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Home My WebLink AboutPermit Building 1994-03-29B t\S L(rc'F HESIDENTIAL PERMIT APPLICATION SPRINGFIELE, tll<l- I ns pect Of f ice:?fr,ions: 726-3769 726-3759 JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 LOCATION OF PROPOSED WORK:J356 Otb ASSESSORS MAP:TAX LOT: LOT;r1 BLOCK SUBDIVISION ht\pl9leK i.lor.T OWNER: ADDRES CITY: - oorof o*o i c,HsTRUcrr,N,rNc *zi.ts' 84959 Par kuray PTEASANT HILL,OR 97455 PHON E ZIP: Nrw D\ BEMoDEL ADDrloN DEMoLtsH orHER EFDDESCRIBE WORK 84959 Parkuay Pleasant HilI, 0r 97455 3170 tlJ llth, Eugene, Or 97402 500 Greenfield Eugene, Ar 97404 4131 "E "5t . Springfield, 0r 97478 2766L Crou Rd Eugene, Ar 9740? EXPIRES o?/r5 04/94 06/94 L2/94 03/94 PHONE 726-3898 587-lBsr 6BB-1931 7 47 -7 445 345-7564 21351 33476 25794 55921Brooks Excavation _z--__\t't:l5E(,(JI\I1];P TT HEAI;, SQUARE FOOTAGE: It-L 71158 ADDRESS RANGE:WATER HEATER CONST. CONTRACTOR # GENERAL: -PLUMBING:- MECHANICAL: - ELECTRICAL: - I QUAD AREA: r-r * OF BLDGS: - OCCY GROUP: - # OF STORIES: r rltrAt--sLrFrsE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspectlons requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [K r".porary Electric Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Mechanical - Prlor to cover. Rough Electrical - Prior to cover, Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materlals and f raming lnsp. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. Drywall - Prior to taping Wood Slove - After installation lnserl - After fireplace approval and lnstallation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After ion is complete, forms and sub-base material in place. Fence - When completed Street Trees - When all required trees are planted. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. K A N trr E g. B _lT\,1 Final Mechanical - When all lAnnecnanical work is complete. K x X tr X K K ,K (Rough Plumbing - Prior to cover. Final Building - When all uired inspections have been approved and building is completed. Other MOBILE HOME !NSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. HE and i Const.,Inc. Bills Electric Don Lewis Plumbing l'larshalls 0iI & Ins. CONTRACTOR'S NAME E fl E E E Lot faces Lot sq. ftg. Lot coverage Topography Total heig Lot Type v !,n,"r,o, - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E rv-.IHE PROPOSED WORK lN THE HISTOBICAL DISTRI T, OR ON THE HISTORICAL REGISTER? - lf 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 Spri ngfield, 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. ans Date Date Paid: Receipt Nu Plan Check Fee ived By: VALUE (A) c{D \ BUILDING ITEM Main Garage Carport PERMIT SQ. FT.X $/SQ. FT. Sk-zd k1 tD Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS D EVELo P* =*r,"1' o*ES&* ADDITIONAL COMMENTS ) ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE W (c)W FT. FT. FT. N0 PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent b.co45Cq-od ) (D) Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rn ace Exhaust Hood Vent Fan r2 No -) By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described 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 ln compliance with ORS 701.055 will be used on this proiect. I f urther 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 f ront of the property, and the approved set of plans will remain +c at all times during constructJ*---^)^tio? UIL{Jrih- on the site S ig natu re Date MTSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Total Miscellaneous Permits (E) icj .gt ft ft Demolition Surc Sidewalk Curbcut ) ER E VALIDATION RECEIPT NU DATE PAI RECEIVED BY AMOUNT R TOTAL AMOUNT DUE (excluding electrical) B, C, D, and E Combined) ,4 w l5E- ) JoB N0. 1q obln CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I.IORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:Co*r a LOCATION:Zb6' OT -{o DEVELOPMENT TYPE : l-D( - L\g^l Sfg BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEt,IER-CiTY NO. OF PFU'S (See Reverse) s izg-sQ. Ft. x $0.203 PER SQ. FT. X $42.08 PER PFU OZ 'L4 \t 3. TRANS ATION NO OF UNITS X TRIP RATE X COST PER TRIP $424.3 I $424 .3 I $424.31 X t.ot X x_x x_x $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S l8 $15.125 PER PFU + $10 MWMC ADM FEE s77ffY (Use PFU Total From Item 2 Above) MI,IMC CREDIT IF APPLiCABLE (SEE REVERSE) TOTAL.Mt.lMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) ADMINISTRATiVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 5 ).- Ki p Burd'ick SDC Coordi nator o ?-: 4zz'2 11la- .?-7,- TOTAL SDC g 'La7L rl \ FIXTURE UNIT,CALCUL^A- )N TABLE: Number of New Fixtures ) For remodets. calculSie only the N!fl additional fixtures) NUN4BER OF FIXTURE TYPE NEW FIXTURES L Bathtub,....... Drinking Fountain.-.-..""' Laundry Tub/Ctotheswasher""" " " rit Equivalent : Fixlure Unils (NOTE: UNIT EOUIVALENT FIXTURE UNITS Ctrotheswaqher - 3 Or More"""""' Mobile Hdriie Park Trap (1 Per Trailer)"""" Receptor For Ref rigeratorflVater Station/Etc- " " "' Receptor For Commerclal Sink/Dishwasher/Etc" 2 1 I J 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 7- Shower, Single'Stall-- Shower. Gang---..---...7 Sink, Bar, Commercial Urinal. StallflVall..L ?- --a-- TJ Wash Basin/Lavatory'Single. Water Closet, Public lnstallation'-"""-"2_ Water Closet. Private--...- Miscellaneous TOTAL FIXTURE UNITS \a CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table' calculate credits se Credit for Parcd or Land Only lf Applicable zl x$lo,c n+o7 (Rate X Assessed Value) lmprovement (rf after annexation date)x$ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential. Commercial.. lndustrial.... Governmental.....-....--..-- (Rate X Assessed Value) CREDIT TOTAL $b+c 0.4 0.9 0.45 0.5 Year AnnexedYear Annexed Rate per $1,0O0 Assessed Value 19B6 1 987 19BB 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 o.44 o.28 1979 or before 1980 1981 1982 1983 1984 1985 s.21 3.13 3.08 2.96 2.82 2.6B 2.51 rMpERvrous AREA = ToTAL Lor SlzE X RUNOFF COEFFICIENT Floor Drain.. lnterceptors For Grease/Oil /Sol ids/Etc-" " " " - " " "' lnterceptors For Sand/Auto Wash/Etc"' -" "" " ""-'t Rate per $1,000 Assessed Value CITY OF SPR OREGO'U The {ollovring Proiact as submitted hm the fol zoning, and does not iequire sPecific lend uee 225 YTfrB STRBET approval LDLSPRTNGPIEII)oRBGoN 97477 zoni INSPECTION REOUEST: 726-3769 OPFICE: '726-3759 Date 3--qLl 1. IJGAL DESCRTPTION g permits are non-transferable and expire if vork is not started vithin 180 days of isstrance or lf vork is suspended for 180 days. 2. COMNACTOR INSTALI,ATTON ONLY Erectricar contrac ,rr6J//i flr^^:fi ; SPFI]{GFIELD ELECTRICAL PERXIT APPLICATION City Job Nunber 3.COHPI.ETE FBE SCEBDUIA BELOV New Residential-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost 1 A Address 3l ZW.lt ru Ci ty Phone Supervi License Nurnber s Expiration Date Cons tr Contr. Number Expi ration Date Electrician Name Address ci r\m Phone Services or Feeders InstaIIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect 0niy $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DweIIing Servlce or Feeder STIBTOTAL OF ABOVE 5Z State Surcharge TOTAL ON _t- L $ 8s.00 $ 1s.00 $ 40.00 Sum6 @ 7 B cC-, 6 200 amps or less -L-201 amps to 400 amPs - 0ver 401 to 600 amPs 0ver 600 amps or 1000 voTE $40 $5s $80s see .00 .00 .00ilB" a66It I Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 E. Miscellaneous (Service/feeder not included) $ 2.00OSNER INSTALI.ATION The installatloir is beirig made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: -Each installation Pump or irrigation - $ sign/outline Lighting- $Limited Energy/Res - $ 40.00 40.00 20.00 36.00 5 DATE: RECEIVED CD sq fr