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HomeMy WebLinkAboutPermit Building 1993-10-29SPRINGFIELO 5? +tz JoB NUMBEa ??lzT 225 Fifth Street Sprl ngf leld, Oregon 97 477 TAX LOT:ag/aP RLSID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PBOPOSED WORK: ASSESSORS MAP: LOT: * a BLOCK: SUBDIVISION: PHON ZIP: e.- STATE: OWNER: ADDRESS: CITY: New ?y REMoDEL ADDlrloN DEMoLISH orHER DESCRIBE WORK: PHONEEXPIRESADDRESS CONST. NTRACTOB #CONTRACTOR'S NAME GENERAL: PLUMBING MECHANICAL: ELECTRICAL: SE_ Z,RANGE: FLOOD PLAIN: ZONING CODE: # OF BDRMS: WATER HEATER - OFFICE LAND USE: HEAT SOU SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: OUAD AREA: r OF BLDGS:* OF UNITS: CONSTR. TY To request an inspecilon, you must call 726-3769. Thls ls a24hour recording. All lnspectlons requested before 7:00 a.m. wlll be made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS ,('"-oot"t' K X Electric Site Inspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underl - Prior to nsu on ng. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prlor to filling trench. Water Llne - Prlor to fllllng trench. Rough Plumbing - Prior to cover. .KH"": ^1,wff.,\-i);*'" 9Rough Electrical - Prior to F{cover. X Eleclrical Service - N4ust be approved to obtaln Permanent electrlcal power. Fireplace - Prlor to faclng materlals and framing lnsP. Wood Stove - After lnstallation. lnsert - After flreplace approval and installation of unit. Curbcul & APProach - After forms are erected but Prior to placement of concrete. Trees - When all requlred trees are planted ,ffiframlng - Prlor to cover. \Vf walllceilino lnsulalion - Prlor to fA"over. foo*'ll - Prlor to taPlng' MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking ls complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and Plumblng inspections have been aPProved and the home is connected to the servlce panel. ,E -F7 Post and Beam - Prior to {loor JAl"lnsutrrion or decki ng. tr tr ,K E tr, lVsiO"*"lk & DrivewaY - After F{excavation is comPlete, forms and sub-base materlal ln Place. l-l Fence - When comoleted. x Final - After all requlred lnspections are apProved and porches, sklrting, decks, and ventlng have been installed. .4-4>e .ff-o ) E [Yf rinal Plumbtng - When all plumblng work ls comPlete. lVPinat Electrlcat - When all 14 electrlcal work is complete. IVfFinal Mechanical - When all JAL mechanical work ls; complete. fii7t finat Building - When all F{required lnspectlons have been approved and building ls completed. -.5 otn"' o \L - \Praj R- fl Lot faces Lot sq. ftg. Lot coverage TopograPhY Total helght @M.& ud Lot Type 4nrcrior - Corner - Panhandle - Cul'de'sac Set lS r HE PROPOSED WORK 111 T+lE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcation must be slgned and approved bY the H istorlcal Coordinator prior to permit lssuance. APPROVED: P.L.HSE GAR ACC N 7 '7 s 7 W E /E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the sald constructlon shall, in all respects, conform to the Ordinance aciopted by the City of Springfield, lncluding the Development Cocle, regulatlng the construction and use of buildlngs, and may be suspended or revoked at any tlme upon violation of any provlsions of said ordinances' Flev P- ?22;a? 2 73*'.By Receipt Numbe Plan Check Fee: Date Paid Recelved VALUE (A)3?/LS 62 Main Garage Carport $/so. FT. = #-> 1zz1 Total Value Bulldlng Permlt Fee State Surcharge Total Fee BUTLDING PERMIT ITEM SO. FT. X 47zez Systems Development Charge ls due on all undeveloped properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHAR ct&tU"G # E (SD 20 gb(B) \rrll TONAL COMMENTSAD tL -) ITEM Flxtures Residentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE //e (c)co FT. FT. FT. 0 PLUMBING PERMIT gLao i By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I further certlly that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout permission of the Building Safety Dlvlslon. I further certify that only contractors and employees,who are ln cornpliance wlth ORS 701.055 will be used on thls project. I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the lront of the property, and the approved set of plans wlll remaln on the site at all tlmes durlng constructlon. lgnature Date /r'-?9-?Z VALIDATION: RECEIPT NUMBER DATE PAID Z,P .t/ SO MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N0 Stovr:Flreplace Unlt Dryer Vent Mechanical Permlt lssuance State Surcharge Total Permlt (D) MISCELLANEOUS PERMITS Moblle Home Stale lssuance State Surcharge Stdewatk @ tt curbcut 3D n Demolltlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, D, and E Comblned) .?7,s. / o,oo /, g8 tu Oosr 3g /?.to /4,so 33 ro -27?b,6b 1rAMOUNT BECEIVED BECEIVEO BY Plumblng Permlt State Surcharge Total Charge ? /Ar/^ iri li t 1 The. f ollcwlng proiect 8s submitted haa thezon;nq, arid docs'not rsquir€ specific land 97 47'TPPtoYat. ON OI' INST LECAL DIISCLIPTION JOB DESCRITIION3"R*5 Pcrnrits are non-transferable and explre 1t vork is not started vltlrin 180 days o[ issuance or if vork ls susPended for 180 days. 2.25 ItIl'Tll srRl':lir sl,ruNGrI [:Ll), oltl':(;01'l INSPIICI'ION REQUIIS'I : OFI'ICF.: 7')-6-375t) 2. CO}N'RACTOR IN!;TALINTION ONLY IiIcc t rical Con t rac tor DvwAl Ci ty E,l'houe ,<uL,rc3q{ Strpcrvi.sor License Ntinrbcr 4 Iixpiratiott Date Iixpi ra t ion Da te ,<-zz -q3 si turc of Supcrvising F.Iectrician Ouners Name 7?.6-3'169 7.5n; o.otu* lflas.h3 3. COHPLUTIT t'EB SCNEDULB BBLOV tlal-SingIe or foffiffi.11i ueo Ci ty Jo 1000 sq.ft. or less Each addltlonal 500 sq. ft or portlon thc reo f Each Manuf 'd llome or Hodular Duelling Service or Feeder CAL PINTHIT APPLI CATION b Number ?s/275 Q)iy Items Cost Sum // g ss.oo bs z $ ls.oo 3a s 40.00 50.00 60.00 00.00 $130.00 s300.00 $ 40.00 40.oo fu_ 55.00 80.00 s see rrBrr aEove HuItl-FamiIY Per dvelling unit' Serv I ce Incltrded : D. Scrvlces or [eeders Installatlon, Alteratlons or Relocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect OnIY c. 201 amps to 400 amps - over /r0t to 600 amps _ 0ver 600 amps or 1000 volt Temporary Services or Feeders Installatlon, Alteratlon or Relocation s $ $1 s $ $ Add ress Ci ty ['lronc OVNIIR INJ;'I'ALLATION Tlte installation is bcing made on property I ovn vhiclr is not interrded for sale, Iease or renr. ovners Slgnatttre: DATE: NNCIII'T tU.:(:t.:I VI:l) D. Dranch Clrcul ts Nev, Alteratlon or Extenslon Per Panel $ 35.00 $ 2.00 E. l'lisceflaneotts (Servlce/feeder not lncluded) -Each installation Plrmp or irrigation Sign/0utline Lightlng- Limi ted EnergY/Res - Limi ted Energy/Comrn SIIDTOTAL OP AIOVB 5I State Surcharge TOTAI, 00 00 00 00 s40 s40 s20 s36 t_.J-aa&__ lrY:4ry t,/ 5 {fiy,' tlrld -/TT nrsrtr:osr 3?ZbW tD- I *q,< Con:;tr Corttr . ""*U", 1.1061? One Ci rcui t Eaclr Additional Circtri t or vi tlt Service or Feeder Permi t JOB NO.clztzlS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }IORKSHEET (cot'tMERcIAL & RESIDENTIAL) Ro ^/ Ra 'EN6 oRGNAME OR COMPANY: TH 80205 t z- 08loo LOCATION: DEVELOPMENT TYPE: BUILDING SIZE: 1. STORM DRAINAGE IMPERVI0US SQ. FT. 2 SAN ITARY Et,lER-C ITY NO. OF PFU'S (See Reverse) 5FR siz o8 x $0.203 PER sQ- FT. t1 X $42.08 PER PFU x $424.31 x $424.31 x $424.31 $15.125 PER PFU + $10 Mt,lMC ADM FEE 2 Above) TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) . Ft. 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x x .0 4. SANITARY SEl^lER-Mt,lMC I From Item s 26223 NO. OF PFU'S (Use PFU Tota MUMC CREDIT IF APPLICABLE (SEE REVERSE) t13t 5. ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X .os K Burd Zil 03 sDc p Coordinator TOTAL SDC S TOB;IL 4b I I q FIXTURE UNIT,CALCULAI ,N TABLE: For remodels. calculSie only the NE addilional fixtures) NumberofNewFixluresXtEquivalent=FixlureUnits(NoTE: FIXTURE TYPE Bathtub.... Drinking Fountain...-.. Floor Drain-. lnterceptors For Grease/Oil/Sollds/Etc...""""""" lnterceptors For Sand /Auto Wash/Etc. - - - -.. -.. - -.." " Laundry Tub Gothesraqher - 3 Or More........., Mobile Hdme Park Trap (1 Per Trailer). NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS 2- 2 'I 2 J 6 2 6 6 'l 3 2 1 2 R eceptor For R ef rig eratorAVate r Stati on / Etc" " " " Receptor For Commerclat Sink/Dishwasher/Etc" Shower, Single'Stall... Shower. Gang...-.---..- Sink, Bar, Commercial Urinal, StallflVall...-zWash Basin/Lavatory Single. Water Goset, Public lnstallation...-?/-T- Water Closet, Private..... Miscellaneous TOTAL FIXTURE UNITS cREDlr cALcul-ATloN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits Credit for Parcd or tand Only lf Applicable lmprwement (rf after annaation date) 7.7 I x$.1t btta (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE /Head I 7 ---;-2 1 b + g q x$ = t Vtta Year Annexed Rate per $1,0O0 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.21 3.13 3.08 2.96 2.82 2.68 L51 1985 1 987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1-18 0.79 o.44 0.28 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 7-