HomeMy WebLinkAboutPermit Building 1993-08-13ASSESSORS MAP 9l< T^t7 9 9qt 11O33Ll t)
5*75
JOB NUMBER q 1osr8a
225 Fifth Street
Springfield, Oregon 97 477
TAX LO'I:
PRINGFIELE,
R ESiD ENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK
Zfr,
va
LOT:7c-BLOCK:SUBDIVISION L
g17y. Euqene STATE:
PHONE:
97405ztPOreqon
Breeden Bros., Inc (503) 686-9431
366 East 4OthADDRESS:
OWNER:
ruew X REMoDEL ADDrroN DEMoLTSH orHER
{JIDESCRIBE WORK:
CONTRACTOR'S NAME
G EN ERAL
Springfield
4€E*EBPLUMBING
747-744525790
20*oac
MECHANICAL:Marshall-s
ELECTRICAL:Thornton
ADDBESS
Eugene
EXPIRES
lt/30
PHON E
686-9431
CONST.r CoNTRAcToR #
27Breeden Bros.
@ 34s-305sAbsolute Plumbing Eugene
@ -ffi€2S
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[-_l remporary Electric
E
B
B.
F
E
,K
tr
E
,K
X
X
Site lnspeclion - To be made
after excavation, but pfior to
setting forms. */L
Rough Mechanical - Prior to
cover. .Z&D 4Jg, F,p,
Rough Electrical - Piidr to
cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsp.
Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Final Plumbing - When altplumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is comolete.
Undersl Electrical/
Mechanic to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundalion - After forms are
erected but prior to concrete
placement.
Post and Beam - Prior to floor
insulation or decki ng.
Floor lnsulation -Aee*ii+C.
Sanitary Sewer - Prior to filling
trench.
,Kx
^tTERffittFlAn'lld
fl Framing - Prior to cover.lzx
ffiwattlCeiling tnsulation - prior tolA{ cover.
X OrVwall - Prior to taping.
ff[ Wood Stove - After instailation.'u--\ Pd4fr 57vz/E
l---l tnsert - After ftreplace approvat
-
and installation of unit.
X
Final Building - When alt
required inspections have beenapproved and building is
completed.
Other
MOBILE HOME TNSPE TIONS
Blocking and Set.Up - When ailblocking 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 tothe service panel.
Final - After all required
inspections are approved andporches, skirting, decks, and
venting have been installed.
K.;:""U, Sewer - Prior to rillins
X-ygn:ine - Prior to rirrins
fl::l:h
Prumbing - Prior to
.
]p SiOewalk & Driveway - Af ter
,jALexcavation is compiete, forms
and sub-base material in place.
I Fence - When compteted
reet Trees - ty'/hen all required
rees are planted
mbi
_ OFFICE USE _
lR
^/QUAD AREA:
C OF BLDGS:
LAND USE
* OF UNITS:
CONSTB. TYPE:
HEAT SOURCE:
RANGE:
\-,*p
FLOOD PLAIN
ZONING CODE:
# OF BDRMSi
SECONDARY HEAT:
SQUARE FOOTAGE:
L{)R-
VlVOCCY GROUP:
* OF STORIES:3
WATER HEATER q 12q q7
E
r
fl Underground Plumbing - prior(J to filling trench.
[-I Undertloor Plumbing/ Mechanical
Prior to insulation or decking.
tl
&aeYt
ilr I
ACCPL.HSE GAR
N
S
E
Lot Type
A lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set ks
7;*?ff
Lot coverage
-A {/nort.ffpography
Total height #,
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER? NO
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT.X $/SO. FT.
*tr-
VALUE
Main
Garage
Carport
ZgZ /4
4do ,74 ,60
351 z5??CIbb7
/57#
SGbEO
ire)'/b
Total Value
Building Permit Fee
State Su rcharge
Total Fee (A)fl/,e
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 provisions of said ordinances.ffi? 9e6.X
bl>>1";>
Plan Check Fee
Date Paid
Receipt Numbe Q ti9
Received By:t0q
Plans Reviewed By Date
SYSTEMS DEVELoP*r*r,"1, *f
"LW#
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtu res
./,
Residential Bath(s) ./
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
c-Allz .'
FT.
FT.
FT.
Plumbing Permit
State Su rcharge
Total Charge (c)
?,G3
2Z(3
MECHANICAL PERMIT
Furnace fttxr /onf.a&,4P7e-Exhaust Hood
Vent Fan N', , e34 ---t?,
Wood Stove/lnsert/Flreplace Unit 2et6
Dryer Vent
4ru,---
3.e
Mechanical Permit
lssu ance
State Surcharge
Total Permit
w;'-10,
??e
(D)1147/rtu
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 f urther 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 f ront
of the property, and the approved plans will remain
on the site at all ti during c
Yr' Signature
Date 3
-L
ton.
MISCELLANEOUS PERMIJS
Mobile Home
State lssuance
State Surcharge
Sidewark 73 n
curbcut 27 ,,
Demolition
State Surcharge
20?f
3f,
Total Miscellaneous Permits (E)2<30
VALIDATION:
RECEIPT NU
DATE PAID
AMOUNT
RECEIVED
E
ER
\TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
3<n 1/s
AD ITIONAL COMMENTS
-6
q)>Arl*-J*
)B NO.1Vog,<Bz
CITY0FSPRINGFIELDSYSTEMSDEVELOPMENTCHARGEWORKSHEET
(cot{MERCIAL & RESIDENTIAL)
09,NAME OR COMPANY:
LOCATION:bo 9T ll ozz lL-00
- kl F,nt R.DEVELOPMENT TYPE LD
NO. OF PFU'S
(See Reverse)
TRANSPORTATi ON
NO OF UNITS X TRIP RATE X COST PIR TRIP
OT SIZ
IlLL x $0.192 PER SQ. FT
X $39.78 PER PFU
x $401.05
x $401.05
x $401.05
TOTAL-MWMC SDC
a. Ft.BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2. SANITARY SEWER-CITY
3
?o
I x l.oo (,
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .05
5. SANITARY SEWER-MWMO
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE)
L'J-- L
p Burdick
Coordi nator
$
$
SUBT0TAL (ADD ITEMS 1,2, & 3)s HaslL
TOTAL-CITY SDC
$13.62 PER PFU + $10 MrlMC ADMIN. FEE S 4IgC9
x
x
4
3 u
K
b15tL
sDc
x5 q,
TOTAL SDC s'1.+ 9b 1l
s Zot"
Bathtub.......
Drinking Fountain..-.-
Floor Drain..
Interceptors For Grease/Oil/Sol.ids/Etc""""""""'
tnterceptors For Sand/Auto Wash/Etc''""""i"""'
Laund ry Tub/Clotheswasher"" "
Clotheswasher - 3 Or More"""""'
Mobile Home Park Trap (1 Per Trailer)""'-"""""
Receptor For Refrigerator^Vater Station/Ltc""""
nu"ubtor For Comherciai Sint<Toishwasher/Etc"
FlxTU RE UNIT CALCUI-ATIUN
For remodels, calculate only the NEf additio
FIXTURE TYPE
Shower, Single Stall.-..-."""'
Shower, Garig...----....
Sink,. Bar, Commercial.--""""""""
Urinal,
Wash
Water
Water Closeti' Private'
Miscellaneous:
TABLE: Number of New Fixtures X u"* Equivarent = Fixture units (Nc-rE
nal fixtures)
NUMBER OF UNIT FIXTURE
NEW FIXTURES EQUIVALENT UNITS
'tl
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
+
7-
L
---;-L
--4-
l0
?o
------4--
TOTAL FIKTURE UNITS
cREDrr CALCUTATT.N TABLE: Based on assessed varue. rf improvements occurred after annexation date in table,
calculate credits
Z.$b x $,7 4baI
Credit for Parcel or land Only lf Applicable
lmprovement (if after annexation date)
- (RattX Assessed Value)x$
Residential.-
Commercial..--........." ""
lndustrial.....
lRate X Assessed
CREDIT
RUNOFF COEFFICIENTS FOR STORM
Value)
TOTAL
DRAINAGE
=$,lq+9
0.4
0.9
0.45
0.5
Governmental..
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate Per $1,000
Assessed Value
1985
1 986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
o.25
0.87
0.50
0.16
'1979 or before
1980
1981
1982
1983
1984
$2.8s
2.76
2.71
2.60
2.46
2.33
IMPERVIOUSAREA=ToTALLoTSIZExRUNOFFCoEFFICIENT
,
t6-75
CITY OF
5r'--'rN(;FtELO
BI..EETRICAL PERHIT APPI,ICATION
769 Cltv Jo(J.ffi*,,,*,
225 PIPTE S13BBT
SPRINGPIBLD, ORBGON 97477
INSPECIION RBOUBSTT 726-3'
OPFICB: 726-3759
1 LOCATION OP
A;,.lilersEao
JOB
Address
cty Fr {-ra*A Phone 31bYV15
b Nunber qZ
SCIEDUI,B BBLOV
Nev Residentlal-Slngle or
Multi-Famlly per dwelling unlt.
Servlce Included:
Items Cost
885
fJ- gos.oo -Y
e-
R
Permlts are non-transferable and expirelf vork ls not started vlthln 180 daysof lssuance or lf vork ls suspended for
180 days.
2. CONIRACTOR INSTALI,JTTION ONLY
Blectrlcal Contrac r*Mc
$ 15.00
$ 3s.oo
B. Servlces or Feeders (10 Branch Circuits
included). Installation, Alteratlons
or Relocation:
\crr)
15O0 sq.ft. or less
Bach addltlonal 500
sQ. ft or portlon
thereof
Each llanuf ,d Home or
Modular Dvelling
Servlce or Feeder
One Circuit
Two to ten Clrcults
Each Addtrl ten orportion thereof
#s
4,-c L'H
Sum
00
00
ee trBtr affi
Supervlsor License
Explratlon Date
100 amps or less
101 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect Only
200 amps or less $
201 amps to 400 amps
-
$
over 401 to 600 amps
-
$
Over 600 amps or 1000-6T[s s
I
$rs
$60
$go
$130
$300
00
00
00
00
00
00
*
Number
/o 35$I
v
Constr Contr. Number
Explratlon Date
20 c
Slgnature of trlcian
Name h.rrnoro-Y)r-r
Address
ct Eo,e ct? Phone EX,a1) r
OgNBR INSTALI.ATION
The installatlon is belng.made onproperty I own rthlch ls not lntendedfor sale, lease or rent.
Ovners Slgnature:
DATB:
C. Temporary Servlces or FeedersInstallatlon, Alteration or Relocatlon
00
35
40
80
$ 35.00
$ 50.00
$ 1s.00
D. Branch Clrcults
Nev, Alteratlon or Extenslon Per Panel
B Miscellaneous (Servlce/feeder not lncluded)
-Each installation
Pump or irrigation $ 36.00sign/outline Lightlng- $ 36.00
Slgnal Clrcult or
Iimited energy panel_ $ 36.00
SUBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
5
%-E ,4fi-/{
RECBIVBD