HomeMy WebLinkAboutPermit Building 1994-05-11ril
a
i!(
LOc.
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
SPRTNGFIELD q4bb?,4
JOB NUMBEB
225 Fifth Street
Spri ngf ield, Oregon 97477
LOCATION OF PROPOSED WORK:J47L ort'hc)
ASSESSORS MAP:TAX LOT:
LOT:lr BLOCK:SUBDIVISION 4+t&- uoturh
OWNER: -
ADDRESS:
CITY:
-
oooo
HE AND i CONSTRUCTION,INC *71158
84959 Parkway
PLEASANT HILL,OR 97455
PHONE:
ZIP
DESCRIBE WORK:StrD
NEW X REMODEL ADDITION DEMOLISH OTHER
HE and i Const.,Inc,
Bills Electric
Oon Leuis Plumbing
llarshalls OiI & Ins.
Brooks Excavation
84959 Parkuay 71158
Pleasant Hill, 0r 97455
3170 U' llth, 21351
Eugene, 0r 97402
500 Greenfield 33076
Eugene, Or 97444
4131"E"5t. 2579A
Springfield, 0r 97478
2766L Crour Rd 55921
Eugene, 0r 97402
ADDRESS EXPI RES PHONE
02/95 726-3898
a6/94 6BB-1931
L?/94 747*7445 _
345*7564a3/95
a4/9s 687-1851 -
RANGE:
CONTRACTOB'S NAME
WATER HEATER
# OF STORIES STUUNDAHY HEAI:
SO E:
CONST.
CONTRACTOR #
HEAT SOUFTCE
GENERAL:
PLUMBING:
-MECHANICAL: -
ELECTRICAL:
-
f\
aUAD AREA:r2
r OF BLDGS:-
OCCY GROUP: -
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
ffi femRorary Electric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
ing - After trenches are
d
Masonry - Steel location, bond
beams, grouting.\
ndalion - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Posl and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Electrical - Prior to
cover.
'Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materlals and framing lnsp.
Framing - Prior to cover.
'Wall/Ceiling lnsulation - Prior to
cover.
Drywall - Prior to taping
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
l--l Fence - When completed.
7 m. will be
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Conneclions - 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.
W
4 Street Trees - When all required
trees are planted.
Uk!
Y 9
REQUIRED INSPECTIONS-J| 7,f Rough Mechanical - Prior to
J cover.
F
E
Y
7
w
Y
P
Y
[---l Wood Stove - After installation.tl
I--l lnsert - After fireplace approval
-
and installation of unit.
/.
f-2.I Curbcut & Approach - Af ter
/! forms are erected but prior to
I placement of concrete.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Type
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L,HSE GAR ACC
N
S
E
.- HE PROPOSED WORK IN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by t he H i storical
Coordinator prior to permit issuance.
APPBOVED:c-' "'
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.
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
Rec Nu
Recei 51,qr
Plan Check Fee:
Date Paid
s Flevi Date
((
SYSTEMS DEVELOPMENT QHARGE (SDC)
241,!,.26 ffi
SQ.
tD
1
E
)
(A)
Tot ue
o.
I
(irro-.)
BUILDING PERMIT
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
&,r*>
(c)
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
&
GaD
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
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 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 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 ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
ilrr-,""*>T. \^;rq-Signature
Date
MTSCELLANEOUS PERMITS
Mobile Home
State lssuance
state surchtte\
Sidewalk r-.,\,1 tt
curbcut ,$.1- ,,
Demolition
itsTotal Miscellaneous
I
(E)
Surch e
DATE PAID
VALIDATION:
RECEIPT NUMBE
AMOUNT R
RECEIVED
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
{57aet\-,/
0l-T" IU,/)N0a+
PLUMBING PERMIT
d
ril
a
i!(
LOc.
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
SPRTNGFIELD q4bb?,4
JOB NUMBEB
225 Fifth Street
Spri ngf ield, Oregon 97477
LOCATION OF PROPOSED WORK:J47L ort'hc)
ASSESSORS MAP:TAX LOT:
LOT:lr BLOCK:SUBDIVISION 4+t&- uoturh
OWNER: -
ADDRESS:
CITY:
-
oooo
HE AND i CONSTRUCTION,INC *71158
84959 Parkway
PLEASANT HILL,OR 97455
PHONE:
ZIP
DESCRIBE WORK:StrD
NEW X REMODEL ADDITION DEMOLISH OTHER
HE and i Const.,Inc,
Bills Electric
Oon Leuis Plumbing
llarshalls OiI & Ins.
Brooks Excavation
84959 Parkuay 71158
Pleasant Hill, 0r 97455
3170 U' llth, 21351
Eugene, 0r 97402
500 Greenfield 33076
Eugene, Or 97444
4131"E"5t. 2579A
Springfield, 0r 97478
2766L Crour Rd 55921
Eugene, 0r 97402
ADDRESS EXPI RES PHONE
02/95 726-3898
a6/94 6BB-1931
L?/94 747*7445 _
345*7564a3/95
a4/9s 687-1851 -
RANGE:
CONTRACTOB'S NAME
WATER HEATER
# OF STORIES STUUNDAHY HEAI:
SO E:
CONST.
CONTRACTOR #
HEAT SOUFTCE
GENERAL:
PLUMBING:
-MECHANICAL: -
ELECTRICAL:
-
f\
aUAD AREA:r2
r OF BLDGS:-
OCCY GROUP: -
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
ffi femRorary Electric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
ing - After trenches are
d
Masonry - Steel location, bond
beams, grouting.\
ndalion - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Posl and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Electrical - Prior to
cover.
'Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materlals and framing lnsp.
Framing - Prior to cover.
'Wall/Ceiling lnsulation - Prior to
cover.
Drywall - Prior to taping
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
l--l Fence - When completed.
7 m. will be
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Conneclions - 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.
W
4 Street Trees - When all required
trees are planted.
Uk!
Y 9
REQUIRED INSPECTIONS-J| 7,f Rough Mechanical - Prior to
J cover.
F
E
Y
7
w
Y
P
Y
[---l Wood Stove - After installation.tl
I--l lnsert - After fireplace approval
-
and installation of unit.
/.
f-2.I Curbcut & Approach - Af ter
/! forms are erected but prior to
I placement of concrete.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Type
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L,HSE GAR ACC
N
S
E
.- HE PROPOSED WORK IN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by t he H i storical
Coordinator prior to permit issuance.
APPBOVED:c-' "'
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.
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
Rec Nu
Recei 51,qr
Plan Check Fee:
Date Paid
s Flevi Date
((
SYSTEMS DEVELOPMENT QHARGE (SDC)
241,!,.26 ffi
SQ.
tD
1
E
)
(A)
Tot ue
o.
I
(irro-.)
BUILDING PERMIT
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
&,r*>
(c)
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
&
GaD
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
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 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 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 ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
ilrr-,""*>T. \^;rq-Signature
Date
MTSCELLANEOUS PERMITS
Mobile Home
State lssuance
state surchtte\
Sidewalk r-.,\,1 tt
curbcut ,$.1- ,,
Demolition
itsTotal Miscellaneous
I
(E)
Surch e
DATE PAID
VALIDATION:
RECEIPT NUMBE
AMOUNT R
RECEIVED
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
{57aet\-,/
0l-T" IU,/)N0a+
PLUMBING PERMIT
d
CITY OF SPR"VGFIELD,OFEGO'U
SPtlT'{GFIELO
The lollowing Prolec't as
ing, end dces not requt ipecxic. land use
zon
1
225 FTfrg STRBEf,
SPRTNGFTEI.D ORBGON 97
INSPECTION RBQUEST: 7
OPPICB: '726-3759
OP
IEGAL DESCRIPTION
3qu
Permits are non-transferable expire
if vork is not'started vithin 180 days
of issuance or lf vork is suspended for
180 days.
2. COIIISAC:TOR INSTALI.ATION ONLY
Electrical Contractor
Address i t ZO l/tJ, / / d
New Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
I $ Bs.oo
s 1s.00
$ 40.00
3 ffu
\Ivw
on0p
A
ct Phone
Superv r License Number
Expiration Date
, o*q_5/3 7
QtC S
OB
B.
D. Branch Circuits
E.
Sum
$ 40.00
$ s5.00
$ 80.00
s see rrBtr aEote
Services or Feeders
Installation, Alterations , z.r,or Reroca,ton5.pl).,^t\.-\i' t t.
200ampsort"s"tl I $50.
201 amps to 400 amps
_-- $ 60.
401 amps to 600 amps
-
$100.
601 amps to 1000 amps- $130.
over 1b00 amps/vort;
-
$300.
Reconnect Only $ 40.
00
00
00
00
00
00
Constr Contr.
c.Temporary Services or Feeders
Installation, Alteration or Relocati
Exp iration D",3 I 200 amps or less I201 amps to 400 amps
0ver 401 to 600 amps
0ver 600 amps or 1000 voT[
a
Electrician
?
rs
Addres
Ci Phone
OSNER TNSTALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
orners Signature:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Servic6 .4 /)Cor Feeder Permit ,A S 2.00 -t:
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
6)
DATE:
5. SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
RBCEIVBD Y tP.Q L
CITY OF SPR'A'GFIELD, OREGON
ffirr.armatffiffir
DL
SPF!]I( :LD
s or less
s to 400 amps
-s to 600 amPS _s to 1000 amps_
225 FTrr,H SIBEET
SPRINGFTELD, OREGON 97477
INSPECTION RE0UBST: 7
OFFICE: 726-3759 rumibco
1 ON
Permits are non-trans rable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
A
c
D
PERHIT APPLICATION
City Job Nunber
COI{PLETB PEE SCEBDI'IJ BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Serviee Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Af terations
or Refocation:
$ s0.00
$ 60.00
s1o0.0o
$130.00
s300.00
$ 40.00
.00
Sum
.bove
\Elei
CONTRACTOR INSTATLATION ONLY
trica] Contractor
Address
Ci tv Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Exp iration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
0ver 1000 amps/volts
Reconnect 0n1y
200 amps
201 amps
Over 401
Over 600
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
B
200
201
401
601
amp
amp
amp
amp
or less $ 40.00
to 400 amps
-
$ 55.00
to 6oo ambs
-
$ Bo.oo
amps or fbOO voTts see rrB, aigg/ture of Supervising Electrician
/S
Ovners Nam
Address
Ci ty Phone
O\TNER
The installation is being made on
property I ovn vhich is not intended
for safe, lease or rent.
Signa
Branch Circuits
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 installationE
5
Pump or irrigation $ 4
SignZOutline-Lighting - S 4
t iilited Energy/Re= --f--- $ 2
.00
.00
RECEIVED
ture:
0
0
0
6 0
w)
,)
DATE:
74o6-z 7
cITY 0[ ..,PRINGFIELD sysTEHS DEVEL0pmENT ct{ARGE .-..,:
(coH,{ERH?l[t#5EI*,,0,., ,
NAI'iE OR COI'lPANY
L0CAT I0l{:247 A O rro
Pe s.DTVELOPI.IENT TYPE:
BUILDING SiZE:
IRANSPORTAT ION
NO OF UNITS X TRiP RATE X COST PER TRIP
x l,ol x s424.31
x s424.31
x
--- x s424.31
4 . SAN ITARY SEI,IER-M11|I,1C
I. STORI'I DRAINAGE
iNPERVioUS sQ. FT
2. SANITARY SEl{ER-CITY
I,IO. OF PFU'S
(See Reverse)
3
NO. OF PFU'S
(Use PFU Tota I From ltem 2
BASE (s ABoVE) X .05
x s0.203 PtR SQ. FT.
X 542.08 PER PFU
$15.125 PER PFU + $10 Mt{t'lc ADI'i FEE
Above )
3 212
12e8
OT SiZE a. Ft.
s
s 7' 7,trY
3
653,t3
23
s
Hh,r'rc cREDiT IF AppLiCABLE (SEE REVERSE)
5. ADHINISTRATIVE FEES
TOTAL-MLIMC SDC
SUBT 0TAL (ADD ITEI'IS 1,2,3 A 4) S *+.t4 2=78,3 7
l/t,7 z-
? c7, 14
Coord i r TorAL sDc s++#824/724
==-
74o6-z 7
cITY 0[ ..,PRINGFIELD sysTEHS DEVEL0pmENT ct{ARGE .-..,:
(coH,{ERH?l[t#5EI*,,0,., ,
NAI'iE OR COI'lPANY
L0CAT I0l{:247 A O rro
Pe s.DTVELOPI.IENT TYPE:
BUILDING SiZE:
IRANSPORTAT ION
NO OF UNITS X TRiP RATE X COST PER TRIP
x l,ol x s424.31
x s424.31
x
--- x s424.31
4 . SAN ITARY SEI,IER-M11|I,1C
I. STORI'I DRAINAGE
iNPERVioUS sQ. FT
2. SANITARY SEl{ER-CITY
I,IO. OF PFU'S
(See Reverse)
3
NO. OF PFU'S
(Use PFU Tota I From ltem 2
BASE (s ABoVE) X .05
x s0.203 PtR SQ. FT.
X 542.08 PER PFU
$15.125 PER PFU + $10 Mt{t'lc ADI'i FEE
Above )
3 212
12e8
OT SiZE a. Ft.
s
s 7' 7,trY
3
653,t3
23
s
Hh,r'rc cREDiT IF AppLiCABLE (SEE REVERSE)
5. ADHINISTRATIVE FEES
TOTAL-MLIMC SDC
SUBT 0TAL (ADD ITEI'IS 1,2,3 A 4) S *+.t4 2=78,3 7
l/t,7 z-
? c7, 14
Coord i r TorAL sDc s++#824/724
==-
FIXTUREUNITCALCULATIot{TAul_t:::: -.,,ir::...,,',,r. i:,'i i' :i,:.; ...,-,,r ii'l,.:':r-::,,i:(r'.';;;
For ru-i-;rcxjels, c::lculilc grn';'ll": "::i '"'":i' "'l : 'l':'r:)
i, ,/::,:t.r i-; '..1 jl.'.ii-i:i-
llt\,''i'l\lLli'[.-
I
I
j
a
TCT.:.1 FIXTUAE Ui{ITS
FIXTUNE N'FE
Dal hi ub.... '.
Drinking Founl::iir....
FloorDrain. .'" :'
lnlercepiors For GreaseT'Cil/Solids,'5:c'"" "
lnterceplors For Sand/Auto Vi'ash,' EIc" " " " " " ""
Laundry Tub/Cloiheswasher.'....'
Clothes*'asher - 3 Or l'4ore.."-......
tlobile Hdnie Park Trap (1 Per Trailer)-'..'....""""
Becep!or Fgr Refrigeratorn{ater Station/Etc'.. ""
Beceptor For Commercial Sink/Dishrt'a sher/Elc'
3
b
2
6
6
'l
J
2
1/
2,
1
6
I
2
t2
23
Shower, Single'Stall..
S!nk, Bar, Commercial
' Urinal. StallfVall....-
\Vash Basin/Lavalory, Single-.
\t'ater Goset, Public lnstallaiion.-
Vr'ater Closet, Frivate........
hliscellaneous
He-zd
cREDIT CALCULATION TABLE: BasaC on assessec value. lf improvements occui'rd afr.er annexation date in table,
cajculate credits se lg5,
Credit for Parcd or Lard Only lf Applicable
tmprovement (rf after annexation date)
3.2/ _ x s /o. 6 oo ?1 ,O3
(Bate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL s i 4.o3
Year
Annexed
nate per S1,G)0
AssesseC Value
Year
Annexed
Rate per 51,O00
Assessed Value
1979 or before
19&C
1 981
1982
1sb3
1994
1985
s3.21
J. 1.,
3.08
2.%
2.82
2.63
2.51
i995
1 937
1988
1999
1o/l/1
1991
r oo,
s 2.24
1.93
1.57
1.18
0.79
0.44
0.28
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
lndustrial.................. 0.45
.............. 0.5
IN4PERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT