HomeMy WebLinkAboutPermit Building 1999-05-18OF SPHNGFIEID,
SP}iITTIGFIELD
RESIDENTIAI, PERMIT APPI.ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 990530
225 North Fifth Street
Springf ield, OR 9'7 477
Location of Proposed workz 24L4 15TH ST
Assessors tvtap #: ]-7032233
Lot: Block:
Office:
Inspection Line:
726 -3'7 59
725 -3'7 69
Tax Lot #: 00400
Subdivision:
OWNET: .fERRY BENTIEN
Address.. 2414 15TH ST
Describe work: SHoP/SToRAGE BLDG
phone #:
clty/srare/zip: SPLFD OR,
NEW
General:
ContracEor
RON NEUHARTH 00'72569
po Box 193 HAMMOND OR 971210000
Const.
ConEractor #Expires
oe/24/oo
Phone
738-7626
QUAD AREA: 5RNW
CONSTR. TYPE : \IN
OFFICE USE --
LAND USE: 1111
SQ FOOTAGE: 1080
OCCY GROUP: U
To requests an inspection, call the 24 hovr recording at 726-3759
A11 inspections requested before 7:00 a.m. wil-l be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
FOOTING - After trenches are excavated.
FOITNDATfON - After forms are erected but prior
ROUGH ETECTRICAL _ Prior To cover.
SHEAR WALL NAILING - Before covering sheathing
FRLMING - Prior Lo cover.
CURBCUT - After forms are erected but prior to
FINAL ELECTRICAL - When all- electrical work is
FINAL BUILDING - When all required inspections
the building is complete.
to concrete placement
with finish materials
placement of concrete.
complete.
have been approved and
LoL Faces: E
Accessory
Total Height: 15
W E
Setbacks
TT
5
e
ftem
Main
Garage
sHoP/SToRAGE
Total Value
Building Permit. Fee
Surcharge/Admin
BUILDING PERMIT
Square Feet x
1080
$/Square Feet
18.34
Val-ue
0.00
0.00
19, 807 . 00
19, 807 . 00
140.50
LL.25
TOTAI, FEE (A)151.75
SPRINGFIELD
ilob Number: 990530
OF SPilNGFIEIT',
Page 2
--- MISCELLANEOUS PERMITS ---
Surcharge/edmin
Curb Cut
CITY SDC
TOTAL MISCELLAI{EOUS PERMITS (E)3L7.42
(Excluding Electrical)
unless otherwise noted
--- TOTAT A}TOI'NT DUE ---
(A, B, C, D, and E combined)469.L7
--- BUII,DTNG VALUE, PLA.I{ CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construct.ion
shall, in af1 respecLs, 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 viol-ation
of any provisions of said ordinances.
PIan Check Fee: 91.33 Date Paid:
Received By:
Plans Reviewed By: AL WARD Date:
Building Site Reviewed By: BOB BARNHART
04/20/ee
os/L7 /se
Receipt Number: 033575
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that al-l- information hereon
is true and correct, and I further certify that any and all work performed
shal1 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 OCCUPANCY will be made of any structure without. permission of the
Community Servi,ces Division, Building Safety. I further certify that only
contractors and employees who are in compliance wj-th ORS 701.055 will- be
used on this project.
I further 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 of the property, and the approved set of plans
wifl in on the site at all times during construction
c S-tf, -?7
ture Date
0.00
50.00
257.42
SPRINGFIELD
,Job Number: 990530
CITY OF SPilNGFIEIT',
Page 3
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By:
Q)?c77
5 ff
/
a -CITY OF OFEGO'Uc Ir
#ilqffpffmnwrtr#y
225 FIFTB STREEf,
SPRINGFIELD' OREGOH 9747Drta
ffii3rrryrfSyf|r' 726*rn8fl,.0
1. LOCATION OF INST
Z
Zonlng <l>r"ELECTRICAL PBRHTT APPLICATION-q
Job Nu.uber ?30
Signature
3. CONIFffiETBE SCffiDtII.E BELOS
5F D €t'z*c a
JOB DESCRTPTION +€Gt/€
Pernits are non-transferable and expire
lf vork is not started vithin 180.days
of issuance or if vork is suspended for
180 days.
2. COMNECTOR INSTAIJ,ATION ONLT
Erectricar contracto' 5 tkJd5 (qqA'
Address Z iO N Acc-rs 4C
eu66ile Phone 66v(rb'z-
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Bome. or
Hodular.'Dve1ling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
.8. Services or Feeders
Installation, AIt
or Relocation
A.
t10 vLr+rl',"^
dt
00
00
.00
$ 40.00
Sum
50
GD
Olub()00
20
Ct ty
Supervisor License Number So ,f /_-8
Expiration Date i6*/- ol
Constr Contr. Number 1 3-7 b 7-'
Expiration Date G-A-ot
Signature of Electrician
c.T ry Services or Feeders
Ins tallat ion,Alteration or Reloca ti on
s to 400 amPs
$
$
40.00200 amp s"or less
20L
0ve 1 to 600 sanpr40
0ver 600 amps or
D. Branch Circuits g\uo
Nev,
0rie
a,6?
aEffi
SUBTOTAL OF ABOVE
"lfuState Surcharge
32 Administrative Fee
TOTAI
$ 3s.00
s\\\t
Each
Clrcu or vith Service
or Feeder Permit fz $ 2.OO z-</
E. Miscellaneous (Service/feeder not included)The lnstallation ls belng made on
property I ovn vhibh is not intended
for sale, lease or rent.
0mers Signature:
0imers Name
Address 2
ct
OVNER
DATE:
Phone
$40
$40
$20
s36
/35
-Each installation
Pump or irrigation
Sign/out I ine-Light ing-
Limited EnergY/Res
Limited nnerfY/comm
00
00
00
00
RECEIVED B
o
200
JOUR"'I. OR JOB NO ftds)
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY B*u-/rar*-
LOCATION )+t+ /th s-t
I]EVELOPMENT TYPE
BUILDING SIZE
1. STORM DRAINAGE
IMPERViOUS SQ
OT SI
X $0.227 PER SQ. FT s 2{5,/5
X $47. i4 PER PFU
tJ
$
(
Ft
)61 3c)Fr. t o3O
2. SANITARY SEWER-CITY *r/l 2% {
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTAT]ON
4. SANITARY SEI^JER-MhJMC
A. REiMBURSEMENT COST:
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
/)os L
SDC Coor"di nator
ATTACH'A I^JPD
NO OF UNITS X TRIP RATE X COST PER TRIP
x $475.32
x $475.32
X
X
NO. OF FEU'S X PER FEU
B IMPROVEI'1ENT COST
NO. OF FEU'S X PER FEU
Mi,lMC CREDIT IF APPLICABLE (SEE REVERSE)
l',1t^Jl'4c ADMINISTRATIVE FEE
$
s 12 at
<$
$ '{ffO-
TOTAL-l'4t^IMC SDC $
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ U45, /b
Date 2q q
TOTAL SDC 5 251, I Z
$ -s
FlxruRE uNlr cAlcut^qrloN TABLE: Number or New Fi :s X Unit Equivarent = Fixture Units(NorE: For remodels, calcurate or .he NET additionar fixtures) sYu'vo'srrt :
FIXTURE TYPE
Bathtub.
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More
Mobile Home Park Trap (1 Per Trailer)
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall...
Shower, Gan9...........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, StallMall...
Wash Basin lLavatory, Single...
Toilet, Public lnstallation.
Toilet, Private......
Miscellaneous:
CREDIT CALCULATION TABLE Based on assessed value. lf
calculate credits se arates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
TOTAL FIXTURE UNITS
rmprovements occurred after annexation date in table,
X$
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
2
1
2
3
b
2
6
6
1
3
2
1
2
2
1
6
4
-
lHead
Year
Annexed
Rate per S1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 B
2.82
2.42
1 989
1 990
1 991
1 992
'1993
1 994
1 995
1 996
1 997
s1.98
1.55
1.15
0.96
0.83
0.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential.........0.4
Commerica|......................... O.glndustrial... O 5
Governmental...................... O.s
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
_A
RESID ENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
LOT:
IELr,
BLOCK:
JoB NUMBEa9f2S-?__
225 Flfth Stroet
Sprlngtleld, Oregon 97 477
TAX LO'I:
SUBDIVISION: -
PHONE:
STATE:ZlPi,42
OWNERT
ADDRESS:
CITY:
NEW x REMODEL ADD|T|ON DEMOLTSH OTHER
DESCRIBE WORK:
NAME A 2/EXPIBES .f PHONE
MECHANICAL:
ELECTRICAL:
coN
GENEBAL:
PLUM
CONST.
CONTRACTOR #
r OF BDBMS:
- OFFICE USE -
WATEB HEATER:
ZONING CODE:
FLOOD })LAIN
* OF UNITS:
RANGE:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SQUARE. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
To roquest an lnspoctlon, you must call 726-3769, Thls ls a 24 hour rccordlng, All lnspectlons roquostod beloro 7:00 n,m, wlll bo
made the sante worklng day, lnspectlons requested after 7:00 a.m. wlll be macje the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When altplumblng worl< ls complete.
Slle Snspecllon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prlor to Flnal Electrlcal - When all
electrical work is complete.cover,
Underslab Plumblngl Eleclrical /
Mechanlcal - Prlor to cover.E Electrical l$ust be Final Mechanlcal - When all
mechanical work ls complete.permanent
ol
Foollng - After trenches are
excavat€d.
- Prlor to faclng
and framlng lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.*xr3%Ywwryln
rounartrcfrtllr(er rorm s are
erected bfll prlor to concrete
placemont.
Framlng - Prior to cover.
l7l otner
E WalllCelllng lnsulollon - Prlor to
cover.
Underground Plu
to fllllng trench.Fblng - Prior Drywall - Prlor to taplng.
l--l Underlloor PlumQlng/ Mechanlcal
Prior to lnsulallon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decpng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & Agrproaclr - After
forms are erected but prlor to
placomont of concroto.
Plumbing Connectlons - When
homo l'ras been connected to
water and sewen
Sanltary Sswor - Prlor to fllllng
trench.Eleclrlcal Connection - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home ls cgnnected to
the servlce panel.
Stonn Sewor - Prlor to ,llllng
trench,
Waler Llne - Prlor to filling
trench.
Sidewalk & Drlvew;rv - After
excavatlon ls comploto, folms
and sub-base materlal ln place.
J-l Fence - When coinpleted.
Flnal - After all required
lnspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
l-l Rough Plumblns - Prlor to fl 9tr"", Treec - When ail requtredu cover. U treeS are planted.
o22/*6
?2/27
LAND USE:
E
E tl
il
tl
E
rl
I
Lot faces
Lot cq. lt6,
Lot coverage
Topography
Total helght
Lot Tlr
-
lnterlor
-
Corner
.-- Panhandle !
-
Cul-de-sac
IS THE PROPObEO WORK TN THE .
I'il8T9FtoAL DtBTRtgr, 0R 0N
THE HISTOFIICAL REGISTEFI?
-
l( yes, thls appllcatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
NL,HBE AOCGAN
N
S
E
2/. B.iy " tfiu'za
zwrwfrZ#
VALUE
(A)72. yo
SO. FT.
Wa-*
Qez-b
Total Value
Building Permit Fee
State Surcharge
Total Fee
'i ,t
X $/SQ. FT.
BUILDING penntlr t
ITEM
Main
Garage
Carport
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Sprin!field, 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.
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Received By:
BUILDING MIUE
AND BUILDING P
, i5rRn cHEcK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) f 2a
Systems Development Charge is due on all undeveloped
properties wlthln the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharoe
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and enrployees who
are ln compliance with OBS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
perty, and the approved set of plans will
{- a-G -?7
ng
n
Date
eat
of the pro
on the sltr
Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Perrnils (E)
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, Q and E Comblned)
8q.go'
VAI-IDATION:
BECEIPT NUMBER
DATE PAID '.9?
AMOUNT RECEIVED
BECEIVED BY
,6a
Receipt Number:-
JouRr' oR JoB No. flAs)
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:*u-/ re.r*-
LOCATION )+t ( r9h .s+
DEVELOPMENT TYPE:
BUILDING SIZE:LOT SIZ
1. STORM DRAINAGE
)61 3d
IMPERVIOUS SQ. FT /o80
2. SANITARY SEI^JER-CITY nll ??o {
NO. OF PFU'S
a. Ft
X $0.227 PER SQ. FT s 2{5,/5
*+.18
X $47. 14 PER PFU $ ---
a
4. SANITARY SEWER-MI^JMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X
B. IMPROVEi'IENT COST:
NO. OF FEU'S X
SDC Coord'inator
(See Reverse Side)
TRANSPORTAT]ON
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $475.32 $
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^ll'{C ADMINISTRATIVE FEE
<$
$ -tffiS-
TOTAL-Mt^lMC SDC s-
SUBTOTAL (ADD ITEMS 1,2,3 & 4)s H-ff# ffi,b*
$
$
LtHA ft ,qt-----m 2'V*
TorAL spc t Z#'ZBt+'Gz
DtPo*t* f-/'7e
PER FEU $
PER FEU
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
/Yts u Date:2q
ATTACH'A t^rPD ?O *Ze7 ,X V//7 f
"{)
x _ x $475.32
FlxruRE uNlr cAlcuLATloN TABLE: Number or New F rres X Unit Equivalent : Fi:,r..ure U:tits
I
Bathtub.....
Drinking Fountain............
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More..............;......
Mobile Home Park Trap (1 per Trailerl......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta||..........
Shower, Gang.
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Vva||.......
Wash Basin lLavatory, Single........
Toilet, Public lnstallation.
Toilet , Private
Miscellaneous:
CREDIT CALCULATION TABLE : Based on assessed value
calculate credits
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
Commerical...
lndustrial.......
Governmental.
(NOTE: For remodels, calculate
FIXTUNE TYPE
the NET additional fixtures)
NUMBER OF
NEW F]XTUHES
TOTAL FIXTURE UNITS
lf improvements occurred after
UNIT
EOUIVALENT
FIXTURE
UNITS
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
/Head
(Rate X Assessed Value)x$
xs :
annexation date in table,
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Ontyl
Residential ......0.4
..... 0.9
o5
....... o.5
s
Year
Annexed
Rate per $ 1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1B
2.82
2.42
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.83
o.67
0.52
o.38
o.21
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtcrENT