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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 !', I I I ) 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 JJ[-).qj f t:::;'., 'J') blT). r) :s