HomeMy WebLinkAboutPermit Building 1993-4-16
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Ff~s i1) trN TI A L
PERMIT APPLICATION
Inspections: 726.3769
o ffice:726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
~~
OWNER:
1?6 ~ Sf) 'l.l.tl..L. d:tJ.::ri' ~:
JOB ~JUMBER q~5\
~'.
cllQ5"
BLOCK:
I
ADDRESS: ~
CITY: !
\.
HE AND i CONSTRUCTION,INC #71158
8495'3 Par kway
PLEASANT HILL,OR 9745~
',I
I
oj
DESCRIBE WORK:
o~o
NEW
~
REMODEL
ADDITION
DEMOLISH
OTHER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION: n 1 Co Lit... PA r<l<
PHO'N~r=" ~7_~~'':389 ~
ZIP:
CGNST.
CONTRACTOR It
CONTRACJoOJ:G~-,NAM-E- -~___ ._--:~~,.:...-.-^.PDRESS
t . - -- ------
GENERAl 'HE and i Const., Inc. 84959 Parkway 71158
PLUMBI~ Pleasant Hill, Or 97455
MECHAI' Bills .Electr,ic' 3170 W 11th, 21351
Eugene, Or 97402
ELECTRI
I
i
I
QUAD Ai
It OF BLI
Don Lewis Plumbing
500 Greenfield
Eugene, Or 97404
33076
Marshalls Oil & Ins,4131"E"st,
Springfield, Or 97478
OCCY G
Brooks Excavation
It OFSTi
I
WATER HEATER:
(..--
25790
27661 Crow Rd
Eugene, 'Or 97402
. 'R}l;"r"fGl::' f f
----
55921
EXPIRES PHONE
02/95
'\
726-3"898
,~,
I
04/94
687-1851
06/93 688-1931 !
I
1"\
12/93 747-7445 ~
I
03/94 345-7564 ~
:5QoJ--\'n'c=ro""""r\~.=.JL '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 requested after 7:00 a.m. will be made the following work day,
~ Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms.
D
Underslab Plumbing I Electrical!
Mechanical - Prior t9 cover.
I'Jl Footing - After trenches are
L,Z:S-excavated,
D Masonry ...:- Steel location, bond
. beams, grouting.
~ Foundation - After forms are
~ erected but prior to concrete
placement. .
D
Underground Plumbing - prior
to filling trench.
~ Underfloor Plumbi~g/Mechanical
- Prior to insulation or decking.
l"71 Post and Beam - Prior to floor
,lp insulation or cjecking.,
:;. ~ ~.... .
I'Ql Floor 'Insulation' ~ PiiO~ to"
Lp deckina.' ,
..... .':. -"'. ...
~ Sanitary Sewer - Prio'r to filling
~ trench.
rYl. Storm Sewer - Prior to filling
ipl trench, '
rQ"l Water Line - Prior tofi.iling
~ trench,
r-;;;;;ti Rough p'lumb'i~g ':- ~~rior to
~ cover. '
REQUIRED INSPECTIONS
f':/( Rough Mechanical - Prior to
,~ cove~ .
f-::7T Rough Electrical - Prior to
tp cove~
R:7f Electrical Service ~. Must be
~ approved to obtain permanent
electrical power. '
D Fireplace - Prior to facing
',. ':, materials and framing Insp,
~'Framing - Prior to cover,
~ Wall/Ceiling Insulation - Prior to
~ cover.
I:;zg Drywall - Prior to taping.
1'71 Wood Stove - After insta!lation. '
L,D-J . z~fC-o c'-R...
n Insert - After firepiace approval
'.' L__, alia insiailation of ur'!it. '
M, Curbcut &'Approach- After
.Lp forms are erected but prior, to
placement of concrete.
~ Sidewalk & Driveway -, After
~ excavation is complete, forms
and sub-base materia: in place.
o Fence - When completed.
l"ll Street Trees -. Whf?n al! reauired
Lp trees are planted.
~
Final Plumbing - When all
plumbing work is complete.
.[7l Final Electrical - When all
~ electrical wor~: is complete.
Rl Final Mechanical - When all
P mechanical work is complete.
\'VI Final Building - When all
Lp required inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approve'd
alod the home is connected to
the service panel.
D Final - After at: required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Setbacks
I-~.-----l---:- ,
PL HSE G/\RACC I,
, :~- ---1-3 3 _I, I,
-~-l ,~ I 'I
LY~L]CS 11,5 I"
f"j'E'" l, ' I
~'UILDING VALUE, PLAN CHECK-
ANI? BUILDING PERMIT'
. -.... .
~:~;}j. !::-~
. "'>:: ?- - ~
"'. .. ~,.
i . "..:
,Lot f~ces
-,5-
Le't sq, ftg~//1-J!l3
Lot coverage 38 ~o
Topography rl--,4- T
Total height ~
Panhandle
Cul,de.sac
BUILDING PERMlr ~
ITEM ..' _IJ2jT 'X~Z~'.?o =O)I~:sEra
Main 2-..-, __ ~ _ U-JY~I
40 /\ , \L\ . \0 (.Q-z.a1
Garage
" Carport
Totai Value
A7/__'1?;
, 31"l1./J_~
,
__[9, 85
_'tL'__ti 5
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
, . (B) ~ I '1<6'-+ ".!.
Building Permit Fee,
State Surcharge
'Total Fee
(A)
PLUMBING PERMiT
ITEM
FEE'
Fixtures
Residentia! Bath(s)" NO
~
~lOd20'
Saniiary Sewer FT:
Water 'FT.
Storm Sewer
FT
Mobile Home
Plumbing Permit
/~O,f)()
g,.d)(!)
I(~ ,()O
State Surcharge "
Total Charge
(C)
MECHANICAL PERMIT
__~tt ,t) f!)
'1 ,t; 0
q ,0 ~
15,~O
3,.06
Furnace
Exhaust Hood'
Vent Fan
NO
'3
Wood StovellrisertlFir'eplace Unit
Dryer Vent
Mechanical Permit
"37 , So
U'J ,() (J
,j,g~
~q,~~
Issuance
State Surcharge
Total Pe-rmit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
.Sidewalk
6"fJ ft
1() It
/'1,00
__f!t_'il!
Curbcut
Demolidon
State Surcharge
,PlA}J' Cl<'-'
1/ (J r~..:.(2
__~:23 .iO
'_,,''&l f2- L 31
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(~, B, C, D, and E Combined)
'\.. .
THE 'PROP'OSED WORK ~"-Tl--,jE': ~_
,--j!STORICAL DisTRICT, OR ON -.
THE HISTORICAL REGISTER?
If yes, this applica.tion must' be,signed
and approved by the Historical
Coordinator prior'to permit issuance,
APPROVED:
T~is,permit is granted on the express cpndition that the said
c9hstructionShall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
q$,velbpment Code, regulating the construction and,use of
b\-)ilgings, and may be suspended or revoked at,any'time
1~!::~r~:~OF::; an4=::F~~~oce'
Date Paid: ""'"---\-, ,
Receipt Number'
R\3ceived E3Y:
· 4J I 1/ { /J1.uenL:
Pla'{fs--"Reviewed By
'-/ -13 rCJ 3
Date
Systems, Development Charge is due on all undeveloped
prop'erties within the City limits which are being improved,
ADDITIONAL COMMENTS
"
0LUlbillteJ /J(nJllY1J b
,tk1mtL{)O)L>I LlB5
,
, By signaf~re~',1 state and a~'ree, that I havecarefu:ly examined
the completed application and do he~eby certify that all
iflformation hereon is true and correct, and !further certify
that any and alrwork performed shall be done in accordance
yvith the'Qrdinances of the City of Springfield, and the Laws
9~ the State of Oregon pertai ni ng to the worl~ descri bed
r~rein, and that NO OCCUpANCY will be made of any
structure without permission of the Building Safety Division,
! ,lwther ce~tifyttlat only contractors arid employees who
kre.in compliance with ORS 701:055 will be used on this
prc:iefL
,.;
, ! furtheragree to ensure that all required inspections are
~equested.at the proper time, that each address is readable
from ,the street. that the permit card is loc~i.ed at the front
p.f the property, and the approved set of plang will remain
on the site at all times during construction,
~;:~:ha'ture_~':'~ )jo
~~S-93- .
Date
;:~::::::M8ER8J10
DATE PAID L,,", \ [.0 ~ ~ ,~. .
'~MOUNTRECE~,\.j., . =-:r'~~,'f-.~~'rlfl(,~itf
i=iECEIVED BY . \(')Cl) , .
,- '
. .,.
'.',
"'~~...._ . ,., . 'r;,.
~.'" . .
"I'~
"
.
JOB NO. q~o'-f'5'
t. i
--
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
. . .)WORKSHEET. ' : ,;
(COMMERCl~~ & RESIDENTIAL)
NAME OR COMPANY: J../i; i I (!t>N$r. .INC.
/
LOCATION: -Z' q 5 "6t>NNle.LA-NE.
DEVELOPMENT TYPE: LI/fZ. - Ale-iN SF-!!-
.LoT '2-7- -~(U;L-E-' ~
NO OF UNITS X TRIP RATE X COST PER TRIP
) X I. ~~~ X $401.05
003 ()?)
---- ----
X
X $401<..,~0:5
','i):1l.1
X $401.05
$
X
." . t\.--:
$ -
SUBTOTAL (ADD ITEMS 1,2, & 3) $ I It:, 7'5 ?!-
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ 9~lf)
---- --
TOTAL-CITY SDC $/75'1?!:.
5. SANITARY SEWER-MWMC
((p
NO. OF PFU'S 1<6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ z-'55 -
(Use PFU Total From Item '2 Above):'
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
0^~L~" 1/71f3
1-0 Kip Burdick f I
SDC Coordinator
$ ;'1) ~
~
10T AL - MWMC SDC<S 2 2. is '-j
~ --
.1 '"
, TOTAL SDC aqS..,. -
. ~. t" ) .
FIXTURE UNIT CALCULATluN TABLE: Number of New Fixtures XL
For remodels, calculate only the NET additional fixtures)
.'
equivalent = Fixture Units"(t\j'0rE~r
FIXTURE TYPE
NUMBER OF'
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
I
2 t.f
1
2
3
6
2 z.,
6
6
1
3
2
1/Head
2 'Z.
2
1 Z.
6
4 ~
Batht u b......................................................................
Drinking Fountain. ................. ...................... ........ .....
Floor Drain...... ........... .......... ...... ................ ...............
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sandi Aut.o Wash/Etc..................
Laund ry Tub /Clotheswasher.... ...............................
Clotheswasher - 3 Or More.....................................
Mobile'l1ome Park Trap (1 Per Trailer)..................
Receptor For Refrigerator /Water Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StalL................. .............."........ .......
S hower, Gang. ......... .... ..........................~.................
Sink, Bar, Commercia!................... ....... ,..................
Urinal, Stall /WaiL... ....~....... .................,.,.... ...........,...
Wash Basin/Lavatory, Single..............,...................
Water Closet, ~ublic Installation..'........'...............
Water Closet, Private....................."........................
Miscellaneous:
'l..
I
'2-
'Z-
TOTAL FIXTURE UNITS
I~
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2,71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16 "
"
,r,
Improvement (if after annexation date)
:2 . <6 -; X $ /~. (, ~O
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $ 3 () -
Credit for Parcel or Land Only If Appiicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential...,.,..."...."......."..,.." ....,...,.....",...... 0,4
Commercial...... ,............................................... 0.9
I nd ustrial........... ................................................ 0.45
Governmental....... ............................. ........ ....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.,:.C,''J
~,A tJ
"",<:.:'J- .... v~~./ ELECTR!CAL P.ERHIT ~PPLICATION
9~~~~316!r .. "c~}.'~],. j;VC1t;:;Ob Number q'j[lf61
_, ,~P;:. .,,' ..;':',-3: COMPLETE PEE SCnEDULE DELO\1
l.c'J~N,~lI)O~::' A. Nev Residential-Single or
. Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
225 FIFTH STREET
SPIUNGFIELD, OIlEGON
INSPECTI ON REQUI~ST:
OFFICE: 726-3759
,-~.Jp! DtIWL71JJJ~
(qt~ If
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
100 days,
2. CONTRACTOR INSTALLATION ONLY D.
Electric.al Contractor 8//):5 e/eCfftC
West llth
Phone 3L-)3/3S3
Supervisor License Number70RL/ L
Expiration Date /0 -/ - 93
Ad(l1:ess 3/70
Ci tyE:u..q OYlf
Constr Contr. Number ?-A~b I
Expiration Date Lj-/- 9tJ
O\.lners Name f OiL~ 1 C I .
Address ~~Cf l_,~1\ j 1131u)
CitJJiM Phonel1bl1R(Jr~
miNER., INSTALLATION
The installation is being made on
property I own which is not intended
[or sale, lease or rent.
Owners Signature:
I
!
~~~;~~-~-:~~;rrCi~~~~-~--~------
RECEIPT #: ttl. - h l40
ltECETVED BY: C\....J
,_\.,0____,_ ___ ---'___'__'_''____________
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
{
d-
~
$ 85.00
$ 15.00
30
$ 1,0.00
$ 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
D.
Dranch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "D" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
P~mp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Com~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OP ABOVE
5% State Surcharge
TOT AI..
$ 35,00
$ 2,00
not included)
$
$
$
$
l/fj .m
l l::). r) c...
fr{21'), '15
40,00
40.00
20.00
36.00