HomeMy WebLinkAboutPermit Building 1997-03-14!SPNI]|lGFIELD
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a
RESTDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
I a
office:
Inspection Line:
Page 1
ilob Number: 97 0292
225 NorEh Fifth Street
Springfield, OR 97477
Location of Propoeed Work: 2050 5TH ST
Assessors Uap #: J.7032624
Lot: Block:
725 -37 59
726 -37 69
Tax Lot #: 03501
Subdivision:
SPruNGFIELD,
Owner: ,rOY PITTS
Address z 2060 5TH ST
Descrj-be Work: M,AIIUF HOME/DEMO RESIDENCE
Phone #: 747-2523
City/state/zip: SPRINGFIELD, OR 97477
NEW
General:
Plumbing:
Electrical:
Contractor
GOODEN HARRISON 0066447
l-441- Hwy 99N Eugene OR 974020000
GOODEN HARRISON 0066447
1441 Hwy 99N Eugene OR 974020000
OI{NER
Corrgt.
Contractor #Expires
os/07/97
05/07/97
Phone
589-7762
689-7762
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- OFFICE USE -.
LAND USE: 1l-50
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: l-
OCCY GROUP: R3
HEAT SOURCE: FE
To request an inspection, call the 24 hour recording ax 725-3769.
A11 inspections requesEed before ?: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 ---
FOOTING - After Erenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
MAI.IUF Ho!,|E/MoBITJE HOME sET uP - when al-I bf ocking is complete.
MAI{UF. HODIE/MOBILE HOME ELECTRICAL - When b}ocking, setup, and
plumbing inspecEions have been approved and home is connected to panel
MA.!TUF. HOME/MOBILE HOME PLITIIBING - AfEer home has been connected to
water and sewer.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, eLc. have been instal-l-ed.
Lot Faces: E INTERIORLot Type:
SetbacksswE
11 40 20
--../
N
House 5
Item
Main
Garage
FTG/PERIM FOI'NDATION
Tota1 Value
Building Permit Fee
Surcharge/admin
--- BUILDING PERMIT ---
Square Feet x $/Sguare Feet Value
50, 000.00
0.00
L0, 000 . oo
50, 000 . 00
80 go
6 .46
TOTAI. FEE (A)87 .26
SPF!NGFIELD
Job Nr:mber: 97 0292
a SPruNGFIEI.O,:a
Page 2
--- SYSTEMS DEVEI.OPITIENT CIIARGE (SDC)
(B)747.66
Systems Development Charge is due on all undeveloped properties within the CiEy
l-imits and the Citys Urban Growth Boundry which are being improved.
-. - PLI'}IBING PERMIT
Fee
15.00
Item
Mobile Home
Plumbing Permit
Surcharge/edmin
TOTAI, CEARGE (c)
r_5.00
1,.20
L6.20
- -- I{ISCELLA.I.IEOUS PERIIITS
Mobile Home
SUate Issuance
Surcharge/edmin
TOTAI. }!I SCEI.I.AI{EOUS PERI{ITS
105.00
20.00
8 .40
(E)133 .40
(Excluding Electrical)
unless other-wise noEed
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, .and E combined),s416
Qtt.zl
--- BUILDING VALITE, PLAII CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in alf respects, conform Eo the Ordinance adopted by the City of
Springfield, inctuding the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked aE any Eime upon violation
of any provisions of said ordinances.
PIan Check Feez 52.33 Date Paid:
Received By: LORNE PLEGER
Plans Reviewed By: LISA HOPPER Date:
Building Site Reviewed By: LISA HOPPER
03/06/e7
03/L4/e7
Receipt Numberz 24783
--- ADDITIONAL COM}IENTS -.-
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By aignaEure, I Etsate and agree, that I have carefully
the completed application and do hereby certify that aI
examined
I information hereon
is true and correct, and I further 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 herein,
and that NO OCCUPAIICY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Eo ensure that all reguired inspections are reguested at. the
proper Eime, Lhat each address is readable from the street, that the permit
card is located at Uhe front of the property, and Ehe approved set of plans
will remain on the site at all times during consEruction.
=3- t4-
Signatsure Date
1t
I
)
SPFTNGFIELD
Job Number: 970292
a SPfrINGFIELD,a
Page 3
--- VA].IDATION --.
Receipt Number:
DaEe Paid:
Amount Received:
Received By:
qg| 7-l
{tlxoatul
U
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
SPruNGFIELI',
Name or Company: JOY PITTS
Location: 2050 5TH ST
Developement T)pe: R Building Size:
Job No.: 970292
Lot Size:Sq Ft
1. STORM DR,AINAGE
Impervious Sq Ft
2. SAI.IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
a432 X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
x Trip Rate x Cost Per Trip
9
$309.31
#402.7s
$o. oo
$o. oo
$o. oo
$o. oo
s7L2.06
$35.50
Transportation Total
4. SATiIITARY SEWER - MI{MC
Number Of PFUs
0
MI^MC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Itsems 1, 2, 3 & 4)
5. ADMINISTR.ATIVE FEES
Base Charge (Subtotal Above) X 0.50
Per PFU + MWMC Admin Fee
20 .690
x
x
TOTAL SDC
Reviewed By: TROY MCALLISTER Date: 03/L4/97
$747.67
SPRIlllGFIELO
SPRI]{GFIELD
,Job Number: 970292
a
Page 2
FIXTURE I'NIT CALCULATION TABLE
SPruNGflEA,
Fixture Type
Number of
New Fixt.ure
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Fl-oor Drain
rnterceptors For crease/oi]/solids/ftc
Intecept,ors For Sand/Auto Wash,/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/eEc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal-, Stall/WaII
Wash Basin,/Lavatory, Single
water Closet, Public Installation
Water Closet, Private
Miscel-Laneous
TOTAL FIXTURE UNITS =
CREDIT CALCTILATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculaEions are by $1000)
Year Annexed: 1969
Credit For Parcel Or Land Only If Applicable: 0 X 3.47 = 0.00
Improvement (if after annexation date): 0 x 3.47 = 0.00
CREDIT TOTAI = S0.00
(If land val-ue is mulUiplied by l- then the parcel-/l-and credit is not accurate.)
2
0
0
0
0
0
0
0
0
)
0
0
0
1
0
4
0
9
z
1
2
3
6
6
1
3
2
z
1
6
4
1
0
0
U
0
0
0
0
0
1
0
0
0
1
0
1
0
C,ITY OF OREGON
SPf\ ,FIELD
tl lt
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-368e
I
D EVE LOP M E NT S ERVI C ES D E PARTM E NT
perfbrmance standards which reduce heat loss to levels
for single family dwellings at the time of construction.
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and the of
the attached permits, one of the following manufactured homes will be
Springfield, Oregon, City Job Number
Type I Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or,/ roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
standards required
initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square fee! that has a
nominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing,
and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance
standards which reduce heat loss to levels equivalent to the performance standards required for single
family dwellings at the time of conskuction.initials
I further state, by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundatiorr
not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
thar24 inches of the enclosing material exposed above grade.
3-ttt-97
equivarN[
Tllormance
I
Date
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PBOPOSED WORK:
SP FlINGFIELT,
JoBNUMaE"%
225 Fif th Street
SprlngfielcJ, Oregon 97 4Zl6o rVo 5*b
ASSESSORS MAP:a- o3 )(-,- ]-r/TAX LOT:b7 ol
LOT:BLOCK
OWNER
ADDRESS:
CITY:
SUBDIVISION
PHONE:1\1-2 s)3
ZIP:Qr 1 1STATE:
DESCRIBE WORK
NEW
-
REMODEL ADDITION DEMOLISH
CONTRACTOB'S NAME ADDRESS
G EN ERAL:
u,\
R-
+(OTHEFI
CONST.
CONTRACTOR ,EXPIRES PHONE
PLUMBING:
MECHANICAL:
ELECTRICAL:
QUAD AREA:
E OF BLDGS:
OCCY GROUP:
r OF STORIES:
To request an lnspecilon, you must call 726_3769.
made the sanre worklng day, lnspections reques
f Temporary Electric
Site lnspection - To be macJc
af ter excavation, but prior tosetting forrns.
Underslab Plumbing/ Electrical /Mechanical - Prior to cover.
Foollng - Af ter trenches are
excavated.
Masonry - Steel locatlon, bonc1beams, grouting.
Foundatlon - After forms are
erected but prlor to concreteplacement.
Underground Plumbing - prior
to fllllng trench.
Underlloor Plumblng / Mechanical
- Prior to insulation or decking.
Post and Beam - prior to floorlnsulatlon or decking.
Floor lnsulation - Prior to
decking.
LAND USE:
'{ OF UNITS: _=.-
CONSTR. TypE: __
- OFFICE USE _
HEAT SOURCE:
-
Rough Mechanical - prior to
cover.
Rough Electrical - prior to
cover.
Electrical Service - Must beapproved to obtairr perrnanent
electrlcal power.
FLOOD I)LAIN:
ZONING CODE:
, OF BDRMS:
--SECONDARY HEAT:
SOUARE- FOOTAGE:
Final Electrical - When allelectrical worl( is complete.
Final Mecharrical - When allmechanical worl( ls cornplete.
Final Building - When allrequired lnspections have beenapproved and building is
completed.
@ o'nu'
Electrical Conneclion - Whenblocking, set-up, and plumbinglnspections have becn approvedand the home is connected tothe service panel.
Final - After all requiredinspections are approved andporches, sklrting, decks, andventlng have been installed.
RANGE:
Thls ls a 24 hour rccording. All inspections requested before 7:00 a.m. wiil beted af ter 7:00 a.m. wlll be made the followlng wort( day.
REQUIRED INSPECTIONS
l-l Final ptumbins - When ail.J plumbing worl< is complete.
Fireplace - Prlor to faclng
materlals and framing lnsp.
Slorm Sewer - Pr'ior to f i,ling
trenc h
Water Line - Prlor ro filling
trench.
Framing - Prlor to cover,
Wall/Celling lnsulation - prlor to
cover
Curbcut & AJ:prroach - Afterforms are erected but prior toplacerncnt of concretc.
Sidewalk & Driveway - Afterexcavation is complete, {ormsand sub.base material in placc.
Fence - When cornpleted.
{;lr€st Troes - When all required
trees are planted.
l_--l Drywalt - prior to taping
MOBILE HOME INSPE TIONS
l-l Wood Stove - After tnstallatlon,
lnsert - Af ter {lreplace approval
and installatlon of unlt.
I--| Blocking and Ser.Up - When ail
-
blocklno is complcte.
Plumbing Connections - Whenhome has been connected towater and sewer.
t4 ;il:fi:'ry Prior to lirrins
Rough Plunrbing - Prior to
cover.
I
((\
WATER HEATER: --
r
E
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Set bac ks
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE
HISTORICAL OISTRICT, OR ON
TIJE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historlcal
Coordinator prior lo permit issuance.
APPROVED
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fce
BUILDING PERMlT
ITEM SO. FI.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt is grantecl on the cxpress condition that the said
construction shall, in all respccts, conform to the Ordinanceadopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use olbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Numbcr:_.,_
Plans FlcviewecJ t3y Date
Date Paid
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within thc City linrits whiclr are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
N0
(c)
FEE
*fu-4'
FT,
FT.
tr_+4,-z
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total charge
44r
ADDITIONAL COMMENTS
By slgnature, I state ancl agree, that I have caref ully examlned
the completed apptication and do hereby certify that alllnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and ail work performed shail be done in accordance
with the Ordinanccs of the City of Springfield, and the Lawsof the State of Oregon pertainlng to thc work describedherein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Buildirlg Safety Division.I further certify that only contractors and employees whoare in cornpliance with ORS 7O1.OS5 will be used on lhisproiect.
I f urther agree to ensure that all required lnspections arerequested at the proper time, that each address is readabre
from lhe street, that the pcrmit card rs located at the frontof the property, and the approved sei of prans wirr remain
Sig nat u re
Date
on the si all times durlng construction
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Slate Surcharge
Sldewalk ._.- ft
Curbcut _ ft
Demolition
Slate Surcharge
Total Miscellaneous pennits (E)
(D)
_:/7
re_%
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnacc
Exhaust Hood
Vent Fan No
TOTAL AMOUNT DUE (exctuding etecrricaq ZAG,(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUMBER 7 q6e v
DATE PAID 2^2/,
AMOUNT BECEIVED
RECEIVED BY