HomeMy WebLinkAboutPermit Building 1993-11-12RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PRO
ASSESSORS MAP:
WOR
SPRI FIELD
s? zbz
JoB NUMBE R ?El Fa=,
225 Fifth Street
Spri ngf i el d,,,O regon 97 477
TAX LOT:
19LOT:BLOCK:SUBDIVISION
To request an inspection, you must call 726-3769. This is a24hour recording. All 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.
REQUIRED INSPECTIONS
w
w
w
ry
E
w
w
lXl r".nnotarY Electric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Eleclrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
w Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Street Trees - When all required
trees are planted.
f-71 Final Electrical - When alllrAJ electrical work is complete.
a
Final Plumbing - When all
plumbing work is complete.
Final Mechanical - When all
mechanical work is complete,
fA Underlloor Plumbing I Mechanical1,4 r
- Prior to insulation or decking.
l-17 Post and Beam - Prior to floor
LrF insulation or decking.
[--Tl Floor lnsulalion - Prior to
4l decxing.
ffi Sanitary Sewer - Prior to fillinga trench.
l--71 Storm Sewer - Prior to filling
Ll|l trencn.
F Y;i:ltine - Prior to rirring
|7 Rougfr Plumbing - Prior to@ cover.
Fireplace - Prior to facing
materials and framing lnsP.
lnserl - After f lrePlace aPProval
and installation of unit.
w Curbcut & ApProach - After
forms are erected but Prior to
placement of concrete.
[-Vl Sidewalk & Driveway - Aftert4 excavation is complete, forms
and sub-base material in Place.
Fence - When comPleted
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPE TIONS
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, skirting, decks, and
venting have been installed.
W
rr.^i"g - Prior to cover'
ffi WatllCeiling lnsulation - Prior to
-
cover.
f-fl Orywall - Prior to taping.
fVt Wooa+'to,re - After installation.' a zt€tfZ?*Azaff.
ADDRESS: 366 East 40th
(503) 686-9431PHONE:
97405STATE:ZIP:Euqeqe Oregon
n
Breeden Bros., Inc
CITY:
OWNER:
ADDITIONNEW X REMODEL EMOLISH OTHER
DESCBIBE WORK
t(
27
CONTRACTOR'S NAME
G EN ERAL:
+ioEB
25790
Absolut.ePLUMBING
Marsha]l-sMECHANICAL:
ThorntonELECTRICAL
345-3055
747-7445#3Springfield
Eugene
ADDRESS
Eugene
EXPIRES
tt/30
PHONE
686-9431
CONST.
CONTRACTOR #
Breeden Bros.
-W w
lumbing Eugene
HBIN\
I 6<ac-/Zu?2
\\\ \
WATER HEATER
_ OFFICE USE -
FIANGE:
FLOOD PLAIN
ZONING CODE:
* OF BDRMS:
u)
OCCY GFIOUP:
* OF STORIES:
QUAD AREA:
C OF BLDGS:
CONSTR. TYPEr
HEAT SOURCE:
LAND USE:
# OF UNITS
SECONDARY HEAT:
SQUARE FOOTAGE:
w
E
r
PL.HSE GAR ACC
N ,/3'?
q 14'
B
E 6t
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type Setbacks IS THE PROPOSED WORK IN THE
HrsroRtcAl DtsrRrcr, oR oN
^h)
THE HISTORICAL BEGISTER? ' ,,-
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED
r
Z*c
lnterior
Corner
Panhandle
Cul-de-sac
z??a
\2o
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
No 'Z
FEE
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
I
=(c)
VALUEXit'Y'79
ttu-@
liw
(A)
?612 2,90'
Total Value
Building Permit Fee
State Surcharge
Total Fee
?36af,.a,,
BUILDING PERMIT
ITEM SQ. FT,
Main
G arage
Carport
.,%+L
6e,
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,Drovisions of said ordinances.
pran check ,".. 37gE-
Date Paid: t>'3/<1
,<
v:
./4- z/"23
Date
Receipt Numbe
Received
SYSTEMS DEVELOPMENT CHARGE (SDC)(B) u6e Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMEN TS
MECHANICAL PERMIT
u'@"TilunlD
(D)
7'S>
&D
.sz.s?
, .DC'6-
6--v--
Fu rnace
Exhaust Hood
Vent Fan
Wood Stove/ lns
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
//A-5a
/a:r"2rrz
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 is located at the front
onstr ion.
Signatu
Date
nd the app set of plans will remain
es du
of the property, a
on the site at all
MISCELLANEOUS PERMTTS
Mobile Home
State lssuance
State Surcharge
Sidewark 6f n
Curbcut ?y' ,,
Demolition
State Surcharge
Total Miscellaneous Permits (E) V/gS
/22f,
/f .la
TOTAL AMOUNT DUE (exctuding etectricar, ?2.5_8/5
(A, B, C, D, and E Combined)
VALIDATION:
REcErPr NUMBER ')g :9
V oJ.<
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
Noa
SPR'NCFIELD,CFEGO,.U
SPFrINGFIELO
225 ?rHrfl s13BEf,
SPRINGEIELD, OREGON
INSPBCTION RBQIIEST:
0PFICE: '726-3759
1.OF INSTALI.ATIOOl*.44L- Q Ll-BREEDEN HOMES
Woodcrest SPrrn
q
JOE DESCRIIITION
ALARM SYSTEM
Elect rieal Contractor HONEYWELL
AddrCSS B1O SE BELMONT
ci P RTL Nt)Phone 232-qt gn
Supervisor License Number 52'7 JLE
Expiration Date 10- 1-96
Constr Contr. Number 57 824
Expiration Date I-27 -95
Signature of ing Electrician
@
ffi .]FY$*fi."*'"ffi fl$Bffi rcar'
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting._
Limited EnergY/Re5 r
Limited EnergY/Comm
PERHIT APPLICATION
Ci ty Job Nuuber
3.COHPIATB FEE SCffiDt'LB BELOU
-Single or
HuIti-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or }ess
Each additional- 500
sq. ft or portion
thereof
Each Hanuf 'd llome or
Hodular Dvelling
Servlce or Feeder
$ Bs.oo
$ 40.00
B.Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
c.
Sum
$ 15.00permits are non-transferable and expire
if vork is not started vithin 180 days
oi i""u"n"" ot lf vork is suspended for
180 daYs.
2. COT{I"ACTOR INSTALI.ATION ONLY
$ s0.00
s 60.00
s100.00
$ 130. 0o
$300.00
$ 40.00
OL
TemporarY Services or Feeders
insiallaiion, Alteration or RelocaIion
200 arnps or Iess S 49'99
,oi ;'rb. to 4oo amps
-
I ll'99
Over 600 "tp" or-1600-n Tt" see rrB" a56F
Branch Circuits
Nev, Alteration or Extension Per Panel
D
a
Ovners
Address
Ci tY
OVNER
Phone
One Circuit
n""n-eaJi tional
Circuit or with Service
or Feeder Permi t
-
s 35.00
Miscellaneous (Service/feeder not included)
.00
.00
.00 2
.00
SUBTOTAL OP ABOVS
5Z State Surcharge
TOTAL
20 .00
1.00
$ 2.00
The installatj'on is being made on
pioperty I ovn vhich is not intended
for- sale, lease or rent'
Orners Signature:
B
$
s
s
$
0-;T-0-
40
40
20
36
5
DATE:
RSCBIVED
2l.o 0
TV OF
:-,.t ila{(;Ftr:LlJ
I
ab
225 FIFTB STRBEf,
SPRTNGFTEL^D, oRBGoN 974
INSPBCf,ION RBQIIEST. 726-37
ELECTRICAL
_ugL_ citv
PERXIT APPLICATION
77
69 Job Number 9s iaDe,0PFICE: 726-3759
1 rfw.i-,
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contractor
Address
ci Phone
Supervisor L cense Number
Expiration Date
constr contr. Number +A.5tD
Expiration Date L" \\ q{
Signature of Supervis cI'an
0vners Name
Address
0
OITNER INSTALI^ATION
The installation is being made on
property I own which is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
*
t iaI-Single
Multi-Family per dvell
Service fncluded:I
ci,7 1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
BBLOV
or
ing unit.
tems Cost
II $ 85.00
Sum
:\$ 1s.00
$ 40.00
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
14
j5
B Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nly
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less : S 40.00 ?O
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above
€b\r.o .$*n Anonr ue.Nev, Alteration or Extension Per Pane1
Ci ty ? ocx-nl - Phone
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
I
D. Branch Circuits
E. Miseellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutI ine Light ing-
Limi ted Energy/Res
Limited Energy/Comm
34A
$ 40.00
$ 40.00
s 20.00
s 36.00
RECEIVED B
5
2-------6
A.
tDt Qsi
*'
JOB No. IblboE
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I.IORKSHEET
(cot'IMERcIAL & RESIDENTIAL)
NAME OR COMPANY:
LoCATION 141 lNoooe,egf t70>7 4tz - /b500
e S c
DEVELOPMENT TYPE:Log -N StrR
BUILDING SIZE:SiZ
I. STORM DRAINAGE
THPERVIoUS SQ. FT.Z51o x $0.203 PER sQ. FT.
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
4 X $42.08 PER PFU
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
a. Ft.
I
I x l.ol x$424.31
x _ x $424.31
x x $424.31
s
$
4. SANITARY SEl^lER-Ml,lMC
No. oF PFU',S 17 *
(Use PFU Total From Item 2
Kip Burd ck
Mt,lMC.CREDIT IF APPLICABLE (SEE REUERSE)
$15.125 PER PFU + $10 Mt,lMC ADM FEE
Above)
TOTAL-MWMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
s 217 va
ot
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .05
L.
4173
SDC Coordinator
1 3
TOTAL SDC Zo (-1L
FIXTURE UNIT,CALCUIA- lN TABLE: Number of New Fixlures )
;;;;;;. catcul6te only the Nf auditional fixtures)
NUT4BER oF
HXTURE TYPE NEW FIXTURES
2
it Equivalent = Fixlure Units (NOTE:
UNIT
EOUIVALENT
Floor Drain-
l ntercepto.s For G rease/Oil/Sol ld s/Etc" " " " " " " "'
I nterceptors For Sand/Auto Wash/Etc" " " " " " ":':'
Cl oth es:waSher - 3 O r- M ote- -- --.. "' : " " " " " "' " " "" "'."'.
;ilil;Hilie Park Trap (1 Per Trailer)"r'::"""""'
R ece ptor For Ref ri geratorflVater Station/ ttc" " " "
n"""'ptot For Commerctat' SintTOishwasher/Etc"
Bathtub..----.
Drinking Fountain--."'
Shower. Single'Stall-
Shower. Gang.---------- """"""""""1"""
Sink, Bar, Commercial
,'i'
eadH
2
'l
2
3
6
2
6
6
1
3
2
1/
2
2
1
6
4L
U rinal. StallflVall..--
Wash Basin/l-avatorY, Single'
.-----------7--2
Water Close! Public lnstallation"
Water Closet, Private.---.--"
Miscellaneous:
TOTAL FIXTURE UNITS
cREDrr cALCUr.ATroN TABLE: Based on assessd varue. rf improvements occurred after annexation date in
calculate credits
Cr.edit for Parcd or Land Only lf Applicable ?.7t x$t5.L 5 0t
(Rate X Assessed Value)
table,
:
lmprorement $f after anne>cation date)
(Rate X Assessed Value)
CREDIT TOTAL - ot$ 5a-
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,0O0
Assessed Value
1986
1987
1988
1989
19gO
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
o.44
0.28
s.21
3.13
3.08
2-96
2.82
2.8
2.51
RUNOFF COEFFICIENTS FOR STOBM DRAINAGE
0.4.
0.9
0.45
0.5
IMPERVIoUSAREA=ToTALLoTSIZExRUNoFFCoEFFICIENT
FIXTURE
UNITS
Ll
L
--z
?
--E-
t7
1979 or before
19B0
1981
1982
,1983
i984
1985