The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-06-04CITY SPruNGFIELT', SP]lINGFIELD a RESIDENTIAL PERMIT APPLICATION CTTY OF SPRINGFTELD COMMI'NITY SERVIEES DIVISION BUTLDING SAFETY a Office Inspection Line oREGON 97478 Page 1 ilob Nrurber: 990256 225 North Fifth Street Springfield, OR 97477 Location of proposed Work: LgLg 22ND ST 2Assessors Map #: 17032500Lot: Block: Owner: GREAT WESTERN Address: 5024 MAfN STREET Describe Work: MANUF HOME Tax Lot #: 00204 Subdivision: Phone #: 726-2171_ 726 -3759 725 -3769 QUAD AREA: 2RNW # OF IINTTS: 1 CONSTR. ?ypE: VN WATER HEATER: E To re Cont GREA 5024 GREAT WESTERN M 00464725024 MATN STREET SPRTNGF rELD OR 974HERTTAGE INV 00531371042 IIARN LANE EUGENE OR 97 4040000 -- oFFrcE USE __ LAND USE: 1150 ZONING CODE: LDR# oF BDRMS: 2 RANGE: E quest, an inspecEion,calf the 24 hour recording rules br, hdlpires cation aa/t2 / ee LL/a2/ee 1,2/27/ee Phone 725 -277L 726 -2L7L 588-1500 VaIue 0.00 0.00 3, 000. oo 30,000.00 38 ,625 . Oo # oF BLDGS: 1 OCCY cROUp: R3 HEAT SOURCE: FE SQ FOOTAGE: 1137 A11 inspections requested before 7:00 a.m. wir-r- be made the same working day,inspections requested after 7:00 a.m. will be made the fo,l0wing work day. FoorrNc - Arrer rrenches -;;"*"t::"':rt:.;:t"tcrroNs - - - WATER I.JNE - PT:,sAr{rrARy sEwER-;;;E': i:i::"i".lilii;s rrench.STORI{ SEWER LrNE _ prior to fiffing trench.MANUF HOIIE/ITIOBJI.E IIOME SET Up _-*tu., all blocking is compl,ete.I.IANUF. HoITIE/I{oBrLE HoME ELEcTRfcAL _ When lfo"i.i.rg, setup, andplumbing inspections have been approved and home is connected to panel*";"lllrjH"ff"::"" n"i*i"I _ Afrer home has been connecred ro PEDESTAL - prior to coverFRAIIfNG _ prior to cover. at 72G-3769. ve been approved and approved and porches. have been instal-l_ed FTNAL BUTLDTNG -rhe buit-dr"n*l:".:*Jrllunl""u inspections ha rrNAL sE? up _ Afrer ,ll'..;;ired i-nspections areskirting, decks, ventin'g, -ior"u numbers, etc ftem Main Garage FTG/FDN MANU/HOME Total Value --- BUTLDTNG PERMIT ---Sguare Feet x $,/Square Feet General: Plumbing: El-ectrical: SPFINGF!ELD 'Job Number: 990255 CITY OF SPruNGFIELD,a a Page 2 Building PermiE Fee Surcharge/admin TOTAL FEE (A) 74.50 5 .97 80.47 --- PII'MBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permi-t Surcharge/Admin TOTAL CHARGE 50 50 50 Fee 25 .00 25.00 2s .00 15.00 90.00 7 .20 97 .20(c) - - - MTSCEI.LAIiIEOUS PERMITS Mobile Home State fssuance Surcharge/admin Surcharge/Admin CTTY SDC WILL'\M'\LA}IE ELECTRTC PERMTT TOTAL MTSCELLANEOUS PERMTTS --- TOTAL AITIOI'NT DUE ---(Excluding EtecErical) (A, B, C, D, and E combined)unless ot.herwise noted 105.00 30.00 5.25 3.15 2 ,198 .90ry b61 () /t^ ,/*L /* 3 ,428.7 0 ry (E) --- BUILDTNG VALUE,PLAN CHECK AND BUTLDTNG PERMIT --- This permit is granted on the express conditi-on that. t.he sai-d constructionshal,, in all respects, conform to the ordinance adopted by the city ofspringfieJ-d, including the Devel-opment code, regulating the construction anduse of buildings' and may be suspended or revoked at any t.ime upon vj-olationof any provisions of said ordinances.8al(/ 7' Received By: Plans Reviewed By: AL WARDBuilding Site Reviewed By: LISA HOppER I j Date: 04/1-5/99 --- ADDITTONAL COMMENTS By signature, f sta te and agree, that I have carefullythe completed appli cation and do hereby examinedcertify that alI information he reonis true and correct and f further certi fy that any and a1l work performedshal] be done in ac cordance with the Ord inances of the City of Springfield,and the Laws of the State of Oregon pert aining to the work desc ribed herein,and that NO OCCUP ANCY wil_I be made of any structure without permission of theCommuni_ty Servic es Division, Building Safety. I further cer tify that onlycontractors and employee used on this project s who are in compliance with ORS 701 055 will" be 3.,'605.57\/- ?/ 't 7)\'-_--< I CITY OF SPilNGFIELD, SPRINGF!ELD a a ,Job Number: 990256 Page 3 I further agree to ensure that al-I reguired inspections are requested at Lhe proper time, that each address is readable from the street, that the permi-t card is focated at the front of the property, and the approved set of pJ-ans wil-1 remai on the site at. all times during construction 7-2a-f/ e ture Date --- VALIDATION --- 0 3 ssrqReceipt Number: Date Paid: Amount Received: Received By f 33t3. 8 SPRINGFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: t.1tu]qJOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 /?rt 22/o #z ASSESSORS MAP:/7ni 25 oo TAX LOI DO2a? LOT:BLOCK:SUBDIVISION 72/- 7/ 7 /PHONE: {oz 8l crt t0AztP h; lu-he,v fr147o S/ OWNER: STATE: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ELECTRICAL: ADDRESS v/s- z{72Z'c 6tr tuf EXPIRES ,$ PHONECONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - To request an lnspectlon, you must call 726.3769. Th ls ls a 24 hour recordlng. All lnspectlons requested betore 7:00 a.m. wlll be made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS n femporary Electrlc Rough Mechanlcal - Prior to cover. Final Plumblng - When allplumblng worl< is complete. Slte lnspection - To be made after excavatlon, but prior to setting forms. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or deoklng. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decklng. Sanitary Sewer - Prior to filling trench. Storrn Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. Rough Electrical - Prior to cover, Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power. Final Electrlcal - When all electrical work is complete. Mechanlcal - When all lcal work ls complete. Flnal Building - When att required lnspections have been approved and building is completed. [-l Flreptace - Prlor to faclng - materlals and framing lnsp. I Framlng - Prior to cover. rl Gaser tV4t/ D iJiiifi["i,3ljn'."torne - p71o' l-'l Drywan - prror to raprns. Wall/Celling lnsulatlon - Prlor to cover. Wood Slovo - Aftor lnstallatlon. lnsert - After flreplace approval and lnstallatlon of unlt. Curbcut & Approaclr - After forms are erected but prlor to placomont of concrete. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. l--l Fence - When ccirrpleted. Slreet Trees - When all required trees are planted. MOBILE HOME INSPE TTONS Blocking and Set-Up - When ail blocklng ls complete. Plumblng Connections - When home has been connected to water and sewen Eleclrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the servlce panel. Final - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been installed. ":., E tl [--l Underslab Plumbing/ Electrical/lJ Mechanlcal - Prior to cover. I I E E E fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typr - lnterior - Corner -- Panhandle ! - Cul-de-sac STHEP HISTORICAL D WORK TN THE cL oR oN ks THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be signed arrd approved by the Historical Coordinator prior to permit issuance. APPROVEDI PL.HSE GAR ACC N S E BUILDING PERMIT I 't : ITEM SQ. FT. X $/SO. FT.VALUEI (A) Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:_ Plans Fleviewed By Date Plan Check Fee Date Paid Received By 'l BUILDING VALUE, AND BUILDING PE .t. PLAN CHECK BMIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE N',__.- FT. FT. FT. (c) PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge ADDITIONAL COMMENTS *z Wood Stove/ lnsert/ Flreplace Unit lf.ou (D) /^,y "/{ /.Lo r Vent Vent Fan /Atto 7f Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERM!T Furnace Exhaust Hood No By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accortlance with the Ordinanccs of the City of Springfir:ld, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 70i.OS5 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front Date ion of the plans will remain on the Slgnat 6- MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Mlscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combined) 7vl tVAI.IDATION: BECEIPT NUMBER OATE PAID AMOUNT RECEIVED FIECEIVED BY " , ri'r 6+rLcu o aCITY OF PFlINGFIELl, 225 FIFTE STREET SPRTNGFTELD, oREGoN 97477 INSPECTI0N REQUEST| 726-3769 0FPICE: 726-3759 1 Permi ts are -transferable and if vork is not started vithin 180 of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.,ATTON ONLY BLE TRICAL Ci ty Job Nunber 3. COHPI.,ETE FEE SCEBDTIIJ BELOV Nev Residential-Single or -Fami 1y per dvelling unit. ed: L>rZ- Q ->o -l= tr*) B.e.rfu Items Cost Su s 8s.00 b9, Electrical Contractor SerVice or Feeder L $4o.oo to Services or Feeders Installation, Alterations or Relocation: Mod 200 amps 201 amps 401- amps 60L amps or amps 000 amps_ Address 2/Z ,4t*fl^-" Ci ty Phone 73f-/Soo Supervisnr License Number ?f5-s Expiration Date e consrr conrr. Number (r 7/ 97 B- E Expiration Date /L/t 7/ Signaturg of Supervising Electrician 0wners Name Addr s ci Phone ON The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. 0vners Signature: DATE: 0ver 1000 amps/voIts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation or to to to 1 4 6 1 $ s0.00 s 60.00 $100. 00 s130.00 $300.00 $ 40.00 amps ses 00 00 C 1- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not includec 200 amps''or less S 201 amps to 400 amps - $ Over 401 to 600 amps - $ Over 600 amps or 1000 volf[s s -Each installation Pump or irrigation $ Sign/outline Lighting- S Limi ted Energy/Res - $ Limi ted Energy/Comm $ SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 40.00 5s.00 80.00 ee rrB, a6ove t/ ,,J ) 40.00 40.00 20.00 36.00 5 (c" 2'Y t-w-RECEIVED B $ 1s.00 I'\ ,b I I I \ JOURNAL OR JOts NU. ATTACHMENT A 17 OZOA CITY OF SPRIruGFIELD SYSTEMS DEVELOP. -NT CHARGE WORKSHEET 6 rro) \4t1 *? LOCATION DEVELOPMENT TYPE 5F BUILDING SIZE * (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP C, st" X x $475.32 x $475.32 4. SANITARY SEt^lER-MbiMC A, REIMBURSEMENT COST: 5. ADl*4INISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 SDC Coordinator ATI-ACH'A. t^lPD SQ.Ft. $ $ 211 .# < s 10,81 > $ 10.00 $ "'fi4, zo S t04 ,11 TorAL spc $4483+' L27t, 7 / r &?u''{ 22c't8 SI 1 sroRM pRAINAGE fn'r,/ 2b.15) + Cgrg) +(_ts (tto]i + +Czt ) IMPERVIOUS SQ. FT \o1 t 5,5G X $0.227 PER SQ FT. s 431,63 . 2. SANITARY SEI,JER-CITY X $47.14 PER PFU $ tl 3l ,bto NO. OF PFU'S X NO. OF FEU'S X n1.14PER FEU B. IMPROVEI',IENT COST NO. OF FEU'S t X ZS.ZOPER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE).- Ml^Jl'4C ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) TOTAL-MI^IMC SDC $ 901,83 Date NAME OR COMPANY: $ 23.20 ,4*fqt FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NorE: For remodels' calculate only q NET additional tt"'ut"nil*rER oF v uNrr FrxruRE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub tl Drinking Fountain. Floor Drain. lnterceptors For Grease/Oil/Solids/E1c................. lnterceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More Mobile Home Park Trap (1 Per Trailerl...... Receptor For RefrigeratorMater Station/Etc....... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, .Single Sta|1.......... Shower, Gang......... Sink: Bar, Commercial, Residential Kitchen Urinal, Stall/Wall... Wash Basin lLavalory, Single....... Toilet. Public lnstallation.--B-Toilet, Private.......l Miscellaneous: TOTAL FIXTURE UNITS aa-/?l CREDIT CALCULATTON TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits ead 2 1 2 3 6 2 6 6 1 3 2 1tH 2 2 1 6 4 I + --T- -6- FIL -h Credit for Parcei'or'Land Only lf Applicable lmprovement (if after annexation date) +,21 x $' 2,53' = (Rate X Assessed Value) to.8l (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,OOO Assdssed Value Year . Annexed Rate per $1,OOO Assessed Value 1 989 1 990 1 991 1 992 1 993 1 994 .i.; .19q5 1 996 1 997 $1.98 1.55 1 .15 0.96 o.83 o.67 o.52 0.38 o.21 1979 or before 1 980 1 981 1982 1 983 1 984 1gg5'"i '.; . "- 1 986 1 987 1 988 $4.27 4.18 4.12 3.99 3.83 '3.68 3.48 3.18 2.82 2.42 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating PurPoses OnlYl Residential. .......... O.4 Commerical o.9 lndustrial... o 5 Governmental 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT t-I tl x $-: €$Willamalane Park & Recreation District Job. No. PHONE:\1 I STATE:ZIP: jt Ir)0 uqqa bqQ oo oo SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat Name 1. DEVELOPMENT TYPE (Check ype detinitions are on the back.) A. Single-Family Detached Single Family home NO. OF UNITS lo ax Lot Number: appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a park X $1,000 per unit = $ - =$ =$ M D. Manufadured Home Park NO. OF UNITS I X $699 per unit = $ WILLA,MALANE SDC $ 2. SDC CREDTT (il applicable) SDCaayer must funrlsh proof of Wllamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced for Credit) $ B. Single-Family Attached NO. OF UNITS X $924 per unit C. Multi-Family Aoartment NO. OF UNITS X $692 per unit City of Date Zo rf -\