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Home My WebLink AboutPermit Building 1994-11-14 (2) RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 OlUce: 726.3759 . REMODEL . SPRINGFIELD OTHER -:OB NUMB~R.-9~ I '7J~ 225 Filth Street Springfield, Oregon 97477 " ZIP: CONTRACT~'~ NAM~ E J' ADDRESS. GENERAI.t.)'\.1..u(lQf\ I\t,.. .. PLUMBIN; ~JfC\Qrt \ P..~~OQ \ MECHANICM .f:x'..J--\r\.9.[\ Y f\.~.'" . ELECTRICA;\' (^ \ \ q A f 1 Q]V{ '\L1 {' J CONST. CONTRACTOR . ~\ f\q~ 5\~?{1 ~tJa..S \ n nL\f, Q~~1d~ ro";:),\lo ~~ QUAD AREA: ~ ~Q , . OF BLDGS' \ OCCY GROUP:, ~ 3 -\ lv\ \ r -' . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ \ CONSTR. TYPE: V tv HEAT SOURCE: lDt-\ f..., . OF UNITS: RANG~' EXPIRES f").\r;\ . Cl \.l\. 84~' FLOOD PLAIN' ZONING CODE:-ill~ · OF BDRMS: 3 SECONDARY HEAT: SQUARE FOOTAGE: -1.Locr~_ To request an Inspecllon, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be made the same working day, Inspecllon. requested alter 7:00 a.m. will be made the following work day. . ' . REQUIRED INSPECTIONS ~ R~ugj, M.echanlcal ~ Prior to ~ cover. o TemporarY Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanlcsl - Prior to cover. rvl Footing - Alter trenches are ~ excavated. . o Masonry - Steel location, bond .beams, groutl ng. ~Found8t1on - After forms are erected but. prior to 'concrete placemont. o Underground Plumbing - Prior to filling trench. " ~ Underfloor Plumbing/Mechanical - Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulsllon or decking. (g] Floor Insulation - Prior to decking. fVl Sanitary Sewer - Prior to filling L"..O.{.tren7h. . ~ Storm Sewer - Prior to filling ~ trench. [';ll Water Line - Prior to filling LL::i. trench. . ~ Rough Plumbing - Prior to cover. ~ Roug." .Electrlcal - Prior to ~ cover. C2I. Electrical Service - Must be approved to obtai n permanent electrical power. o Fireplace - Prior to faCing materials and framing Insp. ~ Framing - Prior to cover. [29. Wall/C.elllng Insulation - Prior to cover. ~Dr'1Wa!1 - Prior to taping. o Wood Stove - After I~stallatlon. o Insart - After fireplace approv~1 and Installallon of unit. IL9 Curbcut & Approach - After forms are erected but prior to placemont of concrete. 181 Sidewalk & Driveway - After excavation Is completo, forms and sub.base material In place. D Fence - When completed. D Street Treeo - When all required trees are planted. ~Flnal Plumbing - When all - plumbing Work Is complet.e. ~ Final Electrical - When all . electrical work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r=1l Final Building - When all L.Z::l'"1'equlred Inspections have been approved and building Is completed. DOther MOBilE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o 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, and venting have been Installed. ..,.... .' . ~l:>. \' I '1 ,! ':'!' '#": " ~ ".i1';~;l! :t; f .- .':h..': '~ ";.:' . . ' . . :"_ ; r .11.: ~, . Setbacks. HSE GAR ACC' I I I I 1 Lol faces Lol Type . K Interior .1 'p.L. :. I. . ... N' Is Lol sq. fig. Lot coverage Corner Topography Total height Panhandle ~ Cul.de.sac W E BUILDING PERMIT ITEM tl ~_ F.T. Main ~ ~\cO X&~f) - ~ J4.1~.,~ Garage Carporl Total Value '11 570 1q4{{ ~ 10:41+ ~ (A) 3'JloHI)- , Building Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) -; 2(> r"i,9 / PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) Sanitary Sewer Water ~ u.oO.W FT. Storm Sewer FT. FT. Mobile Home Plumbing Permit Slate Surcharge Total Charge 0/\ I (ouro 4.CjJ + B.CO (C) 172,~(j MECHANICAL PERMIT Furnace Exhaust Hood 4.<2D <-l.CO Vent Fan N' ~ . Wood Stovellnsert/Flreplace Unit Dryer Vent ,':2,.00 Mechanical Permit I( 0 .SO /0.00 .f3~ ~ Issuance Stale Surcharge Total Permit .50\ (D) MISCELLANEOUS PERMITS Mobile Home State issuance I State Surcharge Sidewalk 'JO fI Curbcul /J &/ fI dn.sO j":2,.Q(), Demolition S't'lf Surch~~ a. \ 't< g f.\ V \Cl t'\. UD 4;-Uq:2 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) rOf)SD .<6tt:., (A, B, c. 0, and E Combined) . I '(eTHE PROPOSED WORK.tN THE. . .'-HISTOIOlICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes. this application must be signed and epproved by the Historical Coordinator prior to permit Issuance. APPROVED' . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permit Is granted on the express condition that the said construcllon shall,ln all respects, conform to the Ordinance adopted by the Clly .of Springfield, Including the Development Code, regulating the construction and use of buildings. and may be suspended or revoked at any lime t upon violation of any provisions of said ordinances. Plan Check Fee: "\~'\t-\ J ./ Date Paid: .J ~ Receipt Numberu Y Received BY:~. ~S:>S~llli " f).~~ Dale Systems Development Charge Is due on all undeveloped properlles within the City limits which are being Improved. ADDITIONAL COMMENTS ~')o im ~ ~~d Q O.'"Xl \LLtV . L-"~ \ '. \0. \ill (..o..cl ) " '- ~N\OK. \ G\ (on- ~~ \ By slgnaturel I state and agree, that I have carofully examlnod the completed application and do hereby cerllry 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 Ordinances of Ihe City of Sprlnglleld, and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I furlher certify that. only contractors and employees who are In compliance with ORS 701.055 will be used on lhls proJect. I further agree to ensure that all required Inspections are requested at the proper lime; thai each address Is readable from the street, that the permit card Is located at the' lr~nt of the property, and the approved set f PlansAI remain on the site at all limes dU~ con CllOY / Slgnature+a: c-~-::> Date VALIDATION: J' L1/VA RECEIPT NUMBER c; T1: j DATE PAID i1. Jq ,'f! AMOUNTRE~fo AR~.O(O RECEIVED ric.'--'7j/ /)?) _ ) , >''1,'~''iffi::~_ "-'":"~'l.''-''';~1"n:.''''\ ATTACHMENT B1 . J~NO, '1417.a CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) / NAME OR COMPANY: LOCATION: ~412 fl-.h ~ , j)~r PA. DEVELOPMENT TYPE: <;.PD BUILDING SIZE: 1. .-,"rnRM nRATN~ IMPERVIOUS SQ. FT. 2.3~'if I"OT SPF SQ. Ft. X $0.209 PER SQ. FT. ~ ~ 2. SANlIARY SFWFR-r.TTY NO. OF PFU'S (See Reverse) 3. TRANSPORTAT10N NO OF UNITS X TRIP RATE X COST PER TRIP I X J. cJ I X $436. 19 /~ X $43.26 PER PFU ~~<;'~0 X X $436.19 CH&~ $ X X $436.19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. SANTTARY SFWFR-MWMr. NO. OF PFU'S /7. x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ -z.1'-~.z (Use PFU Total From Item 2.Abovel MWMCCREDIT IF APPLICABLE (SEE REVERSE) $ .,. ~ 6Z> . .. . TOTAI-MWMr. snr. ~-st,y SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ /~ 93".?.6 5. AnMTNTST~TTVF FFFS BASE CHARGE (SUBTOT~OVEl X .05 //;U' Date: ~- 9'-p~ Aary 0 ni9, P.E. .. / SDC Co dinator..' .~f?.~ TOTAl SDC $2.0:N??/ B2.SDC . I ) / FIXTURE UNIT.CALCULI-ION TABLE: Number of New FiAs X Unit Equivalent = Fixture Units (NOTE: For remodels, calculale only the MfI additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub...................................................................... . Orinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher..................... .............. Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorlWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.. .............:....,......................... ... Shower, Gang...........................: ::............................ Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StaIlIWall.:::.................................................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous: . , TAl'll TO.P'.s Shvr UNIT EQUIVALENT FIXTURE UNITS 2. 4. 2 1 2 3 6 2. 6 6 1 3 2 1/Head 2 2 1 6 4 ~ 1 " z I 2. 2. 2. 2.. X' TOTAL FIXTURE UNITS IF = " I CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after 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 3,-1-" X $ /0, tJT() (Rate X Assessed Value) X $ (Rate X Assessed Value) Cre~.it. for P.arcel or Land Only If Applicable Improve,:"ent (if after annexation date) CREDIT TOTAL = $ -.;7'.' "'ll . . ' ThOlfoI10~~~~~i not require .pot,~c land use zon ng. . approval. 225 FIFTH STREET Zonin9 L DP - SPRINGFIELD, OREGON 97477 11-ILl-'lL! INSPECTION REQUEST: 726-~'16!l "j- ,', OFFICE: 726-3759 Authorized Si~n!t\ule I'-'Y\J'-. 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION =l~ / J n///./ t:;'/. x1-<. >>K. \~~1)lC:8~ CY::PlX2:p JqB DESCRIPTION AI 1'7-u ~ <:; ,F-;e Permits are non-transferable and ex~!ire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~\\'7~) (:k~ Address \::J. ':-,t.0 ?-, ~ ~. Ci ty VV'lMRcA.s" Phone 1l1S-dl ~q Supervisor License Number I ()('){o ~ Expiration Date I()- I-q::; ---- Constr Contr. Number In'Z-14';J Expiration Date 9-L/.- ~6 Electrician ----- Owners Name~'7J.7?A) SA./'f: lAic / J . Address "i\q q <;'. ~.;l d 'S"/ City 5p;z.L.7) Phone )L/U -~/h/' OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .' D~TE~---------------1ll~7'if:C1~-- RECEIPT *: U) \ REC,EIVED BY: (j l~/_y\'./ \ ELECTRICAL PERKIT APPLICATION q4Vll~ , City Job Number A. New Residential-Single or Multi-Family per dwelling ~it. Service Included: It ems Cost Sum 1000 sq.ft. or less $ 85.00 ~ Each additional 500 sq. f t or port ion ?-,- $ 15.00 ~ thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps S 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional 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 \ \~ pJ 5% State Surcharge ~.rJC; 3% Administrative Fee ~~ ~~ TOTAL fa., .:u)