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Home My WebLink AboutPermit Building 1995-3-22 (2) LOCATION OF PROPOSED ~O~K: ~ 70 ASSESSORS MAP' l.g l)~4tYJ *& RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 1.0T: . SPRINGFIELD ~5r.77-H A. BLOCK' OWNER' ADDRESS' CITY: Ki;/U? f1M-UJ ~5 C; 70 P/Ntt:. CT c.eCc 'SloC(..J"-. o.q, STAT~' O.f DESCRIBE WORK: ~. \='. \?O [)\.1 0 (\~ NEWX' REMODEL ADDITION DEMOLISH OTHER ~. . 1'50/15 JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 . nR-G{(X) TAX 1.0T: SUBDIVISION: _OJ/ 5Hof) k. SmT,; " PHONF' 9sL./-c?33 L. ZIP: 9 "/C/ 2..?, CONTRACTOR'S NAME ADDRESS tEII/ C/C ;J; 0z() ~:s C<h~ p~ (; A1e..-t'~ /-f4.<ff7 Nq GILLS k Ltfcr;e;'c. CONST. CONTRACTOR' (')9q-3S:Z OOPA:~ 1054~ 'CO JI~'5i EXPIRES ItJ j;';);S- 1.r].QS ..114- ff/oZ. /9. '11/-45 ~m.rn~/ 4. 9KCfS ~g1-/fS5J GENERAt. PLUMBING' MECHANICAL' ELECTRICAl' 3'LcsQ- \ R?yt }J\ \ ~ QUAD AREA: · OF BLDGS' OCCY GROUP: · OF STORIES: ....VATER HEATER' - OFFICE USE - \ \ \ \ · OF UNITS- \ CONSTR. TYPE: ~ t:'S I.AND USE: HEAT SOURCE: RANGE: __<r ./ PHONE 'lSYJ'352- FI.OOD PLAIN: \ ZONING CODE:-1llV ~ SECONDARY HEAT: 0 SQUARE FOOTAGE: ~f}O'?-( . OF BDRMS: 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 day. . ~ D Temporary Electric D SlIe Inspection '- To be made after excavation, but prior to selling forms. D Underslab Plumblng/Electrlcal/ Mechanlcel - Prior to cover. l's7f Footing - After trenches are ~ excavated. D ~asonry - Steel location, bond, . .beams. grouting. t'\:;:r Foundation - After forms are ~ erected but prior to concrete placement. r "'1 Underground Plumbing - Prior .:-... to filling trench. .l\:7f 'Underlloor PlumblngJ Mechanical ~ - Prior to Insulation or decking. ~ Post and Beam - Prior to tloor ~nsulatlon or decking. , , " f\:?r Floor Insulation - ,PrIor. 19',' ~decklng. . .. f"'iD( Sanitary Sewer - Prior 10 1I111~.g ~ trench. i"\:irSlRrm Sewer - Prior to filling L,C>l. trench. I"\7r'water Line - Prior to filling I.6l. trench. i"\/r Rough Plumbing - Prior to ~ cove" \ . \ REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. fVi Rough Electrical - Prior to ~cover. TVrElectrlcal Service - Must be ~approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framIng Insp. ~ Framing - Prior to' cove:: K7t Wail/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. D Wood Slovo - After Installallon. D Insert - After fireplace approval ~nd Installation of unit. "f':7I' Curbcut & Approach - A~ter. . '~ forms are erected but prIor to placemont of concr~te. f'ii7I' Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material In place. D Fence - When completed. :.- . ~Street Trees - When all r.eqUlred <.J!!7Y trees are planted. . . '. , rvr Final Plumbing - When all ~ plumbing work Is complet.e. r;;::;rFlnal Electrical - When all ~ electrical work Is complete. ~ Final Mechanical - When all mechanical work Is complete. I':A- Final Building - When all ~ required Inspections have been approved and building Is completed. DOthor MOBILE HOME INSPE.CnONS D Blocking and Set. up - When all blocking Is complete. D Plumbing Connectlons- When home has been connected to water and sewer. o 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, sklrllng, decks, and ventIng have been Installed. Lot faces -S.- LOI Type. Setbacks Lot sq. ltg, ~O v'lnlerlor i :1.. l;~ GAR ACC I Lot coverage ~5'.7o Corner I I 41 I Topography ..(2.:::'LJ Panhandle I 5 II II ~ I I \~:y W S:S Total he~ ~ (.1\'1' C~~)~C'" "~.:..J APPROVED: BUILDING PER~I; , ~~ ' BUILDING VALUE, PLAN CHECK ITEM SO. FT. X $/50. FT. VALUE AND BUILDING PERMIT j/5'2.. ~t;C;7(J,fi' t::;/(.., " 777,60 . I - # MaIn Garage Carport Total Value ~d2loLeI , ' .51~2? 2$ rl 3U ,,,4 Building Permit Fee Stale Surcharge / 7;'70""lo7~ Tolal Fee (A) . SYSTEMS DEVELOPMENT CHARGE (SDC) ~~45..~3 (B) PLUMBING PERMIT ITEM FEE FIxtures Residential Bath(s) 2 '/(On N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~.!/- 1:$0 TOlal Charge (C) / 2. , ~O _/72f:to MECHANICAL PERMIT Furnace ht$(; -IrO I'o~ Exhausl Hood Vent Fan ~ N' Wood Stovellnsert/Flreplace Unit Dryer Vent 3 .()f) Mechanical Permit J"7J>O JO(Jo.() /.S'7 3./.07 Issuance State Surcharge . 9~ +-. $'5' Total Permil (D) MISCELLANEOUS PERMITS Mobtle Home State Issuance State Surcharge Sidewalk 72 ft Curbcut 20 It 20, so /..j..~o Demolition Slate Surcharge Total Miscellaneous Permils (E) ".:35~ -::277~~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and' E' Combined) ':: . ;';': ~:'.~' >:: I:: " _S THE PROPOSED WORK tN THE. . "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, .thls application must be signed and approved by the Historical Coordinator prior to permit Issuance, This pelmltls granted on the express condition Ihat the said construction shall, In all respects, conlorm 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 '5 2. 7 ~ ::::I::I::umber: ~ 1:i:-7 A"~ "'", ~A'>M evlewed By" ':( It I'T r- -/ ~te' Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved. -' ADDITIONAL COMMENTS d+T'. \ 1\\\f\~'. ~ lctta) \ 1)(\ H'I \ ....7 (\11A~rtQ", ~P.LCf}QL ' 1) L:v l)'w1Il' .) ~ t ~ {1V\ Q4\C1L ... By signature, I state and agree, that I have carelully examined the completed 'application and do hereby eertlly that all Information hereon 15 true and correct, and I further certlly that any and all work performed shall be done In accordance with the Ordinances of the Cily 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 Ihe 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 ~I:e: du~ng/1structlon. ~gnature,/~~ . ---- 3/z.-z../95 Oat'" VALIDATION: RECEIPT NUMBER / (-./.... J L MUm ~;~7r AMOUNT RECEIVED ~ ,.{'" RECEIVED BY . . ~ ATfACHMENT Bl _.JOB NO. 9fol-'fs CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE " . WORKSHEET (COHHERCIAL & RESIDENTIAL) NAME OR COMPANY: R/A~&J L LOCATION: "t/q'1() q;:-~ v DEVELOPHENT TYPE: SF R BUILDING SIZE: lOT S17J:" SQ. Ft. 1. '~TORH nRATN~ . IMPERVIOUS SQ. FT. 2. -1,rz X SO.209 PER SQ. FT, (S;~, r?} '- - . 2. SANTTARY SFWFR-r.TTY NO. OF PFU'S . (See Reverse) /'1 , X $43.26 PER PFU (J~ 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP J X ;,01 X S436.19 ~?a~-s-) --- X X X S436.19 X $436.19 $ $ SUBTOTAL (ADD ITEi",s 1. 2, & 3) s J ...,. 3 ';I'.:? r 4. S8HlIARY SFWFR-~dH( NO. OF PFU'S J'f x $17.19 PER PFU + $10 HWMC ADMIN.FEE $ "?I'i, -r 2- (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) $ /3,? t- ..IOIAL-MWHC SDC ,$0"5':$""=> SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 2.~ fi >s- 5. ~nMTNTSTATTVF FFFS GE r~OVE) X .05 ~ Date: H rnig, P.L ./ rdinatar----- r/O.2/i'" ) - - -- ;2 - /0 - 9 s IOlAI SOr.. $ 2/15". r.3 B2.SDC . F!XTURE uNiT CALCULelON TABLE: Number of New Files X Unit Equivalent c Fixture Units (NOTE: For rcmodcls, calculatc onlYlhe tiEl additional fixturesl , ,'. NUMSEf1 OF NEW FIXTUnES FIXTURE TYPE Bathtub.........................,.,.........".......,..,................... . Drinking 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 Refrigerator!Water Station/Etc........ Receptor For Commercial Sink/Dishwa;lier/Etc.. Shower, Single Stall........................................:........ Shower, Gang.............. ...,., ..,...... ..., ,.,.", ,. ,., ,.... ..... .',. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StaIlN~all,.:,..... ....... .... ..,...... ,... .... ,..,.............. Wash Basin/lavatory, Single..........,.................."", Toilet, Public Installation........................................ Toilet, Private..,............................,....................... Miscellaneous:' ',TAl'll ,,"R'.s 5,I,>/,r UNIT EOUIV,\LENT FIXTUf1E UNITS ! 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ z.. I z / z. I z.. 2. 2... 2. <;;' TOT /',L FIXTURE UNITS /:6 = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred aft~r annexation date in table, caiculate credits separates. Year Annexed Rate per $1,000 Assessed Value 1979 or before 1~80 1981 1982 1983 1984' 1985 $3.46 3.33 3.32 3.21 3.06 2.92 2.73 Year Annexed -I Ra;e per $1,000 Assessed Value 1985 1886 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 3 A' G; 4. tnn; __' /5, "6.A Credit for Parcel or land Only If Applicable ., T X $ , 7" (Rate X Assessed Value) Improvement (if after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ . SPR''-ELO . . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEctION REOUEST: 726-3769 OFFlCB: 726-3759 1. J.~TION ~ IN~~IilN \ '\-G\in \q)\~,.1 () ) \ ~6QO\~PT1D&qrD ~ DIi$CRIPTWN ;..ll \{\ r-of2 ~ ~~.. \XOJ)V 1 of\f'Q.... 'Il-" Permits are non-transferable and expire if work is not started within 180 days of issuanc~or if work is suspended for 180 days. I 2. CONTRACTOR INSTALLATION ONLY , Elec~rical Contractor BILLS Address 3170 WEST 11TH AVENUE City 1'11r.I'N~ Phone __68.7 _ 1 R~ 1 Supervisor License Number 980S Expira t ion Date 10/1/95 .. .- Constr Contr. Number 21351 Exp1'ra tion Date 41?R/qlr , ~tWu~ctrician Ovners Nam~ll'fr ~i\&.J\O\\\O.J)JD. AddressJJ:D \ ~ (\0, 0~.L1lt;' City ~HttnoQO .. Phone q~.Y..-=<3?- OVNER INSTALLATION The. installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --~--- .J12.~ p- RECEIPT. I: / /,. '11"'L":1" RECEIVED BY: .. /f"'~:... DATE: ELECTRICAL PERMIT APPLICATION . Ci ty Job Number ctm\\-s 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit, Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 fb./ Each additional 500 sq. ft or portion c9-. ~ 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 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 nnll 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 JI S.#''' 5% State Surcharge$,r.,..,J,€ ""_~ TOTAL ' /').t'M) . o !!y}!I~m~t\!!t; . , Job No. Cf.5{) tiS SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:~~0&X ~~ ~ 001\0[\ }PHONE: Q~.~3~ ADDRESS:' lll() l\J\X\Q )~")\ dj STATE: Gt.zIP~ ,,- \ lqCATION OF l"ROPOSED BUILDJN~I~ " ,,' . Street Address if Known: ~' \( ) l Q) ) ",tt N'~\ ~ N\l~ f * T~ ld Nom"'" -1~ff\ (f) ~f) lfficb 1. DEVELOPMENT TYPE (Check appropriate dwelling(sJ. SDC Calculations and dwelling type definitions are on the backJ A. Single Familv - Detached \ Single Family home NO OF UNITS ( B. Single Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SOC Manufactured home not in a park $400.0l) X $400 PER UNIT oF" . X $370 PER UNIT = '$ X $277 PER UNIT = $ X $280 PER UNIT = $ $4-DOcD $ft ' II.~. OU $ \'U ,) 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. . 3. TOTAL WPRD NET SOC ASSESSED (If SDC reduced for Credit) C\lN\. )0\f\\~n f' ommumtv xrv~ ~n _ '] I :2...L.-t <;;I Date