HomeMy WebLinkAboutPermit Building 1994-4-19
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
LOT:
DESCRIBE WORK:
NEW X REMODEL
SPRINGFIELD
ADDITION
DEMOLISH
OTHER
'3f' ~sZ-
JOB NUMBER
q4ill8(
225 Fifth Street
Springfield, Oregon 97477
ZIP:
G-f::)qO l
,
CONST
CONTRACT~~'S NA~, h. "" _ ~\!DDRESA '. f) t--J . CON.TRACT~R # EXPIR~S,. PHONE
GENER~~\~\Qf)\ '(\~A'<" le~~~-3 LA :CJ.~ l.qloO\Gt I ~ ILl q~.~/l-~ll)..
PLUMBIN~)C0l)f'~D./r1rI5q~B41-6j lh~ U(~ Jf?v-, /I ~-qy .~&;-??~qO /
MECHANICA~~ljr\\\Q.A)mJ\1Y) '-o~4?1 ~bb:S (QCd)\q \().\qQ4 '111.~m~
ELECTRICAL:
QUAD AREA: ~~~)
# OF BLDGS: \
OCCY GROUP: R~-\-\J\
- -1
9.-/
# OF STORIES:
WATER HEATER:
~ OFFICE USE -
LAND USE: \ \ \ \
# OF UNITS: \ 1
CONSTR. TYPE: \J IV '
HEAT SOURCE:
RANGE:
c--'
FLOOD PLAIN: \. -
I [\ IU)
ZONING CODE:-LU.f
# OF BDRMS: ,7J)
SECONDARY HEAT: ~
SQUARE FOOTAGE: fl4;~
To request an inspection, you must caIJ'-.726-3769.Th!s 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.
REQUIRED INSPECTIONS
o Temporary Electric ~ Rough Mechanical - Prior to
~ cover. Z4ita ~ r~
',/Site Inspection - To be made 'i--.......(Rough Electrical - Prior to
~after excavation, but prior to ~cover.
setting forms. ~/JAt:;/t:.../SJ/i
o Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
'rxr Footing - After trenches are
~xcavated.
o Masonry - Steel location, bond
beams, grouting.
'1'-./1 Foundation - After forms are
~erected but- prior to concrete
, placement.
~ Electrical Service - Must be
~approved to obtain permanent
electrical power. '
o Fireplace - Prior to facing
materials and framing Insp,'
a;raming - Prior to cover.
N Wall/Ceiling Insulation - Prior to
...... ..cover.
o Underground Plumbing - Prior 1"V"'l Drywall _ Prior to ta",p;~'g'""., .~'
to filling trench. ~
'VJ Underll~Plumbin6,fMechani~ ,:',
~ - Pnor to IrT",ulC1~"Cte"Cl\lllg. 0 Wood Stove - After installation.
I \..1-'Post and Beam - Prior to floor
~sulation or decking. " , " 0 Inse~t - Aft~r firepla~e approval
\ - ' " ' -.' and installation of unit.
QJ Floor Insuratio~ '..:..0. Pr-ior to" :':.:-'-.
~ecking, ~ Curbcut & Approach '- After
. . ~ forms are erected but prior to
- placement of concrete:
M Sanitary Sewer - Prior to filling
~trench,
I")("'-(Storm Sewer - Prior to filling
~ trench. '
, '
rVr Water Line - p:ior,t~ filling
~ trench. " " '_'
-.',
M Rough Plumbing -, P~ior to
~ove~ . .
l5<f Sidewalk & Driveway - After
/' excavation is complete, forms
and sub-base materi~1 ,in place. '
o Fence - When completed.
~Street Trees - When all required
~ trees are planted. ,
~ Final Plumbing - When all
~plumbing work is complete,
rgFinal Electrical - When all
Y"""\electrical work is complete.
~ Final Mechanical - When all
~echanical work is complete.
M Final Building - When all
~equired inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o 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 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.
Lot Type Setbacks
X Interior I P.L. I I I I
HSE GAR ACC
IN I
Corner
Is 1
Panhandle
:L Cul-de-sac Iw I
IE I
.
~
Lot sq. ftg.' '72..GO
Lot coverage f!.~~
Topography 996
Total height ..~'.
r Or") /)
<'
BUILDING PERMIT
\:gDS
43<6
Lot faces
X $/S<:'!f\ = VALUE
50.'{JJ 1:S"6~ l.
~, . \0 to"I'15
ITEM
Main
Garage
Carport
Total Val ue
1<1) ~ \<0
~7'S~
\ ~.b~
"6~\.<O,
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) M3
-" toN
, (B) *"'2-0:,~ -
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO ~
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Su rcharge
Total Charge (C)
FEE
. \ ~O, c.JO
8~
Co
. \~,~;"-'
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan NO
,....~~._-
Wood Stove/lnse('f1Fireplace-u~i1)
'-.._~- - .,/
tt. ~O
Dryer Vent
,,(?~
~~rl../\/
, ~..cD
Mechanical Permit
~..aO
to~
<'
\..\~
~S.b~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Su rcharge
Sidewalk 7 r
Curbcut ?...4
(
ft
l5.~
l3.~
ft
Demolition
State Su rcharge
~_Y,'~
?~.rt,J
~,-
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical) ~i\:o ~\
(A, B, C, 0, and E Combined) 2-cot;;>l..f7
/,
\. I~ (HE 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 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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number:
Received By:
~~~ R~4:t::~/YW
4/~(~1
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
...
C~.AJjlf)~\I\ Q_J ~l\OJl -uOC)
\_~+\ -; ~ \lo I \CX'~
~\f\6\Q...K lj1 10) \ \ q 'In
-P*lJf .t
., '," ~"
By signatu;;e,l.state and agree, that I have carefully examined
the cornpreted application and do hereby certi fy that all
./ '
informatidn hereon is true and correct, and I further certify
,
that anY/land all work performed shall be done in accordance
with th~iOrdinances of the City of Springfield, and the Laws
oJ. the State of Oregon pertaining to the work described
v -J
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees, who.
are, in cOrT)pliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper ti me, that each add ress 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
.ig:::u:~e,adfg.1JZz/
l./-ry- 7Y
Date
VALIDATION:
/')..,3S-~
"'<,:;2..2<(: 33 , . .~
~ ... '" c. ~ A,. \fA ,'l.r '\.
41Q1....J ". _~ \ Y \ v\\...
~
'--'
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
, < '. ~ 'ft..' ", "" '~~
?
t...
, JOB NO. CjL(Oz. 8/
CITY OF SPRINGFIELD 'SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL, & RESIDENTIAL)
NAME OR COMPANY: RON f!O'-LA.~P
LOCATION: (P7f;(P CA.Nlr-l-LIA
/r02'?4-4'-1- OOrt/4
DEVELOPMENT TYPE: LOR - NEW SrI<..
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "2':>90 X $0.203 PER SQ. FT.
LOT SlZE
SQ. Ft.
~"2--S -IT)
'-- ------
2. SANITARY SEWER-CITY
NO. OF PFU'S I~ X $42.08 PER PFU
(See Reverse)
((;51~
'--- ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
, / X I. (J I X $424.31
"
O'l;;"',' . , ,L' ,
X X $424.31
X 'X $424.31
r428 ~
'- .--/ .
$
$
4. SANITARY SEWER-MWMC
NO. OF PFU'S /8 ' x $15.125 PER PFU + $10 MWMC ADM FEE $ 282.. 1.=5
(Use PFU Total From Item 2 Above)
SUBTOTAL
" $ 5 I '-s
TOTAl"MWMC SDC ~?O "'0
(ADD ITEMS 1,2,3 & 4) $ {9L.fL~'2--
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~~cL.\ck '~/z,/9L{-
'--a Kip Burdick I I
SOC'Coordinator
C91~
TOTALSDC $ '2-0 -=?9 4-4
~.......,
FIXTUREUNIT,CALCULA IN TABLE: Number of New Fixtures;
For remodels. calcul~te 'only the NET additional fixtures)
:t Equivalent = Fixture Units (NOTE:
FIXTURE TYpE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
2-
2 4
1
2
3
6
2 z...
6
'6
1
3
2
l/Head
2 "2
2
1 2
6
4 B
Bathtub.............. ............................ ."........,.....,.........
Drinking Fountain...............,..................... ................
Roar Drain..................... .......................... .......... .......
Interceptors For Grease/Oil/Sollds/Etc.....,...........
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Ootheswasher.......................... .........
Ootheswa:,\her - 3 Or More.....................................
Mobile Hdme Park Trap (1 Per Trailer)..................
Receptor F9r RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Ete:.
Shower, Single' Stall..... ...................... ........... ...........
Shower, Gang..................... ........... ...... ......... ...........
Sink, Bar, COmmercial...................... ........ ...............
Urinal. Stall fWall................ ........ ...............................
Wash Basin/Lavatory. Single..................................
Water Ooset, Public Installation.............................
Water Ooset, Private..................... ......... ..... ..... .......
Miscellaneous:
-z..
" I
z.
TOTAL FIXTURE UNITS
/8
CREDIT CALCULATION TABLE:
calculate credits separates.
I
I
Based on assessed value. If improvements occurred after annexation date in table,
Year
, Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000'
Assessed Value
Credit for Parcel or Land Only If Applicable ?>. '2- { X $.J.kc. I '5 1 <08
(Rate X Assessed Value)
Improvement (If after annexation date) , X $
(Rate X Assessed Value)
CREDIT TOTAL = $ S 1 G.e
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
1979 or before
1980
1981
1982
1983
1984
'1985
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
R esid ential............................................,........... 0.4
CommerciaL..... ..... ........................................... O. 9
I nd ustrial........................................................... 0.45
GovernmentaL... ........................... .......... ... ....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
"".
'f~._._...._._.
I'.l
. . + ~ - .. ....
SPRINGFIELD
The following project 8S submitted has the followi ~" ,
, ' "zoning, and does not require specKle land use ' ~ ' ,
225 ,FIFTH STREET approval. LJT'\./7 ELECTRICAL PERKIT C:1LICATION
SPRINGFIELD, OREGON 97477. Zonlnp f )lc.-, ' ,>1 AI> (!) I
INSPECTION REQUEST: 726-oo~694_lq -Cf4- ' City Job' Nlimberl1 Jff)
OFFICE: 726-3759 ' I I )At _ >
Autholi2:OO Slgnab.1r8 IVI~. r.OHPI .F.TR FF~ SCHEDULE BELOV
1.', ~~~qN OnINSTALI..l\l:~N. '")
uJl 1'r1( fJ \. Q') m 0 \) \J Q 6:;:'
tY'f)~~Ncr~\4
5= JOB P~SCRIPTIO' (\ A :::> ry -r
"c.)~' t-"<JL'l . l"-tl. JD+ l~
Permits are non-t~ans~erable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. '
A~
New Residential-Single or
Multi~F~mily per d~elling unit.
Service Included:
Items Cost Sum
I Sf
1000 sq.ft. or less $ 85.00 .,. :;
Each additional 500
sq. ft or portion d JiJ
thereof, $ 15 . 00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION Qffl.Y B. Services or' Feeders
. j) 'v:: / 'f':(}-Jt-- " Installation, Alterations
Electrical coii't;actor Po h nt?t(/-.Jc:.~J2r~ ~ or Relocation:
Address) S<l.> rL /I; (, hvY l( J{ w..
City (-::::v CJ,-e"Y\-'- Phone b ~ l' 7 ~ 7 ~
f
Supervisor License Number :;:<) 97\ 5'
,
Expiration Date 10-1-'75"
Constr Contr. Number 7 t. J-7~
Expiration Date 1- A:;--9~
" '
Signature of Supervising Electrician
"~Jr~~
· :::::sN~i~ ~~1rD.
CitYo~~~1r
The installatiori'is beirig made pn
property I own which is not intended
for sale~lease or rent. ,
Owners Signature:
---------------~--~. ------tp-.--~~~----
DATE: .1~. - f.- /7'1 9-1
RECEIPT, #: I? 1 if .
RECEIVED BY: . j~' _
~;.~- ~
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
$ 40.00 4()
$ 55.00
$80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
'One Circuit
Each Additional
Circuit or with Ser~ice
or FeederPe,rmi t
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pu~p or irrigation
Sign/OutlineLighting
Limited Energy/Res
Limited Energy/Comm
not included)
5,.
SUBTOTAL OF ABOVE
5XState Surcharge
TOTAL '
$
$
$
$
'15"' S",n:J
7,7,r
-42.?f-
40.00
40.00
20.00
36.00
.-'
o YYj!I!!!!!!~!!~
Job No. Cf\D2B
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
. NAME:cXt7f\ \\ci~
ADDRESS: mlrtIJ d,(\f)sIS~ J S'lf\\llidlJ
PHONE: Pf)~S~tA\.~~4C1) \
STATE: C,A, ZIP q~..
LOCATION OF PROPOSED BUILDIN~ SITE: (\ (\('\ ~, ,
Street Address if Known: \.J2:'\Pl 0 \ '~Q..iI\L ).. Q.
./
Platt Nams ~~k~~X Lot Number: \ ~O'k~~~ Cffi\<
, ~ ~ '
1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and 'dwelling type
definitions are on the back,)
A. SinQle Family - Detached
\, Single Family home
NO OF UNITS
Manufactured home not in a park
$ 4-to~
X $400 PER,UNIT =
B. SinQle Family - Attached
NO OF UNITS
X $370 PER UNIT =
$
C. Multi-Family Aoartment
NO OF UNITS
X $277 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
$400 ~
$Jl1
$4{)OpJ
WPRD SDC
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approyal. See SDC Credit Worksheet.
, 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
~\ffi t~~') f? --
Community Servic~s~j\:'i~ion
City of Springfield '
L\'/\~/C\tf
Date