HomeMy WebLinkAboutPermit Building 1994-11-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
OlUce: 726,3759 '
REMODEL
.
SPRINGFIELD
OTHER
-:OB NUMB~R.-9~ I '7J~
225 Filth Street
Springfield, Oregon 97477
"
ZIP:
CONTRACT~O~ NAM~ E J' ADDRESS'
GENERAI.t.)'\.1.,u(lQf\ I\t", "
PLUMBIN; ~JfC\Qrt \ P-~~OQ \
MECHANICM .f:x'..J--\r\.9.[\ Y 1\.+-." '
ELECTRICA;\' (^ \ \ q A f 1 Q]V{ '\\..1 {' J
CONST.
CONTRACTOR .
~\ f\q~
5\~?{1
~tJa..S
\ n nL\f,
Q~~1d~
ro";:),\lo
~~
QUAD AREA: ~ ~Q ,
. OF BLDGS' \
OCCY GROUP:. ~ 3 -\ lv\
\
r -'
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE: \ \ \ \
\
CONSTR. TYPE: V tv
HEAT SOURCE: lDt-\
f...,
. OF UNITS:
RANG~'
EXPIRES
f"),\r;\ .
Cl \.l\.
84~'
FLOOD PLAIN'
ZONING CODE:-ill~
· OF BDRMS: 3
SECONDARY HEAT:
SQUARE FOOTAGE: -1.Loc.r~_
To request an Inspecllon, you must call 726,3769, This Is a 24 hour recording. Alllnspecllons requested before 7:00 a,m, will be
made the same working dayo Inspecllons requested alter 7:00 a.m. will be made the following work day,
, ' ,
REQUIRED INSPECTIONS
~ R~ugj, M'achanlcal ~ Prior to
~ cover.
o TemporarY Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover,
rvl Footing - Alter trenches are
~ excavated. .
o Masonry - Steel location, bond
,beams, groutl ng.
~Found8t1on - After forms are
erected but. prior to 'concrete
placemont.
o Underground Plumbing - Prior
to filling trench.
"
~ Underfloor Plumbing/Mechanical
- Prior to Insulation or decking,
~ Post and Beam - Prior to floor
~ Insulellon or decking.
(g] Floor Insulation - Prior to
decking.
fVl Sanitary Sewer - Prior to filling
L"..O.{.tren7h. .
~ Storm Sewer - Prior to filling
~ trench.
[';ll Water Line - Prior to filling
LL::i. trench. .
~ Rough Plumbing - Prior 10
cover.
~ Roug'ti 'Electrical - Prior to
~ cover.
C2I. Electrical Service - Must be
approved to obtai n permanent
electrical power.
o Fireplace - Prior to faCing
materials and framing Insp.
~ Framing - Prior to cover.
[29. Wall/C'elllng tnsulotlon - Prior to
cover.
~Dr'1Wa!1 - Prior to taping.
o Wood Stove - After I~stallatlon.
o tnsert - After fireplace approval
and Installallon of unit.
IL9 Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
181 Sidewalk & Driveway - After
excavation Is completo, forms
and sub.base material In place.
D Fence - When completed.
D Str88' TreGO - When all required
trees are planted.
~Flnal Plumbing - When all
- plumbIng w9rk Is complet,e,
~ Final Electrical - When all
. electrical work Is complete.
@Flnal Mechanical - When all
mechanical work Is complete.
r=1l Final Building - When all
L.Z::l'"1'equlred Inspections have been
approved and building Is
completed,
DOther
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.
D Fln.1 - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
..,....
," '
~l:>. \' I '1 ,! ':'!' '#": " ~ ".i1';~;l! :t; f .-
.':h..': '~ ";.:' . . ' . . :"_ ; r .11.: ~, .
Selbacks '
HSE GAR Acc'l
I
I
I
1
Lot faces
Lol Type .
K Interior
,I 'p.L.
:, I' ,
", N'
Is
Lol sq, fig,
Lot coverage
Corner
Topography
Tolal helghl
Panhandle
~
Cul-de,sac
W
E
BUILDING PERMIT
ITEM tl ~_ F'T,
Main ~
~lcO
X&~f) - ~
J4,1~,,~
Garage
Carport
Total Value
'11 570
1q4{{ ~
10:41+ ~
(A) 3'JloHI)- ,
Building Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) -; 2(> r"i,9 /
PLUMBING PERMIT
ITEM
FEE
Flxlures
Resldenllal Balh(s)
Sanitary Sewer
Waler
~
u.oO.W
FT.
Storm Sewer
FT,
FT.,
Mobile Home
Plumbing Permll
State Surcharge
Total Charge
0/\ I (ouro
4.CjJ + B.CO
(C) 172.~(j
MECHANICAL PERMIT
Furnace
Exhausl Hood
4.<2D
q,co
Venl Fan
N' ~
.
Wood Stove/Insert/Fireplace Unll
Dryer Vent
r':2,.OO
Mechanical Permit
I( 0.$0
/0.00
.f3~
~
Issuance
State Surcharge
TOlal Permll
.50\
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale issuance
I
Slate Surcharge
Sidewalk 'JO fI
Curbcut /J &/ fI
dn.sO
J":2"Q(),
Demollllon
S't'lf Surch~~ a.
\ 't< g f.\ V \Cl t'\. UD
4;-Uq:2
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal) rOf)SD ,<6tt:.,
(A, B, c. 0, and E Combined) , I
'(eTHE PROPOSED WORK.tN THE" '
"'HISTOIOlICAL DISTRICT, OR ON
THE HISTORICAL. REGISTER?
If yeso lhls appllcallon musl be signed
and approved by lhe Hlstorlcel
Coordinator prior to permit Issuance.
APPROVED' '
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
, This permit Is granted on the express condition lhalthe said
conslrucllon shall,ln all respects, conform 10 the Ordinance
adopted by the Clly ,of Springfield, Including the
Development Code, regulating the construction and use of
bulldlngso and may be suspended or revoked al any lime
t upon violation of any provisions of said ordinances.
Plan Check Fee: "\~'\t-\ J ./
Dale Paid: .J ~
Receipt Numberu Y
Received BY:~.
~S:>S~llli
"
f),~~
Date
Systems Development Charge Is due on all undeveloped
properlles within the City limits which are being Improved,
ADDITIONAL COMMENTS
~')o im ~ ~~d Q o,'"Xl \LLtV
, L-"~ \ '. \0. \ill (..o..cl ) .'
'- ~N\OK. \ G\ (on-
~~ \
By slgnaturel I state and agree, that I have carofully examlnod
lhe completed appllcallon and do hereby cerllfy lhal all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Sprlnglleld, and Ihe Laws
of the Stale of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
struclure wllhout permission of the Building Safety Division,
I further certify thai. only contraclors and employees who
are In compliance with ORS 701,055 will be used on this
prolecl.
I further agree to ensure that all required Inspections are
requested at the proper lime; that each address Is readable
from the street, that the permll card Is located at the' fr~nl
of the property, and the approved set f PlansAI remain
on the site at all limes dU~ con Ctlory' /
Slgnalure+a: c-~-::>
Dale
VALIDATION: J' L1/VA
RECEIPT NUMBER c; T1: j
DATE PAID i1. Jq .'f!
AMOUNTRE~fo AR~,O(O
RECEIVED ric1/ /)?) _ )
,
>''1,'~''iffi::~_ "-'":"~'l.''-''';~1"n:.''''\
ATTACHMENT B1
. J~NO, '141(a
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
/
NAME OR COMPANY:
LOCATION: ~412
fl-.h ~
,
j)~r PA,
DEVELOPMENT TYPE: <;.PD
BUILDING SIZE:
1. ,.,"rnRM nRATN~
IMPERVIOUS SQ. FT. .2.3~'if
I"OT SPF
SQ. Ft.
X $0,209 PER SQ, FT, ~ ~
2, SANlIARY SFWFR-r.TTY
NO, OF PFU'S
(See Reverse)
3, TRANSPORTAT10N
NO OF UNITS X TRIP RATE X COST PER TRIP
I X J. cJ I X $436, 19
/~
X $43,26 PER PFU
~~<;'~0
x X $436.19
CH&~
$
X
X $436.19
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $
4, SANTTARY SFWFR-MWMr.
NO, OF PFU'S /7' x $17.19 PER PFU + $10 MWMC ADMIN,FEE $ -z.1',~.z
(Use PFU Total From Item 2 ,Above)
MWMCCREDIT IF APPLICABLE (SEE REVERSE) $ .,. ~ 6Z>
, " 'TOTAI-MWMr. snr. ~-st,y
SUBTOTAL (ADD ITEMS 1. 2 03 & 4) $ /~ 93"0?.6
5, AnMTNTST~TTVF FFFS
BASE CHARGE (SUBTOT~OVE) X .05
//;U' Date: ~- 9'-p~
Aary 0 ni9, P.E. "
/' SDC Co dinator','
,~f?,~
TOTAl SDC
$2.0:N??/
B2.SDC .
I
)
/ FIXTURE UNIT,CALCULI-ION TABLE: Number of New FiAs X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the MfI additional fixtures)
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub...".........,..",..,....................,......,...".............. .
Drinking Fountain,......,..,.,.,..,."".........,.,.,..".,..,..,...,
Floor Drain......,....................,.,.,...........,.....,......,.......
Interceptors For Grease/OiI/Solids/Etc................,
Interceptors For SandlAuto Wash/Etc......,....,......
Laundry Tub/Clotheswasher...............,...................
Clotheswasher - 3 Or More..,........,.........................
Mobile Home Park Trap (1 Per Trailer)......,....,......
Receptor For RefrigeratorlWater Station/Etc..,....,
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.......,..,....:.........,..,..............,....,.
Shower, Gang........,.,.....,..........: ::..,.........................
Sink: Bar, Commercial, Residential Kitchen.......,............,..,
Urinal, StaIlIWall.:::..,..,....".,...,.,....",.,.,.,...,........,......
Wash BasinlLavatory, Single..................................
Toilet, Public Installation....,...................,...............
Toilet, Private...........,..,..,...............................,.....
Miscellaneous: . , TAl'll TO.P'.s Shvr
UNIT
EQUIVALENT
FIXTURE
UNITS
2.
4.
2
1
2
3
6
2,
6
6
1
3
2
1/Head
2
2
1
6
4
~
1
"
z
I
2.
2.
2.
2..
X'
TOTAL FIXTURE UNITS
IF
=
..
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
1979 or before
1980
1981
1982
1983
1984
1985,
$3.46
3.38
3.32
3,21
3.06
2.92
2,73
Year
Annexed
1985
1986
1987
1988
1989
1990
1991
1993
3,-1-" X $ /0, tJT()
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
Cre~,it, for P,arcel or Land Only If Applicable
Improvet;nent (if after annexation date)
CREDIT TOTAL = $ -.;7'.' "'ll
.
. '
ThOlfoI1O~~~~~i not requlr. .pot,~c land uee
zon ng. .
approval.
225 FIFTH STREET Zoning L DP -
SPRINGFIELD, OREGON 97477 11-ILl-'lL!
INSPECTION REQUEST: 726-~'16!l "j- ,',
OFFICE: 726-3759 Authorized Si~n!ttul. I'-'Y\/'--
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
=l~ / J n/?/./ t:;'/. x1-<. >>K,
\~~1)lC:8~ CY::PlX2:p
JqB DESCRIPTION
AI 1'7-u ..J <:; F;e
Permits are non-transferable and ex~!ire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~\\'7~) (:k~
Address \::J. ':-,t.0 '?-,~ ~,
Ci ty VV'lMRcAs' Phone l.\IS-dl ~q
Supervisor License Number I ()(){o ~
Expiration Date
I()- I-q::;
/"
Constr Contr. Number In'Z-14';J
Expiration Date 9-L/,- ~6
Electrician
.--...
Owners Name~'7J.7?A) SA./T. lAic
/ J .
Address 'i\q q <;" ~.;l d 'S')'\
City 5pJZ-l7) Phone )L/U -~/h/'
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
"
D~TE~---------------1ll~7'if:C1~--
RECEIPT *: U) \
REC,EIVED BY: (j l~/_y\"./ \
ELECTRICAL PERKIT APPLICATION
q4Vll~
,
City Job Number
A. New Residential-Single or
Multi-Family per dwelling ~it.
Service Included:
It ems Cost Sum
1000 sq.ft. or less $ 85.00 ~
Each additional 500
sq. f t or port ion ?.,. $ 15.00 ~
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps S 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
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE \ \~ pJ
5% State Surcharge ~.rJC;
3% Administrative Fee ~~ ~~
TOTAL fa., .:u)