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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_-,.