HomeMy WebLinkAboutPermit Building 1994-06-14SPRTNGF!ELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759 2fr,
JoB NUMBE" ?/a62?
225 Flfth Street
Sprlngfleld, Qregon 97 477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
-
BLOCK:
TAX LOX 4>fta7>
SUBDIVISION
PHONE:
ZIP:STATE:*
oWruen;
ADDRESS:
CITY:
REMODEL ,n x-DEMOLISH OTHER
DESCRIBE WOBK:
NEW
-
trt trf-tElll^a l .
EXPIRES PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
CONST.
CONTRACTOR #
RANGE:WATER HEATER:
r OF BDRMS:
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN:QUAD A LAND USE:
, OF BLDGS * OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
Y OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc ll Rough Mechanlca! - Prlor to|..4 cover.
ffi Rough Electrical - Prlor to
-
cover.
a Flnal Plumblng - When all
plumblng work ls complete.
Site lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
l--7 Flnal Electrical - When all6electrlcal work is complete.
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
w Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated,E Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and building ls
completed,Masonry - Steel locatlon, bond
beams, groutlng,
lA Framlng - Prlor to cover.
ffi watttCelllng lnsulatlon - Prlor toa cover.
I DrVwatl - Prlor to taplng.
Foundatlon - After forms are
erected but prlor to concrete
placement,
O.ther
Underground Plumblng - Prlor
to fllllng trench.
MOBILE HOME INSPECTIONSa
w
w
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - Afler lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Electrlcal Connection - When
bloclrlng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
tl Water Llne - Prlor to filling
trench.
Fence - When completed.
Rough Plumblng - Prlor to
cover.
Streel Trees - When all requlred
trees aro planted.
Flnal - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstallecl.w E
MECHANICAL:
QP-
.2ol-
tl
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set
t5/+
i .; THE PROPOSED WORK TN THE -
,lISTOBICAL DISTRI T, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
X $/SO. FT.VALUE
2d/
/6"/."/
G
F-a
f*eO?E
(A)
BUILDIN
ITEM
Main
Garage
Carport
PERMIT
SQ. FT.
'ae/
/e4q
-
Total Value
Building Permit Fee
State Surcharge
Total Fee
2>r*'uo
7. q,/'s>
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
*2 a z-.
Date
5^y'-4 rDate Paid
Beceipt Number:
Heceived By
Plan Check Fee:
SYSTEMS DEVELOPMENT CHA
vsa.G BGE (SDC)rffi Development Charge is due on all undeveloped
s withln the City limits which are being improved.
/Systems
propertle
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
N0
FT.
FT.
FT.
v T
(c)
A€.43
-z-1*./-,
PLUMBING PERMIT
FEE
Plumbing Permlt
State Surcharge
Total Charge
------=€Ji
8/.oo
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
frrq -/--"
?% --/Q--;f,n .'*
(D)a 'ze
v-n
Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood
N0/
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerflfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY wiil be made of any
structure wlthout permission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
prolect.
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
of the property, and the approved set
><\-/ Slgnatu
Date
nson the slte d u rlng
ans will remaln
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
z2g,?/?/
ADATE PAID
AMOUNT RECEIVED
BECEIVED BY
VALIDATION:
BECEIPT NUMBER
PL.HSE GAR ACC
N dt 77
S 2/
&'7.
E a{,'az -
4-
q.*
CITY OF SPR OREGO'V
:i;,1"J'$l'.sgffi,?a""xr$::#r'"'x:approval. LO L77 Zon'ng
225 FIFTH STREET
SPRINGFIELD, OREGON 974
INSPECTION REOIIBST: 72
OFFICE: 726-3759
1 OF
SPFINGFIELO
use
ELE TRICAL PERUIT
City Job Nunber
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 15.00
$ 40.00
7
t
-q4
Authorized sisnarure tr) {y eeHPr,Ete-EB SCHEDIILE BELos
ON
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
2 . COMRACTOR INSTALLATION ONLY
A
C
Sum
Ci ty Phone
Supervi s or cense Number
Expiration Date
Constr Contr. Number
Expiration Date
\
s1 Electrician
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
-]_201 amps to 400 amPS _
401 amps to 600 amps _
60L amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
One Circuit
Each Additional
B
EIec t ri
Address
cal-t rac Inct
$
$
$
s
$
$
60.
100.
130.
300.
40.
$ 3s.00
$ 2.00
00
00
00
00
00
00
00
00
00
00
50.
Signa ture of Su
Temporary Services or Feeders
Install-ation, Alteration or Relocation
200 amps or less $ 40.00
20L amps to 400 amps
-
S 55.00
over 4b1 to 6oo amps
-
$ Bo.oo
0ver 600 amps or fbOO voTts see ''Brr a6otG-
Branch Circuits
Nev, Alteration or Extension Per PanelOvners
Address
Ci ty Phone
OgNER ON
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEI
D
Circuit or vith Servicl
or Feeder Permi t 4t a
E. Miscellaneous (Service/feeder not included)
-Each instal-lation
Pump or irrigation
-
Sign/0ut1ine Lighting-
Limi,ted Energy/Res
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
s40
$40
$20
$36
5
RECETVED
JOB NO.
?/ocz r
CITY OF SPRINGFIELD SYSTEHS DEVELOPMENT CHARGE ....,:
,,0,,,*H?l[t#",8h,,0'., .,.
r,rAl.rE 0R cOt"iPAt{Y :/o,/Y,X dr1/
LOCAT I OI{ :4
DTVELOPI.IENT TYPE:
BUILDING SiZE:
I
TRAi{S PORTAT I ON
NO OF UNiTS X TRIP RATE X COST PER TRIP
5424.3r
$424.31x
x x 5424.31
4. SANITARY SEI{ER-I,lltlI,IC
NO. OF PFU'S
It'iPERVI0US SQ. FT.
?. SANITARY STI{ER-CITY
I{0. OF PFU'S
(See Reverse)
(Use PFU Total From Item 2
5. ADI'IINISTRATIVE FEES
OT SiZE
{x s0.203 PER SQ. FT.
/X 542.08 PER PFU
$I5.I25 PER PFU + $10 HI{MC ADI.I FEE
Above )
TOTAL-Hll'I'4C SDC
SUBToTAL (ADD ITEl,tS 1,2,3 & 4)
BovE) x .0s
a. Ft.
S -tlS,**
lo.75
/?o,
STO RI'I DRA I I,IAG E
3
s
s
Mh'r'rc CREDTT IF AppLTCABLE (SEE REVERSE)/rr r/Pc/q7c€ yrbre
BASE cE (L
.5(-
*ffi-
Coord i na
TOTAL SDC S ffiV5E.N
22
FIXTURE. U N IT,CALC I=I-LATIOtI TAU LL-: r..,, I . r c,r iic,', i:i,:i(r i.: ./. 1t;,;1 1-qs;i.'t:li'ri1 = firl1;:C LInriS (f ' -tl I
For remodels, c;lcullic only llr i] ;rtic!ilio'r''l li'ir:rt':')
FI) TUFE N'PE
Dathlub........
Drinking Fount:in.'..
Floor Drain.. .... . :.. ...
lnlerceplors For Grease/Oil/SolidslE: c..'.'-.....-"'
lnterceplors For Sand/Aul o VirashTEic.. -....'.-..' -...-
[:uMry Tub/Gothesrvasher..."..
Gothes*'aqher - 3 Or 11ore...........
Mobile Hdme Park Trap (1 Per Trailer)'-...."
Receplor For R ef rigpratorfVate r Station/El c. --. -.. -
Fleceptor For Commercial Sink/Dishrt'asher/Etc..
Shower, Single'Stall..
Shower. Gan9...........
S!nk, Bar. Commercial
' Urinat, StallfVall....
Wash Bdsjn/Lavatory. Single.---....-.-...
\Yater GoseL Public lnstallation-.'.'--...
\Vaier Closet, Frh'ate........
l,{iscellaneous:
l,,Lrt,l3[l] c,,
llE\"'Fl,{lUiiES
TOTi.L FIXTUNE Ui{ITS
L,.,r
I.OLriVi't IiiT
.-''...-
- J'_
:l '
1
.l
3
6
.)
'q
6
1
J
2
1/Hezd
2
2
1
6
I:lr.TLriE
LlrrilJ
z
z.
/
cREDIT CALCUTATION TA,BLE: Eased on assessed value. lf improvements occurred affer annexation date in iable,
cajculate credits separates.
Credit for Parcd or LaM Only lf Applicable r X S
-
=
(Rate X Assessed Value)
tmprovement (rf after annexation date) X S -.--- =
(Rate X Assessed Value)
CREDIT TOTAL =$
Year
Annexed
Eate per 51,0C?
AssesseC Value
Year
Annexed
Rate per S1,000
Assessed Value
1979 or before
1930
1981
1*2
1983
1984
'1985
s3.21
J. 1.,
3.03
2.93
2.82
2.63
2.51
1995
1937
1gffi
19S9
10.y1
1991
1992
s 2.24
1.93
1.57
1.1 B
0.79
0.44
o.2B
RUNOFF COEFFTCIENTS FOR STORM DBAINA.GE
Residenrial. .........'-."' O'4
Commercia|...............-'-. ..-...-.-...... 0'9
lndustrial............. 0.15
II\4PERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIEI'IT
Governmental..............-...