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Home My WebLink AboutPermit Building 1995-5-19 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 ASSESSORS MAP' / LOT: '" ~~h' BLOCK' OWNER: ADDRESS: CITY' F /,bLA-.h ~€/Z> {/.-k: -;Pp /?~x 2~5~ o". /~Y~E~ STATE' ~. -" ~ -~ JOB NUMBER 9'76'_'>~ 225 Flflh Street Springfield. Oregon 97477 /A/. TAX LOT: r~jqm SUBDIVISION:~~" _~~1i"" PHONE:~5~ :Y/~.> ZIP: '7'/9'd9 DESCRIBE WORK: /N~~~h1'#-~~ ~/'77F .? ~>'f'~"'7 '.-/' ?/h-~~~ NEW .Y REMODEL ADDITION DEMOLISH OTHER CON ST. CONTRACTOR' CONTRACTOR'S NAME ~ . ' , ADp~/~"d9'" GENERAL0..':"......T.~ .3:f/i5.:-~ 4"'?'V~ PLUMBING' MECHANICAl' ELECTRICA' . . ;J. P. N IfJ QUAD AREA: __ , . OF BLDGS: OCCY GROUP' , ~~t1Y\ I . OF STORIES: WATER HEATER:_F ~VY"7. . o" - OFFICE USE - LAND USE: ---11 66 · OF UNITS: I CONSTA. TYPE: -.J1.,N HEAT SOURCE:--.f.F- E RANG~' EXPIRES PHONE h'.!i!5:'9 -.7A;;;<> :5'-?~ , FLOOD PLAIN: ZONING CODE: ~t- . OF BDRMS' SECONDARY HEAT: .~ SQUARE FOOTAGE: I CJf1 (P. To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requesled 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 o Site Inspectton - To be mado after excavation, but prior to settln~forms. rtJ undersY~Electrlcall T Mechanical - Prior to cover. 7';;;7f Footing - Afler trenches are ~excavated. o Masonry - Steel location, bond .beams. grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - PrIor to filling trench. D Underfloor Plumbing/Mechanical - Prior to. Insulation or decking. '. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation -- Prior to decking. K?1' Sanitary Sewer - Prior to flJUng ~ trench. ~ Storm Sewer - Prior to filling ~ trench. K:;:(Water Line - Prior to 'fllllng ~rench. '. D Rough PI.umblng - Prior to' cover. . REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. o RoughElectrlcaJ - Prior to cover. D ElectrIcal Service - Must be approved to obtain permanent electrical power. D FIreplace - Prior to facing materials and framing Insp. JZlFra~lng - Prior to cover. D Wall/C'elllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. o Insert - After fireplace approvlSl and Installation of unit. D Curbcut & Approach - After forms are erected bllt prior to placement of concrete. D SIdewalk & Driveway - After excavation Is complete. forms and sub-base material In place. D Fence - When completed. ~treet Trees - Wh~~ all required ~ees are planted. o Final Plumbing - When all plumbing w9rk Is comp/at.e, o Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. "ts?f Final Building .,..:"When all ~requlred Inspec'tlons have been approved and building is completed. o Other MOBILE HOME INSPECTIONS I'V(Blocklng and Set.Up - When all ~blocklng Is complete. KAPJumb~ng Connecllons - When ~home has been connected to water and sewer. ~Electrlcal Connection - When blocking. set.up. and plumbing nspectlons have been approved and the home Is connected to the service panel. 1'9( Final - After all required ~Inspectlons are approved and porches, skirting, decks, and venting have been installed. r ~. ".'." ::~ -: ~ :~. ..,' ";:" ~.tH~;. .THE PROPOSED WORK tN THE. Lot faces ~ Lot Ty_ Setbacks, Lot sq. Itg. ~'b Interior I P.L. HSE GAR ACe' I HISTORICAL DISTRICT, OR ON - IN I THE HISlORICAL REGISTER? Lot coverage !k-2S~ Corner /t:) If yes, this application must be signed L. 2.?r Pan"handle Is ~ I and approved by the Historical Topography Iw I Coordinator prior to permIt Issuance. J7j . V /0 I'C Total height ('[.1/) Cul-de-sac ~ '24..1 ~ APPROVED: ' BUILDING PERMIT ITEM' SQ, FT: X $/SQ, FT. ~ VALUE ~ajn,. .~~ l~~ ]/?tfi-..-" i.;:J Zo /Y: /0 " _1/28. .... Carporl~~.?;"'" /O."e, ~Y;2!;l.-- ~p~. &'/?/8.- /O/tDO ~>-o ~:fS ~.9S SYSTEMS DEVELOPMENT CHARGE (SDC) (B) *'\9"l?~-$ Total Value Building Permit Fee State Surcharge # .1"...2.tc2.. Total Fee (A) PLUMBING PERMIT ITEM ~ Fixtures Residential Bath(s) N' Sanitary Sewer FT, /' -:;0 Water FT. L5'Q Storm Sewer FT. ,?. So Mobile Home FEE :Z~ B-O .....;;z..soo 2.5" 00 /-'=;dlJ Plumbing Permit 9,0'- 7.2" 97...:u A,S-,Q~ .., .710 State Surcharge { ,~ Tolal Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELL.~NEOUS PERMITS Mobile .Home Slate Issuance /o~# :;UO."d S.~ \'S.1S' '~.'70 ~~S" 3'f State Surcharge ~'__ -r _ -" Sidewalk ~ ~ II - . l~_.f(-_._' I Curbcut ......... De m_ol.l ii on - State Surcharge Total Miscellaneous Permits .(E) l3~ TOTAL AMOUNT DUE (excluding electrical) ~'A~-A~ (A. B. C. D, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said constructlon'shall,ln all respecls, 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 any provisions of said ordinances. Plan Check Fee' ~~. ~-=s '~-'5'-~ . G"fr'~A:s- 7 ~~e Syslems Development Charge Is due on all undeveloped properties within the City IImlls which are being Improved. ADDITIONAL COMMENTS t1f): fP { (p ,/)8,f) IX) , J (lJ'1Yt1'tf,d-1&z.L ardJ) " 1C((D - {C(0f JJ4'ba.l!.t_- }//Ijjj/(IY \ a QQ.tAJ\-1. ('nO f)i~k.1 - \. t\~lldO(1'\)-.J- By signature. I stale and agree. that I have carefully examined the completed application and do hereby certify thai all Informatlon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordlnancos of the City of Springfield, and the Laws of the Slale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be mede of any structure without permission of the Building Safety DivisIon. I further certify thai only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agreo to ensure that all required Inspections are requested at the proper time; that each address Is readable from the street, that the permll card Is located at the front of the property, and the approved set of plans will remain ~e, site al a;'; ;!o/s during constr~ct~. , ~ Slgnatur~ w;L ~~(h( ~ .. e Date~/9- 07 (' /' VALIDATION: RECEIPT NUMBER /7.,t~/ D~E PAin. ~ 'j' /J'J AMOUNT RECEIVED.J:} . _ 9D ~, RECEIVED BY. \, .. ... SPRINGFIELD The following project as submitted has the followi 225 FIFTH STREET zoning. and do.. not require sp6Cific land ~l'.ECTRICAL PERMIT APPLICATION approval. SPRINGFIELD, OREGON 97477 I "f!,- q~,,~aa INSPECTION REQUEST: 726-3769 Zonina L-;"l;/ Ci ty ,Job Number '.~ T \ OFFICE: 726-3759 Dol. &-'1/1/4') 1.cIJ~ O~iz.dSignature . ~ COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: dt5~~WFTION()C\ C\cn ~D~I~ Permits are non~a~sferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL~TIO~ ONLY Electrical contractot1\Q.~ Address \\1\9 _l ~ ~o ~ CityLk'DU'\CL Phone '\~ '. \qf) . ~' lP~8 jrc;t:o SuperVlsor LIcense Number CI. 4~", Expiration Date \ n. \ .q ~ Constr Contr. Number \03\ ~'1 Expiration Date \~ .8..~.C{1 ,'. .' Signat~erVis~ian owner: Nam~ €-: ~ ~d Address \) .( () _~ ~~ Ci~~ ~ Phone lo~3.~\\o\ OIlNER I>>STALLATION The installation is 'being made on property I own which is not intended for sale. lease or rent. Ovners Signature: D~~E~--------1l0:~l(J~~~----------- RECEIPT 11: 'Ie t......--J"\ ~ DUrUT1.Wn R'v. ~ -' 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 .:..1 Cost Sum $ 85.00 $ 15.00 <9.... $ 40.00 ~o $ 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 $ 55.00 $ 80.00 see "Bit above .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E, Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Ehergy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 aJ . .~'. .'. '., '.B'~O:"'5~?l?<j ~ITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 6. NOLAN 5L.+-fE/D SR. LOCATION: 2-G."f ~ GAP-SON LA-tJE.. l'703~(,,1/ - D"I9oo DEVELOPMENT TYPE: LDR - !Jt:.J/lJ AlIA-AIl!, I-kME. H<>Mc 'v.W. CAp.,/~T'j!,. BUILDING SIZE: :211<A-8. 11"-";00 _ ';>o"'I'Z.~? LOT SIZE . - SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. lq",,~ X $0.209 PER SQ. FT, ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) \<b X $43.26 PER PFU (-nB~~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP J X 1 . 0 , X $436.19 X $436.19 X $436.19 G 44-CJsi) '--- -------- $ $ X X 4. SANITARY SEWER-MWMC NO. OF PFU'S I~ x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ ~\",,4-: TOTAL-MWMC SDC $ 55 4-3 ~ ........ --- $ I""OO"?8 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~. ~"P-: ",LJt.. Date: sii' fa!"!'? '---cJ' K;p Burd;ck I I TOTAL SDC SDC Coord;nator G ""~~ '- .-/ $ Iq",,?~ ~ FIXTURE l!~,I! ,<?~L<;lJLA.T ~BLE: Number of New Rxture. Equivalent = Rxture Units (NOTE: For remodels; calculate only th dd.tlonal fixtures) NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ..,-_:~-:,-:'-' 2. 2 1 2 3 6 2 6 6' 1 3 2. . "/Head 2 2 1 6 4 4- Bathtub......................................................... .... ......... Drinking Fountain....... ................ ............... ..... .........- Floor Orain..................... .............................. ............. Interceptors For Grease/OiI/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... . Clotheswasher - 3 Or Mqre................,...,...,...,....,..".. Mobile Home Park Trap (1 Per Trailerl........:..:..:... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL...........................,.................... Shower, Gang...................... ......... ....................;...... Sink: Bar, Commercial, Residential Kitchen.............:.......... Urinal. Stall/Wall.......... ........ .... ... ......... ..... .... .......:..... Wash Basin/Lava'tory, S)ngle.......... ........................ Toilet, Public Installaiion........................................ Toilet, Private..................................................:,... Miscellaneous: l. "Z. " .' . ,:'.. 'Z '2. "Z. <6 TOTAL FIXTURE UNITS 18 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Rate per $1,000 --I Assessed Value Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 19BO 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $ 2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 " r Improveme!,t (if after annexation datel 3.* X $ Ifp.Ot-- (Rate X Assessed Valuel X $ = (Rate X Assessed Valuel ~5 4-3 Credit for Parcel or Land Only If Applicable CREDIT TOTAL = $ 564-~ : '.L .. .. ~~ ., o !L'!.,ilIA~m!!t1;!!;~ " Job No. ~ SYSTEMS DEVELOPMENT CHARGE WORKSHEIT NAME: 7.- ~~ ~J PHONE: \~"3.'\\1o( ,'" '\,j, ADDRESS: ({)() ~' ~qS~ U '0-' STATE:Gt:-ZIP QlmL , I ~ .-.- -. '. . . lq<:ATION OF PROPOSED B~lDING SI~ ". n ' \ Street Address if Known: nl\rf\~ (~C'0\.~~ ~'''N""","~(\ ~~ ~ropriate dweJlirig(sl. SDC Calculations and dwelling type Platt Name: 1. DEVELOPMENT TYPE ( definitions are on the back.l A. ~inl1'le Familv - Detached , Single Family home , NO OF UNITS ( Manufactured home not in a park.. . a) X $400 PER UNIT _=', $' 4ft) , . '. B. Sinide Familv - Attached .' \ NO OF UNITS X $370 PER UNIT = "$ C. Multi-Familv Aoartment ' . NO OF UNITS X $~77 PER UNIT = $ D. ManufactUred Home Park NO OF UNITS X $280 PER UNIT = $ . $.1fJ)fQ $' jY $4-fYJ.CO WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. . 3. TOTAL WPRD NIT SDC ASSESSED (I( SDC reduced (or Creditl ~ I tb~r'ti.t r"..............n;h' ~I'\",:,..I'\~ ~n t[; I / I I IS n~l(> . 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 FAX (503) 726.3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the approval of the attached permits, one of the following manufac tured homes will be placed at 2L;,J'9:, &'..-k>.f'o.U L.(). Springfield, Oregon, City Job Number ;'€i'L:'fi'!!!;' ~ Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed tloor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in width wlth an enclosed tloor area of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: - Manufactured Home blocking - Yater line connection - Street tree standards - Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. ~~f~:z;1 \.~ U ~dv_~~C--/~--7 Slgnature y D~7 I ?-r?5 \