HomeMy WebLinkAboutPermit Building 1994-09-12I
i
SP'lT]{GFIELD
*l-ry* 48 1b ,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
TAX LOT:04 &o-c,
SUBDIVISION:
PHONE:
BESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office:726-3759
LOCATION OF PRO
ASSESSORS MAP:
LOT:
OWNER:,/^
h,
K:
ADDRESS:a-9 r4LA
CITY:IN STATE:tN/-t ztP
NEw / REMoDEL ADDrroN DEMoLtsH orHER
S,P, X6,DESCFIIBE WORK:
EXPIRES
-o
MECHANICAL:l'4ag*rs*
DA RD S 6*t1qES
7-bLa-62CONTRACTOR'S NAME
ELECTRICAL:
ON
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
4BE
I 3R7+ M
€f 5WATER HEATER:
- OFFICE USE -
RANGE:
r OF BDRMS:
FLOOD PLAIN:
* OF UNITS:
LAND USE:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
OUAD ABEA:
r OF BLDGS:
CONSTR. TYPEI
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recbrdlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
lV-rinat Plumbing - When all
lryptumblng work ls complete.
R
E
n Temporary Electrlc
Slte lnspectlon - To be made
after excavatlon, but Prlor to
settlng forms.
U Electrical/
Mechanl or to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
b6ams, groutlng.
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Bsam - Prlor to floor
lnsulation or decklng.
f,IZI nough Mechanical - Prior to
,}acover.
lS7 Rouoh Electrlcat - Prior to
!A"oru-,.
K
inal Eleclrlcal - When all
ectrlcal work is complete,
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
I - Prlor to taplng
Wood Stove - After lnstallatlon
lnserl - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Fence - When comPleted'
t Treos - When all requlred
are planted.
MFinal Mechanical - When all
)Amechanlcal work is complete.
-M Final Building - When all
,F!'equlred lnspectlons have been' approved and building is
completed.
Vf Foundatton - After forms areA\erected but Prlor to concrete
placement.
ffirramlng - Prlor to cover.
5q{-wrtttcelting lnsutatlon - Prlor toHover.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Conneclion - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected tc
the service panel.
Final - After all required
inspectlons are approved and
porches, skirtlng, decks, and
venting have been installed.
v Floor lnsulation - Prior toF{.a""t+te sl-+o
Vf Sanltary Sewer - Prlor to fllllnga{ trench.
[7(Stot- Sewer - Prlor to fllllnga{trencn.
l-V"warer Llne - Prlor to filling
lA{encn.
TX nough Plumbing - Prior to{4eover.
l7StOe*rtk & Drlveway - After
,ftexcar"tlon ls comPiete, forms-and sub-base materlal ln Place.
K
'Tfr*t ?LaT
9844
I /^ry'
zoNrNG coDE: /-l (
tl
E
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
A3a
2?y'o
1Z_?.lL
Lot Typc
#lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
backs . IS ..IE PROPOSED WORK tN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORTCAL REGISTER?
-
lf yes, this application must be slgned
and approved bY the Historical
Coordinator prlor to permit issuance'
APPROVED:
PL,HSE GAR ACC
N I
S q q
W /q
E 3o
VALUEB?,
=:/q -/2 \
3i*47tr4,o,
(A)
,27?,n
/ 2l:;z-777L
?:Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
IvJain
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and ise ofbulldlngs, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.#4Zit<,
Receipt Number:_
By:
PI s By
Date Paid
Bec
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
:" I (B) ,?zEc;a{
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
-z@-*
g34o daat
(c)
No 2_
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
ec)
12/)
PLUMBING PERMIT
ITEM
Flxtures
. FT.
ADDITIONAL CO MENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
97*)ruttt,
aoa
(D)
f,o
N0 3
)?,
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
,97
-----i€'i9'
'o 6a
By slgnature, r state and agree, that r have carefuily examrnedthe completed applicatlon and do hereby certify that alllnformation hereon is true and correct, anC I f urther certify
that any and ail work performed shail be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbedherein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Division.I further certify that only contractors and employees whoare ln compliance with OFIS 7O1.OSS wlll be used on thisproject.
I further agree to ensure that all required inspections arerequested at the proper time, that each address rs readable
from the street, that the permlt card ls located at the frontof the property, and the approved set of plans will remainon the slte at all tim ring construcilon.
natureX,
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk 6* tt
curbcut 3 L t
Demolltlon
State Surcharge
Total Miscellaneous permits
&
(E)
2o
/4 ,*o
TOTAL A|IIOUNT DUE (exctuding electrical)
(A, B, C, D, and E Combined)
tl.go
I
L/DATE PAID
AMOUNT RECEIV
HECEIVED BY
VALIDATION:
RECEIPT NUMBER
?^ /z-
i.", .,1., ,- r.l!'.i.
":refrlzz
34{2/
SPRINGFIELO
uso
ELECTRTCAL PERHIT APPLTCATION
City Job Nunber
BELOU
Nev Resldential-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:
I tems Cos t
JOB
Permits are non-transferable and expire
if vork is not started vithln 180 days
of lssuance or lf vork ls suspended for
180 days.,
2. COT.II?ACTOR INSTALI^ATION ONLI
Electrlcal Contractor ROSE CORP
Address 89976 DAY LANE
Ci ty rrrcrrup Phone GgG-0905
Supervisor License Number 1 SGBS
Explration Date 10/1/95 ,,
Constr Contr. Number 54$ii'
Expiration Date,9/30/95
Slgnature of rvising Electriclan
Owners nane .r7.'6fr)4
Address
cttv. 9.t4tslhl t^,Phon"_
OTINER INSTALIATION
The.installatioit is beidg made on
property I oun vhich is not intended
for sale, Iease or rent.
0mers Signature:
DATE:
Tha followlng.projecl ss submiflod hrs thezor,rng, and doos not require speciflo landapprr.rval.m
2?5 PTYTE STREBT
SPRTNGPIBLD, ORBGoN 97477
INSPBCTION REOUESTz 726-3
oPPfCB: 726-3759
1 LOCATION OP
Authorized
A
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular DveIIing
Servlce or Feeder
B. Services or Feeders
InstaIIation, Alterations
or Relocation:
L_ $ ss.oo ?rtr
2/' $ 1s.oo 3O 7
s 40.00
Sum
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nly
s s0.00
$ 60.00
s100.00
s130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteratlon or Reloeation
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voT[s see uB" a56ilf
D. Branch Circuits
E
5
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Punp or lrrigation S 40.00
Sign/outline Lighting- $ 40.00
Limited Energy/Res
-
S 20.00
Llmited Energy/Comm $ 36.00
//5*aTf
-_:-
,.{s-@
SI,BTOTAL OF ABOVE
5Z State Surcharge
TOTAL
RECEITIED
IJGAL DESCRIPTION
Wirlamalane
Park & Recreation District
5
n
fob No.
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
PHONE:
Manufactured home not in a Park
//
t((of-- t5bNAME:
ADDRESS:
LOCATION OF PROPOSED BUILDINC SITE:6h6+,Strea Address if Known:
Platt Name:Tax Lot Number:3
DEVETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Single Family - Detached
tI Single Family home
1
NO OF UNITS I X $400 PER UNIT =
B. Single Family - Attached
NO OF UNITS X $370 PER UNIT =
C. Multi-Family Apartment
NO OF UNITS X $277 PER UNIT =
D. Manufaoured Home Park
$
$
$
$
WPRD SDC
2. SDC CREDIT
approval. See
$
(lf applicable) SDC-payer must furnish proof of WPRD Credit
SDC Credit Workshea.
3. TOTAL WPRD NEf SDC ASSESSED (lf SDC reduced for Credl0
$
$
City of
i?
Date
\./{
*erc02=,, ? 7?77
5q1 3n,,{Lt
CALCULATION OF WPRD PABKSANA.BECREATION FACILITIES SDC
STANDABD DWELLING COSTS:
Standard Cosl Per Druelling is a portion of the replacement value of existing capital facilities, except swim centers
and Donis Ranch.
1
Average
Persons Per
Type of Dryelling Unit Dryelling Unit
2
Standard
Cost Per
Capita
3
Standard
Cost Per
hpelling Unit
.4
Number ---'.
Drelling
Units
5
Total
SDC
Single Family - Detached 2.89 X $138.35 $400 x
(A dwelling whk*t is designed or used exdusively for tl:r Guryncl of one hmity vthidl is not attdted b any
oher dwelling and is sunounded by opn qaa and yads. This definition irdudes manufacfiired homes not
located in a manufaclured home park.)
Single Family - Attached 2.67 X $138.35 $370 X
(A dwelling desigrcd or uxd excusively for the oeuparcy ol one famity whbh is atbdted to one or more
dwellings by @mman vedical walls. This definition indudes but is not limited t9 zem tot lirp dwelting,
townhou * s, rowhou * s, d uple xe s, aN cod o mi n i um s. )
Multi-Family 2.W X $138.35 u77 X
(A building antaining three or morc dwellirg unib dasigned or u*d exclusivaty for tlre @)Fncy ol tfuee
or more livirg idepdenfly of earJl other and *re.taled by ammon watls. Tpiatty, this indudes unib
in an a#rtmentbuitding ora@ex.)
lvlanufactured Home Park 2.A2 X $138.3s @0x
fi manutrcilod home pai< ansis0hg of four or mora manufac:tured homes whbh are lcrrrted wthin
500 teet of one another on a lot, tacl, or parel ol land. lrdudes r:rw qaes d&d to an existittg
manufaclured home park)
TOTAL WPRD SDC
(Enbr frgures ln colunns 4 & 5 m he Wodstet - f1., A B, C, ardc D)
$
$
$
$
$
SDC CREDIT
Credit may be mquested for a land donalion or qualified public improvement A request for credit must be suUmineO
to Willamalane directly. Tho City of Springfield is noi rcsponsible for calculating or apprwing Willamatane cr€dita.
c6a3
ATTACHMENT BI s N0.I ltzo s'
crrY 0F sPRlNertrm IlIIFfls DEVEL0PMENT CHARGE
I^IORKSHEET
(COHHERCIAL & RESIDENIIAL)
NAHE OR CO}'IPINY:
LOCATION:,,7 t.+t/
DEVELOPMENT TYPE:q
2lt 4t OT SI . Ft.
$4g o. sf
s
s/Vtr,zz
s3 /?,42
s / f?-r,oz
BUILDING SIZE:
1. ST0RFI nRALN^GF
IHPERVIOIJS SQ. FT.
$7 77.cr2. SANITARY qFHFR-CITY
NO. OF PFU'S
(See Reverse)
tV X $43.26 PER PFU
TRAI,ISP0RTATl0N
NO OF UNITS X TRIP RATE X COST PER TRIP
X /,or X $436.i9
x
-
x $436-19
x
-
x s436.19
SUBTOTAL (ADD ITEMS 1,2, & 3)
4. SANITARY SFWFR.MFIMC
(ur[oiF8Fr3[!itr#k-l ill;13
PER PFU + $10 ]'rvJ]4c ADMIN'FEE
HI.IHC CREDIT IF APPLICABLE (SEE *t"*tloro, -* ,*
SUBTOTAL (ADO ITEMS 1.2,3 & 4)
5. ATUTNISTATIVF FFFS
BASE CI.IARGE (AB0VE) X .05
23f,t
J
I
J??.r,
Ha
SDC
rni g.
82.SDC
i nat
Date:
TOTAT SOC S 20?6.Fe
F,?
x $0.209 PER SQ. FT. s 17L7'
S 33. co
lztt,st
s
r -/{'
EIXTURE UNIT CALCULA{I^\ TABLE: ruumuer of New Fiir,-s -,i;,, Equivalent = Fixture units
(hJOTE: For remodels, calculate only , Ncf add,itional fixturesl .' '
NUMBER OF UNIT FIXTURE
TiXTURE TYPE NEW F]XTURES EOUIVALENT UNITS
Bathtub.?4
Drinking Fountain..
Floor Drain
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors. For Sand/Auto Wash/Etc..................
Laundry Tcib/Clothesrvasher....
Clotheswasher - 3 Or More.....
i,,iobile Home Park Trap (1 Per Trailer)......
Receptor For RefrigeratorAVater StationiEtc........
Receptor For Commercial Sink/DishwasheriEtc..
Shower, Single Stall
Shower, Gang
Sink: Bar, Commercial, Residential Kitchen.
Urinal, StallANall.. :.................
Wash Basin/Lavatory, Single.-Ioilet, Public lnstallation.......
2_
Toilet . Private.
Miscellaneous:
TOTAL FIXTURE UNITS
2
1
?
3
6
2
6
6
1
3
2
1
2
2
1
/Head
<
---T-
--i-b
.+
GREDIT CALCUL.ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
$3.46
3.38
a2)
3.21
3.06
2.92
2.73
1 985
1 986
l:1Cl
1 988
1 989
1 990
1 991
1 993
$2.46
2.14
1.77
1.37
0.97
0.61
o.44
o.15
Credit for Parcel or Land Only lf Applicable
lmprovdment (if after annexation date)
3,4c xs 7,7to
(Rate X Assessed Value)x$
(Rate X Assessed Value)
37Go
CREDIT TOTAL - $33-eo
7
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/Y
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