HomeMy WebLinkAboutPermit Building 1994-07-05nJGFIELO
Ul<l- I &nnu-
JOB NUMBER
225 Fifth Street
Springf ield, Oregon 97 477
RESIDENTIAL
PERMTT APPLICATION
lnspections: 726-3769
Office: 726-3759 ?fr,
Ol-lo S
LOCATION OF PROPOSED WORK:
/U'
ASSESSORS MAP:
BLOCK:
HE AND i CONSTRUCTTON,TNC.
84959 PARIOIAY ROAD
Pr,EA,SAItr llrtl, OR 97455
SUBDIVISION A+l,e-q Pr
PHONE:7 -s878
LOT:
OWNER:
ADDRESS: -
CITY:
-
ffifu,
ZIP:
ccB#?11.58
SFDDESCRIBE WORK:
l\rEw I REMODEL ADDIT|oN DEMOLTSH OTHER
3170 Ul llt h,
Eugene, Ar 97407
500 Greenfield
Eugene, Ar 97444
4131 "8 "St .
Springfield, Or 97478
2766t Crow Rd
Eugene, Or 97402
687 * 1851a4/9521351
6BB-1931a6/9433076
7 47 -7 445LZ/9425790
345*756403/955s921"
I
?-
ADDRESS
RANGE:
HEAT SOURCE:Y l-/
WATER HEATER:
PHONE
726-3898
EXPIRES
a2/95
SECONDARY HEAT:
SQUARE FOOTAGE:
CONST.
CONTRACTOR #
and i Const.,Inc. 84959 Parkuay 7115B
Pleasant HiII, 0r 97455PLUMBING:-
MECHANICAL:
ELECTRICAL: _
CONTRACTOB'S NAME
GENEFIAL:- HE
a
aUAD AREA: (
,t, OF BLDGS: -
OCCY GROUP:
* OF STOBIES:
Bills Electric
0on Ler,lis Plumbing
tlarshalls OiI & Ins.
Brooks Excavation
To request an inspection, you must call726-3769. This ls a24hour recording. All inspectlons 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
Temporary Electric Roug h Mechani,cal - Prior to
Cisar--
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover
d Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.#Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
ing - After trenches are inal Building - When all
excavated Fireplace - Prior to facing
materials and framing lnsp.
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.| - Prior to taping.
MOBILE HOME INSPECTIONS
Underfloor Plumbing/Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.4 Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
rm Sewer - Prior to filling
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.trench.
Water Line - Prior to filling
trench.
ugh Plumbing - Prior to Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been installed.cover
v
%aF,-,
e
vL)
lprqrd
E
E
E
p
V
fl
E
E
[--l Fence - When completed.
.- THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
X Interior
-
Corner
-
Panhandle
-
Cul-de-sac
Se
P.L.HSE GAR ACC
N
S
E
BU!LDING PERMIT
ITEM SO. FT.
Main \4\"4
Garase F28
,ffBru
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
&
001 -tr
(A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
constructlon shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances_
PIan Check Fee
Date Paid
Receipt Numbe
eived By
Plans ewe
t@ lnfrt
Date
SYSTEMS DEVELOPMENT CH
(B)
ARGE (sDc)
ots.v
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0 &_
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
480+a
-cD
(c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT .@Fu rnace
Exhaust Hood
Vent Fan N0 7
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
I
Mechanical Permit
lssuance
State Surcharge
Total Permit
/.{3 +
(D)
By signature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng 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
project.
I further 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 front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Sig natu re Jrro-o,,. -|r^
Date
Jsifa
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
Cu rbc ut &ft
ft
Demolition
rc
TOTAL AMOUNT DUE (excluding electri
(A, B, C, D, and E Combined)
q\-.oD-
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECETVED
RECEIVED BY
)o
..3.ao
Total Miscellaneous Permits (E)
7 lory'/
CITY OF 5TRINGFI ELD SYSTEHS DEVELOPMENT CIIARGE
I.IORKSHEET' (col,f,tERcrAL & RESIDtNTTAL)
lr
NAI'iE 0R COl'lPAlrlY:
L0CAT I0l,l:2423 OtA
DEVELOPHENT TYPE:sF/)
3
BUILDING SIZE:T si
I. STORM DRAINAGE
IHPERVIoUS SQ. FT.x s0.203 PER SQ. FT.
2. SANITARY SEtr'ER.CITY
NO. OF PFU'S
(See Reverse)
/Y X 542.08 PER PFU
TRANSPORTATION
NO OF UNTTS X TRIP RATE X COST PER TRiP
x /r x $424.31
x s424.31
x s424.31
x
x
SANITARY STltlER-H1t'I.IC
N0. 0F PFU'S -,./.{ = x^SlI.IzS pER pFU + $10 Htr,HC ADH FEE(Use PFU Total-FF6m Tte-il'Z-nUrref ' w'v
HhtHC CREDIT IF AppLICABLE (SEE REVERSE)
TOTAL.I,Ill,HC SDC
SUBToTAL (ADD ITEHS I,2,3 & 4)
5. ADHINISTRATIVE FEES
BASE CHARG AB0yE) x .0s
-22-7/
a. Ft.
e 2 8 z.zs-
o
5%
/ 777.f4
TOTAL SDC S 2oF3, zV
s
4
(su
sDC ordi nat
f7.z
z3
<---l:--
FIXTURb'UNI I .UAL\-Lll-*t rL/.\ !'E:
For t emcrdels. c:rlcttlS lc anly t I rc -tr t-'' t l.t i: ior ril-Tir: r rr 1' :')
FIXTUIiE N'FE
I{hr.}cs.6\ .+\\---,r
t,lLrl.,.FE 't Ltl:
!.'E\i' rt.\l unE 5
I
2
TOTN.L FI}(TUAE Ui'IITS
A Lrll:l E.(iul\'.rr\jIrl = r [Ar\rrL; vN.rJ
L,:{l'l rl}:TUF.E
t:oLrlVi.LIl'lT ulJlts
/Y
Bathlub.
Drinking Fourrllirr......
Floor Drain.
--
:"-
-_..-=-
A
ead
:
I
:l
3
6,
6
6
I
3,
1/H'
2
2
1
6
lnlercePlors For Grea se/Oil/Sotids/El c......'.....'..
tnlerceplors For Sand/ruto \,r,ashr/Etc...-..........'.'
l-a urdry Tub/CIot lre srva sher
Gothes*asher - 3 Or More......
llobite Hdriie Park Trap (l Per
I
Beceplor F9r B etrigeratorf{al er St at ion/Et c........
Beceptor For Commerclal Sink/Dishrvasher/Etc..
Showe4 Single'Stall.
Shower. Gan9...........
' Urinal, Stall71Yall.... ..........'.......:.:...........
Wash Basin/laretory. Sin91e.........
\\'ater C{oset. Frivate........
lliscellaneous:
CREDIT CALCUT-ATION TABLE: Based on assessed vatue. tf improvemenls occurred a?,er annexation date in table.
calculate credits 6C
Credit for Parcd or Lard Only lf Aplicable
lmprovement fif after anne)Gtion date)
s /O, Coz){.a3
T6x c
Assessed Value)
HEDIT TOTAL
3
=$3 4.o3
/x
(Rate X Assessed Value)
= //-XS
HUNOFF COEFFICIENTS FOR STORM DRAINAGE
BesUential.
Commercial...........-.......
lndustrial...'
Governmental................
0.4
0.9
0.45
0.5
Year
Annexed
Rate per Sl,OO0
Assessed ValueYear
Annexed
Fate per 51.000
AssesseJ Value
193.s
1987
1998
1989
1990
1991
1992
s 2.24
1.93
1.57
1.1 B
0.79
o.44
0.28
.l979 or before
1gSC
1931
1932
19e3
1934
1995
s3.21
3.13
3.08
2.*5
2.ez
2.69
2.51
Ih4PERVIoUSAREA=ToTALLoTSIZEXRUNoFFCoEFFICIENT
2
t
3-z
Tho lollowlng prolccl ae rubmhled ha lhe
zonlng, and do€s not rcqulre specllic land
approval.
z*rns - LDL -
u6€
ELEGTRICAL PERHIT APPLICATION225 ?TIITE STREET
SPRINGPTELD, oRBGoN 97477
INSPECTION REQIIBST: 726-
oPPICB: 726-3759
m
ry,qp:Z:/1g 'ciry J__'-
At thoriz.d sisn*,ru Ii.In!eeH., TTE pEB
ob Number
SCEEDI.ILE BELOV
Nev Residential-Sing1e or
HuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
I s 8s.00
q4D8? I
1 OP
IJGAL DESCRTPTION
Permlts are non-transferable and expire
if rrork is not started vithln 180 days
of lssuance or lf vork ls suspended for
180 days.,
2. COT{IRACTOR INSTALI.ATION ONLY
ElecLrlca1 Contractor BILLS
Address 3170 WEST tlTH AVfTUE
ci trnnFNF Phon e--687=13.11-
Supervisor Llcense Number 980S
Explration Date 10/1/95 ,,
Constr Contr. Number 273
Li
51
Expl'ration Date 4/28/9q
of sing trician
G
Ovners
Add
ci Phone
OSNER INSTALI.ATION
The.installatloh is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
osners Signature:
A
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
A JD
Sum
8S
$ 1s.00
$ 40.00
c.Temporary Services or' Feeders
Installation, Alteratlon or Relocation
200 amps or less S 40.00
0ver 401 to 600 amps $ 80.00
Over 600 amps or 1000 voTis see ttgrt "$![-
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuil $ 35.00
D
Each Additional
Circuit or vith Service
or Feeder Permi t $ 2.00
E. Hiscellaneous (Service/feeder not included)
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps
0ver 1000 amps/volts
-Reconnect 0nly
-Each installation
Punp or irrigation
Sign/outline Lighting-
Limited Energy/Res
-Llrni ted Energy/Comm
00
00
00
00
00
00
$300
$
$ so.
S 60.
s100.
$ 130.
40
s 40.00
$ 40.00
$ 20.00
$ 36.00
5 STIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
DATE:
'r'/I.'/':RECEIVBD
oD 3*5
Di_-,.