HomeMy WebLinkAboutPermit Building 1992-11-30l33l-o-wblabk-a*,*
SPFrII{GFIELD
BLOCK:
3t o
LOT:zL
LOCATION OF PROPOSED WORK:
ASSESSOFIS MAP:
SUBDIVISION:-
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
io *r*u. "-1-gt225 Fif th Street
Springlield, Oregott !!/47i'|
TAX LOT:
zre, J-)-ta t - -- -STAI-E:
\-OWNEFI:
ADt)F]ESS:
CITY:
r.rew X REMoDEL ADDtrtoN DEMoLIsH --- orllEn
DESCRIBE WORK:
P}JON E
3*9-4tqt
bffia13_t
7+b-7b17
bft'br4
E,XPIRESAMEADDRESS
P@h,ffCONTRACTOR'S
CENERAL:
t,LUMBINC
MECFIANICAL:
ELE,CTRICAL:
CONSI,
CONTRACTOTI //
ILIL FLOOD PLAII{
* OF UNITS: -TONING CODE
, OF BDNMSCONSTH, TYF'E
HEAT SOURCE:
_ OFFICE USE _
LAND USE: -
[;ECONDARY I.I [AT:
{;OUAI-tE trOC)-TAGI::BANGE:
OCCY GROUP:
WATER HEATEB:
r OF STORIES:
QUAD AREA:
# OF BLDGS
To request an inspection, you rnust call 126-376g. This is a24hour recor<jing. All irrspcctions requeste(l Lrcfore 7:o0 a.m. will be
made the same working day, lnspectlons requested after 7:00 a.m. will be rn;rdtl the followirrg work day.
REQUIRED INSPECTIONS
ffto-o"rarY Electric ,x
E<
Rough Mechatrical * Ptior tc'
cover.
Rough Electrical - [)tior to
covcr
Electrical Service - Mt.tl;l lrc
approvecl to obt;rin pcrlll;-l11()lr t
electrical Power.
Fireplace - Prior to facit-ttI
materials ar-rd {rarnillg lnsP.
Frarning - Prior lo cover
Wall/Ceiling lnsulatiotr * Prior to
cover,
l\/ Pinal Electrical - Wlrerr all
Z\lo.tri.r; v.riitk is c'urlrplcte.
'F7 Final Mecltatrical - Whcn all
A,nechanical work ir completc.
><
Final Plumbirrg - When all
plr.rnrbing work is <;r-ltnPlr:te.
t'lunrbing Conrrecliotrs - Wllcn
holne has [)eerr cr)rtrlr:cletl to
waler ;rnd sewel.
Final - After all teqttirecl
irrspections ;rre apPtoved atrcl
porchcs, sl<irting, decks, and
verrting trave [Leen installed.
Site lnspection - To be tnarle
after excavation, but Prior to
setting Iorms.
Underslab Plumbing / Electrical/
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, boncl
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloo
- Prior to ng.
Post and Beam - Prior to floor
irrsulation or decl<ing.
Floor lnsulation - [rrior ttr
decki ng.
Sanitary Sewer - Prior to f illing
trench.
Slorm Sewer - Ptior to fillingl
trcnclt.
Water Line - Prior to filling
trench.
Rough Plumbing * Prior to
cover.
x
K
K,
Kx
B
8
Kr
K
A
B
X
Xx
flOrVwall * Prior to laPirlg.
B
x
Final Builcling - When all
required inspectiorts have been
approved and building is
cornpleted.
Other
MOBTLE HOME INSPECTIONS
t3locking antl Set-UP - Wherr all
blocking is complete.
Wood Stove * Af ter 'lrsl'llati{)tl
lnsert - After f ircplace apl)r(rval
and installation of unit
Curbcut & APProacl.r. * Af te t
fornls are ercctetJ bttt ptit-'t lr-r
placetlctlt of con<;t'etc.
Sidewalk & DrivewaY - Af tor
excavalion is corrtlrlete, Iortttr;
and sub-base ttt;ttcri;tl itr lrl:tr;rr
Fence - Wlten <:r.rtn6rlcl"tl
treet Trces - When all rerlttit'rrl
rees are planted
tl
I I Elcctrical Cotrtrecliotr - WltettL I blocking, set-up, and pltrnrbin<l
inspr-:ctions ltave bor:rl aJrllroverl
itn<l tltc hotne is c<lttrtoc;ttltl ltl
t lrr-' r;crvice piltrel.
ll
O",l>*7, -
P*oNE: 3gS--*39,"_-L
'
crca_f-,
il
Lot faces
Lot sq. ttg.
Lol r:ovcr;rgc
Topograptty
Total height
L.()t -lyt.Setbacks
r?L.HSE AN
N Zq
L5
I-HE PROPOSED WOFIK IN THE
HISTORICAL DISTRICT, OR ON
THE I]ISTORICAL REGISTER? ---_
lf ycs, this ;rpl)lication must be signe(l
anc, approved by the l-listorical
Coorclinator prior to permit issuance.
APPROVED
latI5"
t5g1
lnterior
Corrrur
P:.urlt;tncllr-'
Cul-rle-sac
{L
KW'\q$
ACC
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
aclopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, ancl may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
eviewed ByPI
l/,a"fu
Receipt Number
e
Rccei vecl
-\t-qL
Plan Check Fee:
Date Paid
BUILDING PERMIT
.{(fl.t8
+nboH,
ITEM
Main
Garage
Carport
so. FT.
_l1eL_
_b!e--
Total Value
Building Pernrit Fee
State Surcharge
Total Fee
x $/so. FT. = VALUE
5!:Lo 108..^9-:9-
__tl-ta - i3O-b'-
Systems Developmetrt Charge is dtre on all undevelopecl
pro.perties within thr-'City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
/Rr fizzoEA
ADDTTTONAL COMMENTS
Fixt u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Honte
F [:t [:
/60,00
(c)
FT.
FT.
7
PLUMBING PERMIT
ITEM
N'
FT.
Plumbing Perntit
State Surcharge
Total Charge
b?_
/6bP
MECHANICAL PERMIT
Fu rnace
Exhaust Hootl
Vent Fan lt: - 3-
Wood Stove/lnsert/Fireplace Unit
Dryer V()nt
Mechanical Pcrmit
(D)
3,@
6,oO_
4pe
?,qo_
21o
/ 0.00
l'tl
33.63
I ssuance
State Surcharge
Total Permit
By signature, I state and agree, that I have carefully examined
the completed applicatlon and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfielcl, and the Laws
of tlre State of Oreg;on pertaining to the worl< described
hereirr, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all requirecl inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
natu re
l\-zo
(
-l/Date
It son the site ruction
MISCELLAN EOUS PERM ITS
Total Miscellaneous Permits (E) ::4OGT33_
/ 4,s_o-
30,5
Mobile Home
State lssuance
state surcharge
Denrolit ion
Stalo Surcltarl;e
Siclewalk
Curbcut
/e1 {t
- 3O- - n
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding elc'ctrical)
(4, B, C, D, ;rnr'l E Cotnbined)
3!srr 8 aa:,!.g$
tl
I .r,rla.:.;qtDATE PAID
AMOUNT RECEIVED
RECEIVED BY _.,- .
M7f,_@_
E
ll '
SPrl. .;FIELE)
'ry'ffijffil,'S*"%
225 FIITE STREET
SPRINGFIEID, OREGON 97 471 V ELECTRICAL PERHIT APPLICATION
. --€oltfifirE -lrEB scffiDr.ILE BELov
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
I tems 'Cos t
i000 sq.ft. or less
'.Each aoditional 500
sq. it or portion
thereof
Each l{a::uf ' d Ilome cr
l'{oiular D'*e1}i.ng
Serrice or Feeder
c oq nn
\) o- ' \ J
s 1s.00
s 40.00
Services or Feeders
Instailation, 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 0n1y
1. LOCATTON OP INSTALI.ATION
I^EGAT DESSRIPTION22
JOB DESCRIPTION
Permits are non-transferabl-e and expire
if vork is not started 'wj.thi.n 1BC riai's
of issuance or if vork is suspended fcr
L80 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contr".tor@
Add res s
INSPBCTION REQI.IBST:
oFFICE: 726-3759
726-376e)*\ o
trTa#,7,,,
A
Ci ty Zrz{tr'hone
Supervisor License Number
Expiration Date
Constr Contr. Number 63e
Expiration Date ^2
Signa of Su sing Electrician
ers Name
C.Temporary Services or Feeders
Instal]ation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-'Over 40L to 600 amPs
Over 600 amps or 1000-6T[s
$ s0.00
s 60.00
si00.00
s130.00
s300. 00
s 40.00
s
$
$
s
40.00
5s.00
80.00
Sum
a6oveee ttB"
D Branch Circuits
Nev, Alteration'or Extension Per PaneI
one circuit $ 35'oo
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2'00
Address
Ci ty Phone
OVNER INSTAII-ATION
The installation is being made on
p.op"tty I ovn vhich is not intended
for sale, lease or rent'
Ovners Signature:
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation S
signZoutline Lighting-- !
Limi ted EnergY/Res 4 $
E not
40.
40.
20.
35.
included )
00
00
00
00
-2O-*-
5 STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
a* €a.<?- -./ .(t e,2^ q?DATE:
RECEI
RECBIVED
I
City Job NvnbeE ?Z/7/O
sl'tlrNGFlELlJ
ZoIlL,g, a,rhod has eiethe
225 FIFTE STREET
SPRINGFTELD, oREGoN 97477 .
INSPECTION REQIIEST z 726-3769
OFFTCE: 726-3759
1
LEGAL DESCRIPTION
Permits are non-transferable expi reif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI.ATION ONLY
Electrical Contractor Palmer/Philips
Address 3170 Meadow I-ane
Ci ty Eugene Phone 588-6121
Supervisor License Ndmber Zltgs
Expiration Date 70/#
Constr Contr. Number 20-L79C
Expiration Date t0/92
Signat of Supervising Electrician
Owners Name
Address
Ci ty 4-?Y ot
Pho ne 2,9S- Lf1V7
OVNER INSTALI.ATION
The installation is being made on
property I ovn vhlch is not intendedfor sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT *:lr,ctCI9
nd PERHIT APPLICATION
City Job Number qa \3\o
Auihoneed Signature 3. COHPLETE TBE SCHEDULE BBLOS
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
0r
A
Sum
B
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
Services or Feedersfnstallation, Alterations or
Relocation:
200 amps or less
20L amps to 400 amps
-401 arnps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconneet OnIy
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permit
Miscellaneous ( Service/feeder
-Each installation
Pnmp or irrigation $Sign/outline Lighting- S
Limited Energy/Res S
Limlted Energy/Comm S
$ 8s.00
+s 1s.00
$ 40.00
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
s 3s.00
$ 2.00
not included)
40.00
40. oo
20. oo
C Temporary Services or FeedersInstallation, Alteration or Relocation
2oo amps or less ( S 4o.oo 41\
20L amps to 400 amps
-
g 55.00 #
over 401 to 600 amps
-
$ Bo.oo
0ver 600 amps or 1000 volTs see rrgrr "ffi
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
E
5 llsooq.as
RECEIVED BY:
it
t9P,
lq L+ 2=
n({
'r N0.azt b\o
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
NAME OR COMPANY:e 9.1-- | izoxl h1L ox\S Co
W tt-t >9oz CouarLOCATION:lvz<.
5"?DEVELOPMENT TYPE:LP E.- r{
SIZ
I. STORM DRAiNAGE
IMPERVIOUS SQ. FT.b11b X $0.192 PER SQ. FT
2. SANITARY SEWER-CITY
NO. OF PFU'S ZO X $39.78 PER PFU
(See Reverse)
3 TRANSPORT ATION
NO OF UNITS X TRIP RATE X COST PER TRIP
sQ. Ft.
I x
x
X
I .oo 9 x $401.05
x $401.05
x $401.05
Y
s
s
4
SUBT0TAL (ADD ITEMS I,2, & 3)s \nzuq3
NIS VEF
BASE CHARGE (SUBTOTAL AB0VE) x .os
2o $13.62 PER PFU + $10 Mt,lMC ADMIN rEE $ ZbZ+3
5. SANITARY SEl/lER-MI,IMC
NO. OF PFU'S
(Use PFU Total From
Mt^lMC CREDIT IF APPLI
lr-r)-
Kip Burdick
Item 2 Above)
CABLE (SEE REVERSE)
TOTAL-MWMC SDC
SDC Coordinator
lo ?2-
TOTAL SDC S ZUZS"A
BUILDING SIZE:
TOTAL-CiTY SDC
FlxruRE UNlr CALCUL,ATION raglE: ruumner of New FixturerX Uhrt Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additionat lixtures)
NUMBER oF uNlr FlxruRE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
aBathtub.......
Drinking Fountain- ----
Floor Drain.
lntercePtors For Grease/Oil /Solids/Etc--
lntercePtors For Sand/Auto Wash/Etc.
Laundry Tub/Clotheswasher""""""""": """" ""'
Clotheswasher - 3 Or More.--.-"""'
2
1
2
.1
6
2
o
t)
'l
a
2
1l
2
2
1
o
4
Mobile Home Park Trap (1 Per Trailer)"""""""""
R eceptor For R ef ri geratorAVater Station/Etc" " " "
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall..----------.
Shower, Gang...
Sink, Bar, Commercial-..--..-....
Urinal, StallflVall.---
Wash Basin/Lavatory, Single.
Water Closet, Public lnstallation-.LWater Closet, Private.
Miscellaneous:
TOTAL FIKTURE UNITS
CREDIT CALcuLATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits separates.
eadH
Z
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x$
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL = $N,*
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1 980
't981
1982
1 983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1 985
1 986
1 987
1988
1 989
1 990
1991
$2.16
'r.90
1.60
0.25
0.87
0.50
0.16
HUNOFF COEFFICIENTS FOR STORM DRAINAGE
0.4Residential..
Commercial 0.9
lndustrial....- """"""" 0'45
Governmental---..-------..-- """""""' 0'5
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
__*_
=
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