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Home My WebLink AboutPermit Building 1993-05-06SPFlINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Olfice: 726'3759 Qfr, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT: SUBDIVISION LOCATION OF PRO POSED WOR ASSESSORS MAP: LOT:BLOCK: To request an inspection, you must call 726'3769. This is a24hour recording' All inspections reques made the same wor[<ing day, inspections requested after 7:00 a'm will be made the following work AEOUTRED INSPECTIONS Kfit"-o"rarY Electric B E ted before 7:00 a.m day. t Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete' Rough Electrical - Frior to ISTFinal Electrical - When all Ld electrical work is comPlete.cover will be Site lnsPection - To be made after excavation, but Prior to setting forms. Unders!ab Plumbing / Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior t() concrete placement. Underground Plumbing - Prior to filling trench. Underl - Prior norde cki ng Post and Beam - Prior to floor insutation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filiing trench. Storm Sewer - Prior to filiing trench. Waler Line - Prior to filiing trench. fi7 Electrical Service - Must be A\upprored to obtain Permanent electrical Power. Final Mechanical - When all mechanical work is comPlete.X wx' .K xx tr Kx x F ,K K K da wooa Stove. - I'f icr installationi^.t zEaO A/e. f,/O, Fireplace - Prior to facing materials and framing lnsP' Framing - Prior to cover. Wall/Ceiling lnsulation - P!'ior to cover. Drywall - Prior to taping lnsert - A.lter firepiace approval and installation of unit. Fence - When comPletei 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. Plumbing Connections - When home has been ccnnected to water and sewer. Electrical Connection - When blocking, set-up, and Plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, sl'.irting, decl(s, and venting have been installed. Eri"x f :':".u iS,llJf "I ;;,il J : t placenlent of concrcte. SZsidelvalk & Driveway - Aftcr lX{e*cavrtion is conrpieta, {oi.'ns arrd sub-llase materiai in piace. PHONE: ZIP:STATE: OWNER: ADDRES CITY: SH - OTHERADDITION DEMREMODEL WORKDESCRI NEW PHONEEXPI RESADDHESSNAME PLUMBING O EN ERAL: CONT CONST. CONTRACTOR # ELECTRICAL: \2U se-- r 7_-.2 rt\ HEAT SOUFI RANGE: -- _ OFFICE USE _ CONSTR. TYPE: * OF UNITS: LAND USE.:FLOOD PLAIN: ZONING CODE: # OF BDRMS WATER HEATER: -- QUAD AFIEA: # OF BLDGS SECONDARY HEAT SQUAHE FOOTAGE: OCCY GROUP: c OF STORIEST Rough Plumhing - Prior to cover. 6iErrnrrTrces - wnen -:tl required( l<-Y,-c-s a,e F)!anrcd. r [] E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v lnterior - Corner - Panhandle - Cul-de-sac Setbacks 7ao 259o GAR ACC IS JE PROPOSED WORK IN THE HISTORICAL DISTRICI, OR ON THE HISTORICAL REGISTER? _---- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED ffi,S lo- P.L.HSE N 5' E Carport lqvao 9E X \o 4o 4tag(A) SQ. -l 7 ,40 FT.__ =LlJ Currguf,O BUILDING PERMIT Main l42z- ITEM so. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express concjition that the said construction shall, in all respects, conform to the Ordinance ad<-rpted by tlre City of Springfield, including the Development CocJe, regulating the construction and use of buildings, and may be suspended or revoked at any time +t\ 5-{,:2)4t--l) p Rec ei ved Rcviewcd [3y Plan Check Fee Dat<; Pi-rrd lleceipt Numbcr: upon violation of ons of said ordinances. ZSEos-4Ee-Me ?,7f SYSTEMS DEVELOPMENT CHARGE (SDC) (B) #-rrraP p Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixt u res Residential Bath(s) Sanitary Ser.ver Water Storm Sewer Mob!le Honre FEE *?- (c) FT. FT. N0 F-r. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge __e?/cby ADDITIONAL COMMENTS ) , I Fire (D)3b No3 og ,/M Ztu3,9_ /6ee?oo Mechanical Permit lssuance State Surcharge Total Permit ?n,;o-4--*+-/e-!3 MECHANICAL PERMIT Fu rnace Exhaust i"iood Vent Fan Wood Stove/l Dryer Vent i3y signa'.1,+:, !statc and agree, that lhave carefully examined thr,, completet"l aptrrlication and do hereby certify that all irrformaiior-r nereon is true and correct, and I f urther certif y that any aird aii work performed shail be done in accordance with the OrcJinances of the City of Springfield, and the Laws of tlrc State of Ore-c;on pertaining to the work described Irerein, and that NO OCCUPANCY will be nrade of any structure without perrnission of the Building Safety Division. I f urther certily tl'rat only contractors and employees who are in compli:rnce with ORS 701.055 will be used on this proJ ect. I f urther agree to ensure that all required inspections are requesteC at the pioper tinte, that each address is readable f roln the slreet, that the permit card is located at the front of the property, and the rpproved set of plans will remain the site at all times cturing construction natu reA,ry o,l.. f/b/{? - MISCELLAN EOUS PERMITS Mobile Home State lssuance State Surcharge Sidewark 9O n Curbcut 33 t, Demolition State Surcharge Total Miscellaneous Permits (E) r 7s 4Zo -t -t 60 ^1-.r-,J4E TOTAL AMOUNT DUE (excluding electricai) (A, B, C, D, and E Combined)?s%{z }.S? L ?2AMOUNI' FTECEIVED 08 DATE PAID i . L.QV Y3? RECSiVED BY. VALIDATiONI: RECEIPT NUMBtrR _- 47 Total Value Building Permit Fee State Surcharge Total Fee I ( st'rllN(;FrI:Lo 225 FIFTE STRBEf, SPRINGFIEIJ, oRBGON 97477 INSPBCf,ION REQUEST-. 726-3769 <l,ts lctOPFICE: 726-3759 | t LPK 'w. ELBCTRICAL PERHIT APPLICATION eh %Dq3 1 Permits are non-transferable and e reif vork is not started vithin 180 daysof issuance or if work is suspended for 180 days. 2. Cot{TRACf,oR ONLY Electrical Contractor Add Phone 5" Ci ty Job Number PEE SCEEDULE BBLOV Nev Residential-Single or MuIti-FamiIy per dwelling unit. Service fncluded: Items Cost A CL,1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: -l-.J-s) Sum s 8s.00 $ 1s.00 $ 40.00 not included) 40.00 40. 00 20. oo Expiration Date Constr Contr. Number Expiration Date Signature Supervislng Blectrician 0 Ovners Address Ci ty Phone OIINER a -e The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECETPT RECEIVED 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps or ress -L S 4o.oo fr- 201. amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrr above D. Branch Circuits Nev,, Alteratlon or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 c\, s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Ci ty Supervisor Li cense Numbertu\Qs c @ E Hiscellaneous ( Service/feeder -Each installation Ptrmp or irrigation $ Sign/0ut1ine Lighting_ $ Limi ted Energy/Res $ Limited Energy/Comm $ SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL ,OREGO'U \[\ 5 --- / JoB No. 4to44t CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:Lo{o 1 I t t -t -t *- 5nr-til9otl LOCAT I ON :rJt-1€o ob o o DEVELOPMENT TYPE: L D? - l.lEW 9trk BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. SAN I TARY EI{ER_C ITY LOT SIZ 2rG1 x $0.192 PER SQ. FT X $39.78 PER PFU sQ. Ft. 2 4 NO. OF PFU'S (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X | ,oo9 X $401 .05 X X ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL AB0VE) X .os 5. SANITARY SEhlER-Mt^lMC NO. OF PFU'S \8 (Use PFU Total From Item 2 Above) MbIMC CREDIT IF APPLiCABLE (SEE REVERSE) K'i p Burdi ck SDC Coordinator x $401 .05 $ x $401 .05 s SUBToTAL (ADD ITEMS 1,2, & 3)$ l(,ll Z1 TOTAL-CITY SDC $t(,1r 1b x $13.62 PER PFU + $i0 MI,{MC ADMIN. FEE $ 255\9 TOTAL-Mt^lMC SDC TOTAL SDC 5tt2 ovt9 zz+o3 t5 3 s \1te qq FIXTURE UNIT CALCUI-ATloN TABLE: ruumuer of New Fixrures X Unit --ruivalent = Fixture Units (NOTE: For remodels, calculate only theNEJ additional fixtures) NUMBER oF uNtr FlxruRE FIKTUBE TYPE NEW FIXTURES EQUIVALENT UNITS /,t-2 'l 2 3 6 ? o 6 1 J 2 1/ 2 2 1 6 4 Z eadH Z L Ia Miscellaneous: TOTAL FIXTURE UNITS lg CREDIT cALcuLATloN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits seParates. -bl t? ? 2.*b x$l(.o (Rate X Assessed Val ue)x$ (Rate X Assessed Value) CREDIT TOTAL r> =$vt RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. """"'-"" 0'4 Commercial..........-......-- """""""' 0'9 lndustrial..... Governmental...............- 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 1 987 1 988 1989 1990 199.1 $2.1 6 1.90 1.60 o.25 0.87 0.50 0.16 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Bathtub....... Drinking Fountain.---. Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc" " " " " " ""' Interceptors For Sand/Auto Wash/Etc""""""""" Laund ry Tub/Clotheswasher-.. "' 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, Stall/Wall..-- Wash Basin/Lavatory, Single.""""' Water Closet, Public lnstallatiotr.. Water Closet, Private..... Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date)