HomeMy WebLinkAboutPermit Building 1993-3-26
..'.....\ . ,t-.!
8f;SID,J~NTIAL , '
peRMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
Jq
LOT:
, I
OWNER: ~
ADDRESS: !
I
CITY: I
\.
d"d7l' 8onnJ~
BLOCK:
HE AND i CONSTRUCTION,INC #~1158
,84'35'3 Par kway
PLEASANT HILL,OR 97455
I
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DESCRIBE WORK:
:5FO
NEW
v
REMODEL
, ADDITION
CONTRACTOR'S NAME
GENERAL:
DEMOLlSri
'~OTHER
:~
CLk f:E: ;;;~.46Banl?4
JOB NUMBER.Q3D{(:)4
225 Fifth Street.
Springfield, Oregon 97417
TAX LOT:
SUBDIVISION:
PHONr:.
ADDRESS
CONST.
CONTRACTOR #
HE and i Const.,Inc.
84959 Parkway 71158
Pleasant Hill, Or 97455
PLUMBING: ..
MECHANICAL: J
I
I
I
QUAD AREA:&1
# OF BLDGS: U
\~
OCCY GROUP: ~J
# OF STORIES: J
W~TER HEATER: J
ELECTRICAL:
Bills Electric
Don'Lewis Plumbing
3170 W 11th, 21351
Eugene, Or 97402
500 Greenfield 33076
Eugene, Or 97404
4131"E"St. 25790
Springfield, Or 97478
Marshalls Oil & Ins,
Brooks Excavation
27661 Crow Rd 55921
Eugene, Or 97402
f) ) eol ~ PARt'
7;;)b- 3&'1 g
ZIP:
EXPIRES PHONE
02/95 726-3898
04/94 687-1851
06/93 688-1931 r
12/93 747-7445
03/94 345-7564
_'_'_......~,-"'="'MO'CC='-C'~- J-
To request an if')spection, 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.
!ZJ Temporary Electric
D
Site Inspection - To be made
after excavation. but prior to
setting forms.
D
Underslab Plumbing / Electrical/
Mechanical - Prior to cover.
[AJ
Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
'[11
Foundation - After forms are'
erected but prior to concrete
placement.
[AJ
Underground ,elumbing - Prior
,to filling trench.
~ Underfloor Plumbing/Mechanical
L,lU - Prior to insulation or decking,
r-.II Post and Beam - Prior to floor
~ insulation or decking.
[AJ Floor Insulation - Prior to
. decking. . ,
[41 Sanitary Sewer - Prior to filling
, trench. .
IYl Storm Sewer - Prior to filling
l,LLJ trench.
rvl Water Line - Prior to filling
L4J trench.
ctI Rough 'pl'umbing ...: Prior t6
cover.'
REQUIRED INSPECTIONS
I .Y1 Rough Mechanical -. Prior to
~ cover. , '
III Rough Electrical - Prior to'
~ cover.
~ Electrical Service - Must be
LA--J approved to obtai n permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
-
~ Wall/Ceiling Insulation - Prior to
tp cover.
[Jf-l Drywall - pri~r.to taPi~g.
D Wood Stove - After installation,
, D Insert -After fireplace approval
and installation of unit.
.(1]
Curbcut & Approach- After
forms are erecied but prior to
placement of concrete,
n71 Sidewalk & Driveway - After
L,)LJ excavation is complete, forms
and sub.base material in place,
. D Fence - WQE;n corn.~let8d.
i Y] Street Trees .~ Wil~~ .ail required
trees are planted:'
IlJ Final Plumbino - When all
. plumbing work is complete.
~'. Final Electrical - w~~n all
'---.Ltl electrical work is complete.
Q!1
'[4J
D Other
Final Mechanical - When all
mechanical work is complete.
F,1nal 8:Jildlng - When all
required inspections have been
approved and building is
completed.
MOBILE HOME INSPEctiONS
o Blocking and Set.Up - When all
blocking is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Elect~ical Connection - When
blocking, set.up, arid 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.
Setbacks ,
I Pol, HSE GARIACC I
, , I
iN "~/l,
I S -:?9J '
l W 16 '~:'-~U
IE 23 ",
"'
~ ,
Lot faces ,/Y-
Lot sq, ltg, J/ /"9/'
Lot coverage _//'
Topography ~.;;:('~
. Total height J \O~I
Lot Type
1-
Interior
Corner
Panhandle
Cut.de-sac
.. 'BUILDING, PERMIT.
ITEM SQ, f.T
X $/SQ, FT.. VALljE
~.:2C~_ ~~'/L.26
/~/~ b&a~, 7~
Main
/'7~
0/'2/
Garage
Carport
S6L~/9tO ,
2:9 y.~
/9.?~
-Z"L~ ?tP
, '
SYSTEMS DEVELOPMENT CHARGE (SDC) $
. , (B) '1$ j q2-~ 3"f ..
Total. Value
Building Permit F~e'.
State Surcharge
Total Fee
(^)
PLUMBING PERMIT
ITEM
FEE,
"Fixtures
-~.__._---
/~.~
c. ---
Residential'Bath(s)
NO '2
Sanitary Sewer
FT
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
/~_ t:!'/6C?
.e:. .,. ~
-/~~~:~;;
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
__tk.~~
'f ~s-e>
?-,~.
-/J>--:: c:;es.
~ >"1--'
Fu mace
Exhaust HoCld
Vent Fan
NO
'3
WoodStovel)nser~ce usi::>
Dryer Vent
Mechanical Permii ,
_-Z42"';"~
__/C):',. ~
, I.~
~~~~
Issuance
State Surcharge
Total Permit
. (D)
MISCELLANEOUS PERMITS
Mobile HOme
State Issuance
State Surcharge
Sidewalk
=?7
.,.
3'&
~ G:.--:5 :>
/$SO
ft
Curbcut
ft
Demolition
State' Su rcharge
7~~ ~/r~
Total Miscellaneous Permits
(E)
./ /n ,......;....
-~ .
7~_..~
TOTAL AMOUf\jT DUE (excluding electrical) ~~~~~ft22
(A, B, C, D, and E Combined)'
THE PROPOSED WORK IN"THE ~
HIST.ORICAL DISTRICT, OR 6...N'
THE HISTORICAL REGISTER? .~
If yes, this applic~tion must be signed
and approved by the Historical
, Coordinator prior to permit issuance,
'APPROVED:
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
buil<;lings, and may be suspended or revoked at any time
upon ,violation of any provisions of said ordinances,
';'20 Check Fee' n'\ ItWR /
Date Paid: ~U 't'
Receipt Number' ~~ .'
Received By: ~
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS,
. '- \'. ' -"-'~
(~tULb~dL blLJiiXtQJU
(~Ml{lfxrtVi Iq'l5
-:.
By signature, I state and agree, that I havecarefully examined
the completed application and do hereby certify that all
lJ)formation hereon is true and correct, andl further certify
th~t ar;y and all work performed shall be done ,in accordance
:'Yith the Ordinances of the City of Springfield, and the Laws
of tl-)e State of Oregon pertaining to the worl< described
herein, and that NO OCCUPANCY will be made {)f any
structure without permission of the Building Safety Division.
i :urth,er certi fy tl)01t only contractors and employees who,
are ir( 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 all times during construction.
Signature ~ h,.~'
3k0/~ -3
Date
VAl1DATION:
RECEIPT NUMBER
DATE pAID
!.\MOUNT RECEIVED
~IOS?
i-tCJ-,It1?
77VSS.-Z ?
~'
RE~[I\;ED BY
... ,
'p ". i.,' ",' .., .'t;:: ,,', ,,",'. ~?";~;;;; " . .' a--i.. I '.~.::Ii ::~:'/' ""',, ~ ,r.. '
,:' ,...,..' ',,'f~i'~ ,.:;,{!~i\,'/",!,J~.~.;.N~t~~.,~o.-,() ,,'jla~:rJ(!~l/t
CITY OF SPRINGFI EtO' SY'STEMS:D~V~E'(O~iMiENT't~EHf~~!~~~;~~\t~~~~~~10'j~0;";",
. :",l;H.:i"L'WORKSH EET, . J.:'.: ,;,~,,',"'.".'....' .,','.:.:.'.'...:.'..\...'..'....,..i~.:".:..'..,'.j'..'..';::.;.;;..;.~Rt...~-:l,m.'1t.:,'i.tb.'.'J:~;.~b. ~.'~&"s" !1I;;i'.:'
'.'of-.. t.'..'.".......:". . '
'., ,: 'T, ," .-- '. '. , " :".,:.,",:>.,v. ..!,;..:;"",,":,7-1t7"~lr',:i."I:!:.:;.\'fjJ,~:A.?{l!f.' . k"a",'~'~.;:1: '<.~
(COMMERCIAL &. RESIDENTIAL) ...:;,;'/.~"'.\';!~;~::'y,:'i."~'1Hii:;V.\{ . -,' ';:;i"~"~,,
. ,_ ..' ,_ . ,.,.;';",',::;';~~~r~~::f:"~,~{~.',;~~;:fb'>. ,if"~,' ;j-: ~~'~:~i\,:
, / J 11_ ' .... ...,.. ......,..0 ~),l:JD~"A<,d", ""..'
NAME OR COMPANY: I-f~ t'j:r UJ 1-1 ST. TAlc.. . .':: "." '. \'. :?::'';'' !'if/~~;',~{;= ,-,;:;,\,' .
/ 'I'. .;/,y..:-\II'~\V:>:.:',."....i;).l'u.L"";;,lt"1,;i',;.. I,;')!
L(); Iql~l/,iJ'c.DL.f:;J'~}~r/I;;':':
i ~::;.~:;;.~~::~.\(::t'..;~~'~' f~,:n;t~~:;'.':;'~:i:; ;",
(.' -~ rJ q"~ ;;;.~;.:,~':-.ci..r;;;.l~!l(:;C(;l....~
LOCATION: Z 7.- 7 -, 130NtJ 1 E:. LA-Nt
DEVELOPMENT TYPE: L()(l... - NE:W ~F(!:"
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. Zio r 0
2. SANITARY SEWER-CITY
NO. OF PFU'S If(
(See Reverse)
3. TRANSPORTATION
.LOT SIZE
"f,', :
','.,....-- SQ' >OFt" ,
" ~ . lit U~.,' fT. ,-'" "~to ir\.-~(-~";':l." :.'~.
, '.' . ..".., ,1- --
~' ;. j." ,
" ,
X $0.192 PER SQ. FT.G;~oi !i,~,';;";,:
"-
",. <"":.
I: ;" :1'. "', "'ii.:. .~::.~
X $39.78 PER PFU
c -ill, V
NO OF UNITS X TRIP RATE X COST PER TRIP
I X I,{)()t; X'!$401.05
x
X $401.05
X $401.05
.. (it/D "1>"0"" :
~, :sr;:~. ~~;_L;~')'-:,"~!'"
X
$
SUBTOTAL (ADD ITEMS 1,2,' & 3) $ '" 'U) ~
-
:!.(":. ': I';
'.
".,-
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
:>...'
<(ilV
TOTAL-CITY SDC $ 110' ~
, . ..,....... +:~';~..-..-;..::.._ ::.:.........r.~;":' ~~.
" ..
5. SANITARYSEWER-MWMC
.NO. OF PFU'S I 8
(Use,PFU Total From
" . ~..
.\ ~ ,
-':,' :..:..!~\..~ ~;~.
;G,'::~ ';.){ f.b~';':)
... - ~...
,: ',' :" ,~,. '.. '., ',' (:.;;:,' ,)
. ". II:> .
'" ~x$l3.62..PER.PFU + $lO;MWMC::'ADMIN..:\.FEE,!$.Z'5S,,~;,
Item:;2:Abdv'e)r!f/'j', '.,
'..' ,"' ((~.:i_ ;:.;~j
~~L'~"
.- ~(J Kip Burdick
SDC Coordinator
," ;, "', '/'. ,~,.;::- J"'~~Y\ 2~T,
-; ~, 1'"S ,.
I (
"w>>
$ 3D-
,..----..~' ~.,_..",.,
. ..-.... ,-", ','" ....."" ,'- -". ,.._"...",
JOTAl-MWMC SDC ~z?::-' .
TOTAL SOC $ Iqt.~ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
.\.~'.:>, ;.1 ",' ~/ .
.. ~ "~!" ,-. .' " , \',,, ~ .
',' '"...., "'",, ,:,::.-,;--'d .,,::,.','
: ; .~, :.
~': ", -t- .
'1'; r;;,'- '-'~" J.~' ..'1
,;": !
, ~..{\,~:,/:. ,.,.'~..-. \~\\'~" .....-
. .....t> &~ S\}~..~. ~, S,?eCh~V
. "\r?{{)~e?.J\ (t;}C\\.!\~~ .
225 FIFTli ~TREET ,\.,,,\v.\\O\it.~;'{:co:'s(\o" 0, ELECTRICAL PERMIT APPLIcATION
Sl'IUNGFIELD, OIlEGON 97/,7'!~;ri\"-"\5~~t~ 0~---' 7'vf ^/l
INSPl~CTION REQUI~ST: 726-"3-1f./9"" ..'."'.......___- " Ci ty._-d-ob Number q~l" ~
OFFICE: 726-3759 ?..o\"'~ _ ~J~""-- l)
. ,I'. . n,~<0_,~-~Jl...:\:.,e--3-.---'tOHPLETE FEE scnEDULE DELO\l
1. Jt9!<ATI~ 011 ~..~ STTAA1LLATION' ,,"'/0C\'e:\g'\'<." .
r\JH '7' } 4..,"""f1n ~ O"-\J)'\CV A. New Residen t ial-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
"t;l
,~.(,
-,1-.
i' '
JOD O~IPTION r:v
~~ \,~1>A:)\doJ10 0__ \&~~v
Permits are non-transferable and ~xpire
if work is not started within 180 days
of issuance or if work is suspended for
lno days,
C\
2, CONTRACTOR INSTALLATION ONLY
Elec t rieal Con t ra.c torD///S e-JRC.-b2.L
Addn~ss3J70 west IICO
Ci ty rL{1eY)~ ' Phon~ 3L/3J3:;3
Supervisor License Number Z03l) C~
Expiration Date /0 - ) -93
i
i'
Cons t ~ Con t r. Numbe r '2..1 ~S I,
Expi ra t ion Oa, te C/-/ - CJ LJ
Signatu~ ~ ~perVil'l.~'g Electrician
~ \ \J \) I:h r <u------ /'
:ner~Nal:;",a,t Q ~ \ C' n\)\ -
Address Bq~q \ ~
Ci t~~~\_lO -Phonel):{o.-,'
O\lNER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
, .
:1' ~~;:;~-~~:~!~BJ/.Jq;-~-~~~~----;-------~-:
RECEIPT #: ~IO)j' ..
IU~CETVr:[) IIY: uu_&:!9_______ ___________.
1000 sq.ft. or less
Each additional 500
~sq. ft or portion'
thereof .
Each M~nuf'd Home or
Modular Dwelling
Service or Feeder
D.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amp~ to 400 amps
401 amps to 600 amps
601. amps to 1000 amps
Over 1006 amps/volts
Reconnect Only
Items
Cost, Sum
$ 85.00 as
(
d
$ 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.
Dranch Circuits
$ 40.00
$ 55.00
$ 80.00
see "D" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circ~it or with Service
or Feeder Permit.
$ 35.00
$ 2.00
not included)
Miscellaneous '(Service/feeder
-Each installition
P~mp or irrigation
,Sign/Outline Lighting
Limited Energy/Res
Limi~~d Energy/Com~
E.
5.
. t .
'. . ,
SUDTOTAL OF.ADOVE
5% S~ate Surcharge
TOTAL
$ 40.00
$ 40,00
$20.00
$ 36.00
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