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HomeMy WebLinkAboutPermit Building 1994-06-23I, RESIDENTIAL PERM'T APPL'CAT'ON lnspectlons: 726-3769 Ofiice:726-3759 JOB NUMBER 225 Flfth Street Sprlngflelcl, Oregon 97477 uval LOCATION OF PROPOSED WOBK: ASSESSORS MAP:/7e2 <:,at< 2 TAX LOT aft4 LOT: - BLOCK:SUBDIVISION: PHONE: < z'- ??ztPSTATE: ?"zg N CITY: ADDRESS: OWNEB; NEW - REMODEL ADDITION L"/ DEMOLISH OTHER DESCRIBE WORK: /.Y ELECTRICAL: 33N?Io"ro R, 6 ?sP{xPr RESADDRESS ({ EcONTRACTOR'S NAME GENERAL: SE- OUAD AREA:"CB]0r,^) * OF BDRMS: WATER HEATER: - oFFlc ZONING CODE: FLOOD PLAIN: # OF BLDGS LAND USE: * OF UNITS: BANGE: SECONDABY HEAT: SQUARE FOOTAGE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspeclon, you must call 726-3769. Thls ls a24 hour recordlng, All lnspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS m tr n m ry ry s N ry w r tr [l femporary Eleclric Slte lnspectlon - To be made after excavation, but Prior to setting forms. Underslab Plumbing / Electrlcal / Mechanical - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundallon - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to fllling trench. Underlloor Plumblng/ Mechanical - Prlor to lnsulatlon or decklng' Rough Mechanlcal - Prlor to cover. Rough Electrlcal - Prior to cover. Electrical Service - Must be approved to obtaln Permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsP. Framlng - Prlor to cover. Wal Celli ng lnsul atlon Prl or to cover. D rywall Prl o to ta pl ng. Wood Slove - After lnstallatlon. lnsert - After flreplace aPProval and lnstallatlon of unlt. Curbcut & Approach - After forms are erected but Prlor to placemont of concrete. Sidewalk & DrivewaY - After excavatlon ls comPlete, forms and sub-base materlal ln Place. Fenqe - When completed. Stroel Trees - When all requlred trees are planted. lVl Flnat Electrlcal - When all $ electrical work is complete. Flnal Plumblng - When all plumblng work ls complete. Flnal Mechanical - When all mechanlcal worl< ls complete. Flnal Building - When all requlred lnspectlons have been approved and bulldlng is completed. .tt^t *)st(arrA tb A\I o M LE H d.'5 o Post and Beam - Prlor to floor lnsulatlon or decking. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to fllling trench. Storm Sewer - Prlor to fllling trench. Water Line - Prlor to filling trench. Rough Plumbing - Prior to cover. Blocklng and Set-Up - When all blocklng ls complete. Plumbing Connections - When home has been connected to water and sewer. Final - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. 72"q 3Z /1r<, MECHANICAL: tf tl Eleclrlcal Conneclion - When blocking, set-up, and plumbing lnspectlons have been approved and the home is connected to the servlce panel. E It n E E tl E tl .... ".,'.).tu 1,,, P.L.HSL GAR ACC_ N S W E STH E PROPOSED WORK N THE - HISTORICAL DlsrRlcT'OR ON THE HISTORICAL lf yes , this aPPllcatlon must be slgned and approved bY the Historlcal Coordinator Prior to permit issuance' APPROVED: \ Lot faces Lot sq. ftg' Lot coverage TopograPhY Total helght Lot TYPe .- lnterior _._- Corner _- Panhandle -_ Cul-de-sac BUILDING PERMIT VALUE 3t M*r^ ?;{,PT (A) 38 .So SQ. FT. X S/SQ. FT. ,<2t 26 ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHE AND BUILDING PERMIT Thls 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 ofbuildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. CslJtqReviewed By t Plan Check Fee:a=.< Receipt Numbe I DJG-I- CK Date Pald: elved By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 9a r? Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. No PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge Fils CJr^ +CE u A DITIONAL COM MENTS q-. -\sG* Wood Stove/ lnsert/Flreplace Unlt Dryer Vent MECHANICAL PERM!T (D) N0 Mechanical Permlt lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed hereln, and that NO OCCUPANCy wiil be made of any structure without permission of the Building Safety Divislon. I further certify that only contractors and employees who are ln compllance with ORS 7O1.OS5 will be used on thls project. I further agree to ensure that all required inspections are requested at the proper ilme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the slte at all times during construction. Slgnature , Date - MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut -- ft Demolitlon State Surcharge Total MlscEllaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combtned)73 7i ,/< s AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER t-13raa;/./6q \.aa /2 FT. FT. 225 FTPTH STREBT sPRrNGFrEl,D, oREGON 97477 INSPECTION REOIIEST: 726-3 0FFICE: 726-3759 Data (/ 1. tocATroN 0F. TEGAL DESCRTPTION JOB DESCRTPTION lIPrt'A'GF,ELO PERI{TT APPLICATION City Job Nunber SCEEDIII,E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DveJ.ling Service or Feeder $ 8s.00 $ 40.00 Services or Feeders Installation, Alterations or ReLocation: 200 amps or Iess ior "rp" to 400 amPs -40L amps to 600 amPS - 601- amps to l-000 amPs- Over l-000 amPs/volts - Reconnect 0n1Y fhe lollatlng pra/ea u subntttcd ta the zoning, and does not require epecific lend approval. A Sum Address \ Ci tv Phone Supervisor License Number Expiration Date C. Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name Address ciw iWzzrt YhoneT%'€5B OIJNER TNSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' TemporarY Services or Feeders Insiallaiion, Al-teration or Relocation B s 1s.00 ,)00 not ineluded) 40.00 40.00 20.00 $ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 above 40.00 55.00 80.00 e rtBrt D Branch Circuits Nev, Alteration or Extension Per Panel One circuit '--- $ 35.00 7r Each Addi t ional- Circuit or vith Service or Feeder Permit 200 amps or fess $ ior .rp" to 4oo amps - $ over 4b1 to 6oo amps - $ Over 600 amps or 1000 volts se Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ signzOutline Lighting- $Llilited Energy/Res - $ ) E' Ovners S 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL DATE: RECEIVED ture: .-2, Permits are non-transferable and expire if vork is not started vithin 180 days ;; i;;;."ce or if vork is susPended for 180 days. 2. CONTRACTOR INSTATLATION ONLY ELectrical contr actor fuf* JOB NO. CI{ARGE s 7 6s' NAI'IE OR COHPANY: LOCATION: .2ZZ 7 ^J DEVELOPI,'INT TYPE: BUILDING SIZE:0T siz I. STORH DRAINAGE II'IPERVIOUS SQ. FT. 2 SANITARY SEll|ER-CITY NO. OF PFU'S (See Reverse)X S42.OB PER PFU 3 TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP x x s424.3r x x s424.31 x x s424.31 4. SANiTARY SEl{IR-I.II{I.IC NO. OF PFU'S (Use PFU Total rom Item 2 MlllI4C CREDIT IF AppLTCABLE (sEE REVERSE) TOTAL-Ml.lMC SDC SUBToTAL (ADD iTEMS I,2,3 & 4) BASE UETO E) X .os CITY OF SPRINGFIELD SYSTEHS DEVELOPMENT ( c ,Hr{ ERH?I [r#55L, 0,., $15.125 PER pFU + StO HHHC ADM FEEAbove) 7 Ft. s 5 O,l6 rd i nator TOTAL SDC s /.,/ /1/)z .4{7r x s0.203 PER SQ. FT. FlxTuRE uNlT^cALcuLATIoN TABLET r.nrnrlrcr or Ncrv Firlrrres X Urrit Etiui',lc^t = Firltrre Unils (t{oTtl For remodets. catcurlio'-fr,1utu l''- atlt'liiiorr'rl lirltrrc:') I,rur.1.[It-ol- -^ Lri{ll' rlxTUFE NE\i, l:tXTUnES I-OUI\'/'LIlJT Ul'JltS Balhtub'.."""" "':"" " " " " Drinking Fourrtlirr""" Roor O.ain" """""""""" i#;;il; For Grease/oil/solidsi EIc" """""""' ili;;ili;" For Sand//'uto \\'a slr/Et c" " " "" " " " " ;fu ; Tub/oothesrvasher"""' Clothesruaqner' 3 Or l'4ore"""""' ffiffil}ie p"'r Trap (1 Per Trailer)"":""""""' ;r.#; ;Fp; B erri s eraioiAVat e r S t at i o n / Et c" " " " Receptor For Commeictui SintToishrvasher/Etc" Shower, Single Stall' FIXIURE N'PE Shower. Gang"""""' Slnk Bar. Commercial 'Urinal, Wash \\tater :l I ? 3 t) 2 6 6 1 J 2 r /Had 2 2 1 b .r Water Closet, P l,tiiscellaneous: rivate.......... TOTI.L FIXTURE UI{ITS 0.4 0.9 0.45 0.5 $ value. lf improvements occurred after annexation date in table' CREDIT CALCULATION TABLE: Based on assessed calculate cre<ihs RUNOFF COEFFICIENTS FOR STOR Residential. Commercial-..........."""' tndustrial..-- Governmental..,..........." credit for parcd or Lard only lf Applicable - (R.r. * LrSrrx **l- tmprovement (rf after annexation date) -iR.t, x Lrl; u*rl CREDIT TOTAL M DBAINAGE Assessed Value Bate Per 51,000Year Annexed AssesseC Value Rate Per S1'0OOYear Annexed 1995 1987 1998 1989 1990 1991 1992 S 2.?-4 1.93 1.57 1.18 0.79 0.44 0.28 1979 or before 1980 1 981 1982 1983 1984 '1985 s3.21 3.13 3.08 2.% 2.BZ 2.68 2.51 IN4PERVIoUSAREA=ToTALLoTSIZExRUNoFFCoEFFICIENT