HomeMy WebLinkAboutPermit Building 1992-07-10SI'}IIHGFIELf)
RESIDENTIAL
PERMTT APPLICATION
lns lrections: 7 :16-3769
Off ice: 726'37t.,9
LOCAIION Ot' PROPOSED WOIIK: --
JOB NUMBER __
225 Fifth Street
Springf ielcl, Oreg<,irr 97477
SUBDlVlSlOfrl; r v-^.. --- - *:a'o
?2e64,
?fr,
"24
ASSEr;soRS rvrep: -- | 7-4'3-Se :-]I-
-
rAX Lor: o ll() 0_
LOT: ., ,_- RL.OCK:
TTHONE:
,,r,-Q-)\ESTATE: *OT-
)+l
owrurn, I hc lAr o. r Htmrs
A D D R ES s : -P,o=,---B-gx---l2r--
X nEMoDEr- -- ADDtrtc)N DEMoLlsll orHER
MEC['rANroA , furl L911]-
l'llOI\tt;EXPIIIES
y\wL,y-
ELECT'RICAL
I
b8b
345"
DESCNIBE WC)RK:
NEW
n t)t)nl:-ss
CONST.
CONI RACTOR /
-Rnte-- --.Lo{"lc-
Llqnys
CONI flAclOll'S NAML:
GENr:F.AL: Thryqs
p.uMLlrNG X fibsrLk
SQUARE FOOTAGE: J Zb-
tr
RANGE:b
illl- OFFICE USE -
OUAI] AREA t AND USE:
WATER l-lEAT[,R:
# OF I]LDCS
OCCY GNOUT'
# OF STORIE:):
-,
SECONDARY }IEAT:
l OF UNITS: ..
FLOOD PLAIN:
ZONING CODE
Y OF BDFIMS: ..CONSTB. TYPE
HEAT SOUFICE:
To request an rnspection, you ,nust call 726-3769. This ls a24 hout recording. All inspections requested before 7:0o a.m. will be
made the sarne working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
N( r"-noriirY Electri<:
k
Site lnspection - To be tnacle
af ter exr:avatiort, t:ut Priot to
setting lorms.
Underslab Plumbing/ Eleclrical /
Meclrarrical - Prior to cover.
Footing - After trenches are
excavalc'd.
Masonry - Steel location, bolld
beants, Urouting.
Underground Plunrbing - Prior
to fillinil trench.
Floor lrrsulation - Prior to
deckin,J
Sanitary Sewer - Prior to fillittg
trenclt.
Storrn Sewer - Prior to filling
tren c h.
Water Line - Prior to filling
tren r: lt.
Rough Mechanical - Prior to
cover.
Rorrgh Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain Permanent
electrlcal power.
Fireplace - Prior to facing
materials and framing lnsP.
Wood Stove - Af ter installation.
lrrsert - After fireplace approval
and lnstallation of unit.
Sidewalk & Driveway - After
avatiorr is conrplete, forms
and sub-base rnaterial in place.
Ferrce - When completcd.
reet Trees - When all required
are planted
Final Plumbing - Wlten all
ptumbing worl( is cornplete.
Final Eleclrical - Wherl all
electrical worl( is cotlr[)lete.
Final Mechanical - When all
mechanical work is cotnplete.
Final Building - When all
required inspections have been
approved and building is
completed.
OtherX t'u-tt.g - Prior to cover'
['Xf wattlCeiling lnsulation - Prior to
J,Gcover.
ffiotr*u'l - Prior to ta,ing'
x
.X
B
ffUnaert'"@Prior to\nstrlation or deckitrg.
-f=,|/Post arrd Beanr - Prior to floor
/Arnsrrlat r(,n or (luckirtg.
w IV Curbcut & Approach - Af ter/:3{orrns are crecte(l but Prior to
placemenl of concretc.
MOBILE HOME INSPECTION,:
Blocking and Set-Up - Whcn all
blocl(ing is complete.
Plumbing Conrreclions - Wltu'tt
Irotlre has been conrlectcd to
water and $ewer.
Eleclrical Cotrnection - When
blocking, set-up, ancl plurnbinil
inqpections have been approved
ancl the horne is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Fx
E3*:.t Plumbins - Prior to
crry: D_Ec^ M __
G
FlTf Fourrdation - After forms are
zlA\erecte(i but prior to concrete
placentt-'n t.
fl
tl
tl
r
E
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
-
lnterior
-
Corner
_.- Panhandle
-
Cul-de'sac
Setbacks
@
W
P.L.HSE GAR ACC
N 6 I
S t2'p
E 32'
S THE PROPOSED WORK IN THE
r-llSTOFllCAL DISTRICT, OR ON
THE HISTORICAL REGISTER? -*.-_-lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit l:;suance'
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecl 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 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'
z/#,ewed By
/qs'bs
Fleceipt Numbe
Date Paid
Fleceived
Plan Check Fee:
BUILDING PERMIT
)4./o7
(A)
,O
/.oo
SO. FT.
3/ 6,?,
VALUE
2Zg.o-
x $/so. FT.
?9 ?o
ITEM
Main
Garage
Carport
Totai Value
Building Permit Fee
State Surcharge
Total Fee
-4,Gb9Jo
<ss?7,30
5,o5
Systems Development Charge is due on all unclcvclt-rpccl
properties within the City limits which are beirrg itrrprovecl'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) {Lsr* tg
ADDITIONAL COMMENTS
ITEM
Fixtu res
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
FT.
6O
(c)/6
N0
FT.
oo
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
olo
n477
3
(D)
4
5o
2oo,J*t- - ,-
,93
ot2
Mechanical Permit
lssuance
State Surcharge
Total Permit
5;oFu rnace
Exhaust Hood
Vent Fan No)
By signature, I state an<1 agree, that I have caref ully examined
the completed application and do hereby ccrtify that all
lnformatlon hereon is true and correcl, and I {tlrtlror ccrti{y
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, arrcl thc ['aws
oftl'rcstateofOrcgonpr:rtainlngtothcwotl<rlr:l;ctil:rc<l
lrerein, arr<J llrat NO OCCUPANCY will bo trt:ttlr) of atry
structure without perrnission of the Building Safety Divisiotr'
I f urther certify that only contractors and ernlrloyees who
are in compliance with ORS 701'O55 will be uscd 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 renrain
on the site at all times during construction'
7- /il-?>gnatu re
Date
MISCELLANEOUS PERMITS
Total Miscellaneous Permits (E)4 /,qo
3s
Mobile Home
State lssuance
State Surcharge
Demolition
State Surcharge
Sidewalk
Curbcut
/V7 tt1,,30.s'
.)
R ECEIPT NUMBEB * "-
VALIDATION
DATE PAID
AMOUNT REC
RECEIVEDTOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
2:{G7,bo
/Lo?o
/b
/o.*
A
Ft roul-?.,,
Jos rio lZp-gt'*
CITY0FSPHNGFIELDSYSTEMSDEVEL0PI'1Er.-CI{ARGE
WORKSHEET'
, (coHt{ERc I AL & RES I DENr iAL)
NAI1E OR COI,IPANY:E
LOCAT iON :9zz t-l o?2 'b U t o oo
+?LDEVELOPMENT TYPE:LDE-ulew
BUILDING SIZE:
1. STORI,I DRAINAGE
IMPERVIoUS SQ. FT-
(See Reverse For Ru
2 SANIT ARY SEIIER -CITY
x 5o.i86 PER sQ- FT- 5 ?LU?Ii Rctual ImPerv- Area Is Unknown)
OT SIZ sQ. Ft.
s Gnb ae
26bo
noff Coefficients
3 TRANSPoRTATIpN
NO OF UNITS X TRIP RATE X COST PER TRIP
x | ,ao q x s388-6i
x s388-61x
)x x $88-61
4
E4sqo
TOTAL-CITY SDC S IUqSL
5. SANITARY SEl.,ER -MI.IMC
NO. OF PFU,S Ih X 513.25 PER PFU .+ S]O Ml.II.tC ATIHIN. FEE
(Use PFU Total From ltem 2 Above)
r'll,,r'lc CREDIT IF APPLiCABLE (SEE REVERSE)S
-Z-9LL
TOTAL-SDC S
Kip Burdick
SDC Coordinator
NO. OF PFU'S IO X 538.55 PER PFU
(See Reverse To Detertoine Total PFU'S)
ADI'IINiSTRATiVE FEIS
'BASE
CHARGE (SUBTOTAL A80VE) X .05
(See Attachment C\- - --To Detemnine
S Z+g,?
b 2 q7-'
TOTAL SDC S lat46e
I s bnoL
s
FIXTURE UNIT C,A.LCULA" JN TABLE: rl"mber olNervFirruresX ii Equivalerrl = FixtureUniis (t'JOiE
Forrernode|s.calculateonlytheNETaddirionalfixrures)
Gotheswasher - 3 Or More""'--"'-
Mobile Home Park Trap (1 Per Trailer)'-----"--"""-'
Receptor For Refrigerator^Vater Station/Erc--"'---
Receptor For Commerciat Sink/Dishwasher/Etc':
Shower. Single Statt------.---'-
FIXTURE TYPE
Bathtub-.-.-.-----.-----------. --
Drinking Fountain-----
fl oor Drain----------------"'-'
tnterceptors For Grease/Oit/Sotids/Etc'-'-'-'-""-"-'
lnterceptors For Sand/Auto Wash/Etc'--'--'--':--'-"'
Laundry
Shower. Gang----------
SinK Bar. Commercial------""""---'
Urinal, Stall/Wall----
Wash Basin/Lavatory. Sin gte'-'---"-
Water Closet Public lnstallation--
Water Gosel' Priuate*--..
Miscetlaneous:-
CREDTT
- calcr.date cred'tts
Credit for Parcel or Land Only li Applicable
lmprorrement (if after annexation date) '
x s-
(Rate X Assessed Value;
CREDIT TOTAL
NUMBEF OF
NEW FI}:I-URES
*
'2-
t-(- X S q 5
(Rate X Assessed Value)
UNIT
EOUIVALENT
L'L3
FIXTURE
UNITS
L2
1
2
J
6
2
6
6
1
2
1/
2
2
1
6
4
'-'----:--
t-
<?-
?-
?-
@e
ta
Head
TOTAL FIXTURE UNTTS
; - J -,-r--^ r, r-^ia6monrc rrrrrrred after annexation date in table'
cALcut-ATloN TAB! tr: Based on assessed vatue- lf.improrements ocatrred after
,
2
=$
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential--
Commercr:l-------------------
lndustrial---.-
G overnm en'tal - - - - -- " - " " - -'
0-4
0-9
0-45
0-5
Year-
Anne<ed
Rate Per 51.O0O
Assbssed ValueYear
Anno<-dd
Rate perSI.OOO
Assessed Value
1985
1986
1987
198B
1989
1990
s1-69
1-35
1-15
o-92
o-59
o.23
1979 or before
1980
1 981
1982
1983
1984
sz66z&
253
2.47
L19
ZM
IMPERVIOUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT
I
5!'rilN(;FtELt
ab
225 FIFTB STRBET
SPRINGFIELD, OREGON 97477
INSPECf,ION REQTBSTz 726-37
OFFICE: 726-3759
69
The fcllow ing prcject
o dces nol
1 OF INST
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}ITRACTOR ON ONLY
f- Electrical Contractor
Addres 1
Ci ty Phone
Supervisor License Number lStoRS
Expiration Date,
Constr Contr. Number
Expiration Date
Signa Supervisi Electrician
Ovners N,
Address
Ci ty Phone
OIINER INSTALI..ATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
ELECf,RICAL PERHIT APPLICATIONqa
FBE SCBEDULB BELOV
Resident
HuI t i-Fami Iy
ingle or
dvelling unit.
Items Cost
$ 1s.00
$ 40.00
00.00
$130.00
$300.00
$ 40.00
00
00
00
i a1-S
per
uded:
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
J- g Bs. oo
d-gD
v
(
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
$
$
s1
0050
60 00
C. Temporary Services or Feeders
Installation, Alteration or Relocati on
{)200 amps or less -L201. amps to 400 amps
Over 401 to 600 amps _
Over 600 amps or 1000 volts
40
55
BO
$
$
$
s
D.Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.00One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t
Miscellaneous (Service/feeder
-Each installation
Ptrmp or irrigation $
Sign/outline Lighting- $
Limited Energy/Res $
Limited Energy/Comm S
SUBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
ee uBt' above
s 2.00
not included)
40.00
40. oo
20. oo
E
OFEGO'U
RECEIVBD B
5 a)
specific
AS
USE
X
_l t,f