HomeMy WebLinkAboutPermit Building 1995-2-7 (2)
~-
LOCATION OF PROPOSED WORt<. 03.~1l \ .t'b\ )QXl\ I\ /
ASSESSORS MAP' \ 60~ao~ \ (\
LOT' .~) BLOCK'
OWNE~ IJrUJI F'ntov-mLlJQlJ., J.~(\"
ADDRESS:' 9:l~ 1,\\\ ~~ f) rv\. \'4t::.l\_c&J
CITY: ~ ~1\ \cs\'l\ ~ Q ~ N STATE: I ~\ 0-,\ lJ\\
DESCRIBEWORI" ,~\'(\T)\O. K(\('{\', ~ I}( I..~~io.o Dr~
NEW \,./"' REMODEL" ~ADDITION DEJ(;~lIS~ ~ OTHER
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
..
SPRINGFIELD
. .
JOB NUMSER-.9$LL/-
225 Fifth Street
Sprlngfleld,Oregon 97477
TAXLOT' (J3\ Dc')
SUBDIVISI~i\ G,r\'i\no.(lS
PHONE: 1144. lnQ.\a..l11
ZIP: o.'l4fJ,B
CONTRACTGf\S~NAME
GENERAI\ QX'u \OOnr0t,
PLUMBING: 9~ ~ rt \.hUa 1 \
MECHANICA'" m I ,r\ D (\ f itt,
ELECTRICAl" AU ~ tp l.~
CON ST.
CONTRACTOR'
QIJ0[)9?
S \l~\
q ~:2DR
InRl1-S
PHONE
Q?3LDld)'L
\o~3 '51\ \n
q 2- 3tl){oOZ-
4lS)J~q
QUAD AREA: ~j(<",r -
. OF SLOGS: I
OCCY GROUP: -R3-+M
I
S
. OF STORIES'
WATER HEATER:
~
ADDRESS
''- OFFICE USE -
LAND USE: __.11 I I
. OF UNITS:_'
CONSTR. TYPF' UJJ
HEAT SOURCE: (1)1-1
RANGE: F ~
EXPIRES
'\.2.0...0,(1)
0... \C\~\()
f).&l.q(f)
C\ .<:\ ' q~
FLOOD PLAIN'
ZONING CODE: J.ilf2.--
,"3
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
[2
I ( ()~ ~
To request an Ins paction, you must call 726-3769. This Is a 24 hour recording. Ali"lnspectlons 'requested bafore 7:00 a.m. will ba
made the same working day, Inspections requested after 7:00 a.m. will be made the fOllowing work day.
,..
o Temporary Electric
D Site Inspection - To be made
after excavation. but prior to
setting forms.
D Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
~ootlng - After trenches are
excavated,"
o Masonry - Steel locatIon, bond
beams, grouting.
~undatlon - After forms are
erected but prior to concrete
. placement.
D Underground Plumbing - Prior
to filling trench.
[g-Underlloor Plumblngl Mechanical
- Prior to Insulation or decking.
~ost and Beam - Prior to floor
Insulation or decking.
~Ioor Insulation - Prior to
decking.
~nltary Sewer - Prior to filling
trench.
~torm Sewer - Prior to filling
trench. .
~ater Line - Prior to filling
trench.
~OU9h Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
~OU9h Mechanical - Prior to
cover. .
~ough Electrical - Prior to
.cover.
~Iectrlcal Service - Must be
approved to obtain permanent
electrical power,
D Fireplace - Prior to facing
materials and framing Insp.
Q-S-ramlng - Prior to cover.
~all/Celling Insulation - Prior to
cover.
[J..DrywalJ - Prior to taping.
D Wood Stove - After I~sta"at'ion.
D Insert - After fireplace approval
and Installation of unit.
G-;:urbcut & Approach - After
forms are erected but prior to
placement of concrete.
G'Sldewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fence - Wh'en completed.
D Street Treas - When all required
trees are planted.
~Inal Plumbing - When all .
plumbing work Is complet.e.
~Inal Electrical -, 'When all
electrical work Is complete.
~Inal Mechanical - When all
mechanical work Is complete.
~Inal Building - When all
required Inspections have been
approved and building Is
completed.
D~the'
MOBILE HOME INSPECTIONS
D Blocking and Set.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, sklrtln'g, decks, and
venting have been Installed.
Lot faces Lot Type. Setb,cks 8 THE PROPOSED WORK IN THE
Lot sq. ftg. Interior I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON t\
IN I THE HISTORICAL REGISTER" _ n
Lot coverage Corner Is I If yes, this application must ba signed
Panhandle and approved by the Historical
Topography Iw I Coordinator prior to permit Issuance.
Total height n Cul.de.sac
IE I APPROVED:
BUILDING PERMIT
ITEM SO. FT.
\\~3
~\..oD
X S/SO. FT. = VALUE
5\.0. ill \..0 '3 \iIt
\'\. \Q ~ ~qto
Main
Garage
Carport
Total Value
'1\~l)D
....'WJ..QO
A'I,C\~
~f)\o,CVd..
Building Permit Fee
State Surcharge -\- ~OIO
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
$/5" ??; tJ"f
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' ~
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge +3.%
Total Charge (C)
MECHANICAL PERMIT
furnace
Exhaust Hood
Vent Fan N'
FEE
\\ of) cD
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.
Plan Check Fee:
Date Paid: ~ ..)-/
Receipt Number' .() ,
Received By: ,W
~()(\ \'(\~_ \1 l-.I
Plans Reviewed By - . .
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
",-lJeb'of\.(\X , ~~ll 'n~\'.r-v
04\.,
\S'\~ M.N ~
f\~
\ C\ LoD
...
~~;\T":'\ ~
\.'--DD~ ;J.
\ ~.'?0
\I~.~
L\ . Sf)
0... cD
Wood Stovellnsert/Flreplace Unit
Dryer Vent
~.co
Mechanical Permit
\ \ () .50
\\J.W
\. ,~?1
rl ') .B3
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk 10
Curbcut e9lo
ft
r"\ "() . ~
.I...0,.qo
ft
Demolition
State Surcharge .
I..~_ \)\~f\ \)n~
4b.cD
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrICal)~3-1.CFI
(A, B, C, 0, and E Combined)
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 OrdlnancE: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 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 t the front
of the property, and the approved set of pia will remain
on the site at a~~lme.: s dU,"cons tI
:::""';:r;;~ .
VALIDATION: .!I \(.L
RECEIPT NUMBER _ \ \Ii I Xl J
DATE PAir ~ .' \ ~ '>
AMOUNT RECEI:'1ifl ~ ,~l 04 . \q
RECEIVED BY '(\\ \ t::<'\-
.
.
SPRINGFIELD
. . t S s!,.1bmittad has the followln
The,tolloWldngd~~~J~~t ~equire specific land 'lreECTRICAL
zoning, en ~ fJ
97477 ae.proval. 'D 'f..-./
726-3769 . v
ZOOlno
00\01-/7 ~~ 3.
1. LOCATION OF INSTALLATJ.UN ..,. 1\ (VI
":? ~h:L ~./~~Sl~~ I'".
\ r~ pE~qup'rrON _"
~ r?-.\[A.J
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPTION
..1/-4 ;z p_
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~'1 bJ9~IC-
Address I:J <:'10 ~>;>! s..~d--
Ci ty Wlr>rlOc4<; Phone I..j l6'...1/?/1
Supervisor License Number J t!lJlnS
Expiration Date /0-1-'1.<;"
Constr Contr. Number (Pg71j.~
Expiration Date q-<l-q$
Signature of Superv'sing Electrician
~~<'A/ l
Owners N~I~A f~
Address SC\ C\. ~ 3?.Nil
Ci ty~t\~o.kLPhone ~\n~
. \\
OVNER INSTALLATION
./
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~A~E~-------~~ry~~---~--;---------
RECEIPT 11: J _ iio0ofX
RECEIVED BY: \J\v.~
PERMIT APPLICATION
City Job Number
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
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:
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
:9"?~//
Items
unit.
Cost Sum
$ 85,00 P15-
$ 15,00 ::1:L
$ 40,00
~
~
$ 50.00
$ 60,00
$100,00
$130.00
$300,00
$ 40,00
C.
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
D.
Branch Circuits
$ 40.00
$ 55,00
$ 80.00
see "B" above
New, 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% Administrative Fee
TOTAL
not included)
$
$
$
$ 36,00
~:?O
,,?~
'R'\ .~)
40,00
40,00
20,00
. ATTACHMENT 131
.013 NO. 7'5"01/ J
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
. \~ORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ;I~k <4-f.
LOCATION: 3 }u,2 j)~
v
DEVELOPMENT TYPE: '5;:: /.)
BUILDING SIZE:
1. STORM ORA T NAG[
IMPERVIOUS SQ. FT. .
lOT SIZE"
SQ, Ft.
X $0.209 PER SQ. FT,
$ ~~
/
2, SlililIARY SFWFR-CTTY
NO, OF PFU'S / 'iT
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X $43.26 PER PFU
.~ ::::--.,
~r'18', ~./
.- --
/ X I, () I X $436.19 ~f--f().S?)
- --
X X S436.19 $
X X S436.19 $
SUBTOTAL (ADD ITEMS 1.2, & 3) .S /2/'1,2 ~
4. SA~TTARY SFWFRc~~MC
NO. OF PFU'S /?' x $17,19 PER PFU + SID HWMC ADMIN. FEE $ ~/'l.-f'2-
(Use PFU Total From Item 2 Above)
HWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 2(".2:3
IQIAI-MWMr, snr, S~3J!J
SUBTOTAL (ADD ITEMS 1.2,3 & 4) S /5"12, ~2.
5, AOMTNISTATTVF FFFS
BAS~HARGE (SUBTOT~ABOVE) X .05
~ /~~ . Date:
/ Mary- Hornig, P.EU
SDC COOrdinator
~S".(p9
2-.2-95-
TOTAl S[)C
$ IS- K"-r. 0 "1
B2.SDC .
?I' ~ . /'J ..1- ~h/~:' . -"L
S/)C~ r.I"'V'-~"" ~
F!XTURE UNIT CALCUa-ION TABLE: Numbcr of Ncw Fttcs X Unit Equivalcnt = Fixturc Unit~
(NOTE: For rcmodcls, calculatc only the liEI additional fixturcs!'
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub......:.:....: ...... ... .......... .......................................
Drinking 'Fountain... ............ ........... ............. ..............
Floor Drain..,....:,......,.,.........."...,.............................,
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc.....,............
laundry Tub/Clotheswasher..,....."..................."...,
Clolheswasher. 3 Or More..,..................,..,......,..,..
Mobile Home Park Trap 11 Per Trailer).,.,..............
Receptor For RefrigeratorNVater Station/Etc.......,
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall..,.....,..,.......,...,....,.,...,....,..".....
Shower, Gang......................,.,......."......,....".,., ,..,.",
Sink: Bar, CommerCial, Residential Kitchen..........,............,
Urinal, StaIlN~all,.:.,..................."..,...............".,.......
Wash Basinllavatory, Single....................,......,.....,
ToilE!!, Public Installation..,...,..., .".."......,.,.,.,.,... ....
Toilet. Private......................................................,
Miscellaneous: ,TAl'll "'R~ .s.-N~
'2-
z.
~
TOTAL FIXTURE UNITS
UNIT
EOUIVALENT
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
~
=
FIXTURE
UNITS
I-
2.
2.
'2-
s-
II?
CREDIT CALCULATION TABLE: Based on assessed value, It improvements occurred atter annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
$3.46
3.38
3.32
3.21
3.06
2,92
2.73
Year
Annexed
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
2C:,.23
,3,-1(. X $ "1,S'f~
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
Credit lor Parcel or land Only If Applicable
Improvement '(if etter annexation date)
=
=
.----
CREDIT TOTAL = $ ~t,.23