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HomeMy WebLinkAboutPermit Building 1994-04-14SP'rINGFIELD a35L{ JOB NUMBER 225 Fifth Street Spri ngf leld, Oregon 97 477 RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Olfice: 726-3759 @, r4ao O#o ASSESSORS MAP: LOCATION OF PROPOSED WORK: LOT -7 OWNER: ADDRES CITY: - CttLl-q- Pqru( thcrq PHONE:7aG 3 898oo,fltoo*, i coNsrRUcTroN,rNc *7LL5B 84959 Par kuray PLEASANT HILL,OR 97455 TAX LOT: SUBDIVISIONBLOCK ztP To request an inspection, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested atlerT:OO a.m. rvlll be made the followlng work day. REQUIRED INSPECTIONS EE ,"-oorary Electric Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrlcal / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel locatlon, bond ms, grouting Foundation - After forms are rected but prior to concrete placement Underground Plumbing - Prlor to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prlor to floor insulation or decking. Floor lnsulation - Prior to decklng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filllng trench. Water Line - Prlor to fllllng trench. Rm"'r: Mechanlcal - Prlor to k- {*;1: Elecrrrcat - Prror to K l4erc"tical Service - Must be.lAt "pprored to obtain permanent\electrlcal power. Final Plumbing - When all plumbing work is complete. Final Electrlcal - When all electrical work is complete. Final Mechanical - When all hanlcal work ls complete. Final Building - When all required lnspectlons have been approved and buildlng is completed. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocklng ls complete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and p!umbing inspections have been appro,red and the home is connected to the servlce panel. ,6 4 K K 4 X 6 ,g N Xory*"rl - Prior to taplng. d fr Fireplace - Prlor to faclng materlals and framlng lnsp. Framing - Prlor to cover. Wall/Ceiling lnsulation - Prior to cover, Wood Stove - After installation. lnsert - After flreplace approval and lnstallation of unlt. Curbcut & Approach - After forms are erected but prlor to piacement of concrete. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material ln place. Street Trees - When all requlred trees are planted. Final - After all required lnspectlons are.approved and porches, sklrtlng, decks, and ventlng have been lnstalled. NEW } REMODEL ADDITION DEMOLISH OTHER 5trbDESCRIBE WOFIK CONTRA TOR'S NAME GENERAL: HE and i Const PLUMBING: MECHANI.AL: _ Bills fllect ric ELECTRICAL: - 84959 Parkray ZIISB Pleasant HilI, 0r 92455 3170 td llth, 21351 Eugene, 0r 97402 500 Greenfield 33026 Eugene, 0r 97404 4131 "E "51 . 25790 Springfield, 0r g7478 2766L Crow Rd 55921 Eugene, 0r 974A2 EXPIRESADDRESS , Inc.a2/95 7?6-3898 a4/94 687-1851 06/94 688*1931 llarshalls OiI & Ins "7 47 -7 445L2/94 Brooks Excavation a3/9s 345-7564 r-lr:nl gVVr RANGE: PHONE I € Don Leulis Plumbing SQUAFIE TOOTACC/L)]CT--WATER HEATER: * OF STORIES: CONST. CONTRACTOR # OUAD AREAd- # OF BLDGS: -OCCY GROUP: \ Rough Plumbing - Prior to cover.@ E tl E E Fence - When completed. L] Lot faces Lot sq. ftg. Lot coverage TopograPhY Total hel Lotlype v X lnterior - Gorner - Panhandle - Cul-de'sac tbacks P.L.HSE GAR Acc N S W E iYrsE PBoPoSED woRK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL BEGISTER? ll yes, this appllcatlon m slgned and approved bY the i s torl cal Coordinator prior to permlt issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condi construction shall, in all respects, con{orm adopted bY the CitY of SPringfiel Pla By: tion that the said to Ordinance Development Code, regulatlng the co Re bulldings, and maY be susPend stof any Date Pald Beceipt N tion and use ol revoked at any tlme d ordinances.upon vlolation o Plan Check Fee: ncluding the BUTLDING PERMIT Exso.so. FT. /5ia<j53 -) (A) ITEM Main Garage Carport Total Value Bulldlng Permit Fee State Surcharge Total Fee Systems Development Charge ls due on all undeveloped properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHA.B (B) k #GE 7t ADDITIONAL COMMENTS {lc,ro )' ^rilI C ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE FT. FT. FT. (c) Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent MECHANICAL PERMIT No 3 t(D) /.r Mechanical Permit lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan I By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that all lnformation hereon ls true and correct, and I lurther certlly that any and all work performed shall be done ln accordance wlth the Ordlnances of the City of Sprlngfield, and the Lawg of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout permisslon of the Buildlng Safety Dlvlslon' I further certify that only contractors and employees rvho are ln compliance wlth ORS 701.055 wlll be used on thls project. I further agree to ensure that all requlred inspections are requested at th€ proper time, that each address is readable lrom the street, that the permlt card ls located at the front of the property, and the approved set ol plans will remain te at all times during constructlon l- 4-?v 1> on the si Ju, **)L4 t'tSignature Date MTSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge\EISldewalk \ I tt curbcut ldt ,, Oemoliiiorl Total Mlscellaneous Permlts (E) I t DATE PAID VALIDATION: RECEIPT NUMB AMOUN'T REC RECEIVED BY TOTAL AMOUNT DUE (excluding electrical)r (A, B, C, Q and E Comblned) #34 ,n n0.I( CD JoB No. 140 471 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I.IORKSHEET (C0HMERCTAL & RESTDENTTAL) NAME OR COMPANY: LOCATION: 24ZO OT TO DEVELOPMENT TYPE : LDR. - t'/EN aFR BUILDING SIZE:OT SIZ F SQ. Ft 1. STORM DRAINAGE IHPERVIoUS SQ. FT.2-0oo x $0.203 PER SQ. FT. 2. SANITARY Et,JER_CITY NO. OF PFU'S /r X $42.08 PER PFU 3 (See Reverse) TRANS PORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x /,ol x $424.31 x $424.31X x _ x $424.3i 4, SANITARY SEWER-MWMC N0.0F PFU'S x $15.125 PER pFU + $10 Mt,lMC ADM FEE(Use PFU Total From ltem 2 Above) Mt.lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATTVE FEES BASE CHARGE (SUBTOTAL ABoVE) X .0s $ ?.6 $282 3+o2 q,Ioo 5 Kip Burdick SDC Coordinator 5ag'9 -7s1 4! s*2 TOTAL SDC s Zt oza! I 2- $ 'it Equivalent : Fixture Units (NOTE FIXTURF.UNItr,CALCU LA )N TABLE: Number of Nerv Fixlures ' -ioi r..noo"rs, catcuiaie onty the ttlil i-ooltional fixtures) NUN4BER OF FIXTURE TYPE NEW FIXTURES 2- Bathtub-.-....- Drinking Fountain""" Floor Drain-- lnterceptoo For Grease/Oil/Solld s/Etc" "" "" "" "' lnterceptors For Sand/Auto Wash/Etc" " " " " " """ UNIT EOUIVALENT FIXIURE UNITS I ?_ 1 ?_ J 6 2 6 6 1 2 1/Head 2 2 1 6 4 '?- 7- 2 a lg Clotheswalher - 3 Or More"""""' Mobile Hdnie Park Trap (1 Per Trailer)"" -"""""' Receptor For Ref rigeratorAVate r-Station / ttc" " " " n"""p,ot, For Commercial Sink/Dishwasher/Etc" L-aundry Tub/Clotheswasher" " " " Shower, Single'Stall-- Shower. Gang-.-------.. Sink. Bar, Commercial Urinal, StallflVall.-.- Wash Basinflavatory, Single""" Water Closet Public lnstallation' 2 ? TOTAL FIXTURE UNITS .71 xs O,L (Rate X As sessed Value) Water Closet, Private.---.- Miscellaneous: CREDIT CALCULATION TABLE: Based on assessed value calculate credits seParates. lf improvements occurred after annexation date in table' Credit for Parcd or t'and Only lf ApplicaHe lmprovement (if after annexation date) 3 xs 74'3 =$7 4oa(Rate X c Assessed Value) REDIT TOTAL RUNOFF COEFFICIENTS FOR STORM D RAINAGE 0.4 0.9 0.45 0.5 Year Annexed Rate Per $1,O00 Assessed ValueYear Annexed Rate Per $1,0O0 Assessed Value 1986 1 987 19BB 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 o.44 0.28 1979 or before 1980 1981 1982 1983 1984 1985 s.21 3.13 3.08 2.96 2.82 2.68 2.51 IMPERVIOUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT I 225 FTTf! SIT,EEf, SPRn|GPIBLD, ORBGON 91477 INSPBCTION RE0UBST: 726-3769 OPPICE: '726-3759 SPRIt{GFIELO as subrnltted hag require specific L 0-EI.A TRICAL PBRHIT u"2r:-lSlt{City Job Nunber Arfrhoci.sd signduib. COHPLATE FEE SCEEDTII.,E BELOg The lollowlng Proloc,t zoning, and does not approval. 1.OF IJGAL DBSCRIPTION permits are non-transferable and expire if work is not started vithin 180 days of lssuance or lf vork is suspended for 180 days. 2. COI|TRACTOR INSTALI^ATION ONLY Erectricar contrac o, Et/ ', t'futfr r: Address s/71 tll //u- ci puon"W.? Supervi License Number Qto s Expiration Date /e)q5 Constr Con tr. Numbe, Qe g / c Expiration Dat o trician s Add Ci ty Phone OgNER INSTALI.ATION The installation is belrig made on property I ovn r,rhich is not intended for sale, Iease or rent. 0sners Signature: DATE: A. Nev Residential-Single or HuIti-FamiIY Per dvelling unit. Service Included:Items Cost r,r 1000 so.ft. or less I S 85.00tr nach additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular DveIIing Service or Feeder B. Services or Feeders Insta1lation, Alterations or Relocation: Sum 3 $ 1s.00 $ 40.00 s s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 %5 a D. c. 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs _ 601 amps to 1000 amPs_ Over 1000 amps/volts Reconnect 0nIy Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 Over 4b1 to 600 ambs - $ 80.00 0ver 600 amps or 1000 voTts see uBu aE6F Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permi t $ 2.00 E Miscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/Outline Lighting- SLimited Energy/Res $Limited Energy/Comm $ not included) 40.00 40.00 20.00 36.00 SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL OREGO'UCITY OF SPF RECEIVED 5 q) ,l i0