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Home My WebLink AboutPermit Building 1993-03-05SPRINGFTELC) Gq JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Off ice: 726'3759 Zfr, LocA,oN oF PRoPosED woRK: 3J lt $J ? 0 T h d dessessoRs MAP: / 7o3 "c / 3 - TAX LOT:/s SUBDIVISION:BLOCKLOT: ---- To request an inspection, you must call 726-3 made the same working day, inspections req T6g.Thisisa24hourrecording.AllinspectionsrequestedbeforeT:00a'm'willbe uested after 7:00 a.m. will be made the following work day' REOUIRED INSPECTIONS Rcugh Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. F ,x F K B B ,K 8 [I TemporarY Electric ll Site lnspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Fooling - After trenches are excavated. Masonry - Steel location, bond beams, grouting. N Rough Electrical - Prior to cover Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and framing InsP. F\Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. Wood Stove - Af ter installation lnserl - After ftreplace aPProval and installation of unit. Curbcul & APProach - After fornrs are erecteo but Prior to placemcnt of concrete. Sidewalk & DrivewaY -' Atter excavation is contPleie, forms and sub-base m.rterial ,n Place. [-1 fence - Whc'n comPleted Street Trees - Whcn all required irees ai'e PianteO. FVf rinat Electrical - When all .J^ercc1t-ical work is complete' 'EiFinal Mechanical - When all JArne"nanical work is comPlete. B Final Building - When all required insPections have been approved and building is completed. Other Blo'cking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. Eleclrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connccted to the service panel. Final - After all required inspections are apProved and porches, skirting, decks, and venting have been installed. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench.-Xl't'*ull - Prior to tapins MOBILE HOME INSPE TIONS Underl - Prior to Mechanical or decking.n Post and Beam - Prior to floor insulation or decking. Floor lnsulatioir - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Waler Line - Prior to filiing trench. PHONE: ZIP:STATE: 7qV -47b2 3r D D1h 5TttZ CITY: ADDRESS: OWNER DEMOLISH OTHER tAe-d-, tr-DESCRIBE WOFIK: NEW-- REMODEL ADDtloN -21- J/,7, 0 p pLUMBTNG: b ,otld F ha r x -3 U-- ltf lt aI PHONEDR tatl tllr '3a L, D L, ,r)in Rr .\ lx. i '3,-ci0.r),else)ile N, .r r./JtJa Br 0 P,uei- ELECTRICAL: CONTRACTOR'S NAME G EN EBAL: MECHANICAL: EXPIHESCONST. CONTRACTOR ' RANGE t SOURCE: M WATER HEATER: _ OFFICE USE _ g OF BDRMS: OUAD ABEA: # OF UNITS: --.- LAND USE: _ CONSTR. TYPE ZONING CODE:, OF BLDGS: - SECONDABY HEAT: SOUARE FOOTAGE: OCCY GROUP: r OF STORIES: Plumbin B Rough Plumbing - Prior to cover. Zh pRf$t r)FLOOD PLAIN: E tl E rf Lot faces Lot sq. ftg. Lot coverage Topography Total height t ot Type - lnterior - Corner - Panhandle - Oul-de-sac Setback:; ACC J I'HE PROPOSED WORK IN THE I-iISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? --lf yes, this application must be signed and approved by the Historical Coordinator prior to permtt issuance. APPROVEDE HSE GAR N J VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee /2F@ag,ro 4,r1/as4t BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT \ This permit is granted on the express condition tfrrat the said conslruction shall, in all respects, conform to thd'Ordinance arlopted by the City of Springfield, including the Development Cocle, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. 3:5 '2--J Date Ricei pt Nunrber: Date Paid Plan Check Fee:o3 SYSTEMS DEVELOPMENT CHARGE (SDC)#2(B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Ldc ,j 2- / -fo --/I o(\,, FT. No FT. FT. PLUMBING PERMIT FEE 30.e Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS tl*€ /utp__ZD_4E 4^rJa Wood Stove/ lnsert/ Fireplace Unit Dryer Vent ZSq" /oa? 25.75(D) 7rr4c)_, ,7{ Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood No/ By signature, I state and agree, that I have caref ully examrned the completed application and do hereby certify that all information hereon is true and correct, and I f urther certi{y 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 certif y that only contractors and employees who are in compliance with ORS 701.055 witl be used on this proiect. 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 of the property, and the approved set of plans will remain on the site at all times during construction. 2-/7-?Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DLIE (excludrng electrical) (A, B, C, D and E Combined) 5u*g,o VALIDATION: RECEIPI'NUMBER DATE PAID AMOUNT FIECE!VED RECEIVED BY -_-., B .a-o P.t zt22s Recei Reviewed Kisn.,u, " OREGO'UCITY OF SPR 225 P],YTfl STREET SPRTNGFIEID, ORBGON 97477 A iuCpsfirox nroussr z 726-3702(\ ,4OPFICE:726-3759 - \l'/ DESCRIPTION JOB DESCRIPTION permits are non-transferable and expire if work is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI|TRACTOR INSTALI,ATION ONLY EIec trical Contractor Address Citv Phone Supervisor Licen:e Number Expiration Date Constr Contr. Number Exoiration Date Signature of Supervising Electrician u-YOvners Name Address ,3/6 x/.20/v cirv VFt Phone 747 '/zcz OSNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent DATE: SP'lIItlGFIELD BIJCTRICAL PERHIT APPLICATION City Job Nunber 4 .EOil"[gfE-f,EB SCEEDTIIJ BELOS 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 DveIIing Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: grgnaturq 1. LOCATION OP A B c D E. Sum 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect 0niy $ 50.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 Temporary Services or'Feeders Insiallation, Alteration or Relocatiop 200 amps or less 201 amis to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000ETIs $ 40. $ ss. $ 80. see It 00 o0 00 B" a66JE Branch Circuits Nev, Alteration or Extension Per Panel one Circuit L/ $ SS.OO 7E Each Additional Circuit or with Service or Feeder Permit $ 2.00. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utline Lighting- Limited Energy/Res Limited nnergy/Comm -SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL $ $ $ $ 40.00 40.00 20. 00 36.00 RBCBIVBD tures -a -73 5 rrrtollorlno,P:?]iI 41ae*r/_/_pT 6"7 Permit No: ? lozo s zaZAddress: lssued Date OR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: 1.J- I own, reside in, or will reside in the completed structure. 2 I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3.A My general contractor is , Contractor registration num I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3 BJ-l will be my own general contractor. lf I hire subcontractors, ! will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. ! hereby certify that the above information is correct and that I have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 3 ./?- q,l ature o CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 t Date WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT - loB No . 4bozo5 .ITY O, ,Oi-,*GFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:L t^tpn Be*u/ I z-o Tvl 110=7G l3 - 13'zooLOCATION:3tG 3r DEVELOPMENT TYPE:LDZ - *ootttoN BUILDING SIZE: /2f"9 IICUIOCSEAVES LOT SIZ STORM DRAINAGE IMPERVI0US SQ. FT. a. Ft. 1 2 3 v x $0.192 PER SQ. FT. SANITARY SEWER-CITY NO. OF PFU'S 1 X $39.78 PER PFU (See Reverse) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X x $40I.05 x _ x $401.05 x x $40i.05 $ 4 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 5. SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total From Item 2 Above) MhlMC CREDIT IF APPLICABLE (SEE REVERSE) t^&- Kip Burdick SDC Coordinator SUBT0TAL (ADD ITEMS 1,2, & 3)s =*z1L TOTAL-C ITY SDC $ 3(etz $13.62 PER PFU + $10 MI,JMC ADMIN. FEE $ IZ TOTAL-C SDC z'?819 5 17 TOTAL SDC $ bUO* s x FIXTURE UNIT CALCUI.IA'I - JN TABLE: Number of New Fixtures X - .,it Equivalent = Fixture Units (NOTE For remodels, calculate only the Nfl additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 2 1 2 J o 2 6 6 1 3 2 1 2 2 1 6 4 ZBathtub....... Drinking Fountain.... Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc.....-........-.. I nterceptors For Sand/Auto Wash/Etc................-- Laund ry Tub/Clotheswasher........... Clotheswasher - 3 Or More........... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorAVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.- Shower, Single Sta||............. Shower, Gang........... Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin /Lavatory, Single. Water Closet, Public lnstallation. Water Closet, Private.. Miscellaneous: TOTAL FIKTURE UNITS cREDtT CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table calculate credits separates- x $_ ead/H I Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = $- Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 't.60 0.25 0.87 0.50 0.16 I RUNOFF COEFFICIENTS FOR STORM DRAINAGE IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I I