HomeMy WebLinkAboutPermit Building 1992-03-11tlr
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TAX LOT:
SUBDIVISION
LOCATION OF PFIO
ASSESSORS MAP;
RESTDENTIA.L
PERM!T ATPLICATION
lnspections: 726'3769
Otfice; 726-3759
LOT:
-
BLOCK
225 Fifth Street
Springfield, Oregon 97 477
JOB NUMBER
PHONE:
ZIPSTATE:
OWNER: ,-
ADDRE
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW REMODEL ADDITION
EXPI RES PHAMEDRESS'cCONTR
MECHANICA
ELECTRICAL
CENERAL:
PLUMBING
t
e B,D
RANGE:WATEN IJEATER
"'ir7'r -
r OF UNITS:
Fl f:AISOURCE:
ZONING CODE:
FLOOD PLAIN
OCCY CFIOUP # OF BDRMS: --..
OUAD AREA:
# OF BLDGS
LAND USE:
coNSrR. r""u, -VIJ
r OF STORIES: - I SECONDARY HEAT:
SOUARE FOOTAGE:
1
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:O0 a.m. will be
macle the same working day, inspections requested after 7:00 a.m. will be rnade the following work day.
Teinporary Electric
REOUIRED INSPECTIONS
l-i Rough Mechanical - Prior to lY1 Firral Plumlring - Wherr all
'-l "orri
E>,plurnbing worlf is complere.
xSite lnspection - To be made
af ter excavalion, but prior to
setting forrns.
Rough Electrical - Prior tt:B Firral Eleclrical - Wlren all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain pennanent
electrical power.
Final Mechanical - When all
rnechanical worl( is complcte.
E Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
x Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
be.trns, grouting.
fltt'-'"g - Prior to cover'
pfwattlCeiling lnsulation - Prior to4 cover.
ELotr*u't - Prior to tapins'
.D(
OtherFoundation - After forms are
erectecl t)ut prior to concrete
placerilen t.
Underground Plumbing - Prior
to f illing trench.
MOBILE HOME INSPECTIONSK
.x
U nderlloor
- Prior to
rffifrulEbrrvrechanical
;nsriraii6' or .ecKr n g.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - Wlren all
blocking is complete.
$.71 Floor lnsulation - Prior toAl oecxino.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected lo
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connectecl to
the service panel.
E Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Af ter
excavation is complete, forrns
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.K Rough Plumbing - Prior to
cover.
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il
I'I-IE PROPOSED WORI< IN THE
I'IISTORICAL DISTRICT, OR ON ,.
TI-I E H ISTORICAL REGISTER? .--
lf ycs, tlris apltlication must bc signed
and approved bY thc Historical
C<)ordinator prior to pernrit issuance.
APPROVE.D:
)Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot -l'ype
-- lnterior
- - . Corner
-_
Panlrandle
-,
Cul'de-sac
P.L.HSE GAR ACC
N
o
Setbac l<s
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is grantccj on thc express corrciition tl'rat the said
construction shall, in all rcsllects, confornl to Ihe Ordinance
adopterJ by tlrt: City o{ Springfield, irrcluding thc
Developtnent Corlc, rr-'gttlating the conslruction ancl use of
builclings, anrj may bc suspended or revol<ecl at any tirne
sftd2--
Plan
sio of id ordinances
By:
PIan Checl< Fee
Date Paid:
Beceipt Number:
Rece
upon violation of :rnY
j"rlc' :,iod&
(A)
#
l,
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
_az-ro-
ITEM
Main
Garagc
Carport
Systerrrs Developrncnt Clrarge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT C
(B)'o f;;}ig) *
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Batlr(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Hotne
PLUMBING PERMIT
FEE
NO
b€r
4,Zs
6b,?5
-AoE4
FT,
FT.
(c)
ot
Plumbing Perrnit
State Surcharge
Total Charge
Wood Stove/lnserti Fireplace Unit
MECHANICAL PERMIT
(D)
N0
Dryer Vcnt
Mechanical Pcrrnit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state anrJ agree, that I have caref ully examined
the completed application ancl do hereby certify that all
inlormation hereon is true and correct, ancl I f urther certi{y
that any and all work ;lerformed shall be done in accordance
with the OrcJinances of tlre City of Springf ield, arrd ttre Laws
of the State of Oregon pertaining to the worl< described
herein, arrcl thal NO OCCUPANCY will be tn;rcle of arry
structure witl'rout trrertnissiott of tl-re Building S:rfcly Division'
I further certily tl'rat ortly contractors and employees who
are in corlpliance with ORS 2O1.055 will bc used on ti-tis
proiect.
I further agree to ensure that all required inspections are
requestec.l ;rt the proper tinrc, ttrat each address is readablc
from the strcet, that the pcrmit card is locatcd at tlre fronl
of the property, and the approved set of plans will remain
x
on the si te at all tirncs cluring const
ignature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stale Surcharge
Siclewalk ---=
(t
Curbcut
----
ft
Demolition
State Surcharge
Total Miscellarreous Permits (E)
ryib L
(:RECEIVED BY
VALIDATION:
RECEIPT NLJMBEB
DArE PAID --3)l-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
#41!
-25e
AMouNr FTECET'ED ffi41-
c
225 FIFTE STREET
SPRINGFTEU), oREGON 974
ct har
epeclflc land
th.,c,Eorrmcal
S1'TIIN(;FIE,LO
PERXIT
0b
APPLICATION
QtpalINSPECTION REQIIBST:
0FFICE: 726-3759
1
IJGAL DESCRIPTIONl1r:Z 244b o*t too
JOB
0 Acl
DESCRIPTION
. COHPLETE PEE SCEEDULE BELOV
tial-Sing1e or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocat ion:
Ci ty Job Number
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconneet Oniy
200 amps or less
201 amps to 400 amps _
Over 401 to 500 amps _
Over 600 amps or 1000 volts
A.,
Permits are non-transferable andr expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRASIOR INSTALI.ATION OM,Y
Electrical Contractor
Address
"qq1
A Dr,,
Citv i-11 a,a-t-<- phone
-1
Supervisor License Ntimber
(tyb -oz
MloS >
Expiration Date
Constr Contr. Number 6'14 3
Expiration Date
of ing Electrician
Ovners Name DA ?*us*--,
5f sr
726-3
OF
s*-
Sum
$ 15.00
$ so.oo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c Temporary Services or Feeders
Installation, Alteration or Relocation
00
00
00
ee rBn aEoG-
s
$
$
s
40.
55
80
Address
Ci ty j Phone
OI]NER INSTATI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DltrEz a .-l\ !lL.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ 35.00 W
Each Additional
Circuit or vith Service
or Feeder Permit I $ 2. OO 2"67)
122-D
E Miscellaneous ( Service/feeder
-Each installat ion
Pump or irrigation S
Sign/0ut1ine Lighting_ S
Limi ted Energy/Res $
Limited Energy/Comm _ S
ST,BTOTAL OP ABOVE
5Z State Surcharge
TOTAL
not included)
40.00
40. o0
20. o0
RECEIPT*,7
RECEMD BY: 1itvv,!--
5 o>
)I
Tho
1b-?67v
J08 N0.?l-o 347
CITY OF SPK-TN{GFIELD SYSTEMS DEVELOPMEt.i'* CHARGE
WORKSHEET ,
(c0t{t'IERcIAL & RESIDENTIAL)
Eo TE&SoNNAI'IE OR CO}IPANY:
LOCATION : / 77O ^/. L(sJ Sr llob 7 5+3 - 6-7too
DEVELSpI4ENT TypE: LDP. - 4ootTtoN
BUILDING SIZE:t-*xb LOT SIZ sQ. Ft.
1
?
STORH ORAINAGE
TMPERVI0US SQ. rT- , /7L X 50-186 PER sQ- FT-
(see Reverse-For Runoff Coefficients If Actual Imperv- Are
SANITARY SEWER-CITY
X 538.55 PER PFU
s 35L
a Is Unknown)
J
4
NO. OF PFU'S
(See Reverse To Oeteraine Total PFU'S)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x - x s388-61
x x s388.6r
ADI.IINISTRATIVE FEES
BASE CHARGE (St BTOTAL nBote) x .os
5. SANITARY SEWER.HWMC
' :"': r=
IEe.TtT acEnenFo oetemi ne r.! g
- B{:: ) . - ^^SUBTOTAL'(ADD ITEI{S 1,2, & 3)'S'"?o5s3 "'-
s
s ,- 28l)-
TOTAL-CiTY SDC s )?n
513.25 PER PFU .+ SIO HI{HC A!I(IN. FEE sNO. OF PFU'S Y
(Use PFU Total From Item 2 Above)
rlt,tMc CREDIT IF APPLICAELE (SEE REVERSE)
Kip Burdick
SDC Coordinator
g4
5
TOTAL.HWHC SDC S+
?
TOTAL SDC S 3?oY
S ZO?E
FTXTURE UNIT CALCULATION TABLET r-vumber of Nerv Eixlures X Unit fquil,slgtrl = Fi{ure Units (I-JOTE
For remodels. calculale only the NET ;-,^'itional fixtures)
NUMBEF OF UNIT FIXTURE
FIXTURE TYPE NEW FItrI.URES EOUIVALENT UNITS
Z
Laundry
CIotheswasher - 3 Or More..--.------
Mobile Home Park Trap (1 Per Trailer).--.-...
R eceptor For RefrigeratorflVater Station/Etc.... - - - -
Receptor For Commercial Sink/Dishruasher/Etc-:
Shower. Single Stall.-.--..-.
Shower. Gang-.-....-...
SinK Bac Commercial
U rinal. StallflVall.-..
Wash Basin/tavatory. Single.--------
Water Ooset Public lnstatlation-
Water Goset, Prtlate.....---
Miscellaneous:
TOTAL FLKruRE UNITS -/
/
cREDtT CALCUI-ATION TABLE: Based on assessed vatUe- lf tmprWenrents occtrrred after annocation date in table'
calcr.date credits
Credit for Parcet or Land Onty lf ApflicaHe X S
-
(Rate X Assessed Value)
tmprwement (if after annention date) X $
-
=
(Rate X Assessed Value)
CREDIT TOTAL
I 2
1
2
3
6
2
6
6
1
J
2
1
2
2
1
6
4
I
+
/Head
= s-
Year -
Amoced
Bate per 51.000
nssbsseO Value
Year
Annodd
Rate perSl.00O
Assessed Value
1985
1986
1987
1988
r(}89
1990
sl.@
1.35
1.15
o-92
059
o23
1979 or before
1980
1981
1982
1983
1984
s266
ZU
2.53
2.47
219
2.04
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential-
Commercial.- --.-.. -......--- -
lndustrbl---.
Governmentat. -.--- -..-. -..--
0.4
0.9
0.45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
I