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HomeMy WebLinkAboutPermit Building 1995-04-18RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Of{ice: 726.3759 SPFI IELt) 2fr, JOB NUMBEB ?ro 34o 225 Fif th Street Sprlngfleld, Oregon 97477 s*LOCATION OF PBOPOSED WOBK: ASSESSORS MAP LOI:50e,0 339 Z?-TAX LOT:3rco BLOCK:SUBDIVISION: t PHONE:q35 C\R.STATE:ZIP: -tLt 1 - Ort35 \BI S\ CITY; ADDRESS: OWNER: *a* B REMoDEL V ADDrroN X DEM.LT.H orHER ..J&l \'.,^$tGClq^DESCRIBE WORK: ADDRESS EXPI RES PHON E t)('trt et \-l CONTRACTOR'S NAME MECHANICAL; ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING V WATER HEATEB r OF BDHMS: HEAT SOUHCE; CONSTR. TYPE: - OFFICE USE - LAND USE: Y OF UNITS: BANGE: SECONDABY HEAT: SQUARE FOOTAGE: OCCY GBOUP: I OF STORIES: QUAD AFEA: I OF BLDGS: \t To request an inspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspectlons requesred before 7:oo a,m. wllt bemade the sante worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTTONS Temporary Elsctric Sito lnspectlon - To be madc after excavatlon, but prlor to settlng forms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Underground Plumblng - Prior to fllllng trench. Post and Beam - Prlor to floor lnsulatlon or decklng, Sanltary Sewer - Prior to f IIling trench. Slorm Sewer - Prlor to fllling trench. Waler Llne - Prlor to filling trench. Bough Plumblng - Prlor to cover. ,X [--l Sidewalk & Drlveway 'J excavatlon ls comple Rough Mechanlcal - prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. Wood Stovo - After lnstallation lnsert - After flreplace approvql and lnstallatlon of unlt. Curbcut & Approach - After forms are erected bUt prior to placoment of concrete. Flnal Plumbing - When allplumblng worl< ls complete. Final Mechanical - When all mechanical work ls complete. Flnal Building - When all requlred lnspectlons have been approved and building is completed, ,x lV Foundatlon - After forms are flerected but prlor to concrete placemont. "K ,X X D(3;;"11 Erectrrcar - Prior to l![ rlnal Etecrricat - When aill,+electrlcal work is complete. [-l Flreplace - Prtor to factng - materlals and framlng lnsp. ffitt"-'ng - Prlor to cover. flf WatltCelllng tnsulatlon - prlor toJ4,cover. fiotr*"ll - Prlor to taplng. ,x X ,K X U n d e rl I oozflffibinD M ec h an ic a I - Prior to-'ifrrratTfi or decking, Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocklng ls complete. Plumbing Connectlons - When home has been connected to water and sewer, rel:?1,1;suratron - Prror to l-_l Fence - When completed [--l Street Trees - When all requlred - trees are planted. - After tc, forms and sub-base materlal ln place. Electrlcal Connection - When blocklng, set.up, and plumbing lnspectlons have been approved and the home ls connected to the servlce panel, Final - Af ter all required inspectlons are approved and porchos, sklrtlng, decks, and ventlng have been installed. o .lq-19*, \<) \ l.&5 FLOOD PLAIN: ZONING"OO.,--LDF- E tl tl tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Tytr. _ - lnterlor -- Corner - Panhandle - Cul-de-sac IS THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISIOBICAL REGISTER? - lf yes, thls applicaflon must be slgnedand approved by the Hlstorlcal Coordinator prlor to permit lssuance. APPROVED: i BUILDING PERMiT VALUE z?rnz14A-*p?&/o ss State Surcharse { 3% Total Fee (A) /o9?7 3b {6 2o ITEM Main Garage Carport SQ. FT, 195 Total Value Building Permit Fee /L?tzzf t16 Fo X $/SQ. FT, BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT Thls permrt is granted on the express condrilon that the saidconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of Sprlngfletd, includlng the levelopment Code, regulating ine Jonstiucilon and use ofouaorngs, and may be suspended or revoked at any ilmeupon vlolatlon of any provislons of sald ordlnances. ewed v ilr#' Recelpt Numbe Beceived 73 Date Pald: Plan Check Fee: RGE (SDC) #T,tb2-'# YSTS E M DS EEV LO P EM TN HC A (tJ Systems Development Charge is due on all undevelopedpropertles within the City limits which are betng lmproved. ITEM Flx t u res Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBTNG PERMIT q)3 N0 FT FT. FT. (c) Plumblng permlt State Surcharg" +3ft Total Charge ADDITIONAL COMMENTS MECHANTCAL PERMIT Furnace Exhaust Hood Vent Fan \NnMfiflJ/n Wood Stove/ lnsert/ Flreplace Unit Dryer Vent State Surcha's" { 3t) Total Permlt (D) lsp Mechanlcal permlt lssu ance By slgnature, I state and agree, that I have caref ully examinedthe completed appllcailon and do hereby cerilfy that alllnformatlon hereon ls true and correct, ani I f urther certlfythat any and ail work performed shail be done in accordancewlth the Ordinanccs of the City of Springfield, and the Lawsof the state of oregon pertarnrng to the work descrrbedheroln, and that NO OCCUPANCy wlll be made of anystructure wlthout perrnission of the Bulldlng Safety Dlvislon.I further cerilfy that only contractors andlmptoyees whoare ln compllance wtth ORS 7O.1.OS5 will be used on thlsproject. I further agree to ensure that all requlred lnsrequested at the proper ilme, that each add from the street, that the permlt card ls loof the property, and the approved set of pections are ress ls readable cated at the front plans will remalnon the site at all imes d con st ructlon. Slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharoe Sidewalk -.=.- ft Curbcut _ ft Demolitlon State Surcharge Total Miscellaneous permlts (E) PL.HSE GAR ACC N S E VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVEDTOTAL AMOUNT DUE (excludtng electricat)(A, B, C, D, and'E Combtned)RECEIVED BY l'j By: E@-\@ 7 -'B N0.72pru9_ CITY OF SPRINGFIELD SYSTEMS DEVEI'OPMENT CHARGE WORKSHEET (cot'tMERcIAL & RESIDENTIAL) NAME OR COMPANY:1{Co<< nZS l>t- 1r \1 obb6zz - \b oooLOCATION: a.- Ao r<roNDEVELOPMENT TYPE:VD BUILDING SIZE: \ 6 * 15.5 cr*rcLupEeEN'/4\0T sIZ STORM DRAINAGE IMPERVIoUS SQ. FT.2+b x $0.209 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 1 X $43.25 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x x $436. 19 X x $436. 19 X x $436.19 4. SANITARY SEl,lER-Ml^lMC NO. OF PFU'S $17.19 PER PFU + $10 Mi,lMC ADM FEE $ (Use PFU Total From Item 2 Above MI,IMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-Ml^lMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) ADHINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X .0s Burdick Coordinator . Ft. I $ $ ) 5 svbt bo'>\? -G Date:zz q5 TOTAL SDC sblz 7a X FTXTURE UNIT CALCULATION TABLE: tlumucr of New Fixture (NOTE: For remodels, catculate onty ttr I additional fixtures] NUMBER OF FIXTURE TYPE NEW FIXTURES Unit Equivalent :-Fixture Units UNIT FIXTURE -. EOUIVALENT UNTTS Z 4 ---T- Bathtub-----2 i 2 J 6 2 6 6 i 2 1 2 2 1 6 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 ('l Per Trailer)------ Receptor For Refrigerator/Vvater Station/Etc-----..- Receptor For Commercial Sink/Dishwasher/Etc-. Shower. Single Statl....-....- Shower, Gang......... ---.----.:""" Sink: Bar. Commercial. Residential Kitchen. Urinal, StatUwall... Wash Easin/Lavatory, Single Toilet, Public lnstaiiation.. Toilet , Private. Miscellaneous: /Head II TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occu rred after annexation date in table, calculate credits separates Credit for Parcel or Land Only lf Applicable lmprovem'ent (if after annexation date) X$ (Rate X Assessed Vatue) X$ (Rate X Assessed Value) CREDIT TOTAL =+ Rate per $1,OOO Assessed Value Year Annexed Rate per $ 1,OOO Assessed Vatue 1979 or before 1 980 't 981 1 982 1 983 1 984 1 985 $3.46 220 3-32 3.21 3-O6 2-92 2-73 1 985 1 986 1 987 1 988 1 989 1 990 'r 991 '1993 $2.46 2.14 1.'17 1.37 o.97 o.61 o-44 o.15 -7 Year Annexed \fr. SP'|'N( -LD The followin zorring, end approval. 97477 726473q' D$re 5* | ':7*DL qp ,,3:3f*?ffi?*H:*n'* ;;[""ueucrnrcar,PERXIT APPLICATION225 YTYTB SIREET SPRTNGPTEIID, OREGoN INSPECTION REQTIBST: 0PPICE: 726-3759 1. LOCATION Signature M JOB DESCRT permits are non-transferable and expire if vork is not started vithln 180 days of lssuairce or lf vork ls suspended for 180 days., 2. CO}rIRACf,OR INSTALUTTION ONLY ElecLrlca1 Contractor nIx6N Ft F1TRTt: Address 1130 BAILEY HILL RD #24 Ctty ' EUGENE Supervisor Llcense Number 36145 Expl ration Date L0/Llg5 * . ..-, Constr Contr. Nunber 66894 Expiratlon Date Slgna of Supervlsing Electrician Ovne Address 3.COXPI^ETE PEE SCEEDIII.E BELOU dentlal-Single or HuIti-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder $ 8s.00 s 15.00 $ 40.00 B. Services or FeedersInstallation, Alterations or Relocation: c. D. Branch Circuits Circuit or vith Service or Feeder Permit 2 S 2.00 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Beconnect 0nly Temporary Services or' Feeders Installation, Alteratlon or Relocation 200 amps or Iess S 40.00 0ver 401 to 600 amps $ 80.00 Over 600 amps or 1000 voT[s see ttgrt "ffi Sum $ s0.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 Nev, Alteration or Extension Per Panel one circuiq : $ 35.00 32Each Additionalcitfua2- 7f.phone- 74r/>2 OVNER INSTALI.ATTON The. installatioir is beirig made on property I ovn vhlch is not intendedfor sale, lease or rent. Osners Signature: DATE: tD9 _/* E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res -Llmited Energy/Comm STETOTAL OP ABOVE 5Z State Surcharge TOTAL C-C?*5r7 / ./> /?, /2. s 40.00 $ 40.00 $ 20.00 s 36.00 RECBIVED 5 'city Job Nunbe. ?Z*O IJGAL DESCRIPTION/,-,d,^z-zq*-?3 /zeD Phone_344.#pj_