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Home My WebLink AboutPermit Building 1995-3-13 I RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: I OWNER: ADDRESS: CITY: DESCRIBE WORK: NEW V" REMODEL CONTRACTOR'S NAME (,) t w:.. ,PIl..u-l{ c>"\. . i)~ h.'n-?~. SPRINGFIELD '3~" .t>;,,'j >~,... ) Clot,. V'r9;""";" ,. JOB N'UMBER '..q~R?l(, 225 Fifth Street Springfield, Oregon 97477 c;"Tr~ L'r ,L.' ~ :;:?I-' \ TAX LOT: ;;- 3 () 0 ()2Y 0 (' SUBDIVISION: jj~u ~~t!A-)::)/'-t.A' f!J/tCIr7r l'fhf:kS:Y PHONE: 7);7 F7{)C./ REQUIRED INSPECTIONS ...~:~~e~.h ,Mechanical -.:. Prlor'to \ ~, '1'\/1 Rough Electrical - Prior to ~ cover. 'M' Electrical Service - Must be , . approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. WI Wall/Ceiling Insulation - Prior to ~ cover. , ..., ~ Drywall - Prior to taping. o Wood Stovo - After Installation. o Inse~t - After fireplace approval and Installation of unit. ( '. o Curbcut & Approach - After forms are erected but prior to 'placement of concrete. eo ~ u ~ C4/.,j.-h.G / :J.''''.7~5' 5 _ :) [>p . <; ~ -?'tt:/' tJr~1YL -r ~. wUAJ 'S < F- BLOCK: STATE: tOy-- ZIP: CON ST. CONTRACTOR 11 o Sidewalk & Driveway - After excavation is complete, forms and sub.base material in place. D Fence - When completed. ~treet Trees - When all requlrEld trees are planted. AD~ESS . "--r7rrYl W/rh- ,. ~ u f 3;;' q,/ 7 , . . ;3. 41.. ~ - Me...e...A'PH,t~,L/-,. MA-rlj,c{'/L~ ~5f]qO , A ills ':' ~"'\'\iQ-1[j5/ D ADDITION DEMOLISH OTHER GENERAL: PLUMBING: MECHANICAL: ' ELECTRICAL: EXPIRES PHONE Lo.f.D.QS fJ41-X1D1 I~ 'fA'l!3S "t1!1:m5 4. } )1', q; ld<1. lEiS I ....- - OFFICE USE - QUAD AREA: '?r20(y LAND USE: It /1 FLOOD PLAIN: It OF BLDGS: I It OF UNITS: , ZONING CODE: l.--Dr2-. OCCY GROUP: ~ 7;-rVYl CONSTR. TYPE: '\/ rJ It 'OF BDRMS: ~ It OF STORIES: l HEAT SOURCE: u:d'j-' SECONDARY HEAT: WATER HEATER: r: RANGE: f, SQUARE FOOTAGE: I f14p:' To request an inspection, you m.ust call 726.3769. This Is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same wo'rking day, Inspections requested after 7:00 a.m. will be made the following work day. r .....1'-... ~'np:'~'Y E]ecl,;c o Site Insp.ection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical! Mechanical - Prior to cover. K7"f Footing - After trenches are ....V'\.i excavated. D Masonry - Steel location, bond beams, grouting. C><I Foundation - After forms are ;- ...erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. 'l"x"'1 Underfloor-PIumbin~echanical ~- Prior to"irGuic:..jon or decking. f>(!' Post and Beam - Prior to floor " "Insulation or decking. ~ Floor Insulation - Prior to J.A.;! decking. ~ Sanitary Sewer - Prior to filling JL....J".t r en c h . r><l Storm Sewer - Prior to filling ;" I trench. rvr Water Line -.Pr':of~t,b', filli,ng ~ trench. . , '. .' f><( Rough Plumbing ~ P-ri~r to y ,.cover. \ " . '~::. 19f Final Plumbing - When all ~ plumbing worl< Is complete. "'K?f Final Electrical - When all ~ electrical work is complete. ~ "'- Final Mechanical - When all mechanical work Is complete. 1)(f Final Building - When all I' required Inspections have been approved and building is completed. D Other JJ~ OCt "'OtU'l'oA, uVlli I , ..J J:~h."d\Jre i.." A(.(.(J~ 1 b~ fh/l.. Li+~ MOBILE HOME INSPECTIONS o Blocking and-S';t.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 porches, skirting, decks, and venting have been Installed. J Lot faces \ f ~ Lot ~'q. ftg. 4,C)7tJO , I Lot coverage 27rJl~ Topography <..2-Pb Id.' Total height ~ (to) BUILDING PERMIT Lot T~ yI" Interior Corner Panhandle Cul-de-sac ",,, , ......, .; ;:-'.; ;..~., :;.' :{ ;: ,.: ",.: .':"; '.l ~ p.L. Setbacks HSE GAR Accl I N Is Iw LE l~ 135 5) 10 I I IS THE PROPOSED WORK iN THE, 'HIST081CAL DISTRICT".OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved' by the Historical Coordinator prior to permi't issuance. 5 ITEM SQ. FT. J J Ilj) 4j~ x 61;:;0 =\i2]U\Eq ,4.(L)..1CQ\ Main Garage Carport Total Value Building Permit Fee State Surcharge I?:~+ I D:-P Total Fee (A) \Q~)8 \0 ~9CJ ,tTO - , 27.2-0 3io 7,2 CJ SYSTEMS DEVELOPMENT CHARG~ (~D~) ~ . . .' . (B)' 1f 1([/11. 'l3 . PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' L Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home -~ Plumbing Permit State Surcharge +-~U Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit " Dryer Vent - Mechanical Permit ~ Issuance State Surcharge -+ 3.9b Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge fi10A.J R'CV'/ /u ) ft!::.- . , .... , FEE qf.2D" ql~W '~l~ QY 4.~ .~.CD ~PO_ \~PU - CXJ \0. - \, Q..O j) (n .~O ~2l/YO Total Miscellaneous Permi.ts (E) TOTAL AMOUNT DUE (excluding electrical) O!4;D~ 13 (A, B, C. D, and E Combined) . '". APPROVED: 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 any provisions of said ordinances. -=:> ~J, e>D Plan Check Fee: ~~ Date Paid: Receipt Number: --I)~95 '/ o'ate ~ By Systems Development Charge.is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS A-+/ : $> 'l ~tJ 0 . lJO l B:d--. } A-N 1-J& ED Vtd-6. Iq(PD ~/r;J0 ItLe 7 PAr)/- 1. , . , j'/'/.f~-U(/1.9~AJA-/~( ...p~-f'A?/7' ~ ~- //Jdpm -U;/7lit.{ .;fJU/d/t:{1I 0 I;I~ NO ot'-t'4jlM_ JC/ f L/ppL lA.J,W>4Sfift/C(ZI~tl: /5 A-(I~7e:J) /(1 Pv~. {A)k.r . By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shaU be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described, herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at a~;~Uring construction. Signature 0 . ,~ //3;;95 -/ / Date VALIDATION: RECEIPT NUMBER /7b3!}.. S~,G/7.r _ ~q'l~.~ ~ \::: () DATE PAID AMOUNT RECEIVED RECEIVED BY ,/ I ~~. ,,; e .0 0 fig proJe 89 SU m e I lil$ .lEt.0 loning, and does not rsquira specific iand u approval. ' " ' 225 FIFTH STREET zonino'[.;l).2-- ' SPRINGFIELD, OREGON 97477 C L.i' ,r' INSPECTION REQUEST: 726-3769-'te, T i,tl) OFFICE: . 726-3759 Authorlzed Signnt\.Jre JJ t\A ' .,). \"vrlrLdHr.. rt.J'.. ')\"HEDULE BELOV 1. ~~I~ OF.\~~STAL, I.J\,TIqN , ,--v_l~ .~r~f\^CL-/ \~~)N OO\OO~) JOB~CRIPTION ~~ ~~\~~~~ ~~ 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 ElectricalContractor~II(S ;6A2L~~/~ 'db W. /1 Phone9W-S~a7 License NumberC} g{) 3 \\). \.C\.. ~ : ,0- Constr Contr. Number::(O ~lJ- c.....~\?,5\C. 4.?~.q~ Address ;j170 City r>>c. superviJlr Expiration Date Expiration Date , . - . t;rff'cjt;fl~ 'ownr:.- Na,me~'\\~J'\ . D. Address l~l~~. M Q- ~ City ~\C\. Phone1A<I.~lO'\ . O~ I~TALLATION The installatioh is beihg made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~----------JrI71tj7~~------------ RECEIPT, .: , J 7'2.. 1 ~ RECEIVED BY: - .? ~AAA ~'O-. G, ELECTRICAL PERMIT APPLICATION q S~LP City Job Number A. New Residential~Sirigle or Multi~Family per d~elling unit . Service Included: Items Cost Sum 1000 sq. f t. or less $ 85.00 BS Each additional 500 sq. it or portion ~ ~() thereof. $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ,; ~, I Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over' 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" 4D above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5,. SUBTOTAL OF ABOVE \SS~ 5% State S~~rge ~.\5) ~ -...r--u ' q. . l o~ \lol.'tD '1 .t\?, Willamalane '(,~ Park & Recreation Distdct Job No. Q6' ()?;z,v SYSTEMS DEVELOPMENT CHARGE W9RKSHEET NAME: ~11W .1fwttc, '-W~. ADDRESS: 1 ~ '76, t;', 't t'J!L , PHONE: _.2..!J1::..K10 4- STATE: ~ ZIP cnl(.11 '. lOCATION OF PROPOSED BUILDING SITE: . "/~Lw~.uJ" 5lTeet tuld'ress if Known: UM/h >1/1 { j / rti It.- vJf rm Platt Name: LUj d1I' rvu ttdntd, Tax.lOl Number. It 0 z-orOtJO ()?;/OO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and.dwelling type definitions. are on the back.) A. Sinlzle Familv - Detached l Single Family home NO OF UNITS l B. Sinflle 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 $ ..l/.ttJ .00_. X $400 PER UNIT ~=" . X $370 PER UNIT = '$ X $f77 PER UNIT = $ X $280 PER UNIT = $ $Jj/YJ .OfJ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet.' $ 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit> $ -UDiJ .(JO ~C-l1W , ,/ 1Jv_1t? I tjt:> nAtp . ' r""'_..._...._:...., <;:",...,:,."",. n;"~f"'\n ATTACHMENT B1 NO. .q 'iiO? -z. G:. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR CQt.1PANY: C6 '2- Y !--!-om E:-::> LOCATION: 40?? [/f<.C:rIN IA Sf. DEVELOPMENT TYPE: LDR - Ai EW 'SFfZ- BUILDING SIZE: !,.OT SIZE SQ. Ft. 1. STORM DRAINAGE GSo4Z) IMPERVIOUS SQ. FT. 24-(Z- , X $0.209 PER SQ. FT. ---- ~ 2. SAtillARY SEHfR-nn - C:4-7?~~ NO. OF PFU'S If X $43.26 PER PFU (See Reverse) '----- ~. # 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /. {) I X $436.19 X X $436.19 X X $436.19 c-440S~) '---- ~ $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 14-2.0~ 4. SANTTARY SFWFR-MWHC NO. OF PFU'S II x $17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From Item 2 Above) $ ('I '} c:i MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOT&-MWMC SOC SUBTOTAL (ADO ITEMS 1.2.3 & 4) $ 7 '1' ($ (~f ~~ ) $ /b/)/~'5 5. t>.nMINTSTATTVF FITS. BASE CHARGE (SUBTOTAL ABOVE) X _05 C '6D i) ---- ----- ~ ~e-L ~, I\r)~s. F.E-. SDC Coordinator Date: ~ /tfo/CjtJ TOTAL snc $./(oq{).~_c~ B2 . SDC . FIXTURE UNIT CAlCULA T'f)N TABLE: Number of New Fixtun (NOTE: For remodels, calculate only th J additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Unit Equivalent =. Fixture Units Bathtub............................:... .............. .... .................... Drinking Fou.ntain.................. .:................... ...... ;......- Floor Drain.. .... ............. ......... ............... ..... ..... ........... Interceptors For Grease/OiIlSolids/Etc..,............... Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher......................... .......... Clothes washer - 3 Or More...........................;......... Mobile Home Park Trap (1 Per Trailer}.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall....... ........ ............... ............. ...... Shower, Gang....... ......:........ ................ .......... ...; ~.,.... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/W all.. ...,., ............................................ .'.:... Wash Basin/LavatorY ,Single...................... ............ Toilet, Public Installation........................ ......... ....~.. Toilet, Private... ..................................... ............ ~.. Miscellaneous: / I / 'f I TOTAL FIXTURE UNITS UNIT EQUIV ALENT 2 1 2 3 6 2 6 6 J 3 2 l/Head 2 2 1 6 4 FIXTURE ,. UNITS "}; 7-- .' '2. 4 II '. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits ~eparates. Year Annexed Rate per $1,000 Assessed Va(ue Year Annexed 1979 _or before 1980 .1981 , 1982 1983 1984 198Q . $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 .1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 79r,. Credit for 'Parcel or Land Only If Applicable 0.4'- X $ z..? (Rate X Assessed Value) X $ (Rate X Assessed Value)' , \,i' Improvement !(if after annexation date) //-.. CREDIT TOTAL , 9" = $ 7-