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Home My WebLink AboutPermit Building 1992-11-02ELT' RESID ENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK ASSESSO *1 LOT:BLOCK: JOB NUMBER 225 Fltth Street Sprlngfleld, Oregon 97 477 TAX LOT SUBDIVISION: 68?:3bd),tt/ f PHONE STATE: ,L 2z Zantr l '//p ztP a:/r 1.-7OWNER: ADDRESS CITY: NEW <EMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: EXPIRES PHONEADDRESSCONTRACTOR'S NAME o_zGEN E PLUM MECHANICAL: ELECTRICAL CONST. CONTRACTOR # 3$$rc2- F f_-,RANGE: * OF BDRMS: WATER HEATER s OF UNITSI LAND USE: SECONDARY HEAT: SQUARE FOOTAGE QUAD AREA: I OF BLDGS: FLOOD PLAIN: ZONING CODE OCCY GROUP: I OF STORIES: CONSTR, TYPE: HEAT SOURCE: To roquest an inspecilon, you must call 726-3769. This ls a 24 hour recordlng. All lnspectlons requested before 7:OO a.m. wlll be made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS [-{1 PInat Plumbino - When alltA\ptumblng worli ls complete.Temporary Electrlc Slte lnspectlon - To be made alter excavallon, l:ttt PIlor to settlng forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Fooling - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prlor to concrete placement. Underground Plumbing - Prior to lilling trench. Underlloor Plumblng/ Mechanlcal - Prior to insulatlon or decklng, Posl and Beam - Prlor to floor lnsulatlon or deckln0. E'f*: Mechanlcar - Prror to E(::*l: Erectrrcar - Prror to El Etecrrical Servlce - Must beQpproved to obtain permanent electrlcal Power. Flnal Electrlcal - When all electrlcal work is complete. Flnal req ulred ventlng have been lnsta lled Final Mechanical - When all mechanlcal work ls complete. MOBILE HOME INSPECTIONS Blocklng and Set.UP - When all blocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. K E. -K F ,E H x. ,E F X Flreplace - Prlor to faclng materlals and framlng lnsP. Framing - Prior to cover. Wall/Celting lnsulatlon - Prior to cover Drywall - Prlor to taPlng. Wood Stove - After lnstallatlon lnsert - After flrePlace aPProval and lnstallatlon of unlt. Curbcut & Approach - After forms are erected but Prlor to placement of concrete. -f,7 Flnal Bulldlno - When all JAvequtred lnspEctlons have been approved and building is completed. f,o,n., F/,a4 S//T ,(1%z/ IrTfrtoor lnsulatlon - Prlor to JA.l oecxtng. N/ Sanltarv Sewer - Prlor to filling /A{ trencn X;:""tl,.sewer - Prlor to rllllns FTwater Llne - Prlor to fllllng JA{ trench. fiilRoustt Plumblng - Prlor to lA\cover. [./ Sidewalk & DrlvewaY -JA{ excavatlon ls comPlete,-and sub-base materlal I I Fence - When comPleted. [7 Streer Trees - When all requlred zJAJ-trees are planted. Electrlcal Connectlon - When blocklng, set-up, and Plumblng lnspectlons have been approved and the home ls conngcted to the servlce panel. ,After forms n place. , tl E Se . S THE PROPOSED WOFIK IN THE -utstontcAL Drsrntcr, oB oN THE HISTOBICAL REGISTER? -- lf yes, thls appllcatlon must be slgned and apProved bY the Historlcal Coordinator prior to permit issuance. APPROVED: Lot (aoes Lot sq. ftg. Lot coverage TopographY Total helght ffi - Panhandle - Cul'de'sac GAR ACCP.L.HSE N S /2 47', 2/'E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City of Sprlnglield, including the Development Co<Je, regulatlng the construction and tlse of bulldlngs, and may bo suspended or revoked at any tinre Fleceipt Number:---- Reviewed BY lcA{zL Plan Check Fee Date Paid Flecei upon vlolati ions d ordlnances. (A) E S?5.5-3 x $/so. <os BUILDTNG PERMIT Total Value Building Permit Fee State Surcharge Total Fee Sao.Eo ITEM Main Garage Carport Systems Development Charge ls due on all undeveloped properties withlrr the City limits which are belng improved.SYSTEMS DEVELOPMENT C (B) HARGE (SDC) 4,#ryourY' ADDITIONAL COMMENTS 4 rqGo- T;IAfre ITEM Fixtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE FT. FT. FT. oa(c) N'2e./22)a.1 /4ePlumblng Permlt State Surcharge Total Charge MECHANICAL PERMIT Furnace oa 4f,o Exhaust Hood 1-- r Wood Stove/ lnsert/ Flreplace Unit Dryer Vent 7@ 3 oo 6@ 62 z/rc /o4 ?20d(D) ? N" ze , ,/ ts Vent Fan Mechanlcal Permlt lssuance State Surcharge Total Permit By signature, I state and agree, that I have carefully examined the completed applicatlon and do hereby certify that all lnformation hereon ls true and correct, and I further certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springfleld, and the Laws of the State of Oregon pertalnlng to the work described hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Division. I further certlfy that only contractors and employees who are ln compllance with OFIS 701.055 wlll be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable lrom the street, that the permlt card ls located at the f ront of the property, and the approved set of plans wlll remain on the slte at all tlmes during con Date //-?-72- LXrsn",u,u ctlon MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge sldewalk Zb O r curbcut 3O n Demolltlon State Surcharge Total Mlscellaneous Permlts (E) lq9 J-o P/*'Ra -4r ooizL"o2- 2 .t1:2:2]DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, Q and E Comblned)fuiglt /t'' ff2 IrffiN;,-w ,a aca I*2ft, '/.25 rIl.-l'll :;TRlilir sPruNGrI I':Ll), 0ltl':Gol'l INSPIICI'ION REQUIIS'I : 0FItICE: 7?.6-)751) f)ls. NLICTRICAL PIIIIHIT APPLICA'IION A Nev Residentlal-Single or HuItl-FamiIy per dvelllng unit. Servlce Incltrded: I tems LSGAL DT.SCTUPTIONilcn33 /a /? Pcrnrits are non-transfcrable and explre lf vork is not startcd vlthin 180 days o( lssttance or if vork ls suspendecl for 180 days. 2. CO}N'RACTOR INSTALITTION ONLY lilec trical Con t rac tot'A.(t; Adclr:ess 01: i T\, 97t,7't \':t 7?.6-3't69 1-,1i 1 ON OI' INSTALLA'TION Cos t s 85.00 $ 1s.00 $ 40.00 $ $ $1 $1 $r $ Sum Ci ty Supe rv i.sor icense Ntinrbcr Z tixpiratiott Date ) I'lrorre )';'(' ' ,tr'7") 1000 sq.ft. or less Each adtll tlonal 500 sq. ft or portlon tlrereof Each Hanuf 'd ltome or Modular Dr,relling Scrvlcc or Feeder Il. Scrvlces or Fceders Installatlon, Alteratlons or f /-, tRcloca t lon: 200 amps or less 201 anrps to 400 amps - /r01 amps to 600 amps _ 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect OnIY D. 0ne Cl.rctrl t Ilaclr Additional Circuit or uitlt Service or Feeder Permi t et 50.00 60.00 00.00 30.00 00.00 /r0.00 (,'t<'Lt -_) Constr Cotrtr. Number 7 c:' J' '',- t' ; c Expiration Date '/ Temporary Services or Feeders InsiaIIatlon, Alteratlon or Relocatlon 200 amps or }ess I $ 4o.oo ''1' '\ over /rbl to 600 amps - S s0.00 , 0ver 600 amps or 1000 volt-s see [8. above Dranclr Clrcul ts Nev, Alteratlon or Extenslon Per Panel ) Signaturc o[ Supcrvis ing Elcct cliln A(_ k---2.-4 0uners Name c 0r^-, i City Atldrcss 4Li VJ )o@ A-.L ['lronc _ bq3^3<ryl D 5. St IlroTAL 0P AIoVB 5f State Surclrarge TOTAI, l'li scellaneorrs (Servlce/feeder -Eaclr ins taIIa t i on Plrmp or irrigation $ signloutline Ligtrting- ! Limi ted Energy/Res .- S $ 35.00 s 2.00 not Incltrded) 40.00 /r0.00 20.00 36.00 OVNIiR IN:;'TALLATION Tlre installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Slgnatttre: o;irr: ' I NNCNI -7'frr Iui('riIvl:l) IIY;-'@9 tfr4 l,l I 't city Jolr n" t", %/4t/5 .--"cuFr.trrfr-t EB scnr.DULB BBLov JOB DESCRIT'TION tn t'>izx - '*4ftffb,?A -y' EQ { ) I 1 I}TION JOB PTTON Permi ts e non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALII\TION ONLY Electrical Contract Add r"'ess Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date q q3 Signatu sing Electrician? Owners Name LD \n $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Oniy Temporary Services or Feeders Installatlon, Alteration or Relocation 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dwelling Service or Feeder 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000 St'IIINGI:Tt:LrJ ST,BTOTAL OP ABOVB 5Z State Surcharge TOTAL 0b 225 FIFTII STREET SPRINGFTELD, OREGON 97477 INSPECTION REQUESTz 726-3769 OFPICE: 72.6-3759 ON $ 8s.00 A.1. Nev Residential-Single or' -fiu1ti-Family- per dvelling uni t. Service Included:Items CostL A 3e Sum B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. s $ $ $ $ s s 40. 55 BO 00 00 00 ,lo-rfs see ftBrr a Sove Add ress Ci ty OVNER The installation is being made on property f ovn vhich is not intended for sale, Iease or rent. Ovncrs Signature: DATE: RECETI'T il: D. Branch Circui ts Nev, Alteratlon or Extension Per Panel one circuit S 35.00 Each Addi tional Circui t or vi th Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Lighting- Limi ted Energy/Res Limi ted Energy/Comrn 2oooo/ooo t*lr-yro-. ,Aror*rro, ['hone 00 00 00 00 40. 40. 20. 36. 5 RIICIIVI]D I}Y: /1-z -7 L - n 'C"oo ELECTRICAL rBE SCTTEDULE BELOVl \t'{nBS '18 N0. 12t..++q CITY OF SPRINGFIELD SI!]I$1: DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:L- o -\n LOCATION:t DEVELOPMENT TYPE: BUILDING SIZE: 1.S D RAI N IMPERVIOUS SQ. FT.ZzVo 2. SANITARY SEWER-CITY X $0.192 PER SQ. FT. X $39.78 PER PFU . Ft.LOT SIZ E J NO. OF PFU'S (See Reverse) TRANSPORTAT I ON NO OF UNiTS X TRIP RATE X COST PER TRIP . o09 x $40i.05 x s401.05 x $401.0s ADMINiSTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X 'os 5. SANITARY SEI^lER-Ml^lMC $13.62 PER P Above) MI^,MC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SUBT0TAL (ADD ITEMS I,2, & 3)SZ bzua? TO TAL. C ITY SDC 5 bl2 FU + $10 Mt^lMC ADMIN' FEE $ t++5qf a A x X $ $ .t NO. OF PFU'S (Use PFU Tot al From Item ? bubj -Mt,lMC SDC 1L SDC Coordinator TOT T0TAL SDC $ lootB FIXTURE UNIT CALCULATION TABLE] NUMbET Of NEW FiXIUTES X UT'iit EqUiVAIENt = FiXIUTE UNitS (NOTE: For remodels, calculate only the NET additional Iixtures) FIXTURE TYPE Bathtub...-... Drinking Fountain-.--- Floor Drain. I nterceptors For Grease/Oil/Solids/Etc""""""""' I nterceptors For Sand/Auto Wash/Etc"" """"""" Laund ry Tub/Clotheswasher-"""' Clotheswasher - 3 Or More----""""' NUMBER OF NEW FIXTURES aL sb (t"*X Assessed Value) 'z- ? TOTAL FItrTURE UNITS x $ lL-1,bt- (Rate X Assessed Value)x$ UNIT EQUIVALENT FIXTURE UNITS +2 1 2 6 2 6 6 1 a 2 t l1ead 2 I 1 6 4 a --4- Mobile Home Park Trap (1 Per Trailer)"""" Receptor For Ref rigeratorAVater Station/Etc"""" Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stall-. Credit for Parcel or Land Only lt Applicable lmprovement (if after annexation date) --q- ---q-- ll. ; Sink, Bar, Commercial Urinal, StallflVall.- Wash Basin/Lavatory, Single..---""' Water Closet, Public lnstallation"' Water Closet, Private. Ir/liscellaneous CREDIT CALCULATION TABLE calculate credits separates- Based on assessed value. lf improvements occurred after annexation date in table' G9 to9 CREDIT TOTAL - $3t- Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1985 1986 1 987 19BB 't989 1990 1991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 1979 or before 1980 1 981 1 982 1 983 't984 $2.83 2.76 2.71 2.60 2.46 2.33 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential .----..---.-.""""-- 0'4 0.9 0.45 0-5 IMPERVIOUSAREA=TOTALLoTSIZEXRUNOFFCOEFFICIENT + +