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Home My WebLink AboutPermit Building 1994-3-23 ", .- . , R"ESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 -8 SPRINGFIELD . Ct4Q?4~_ JOB NUMBER 225 Fifth Street Springfleid. Oregon 97477 Q 1)\ \)\1)!\Q ~ 0J .. TAX LOT: m~-Q" SUBDIVISION: C\.h rr '). Qj) -~ BLOCi'"' OWNER' rU." ~~, \)\l ~ \. 1\f'\_ PHONE: ..?rt<Q.f\2{V 7 ADDRESS;d)'21 (\.n Y' ~Q 2 ~. (\ 0 .~~Q -(" . CITY f J. YJ..R.f\Q- (\ STATE: \ 1.\J\ 01)J)Y\ ZIP: Y01n \ '/\ . (\ ,~.~. \Jo.f\I.r\Q f\09-.., DESCRIBE WORK' NEW'')( REMODEL f . ADDITION DEMOLISH OTHER CONST. CONTRACTOR'i ~A.ME (\...J.- ADDRESS tr\_ .' CONTRACTO~~\ GENERAL p \,.lJ.~~ \-.J$ ~.U')t,..q~ \.\.1' t'Q0UD, f'\~,- PLUMBING\ \ ~~.h.JU~:$ . (\. 0 MECHANIC~~ n):Q0.~~__~ ?-- ELECTRICAL~ lM 0 YOG_ ~ I ~ i ~ '" - OFFICE USE - QUAD AREA: \~ 1\\\ l) . OF BLDGS: \ OCCY GROUP: ~?, -\- \\t\ . OF STORIES: :5' WATER HEATER' - '9' EXPIRE PHONE 1).:23: < ~ .<t2A1 Ip.iC). . ~'A.I1,~ 2l.;QJ(). ~ fJ4.JoI)(d1~1 ~~.\y. . \~\ \ \ \ \ 1 CONSTR. TYPE: $ 1$ . . HEAT SOURCE: ~ 1St RANGE:_P LAND USE: # OF UNITS: FLOOD PLAIN: ZONING CODE: m~ . OF BDRMS' 4'" SECONDARY HEAT: SQUARE FOOTAGE:o/( .t?f\d~ To request an Inspection, you must call 726.3769. This Is a 24 hour recording, Alllnspectlons requested before 7:00 a.m. wilt be made the same working day, Inspections requested after 7:00 a,m. will be made the following work day. ~ Temporary Electric D Site Inspection - To be made after excavation, but prIor to setting forms. o Underslab Plumblng/EleetrlesJ/ Mechanical - Prior to cover. IZI Footing ~ After trenches are excavated. , D Masonry - Steel location, bond beams, grouting. [K] Foundation - After forms are , erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. [1J Underfloor Plumbing/Mechanical - Prior to Insulation or deckIng. rn Post and Beam - Prior to floor Insulatlon or deckIng. lZl Floor Insulation - Prior to decking. lZl Sanitary Sewer - Prior to filling trench. rn Storm Sewer - PrIor to filling trench. . rvl Water Line - Prior to filling l...,.C.J trench. (!] Rough 'Pll.;.Imblng ~. .Prlor to cover. . REQUIRED INSPECTIONS CA Rough Mechanical - Prior to cover. . . r-::I1 Rough Electrical - Prior to ~ cover. crl Electrical Service ~ Must be approved to obtain permanent electrical power. [K] Fireplace - Prior to facing materials and framing Insp. ~ofi LI/Y /7 ell Framing - Prior to cover. []j'wall/ceiling Insulation - Prior to cover. [AJ Drywall - Prior to taping. D Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. rn Curbcut & Appr9ach - After forms are erected but prior to placement of concrete. r&::f' Sidewalk & Driveway - After L...4J excavation Is complete, forms and sub.base material In place. [::kj Fence - When completed. ~ Street Trees - When all required trees are planted. . ' . ' I'Vt Final Plumbing - When all ~ plumbing work is complet.e. r-Jif Final Electrical - When all ~ electrical work is complete.. 111' Final Mechanical - When all ~ mechanical work Is complete. riA' Final Building - When all L..,4J required inspections have been approved ,and building is completed. !Zl Other~.P' ~'Jl-'- I'p~WC~ 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. o Final - After all required inspections are approved and porches, skirtIng, decks, and venting have been installed. Lot faces ~ Lot Type' . Setbacks , _HE PROPOSED WORK IN "~E T X I PL. , HSE ' GAR' ACC I .. Lot sq. ftg. ~~ Interior HiSTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage L$"?o Corner /';" If yes, this application must be signed c::>-':<~ Panhandle Is /6 I and approved by the Historical Topography m: Iw ?h.'- I Coordinator prior to permit issuance. Total height Cul-de-sac 4~/ IE I ~ I APPROVED' BUILDING PERMIT ITEM _tY/~^ Main QLIl~ o..~ '~.~ Garage Carport Total Value Building Permit Fee State Surcharge Total Fee r~ _k'-9~ . -=> Z<:/. ~ (A)'!l20!9 . ~ SYSTEMS DEVELQPMENT CI-!A~~~ ~_ It '2.(, ~? tr!!-1f3 If - PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home \. ~'{\~\"} \ ') Plumbing Per It State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO 6- Wood StovellnsertlFlreplace Unit ~~~ Dryer Vent - ~~~,~-. Mechanical Permit Issuance State Surcharge Total PermIt MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk tI~ ft Curbcut ~p ft , Demolition (D) State Surcharge /4;: I rV'('It) \...t () (\fu Uq.1J../' TotBlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) FEE ~'2. 5'~ \~ ,cU ~7.~c> /~.3~ ;2/7dg~ c;. .""" Lj_J5'&' /5:-""" /5'"' -= 7--- ::? - ""'"= q 5": 9P /0.000:> 2.2'~ ~7.?8 /4.~ -.L'/-5"D ,,~co '?,;:;,zs- ,?</~b.-HI 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 an~pr visions of said ordinances. Plan Check Fee: '- 10 Date Paid: l~" 4 Receipt Number:_, I I oj ( ~ Received By: ~_) /2~7' ~ ~:.:-~ / PljlIfy1'leviewed ~. '/or' ,"?-.,c.-'7' 'Y Date , . Systems Development Charge Is due on all undeveloped properties withIn the City limits which are being improved. ADDITIONAL COMMENTS J.!Urib~ )jn Qj I hJ.J D \ cA+-r'. 3\IQ~l) - \...Q\ \\ (I 0 ~ ~ ~ TO~: \ l.-\ q}.\ 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 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 a roved set of plans will remain on the site at -W7:lrfs dur n co t1on. . Signature )Y Pt!, / ~_ Dato '3- :;t; :''1 '-1'-.. ) VALIDATION: RECEIPT NUMBER 3....--::i IZQ5...e5? '7-7~"'2, ~q,J, DATE PAin, AMOUNT RECEIVEDn . </~~ /.. RECEIVED BY ~ ~ I I I " . .OB NO. Cft.f()'Z.Y ~ , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) , NAME OR COMPANY: t::L.L-I SON r, ft._-A-7'l- LOCATION: qn Fftl1ZWftY RJto::;. 1703?:-"f '2..7.- - oog~~ DEVELOPMENT TYPE: I.-l?/Z.. - New $rfL BUILDING SIZE: I. STORM DRAINAGE LOT SIZE SQ. Ft. IMPERVIOUS SQ. FT. t...B(".8 X $0.203 PER SQ. FT. G6'2-~ ......... ---- 2. SANITARY SEWER-CITY NO. OF PFU'S -Z-b x $42.08 PER PFU (109<foi) (See Reverse) '--.... ../ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ~ "---- .-/ . $ $ I X 1,0/ X $424.31 X X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S 2-(., x $15.125 PER PFU + $10 MWMC ADM FEE $ t.-fo3 2.~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC (?03~) SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ -Z So e; o~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 1~'...-t3. .LJ..- ?/7-/~t.f - U Kip Burdick SDC Coordinator (i25~ TOTAL SOC $ Q..h??~ FIXTURE UNIT ,CALCU~N TABLE: Number of New Fixtures.nit Equivalent = Fixture Units.(NOTE; For remodels, calculate only the NET additional fixtures). ' ~ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub.......................................... ........................... Drinking Fountain. .................................................... Roor Drain...... .... ..... ................................................. Interceptors For Grease/OiIjSolids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher......................... .......... Ootheswa!iher - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F(>r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single .StaIL.................. ................... .......... Shower, Gang........................................................... Sink, Bar, COmmercial............................................. Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Ooset. Public Instaliation............................. Water Ooset, Private............................................... Miscellaneous: z. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 I I iJ. ~ TOTAL FIXTURE UNITS <-I "'2- 2- "'2- I.j. I~ 2-(" Based on assessed value. If improvements occurred after annexation date in table, 11 j CREDIT CALCUL<\TION TABLE: calculate credits separates. I Rate per $1,000 Assessed Value Year Annexed Rate per $1.000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Credit for Parcel or Land Only If Applicable ...e- X $ 3/.?-5 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ -e- Improvement Cd after annexation date) -B- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL........................... ........... ...... ......... 0.4 Commercial...................................................... 0.9 I ndustrial................................................ ........... 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . fl'. . ~{J !!y'i!I.!!.!!!!~~c.; . . Job No. q<$)L4~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: A ~ i ~ '* $~C\t~ PHONE: EA~A-ffi~ ADDRESS, ~ (I::h '( . ,'Ol t'tlo \\\W/ <,STAll' &10" qlJ"\DI LOCATION OF PROPOSED B~DING SIT~ t\\ (\ Street Address if Known: Y \. ~ \-0 ~ ')\. \. 0["\l. ~ \......-V :L " Platt Name: (en r-h 0 .cLJ Tax Lot Number: , .W\!rt> l c-:A'0-~Qf() ...J 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.) A. Sinl1le Familv - Detached \ Single Family home NO OF UNITS I B. Sinl1le Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufadured Home Park NO OF UNITS WPRD SDC - Manufadured home not in a park $ A'f'\f\ .cD X $400 PER UNIT = ~ A ) X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4N.J~ $0 $ 4{)f) ~ 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) \ ~ l{\ )\ Community Services Di City of Springfield D~ i~$ I~~i~~~~~i~~g~;J: ~: S~~emolt1ed,has the fo!lowill(; 225 FIFTH STREET approval. q opee',le land uEtECTRICAL SPRINGFIELD, OREGON 97477 Zoninn LrJP INSPECTION REQUEST: 726-37693/ . I.., . OFFICE: 726-3759 Dete .d.2>~ 1. yofA1;l:.ON,w. ].!NST.ALLA~.~~~izGdSime~' '\ \ ~ ~()}.)\ ~ \...~~, V.\L A. LEGAL D~SCRIPTION . \) ~ J?'i?7."3 Y-Z:z _~ ~.? . , s~.~~~ Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Palmer/Philips Address 3170 Meadow Lane Ci ty Eugene Phone 688-6121 Supervisor License Number ?71q~ Expiration Date 10/93 IC). \ C\...~ Constr Contr.Number 20-179C ,~M C. Expiration Date 10/93' q . jq.CJi' Signature o~uperViSing Electrician Nat I'h~ftRS:--\r D. Oyners NameJl j. .i ~ ~'V\l\ 'l. ~ AddresscDS en X- \1 '"n U. Qo n'U:t City D_?~ Phone ~-+"~~7 OIlNER INIrlALLATION The installation is being made on property'I own which is not intended. for sale, lease or rent. Ovners Signature: ~~:~~:-:~~-~~~~Lf--~-------------- RECEIVED DY: ~ City Job Number COMPLETE FEE SCHEDULE BELOY Ney Residential-Single or Multi-Family per dwelling Service Included: uni t. It ems Cost Sum 1000 sq. ft. or less ....-- $ 85.00 B.::b."'" Each additional 500 sq. ft or portion thereof --!t- $ 15.00 6:0.- Each Manuf'd Home or Modular Dyelling 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 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 -- $ $ $ 40.00 55.00 80.00 ~&.- or less to 400 amps to 600 amps amps or 1000 volts see "B" above Branch Circuits Ney, Alteration or Extension Per Panel One Chcui t Each Addi tional Circuit or yith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) -- $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~- S. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL "'2~5': - /~ ':l ~ 2_/~2~