HomeMy WebLinkAboutPermit Building 1994-03-17/t*e c?
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon gT 477
HESIDENTIAL
PERMIT APPLTCATION
lnspections; 726-3769
Office; 726-3759
LOCATION OF PROPOSED WORK:*2349 o1+o Sr,<c€
ASSESSORS MAP
LOT;BLOCK:
7
TAX LOT
SUBDIVISION o*/en- p*zt ,ua,zlt
oo00
HE AHO i CONSTRUCTION,INC *7LL5B
84959 Par kulay
PLTASANT HILL,OR 97455
NEW y' REMoDEL ADDtloN DEMoLtsH orHER
PHONE
ztP
SFDDESCRIBE WORK:
OWNEB;_
ADDRESS
CITY: _
CONTRACTOR'S NAME
GENERAL: _
PLUMBING:-
MECHANICA
ELECTRICAL
QUAD ,A,REA.:
# OF BLDGS
OCCY GROU
ADDRESS
CONST.
CONTBACTOFI #EXPIRES
a2/95
04/94
06/94
L2/94
PHONE
726*3898
687-1851
688-1931
7 47 -7 445
345-7564
HE and i Const. , Inc.
BiIIs Electric
Don Leuis Plumbing
l'larshalls OiI & Ins.
Brooks Excavation
84959 Parkuay 71158
Pleasant HilI, 0r 97455
3170 lll l1th, 21351
Eugene, 0r 97442
500 Greenfield 33076
Eugene, 0r 974O4
4t31"E"St. 25790
Springfield, 0r ,7478
2766L Crou Rd 5592f
Eugene Ar i7402
HEAT SOUFICE:# OF STORI
f-Xl remporary Electric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Masonry - Steel location, bond
beams, grouting.
ffinougttJ$echanic-al - Prior toF\cover. / $ \f,\tqgL\Untl-,\/I X Rough Electrical - Prior to!4cover.
K
\
l/xJ Final Electrical - When all
Helectrical work is complete.
K
&
03/94
SECONDARY HEAT:
SQUARE FOOTAGE:
Final Plumbing - When all
lumbing work is complete.
Final Mechanical - When all
mechanical work is complete.
t,WATER HEATER:RANGE:
To request an inspection, you must call 726-3769. This is a24hour recording. AII 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
dl:g*:"- Arter trenches are
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Post and Beam - Prior to floor
insulation or decking.
X ,rr-ing - Prior to cover.
VfwattCeiling lnsulation - Prior toc,l cover.
ffiorv*"rl - Prior to taping.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and f raming lnsp.
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 material in place.
Street Trees - When all required
trees are planted.
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 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, skirtlng, decks, and
venting have been installed.
p/Unaerf loor Plumbing/ Mechanical
! { - Prior to insulatio-n or decking.
K
X;:""1;
X'*l:
Prior to
Sewer - Prior to f illing
Sewer - Prior to filling
X
XStorm
trench.
Water Line - Prior to filling
trench.
Tlnougn Plumbing - Prior to14cover,
3y \-
Wood Stove - After installation.
r
Nfr [-l Fence - When completed.
E
:4
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total hei
Lot TYPe 'r
-Ytnturio,
-
Corner
-
Panhandle
-
Cul-de-sacl-lab
acks
P.L.HSE GAR ACC
N
S
E
O THE PROPOSED WOBK IN T-rE
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER? --
lf yes, this application must be signed
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
aOopteO 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'
Dates Reviewed
-.3.l n4
Plan Check Fee
Date Paid
Receipt Numb
Received B
BUILDING PERMIT
$/FT.SO. FT.
HID5)3
(A)
ITEM
Main
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 C
(B)
HARGE (SDc)-;a
#zoaCL"
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
)
(c)
FT.
FT.
FT
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unlt
Dryer Vent
f)
N0 \5.@A
)
(D)
(tr-z)
MECHANICAL PERMIT
Mechanical Permlt
lssuance
State Surcharge
Total Permit
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 permit card is located at the f ront
of the property, and the approved set of plans will remain
on the site at all times during construction.
,drr*" )^. rt'--U
Date
3/,, /q ,/
Slg natu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surchargel
Sidewatk Jt r,
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electric
(A, B, C, D, and E Combined)
e
re'(L*l
,&4 ,,Curbcut
Demolition
Su rc itq
DATE PAID
AMOUNT REC
RECEIVED BY
VALIDATION:
RECEIPT NUMBE
lnmr
i
)
k-C:_
JOB NO.I OZ
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I,IORKSHEET
(cotlMERCIAL & RESIDENTIAL)
NAME OR COMPANY:T L
LOCAT ION :24'?-q 'TTo 3T
DEVELOPMENT TYPE LDK - NLN 5FF
BUILDING SIZE:SiZ sQ. Ft.
1. STORM DRAINAGE
IMPERVioUS SQ. FT.21 L'x $0.203 PER SQ. FT.
2 SANIT ARY SEI,lER -C ITY
NO. OF PFU'S
(See Reverse)
lg X $42.08 PER PFU
3 TRANSPORTAT ION
NO OF UNITS X TRIP RATE X COST PER TRIP
(Use PFU Total From
Ml,lMC CREDIT IF APPL
ttem 2 Above)
ICABLE (SEE REVERSE)
$
s
b4 02
81
X I'QJ x $424.3i
x $424.31
x $424.31
x
x
4. SANITARY SEWER-MWMC
NO. OF PFU'S lg $15.I25 PER PFU + $10 MIdMC ADM FEE $LOLLSY
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
5 ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X .os
B^-
Kip Burdick
SDC Coordinator
5r>t2
Z4gL9
%t4
TOTAL SDC oZG 1L
/
$
FIXTURE UNIT.CALCUL,T._ ON TABLE: ruumOer of New Firlures nir Equivalent = Fixture Units (NOTE:
ior r"*oOets, calculSie only the r'rg-iooitional fixtures)
NUN.IBER oF uNtT F,KTUR;
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
'2_+2
1
2
J
6
.)
6
6
1
3
2
1
2
2
1
6
.+
Drinking Fountain....- -
floor Drain-.
lnterceptors For Grease/Oil/Sol lds/81c" " """ ""-"
lnterceptors For Sand/Atno Wash/Etc" "" " " " "" "
Laundry Tub/Gotheswasher.-..-- -- -.
Clothes-walher - 3 Or More...---.---.
Mobile Hdnie Park Trap (1 Per Trailer).
Receptor For RefrigeratorAVate r Station/Etc" " " "
Receptor For Commerclal Sink/Dishwasher/Etc"
Shower. Single'Stall..
Sink, Bar. Commercial
Urinal. StallflVall.....
Wash Basin/l-avatory, Single.--------
Water Closet, Public lnstallation.-
Water Closet, Private.....-.-.
Miscellaneous:
ead/H
t-
z
Z
TOTAL FIXTURE UNITS
L__T-
ls
CREDIT CALCULATION TABLE:
calculate credtts separates.
Based on assessed value. lf improvements occurred after annexation date in table'
b,'Ll x $l0,G a+ o3
Credit for Parcd or Land Only lf Applicable
lmprovement (rf after annexation date)
(Rate X Assessed Value)x $-
(Rate X Assessed Value)
CREDIT TOTAL $34 o2
Year
Annexed
Rate per $1,00O
Assessed Value
Year
Annexed
Rate per $1,O00
Assessed Value
1979 or before
1980
1981
1982
1983
1984'1985
s.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1 987
1988
1989
1990
1991
1992
$ 2.24
1.93
't.57
1.18
0.79
o.44
o_28
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential..-.
Commercial..
0.4
0.9
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
_L
approval.
225 PTPT:B SI?EEr
sPRrNcP.rBID, OREGON 974
INSPECf,IOII RB0ESI: 72
OPPTCE: 726-3759
1
IJGAL DESCRIPTION
perraits are non-transferable and expiif vork is not started vithin 180 daysof lssuance or lf vork ls suspended for
180 days.,
2. COTITBACTOR INSTALI^ATION ONI,Y
ElecLrlcal Contractor BILLS
Address 3170 WtSt 1ltU nVfNUf
ci trucFNF Phone 5R7-t B5l
Supervisor Llcense Number 980S
Explration Date 10/1/95 ,'
Constr Contr. Number
Expi 'ratlon Date 4/28/94
ls l.Clan
Ovners
Addres
ci Phone
OSNER INSTALI,ATTON
The. installatioh is beirig made on
property I ovn vhich is not intended
for sale, Iease or rent.
Osners Slgnature:
APPLTCATTON
3. CONPIJTE PEE SCEEDT'LE BELOV
A. Nev Residentlal-Single orHuIti-FamiIy per dvelling unir.
.
t"t""e rncruded:
r tems cos t
zoning, and does not require specniD lairu u:r+
SPrlINGF!ELO
1000 sq.ft. or Iess
Each additional 500sq. ft or portlon
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
h
-L
_d_
$ 8s.00
$ 1s.00
$ 40.00
Sum
%
*5D
B. Services or Feeders
Installation, Alterationsor 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 0nly
$so
$60
s100
$130
.00
.00
.00
.00
.00
.00
$300
40$
Temporary Services or'Feeders
Installation, Alteratlon or Relocation
200 amps or less i $ 40.00
201 amps to 400 amps $ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voT[s see *8"
Branch Circuits
re
of a5ffi
D.
Nev, Alteration or Extension Per Panel
One Circuig $ 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 Lighting- SLimited Energy/Res
-
S
Limi ted Energy/Comm S
SI.IBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
40.00
40.00
20.00
36.00
DATE:
RECEIVED
5
c.. ,-i
21357