HomeMy WebLinkAboutPermit Building 1993-04-30SP]lIN GFIE,LL'
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726'3769
Office: 726'3759
LocA.oN oF p*oposED woBK: - I aFC /('* ia ' &*&
JoB NUMBE " -Q3a'r ta
225 Fiftlr Street
Springfielrl, Oreqon 9747/
IAX t-or;
suul-)lvlsloN &Llono- -
h,
ASSESSORS MAP:---'-
LOT:a4 BLOCK:
PHoNE: --31!5:'t3:4-l
zrp: -9 7'lo t
S'TATI:_o
OWNEFI
ADDRESS:
CITY:
,u.* X REMoDEL ADDlrloN DEMoLlst-l - ortl[Fl
:- E ,j-- (L9,c!,4-9a-
DESCRIBE WORK:
PI]ON E
3y{-LEyl
b66:11lJ _
7 V h :7-b1f
bE&-hM -
ADDRESSAME
8o: tlq C --
CON HACTOR'S
MECHANICAL:
ELECTFIICAL:
coNsll.
CONI I]ACI()I] /EXPII--IES-t-15
G'q 5
e.1t
_io "q .3
,Bq
3 joTb
Trbtre
GENERAL:
PLUMBING
1*# OF BD[]MS:
Y OF STORIES: -
OCCY GROUP CONSTR. TYPE: ,..
HEAr souFrcE: ,.- F C/
RANGE: ----_ -G
-WATER HEATER:--t{
sECoNDARY |lEAr: FP - G-
SQUARE FoorAGE: 2:b3O-
OUAD AREA:
* OF BLDGS:
::::J.'::;;unD
_ OFFICE USE -
LANDUSE: IIII
#OFUNITS,- -, -l-
REOUIRED INSPECTIONS
fVl Rouoh Meclranical * [)li('l l{)
LZ) cove-r. FttEpt,lcf 'O'crfL
To request an inspection, you must call 726-3769' This is a 24 hour recordirrq All inspr:ctions rcques
made the same working day, inspections requested after 7:00 a'm' will be rnatje the {r-rllowing work
F fu-notarY Electric
I-_l Site lnsPection - lo be madc| | af ter excavation, l)ut Prior to
setting forms.
Unclerslab Plurnbing/ Electrical /
Mechanical - Prior to cover'
8
E Electrical Service - Must btr
approveci to oblain PermanL'rrl
electrical Power'
[-l FirePlace - Prior to (acinrl
U materials anrl ftatrtitrg ltts;-t.
F
t''ot'.tt"(] - l-rior [<', <:,vor'
F71 WatllCeilirrq lrlsulatiolt - ['rior trt
Al .,rr"r.
X OrVwat, - P;ior.t{-) ta[)irr(l'
Rough Electrical - Prior tcr
COVEI.
Wood Slove - Af ter irt:;l;rll;lliott
lnsert - Afler firrl;lat;rl ;t1r;rto'"r'tl
ar-rcl lnstallatlon r>[ trtrit.
Curbcut & APProaclr - Af lt-'t
fortns ate c-'rr:cled bttt ptiot lQ
placetnenI of cortcterlc
Sidewalk & DrivewaY - Af tr-'t
excavation is cont;rle te, fttt trt:r
and sub-base tnalcrial itt Pl;t';'r
Fence - Wltt-'tr cotngrlr-'lr:tl
Street Tioes - When all reqrtlre(i
trees are Planled
tccl befotc 7:00 a.ttt. will be
<lay.
Firral Plumbirrg; - Wlren all
1:lrrrnbing w()Il( is <;otnplett:.
Final Eleclrical - Wltctt all
elcr;trical wr:tk is <;otlllllcte.
Firral Mecharrical - Wlren all
mecl-ranical work rs comPlete'
[tl<-ickirr<; arttl Set'U1r - Wltr:tr ;rll
ltlrir;l<itrt.; is cotnlrlrllr:.
Electrical Cotrnectiorl - Wlrott
blocl,,irrq, set-up, arrtl plrlrrrbing.;
inspections ltave l:r:r:n aJrPtoved
and the home is <;rlnrrec.tetl lo
tlre service l)anel.
Firral - AIter all required
inspections are approved and
porches, skirting, decks, and
ventrng have l-rcct't installe(1.
W
x
>(
xw
w
x
x
x
D<
x
E(
E
D<
w
@
rl
rl
Footing - After trenches are
excavated.
Masonry - Steel locatiorr, bond
beatns, groutitrg.
Foundation - After forms are
erected but Prior to concrete
placement.
Undergrouncl Plunrbing - Prior
to filling tretrclr.
Underlioor Plumbing / Mechanical
- Prior to insulation or decking'
Post arid Beanl - Ptior to floor
insulation or dP<;l<i trg'
Floor lnsulation - Prior tcr
decki ng.
Sarritary Sewer - Prior to (illincl
trench.
Storm Sewer - Ptior lo filling
lrench.
Water Line - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
Final Building - Wtren all
required insPrcclions havc been
approved an<l btriltlrng is
<: ot tt Plet r:rJ.
t-_l Ollrar
MOBILE HOME INSPESTIONS
I I I'lrrrrrbing Ccrttttecliotts - Wlrr:tt| '-l l,crtrrc has l:ccn cotlncoted lo
water arrd scwcr.
L:I
I
)
Lot faces
Lot sq. ftg.
Lot coverage
Topograplry
Total height
L.ot lyp(.,
. 1- li'tlcrior
-.. Corttcr
., Parrlrzinrlle
Cul-dt.:-r,;rc
Sctb ks
{qfw
zi!,il"f
Sitr
l)
PL.HSE
N
GAR ACC
IYTHE PRoPoSED WoRK IN THE
HtsToRtcAL DtsTRtCT, OR ON //THE HISTORICAL RECISTEN? - YI4-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
e
E
JF'.
ff_
dtf
b:_
ll'
i$'
Total Fee (A)
X $/sQ. t=T.
5h@
)*)!)
Total Value
Building Perrnit Fee
State Surch;rrge
llleJb:1,
qq3.?t
A1' b-I
5-LfallJ
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
!]-3_a
_!13{__
VALUE
rr_1J_11:.
h-l s_o_
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condltion that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, irrcluding the
Development Cocle, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receiot Number:
Plans cl By Date
By:
q-/ Lr*73
Date Paid
Rece
Plan Check Fee: _-.32q, q I
SYSTEMS DEVELOPMENT CHARGE (SDC) 6
(B) { zt<-1g
Systenrs Development Charge is due on all undevelope(l
properties within the City limits which are being improved.
Residential iJitth(s)
Satritary Sewer
WatL.r
'Storm Sewer
Mobile Honrt:
FEE
/ ? z.Eo
N 3_
FI
(c)
FT.
IqL.so
PLUMBING PERMIT
ITEM
Fixtrrres
Plumbing Permil
State Surchargc
Total Charge
1.-63
?-oz- l 3
tt
ADDITIONAL COMMENTS
@ re-cEd'hTh't
MECHANICAL PERMIT
Furnace
Exhaust Hood
vent Fan ft:- _f
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
6.oa-
4D;50,
(D)
,0
/5.-oo-
3 raO-
lvlec harnical Purtni I
lssu ancc'
State Surcltargle
Total Permit
l0.ao-
_2._93
E't 12) C IJ J
I2,00
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
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
hcrein, and that NO OCCUPANCY will be made of any
structure without perrnission of tlre Building Safety Division.
I Iurther certify that orrly contractors and employees who
are in compliance with ORS 70'1.055 will be used on lhis
prolect.
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
Sig trat r-r re
Date
,FO t ruct ion..,\on the site at all times du
MISCELLANEOUS PERMITS
Mobile Honre
Sl:ite lssuancc
State Surcltarqe
Sidewatk $L ft
Curhcut 3?- tr
Dentolitir:n
State Surcltat0c
(E)
P CKN
Total Misce lla neous Permits
5
321&.t
/_f ,3-o-
tl,t-Q-
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOU NT NECEI
TOTAL AMOU
(A, R, C' D' an
NT DUE (exclucl
rd E Combinecl)
ing electrical)zssscy NECEIVED BY '- -
BACKFLOW PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPFINGFIELO
Offi ce:
INSPECTION LINE:
726-3759
726-37 69
225 Fifth Street
Springf ield, 0regon 97 477
CITY OF SPR'A'GFIELD, OREGO'V
Job Location: / 3 /,t Jtt)QY7
As s es sors I'lap # :Tax Lot #:
0wner:
Addres s :
C'ity , Eztaa)E State:dz
Backflow Permit'is $15.00 + $0.75 State Surcharge
Phone #slr43r'7
Zi p: ?-i'n,'
a{
Contractor :
Address:Phone #:?ar"sz6fr -
City:State: 7 Zi p:?
Construction Contractors Registration #:Ex pires z //r*zq
By sign'ing this perm'it/appl ication, I agree to cal I for an 'inspection once the
bickfiow [revention devil'e fras been installed and is vis'ible forinspection
(726-3769). I also state that all information on th'is application/perm'it is
correct.
gna ure
FOR OFFICE USE
Date of Appl i cation:/a ?
Receipt ll:I ssued By :
.- ?fTotal Amount Collectedz /'
Job #:
)
FENCE PERUIT APPLICATION
CITY OF SPRINGFIETD
BUILDING SATETY DIVISION
SPRINGFIELD
0ffice:
INSPECTION LINE:
%
225 North Fifth Street
Springfield, 0regon 97477
726-3759
726-3769
C'TY OF OFEGO'U
Job Location: / .3 gO )t)iM-CT
Assessors M"p #t Tax Lot #:
Ovner:
Address:
Ci ty:
S ture
Phone #: 7f;'/Sr'Z
Zip: ?74atstate | &
Fence Permit is $5.00Value of Fencer%
/
Developme
ro
Z,
Con t rac tor/Ins taller :
Ci ty, State:Zip:.
Construction Contractors Registration #, ry/.Ts Expires =y'y'-4
*(
By signing this permit/application, I agree to cal
fence has been constructed (726-3769). I also stathis application/permit is correct and that I vas
I for an inspection once my
ted that aII information on
provided vith the Springfield
w-q-q\
Date
nt cod re quirements for fence standards.
FOR OFFICE USE
Date of Application: lO,//,/f S JoB #: ?lO4tZ7T
Receipt #/O4L€I
Total Amottnt Collected, * P
Issued By:
Address , 9f( N, /oeL S:/, ,-non" o,' 27-Z?,
checked for Delinquene.i esz F/ check.ed for Historieal. status:
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97477
INSPECIION REQIIBSTt 726-3769
OFPICE: 726-3759
1
LEGAL DESCRIPTION
JOBC.
ELectrical Contractor palmer,/phili
PS
Add ress 3170 Meadow Lane
Ci ty Eugene Phone 588-6121
Supervisor License Ndmber
Expirarion Date L0/ gZ
Signature of Supervising Electrician
than
Ovners N,
Address
Ci ty Phone
OIINER ON
Aie
Nev Residential-Sing1e orHuIti-Family per dvelling unit.Service fncluded:
sl'rlrN(;FlcLt)
1000 sq.ft. or 1ess
Each additional 500sq. ft or portion
the reo f
ELECTRICAL PERHIT APPLICATION
City Job Nurnber q \?
3. CoHPLETE-P&-8. SCtrEDULE BEL0g
A
ftems Cos t
$ 8s.00
Sum
Permits are non-transferable and expireif vork is not started vlthin 1g0 daysof issuance or if vork i." "u"p"nded for180 days.
2. CONTRACf,OR INSTALT.ATTON ONLY
Eaeh Manuf,d Home or
-
Hodular Dvelling
Service or Feeder
Services or Feedersfnstallation, Alterations orRelocation:
s 1s.00
$ 40.00
$ s0.00
$ 60.00
s100.00
$130.00
$300. 00
$ 40.00
s 40.00
$ ss.00
$ 80.00
see rrBrr aEoG-
s 3s.00
$ 2.00
ncluded )
As
r2o
B
271,9s
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 "rp"-over 1000 amps/volr;
-
Reconnect 0n1y
200 amps or 1ess
201 amps to 400
"mps
-
over 401 to 600 amps _-
0ver 600 amps or rbOO-zolts
Branch Circui ts
Consrr Contr. Number 2O_L7}C Temporary Services or Feedersfnstallation, Alteration or RelocationExpiration Date lO/92
c.
D
Nev, Alteration or Extension per panel
One Ci rcui tEach Addi rionalCircuit or vith Serviceor Feeder permi tThe installation. is being made onproperty I ovn vhich i" ;o;-i;tendedfor sale, Iease or rent.
Ovners Signature:
Hiscel]aneous (Service/feeder not i-Each installaiion
iiilii:j'iff:rr,5*:"= i il,ii
E
DATE:5
RECEI\TED B
SUBTOTAL OF ABOVE5Z State Surcharge
TOTAL
DO
a
. JoB No. llo4t-t
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
NAME OR COMPANY:t-L
.a1U
LOCATION:/38 o t{t*to5oe C-ouer Lor 24 - OAK Teee
LDR - New 5r<DEVELOPMENT TYPE:
BUILDING SIZE:OT SIZ F
1. STORM DRAINAGE
IMPERVIoUS SQ. FT.Z 51 x $0.i92 PER SQ. FT
2. SANITARY SEt,JER-CITY
NO. OF PFU'S X $39.78 PER PFU
(See Reverse)
TRANS PORTAT I ON
NO OF UNiTS X TRIP RATE X COST PER TRIP
/ x /.oo5 x $401 .0s
A x $40i.05
X x $401.0s
SUBToTAL (ADD ITEMS 1,2, & 3)$ /-1 1 tq3
4. ADMINISTRA TIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .05
TOTAL-CITY SDC slSaos3
SANITARY SEhlER-Mt^lMC
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
MhlMC CREDIT IF APPLICABLE (SEE REVERSE)
sQ. Ft
$
$
$13.62 PER PFU + $IO Mt,lMC ADMIN. FEE s bbb
5
88
J.-TOTAL-MWMC SDC
K
sDc
Burdi ck
oordi nator
86b7c
p
c
L
TOTAL SDC $ 21119
FIXTURE UNIT CALCU1ATION TABLE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
Number of New Fixtures X Ur
-:Quivalent
= Fixture Units (NOTE
NUMBER OF UNIT FIXTURE
NEW FIXTURES EQUIVALENT UNITS
L 2
1
2
3
6
2
6
6
1
.)
2
1/
2
2
1
6
4
Floor Drain..
I nterceptors For Grease/Oil/Solids/Etc"" " " " " " "'
I nterceptors For Sand/Auto Wash/Etc" " " " " " """
Laund ry Tub/Clotheswasher""" "
Bathtub.
Drinking Fountain-.-..--..--..-
Clotheswasher - 3 Or More"'
Credit for Parcel or land Only If Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.. """"""" 0'4
Commercial """"""" 0'9
lndustrial..... .............. 0.45
Mobile Home Park Trap (1 Per Trailer)"""""'-""'
Receptor For RefrigeratorAVater Station/Etc"""'
Receptor For Commercial Sink/Dishwasher/Etc'
Shower, Single Stall.-
Sink, Bar, Commercial
Urinal, StallflVall....
Wash Basin/Lavatory, Single""
Water Closet, Public lnstallation"
Water Closet, Private....-
Ir,4iscellaneous
TOTAL FIXTURE UNITS
cREDlr cALcuLATloN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits separates-
Head
.,
x$
x$
=$
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 985
1 986
1 987
1988
1 989
1990
1991
$2.1 6
1.90
1.60
0.25
0.87
0.50
0.16
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
IMPERVIOUSAREA=ToTALLoTSIZEXRUNoFFCOEFFICIENT
+
.)
=2
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