HomeMy WebLinkAboutPermit Building 1994-07-18SPRINGFT ELfl 1 0(RESIDENTIAL
PERtllIT APPLICATION
lnspections: 726'3769
Otf lce: 726'3759 ?rt,
.!OB NUMBER
225 Fitt.h Street
Springf ield, Oregon 97477
LOCATION OI'PT-1OPO DWO
ASSESSORS MAP TAX LOT:
LOT:BLOCI(:SUBDIVISION
To request an inspection, you must call 726--3769. Ti'ris is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspeclions iequested after 7:00 a.m. wi!l be made the following work day.
REQUIRED INSPECTIONS
fl Temporary Electric
L-__'J
Site lnspection - To be nrade
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electricai /
Meclranical - Prior to cover.
Masonry - Steel location, bond
bearns, grouting.
Underground Plumbing - Prior
to filling irench.
X *"',: yru*?ln oqip, &dX
E fr:tl Electricat - Prior to
&
IYI 'Electrical Service - Nrust bel4pproued to obtain permanent
el.ctrical power.
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work as complete.
Final Mechanical - When all
mechanical work is complete.
nal Buillding - When all
nspections have been
and building is
ired i
l\t'Foo,ing - After trenches areF\ excavated.
app
,K::xs;, 1,",,, ;, #lr J: H;,1., placement.
.( tt"'ng - Prior to cover'
N/{A/ail/Ceiling tnsutation - prior to
tzacover.
r- .7
!{tv*'tl - Prlor to ta,ins'
Fireplace - Prlor to facing
materials and framlng Insp.
Wood Stc,ve - Afier irrstallation
Sidewalk & Driveway -- Aftei
excavation is cornplete, fclrms
arrd sub-base material in i)lace.
- \l/hen comlrleted
Sireel Trces - Wher: ;ll rsqu;ys6
lilr(is aiL. plantdd.
completed
.El-o'nu'
MOBILE HOME INSPE TIONS
Blocking and Set-Up - When ail
blocking is corrrplete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Conneclion - When
blocking, set-up, and plumblng
irtspections have been approved
ancl the home is connected to
the service panel.
Final - After ail required
in3pections are approved andporches, sk!rting, decks, and
venting have been installed.
g
E
X
X
X
X
X
Underll
- Prior n or decking
Post and Beam - Prior to floor
insulation or dccking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Slorm Sow'er - Prior to filling
t rench.
Water Line - Prior lo filling
trench.
ffitn"ort - After flreplace approval' '.-+and installation of unit.
ffiCurO"rt & npproach - Aiter
/J fcl,ms are erected bul prior to
placement of concretc.
PHOI.IE:
1l,to tzlPSTATE:
3 4r-q3 4'7OWNER
ADDRESS:
CITY:
NEW - X- REMoDEL ADDlrloN DEMoLtsH orHER
DESCRIBE WORK: -
EXPIRESADDRESS
]-q 4503'-+ts
,!.rr^b
CONTRACTO S NAME
-lq
MECHANICAL:
ELECTRICAL
CCNST.
CONTRACTOR #PHONE
3.ll54131+-7
a-q.r llb-
lo -q4 l,st-6tz
GENERAL:
PLUMBING
\N\C\r)
3
I p
\)'\
OUAD ARF_A
_ OFFICE USE _
LAI{D USE:\\\ \
/ OF BDRMS:
E OF UNITS:
OCCY GROUP:
g OF BLDGS:ZONING CODE:
FLOOD PLAIN:
RANGE.WATEFI HEATER:
# OF STORIES SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
Rough Plumbing - Prior to
cover.
'_)
B
a^h
tl
fl
Lot sq. ftg. fOrg6l X ,n,",,o,.
Lot coverage TS@sF ezL-- corne,
Lot faces
Topography
Total heigh
Lot Type
_- Panhandle
-
Cul-de-sac
Setbacks
ACC
\dtnr<
IS IHE PROPOSED WORK IN TH'-:
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .--
lf yes, this application must be signed
and approved bY the Historical
CoordinatOr prior to permit issuance.
APPROVED:
P.L.HSE GAB
N
I
)ct Zq,
)lo'\g'
3q t
c fr)5t
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit ts granted on the express condition that the said
conslruclion shall, in all respects' conform to the Ordinance
adopted by the City of Springfield, irrcluding the
Developntertt Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any llrovisions of said ordinances'
Plan Check reot.---'3'2
P Reviewed v
_5
Receipt Num
Rccci
Date Paid {t
14, to
TQo ,tLq'O,
lb,,qfr
@s
ea#(A)
a
itb.
too
VALUE
Main
Carport
X $/SQ. FT.
5b, ?2
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
.- '-1Garage l(? I
Systems Development Ch:rrge is due on all undeveloped
properties within the City limits which are being irnproved'SYSTEMS DEVELOPMENT CHAR E (sDc)
z3(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
FEE
q4
\F-@-
'q
o
N0
FT,
FT.
3%
(c)
PLUMBING PERMIT
Plumbing
bile Home
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
4ht
"
fotJtl,
OeMECHANICAL PERMIT
4,ln
So
a
M
o
?
3
tt
M
aoMechanical Permit
lssuance
State Surcharge
Total Permit
3?t *lrztO.
(D)
Furnace
Exhaust Hood
Vent Fan No9
6o
By signature, I state an(J 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
in.t uny and all vrork pcrformed shall be done in accordance
with the Ordinances of the City ot Springfield' and the Laws
of the State of Oregon pertaining to the woik described
herein, ancl that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division'
I further certify that orr'ly contractors and employees who
are in compliance with ORS 701'055 will be used on this
proiect.
I f urther agree to ensrrre that all required inspectio0s 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 ol plans will remain
Signature
Date
on the site at all ti du nstruction
MISCELLAN EOUS PERM I'TS
Mobile Home
State lssuance
State Surcharge
Sidewark 7O n
curbcut 36 ,,
Demolition
scellaneous PermitsTo (E)
Sta Suro,harge
2-?DATE PAID
RECEIVED BY
AMOUNT R
VALIDATION:
RECEIPT NUMB
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
3/869t
bAW
-
a0bb
I
FT.
<D
3
go%
5./o
I
SPFIAIGFIELE,
does not require speci{ic land
Zoni Loz ELECTKTCAL PERHIT APPLICATION225 FTBTH STREET
SPRINGFIEID, OREGON 97477
zoning, and
approval.
oae /6-QADl'lLo
t
DESCRTPTT e€ tsAn€
Address \sct s+
Ci ty O-z,r--p6en"bt 3t,
Supervisor License Number sLe 413
Exp iration Date \t-2r-1.f
Constr Contr. Number Ab' Zoa
Expiration Date \t - )-r-?S
of Supervising ElectricianB'(
ovners Name ft-l-r=on E Z
Address &fnnonr
Ci €/qz^-Phon"3qS-LlS tf 7
OVNER TNSTALLATION
The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
D'f1\-City Job Nunber
3. COUPI,ETE FEE SCEEDT'LE BBLOS
A. Nev Residential-Single or
B. Services or Feeders
Installation, Alterations
or Relocation:
Multi-Family per dvelling unit.
Service fncluded: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
s 1s.00
$ 40.00
uia
Sum
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/vo1ts
-Reconnect Only
$so
$oo
s100
$130
00
00
00
00
00
00
s300
$ao
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 90.00
Over 600 amps or 1000 vollts see ilBil affi
D. Branch Circuitsr
Nev, Alteration or Extension per panel
E.
One Circuit $Each Additional
Circuit or vith Serviceor Feeder permit _ $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/0utline Lighting- $Limited Energy/Res ---[- SLimi ted Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
35.00
.
2.00
not included)
40.00
40.00
20.oo 3[o36.00
5
RECETYED
CITY OF OREGO'V
q)
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATTON ONLY
Electrical Contrac.". NtF
INSPEGTION REQIIEST:
OFPICE: 726-3759
1
Sor 0b
C'TY OF sPFrnlGFlF"l.n,OFF.;GO,fV
SPRTt\lGFIELO
uso @
BT,BC,:PJ.CAL PERI{TT APPLTCATTON
225 PITTE SIREEiT
SPRINGPIEI.D OREGON 97
INSPECTION REQIIESf,:7
OFETCE 726-3759
1.
Electrical Contracto r Phil ins Elect rIa
Address 317 Meadow I A
City E,ror.to ,
Phone 97LOT
Supervisor License Number ?i1qc
Expiration Date to/e5
Constr Con tr. Number 20-L79C
Exp iration Date 10
Signature of Supervtqlng Electriclan
4ilaa.-?''!t't,ui Job Nunber
3 COHPI.ETE EEE SCEBDUI.E BELOS
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvel}ing
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 arnps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnlY
Io
A. Nev Resldentlal-Single or
Hu1ti-FamilY Per dvelling unit'
Service Included:Items Cost
I
_L
$ 8s.00
s 1s.00
$ 40.00
Sumffi
fuDPermits are non-transferable and expire
lf vork ts not started vithin 180 days
oi l""u"nce or lf vork ls suspended for
180 days.
2. COIITRACTOR INS-TALI.ATION ONLY B.
Inc.
D
bc.Temporary Services or'Feeders
Installation, Alteratlon or Relocatio
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
$
$
s
s
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Nev, Alteration or Extension Per Panel
Each Additional
Circuit or vith Service
or Feeder Pe.rrni t $ 2.00
-B. Hiscellaneous (Service/feeder not included)
200 amps or less
-\
201 amps to 400 amps
Over 401 to 600 amPs
Over 600 amps or 1000 volts
Branch Circuits
-Each installation
Pump or irrigation
Sign/0utltnb Lightlng-
Llmited Enefgy/Res
Limited Energy/Comm
-
40.00
55.00
80.00
ee trBil a566
0vners Nqme
Address
Cl ty
OIJNER
DATE:
The installatloir is belrig made on
property I oeln vhlch is not intended
for sale, lease or rent
Onners Sigaature: ,
5. ST'BTOTAL OP ABOVB
5Z State Surcharge
Or-tl +
oRECBIVED
rOTAL
4taa,
/5b,
rr
7 /o7 /6
CITY OF S. .INGFIELD SYSTEMS OEVELOPM. CIIATIGE
,,0,,,*H?l [t#581,, n..,
NAI'IE OR COI'IPAI{Y:
LOCAT IOI{:/7 sV
DTVILOPI.IENI TYPE:
BU ILDING SIZE:
I. STORI'I DRAII{AGE
, IHPTRVIoUS SQ. FT.
2. SANITARY SEL'tR-C ITY
NO. OF PFU'S
(See Reverse)
aJ
r
From I tem 2
OT SiZ
3724..f x s0.203 PER SQ. FT.
r X 542.08 PER PFU
a. Fr.
s
s F2.2{
TOTAL SDC 37E c
TRANSPoRTATI0tt
NO OF UNITS X TRTP R,ATE X COST PER TRIP
x o x s424.3i
x
--
x s4z4.3l
x _ x s424.31
4. SANiTARY SEl{ER_l.lt{1.1c
NO. OF PFU'S
(Use PFU Total
Sl5.t25 PER PFU + Slo MI'HC ADl,t FEE
Above )
TOTAL.Hh'HC SDC
SUBToTAL (ADD ITEHS I,2,3 & 4)
s
l,rhl'rc cREotT IF AppLICABLE (sEE REVERSE)
5, ADI,iiNISTRATIVE FEES
BASE UBTO E) X .os
74
72A.6 7
z{
/ r 3.2{
rdinat
//;J-
q,€,?
I /.
;;;.";;;. I"it''i';-"rrrv tIrc IrE r atl'tiritrrr'rl li'1rrr \':'l
F!.rrunE n'rE v
8atlrlub.......
Drirrking Fertttrl;rirt......
91o96 pmirr. ..........:........
lnterceplons For Grease/Oil/Solids/E:c....
lnt erceplors For Sand/Aul o Vr'a slt,/El c.....
L:undry Tub/Clothesrva sl'rcr.'.........-..
Oolhesrvalher - 3 Or h4ore.'....
llobile Hdme Park TraP (1 Per Trailer)................
Fleceplor Fgr Refrigerator71Vater Station/Et c........
Beceptor For Commerclal Sink/Dishrtasher/Elc..
Shorver, Single'Stall..
S:nk, Bar, Commercial......
' Urinal, StallfYall....
\Vash Basin/Lavalory. Single.-....-.-
\l'ater CJoseL Public lnstallation.
Vr'ater Closet, Prh'ate
l,{iscellaneous:
:l
I
.:
3
G
.)
G
6
I
3
2
I
I
l.'Lr,.'.8[ ll L]l:
l,tE\i' l't.\'l uliLE-
I
TOTiL FIKI'UAE Uir'lTS
L':{II.
l. oL'i\'/.1[ '''T
r Ii:T UNE
u;.'l t5
/Hee.d
?
2
1.
t)
cREDlrcALcuLATloN TABLE: Basal on assessed value. lf improvemenis occurrd aher annexation date in table'
calculate crejhs sep tzies-
Credit for Parcd or Lz,rd Only lf Applicable
tmprovement (rf after annexation date)
x
(Rate X Assessed Value)xs
Yez.r
AnnexerJ
Fate Per 51.OO0
Assessal ValueYezr
Annexed
Fate per 51.OlC
AssessaJ Value
1935
1937
199u
1S9
r oc'l
1931
r oo2
s 2.24
1.93
1.57
1.18
0.79
o.44
0.28
1979 or before
193C
1931
!*2
1933
1934
'1995
ss.21
3.13
3.08
2-g;
2.e2
2.63
2.51 '9
(Rate X Ass
C REI
TBSSeC Value)
DIT TOTAL $
RUNOFF COEFFICTENTS FOR STORM D
Besidential.....-...-. 0.4
BAINAGE
Commercial...............'..""""
lndustrial....
Governmental...........-.-.
0.9
,............. 0.15
.............. 0.5
Ih4PERVIOUSAREA=ToTALLoTSIZExRUNoFFCoEFFICIENT
I
2
A
e
?.-
-T
2
,.
/3
2
Willamalanep.it e. Recreation District qcTb
cx)
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
lob No.
$
$
$
$_-
NAME:
ADDRESS:
LOCATION OF FROPOSED BUI
Street Addres if Known:
Platt Name:
1
PHoNE:IA54S?
srarr:(Q&,, q140(
ffiu1inu.uappropriatedwelling(s).SDCCalculationsanddwellingtype
A. Single Family - Detached
l\ Single Family home
NO OF UNITS
C
r 00 Tax Lot Number:I
Manufactured home not in a park
X $400 PER UNIT -=
X $ZtZ PER UNIT =
X $280 PER UNIT =
B. Single Family - Attached ,
NO OF UNTTS _ X $370 pER UN|T =
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home park
NO OF UNITS
$
WPRD SDC
3' ToTAt wpRD NET sDC AssEssED (rf sDC reduced for credit)
@
$
2. sDc cREDtr (rfappticabte) sDC-payer must furnish proof of WpRD creditapproval. See SDC Credit Workshleet.
Di Date
$
t
I
City of
Services