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Home My WebLink AboutPermit Building 1994-10-6 (2) .ti;f LOCATION OF PROP~E'?.WORK: \ 9>'t:A,\""'\onr\o f\ ~(\\-:f " ASSESSORS MAP' \'CU'd-O\.orY).. ~. -... TAX LOT:\llo tJ:'""P.r() LOT: ril. BLOCI<". ~ SUBDIVISION\ JKu~ OWNE\>',cr\\\ \ {\ Qj'\ r f\t~ '(\\~ \~f\~HONE: t \~ .\d-{ L()lo ADDREp~: 'R>l.\ ~~~r-) ~~{J rY1 \ ,hh ~O 0]-\ CITy:~lJ\)\\f\ lO'V(\) .' STATE:1)JJlX)(C)'(\ ,\ ~- DESCRIBE WORK: ~ f\r\^ Q, ~Cl N\lV '1 \. ~Q 1:\\0. ill0L NEW Y REMODEL ~DDITION. DEM~ISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Olllce: 726.3759 . . . JOB NUMBER q4~S 225 Flllh Street Springfield, Oregon 97477 .. ZIP: Ol~""1 C(J) CONTRACT~'~ NAM!:l E J' ADDRESS. GENERA0)'(.'u;,( 1 Qf\ 1\\\. PLUMBING: ~)fC\Qrt \. p'\~OO 1 MECHANICA1 ~~...L.\ct Of'\ r.N-). \ ELECTRICAi\. ~\. \ ~ A fhfl1\i ['.~ CONST. CONTRACTOR . '9-.ll\q~ 5 \'\ ?{1 B\ '\<\S . \ n<?rl~ q~~1d~ ~o~.~\, lo Q~"?'-ldN)/ L\15.A\Xi QUAD AREA: ~ ~Q , . OF BLDGS: \ OCCY GROUP'. ?-.?, -\ lv\ . \ . OF STORIES: WATER HEATER: _9 -' - OFFICE USE - LAND USE: \ \ \ \ · OF UNITS: \. , CONSTR. TYPE: V 1\.1 HEAT SOURCE:.. \ (')\-\ f_ RANGE: EXPIRES fj.\~. q. \.C\. "l:\Q.. l\4 FLOOD PLAIN' ZONING CODE: -.ill\C- . OF BDRMS' ~ SECONDARY HEAT: SQUARE FOOTAGE: \\~~ 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, Inspecllons requested alter 7:00 a.m. will be made the following work day. / ~ . I . REQUIRED INSPECTIONS o TemporarY Electric o Site Inspoctlon - To be made after excavation, but prior to setting rorms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. r'Vf Footing - Alter trenches are ~ excavated. . o Mosonry - Steel 'location, bond .beams, grouting. ~Foundatlon - After forms are erected-but prior to.concrete placement. o Undorground Plumbing - Prior to filling trench. " rc7I Underlloor Plumbing/Mechanical ~ -Prior to Insulation or decking. rD Post and Beam - Prior to floor ~ Insulation or decking. (gj Floor Insulation - Prior to decking. fV1 Sanitary Sewar - Prior to IIlIlng LAl trench. _ ~ Storm Sewer - Prior to filling ~ trench. f"V1 Wat.r Line - Prior to IIllIng ~ trench. ~ Rough Plumbing - Prior to cover. r'i1I R~ugj, M.echanlcal -:. Prior to ~ cover. f'ViI RoughEleClrlcal - Prior. to L..Al cover. . C2l Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. . ~ Framing - Prior to cover. ~ Wail/Ceiling Insulation - Prior to cover. rzlDryWall - Prior to taping. o Wood Stov. - After I~stallatlon. o Insert - After fireplace approval . and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation Is completo, forms and'sub-base material In place. o Fence - When completed. o Street Troeo - When all required trees are planted. [2g.Flnal Plumbing - When all . plumbing w9rk Is complel.e. r-::r1 FInal Electrical - When all ~electrlcal work Is complete. @'Flnal MechanIcal - When all mechanical work Is complete. iJ1 Final Building - When all L.Z:::J'"'1equlred 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. o Electrical Connection - When blocking, set.up, end plumbing Inspections have been approved and the home Is connected to the service panel. o FInal - After all required Inspections are approved and porchos, skirtIng, decks, and venting have been Installed. J' .\ ~ft~.:: \" :1 '; Lot faces LOI Type . .K. Interior h~L. ;"1' ,. N Is Iw IE " Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle ~ Cul.de.sac BUILDING PERMIT ::I~ I \~T: '~lcO X&~;D .~L E 14.10 " ~ - Garage Carport Total Value 7)1~?S3 L.i4Y . 1011+ ~ (A) . 3'Jlo.q')- I Building Permit Fee State Surcharge Tolal Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~.z~?~,/~ PLUMBING PERMIT ITEM FEE Fixtures ResldenUal Bath(s) N~ 4- Sanllary Sewar FT. Water FT. Storm Sewer FT. Mobile Home llOo.aJ Plumbing Permll State Surcharge Total Charge f{oo. Cf) +80 + B.W (C) 172..~U MECHANICAL PERMIT Furnace Exhauat Hood 4.fD Ci.CO Vont Fan N' ~ . Wood Stovellnsert/Flreplace Unll Dryer Vent 'r~.OO Mechanical Permit 1(0 ,SU 10.00 ,f3~ ~ Issuance State Surcharge .50\ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance I State Surcharga Sidewalk '1.(") It Curbcut ~ It Demolition ~ ().S) . \~.q{) S'('l(l Surch'R~ ~ a_ ' l<g 1':\ V\Q ~~ 4-UqJ. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (~!J4~ .0<0 (A, B, c, 0, and E Combined) ':'r "..r ',;::i"h(i..;I!~\..... . ..... ;;;.1;1.'1\;, Setb leks. HSE GAR ACC' ._ THEPROPOSED WORK.tN THE. . ....HISTOJ;lICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes, this apPIIC~tlon must be signed and approved by the Historical Coordinator prior to permit Issuance. APPRove". . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permllls 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 Devalopment Code, regulating the construction and use of buildings, and may be suspendad or revoked at any time , upon violation o'f any proviSions of said ordinances. Plan Check Fee: ,,~'\t-\ J ./ Date Paid: oJ ~ Receipt Numbe~ Y Received BY:~- ~S:>S~lui " f).~~ Dale Systems Development Charge Is due on ~II undeveloped properties within the City IImlls which are being Improved. ADDITIONAL COMMENTS ~rlffi r-X _ ~d Qu JaI.lUY 'lA~\" \D,QD (~ ) ~ ~N\QX \ C\ {oO- J~ \ " By signature, I atale and agree, that I hava 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 01 any structure wlthoul permission of the Building Safety Division. I further certify thaI-only contractors and employees who are In compliance wllh ORS 701.055 will be used on this project. I further agree to ensuro 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' fr~nt , tOf the property, and the approved set of plans .' ,remain o he site at ~" es durl~stru n. S ature _r/~ -' 'A -r:' .... ~- . Dale Y VALIDATION: fl ~~ RECEIPT NUMp,ER \L\V\ '--! DATE PAID JO. h .Cf4 AMOUNTREC~D ~s<lolo. ~ RECEIVED BCllfmrT ,. ) . 225 FIFTH STREET Tho lol!c.wing project as submitted hcs the ElliJroImuCAL SPRINGFIELD OREGON 974 77 ,,'r.:,.,g. and does not require specilic land use INSPECTION REQUEST: 726-3?69/al. '.. no City Job Number OFFICE: 726-3759 Zoning" ,lYvr~ . q 3 COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLAT.!91f 10-1;# '-( . 3-=<::::uJ h".aPbfi;I) ~,j7.edSianatlJre fI~ New Residential-Single or Multi-Family per dwelling ~nit, Service Included: \ ~r,'7D~ CJ::Atf) \\J\?:}3 JOB DESCRIPTION ;(J~I' l <:::..:e..R , Permits are non-transferable and ex~ite if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~\\~),) t:JfdR.lC Address 1 ~ 'SL0 ;..,~ C:;--l?.?~ t Ci ty _N\ ~c-\c:., Phone 1..j lC;-J..{~ 9 Supervisor License Number IO()f'oS Expiration Date IO-!-Cf? Constr Contr. Number {0'8 7J.j~ Expiration Date Cl-LJ-qS Signature of supervi~g Electrician -t?$./ _~d...-c-, -'L-.-, Owne'rs'Name IrIAk.m2hU z;d ; - Address 1>"/7 <;, 3:2-~f.. ~ Ci ty .~ v-/" _ Phone ?LI/I-.!. 9~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Ovners Signature: .' DATE~=----T(j:lO~.t::{1=--~~ RECEIPT 11: Ck - - REC,EIVED BY: _ (L Y . PERKIT APPLICATION Cf4~ , Items Cost e6 1000 sq,ft, or less , $ 85.00 Each additional 500 sq, ft or portion L 30 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 $ 50.00 201 amps to 400 amps $ 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 100u volts $ 40,00 $ 55,00 $ 80.00 see "B" above D. 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 -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. $ 40,00 $ 40,00 $ 20.00 $ 36.00 J15.CO t:;.~::') ',A". c:::.. \,Q"-t .~CL SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL . . ATIACHHENT Bl -. .." . JOB NO. q ~/..p'~ CITY OF SPRINGFIELD SYSTEHS'DEVELOP~ CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: II~ U . , LOCATION: 7,3.;.-1 &~ ]).4. DEVELOPMENT TYPE: '5'&/) BUILDING SIZE: LOT SIZF SQ. Ft. .. 1. ~TnRH nRATN~ .. IMPERVIOUS SQ. FT. 2-32-'6 X SO.209 PER SQ. n. ~_~,S?) - 2. SANTTARY SFWFR-CTTY NO. OF PFU'S . (See Reverse) 3. TRANSpnRTATTnl~. NO OF UNITS X TRIP RATE X COST PER TRIP } X /,0/ X 5436.19 If X 543.26 PER PFU ~8'. ~.b '---. X X $436.19 ~~->0 5; X X $436.19 s SUBTOTAL (ADD ITEMS 1.2, & 3) s I 'f05.1'i' 4. SANTTARY SFWFR-MWMC NO. OF PFU'S /<i' x $17.19 PER PFU + S10 HWMC ADMIN.FEE $ 3/'f'-f'< (Use PFU Total From Item 2 Above) H'WMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3~," 0 .. IQIAI -MWHr. snc r2...lr4,~z:--., - SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ / 9~O.~ e; 5. AnHINlSTATTVF FFFS . BASE~E (SU~~OVEl X .05 ~ 4! ; Date: t?-;;Z?'~7?! ftad Holnig: P,EU /' SDn~06rdinator 0r.5'~ ') .... . --- TOT AI SOC 5; 2-0 yt),/3 B2.SDC . - . FIXTURE UNIT CALCUL...Q;.TION TABLE:. Number of New Fees x Unit Equivalent a Fixture Units INOTE: For remodels, calculate on.e NEI additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain....:................................................ Floor Drain................................................................ Interceptors For Grease/OiIlSolids/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/Dishwasher/Etc.. Shower, Single Stall...............:................................. Shower, Gang......................,..............................,..., Sink: Bar, .Commercial, Residential Kitchen........................ Urinal, StaIlNvall..:... .......... .......... .......... ........ ........... Wash Basin/lavatory, Single................................., Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous:. ,TAl'll TOP '$ SoINJ;- .2 4. 2 1 2 3 6 2' 6 6 1 3 2 1/Head 2 2 1 6 4 ..1. / 2.. I 't. :z. '2.. x 2. TOTAL FIXTURE UNITS 17 = Based on assessed value, If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate crecits separates. r- I' .I '? .~~ X $ /0. on) (Rate X Assessed Value) X $ (Rate X Assessed Valuel Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 IL- Cree it for Parcel or Land Only If Applicable Improvement (if after annexation datel Year Annexed Rate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 -I = ~?(;t1' --- = CREDIT TOTAL = $ 3.f'.~o