HomeMy WebLinkAboutPermit Building 1993-9-29
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOR~; MAP:
LOT:
3l\-
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OWNER: _J
j
ADDRESS::
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;"-~"'~-"'~",
SPRINGFIELD
ta..-
I q 3 I 6C1\n;~ "'~
BLOCK:
#71158
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H~ A.ND i CONSTRUCTION,INC
84';:15';:1 Par kway
PLEASANT HILL,OR 97455
, CITY:
I
'"-,---------
,
DESCRIBE WORK:,
..e:e .sF 0
NEW v'
REMODEL
ADDITION
CONTRACTOR'S NAME
DEMOLISH
OTHER
JOB NUMBER
q~\D(S
225 Fifth Street
Springfield, Oregon, 9'7477
'.'-.,'.' .
TAX LOT:
Yw.o~ /.)CUlJ'L
SUBDiVISION:
P.,HONE:
7;)..&' - 3.198
ZIP:
ADDRESS
CONST.
CONTRACTOR It
EXPIRES
PHONE
HE and i Const.,Inc. <
84959 Parkway 71158 02/95 726-3898 .'
Pleasant Hill, Or 97455
Bills Electric 3170 W 11th, 21351 04/94 687-1851
Eugene, Or 97402
Don Lewis Plumbing 500 Greenfield 33076 06/93 688-1931
Eugene, Or 97404
Marshalls Oil & Ins, 4131 "E"St. 25790 12/93 747-7445
Springfield, Or 97478
Brooks Excavation 27661 Crow Rd 55921 03/94 345-7564
Eugene, Or 97402
To request an inspection, you must call 726-3769, Thi~ is a 24 hour recording, Alj inspeciions requestei:fbefore TOOa:m:vllllroe-'-
made the same w~rking day, inspections requested after 7:00 a,m, will be made the following work day.
REQUIRED INSPECTIONS
[!;J Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms,
D
Underslab Plumbing/Electricall
Mechanical - Prior to cover,
, /
~ Footing - .,After trenches are
Y""" ~excav3ted,
D Masonry -" Steel location, bond
beams, gro\'lling.
, I'
~ Foundation - After forms are
~erect(:d t)ut prior to concrete
placement.
1-../1' Rough Mechanical - Prior to
..J.OJ cover. Z6f.o d;f.. f=,fJ.
1"V'l' H()ugh Electrical - Prior to
~ cover.
'.... '"I
) -.~
~ Electrical Service - Must b'e
~ approved to obtain permanent
electrical power.
o
,)
Fireplace - Prior to facing
materials and framing Insp:'-"
'-,.1 'I.,
~, Framing:- Prior to ~ov~r. , '
.
'C7f Wall/Ceiling Insulation" :.... '.Prior to
~cover. "
O Underground Plumbing - Prior or Dryw, all,-- Prior to 13Pin,Q." '.
to filling irench. ~
, "i'v"T' Underflaerr-..,plumbinOlrMechanicaD
~ _ Pflor~l:,uICt~UI u'-...~ 0 Vllood Stove - After installatiun.
K7f Post and Beam -- Prior to floor
)6...linsulation or decI<ing, '
K71 Floor Insulation - Prior to
J..6.l decki 11g.
~ Sanitary S~wer - Prior to filling
~ trench, , ,c.' ".', ' ~
l"'Vt Storm Sew~r - Prior to filling
LA trench, . .
'K71 Water Line'- Prior to filling
~ trench, '
.. I\:7f RO,ugh Plumbing - Prior to. \
~ COler,
~.t' ,..
o Insert - After fjrcplace'a'pp~'oval
and installation of unit.
",",/I" Curbcut & Approach -- After
~ forms are erected bu! prior to
placement of concrek.
~ Sidewalk & Drivewar - After
~ (lxcavalion is complete"forms
." and sub-base material if) 'place,
, " I' ~.~, 'J
\
o Fence -- When completed.
@~treet Trees. - Wh(!Q ?,II re,q, uired
1.71rees are P~~,~~~d. .',\....
." ".,. ~
~; '~..~.~. - ~
:'1 11\
~
Final Plulilbing - When all
plumbing work iS,complete,
r:><r Final Electrical - Wilen all
r " electrical work is complete.
M Final Mechanical - When all
~ mechanical work is complete,
K71' Final Building - VVhen all
~ required inspections have been
approved and building is
cOll!pleted. '
o Other
MOBILE HOME INSPECTIONS
o Blocking andSet.Up - When all
blocking is complete.,
[J Plumbing Connections - When
home has been connected ,toi:.
water and sewer,
o Electrical Connection -- When
blocking, set.up, and plumbing
inspeclions have been i3Pproyed
and the home is .(lqnf1(j~ted' to
the service pan,e~,," . y,
[U] Final _ After all required
--- inspections are approved and
porches, sl<irlinQ. (Jecks, and
venting have been in~talled.
I
-f'L-'
CJa:o
t
Lot coverage c?"~-o
Topography L. 2. %
" ", \t:: ~.J
Total height .d~:) ,
Lot faces
Lot sq, ftg,
.., "f
.!~\~. ,..,
BUILDING' PERMIT
ITEM
SO.,FT,
14tA
. t=:)&tA
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING P'ERMIT
ITEM
Fixtures
Residenlial Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Mechanical, Permit
Issuance
State Surcharge
Total Permit
L2;pe
Interior
Corner
Panhandle
~'Cul'de'sac
I . .... '
HSE GAR Accl
, l~'" I
,I
I
I" '
Setbacks
I' p.L.
IN
Is
Iw
IE
~
/1 1'7
X $/SO, FT. =, VALUE
~1fc.4D B0J~f)(o
kJ .to ~+1,44
(A)
NO '"'2-
FT.
FT.
F.T.
(C),
.,.....'
.;. "
AA'1:J.()
-~3:~
~o.JS'
~23~
SYSTEMS DEVELOPMENT CHAR1E (SD~~ f/?'
, ',' (B) '2.o'5?-!
NO "3
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
State Surcharge
Sidewalk
'75
_~o ft
ft
Curbcut
Demolition
State Surcharge
jlfAA) ~/EuJ
Total Miscellaneous Permits
(E)
FEE
, /60po
" '. "
.\
p"OO
~8~O
~~
+.{;O
9,tTO
/. c;. trO
, .
..s. frO
.~ 7,50
LQ.~-- '
'j ~'~
I
dE.3~
2,,25,
4_~O
IS THE PROPOSED WORK IN THE
HISTORICAL 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 permit is granted o:lthe express condition that the said
construc;tion shall,in all respects, conform to the Ordinance
adopted by the City of Sprin'gfield, 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: ~---,':Z(P/, ?5
Date Paid:
Receipt Number:
:ecelve~~
PI ReViewed Byl"
~ IJI /7..I
1 ~cfte
Systems Development Charge is due on all undeveloped
properties within the City limits which,are being improved,
ADDITIONAL COMMENTS ,,'
--.F"
ell A)l6DlclL,,~.U1Qt)
YMlJ 1
'l
1,
:'i~\;l , ' .
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"l"..." .
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By signature, I state and,agree, that I have carefully examined
the com"pleted applicalionand do Ilereby certify that a'II
i7formationt:Je~,eonis true and correct, and I further certify
that any arid ali work performed shall be done in accordance
withthe Qrd,inances of the City of Springfield, and the Law's
of the Stat: 'of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure witt;1,out permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance wjth ORS 701,055 wi!1 be "ISecJ on thi~
projecf.
I ,further agree to enSUI'8 that all required irlspectiol\s 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 o! plans will remain
on the site. at' all times during construction,
$igriature t1Aj..:t2..fJ.-JA )n.Ju;'+1L
Date7/db/9~
VALIDATION:.", .0 " ~
~~'TS ~RECEIPT N~~~ER(Cj}P~~7~;.~' i ~.'.)
r?q/f~J 11DATE PAID -__J;;)_I2~ .-;-\. ,_,.~_
~ 3JI'2-,,17~-
./
. ' bmitted has the, following
The.fol1owi~g P~~?~~\ eSqS~ire specific land use
zorilng, "no dOe,,, r.w re .
225 FIFTH ~;TREET approvaL J1J~..J ELECTRICAL PERMIT APPLICATION
Sl'IUNGFIELD, OHEGON 97/177 .. (-/' q:)'lrYJS~
_ Zoning - .
INSPECTION REQUI~ST: 726-3769 Ii. q Cl ty Job Number ... j'
OFFICE: 726-3759 Date "\ ...10.... ~ - ~l~
1. ).j>CA YON R "Ej,S1i4'L1.A TI OJtuthonzed s;gnetu<e.::I:W-' COlw P"l' JlE{l CCnEDULE DELQV
~'1>~, I_PJiU LA. fL) ,A. New Residential-Single or
Multi-Family per dwelling unit,
LEGAL DESCRIPTION Service Included:
w
~ D~CR-Il'1IDll P - A ,,\cr.tl:
~Q n1Lt; L.JQ1ll1 V 1 tl(() ~
Pcrmits 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
Electrical contrJ.ctor~/!Is e/eclr/c-
Addrcss3/70 /J. ~S+ l/-t-r}
City CU(/{2.(7(J/ Phone ,343/353
Supervisor License Number ,.2.DrJL/ (.......
Expiration Date /O-I-(l-3
, '
Constr Contr. Number Z/2.S /
Expiration Date Lj -1- Cfcj
~~~r<< of Su)~ising Electrician
\DlX()~r;-~ ~
. oonm' N~O\O~ \ .rM~ .
Addrcss 0059\ i))Aii.tXl ~/
Ci ty), \tiO, PhoneJilo~3~qc?
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease o~ rent.
O....ners Signatu~e:
-~--1---4~~-------------~------------~
DATE. '-- C7 b-q(0~ _. J '
RECEIPT >>:" ~ -c) ... l I _ ~ -'OLf?.-r. -~.' ~
HECnVED BY: "(;ffiJ.(....,\.......).,~ u~__,.,...
/..-'
Items
1000 sq.ft. O~ less (
Each additional 500
sq. ft o~ portion ()
thereof 0'\.
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
D.
Services or Feeders
Installation, Alterations or
Relocation:
Cost Sum
$ 85.00 &S
$ 15.00 ~~O
$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60,00
401 amps to 600 amps $100,00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300,00
Reconnect Only $ 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 Ci~cuits
$ 40,00
$ 55.00
$ 80.00
see "D" above
New, Alte~ation 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 Energy/Com~
5.
SUDTOTAL OF ADOVE
5% State Surcharge
TOTAl.
$ 35.00
$ 2.00
not included)
$
$
$
$
( ,::; ciJ
~'L~
/ !JD/f''.
-
40.00
40.00
20,00
36.00
JOB NO. Cf~/075
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: J-Ic cd r. ~^,Sf' INC.
LOCATION: / q? I 73D/..JN Ie.. LAN ~
DEVELOPMENT TYPE: L.Pji!:. - Ne.W Sr/Z-
LOT 3'-/-- A./, 60 Lc fA-12-1G
BUILDING SIZE: LOT Sl'lE SQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ. FT. Z?cO&; X $0.203 PER SQ. FT. 01-1 ii')
'-- ~'
2. SANITARY SEWER-CITY
NO. OF PFU'S /& X $42.08 PER PFU ~51~
(See Reverse) '-- ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X l.tJl
X
X
4. SANITARY SEWER-MWMC
/
X $424.31
X $424.31
X $424.31
~ze~
'-- ~-
$ -.
$
NO. OF PFU'S let x $15.125 PER PFU + $10 MWMC ADM FEE $ '28Z 'Z.-~
(Use PFU Total From Item 2 Above)
$ '2../~
MWMC <;REDIT IF APPLICABLE (SEE REVER?E) ;/7
TOTAL-MWMC SDC Egz9
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ /q'5t':/,};.
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V,~~L~ 7hq/q~
U Kip Burdick I I
SDC Coordinator
C~1V
TOTAL SDC $ 20?? ~J.
\,
I' "" ",
FIXTURE oNrt,cALCULA' )N TABLE: t,r~ri,b~r of New FiX1ures;
For remodels, calcul~te only the NET additional fiX1ures)
() '"
it Equivalent = FiX1ure Units (NOTE:
FIXTURE 1YPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
Bathtub...... -..... -'" ,..... - - - -. -". - -.... -.' -. - - -.. -.. -...... -...... -. -...
Drinking Fountain... - -..'" -'-'" - -.......,....... -........... -. _....-.
Floor Drain....... ........ -.. -.. - -........... -. -..... -.... -.... - _.- -,. ..- -.
Interceptors For GreasejOiljSolldsjEtc.................
Interceptors For Sandj Auto WashjEtc..................
Laundry Tub jClotheswasher....... .......... .........;........
C1otheswa~her - 3 Or More...............,............,........
Mobile Home' Park Trap (1 Per Trailer)............,::...
Receptor F9r Refrigerator jWater StationjEtc........
Receptor For Commercial SinkjDishwasher jEtc..
Shower; ,Single' Stall..... ................ ..~...... ...................
Shower, Gang.......... ..... ..... ..... ......... .-....... ..........-.....
Sin\<, Bar, Commercial. ....................... ..... ..... ....... ....
Urinal. Stall jWall.... .,..................................................
Wash BasinjLavatory. Single......:...........................
Water Closet, Public Installation.............................
Water Closet, Private... ....... .......... .........: ..... ............
Miscell,aneous:
J
2 1-
1
2
3
6
2 1..-
6
6
1
3
2 "Z
1 jHead
2 2,
2
1 -z,'
6
4 <1
. ,
" I
"
I
Z.
2.
TOTAL FIXTURE UNITS
/1>
CREDIT CALCU~TION TABLE:
calculate credits separates.
I
Based on assessed value. If improvements occurred after an'nexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
,1983
1984
'1985
$3.21
3.13
3.08
2.96
2.82
2~68
2.51
1986
1987
1988
1989
1990
1991
~992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
I~provement (If after annexation date)
, , ,
:;.1-1 X $ IO.'(P' ~~6.2
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $ '3>c..f ()~.
Credit for Parcel or land Only If Applicable
RUNOFF COEFFICIENTS FOR-STORM DRAINAGE
R esid entia!..... ........ ................. .,:.: ..:.. ..~., ,,~. ...,.... 0.4
Coinmercial.. ........... ......;....... ........ .... ............ .... 0.9
I nd ustrial...... ...... ............:.. ..................... ..... ...... 0.45
Governmental.......... ......................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT