Loading...
HomeMy WebLinkAboutPermit Building 1993-4-16 ~-s:.-.9' 3 . 0 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