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Home My WebLink AboutPermit Building 1995-4-24 OWNER' S'"" r>a..J - e . ADDRESS' <~)S~ ~ \(\i N\ )\ 0 J..t') ,(\, . CITY: ,~\ \... f'l'tL cl) NJ \. \ STATE: ~() (j(\ _,H",\ '-.'\ DESCRIBE WORK: 'SFj). k~/If.7T/1C/;/.E'!) &/fI?/fA;;t=' NEW V RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Orfice: 726,3759 XASSWORS MAP: , (LOT' /.5' REMODEL . BLOCK' ADDITION DEMOLISH OTHER ~8'- A-f, k7 1 JOB NUMBER 9 5tJ~~'7 ! TAX LOT: Q\mlQ. 96 SUBDIVISION: ~w ~~ PHON':' f):\.\o '8\41 ZIP: Cl1tl, CONTAACTOR7;NI)i1E~ ,~DDRESS GENERAl' cJ Ilan:z.c "t'r -/lmwe..l PLUMBING' (J:nvlvac< i<'......f- ;;// MECHANICAL: ~J pL ,~ ELECTRICA" /Jea'v.J P' fer, CONST, CONTRACTOR' 97;)'-11 I{)l\o~ ,~ B=ll.-:q -7 ,j QUAD AREA: \ Q\\JtU . OF BLDGS: I OCCY GROUP: R?1+ kJ\ \ y--- . OF STORIES: WATER HEATER: - OFFICE USE - \\.l~ · OF UNITS: \ CONSTA. TYPE:...J..Lh ) HEAT SOURCE: ~ f./ t:.J LAND USE: RANGE" EXpiRES PHONE 3'1.r-1 J" '? 9s:-Y-'f,.?O ?-2.,B-9 P 8- \S- .C\"" cO,p~~ ~, 11 ql.o \o'l~ {{)~ FLOOD PLAIN: ZONING CODE: I D~ '\J SECONDARY HEAT: -0 SQUARE FOOTAGE: \C\,;:)~ . OF BDRMS: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons requested belore 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. " , , D Tomporary Eloctrlc D Site Inspection - To be made after excavatIon, but prior to setting forms. D Underslab Plumblng/Elactricall Mechanical - Prior to cover. i"57r Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting, r5(f Foundation - After forms Bre ~erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, -R7I' Underllo0'fPlumblnJ!'tMechanicJ!l> ~ - Prior to IIl~Ultllrorf or UtlGKmg. ~Post and Beam - Prior to floor ~ InsulatIon or decking. F5t1 Floor Insulation - Prior to ~ decking, "'F;?l Sanitary Sewer - Prior to filling ~trench. ~ Storm Sower - Prior to fltllng ~trench. ~ Water Line - Prior to filling ~trench. 1"'5?1 Rough Plumbing - PrIor to ~over. \ REQUIRED INSPECTIONS f':/( Rough Mechanical - Prior to ~ cover. f;21 Rough Eloctrlcal - Prior to ~over. T"'V'1' ElectrIcal Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. I"57f Wail/Ceiling Insulallon - Prior to ~ cover. ~ Drywall - Prior to taping, D Wood Stovo - After Installation. D Insert - After fireplace approvel and Installation 01 unit. rvr Curbcut & Approach - After ~ forms are erected but prior to placemont of concrele. V'V'f'Sldewalk & Driveway - Alter ~ excavation Is complete, forms and sub.base material In place. D Fence - When completed. ~rGGt Treos - When all re~utred ~rees are planted. i'Q1 Final Plumbing - When all ~ plumbIng work Is complete. ~ Final Electrlcnl - When all ~ electrical work Is complete. i"'<;;?r Final Mechanical - When all ~ mechanical work Is complete. I'Vl' Final Building - When all ~requlred InspectIons have been approved and building Is completed, D Other ;~rrr;."iioIt'v(.iurL ('~,""ol,htJ e 4,~tnh.l MOBILE HOME INSPECTIONS D Blocking and Sot-Up - When all blockIng Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blockIng, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porchos, skirting, decks, nnd ventIng have been Installed. Selbacks I P.L, HSE I GAR ACC I I N I:; I Is 115"1/5"1 W I I IS I I -LJfl.LU BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Lot faces ~ Lot sq, ltg, ~ Lot coverage ~/~ To;ography ..(~ Total height Un..: 5 (\n' J , -- Lot TYP. v-)nICrlOr _ Corner Panhandle Cul-de-sac BUILDING PERMIT SQ, FT, \D,;A 49_~ ITEM X $/SQ, FT, = VALUE -5\Ql() [ioL\[\~ t=i-, \(Y '. mC\f s Main Garage Carport Tolal Value ql}?ffi 4\ 'L po (')8 glp 4-44q I.p Building Permit Fee State Surcharge \-~ Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) fig (B) H21r..p.,~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' a Sanitary Sewer FT, Water FT. Storm Sewer FT. Mobile Home Plumbing Permit f-~ Slale Surcharge TOlal Charge (C) MECHANICAL PERMIT Furnace FEE J LoO(V f~r:v l,f~ :~ ~,'~ {o,CD Exhaust Hood ~ Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent .,..~,co Mechanical Permit ~ 1.5~ ,,-~I.OItf Issuance State Surcharge -\-"2:Pb Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk I ill fl ,'i~1t '-~.~ \4.$40 Curbcut Demolition ~te SurCh"f9le . 0 \...M~ f\ \(JLU. G lEi )qJ !()/.3{; Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlcal~,.q4.~ (A, B, C, D, and' E' Combined) '\:. "':'i": 'IS THE PROPOSED WORK IN THE, "HISTORICAL DISTRICT, OR ON THE HtSTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prIor to permit Issuance. APPROVED: This permit Is granted on Ihe express condition thai the said construction shall, In all respects, conform to the Ordinance adopted by the Cily,of Springlleld, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked al any time upon violation of a~proVISlons of said ordinances. Plan Check Fee:\, _Q,~ Date Paid: Receipt Number' Recelv~~. _ . ~~~ Plans ~evlewed By , ~tr Systems Development Charge Is due on ell undeveloped properties within tl10 City limits which are being Improved, ADDITIONAL COMMENTS J:)l~~r h~ C'~ '~T-T. .t\4(l'1 uJ)t- tmW> '- cMI\N Y \0..:4 ~ ? b ,,'.LA \iJ~-~to . ~'(100f~ ~ ()t!CJIM~ .~. t~")'r~ t ~Tat . rr- - ~~II-'-.p:x J U~/'- /A(fjeAS:ptuquA'~ l~ M~) Ay PUA4~ ~~f ' r ! , I By signature, i stale end agree, thai I have carefully examined the completed appllcallon and do hereby certify that a/l In(ormatlon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordlnanc~s of the City of Springfield, and Ihe Laws of the Stato or Oregon pertaining to the work described heroin. 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 further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable (rom the street, that the pormlt card Is located at the fronl of the property, and,lhe atrov~.s et of plans will remain on the Slte~1 times d Ing ~ ~nature ~ . 'L/-~\Jj- 19S Date , . VALIDATION: n I ~ RECEIPT NUMBER. _ \ ~,[). IlJI DATE PAID .!\-.H..q ,q::::... AMOUNT RECE~ ,~ _)8 ~ RECEIVED BY C I) \} 'f\ -. \ _/ . . The following project ee submitted has Ih~ 0 oWing loning. and does not reqUIre specific Ian use 225 FIFTH STREET epproval. L- at- SPRINGFIELD, OREGON 97477 Zoning INSPECTION REQUEST: 776itP6GQ-Ld -'1<6, OFFICE: 726-3759' IJ M. Authorized SignaturE' '"3' 1. I,OCATION O.R...INSmLATIQti... _ ~ to ,,-l (') \ \ \ C I\{)\C\.O \. ~ A. - . ' ~~~~IO~~,~n ~O S~ ~~FTI~oCl . " Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY " Electrical Contractor ,,') Pl\''','~ t le.-Tp.ic. Address IYbD C'l~\ifL3h\ \)2 '*11\ City' fllo.l"W~' Phone b9'e-:;()lO Supervisor Licen.se Number 1':1 1'\ 5 Expiration Date 10' I - "S .. ELECTRICAL PERMIT APPLICATION Ci ty Job Number q f!J:)1. \ I) ,"un< ....,... ~gE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Cost 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 Only $ 85.00 55 A. $ 15.00 .30 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation " Constr Contr. Number x'\l'ltf' Expiration Date ~ - 11 - "\'1 Signature of Supervising Electrician \)-~ Owners Na~~ f).~ X(\^ [) J~ Address( )4.n~ ~cl{jOcL..J.,{ }.J.LeJ Ci tyC1:1JJ.{l 1-..... Phone'l4.l1.214f O~~ALLATION . The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE;~---------~--~~zr~C?~-~----- RECEIPT I: tJ I f)t1 I {' '/I/') RECEIVED BY: I If,( / 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci rcuit Each Additional Circuit or with Service or Feeder Permit E. 5,. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.06. $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 lf~ .cO -,,,,->~ ;:O;,4-~ f<Q4.:k) . . ~ J}'... Wi llama lane '-t'\1' Park 8< Recreatio~ District JObNO.~7 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM~~t'''(\ ~ 0~' ADDRESS: ~tJ ~ " \ PHONE:!11J.n .fff14 " , ' ~ STATE: , ZIP lqCATION OF PROPOSED Bl/ll!J~C;; SITE: ('\' \" ~, ..... \'..~ ' Street Address if Known: \Q tl 0 l 1 \ \ (\ l,UL)\ C) ~ \ \ 1e J " . , Platt Name: ~\<\~\~axlotNUmber: Cl~ama.o\~~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.) A. Sinl!le Familv - Detached l Single Family home NO OF UNITS l B. Sinl!le Familv - Attached NO OF UNITS C. Multi-Familv Aoartment ' NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park , cIJ ' X $400 PER UNIT oF.. $ ,,4fX). , . , X $370 PER UNIT = '$ , " i X $~77 PER UNIT = $ X $280 PER UNIT = $ 3. ,$ 4fi)PJ $ ''if $4DOo:J 2. SDC CREDIT (If applicablel SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. ' \~J 4 d4 I qs n~f(.lo . . NO. '1:504-/7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: S'f'CItN 13 LOCATION: 0,5'" NIGHOt-AS PI!-JVE:. DEVELOPMENT TYPE: L-()fL - NEJN Sf'R /"70":>7-7-/2-- O/30h BUILDING SIZE: l.OT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. "2-'5-z...0 ,X $0.209 PER SQ, FT, ,~ 2. ~ANITARY SEWER-CITY NO. OF PFU'S 1"6 (See Reverse) X $43,26 PER PFU G7786~ '- ----- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /,01 X $436.19 X X $436.19 X $436.19 ~4~ 55) --------------- $ $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S /S x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3 (9 4Z TOTAL-MWMC SDC $ N.It, ~~ ...... ----- $-z.o~5'?o~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) ~.,~~ o Kip Burdick SDC Coordinator X .05 Date: ,=>f'?/ /q5 , , TOTAL SDC G 16~7-2J , ----- $ 2/ ~8 ~ FIXTURE UNIT C~lCUlA T~N T I\BlE: Number of New Fixture~nit Equivalent = Fixture Units (NOTE: For remodels. 'calculate only th~ addItional fIxtures) . , NUMBER OF UNIT FIXTURE __ FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 2. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 2. Bathtub.. .......... ..... ,...."""...",.......,."..."...,..,.., ..... ..... Drinking Fountain.......................... -.......................... Floor Drain,.,....""""..""""".,.....,."".,.."""..,..,.,.".., Interceptors For Grease/OiI/Solids/ElC................. Interceptors 'For Sand/Auto Wash/Elc..,..,............ Laundry T ub/Clotheswasher".",..,.""""""""...,...,. Clothes washer ..3 Or. More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Watcr Station/Etc........ Receptor For Commercial Sink/Oishwasher/Etc.. Shower, Single Stall........."....,...,....,..".",................ Shower, Gang..............,' ,. ,... ....,.,..,....., ....... ......:....... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/WaIL...........""",.."..,...,...,..."......, .......... Wash Basin/Lavatory, Single.....'............................. Toilet, Public Installation........................................ Toilet, Private..........,......,......,.......,......"............,.. Miscellaneous: I. '2.- '2- 'Z. 'Z. ~- ~ TOTAL FIXTURE UNITS (<b CREDIT CALCULATION TABLE: Based on assessed value, calculate credits separates, r- If improvements occurred after annexation date in table, Rale per $1,000 -I Assessed Value $2.46 2.14 1.77 1.37 0,97 0.61 0.44 0.15 = -tT = - , , I II Year Annexed Rale per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3,21 3,06 2,92 2,73 1985 1986 1987 1988 1989 1990 1991 1993 .--.-- ----- Improve'!'ent,(if after annexation datel X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit forP.arcel or Land Only If Applicable CREDIT TOTAL = $ IJ ,A