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Home My WebLink AboutPermit Building 1995-01-05SP,lINGFIELD RESID ENTIAL PERMIT APPLICATION lnspections:726'3769 Office: 726'3759 LOCAT ION Of: PHOPOSED WORI(: ASSESSORS MAP; u LOT: --.1= Zfr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT SUBDIVISIONBLOCK: +PHONE: ZIP:.STATE: 2)qr-q5q 1 71 4cll OWNER: -- ADDRESS CITY: ADDITION DEMOLISH OTHER DESCRIBE WOFIK: - NEw-X REM.DEL EXPIRESADDRESS 7'?{55btA -bt7(aa -11 io- (,'1933olG 68r- lr co NTRACTOR'S NAME -q 3l 11(o'77 G EN ERAL: PLUMBING:- ELECTRICAL PHONECONST. CONTRACTOR # F _ OFFICE USE - ZONING CODE: FLOOD PLAIN: s OF BDRMS: - RANGE:WATER HEATER: - d LAND USE: # OF IJNITS OCCY GROUP: r OF STORIES: OUAD AREA: , OF BLDCS SECONDAFIY HEAT SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: TorequeStaninSpection,youmUStcallT26.3T6g.Thisisa24hourrecording.Al madethesameworkingday.inspectionSrequestedafterT:0oa.m.wiilbemad REQUIRED INSPECTIONS mporary Eleclric Electrical Service - Miust be approved to obtain Permanent electrical Power. X::i[t- Arter trenches are Fireplace - Prlor to {acing materials and framing lnsP. Masonry - Steel location, bond beams, grouting. g K :;HlJSiX^2?2:;'.:y.* K5iffilJ'\T*?fl ,;#I;?.il: Rough Electrical - Prioi to cover. J\TFinal Electrical - Wnen all ALelectrical work is conrplete. x..E ll lnspections requested before 7:00 a'm' will be e the lollowing work daY. Final Mechanical - When all mechanical work is comPlete. it'Foundation - After forms are z3rru"t"d l)ut Prior to concrcte Placement. Site lnsPection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / IUlechanical - Prior to cover' Underground Plumbing - Pri<tr to f illing trench. lV Framing - Prior to cover'tJ ffiwattlCeiling tnsulation - Prior toqcover. ffiot'*''l - Prior to iaPing' ^F.Z-Final Building - When all Fl+equired inspections have been ' approved and building is comPleted. ffotr,u, arc l't'"8 #derl Plumbin Prior on Posl and Beam - Prior to floor insulation or decking. Water Line - ,Prior to filling trench. Wood Stove - After installation lnsert - After firePlace aPProval and instailation of unit. Curbcut & APProach - After lorms are erected but Prior to place;rlent of concrete 'Siclewalk & DrivevlaY -' After excavation is ccrnPletei fc'rms arrd sub-basa tnateria! ,rr place' Fcnce - wlton "o'.nP'"tti reet Trees - lVhen all required MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete' Plumbing Conneclions - When home has been. connected to water and sewer' tr ffi:"""-l;;sutation - Prior to lV Sanitary Sewer - Prior to filling fltrench. f-VflStorm Sewer - Prior to lilling {trench. tr. F Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the l-rome is connected to the service Pancl. Final - After all required inspections are aPProved and oorcttes, skirting, decks, and venting have been installed. ec hanic lVl Rough Plumbing - Prior to ,Aover' E r:]cs are PlanterJ ilr MECHANICAL: \QS)u)- \ E il Lot faces Lot sq. ftg. Lot coverage Topography Total hei ht Lot Type':-, ( tnterio, - Corner - Panhandle - Cul-de-sac Setbacks 1t3L il% IS THE PROPOSED WORK IN THE H|S,TORICAL DISTRICI OR ON THi: HISTORICAL FIECISTER? /1^4f lf yes, this application must be signed ancl approved by the Historical Coordinator prior to permit issuance. APi)ROVED P.L.HSE GAR ACC N )5 I J aot e0 c 1)' bl tL lc&,1AG 4Eg,zr 2< /e -5 -2,z/.?? * /3,t1 ff.?e(A) t4.(otl1b \t ra X $/SQ. FT. ,L,lo VALUE q b,1t4' Total Value Building Permlt Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmit is granted on thc express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developn.rent Code, reltulating the conslruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Pran check Fee: -- '235rL1- Lts,t/ Revicwecl 'Dai{TP e/sabl Received By: Date Paid:' Beceipt Number: 2g{,6,ffi SYSTEMS DEVELOPMENT CHARGE (SDC) (B)f t t*4.V b Systems Development Charge is due on all undeveloped properties within the City limits which are being irnproved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer FEE ./s.b g4s *{," (c) FT. FT. FT. PLUMBING PERMIT bile Home Plumbing Permi State Surcharge Total Charge /7;,@ --t*ee_/d:: No t" ADDITIONAL COMMENTS dzfz:A eau/at%--aurtl Waf - 244LL wbt<&t: t Mechanical Permit lssuance State Surcharse /3{ * Total Permit re place eoo /s"- (D) w 3 4o & Oo 4o, 2fetl MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan Wood Stove/l Dryer Ve;-rt By signature, I state an<1 agree, that I have caref ully examined the completed appliciition and do hereby certify that all information hereon is lrue anc, correct, and I f urthcr certify that any and all work pcrformcd shall bc done in accordance with the Ordinances of the City of Springf ield, ancl the Laws of the Statc ol Orcgon pcrtaining to tl-re work clcscribccl herein, and that NO OCCUPANCY will be made of any structure witholrt permission of the Building Safety Division. I further certify that only conlractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspectioOs are requested at the proper time, that each address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain ll -et -q+ du Signature Date on the site at all construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge 227r (E)Total Miscellaneous Perm S S Demolition u rc harg e Sidewalk Curbcut 95 tt3/ ', TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) '( ? lot EC BY VALIDATION: BECEIPT NUMBER - DATE PAID, AMOUNT R FIECEIVED ./6a No -1 4?.?o /4.6' -..'...,- :/{ )5.*w €e Willamalane Park & Recreation District 0urno 9-, SYSTEMS DEVELOPMENT CHARCE WORKSHEET fob No.4l st NAME: ADDRESS: LOCATTON OF FROPOSED BUI C Street Address if Known: Manufactured home not in a Park X $400 PER UNIT -= 1 Platt Name: definitions are on the A. Single Family - Detached t Single Famity home NO OF UNITS B- Sinsle Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNTTS Tax Lot Number: (check appropriate dwelling(s). sDC calculations and dwelling type d) $ X $370 PER UNIT = X $277 PER UNIT = X $280 PER UNIT = WPRD SDC 2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credit) $ $ $a $ d$ ^lA Division Date a) PHONE: *Y+31 srArE:W ,- 4'4Dl t ATTACHMENT 81 I No. ?f =-^ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI CI{ARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) 64-*,NA}4E OR COMPANY: LOCATION:5:2 DEVELOPMENT TYPE BUILDING SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT.286 SIZ 3 X $0.209 PER SQ. FT. . Ft. 2. SANITARY SFI^'ER-CITY NO. OF PFU'S (See Reverse) 3 X $43.26 PER PFU/4 NO OF UNITS X TRIP RATE X COST PER TRIP x /,ot x$436.19> x x $436.19 x - x $436.i9 aeEP/ 7 <544".s*Ui'ffi,,, $ I $ 4. SANITARY SEI^IFR-I',1IIMC N0. 0F PFU'S /1 x$17.19 PER PFU + $10 MWMC ADMIN.FEE s ?3G'G/ (Use PFU Total From Item 2 Above) MI^IMC CREDIT IF APPLICPELE (SEE REVERSE) TOTAI -MhlMC SNC , SUBTOTAL (ADD ITEMS 1,2.3 & 4) 5. ANMINISTATIVF FEES SUBTOTAL (ADD ITEMS 1,2, & 3)g 1 f2o,3 / $ r1<6.q2 r Ef BAIE CHARGE ( SDC 2 -22- 74 E) X .05 . P.E. 82 . SDC rdi nator Date TOTAT SDC 7 6 FIXTURE UNIT CALCULA r rON TABLE: Number of New Fixtt' (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub 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 Refrigerator^Vater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.- Shower, Single Sta||.......... Shower. Gang......... Sink: Bar, Commqrcial, Residential Kitchen... Urinal, StallMall. X Unit Equivalent : Fixture Units UNIT EOUIVALENT FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 a\ 2 3 2 TOTAL FIXTURE UNITS I /Head 2 4 2 ? 6 Wash Basin/Lavatory, Single. Toilet, Public lnstallation. Toilet , Private.... Miscellaneous:' "'tTl"ilroPl'g"lt CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, galculate credits separates. Credit for Pargel or Land Only lf Applicable x lmprovement (if after annexation date) (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = g Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 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 1979 or before 1 980 1 981 1 982 1 983 1984. 1 985 s3.46 3.38 3.32 3.21 3.06 2.92 2.73 ?? ,,I OREGO'UC'TY OF SPAIrrlGFIELO specific mnot require L-DL as submttted haszoning,, and doeo approvel. Zoni Darc l-*qb Authorized EIJCf,RICAL PERHIT APPIJCATION225 I'TFTE ST?EET SPRTNGEBLD, OREGON 97477 INSPECTION RBQUBsf,z 726-3769 OFEICE: 726-3759 1. Permlts are non-transferable and expirelf vork is not started vlthin 180 daysof lssuairce or lf vork ls suspended tor 180 days 2. CON]NACTOR INS"IALLI\TION ONLY City Job Nunber BELOII A. Nev Resldentlal-Single or l{ulti-Family per dvelling unit. Service Included: Items Cost U 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf,d Home or Hodular Dvelling Servlce or Feeder $ 8s.00 s 1s.00 $ 40.00 B Services or Feedersfnstallation, Alterations or Relocation: $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'FeedersInstallation, Alteration or Relocation Pump or irrigationSign/0utIine Lighting- Limi ted Energy./[e Limited Energy/Comm - _- Sum& 45 J- 3 \-1 ( Electrical Contractor philips El,ect"in Inc. Address 3t7O 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps-over 1000 amps/volts -Reconnect 0n1y 200 amps or less I201 amps to 400 amps Over 401 to 600 amps --Over 600 amps or 1000-6f[s Branch Circuits our [ -ano Ci ty nr rgono Phone_91492 Supervisor License Number Expiration Date L)/gS )71 0 Constr Contr. Number 20-I7gC Expiration Date 10/95 Slgnature of ing Electrlcian $ 40.00 $ ss.00 $ 80.00 see trBr 4D affi D. EThe. installatloir is belrig nade onproperty I ovn vhich is not intendedfor sale, lease or rent. ()rners Signature: Nev, Alteratlon or Extension per panel One Circult S 35.00Each AdditionalCircuit or vith Serviceor Feeder permit _ $ 2.00 Miscellaneous (Service/feeder not included)-Each installation Ovners N4me Address Cl ty OVNER DATB: Phone $ 40.00 $ 40.00 $ 20.00 $ 36.00 .q) RECBTVBD 183 @ 5. SIETOTAL OP ABOVE 5Z State Surcharqew,3%: