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Home My WebLink AboutPermit Building 1994-09-24SPRINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSO LOT:BLOCK:SUBDIVISIO JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT OWN ADDR CI PHON E ZlPi NEW - REMODEL ADDITION DESCRIBE WOR OTHERH PLUMBING: MECHANICAL: trt tr^Ttr}tr\n t . ,S NAME ADDRESS PHONEXP coNS-r. CONTBACTOR #CONT GENE # OF BDRMS _ OFFICE USE _ WATER HEATER ZONING CODE: FLOOD PLAINQUAD AREA: # OF BLDGS SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOUFICE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: 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, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Temporary Electric fu*ih Mechanical - Prior to',WLJ CAea^ Final Plumbing plumbing work - When all 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. 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. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When atl required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling Insulation - Prior to cover. Underground Plumbing - Priorto filling trench.l--l Drywall - Prior to taping Underf loor Plumbing/ Mechanical - Prior to insulation or decking. MOBILE HOME INSPE TIONS [---l Wood Stove - After instailation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. [--l Blocking and Set.Up - When alt - blocking is complete. Floor lnsulation - Prior to decki n g.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanilary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and plumbing inspections have been approved and the home is connected tothe service panel. Water Line - Prior to filting tren c h. Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, andventing have been installed. J l-pAl(l Oo ) RANGE: fl E r I other-E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot TYPe - - lnterior - Corner - Panhandle - Cul-de-sac P.L,HSE GAR ACC N S E -rS THE PROPOSED WOBK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical 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 Springfield, 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. DatePlans Fleviewed By Receipt Numbe PIan Check Fee: Date Paid Received By: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUTLDING PERMIT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood stove t t"sert t ff.rytCyDryer Vent MECHANICAL PERMIT )(D) /o o ( No Mechanical Permit lssuance State Surcharge Total Permit 5u) Fu rnace Exhaust Hood Vent Fan 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 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 permlt card ls located at the front of the property, and the approved set of plans will remain Signa L Date on the site all times during construction.il MTSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) 5 ( DATE PAID ( i\VALIDATION: RECEIPT NUMB AMOUNT REC RECEIVED BYTOTAL AMOUNT DUE (excluding electri (A, B, C, D, and E Combined) <- 75pd 225 FIFTII STRIIIiT srruNGFIELl), oRIiCoN 9 INSPP.CTION REQUIIST: OFPICE: 7?.6-3759 follorlng Prolect rig, and dogs not 7 471 , :"'i 726-3i6i .{81. 1 LOCATION OI' INSTALLATI 2469 0t to Street LEGAL DESCRIPTION JOI} DESCRITTION S. F. Res i dence Permits are non-transferable and explre if vork is not started vlthin 180 days of issttance or if vork ls suspended for 180 days. 2. CO}IIT.ACf,OR INSTALI-ATION ONLY Iilcctrical Cont ractor st,rilNGl.tr:Lu 1000 sq.ft. or less Each additlonal 500 scl. ft or portlon thereo f Each Manuf 'd llome or Modular Dvelling Service or Feeder m L $ 85.00 85-00 Z g 15.00 30- 00 s 40.00 s, 35.00 ar eubmltted hee L PENHIT APPLICATION rerquite s;te,c City Job Number 931828 3. COHPLBTB t'BB SCTIEDULB BBLOU nt aI-Single or HuIti-FamiIy per dvelling unit. Service Included:Items Cost Sum Adclr:css 3no , lth Ci ty tt o,re 3tf1l35-3 Supcrvisor License Number Expiration Date c- constr contr. Number Z Expiration Date - l-q L/ si ature of Supc sing Electrician @ 0vners Name He & i Cons uct'ion Artdress 84959 ParkwaY Road Ci ty Pl easant Hi I I I'honr: 726-3898 OVNER INSTALLATION The installation is being made on property f ovn vhich is nor intended for sa1e, lease or rent. Ovncrs Signaturc: DATE: RECEI Services or Feeders fnstallatlon, Alterations or Relocation: 200 amps or less 201 anrps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amps- 0ver 1000 amps/volts - Reconnect 0nly One Ci rcui t Eaclr Addi tional Circuit or vith Service or Feeder Permi t Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less *.@ over 4b1 to 6oo amps - S Bo.oo , 0ver 600 amps or 1000 volts see rrBtr above Branch Circui ts Nev, Alteratlon or Extension Per Panel B $ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 C D s 2.00 a !t ;l li 1tii 'l E. l'liseellaneous (Service/feeder not included) -Each installation Prrmp or irrigation Sign/0utIine Ligh ting_ Limi ted Energy/Res _Limited Energy/Comm 00 00 00 00 $40 s40 s20 s36 5 o ,): r'): [5.5. iacI(I.ICI.IIVT]t) I}Y: 93 STIBTOTAL OT ADOVB 5f State Surcharge TOTAI, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: LOT; aHbq Clrkt<s SPR!NGFIELO afi? JOB NUMBEB q3\828 225 Fifth Street Springf ield, Oregon 97 477?fr, ASSESSORS MAP:- TAX LOT BLOCK 0H, INC *71158 SUBDIVISION Ntq0Ua PHONE: rTaL 3999OWNER: . ADDRESS: - CITY: - flL fir,1u ztP NEW { REMODEL ADDITION DEMOLISH OTHER 5FoDESCRIBE WORK: CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: -- ELECTRICAL: - 1 EXPIRES PHONEADDRESS 7:6-3858 687-1851.jlJSl {-14/34 688-1931jjr_,/b (14/13 747-74+3 JJfrT ai? /'fd JT+J- / JET+Er,:,:ks Err avat i,:n af i.:l.JaY CONST. CONTRACTOR '| 84959 r) OUAD AREA: ( , OF BLDGS: _.- 1OCCY GROUP: I r OF STORIES: -WATER HEATER: _ 1 1th, 0r ?740I 3170 h' Eugene, 50{t tSreenfield Eugene, 0r 974t:)4 l"larshal 1s 0i 1 & Ins. 4131 "E"5t . Springfield, Ar 17478 ITAAL tlrnw F;d Fuoene. 0r B74f-)i Pleasant Hill' 0r 97455 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, lnspectionS requested after 7:00 a.m. will be made the following work day. [X remPorarY Electric REQUTRED INSPECTIONS l-1zl Rough Mechanical - Prior tota cover.w Final Plumbing - When all plumbing work is complete.Wto 14q?i48(8,*n Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to A Final Electrical - When all electrical work is complete.cover, Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. w Final Mechanical - When all mechanical work is complete. 8 Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. W Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover OtheraFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS8 tE g E E a a Underlloor Plumbing / Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.E Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Conrlections - When home has been connected to water and sewer. Sanilary 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. Slorm Sewer - Prior to filling trench. ffi Sidewalk & Driveway - A{tcr '4 excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.l-_l Fence - When completed Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover.w t"l n:., 1qE ':rq7r-rfl E a E E 8 m [l Wood Slove - After installation. tl P.L.HSE GAR ACC /8/2 v/zN S z/ ft E 6 Lot faces Lot sq. ftg. Lot coverage Topography Total height 66zat&a*alLs. Lot Type - X tnterior - Corner - Panhandle - Cul-de-sac IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:c /?./a fr.?a //b (A)/ --za X $/SQ. FT. 1fi.2a = VALUE aza2- 7ra?z Total Value Building Permit Fee State Surcharge Total Fee 4i74 7?1-o-a BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAl,l 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 Springfield, including the Development Code, regulating the conslruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Pran check ,"", 7f # - ewed Receipt Numbe Date Paid Recei /Z -=a-?> Date SYST E MS D EV ELO P * =*r,_:' ^-8il:r;\*Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE (c) FT. FT. FT. 42,/4a ,/Q,O6No2 /a--g.*Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS \\\ \ lace U <25a ./o. "D /.8a (D)r?.7a -z aO2r, A. a6N:5 5a v.4 MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan Wood Stove/lns Dryer Vent By signature, I state and agree, that I have carefully 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 v/ith 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 contiactors and employees who are in compliance with OFIS 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 front of the property, and the approved set of plans will remain on the site at all times during construction. / l- t7-as Sig nat u re Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk t/? n curbcut - ? fi -€enrontrun ?ry44'E Wr<+*ra^A: - Ft?+zr. Total Miscellaneous Permits (E) 124€ State Surcharge nO- //-b-+lo 7L,f,_( ( \ VALI DATION RECEIPT NUMBE DATE PAID AtvIOUNT RECEIVFD RECEIVED BY ToTAL AMouNT DUE (excluding e!ectricaD ZTAaJ\C (A, B, C, D, and E Combined) 4oz I I /'<o Ll-a-t-\n-rl*r -r:..- -JB No . 7z t azg CITY OF SPRINGFIELD SYSTE}{S DEVELOPMENT CHARGE I.IORKSHEET (cot'lt'IERcIAL & RES IDENTIAL) NAME OR COMPANY:tJE T {*tc z4uq oTTc:LOCATTON: BUILDING SIZE:LOT SIZ I. STORM DRAINAGE IMPERVIOUS SQ. FT.2bo5 x $0.203 PER SQ. FT. 2. SANITARY SEI,IER-CITY sQ. Ft. 3 NO. OF PFU'S (See Reverse) l3 (.oi X $424.31 X $42.08 PER PFU TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP lx x --- x $424.31 ,\x $424.31 SANITARY SEWER-Mt,lMC N0.0F PFU'S It x $15.125 PER PFU + $10 MtlMC ADM FEt (Use PFU Total From Item 2 Above) I4t,lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MI,IMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4)$ \a-?R 2 '1 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .05 Kip Burd ck s $ 4 Zas Zbz n4 5 =.qr"9 24a23 q8q-? SDC Coordinator z q a'5 TOTAL SDC $ ZO1*2 DEVEL9pMENT TypE: L* - N(eN *? oB 55Zb FIXTURE UNIT.CA,LCUIT-.ON TABLE: ttumuer of New Fixrure, ,nit Equivalent = Fixlure units (l'toTE: For remodelr, *r"urat" frri;"-Ng-';Jition't fixtures) ,,N,,r trt'NUN4BER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.....-- Drinking Fountain--.-'. Floor Drain-- lnterceptors For Grease/Oil/Sol lds/Elc" """" "" "' lnterceptors For Sand/Auto Wash/Etc" " " "" " "" " Laundry Tub/Clotheswasher---.---. /Head 2 1 2 ., 6 2 6 6 1 3 2 1 2 2 1 6 4 Clothes,waEher - 3 Or More---.----". Mobile Hdriie Park Trap (1 Per Trailer)"""" R eceptor For B ef rig eratorflVate r Station / Etc" " " " Receptor For Commerclal Sink/Dishwasher/ Etc" ----:-/- z 'z- a- \B Shower, Single'Stall.. Shower, Gang....-.-...- Sink, Bar, Commercial Urinal. StallflVall...- Wash Basin/l-avatory, Single-.""""Z Water Closet, Public lnstallation""""' 7_Water Closet, Private----.---- Miscellaneous: TOTAL FIXTURE UNITS cREDlr cALcula,oN TABLE: Based on assessd vatue. lf improvements occurred after annexation date in table' calculate credits b ZI x$\o lo 4 .ag Credit for Parcd or t-and Only lf Applicable lmprovement (rf after annexation date) (Rate X Assessed Value)x$ (Rate CREDIT TOTAL X Assessed Value) $nJ"> Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $'l,0OO Assessed Value 't986 1S87 19BB 1989 19SO 199'l 1992 $ 2.24 1.93 1.57 1.18 0.79 o.44 o.2a 1979 or before 1980 1981 1982 1983 1984 1985 s.21 3.13 3.08 2.96 2.82 2.8 2-51 RUNOFF COEFFTCIENTS FOR STORM DRAI 0.4 0.9 0.45 0.5 NAGE Besidential.. Commercial.. --.--...---.-.-" lndustrial.... G ovemmental-..-- -. -. - -. - --. IMPERVIoUSAREA=TOTALLoTSIZExRUNOFFCOEFFICIENT 1 t CITY OF SPB"VGFIELD,OBEGO'U SPRIT{GFIELO % The '477 Lot' 769 BI,BCTRICAL PERHIT APPLICATION225 BTF{,B SITBEf, SPRINGFIBI.D, ORBGON 97 INSPBCTI0N REQIIBSf,: 7 OPFICB: '726-3759 Ci ty Job Nunber TL26-3 1 180 days. 2. CO}ITRACTOR INSTALI.ATION ONLY Elect rical Contractor Address Citv Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrician Owners Address ci Phone -transferable and is not started vithin 180 d ance or if vork ls susPended Signa A. Nev Residential-Single or MuIti-Family Per dwelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ Bs.oo $ 1s.00 $ 40.00 B 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- Over 1000 amps/volts Reconnect Oniy BBLOV Temporary Services or Feeders Installation, Alteration or Relocati 200 amps or less -l- q 19.00 201 amfs to 400 amps .- q ?5.00 over 4b1 to 6oo amps - $ 8o.oo 0ver 600 amps or fOOO voT[s see rrB* Branch Circuits 0 fi Aut'l tr'rlQ,td IJGAL DESCRIPIION JOB Permi tsif workof issur pire ays for Sum a6ov6- on +D $ so.oo s 60.00 $100.00 $130.00 $300.00 $ 40.00 c. D.i O9NER INSTALI,ATION The installation is being made on prop"tty I ovn which is not intended for sa1e, Iease or rent. Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder Permit - $ 2'00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Light ing- Limited EnergY/Res ST'BTOTAL OF ABOVB 5f State Surcharge TOTAL s 40.00 $ 40.00 $ 20.00 $ 36.00 I, RBCBIVBD ture: 5 &