HomeMy WebLinkAboutPermit Building 1994-06-08aZL aJ76 c6o
RESIDENTIAL
PERMIT APPLICATION
lnspections; 726.3769
Office: 726-3759
SPllt FIELE,
JOB NUMBER
q
225 Fifth Street
Springfield, Oregon 97477
7n
LOCATION OF PROPOSED WORK:9vS-A dt+> ,-Sl
ASSESSORS MAP;
LOT:
OWNER: .
ADDRESS:
-CITY:
-
TAX LOl:
-
o000
HE AHO i CONSTRUCTION,TNC
84959 parkway
PLEASANT HTLL,OR 97455
*7tLsB PHONE:
ZIP:
DESCRIBE WORK:-sro
NEW {,/, REMODEL ADDITION DEMOLISH OTHER
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:OO a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be made the following work day.
$@"^oorary Etecrric
\ REQUTRED TNSPECTTONS
.ffi nou9tr Mechanical - prior to---1 COVer_
Site lnspection - To be made ,>( norgl, Electrical - prior toafter excavation, but prior to /Sl cover.setting forms.
tlr
I Xl Footing - After trenches areQexcavated.
pl Electrical Service - Must befr approved to obtain permanent
electrical power.
4
K
Final Plumbing - When allplumbing work is complete.
Final Electrical - When all
electrical work is complete.
x
K
K
ry
X
,<
K
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to f illing 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 f illing
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
rench.
Kt"ttng - Prior to cover'
fi *rlltCeilirrg lnsulation - Prior to/ L* cover.
f, "r*ull - Prior to taoing'
Fireplace - Prior to facing
materials and framing lnsp.
Wood Stove - After installation
lnsert - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materlal in place.
Fence - When completed
Street Trees - When all required
trees are planted.
Final Mechanical - When all
echanical work is complete.
Final Building - When all
required inspections have been
approved and building is
completed.
MOBILE HOME INSPECTIONS
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 service 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 Leulis Plumbing
Harshalls OiI a Ins.
Brooks Excavation
84959 Parkuay 71158
Pleasant HilI, 0r 97455
3170 lll l"lt h, 21351^
Eugene, Ar 974A2
500 Greenfield 33076
Eugene, Ar 97444
4131^"E"St. 2579A
Sprinsfield, ar 97478
2766L Crour Rd 559?1
Eugene, Ar 9740?
EXPIRES
a2/95
a4/94
a6/94
L2/94
03/95
ADDFIESS
687*1851
6BB*193J^ -
7 47 -7 445
345*7564 -
L
CONTRACTOB'S NAME
RANGE:WATER HEATER
* OF STORIES:
SQUAFIE FOOTAG
9LVVIYUAN I
CONST.
CONTRACTOR #PHONE
726*3898 -
GENEFIAL:
-PLUMBING:_
MECHANICAL;.
ELECTRICAL: -
aUAD AREA:e
# OF BLDGS:
occY GRouPJ
Rough Plumbing - Prior to
cover.
X
E
Other
-
tl
)
E
Lot faces
Lot sq. ftg'
Lot coverage
TopograPhY
Total height
Lot TyPe
*lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
S KS
P.L.HSE GAR ACC
N
S
E
-T5 THE PROPOSED WORK IN THE
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? =-
lf yes, this application must be signed
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:tr
BUILDING VALUE, PLAN CHECK
Anp BUILDING PERMIT
This permit is granted on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
"J.pi"O by the Citv of Spri ngfield' i.ncludins the
Development Code, rejulating the construction and use of
Uuif Oing", and may bJ suspended or revoked at any time
upon viotation of any provisions of said ordinances'
DatePlansEWBy
q44,
Plan Check Fee
Date Paid
Fleceipt Numbe
ived
ffi
(A)
ERMIT
SQ. FT,
BU ILDIN G
ITEM
Mai n
Garage
Carport
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 DEVELOPMENT CHA
(B)
p#+rz t9
RGE (SDC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0 CJ
FT.
FT
FT.
"tD+4
(c)
Plumbing Permit
State Surcharge
Total Charge
/
)
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent TOU
\ed+
(D)
N0
bpe
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood 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 all work 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 Buiiding Safety Division.
I further certify that only contractors and employees who
are in 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 ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
,er-..-^- b-, ,Jror*
/-zs-*rDate
Signature
MISCELLAN EOUS PERM lTS
Total Miscellaneous Permits (E)
Demolition
u rcharg
Mobile Home
State lssuance
State Surcharge
Sidewalk
Cu rbc ut
tC)L; ',.4*' ,,
VALIDATION
RECEIPT NUMB
DATE PAID
AMOUNT RECEIV
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
+BA
I
CITY OF S OFEGO'U
SPl{!NGFIELD
%
225 PTfrE SIRBET
SPRTNGPIELD, ORBGoN 97477
INSPECTION REQIIBST: 726-3769
OPPICE: '726-3759
1 OF
LEGAL DESCRIPTION
xar."s$ l7o p4/ /ft'
ci Yuone ?$Y-S/3 7
Supervisor License Number ?so S
Exoiration Date
Constr Con tr. Number,gf;9{ u
Exp iration Date
Electrician
Ovners
Add
City.Phone
O9NBR INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0cners Signature:
DATE:
EI.ACTRICAL PERHIT APPLICATIONq4D5e7City Job Nunber
3. COHPI,ATB PBE SCHBDTILE BELOV
A. Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:Items Cost
,:#'.RiffiTdinrv, &Lltqr/1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Servlce or Feeder
-Lr''-)..5 15
Sum
$ 8s.00
40.00
55.00
80.00
ee trBu aSoE
B
$ 1s.00
$ 40.00
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_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
t39o
c.
200 amps or less
201 amfs to 400 amps
-0ver 401 to 600 amps
over 600 amps or 1000-I6TIs
s
$
$
s
I D. Branch Circuits
E.
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/OutIine Lighting_
Limited Energy/Res
Limited Energy/Comm
5 SIIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
$ 40.00
s 40.00
s 20.00
$ 36.00
q0
RBCEIVBD
CrD
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or lf work is suspended for
180 days.
2. COT.ITRACTOR INSTALI,ATION ONLY
Electrical contrac to, 6, /,L'ff/e Jlv L
.of
o.y )p
l:
B NO.740 527
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I,JORKSHEET
(C0MMERCTAL & RESTDENITAL)
NAME OR COMPANY:e
LOCATION: 2458 OTTO 9T,
DEVELOPMENT TYPE:I-DR. - NEW
'FR
BUILDING SIZE:
I. STORH DRAINAGE
IMPERVIoUS SQ. FT.
2. SANITARY Et,lIR-C ITY
NO. OF PFU'S
(See Reverse)
LOT SIZE
2b 1o x $0.203 PER SQ. FT
X $42.08 PER PFU
S a. Ft.
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PTR TRIP
l<
X l.ol x $424.3 i
x _ x $424.31
x x $424.31
$
$
4. SANITARY SEl,IER-MWMC
NO. OF PFU'S Ig $15.125 PER PFU + $10 MWMC ADM FEE $ 292 z5
(Use PFU Total From Item 2 Above)
Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE)
tO75-+
TOTAL-Mt^lMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
5 ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .os
Kip Burdick
SDC Coordinator
24s23
TOTAL SDC ZI c1?-
'^' '-^' v t--^ trottivalent = Fixture Units (NOTE
FtxTURE UNtr,cAlcuLAr N TABLE: Number or Nerv Fixrures X',--^ Equivalent = Fixture
For remodelr. *r.rraiJJ"ritn" *n addirional fixtures)
NuN'iBEn oF uNlT FlxruRE
NE\ry FIXTURES EOUIVAI'EI'IT UNITS
FIKI'URE TYPE
Bathtub...-.'
Drinking Fountain""'
7-2
1
2
J
6,
6
6
1
3
2
1/Head
2
2
1
6
.+
floor Drain-'
i"r*""pil* For Grease/Oil/Solld s/Etc" " """ "" "'
iil;;i;; For sand/Auto wash/Etc
LunOtv Tub/Clotheswasher"" -' -'
Clotheswaqher - 3 Or More""'-""'
ffir;il;e Park Trap (1 Per Trailer)" "',:;""""'
il*pr;; Ai n"r'igu*ioipvut"' station/Etc" " ""
Receptor For Comme'ctti SinttTO ishwa she r/ Et c "
Shower. Single Stall"
I
Shower. Gang"""""'
Sink. Bar. Commerciat
Urinal, StatlflVall"""""':'. "":""" "'
Wash Basin/Lavatory' Srngle"""-
WrLt Cfot"t, Public tnstallation"
Water Closet, Private"-"'
L
TOTAL FItrI'URE UNITS
lf improvements occurred after annexation date in table'
3+,3
I
l,4iscellaneous:
CREDIT CALCULATION TABLE:Based on assessed value
calculate credits se
I
.b
Credit for Parcd or l-and Only lf Applicable A .2-l
X Assessed Value)
X$lo
(Rate x$
Commercial..--.-""""
lndustrial----
Governmental..--."""""'
o7
$4lmprovement (rf after annexation date)--- (R"te X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STOR
Residential.
0.4
0.9
0.45
0.5
M DRAINAGE
Rate Per $1,000
Assessed ValueYear
AnnexedRate Per 51,0O0
Assessed ValueYear
Annexed
1986
1987
1988
19a9
1990
19S1
1992
s 2.24
1.93
1.57
1.18
0.79
0.44
0.28
1979 or before
19BO
1981
1982
1983
1984
- 1985
s.21
3.13
3.08
2.96
2.82
2.68
2.51
IMPERVIOUSAREA=TOTALLoTSIZEXRUNOFFCOEFFICIENT