I oOZ5 CALCUI-J ^ ON TABLE: Number oI New Fixlures nit Equivalent : Fixture Unirs (NorE: For remodels. calculAie only the Alf addirional fixtures) NUN,IBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...Z Drinking Fountain-.-.-. Floor Drain.. lnterceptors For G rease/O il/Sol ids/Etc" " " " " " " "' lnterceptors For Sand/Atrto Wash/Etc" " " "" " "-"' eadH 2 1 z J 6 Z 6 0 1 ., 2 1/ 2 2 1 6 4 Ltaundry Tub/Clotheswasher- -.. Clothes-waqher - 3 Or More.-..-..--.. Mobile Hdme Park Tr:ap (1 Per Trailer)'."""""""" Receptor For RefrigeratorAVate r Station/Etc" " " " Beceptor For Commerclal Sink/Dishwasher/Etc-' Credit for Parcd or tand Only lf Applicable lmprovement Crf after annexation date)x s_- (Rate X Assessed Value) CHEDIT TOTAL Shower, Single'Stall.. Shower. Gang.......-...2 Sink, Bar, Commercial.. Urinal, StallflVall.Z z Wash Basin/Lavatory, Single-.--...--. Water Closet, Public I nstallation. Water Closet, Private......-.. Miscellaneous: TOTAL FIXTURE UNITS lr cREDlr CALCUT-ATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits 3.zt x $7.7 t at'l ---q- (Rate X Assessed Value) $ l{2t - Year Annexed Rate per $1,O0O Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 19B0 1981 1982 1983 1984'1985 F.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 198B 1989 1990 't991 't992 s2.24 1.93 1.57 1.18 0.79 o.44 0.28 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. """"""" 0'4 Commercial.............--..-. """""""' 0'9 lndustrial"" """""""' 0'45 Governmental.......-..--.-.. """""""' 0'5 tMpERvlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT .)-