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Home My WebLink AboutPermit Building 1991-10-21u4b RK; BLOCK: SPRI ED LOT TAX LOT: SUBDIVISION JOB NUMBER LOCATION OF PRO ASSESSORS MAP RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 225 Fifth Street Spri ngfield, Oregon 97 477 OWNE ADDRESS: CITY: PHONE: ZIP:STATE: DEMOLISH ER DESCRIBE WORK: NEW- REMODEL ADDITION CONST.,S NAM ADDR EXPIRESCONT G EN ERAL: PLU M BI NG MECHANICAL: ELECTRICAL SASt"-t LDL Rz ( I RANGE: g OF BDRMS: _ OFFICE USE - LAND USE:-l t t I WATER HEATER ZONING CODE: FLOOD PLAIN * OF UNITS: HEAT SOURCE: CONSTR. TYPE: QUAD AREA: # OF BLDGS SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED !NSPECTIONS Temporary Electric Jll Rough Mechanical - Prior to,Qover. f,l H"'rl Eleclrical - Prior to x Final Plumbing - When all plumbing work is complete. Sile lnspection - To be made after excavation, but prior to setting forms.,ax Final Electrical - When all electrical work is complete. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. x Final Mechanical - When all mechanical work is complete. lYl Footing - After trenches areAexcavated.Fireplace - Prior to facing materials and framing lnsp. l! finat Building - When ail flrequired inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.EI.x Framing - Prior to cover. ,xl Foundalion - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.X[ otv*"ll - Prior to taping. MOBILE HOME INSPECTIONS I71 u naertloo@iffiEi?E / M echanical Prior to insulation or decking. lVl Post and Beam - Prior to floor[3insulation or decking. Wood Stove - After installation lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. X Floor lnsulalion - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. x Qtt tffi )J\ I v-N r r E E E Ff;,,.l Prumbins - Prior to I Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E BUILDING PERMIT ITEM Main Garage Carport SQ. FT. X $/SO. FT.E Total Value Building Permit Fee State Surcharge Total Fee €o f' Z s3 53(A),03 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 said ordinances. Plan Check Fee: Date Paid Receipt Numbe Received /o -/4-7/ Plans Rev iewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) N/ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE 2ndo.)t .' - N0 FT. FT. FT. Plumbing Permit State Surcharge Total Charge ,50 SO(c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No/4rd Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit /5,o o /o,'o'25 (D)z.6r{ MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: FIECEIPT NUMBER ) iUqV DATE PAID I .qt AMOUNT RECEIVED 2 ) lo.) RECEIVED BY O6TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)lr 70 THE PBOPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the pro rty, and the approved set of plans will remain on the si I tim du o ruction Sign Date \/\ strrtI NGFIE Lf} 1. LOCATION OE ( IJGAL DESCRIPTION 2 Ci ty Yno"" {*4'727Q Supetvisor License Number 2?z 5 .s ***o ELECTRICAL PERHIT APPLICATION City Job Number COT{PI..ETE FEB SCEEDULE BELOIT Nev Residential-Single or MuIti-FamiIY Per dvelling unit. Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvel).ing Service or Feeder B. Services or Feeders InstaIIation, Alterations or Relocat ion: 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 c. 3 A Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 iration Date j1t/4 Constr Contr. Number Expiration Date ture of trician Owners Name Address City Phone OITNER INSTALI,ATION TemporarY Services or Feeders in"iaffaiion, Alteration or Relocation 200 amPs or less 201 amPs to 400 amPs - Over 401 to 600 amPs - 0ver 600 amPs or 1000 volt D. Branch Circuits Nev, Alteratlon or Extension Per Panel one circuit L- g 35.00 3g Each Additional Circuit or with Service or Feeder Permit - s 2.00 E Miscellaneous (Service/feeder not included) $ $ $ss 40.00 55.00 80.00 ee uBtt above 00 00 00 00 The installation is being made on property I ovn which is not intended for sale, lease or rent' Owners Signature: -Eaeh installation Pump or irrigation Sign/OutIine Lighting- Lirni ted EnergY/Res .- Limited EnergY/Comm STIBTOTAL OB ABOVE 5Z State Surcharge TOTAL $ $ $ $ 40. 40 20 36 DATE: RECEIVED BY: 5 N5 FIfig SITBET SPMNfiFIUA, onEGoN 97477 INSPECIION RB0UESTz 726-3769 OFPICE: 726-3759 JOB DBS(N.IPTION^7lcif, r 47? ,- '-' Permits are non-transferable and expire if vork is not started vithln 180 days of issuance or if vork ls suspended for 180 days. 2. COI,ITRACTOR INSTALI,ATION ONLY Electrical Contrac tot %z/27e2*) macess 2 / 50 ,4dc,{ Sfi x ?<oo t,7S 1a-{-- JoB N0. .1rtt G+ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (cot{t'tERcIAL & RESIDET{TrAL) NAME 0R C0MPANY: J)e^r{ 4 5,o -T)t*r- L0CATI0N: 25b5 N.rE lovz-ulz- DEVELOPMENT TYPE: L-P Aop t'fl6tl BUILDING SIZE:L +,<9 3 1. STORM DRAINAGE 2. SANITARY SEWER-CITY TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x _ x $388.51 x _ x $388.61 x x $388.61 (See Attachment C To Determine Trip SU No. oF PFU'S - x $38.55 PER pFU (see Reverse ffi pFU,s) tt LOT SIZE sQ. Ft IMpERVious sQ. FT. x $0.186 pER SQ. FT.(See Reverse For nuffiIf Actuar Imperv. Are s a Is Unknown) $ $ Rates ) BToTAL (ADD ITEMS 1,2, & 3) 4 M BASE Cr-iARGE (SUBToTAL ABoVE) X .0s SANITARY SEWER-MhJMC NO. OF PFU'S s TOTAL-CITY SDC $13.25 PER PFU + $10 l"lW[|C ADl"t]N. FtE TOTAL-Ml^lMC SDC $ 5 (Use PFU Total From Item 2 Above) Ml^lMC CREDIT IF APPLICABLE (SEE REVERSE) lo --) - K p Burdick SDC Coordinator |/, 5>c C/^a,- s rulr*L*b ffit& TOTAL SDC $+ t c c s q FIXTURE UNIT CALCUL - '.loN TABLE: Number of New Fixrure Unit Equivalent = Fixture Units (NOTE Forremodels,calculateonlytheNEadditionalfixtures)NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTUBE UNITS FIXTURE TYPE Bathtub....... Drinking Fountain' Floor Drain. 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 lnterceptors For Grease/Oil/Solids/Etc lnterceptors For Sand/Auto Wash/Etc" Laundry Tub/Clotheswasher. Clotheswasher - 3 Or More... Mobile Home Park Trap (1 Per Trailer).'............"' Receptor For RefrigeratorAVater Station/Etc....... Receptor For Commercial Sink/Dishwasher/Etc. Shower, Single Stall. Shower, Gang.......... Urinal, Stall/Wall. Wash Basin/Lavatory, Single.......'.. Water Closet, Public lnstallation'. Water Closet, Private......... Miscellaneous: TOTAL FIXTURE UNITS cBEDtT CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL = $- Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1 981 1982 1 983 1 984 $2.66 2.64 2.53 2.41 2.19 2.04 1 985 1 986 1 987 1 988 1 989 1 990 $1.69 1.35 1 .15 0.92 0.59 0.23 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercial lndustrial. Governmental................. 0.4 0.9 0.45 0.5 IMPERV|OUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT