HomeMy WebLinkAboutPermit Building 1992-9-14
LOCATION 01' I"FlOF'OS[D WorU(: __~'1 175
ASSESSOH~; IMP: _ .l(J,t) 2._D_<f_ I 4
BLOCK:_ ,
.
RESIDENTIAL
PI;BMIT. APPLICATION
Insp0.cliol'l~;: /:~6.376D
Ollic0: '/20-:1(,:9
LOT: __I?
. SPRINGFIELD
~ ti',
k~W\ \ ~
?-r.
OWNER: __ ~1I ,::"L-l "t'~..8_2e..~~;s',
ADDnESS:. _6.lB\9...,_~I~J2.?j--"'I ~D_~ -z..:z.,
CITY: _~LlbEQl)_e: STATE:_r:J<
DESCRIBE WORK: __.JV\~ll.~"W_~_-j-lpMā¬.
N'EW __-x.., IlEMODEL___ ADDITION
V"A-U<; WI. ewT
OTHER
~:-'
DEMOLISH
t8 NUMBEH .:z2,L~3' CL
225 Fillh Slrcet ~
Sprinofield, OreUOJn 97477__~
TAX LOT: 34 C7CJ _ _
SUBDIVISION: h>u:Jr::W T8t:R.~.._
PHONE:
34<-/- 76b0
-. --
ZIP: C)'4.o_,-
_4
~ "rG.
/ tl1 Prt.tNe, /iI1.~_
CONST.
CONTRACTOR"
CONrRACICiI(S NAME ADDRE~;S
. 1441 HW'1 ~") N
G EN ERAt.: hDe:N"-~i\J__.__.;fVb,,,~./I:::'__ -.c-,
/. . 1t~'1 / ffW'1 ")"l 'V,
PLUMBINC:e:<>oJle:N:~~11l ""LJ~.;;yvE_.
.MECHANIC;'.I : _...
EXPIRES
PHONE
6"'1~
2.O-1-'3Cc P&
t:7bJ.9?;2_ _b~711:)?-
l \ -- ;'0 ::"l) -z. be''')- T1b"Z-
. - - - ..-
ELECTRICI\L
r: c. 1:Xi,X 3, /
~.G:~~~_._._~,t1....~I{,__
h"',~__
_'\ 'S"_ -_4~/o
QUAD AREA ..3R~
. 01' BLj)<'''~ ~ ___ _ -._
~:~YS~;:::lr;li, .~. y~=
WATEll HFAII'll: __ ..S--- _ __
LAND USE: OIT~) -
H OF UNITS:. '-'VL ~t
CONSTR. TYPE: _J}L,
...re-_____
HEAT sounCE:
RANGE: _ __U.
"
~LOOD PLAIN~ -:r-f\-p,' ~---
ZONING COOlo:..l.J,.J _._
H OF BDRMS: -3-
~,ECONDARY HEAT:
SQUARE FOOTAGE' ~[~O
To request ,if I 11lspeClioll, you ri'ltlst call 72G.3769, TIlls 1~::t?4 tlollr recOI(jing. All inspections requcslcdlJefore 7:UO ;1.111, wilt [lC
flla(jl~ tile :;Wtn: w01kinO day, in:.peclioIIS mqueslccJ after 1':00 a.m. will be made the following work day,
CI TelHr'lIld'-Y Eh:clrk
D
Site 1l1spection - To be l/lade
after ,~:,'(;avation. llul plio! to
~ettinn IOOIlS.
o
Undcl $1 llb PlumbingJ EJeGtricaJ'
Mcch:lllical - Prior to C(J....er.
rs?1 Footin9 - Allel trenche~ are
~ excavali:d.
o Masomy - Sted location, bonel
beallls, fJrouling.
"
f':/( Foullcl~l1ion - Aller forms are
~Crcl;tC(j I)ut plior' to COllclcte
plact":rrl.:nl.
o
Unclur{llound PhuHbing - rrlor
to IirJiII~1 trcncll,
D
UndlH floor Plumbingl Mechanical
- PduI 10 Insul;:llion or dllckino.
o
Post alld Beam - Prior 10 floor
inSIII<:ltion or oecldng.
o Floor Imiulalion - Prior to
decl..;illU,
~.A" SaniwlY Sewer - Prior 10 lillinO
~trencll.
'KA' Slortl\ ~;cwer - Pdor to filling
~trcnch.
~ Water Line - Pdur to filling
~trenclt,
o ROUflh Plumbing - Plior 10
co....er,
REQUIRED INSPECTIONS
I~ Rough Mechanical - Prior 10
cover.
I~ Rough Electrical - Prior to
cover.
~ Electrical Scrvice - Must be
~pproved 10 olltnin pellllnnenl
clectrlcal power,
o Fireplace - Prior to facing
materials and framing Insp.
~Frnming - Pliol to CQVllr.
[.==I Willl/Ceilill~1 In~ulation - Prior to
cover,
[~ Drywall - Prior 10 taping.
I~ Wood Stove - After installation.
D Insert - After fireplace approval
and Insl<:JlI':lIiof.l of unit.
'lVf Curbcut & Approach - After
/~fOlrns arc erected bul prior 10
ptacemenl of concrete.
~ Sidewalk & Dri....eway - After
~excavatioll i~ c;olllpletc, forllls
and SUU.I.I:ISC lll<:Jterlal in place.
D Fence - When completed.
@treet Trees - When all required
tre(~s are planted,
D
Final Plumbing - Wilen all
pllllnbin!) wOII< is COlllpfulC.
I I Final Electrical - Wilen atl
01ectrical WalK is curlrpl.:le.
o Final Mechanical - Wllun all
lIlechanical work is corllplett~,
K7f Final Building - When :111
)L:S required inspections Iwve b<::l:ll
approved and buildirl!J is
completed.
D Other
MOBILE HOME INSPECTIONS
~ Olocking and Set.Up - Wlll:1l :111
~ I)tocking is complel!::.
.:gf Plumbing Connections - Wlll~n
Ilome has been conni~cled 10
wallJr and sewer,
'\(.-:;.('Eleclrical COllnectioll - Wtlt:1l
~ i)locking. set-up. amI ptumbinu
inspections Ilave bCI:1l approvl:d
and the home is conncclcej It.
tile service panel.
-'
K71" Final - After all required
~inspectlons arc applo....ceJ antl
porches, sl<irting, decks, antJ
venting have been in~ililtrcd,
Lot faces Lol Type. Sclbacks
I P.L. , , I
Lot sq. fig. Interior HSE GAR ACC
IN
Lot coverage Corne r
Is
Topography Panhandle --
\W
Total height Cul-de-sac
~-==
1 further agree to ensure that all required Inspections ;uc
requested at the proper time, that each address in rcadablc
!'~ OD from the street, that the permit card Is locale(l at 1I1C front
( 1;. of the property, and the approved set of plans will remain
C:)U, W on the site a17, times furi,? eon;I~1I0n.
o ,&~ ~gnaturc ~ Ltw.MI
\5.~ Date 15/I'IIC)z--
16l6~
BUILDING PERMIT
ITEM SQ. FT.
X $/SQ, FT.
=3J^S(1)
,
Main
Garage
1.9,~
- (112719t.JF-
4f' ,__
~2n) .'!j..~
18~-~
Carporl
&vi ~,~,
2.St;,S
.'5'$t"0 2-
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) #3
(B) flB'f"\ ~
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residcnlial Balll(s)
N'
/JS%
61'~ 'cD
Jl e:; .
Sanitary Sewer
FT.
Watcr
FT.
Storm Sewer
FT.
Mobilc Home
PlumbIng Permit
2,,<=).00
<~,f~
~R,1~
State Surcharge
Total Cllarge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
, Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale surc~a~ "
Sidewalk It
Curbeul vi
ft
Dem-oli tion
State Surcharge
/J!A-"v A?;:v/~)
~f;J
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrieal)'o,Q 1~..12-
(A, B, C, D, and E Combined)' ~
As THE PROPOSED WORK IN THE
~~ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .-
If yes, this application mU:it be signed
and approved by the Historical
Coordinator prior to permil issuance,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tllis permit is granted on the express condition thflllhe said
construction shall, in all respects, conform to ttle Ordinance
adopled by the City of Sprlngrield, 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 ordln:mces.
Plan Check Fee: ___~~ ~'3
Date Paid:
Receipt Number'
Rccelve~~._ A
Pla~~t:'/~
_7'/642-
, Dk ~
Systems Development Charge is duc on all undeveloped
properties wlthiri the City limits which are beinu improved.
A DITIONAL COMMENTS .
, , (Dpn~~)-
,fL)1flO~ JJLq~~'~~~=_
~9\- :iJ_.l. j 3/d-W. .. ----
I. c:AnfLVL.J.)J n ~: 19,f)!1
(\ 11 n h~rirL
By signature, I state and agree, thalI Ilavc carefully ex.1I11incd
the completed application and do hereby certify tl1al all
lnformalion hereon is true ;:md correct, and I furl her certify
that any and all work performed shall be donc in ;l(~Gordnnc:c
with the Ordinances of the City of Sprin{Jficld, :tnc1ll1c Lnws
of the SIClte of Grenon pcrlalnlnn to lhe woll\ \h;~;crillf;d
herein, and th3\ NO OCCUPANCY will be IlIalle 01 ;IIlY
structure without permission of the 8uilding SClfely Divi::-:ion.
I further certify that only contractors and cmplo'{f)cS who
arc In compliance with QHS 701.055 will be usC{1 on this
project.
VALIDATION:
CI~d.
DATE PAID 0 -I L/ -t))
AMOUNT FlECEIVED :;2../'2--, ~~, 5" 2-
~
FlECEIPT NUMBER
RECEIVED BY
.
SPRIAIELD
DEVELOPMENT SERVICES
~ PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree
that wi th the approval of the attached..B~.nlliJ...,~e p,f the" following
manufactured homes will be placed at ,~'/1J/~ fJ11/j))
Springfield, Oregon, Ci ty Job Number Lf N i~~' .
.~ Type I Manufactured Home, A multi-sectional (double wide or wider)
,~ unit with an enclosed tloor area of not less than 1,000 square feet,
that has a nominal roof pitc~ of 3 feet in height for each 12 feet in
width, that has no bare metal siding or roofing, and that has been
certified by the manufacturer to have an exterior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings constructed under the State Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width
with an enclosed tloor area of not less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
- Sanitary sewer connection
- Electrical connection
- Minimum requirements for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
of the enclosing material exposed above grade,
'9 /;4 Icy?
Date .
I, .,~
. "JOB NO.'1Z,I"2?O
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: W \\...L.\AM A.. '"':;JA...Jp..&f:.
LOCATION: 5,1..":> K'~I-rv\\'" S..,... \ '6 O'2.-0'-t1'-\ - '?4tlD
I-Oe..
DEVELOPMENT TYPE: N.eY-l N\A>JllFM:n.l~t::D \-\oMf:.
Ho~e C-.lt-I'b"" t:'w
BUILDING SIZE: U:tr'r1'.l"OI I"H1.~.. \\-lit LOT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ, FT,
'l.'"Z-'1c...
X $0,192 PER SQ. FT.
C-Y-"?(" ~!)
---- ---
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse)
\6
X $39,78 PER PFU
c;; ( (" O~-:;
------ ---
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
\
X 1.00SX$401,05
X X $401. 05
c: 40?~
----------
$
X
X $401. 05
$
SUBTOTAL (ADD ITEMS 1,2, & 3) $ \~~toOj
4, ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
GT1~
--------
TOTAL-C!TY SDC $ \ (a??B~
;1
5, SANITARY SEWER-MWMC
NO, OF PFU'S 'is x $13,62 PER PFU + $10 MWMC ADMIN. FEE $ 'Z,?~I~
(Use PFU Total From Item 2 Above)
~'~~L~
'--~ Kip Burdick
SDC Coordinator
'l/af-/'i'}..
I
$ ? J13~
TOTAL-MWMC SDCG"S-1l)
~ ---
TOTAL SDC $ , f><f'l ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
. ... .
FIXTURE UNIT CALCULATION TABLE: Number 01 New Fixtures X Unit Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional lixtures)
FIXTURE TYPE
Bathtub.. ...... .............. ....... ....... ....... .................. .........
Drinking Fountain................. ......... ...........................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laund ry Tub /Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RelrigeratorfWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang..........................................................
Sink, Bar, CommerciaL............................................
Urinal, StallfWall.......................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private........................,......................
Miscellaneous:
CREDIT CALCULATION TABLE: Based on assessed value.
cralCUlate credAi~Sn~~;:~ates. 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
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
--+
z.
'Z.
-z.
B
15
Z,~3 X $ \"?.an. ~9?j
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $ =-::,~ ?"'l
II improvements occurred after annexation date in table,
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
1....
2
1
2
3
6
2
6
6
1
3
2
1 /Head
2
2
1
6
4
z.
1..
TOTAL FIXTURE UNITS
=
. Rate per $1,000 II
Assessed Value .
;1
I
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
Credit lor Parcel or Land Only If Applicable
Improvement (il after annexation date)
Year
Annexed
1985
1986
1987
1988
1989
1990
1991
Residential....... ...................................... ........... 0.4
CommerciaL..................................................... 0.9
Ind ustriaL........................... ............................... 0.45
Governmental.. ................................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. b it\ed has the folloV/loll t/tr
.ctassum. de'
The folloV/lr,gdPrcleoot require specific lao us ELECTRICAL P'ERHIT APPLICATION
'ng and oas
974'~1ro';a\. 11 9
7f(,-3769. L- 'D I<..... _ Ci ty Job Number 2/23 0
Zonlna..
C/-I,-/ C-/J
ome_
LOCATION. OF IpSThLLATIO'<<"~.a\U19
C,10 S <<' tUI~~-SL,
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
I <;( O~ OY I 4
n'2.J..+oo
JOB DESCRIPTION
(J.((Yh/( -/.IOM;;:- ,.t./t,ot:::JLp
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
~lectrical Contractor &f/f"r71'.lc.(J<2:-
Address Po h()J( ~7 /
Ci ty hflf /~A. Phone..2_-'3 C;-c::;? ~o
Supervisor License Number ~~MZ ~
Expiration Date 10 -(- 9' Z
Constr Contr. Number ht, 7'19
Expiration Date t.- </-- 93
Signature of Supervising Electrician
ILl, ^:I- A9- tot/I.
Ovners Name Sct-\f (-^.tJ\P-1
. if
Address
City Phone
OVNER INSTALLATION
The .installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: C) -1'-1 ...c/~
RECEIPT #:' ("'!'i~
RECEIVED DY: . QP,
~.
.:60
A.
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
It ems Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder .z..... $ 40,00 g$O~
B.
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
$ 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
$ 40.00
$ 55.00
. $ 80,00
volts see "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35,00
Each Additional
Circuit or vith Service
or Feeder Permi t -1- S 2.00 2-f'%>
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
~'!""
<1-/0
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