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Home My WebLink AboutPermit Building 1994-8-4 (2) OWNER' '" .OOItOZ./' ADDRESS: . CJ [) \ R ~ ~ ~ 'xl ~ f\C\. ~~ 11 CITY: ,~\ ('{)It Q Q r') STATE: ' -, \ \. /vCuJ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 o fIIee: 726.3759 ASSESSORS MAP: ~c:2- LOT' , DESCRIBE WORK' NEW I~REMODEL CONTRACTOR'S NAME r!o.'-1 - I I-I-a, do. h eM- , /JJ.u..u. h 4.;/ r ;:?,1J~ GENERAl' PLUMBIN'" MECHANICAL: ELECTRICAL: QUAD AREA:4~~~ # OF BLDGS: , OCCY GROUP.' \("2?-\ fJ\ # OF STORIES:_8 ~ff WATER HEATER: . 1)oDW"~D I BLOCK' .5', F: D . ADDITION DEMOLISH OTHER . JOB NUMBER 9 ~og/c::> 225 Fifth Street Springfield, Oregon 97477 SUBDIVISI PHONE: =t:tLR1 ( ZIP: 4l<1-1"! \.., CON ST. CONTRACTOR # EXPIRES PHONE . m41 In-\D9~ '1 '-I7.g7 [) t/ <rtl r~.2lr 7 Sf.u 45 '!i!J I Q.a3-q:J- ~ u 7 ~ l,/f../ S 17 ~ .,~~~.q<:; ~~-=?/353 - OFFICE USE - LAND USE: \ (I , FLOOD PLAIN' # OF UNIT'" '\ ZONING CODE:-1..[f--- CONSTR. TYPE: \J..,ALL.~~ OF BDRMS' "..,.-- . , " -- . HEAT SOURf'''' j':2<--, , ....-SECONDARY HEAT: RANGF' f'./ - . - - - SOUAREFOOTAGE:OO'()(o ADDRES~ ' '. {, , ~~H/ {!I--'.,' , ,.R.. " 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 dey. REQUIRED INSPECTIONS -r='f R~U9h Mechanlpal ...; Prior to ~cover. ZdW etA. r.,d, ,,- l.2:$l1.omporary Electrl,C 'fV"( Site Inspecllon - To be made ~ after excavation, but prior to ,,' setting forms. 'JDI{. ~ O Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. I":/rFoollng - After trenches are ~ excavated. o Masonry - Steeflocallon, bond ,beams, groutlng. !817Foundatlon - After forms are erected-but prior to'concrete placement. o Underground Plumbing - Prior to filling trench. . m'"underllo~mbl~Mechenlcal ~-.Prlor to rll~UI"""'''''' or decking. rii?I Posl end Beem - Prior to 1I00r ~ Insulallon or decking. '- rv:r Floor Insulation - Prior to ~deckfng. r;;::>1 Sanlla'ry Sewer - Prior to filling ~ trench. .1f'V'l Slorm Sewer - Prior to filling U::::..:>.l. trench. ' rN'l' Weier Line - Prior to filling ~ trench. fi'\A.Rough Plumbing - Prior to ~cover. 'f;:7f Ro'U9h'Eh;~lrlcel ..., Prior to ;.0...( cover. .. , IV1 Electrical Service - Must be ~ approved to obtain Pl'rmanent electrical power. !r ~:~~ o Fireplace - Prior to facing meterlals and framing Insp. ~ Framing - Prior to cover. r<v=rWeIl/C'elllng Insuletlon - Prior to ~ cover. .' . ~ Drywall - Prior to taping. . ' o Wood Stove - Atter Installation. o Insert - After fireplace epproval . and Inslellatlon of unit. ~'Curbcut & Ap'proach - After '~forms are erectedl but prior to placement of conerol.e. 1);/f Sidewalk & Driveway - After ~ excavation Is completo, forms and'sub.base'materlalln pface. o Fence- When completed. ~treel Trees - When ~II required ~ees ere planted. I'i;71 Final Plumbing - When all ~ ,plumbing work Is complete. - , ' -, , ~ Final, EI~ctrlcol - When all ~electrlcal work Is cor:nplete.' 'RA Final Mechanical - When'all ~ mechanical work Is complete. t<:::7( Final Building - When all ~equlred Inspections have been approved and building Is, completed. o Other MOBilE HOME INSPECTIONS o Blocking end Set.Up - When ell blocking Is complete. ' o Plumbing Connections - When home has been connected to water and sewer. o Electrlcel Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections ere epproved and porches, skirting, decks, and venting have been Installed. , , ~ Lot faces ---S- L~e. Lot sq. ftg: ~ _ Interior Lot coverage ,!110 Corner Topography ~ Panhandle Tolal height m- Cul.de.sac l \ ",-.' BVILDING PERMIT :;1: \7'20(;) Garage 4"1< Carport ~S THE PROPOSED WORK IN THE, ' ,....HISTOJ:\ICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. I 1 ..\~: ' ': . i,;;.. j .....;. .;~.;(- ',1 \:' '::<~~':'~:: " Setbacks ' Ip.L 'HSE' GAR' ACC I 'I N :3iS ,1$ Zi!:> I~ ,~" IE /3 XR;;lo a 91tbl 14...\D "~ Total Value Building Permit Fee State Surf~ar.g~ , \' Total Fee (A) \ f):\ '1.161 ' ...I /..? e-O .. 2..2..10 j 3 ?~ I , d'7/J,'3,r" (B) SYST,EMS DEVELOPMENT CHARGE (SDC) l.222o,S~ PLUMBING PERMIT ITEM Fixtures ~ Residential Bath(s) N' "< .. Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home ......:.-..t1.-.;...:~ "$'9D ~,,-nl.u . State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood 4. Vent Fan NO Wood Stove/ln~l)la~~ unIt---> Dryer Vent -."" :' FEE _7'2 ~~ 5.7& 9t.3 /.-07. '1/ 6-fl!2 ct.ro /2.. ~ js 6-0 3.6-() .A'/l,5"tJ. 3- ~/.g;> Mechanical Permit (U - - ""f'.: - //'\,0-4> Issuance r.:;.,.,/ ;2..9'j~ State Surcharge ;Sf!> A!/71/'o. ;.::: ~ ~ .r f._..... Total Permit (D) .5.5- 7..., !. , MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 1",,2- Curbcut fl '3 ?.. It Gf'D Demolition State Surcharge -,'PLAD ~/ tit) /~.30 -I-.4.~ .z~7_30 32i :1,0 Total Mlscelleneous Permits ' (E) TOTAL AMOUNT DUE (excluding electrlc~I~'~ (A, B, C. D, and E Combined) 30 ~ '5'8 -. , , \ '\ .~. APPROVEf" ' 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 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. Plan Check Fee: ,"2 8 7: :3,{) 'Date Paid: Receipt Number' Received ~ '/~ ,Plans,l\leviewed By . : , I -2~r9f . .Systems Development ,Charge Is d,ue on all undeveloped properties within the City IImlts,whlch are being Improved. - - , . (.. '. ADDITIONAL COMMENTS ,,-5/_pf~ ~-~&-'L~ / ~ ci+-~I; /YH-?{Y) I ,~U\~.Llj,lY): ILl'}'/( .... (w/.l'JfJUiL ,'\t rilu1J2D .... By signature, I state 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 shall be done In accordance with the Ordlnanc~s 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 cerllfy that only contractors and employees who ere In compliance with ORS 701.055 will be used on this project. I further agree to ensure th'at all required Inspections. are requested at the proper time; that each eddress Is readable from the streel, that the permit card Is locateg at the front of the property, and the approved set of plans will remain on Ihe, site at a~rlng construction. Slgnaturp /-, ~/3 -c;if Date VALIDATION: RECEIPT NUMBER I. Lj 7-IJ5 DATE PAin, ~ - L( ...tj L) AMOUNT RECE;VED ?E.-::":' , ..=t:) 3ficd I C5f RECEIVED BY OvIJv n - ~ .. . . SPRINGFIELD. The following proJeCl es submitted h.s the followln zoning, and does not requIre specific land use 225 FIFTD STREET approvsl. ELECTRICAL PERMIT APPLICATION SPRING~IELD, OREGON 97477 Zonlno LOt!-, nAI\OnJD INSPECTION REQUEST: 726-017,69 K- 4-- 'jU 'Ci ty Job Number '1ll:.J C) OPPICO: 726-3759,.e ~ Authorized Signature () r'fl. 1. I~O~\NN~T~_ \!!(Ob~~ R~e ~6g~~NQ.n~ ~ Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. I 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor BILLS Address 3~tST 11TH ~NUE City 1'1 U;I'NI' Phone --6.8..7 _ , R~ 1 Supervisor License Number 9805 Expiration Date 10/1/95 C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number " ...... 21351 Expiration Date 4 (2B.L9..ll' ,S~oJ7~ Ovners -;:me f'rt ) 0 S\ 1 ) V' AddressClo ~i)~ C'/) 9~ . Ci ty _~ oi. Phone 111- 870f o~ I~ALLATION The, installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: i - 4-:c;~t--- RECEIPT I: /4 U-'? RECEIVED BY: ~ COKPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Kulti-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, ~lterations 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Items Cost Sum Ef::> ~ I $ 85.00 -3- $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 volts see "B" 40.(1) above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3'1o~AJw.',,,,, ~e<-- \OlAL- not included) $ $ $ $ DD ,m '1. e;p &j.10 _to 3. tan 40.00 40.00 20.00 36.00 , 'Ho37a . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAHE OR C0!1PANY: LOCATION: ~ 1/0 DEVELOPHENT TYPE: v~L/L /?~~Ir1 I SF/) BUILDING SIZE: - LOT SiZE SQ. Ft. o' r. STORM DRAINAGE IMPERVIOUS SQ. FT. 20S-r.". X $0.203 PER SQ. FT. (" "f/ 1. 3 ;) <...... -' 2. SANITARY SEWER-CITY rw. OF PFU'S _ (See R.everse) 23 X $42.03 PER PFU (' Q("1:;;"1) '- ----- 3. TRANSPORTATlOIl NO OF UNITS X TRIP RATE X COST PER TRIP I X /,0/ X 5424.31 X X $424.31 (" 4.2.1'.!>~ ......... .......- S X X $424.31 s 4. SANITARY SEWER-11WHC NO. OF PFU'S 23 x S15.125 PER PFU + SID HWMC ADH FEE S 3S1.?'F (Use PFU Total From Item 2 Above) MWHC.CREQIT IF APPLlCAB.LE (SEE REVERSE) S S-'.lf"2. TOTAL-MWMC SDC r:-;o/,(){,'1 '- --'" SUBTOTAL (ADD ITEMS 1,2,3 & 4) S ~II"", ~ 01- 5. ADMINISTRATIVE FEES BASE ~GE ;S~)fIT ABOVE) X .05 ~. /1.-. . ~-/~-r..y / ~ir E:t:r . {Dc Coordin or 00~'0 TOTAL SDC S z.2.Z0.S'c. r r ^ I \J I 11..- '" I 'II I _ ~ - - - - - . - - - - ~ - - - . - u_. For remodels; (..1Icul~;e only. the "cr ,1\\,li:;'''':lII;\1\11''',) FIXTURE TyPE . . r,L'I.'.r:Efl OF . 1,:EW n.''1UGE", [3athlub................,..,.......,... Drinking FOullt;}il1.................... Floor Dr.lin....................."....,..""'.,... ............, Interceplors For Grease/Oil/Solids/Etc................. Inlerceplors For Sand/I,uto Wash/Etc...,.............. Laundry Tub/Ootheswasher.......,.........,......."..,..... Ootheswa~er . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Recep)or Fgr Refrigerator f\"Iater Station/Etc........ Receptor For Commerclal Sink/Dishwasher/Etc.. Shower, Single.StaIL.............................................,. Shower, Gang.......................................................... Sink, Bar, Commercia!......................................:...... . Urinal, Slallf\\'all....................................................... Wash Basin/La\'ator)o, Single.................................. Water Ooset.Publie Installation............................. Water Ooset, Pri...ale.........................................,..... Miscellaneous: I I I I :? "\ TOT.~.L FIXTUrlE Ut'lTS L':\'lr I:CL'I\';.LEIH 3 G 2 G 6 1 3 2 l/Head 2 2 1 6 . ~ = fiXTURE U1'~lr5 .2. 2.. z.. 1.2. ;LJ 2. 3 Basej 0:1 assessed value. If improvemenls occurred aller annexation date in tabla. CREDIT CALCULATION TABLE: calculate cre:ihs separates. r- Rale per $1,0')0 Assessej Value Year Annexed Year Annexed 1979 or belore 1930 1981 1932 1983 . 1934 '1985. $3.21 3.13 3.03 2.95 2.82 2,63 2.51 1985 1937 1988 1989 1m 1!?31 1!?32 .. O~,~ for Parcel or Land Only If Applicable Improvement Crt after annexation date) 3..2/ X s /'1, T(7() (Rale X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = S'. i' Z ----- = = $ ,c,.7[2 RUNOFF COEFFICIENTS FOR STORM DRAINAGE : , Residential........................................~~:~..........~.. 0.4 COmmercial...................................................... 0.9 I nd USlrial... ............ ............................... ............. O. ~ 5 GovernmentaL.................,............................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per 51,000 Assessed Value S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 1 I J r . o !!!m~!!!~!~!!!:; .~ Job No. q~?') SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM81)u)&\\1 ./r~~, ADDRESS: ID I\~ tD ~; ~ PHONE: f'f\f\. ~ 10t . STATE:OO--zIP~ LOCATION OF IilROPOSED BUILDING SITE: ~J c _ _ .J\ Street Address if Known: ---LdJ 10 - "" ._~ ('CIX::j(,J ".ttN'~~l~~-b~ lnt Nom"," \1fJ?~11-rtJ?:Z{ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.! A. Sinl!le Familv - Detached I 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 ..4 N"\f'(l X $400 PER UNIT _= $ C{tl 'P-". X $370 PER UNIT = . $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4fO~ , $ YaJ $ 4t() . 2. SDC CREDIT (If applicable) SDC-payer must fumish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit! ~l( Community rvices City of Springfield eJ I I Date