HomeMy WebLinkAboutPermit Building 1994-10-6 (2)
LOCATION OF PROP~E'?... WORK: . ~3 4 p,
ASSESSORS MAP' \'d..)~O\rA'f:) "
..~\
OWNEP' c)\\\. ucLQ,f'\ ?- f\to ffi \\ ~
ADD~E~:;(>~j:J 3rQ fY1 Y,,~,
CITy:~1\ \ (\, W;V~ STATE: rz.p1'\
DESCRIBE WORK:_~~J'\'l\^ <1, ~Q NUU c, \ ~Q J:\\c1 Q(1~
NEW ~ REMOOEL ~ADDITION ' OEM ~ISH
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759 "
LOT:
.
BLOCI'"
~OB NUMBER 44-\~1'L
225 Filth Street
Springfield, Oregon 97477
TAX LOT:\1lD l'.(")q(y)_
SUBOIVISION\ fu"l~;
t-\'-\L\ .\d--{ ~ Ii;
OTHER
ZIP:
01'\, <'f)
CONTRAci~'~ NAM~ E J' ADDRESS'
GENERA" q'\i..t J.( 1 Qf\ 1\\1.. ,.
PLUMBIN; ~)f(\Qrt \ ):l\~OQ "
MECHANICM ~ ~.l-\ rt 0 f\ T.N-). \
ELEcTRICA;\' cA \ \..i.t'\ t( _~ 0 l'11\i {' j
CONST.
CONTRACTOR'
~\ 1IC\t;\
5 \'\ ?ll
B\.'\C\S
t n~'l~
J?.HqN,E\
q~j'Id~'
lp~~t \ lo l
C\? ?;ld~
L\1~.AI~
QUAD AREA: ~ ~Q J
. OF BLOGS: \
OCCY GROUP', ~ ?, -\ lv\
\
'( -'
· OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE: \ \ \\
· OF UNITS: \. ,
CONSTR. TYPE: 'IV IV
HEAT SOURCE:
f___
RANGE:
EXPIRES
lj.\~.
q, \.4.
tj:\Q..
l\4
FLOOO PLAIN'
ZONING CODE:
ll)\C...,
. OF BDRMS'
SECONDARY HEAT"
SQUARE FOOTAGE:..1J 0'1.:3
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 requestad after 7:0p a.m. will ba made the following work day,
REQUIRED INSPECTIONS
r'iI1 R~ugi. M'echanlcal ...:. Prior to
L..O.t coYer.
o TemporarY Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
~ Footing - After trenches are
~ excavated. .
D Masonry - Sleellocatlon, bond
beams, grouting.
~Found8t10n - After forms are
erected-but- prior to.concrete
placement.
o Underground Plumbing - Prior
to IIIl1ng trench.
"
~ Underltoor Plumbing/Mechanical
-,Prior to Insuletlon or decking.
~ Post and Beem - Prior to floor
~ Insulation or decking.
IZ:l Floor Insulation - Prior to
decking.
fV1 Sanitary Sewer - Prior to filling
L...O.l trench. .
~ Storm Sower - Prior to (lllIng
trench.
~ Water Line - Prior to filling
lL:S.. trench.
~ Rough Plumbing - Prior to
~ cover.
.'
I'Vl Roug',; 'Electrical - Prior' to
. ~ cover.
C2I. Electrical Service - Must be
approved to obtaIn permanent
olectrlcal power.
D Fireplace - Prior to facing
materials and framing Ins!,
~ Fremlng - Prior to cover.
~ Wall/Cel1lno Insuletlon - Prior to
cover.
!:ZlDryWall - Prior to taping.
D Wood Slovo - Aftor I~stallatlon.
D Insert - After fireplace approval
and Installation of unit.
C29 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.
, 0 Fence - When completed.
o Street Treoo - When all required
, trees are planted. .
~ Final Plumbing - When ell
. plumbing Work Is complet.e.
~ Final Electrical - When all
. electrical work Is complete.
@Flnal Mechanical - When all
mechanical work Is com~lete.
r=1l Final Building - When all
l..2:l"'"'fequlred Inspections have been.
approved and building Is
completed.
o O~~er
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
tha service panel.
D Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
Lot faces
Lot sq. Itg.
Lot coverage
Topography
Total height
~
BUILDING PERMIT
ITEM ..~_ F'T: ,
/-4aln .llW
~lcD
Garage
Carport
Tolal Value
Building Permll Fee
Slate Surcharge
Tolal Fee
"
~:~L, \' :1 ,;
': ~ '.:.l
>,'r ':'" ~;:,~ '~:1t~?(}"'"
Selbacks .
HSE GAR Acc'l
I
I
Lol 'lYpe .
X Interior
"
P.L.
N'
S
Iw
IE
Corne r
Panhandle
Cul.de-sac
X&~aS - ~
J4./~..~
?J1E:{;g
,'')4y.
10:11+ ~
(A) 0')loHIJ- '
SYSTEMS DEVELOPMENT CHARGE (SDC)
i..z~~,/.3
PLUMBING PERMIT
ITEM
Flxlures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblte Home
Plumbing Permll
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
(B)
FEE
~
/itJo.crJ
FT,
FT,
FT.
0;\ /(O().OO
+~ + B.CXJ
(C) 1]2.. ~()
N' ~
4.8)
Cl.CO
.
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
'r~.OO
.50\
/(0 ,SU
10.00
.f3~
81S3
(D)
MISCELLANEOUS PERMITS
Mobile Home
State issuance
I
State Surcharge
Sldewelk --9Q It
Curbcut ;:)( () It
Demolition
S'tl(l Surch'R~ _ \).,
, l< g h\ \"\0.. t\:u.u
o;n ,':::D
-,~qD
~qJ
Total Miscellaneous Permits (E)
~l' ILEI 0'6
TOTAL AMOUNT DUE (excluding electrlcalY Y /'0(,
(A, B, C. 0, and E Combined) ,
: (. THE PROPOSED WORK, IN THE, '
'''''HISTO!OiICAL DISTRICT, OR ON
THE HISTORICAl. REGISTER?
, .
If yes, this application must be signed
and approved by the Historical
, Coordinator prior to permit Issuance,
APPROVED: .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
, This parmltls granted on the express condition thatlhe aald
construction shall, in all respects, conform 10 the Ordinance
adopted by the City, of Springfield, Including the
Oavelopment Code, regulating the construcllon and use of
buildings, and may be suspended or revoked al any time
, upon violation of any provisions of said ordinances.
Plan Check Fee: '\~\N..J /
Date Paid: .(} ~
Receipt Numberu y
Received BY:~'
~S!\;rtiL.ti
f).~%
Date
Systems Development Charge Is due on all undoveloped
properlles within the City limits which are being Improved.
ADDITIONAL COMMENTS
~f)Qtto ('.1" .~dou'Y1'llli
.
'l~~ ,\:'. \C')\.-\}.:D (~ )
'-- ~N\Q)( : \ U\ (00- ,
~~ \
"
By slgnalure,l stale and agree, that I have carefully examined
the completed appllcallon and do hereby certify that all
Information hereon Is true and correct, and I further certHy
that any and all work performed shall be done In accordance
with the Ordlnanc~s of the Clly of Springfield, and the Laws
01 the Slate of Oregon perlalnlng to the work described
herein, and thaI NO OCCUPANCY will be made of any
structure without permission of lhe Building Safety Division.
I furl her certify that'only conlractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Ins pee lions are
requested at the proper time; that each address Is readable
from the street, that the permit card Is located at the' fr~nt
of the property. and the approved set of plans v.!11l remain
on the site at all mes during conslructlon.
Signature 4~
/:O/Arad
'/ /' /
Oate
VALIDATION: ~( n
RECEIPT NUMBER >11!
OATE PAID In. ((') . f
Co -
AMOUNT RECJJ:JD rOt%{". ~A
RECEIVED B.f.:J)( IJ) _ )
"
,
.
-
e
The foHowlng project as sub ftted .
zonl~g, c:nd does n~t reqUir:Specif~fa~~ following
225 FIFTH STREET apploval. u"€LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino L PL
INSPECTION REQUEST: 726-3769 .
OFFICE: 726-3759 D.<:l, 4 r'l...j-c1't
A jJ ~ COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATi'O~zad Signature
?'~.d.'i5 C2Jd>7>>v7Jz
LEGAL DESCRIPTION
br-3/_frf:;r~~~;'7~.s
. . , -
JOB DESCRIPTION "'0
~.......J ~ P-r
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..Al) v.J ~/",r'-:k.1C
Address J...._ ~ ~ '1< ~j) <:7""
Ci tY-4~tJ-<, Phone--"!?, r -::J. J'i'j
Supervisor License Number /p/j ~~j
Expiration Date /0"" / - ~"
.
Constr Contr. Number to 67 YV
Expiration Date ?-~ -p?_
Signature of Supervising Electrician
il/L.! d], _~ 1. <#
Owners Name A/4-y7J$/") z;d
Address -;;,'7"7 .-). ~:J.~ ~
Ci ty <]bf.:d-n _ Phone "?cJa-.d.9k
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
~....'e3_~C/
/ ye- ~ V
DATE:
RECEIPT JI:
RECEIVED BY:
~---
',r '
City Job Number 1tJ~/fr'?z...
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
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
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 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 'Ya.-c
$ 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
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 90.o.e>
5% State Surcharge --2, ~...
3% Administrative Fee / ,~c:>
TOTAL 9'':? ?O
,
. ATTACHMENT Bl ~OB NO. 9?/~r2
CITY OF SPRINGFIELD SYSTEMS'DEVELOP~ CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: J-kyL~.
LOCATION:. ?J-I15 Cr~
DEVELOPMENT TYPE: S~L)
BUILDING SIZE:
lOT SIlF'
SQ. Ft.
1. STORM nRA T~
IHPERVIOUS SQ. FT. 2:3 ~ 'if X SO.209 PER SQ. FT. ~?'S})
2. SANTTARY SFWFR-CJTY
NO. OF PFU'S . I'?' X S43.26 PER PFU r7~~
(See Reverse)
3. TRAN<;P()RTATT()I~
NO OF UNITS X TRIP RATE X COST PER TRIP
/ X /,0/ X S436.19
X X S436.19
..s---#", >'::>)
\... .--'
S
X
X S436.19
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $ / '1"S'. iT P
4. SANTTARY SFWFR-MWHC
NO. OF PFU'S /i x S17.19 PER PFU + SID HWHC ADHIN. FEE $ "?/?' f1.<
(Use PFU Total From Item 2 Above)
H'WMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3#. (;, 0
,," . IQIAI -MWHr. snr. ,r.z. 'If";, ri"'o.
SUBTOTAL (ADD ITEMS 1.2.3 & 4) s; 1/ 9~_~ D
5. AnMTNTSTATTVF FFF~
r'1'. 5" 2)
Date: 1'-;,2..,.- 9';9'
IQIAI snc
$ ,2.0fJO./3
B2.SDC .
FIXTURE UNIT CALCUlATION TABLE: Numbcr of Ncw FeC:'X Unit EQuivalcnt = Fixturc Units
(NOTE: For rcmodcls, calculatc on~c JiEI additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub..................................................................... .
Drinking Fountain....:................................................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
laundry Tub/Clothcswasher...................................
Clotheswasher - 3 Or More....................................,
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator!Water St'ation/Etc.......,
Receptor For Commcrcial Sink/Oishwasher/Etc..
Showcr, Single StalL................................................
Shower, Gang...... ....................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StaIlN"all..:....................................................
Wash BasinlLavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous: ,T"'HI TOR "$ $.'JoIJ:'
z.
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
.<.
Lt.
z..
2..
2.
~
/X
CREOIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credi.. separates.
/
I
?
z.
TOTAL FIXTURE UNITS
=
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
Rate per $ 1,000
Assessed Value
1985
1986
1987
1988
1989
1990
1991
1993
? -:?tf, X $ /6. &-t)c) =
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
Credit for Pafcel or land Only If Applicable
Improvement !if after annexation date)
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
~ ~ C;O'
---
CREDIT TOTAL = $ ""{~ Gd