The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-05-06\ SPRIhrGFIELCD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Off ice: 726'3759 LOT:t-7 ?fr, JOB NUMBER 225 Fifth Street Springfield, aregon 97 477 LOCATION OF PROPOSED WOFIK:&l()3 N. oarj ASSESSORS MAP: -='-==- TAX LOT: BLOCK SUBDIVISION hreALo }.tl, HE At{D i C0UETnUETI0!{,INE l?1158 84559 P.rrkway PLEASANT HILLT0R 9?455 rurw A REMoDEL ADDlrtoN DEMoLlsll orHER '|AU- 3Aq8PIJON E: ZIP: SFbDESCRIBE WORK: CITY: OWNER: --. ADDRESS: EXPIRES PHONEADDRESS 725-389802/95HE and 1 Const.,Inc. 04/9 4 5 B 7-18 51.213 sl"Eills Electrlc 588-r_9313307605/93 L2/93 747-7445 -25790 03/94 345-7554 -55921Erooks Excavatlon CONTRACTOR'S NAME CONST. CONTRACTOR # * OF BLDGS: -OCCY GROTJP: - r OF STORIES: - WATER HEATER: 84959 Parkway 71158 Pleasant H111. or 9?455 3170 ti 11th, Eugene , Or. 97 402 50(t creeirfleld Eugene, or 97404 l,larshalls 011 * lns , 4131nErst. Springfield,0r 9?4?8 2766L Crov, Rd Eugene, Or 97402 f ron LBwiE Flumhlnq OUAD ABEA: O GENERAL: --PLUMBING: _.--. MECHANICAL: - ELECTRICAL: - To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Temporary Electric EOUIRED INSPECTIONS Rough Mechanical - Prior to cover_ Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Eleclrical - When all electrical work is complete.COVET Underslab Plumbing / Electrical i Mechanical - Prior to cover.Y Eleclrical Service -- Must be approved to obtairr pcrmanent electrical power. Final Mechanical - When all mechanical work is complete. ting - After trenches are Final Building - When all required inspections have been approved and building is completed. excavated Fireplace - Prior to facing materials and f raming lnsp. Masonry - Steel location, bond beams, grouting. @"^-'"q - Prior to cover' fdloundation - After forms are 4-erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPE TIONS nderf loor Plumbing/ Mechanical Wood Siove - After instailation. - Prior to insulation or decking Posl and Beam - Prior to floor insutation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. loor lnsulalion - Prior to Plumbing Conneclions - When home has been connected to water and serve!'. decki ng Curbcut & Approach - After forms are erected but prior to placement of concrete.flv Yq Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, iorms and sub-base material in place. Waler Line - Prior to filling trench. Fence - When completed Street Trees - \Jiren all required trees are planted" Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. m tl E ,R P Y fr T n Lot faces Lot sq. ftg. Lot coverage Topography Total height lot'lvpe\0' { lnterior -- Corner -- Panhandle - Cul-de-sac Setbacks HStr Gnn ACC N PL. _l i JE PROPOSED WONK IN THE I-IIsTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: WLs' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gi'anted on the express condition that the said constructicn shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of Lruildings, and may be suspendeci or revoked at any time upon violation of any provisions of sai DateansFlcviewed By Plan Check Fee: ----- Date Paid Receipt Number: tnances. Rcceived By I BUILDING PERMIT (A) so. 4l1eE ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Developrncrrt Charge is due on all uncieveloped properties within tl)c City limits which are being improved. SYSTEMS DEVELOPMENT CHAR (B) GE (SDC) I€ # zoot''L ADDITIONAL COMMENTS ITEM Fixtu res Residential Aath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. r t. ZE lrtcP PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge 9',.cDr@w Wood Stove/ lnsert/ Fireplace Uni t Dryer Vent Zrcl (D) Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood No ct)sm By signature, I state and agree, that I have caref ully examined the comp!eted application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances cf the City of Springfield, ar:d the Laws of the State of Oregon pertaining to the work described nerein, arrd that NO OCCUPANCY will be made of any structurc without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 wil! be used on this pro ject. 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 tne pei'mit card is iocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. S ig natu re ,f- 343Date MISCELLANEOUS PERMITS Mobile Home State fssuance State Surchargqa(Sidewalk "-2--- ll 27->Curbcut -i-/ ll Demolition H# Total Miscellaneous Permits (E) St rc TOTAL AMOUNT DUE (excluding eler:tricai (A, B, C, D, ;rncl E Cotnbined\ VALIDATION: RECE,IPT NUMBER - DATE PAID AMOIJNT R Btr_CEIVED BY S E- q> 85 ;-#; FT. 55 I 4mq -. 5t.t ilN(;l: lGLt) % 225 ITII.TII STRI']IiT SPTuNGFIILI), OREGON 97477 INSPP.CTION REQUITST z 726-3769 oiricn' 7?.6-37se ol,JI LEGAL DESCRIPTION rtI Pernrits are non-transferable and expire if vork is not started vlthin 180 days of issttance or if vork ls suspended for 180 days. 2. CO}rIRACIOR INSTALITTION ONLY Iilcctrical Contrac tor B,'//S f/""h,'" A<idr:ess 37O /ie,s /rLlo Ci ty rrtone 3c/.3135 3 Supcrvisor License Ndmber 2 o84C Expiration Date /o- Constr Cont r. Number 2l35l E>:pi ra t ion Da te /-/- 7/ Eleetri cian BLBCTRICAL PSRH IT APPLICATION b Number 3. COHPLBTE PBB SCIIEDULB DBLOU A Nev Residential-Sing1e or HuIti-FamilY Per dwelling unit' Service fncluded:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf 'd llome or Hodtrlar Dvelling Service or Feeder I $ Bs.oo s 40.00 Services or Feeders Installatlon, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amPs/volts - Reconnect OnIY C.Temporary Services or Feeders Insiallatlon, Alteration or Relocat ion,, +L200 amps or less -L $ 201 amps to 400 amps - S over 4b1 to 6oo a*ps - S 0ver 600 amps or 1"000 volts se Branch Circuits 1 3 $ 1s.00 Sum GIC/ )--) 3r B s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 00 00 00 40 55 BO r€ngl "ffi o Ovne rs Narn Arld rcss City Ithonc OVNIiR INS'I'ALLATION The installation is being made on property I ovn whiclr is not interrded for sa1e, lease or rent. Ovners Signature: DATE: RNCEIPT Nev, Alteratlon or Extension Per Panel One Ci rcui t Eaclr Addi t ional Ci rcui t or vi tlr Servi ce or Feeder Permi t $ 3s.00 s 2.00 E. 14iscellaneous (Service/feecler not incltrded) -Each installation Ptrmp or irrigation Sign/Outline Ligh t ing- Limi ted EnergY/Res - Limi ted Energy/Comrn 5. SIBToTAL 0r ABoVE 5I State Surcharge TOTAI, D $40 $40 s20 $36 .o; .00 .00 .00 I(fl lit.l(:r.:IvI:l) IIY I '; i -q3 ( a,ll JOB NO.llo 58+ CITY OF SPRINGFIELD SI!TI-q: DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:E CoNer,f^tc - 7ry ST Nrco t-b f*Bp - Lot t1 LOCATION:'2-lo AI . 7 DEVELOPMENT TYPE:L NEN BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT.2q8 2. SANITARY SEWER.CITY NO. OF PFU'S (See Reverse) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X l,oo5 X $401.05 l0 T SIZ sQ. Ft. x $0.1e2 PER SQ- FT. X $39.78 PER PFU $ $ SUBT0TAL (ADD ITEMS 1,2, & 3)s lbqt9 TOTAL-CITY SDC 6 t$ 3 x x x $401.05 x $401.0s 4 ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .os MhIMC CREDIT IF APPLICABLE (SEE REVERSE) Lr-.1-- Kip Burdick SDC Coordinator 5 SANITARY SEWER-MWMC NO. OF PFU,S /fl x $13.62 PER PFU + $10 MrlMC ADMIN. FEE $2559 (Use PFU Total From Item 2 Above) 755tz -obte 5 A TOTAL SDC I q200t FlxruRE UNtr ALCUI-ATloN TABLE: Number of New Fixtures X Unit '-ruivalent = FiKure Units (NOTE For remodels, calculate only the N-il additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ?2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 Bathtub. Drinking Fountain...-.. Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc..-...--....'. -., I nterceptors For Sand/Auto wash/Etc........---. -..... Laundry Tub/Clotheswasher. Clotheswasher - 3 Or More........... Mobile Home Park Trap (1 Per Trailer)................. Receptor For RefrigeratorAffater Station/Etc....... Receptor For Commercial Sink/Dishwasher/Etc. Shower, Single Shower, Gang.ZSink, Bar, Comm-eicial Urinal, StallflVall.... Wash Basin/Lavatory, Sin91e.......... Water Closet, Public lnstallation...... Water Closeti Private...........7/ Miscellaneous TOTAL FIKTURE UNITS l8 cREDlr CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits rates. Credit for Parcet or Land Only lf Applicable 7 gb X$o,6 4@?t -- (Rate X Assessed Value) lmprovement (if after annexation date)x$ (Rate X Assessed Value) CREDIT TOTAL = $bo Z 2 B Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 iss3 1.984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1 987 1988 1989 1 990 1991 $2.16 1.90 1.60 0.25 0.87'0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercial...-...---......-.. lndustrial..... Governmental. -.-...... - --. -. 0.4 0.9 0.45 0.5 IMPERVIOUSAREA=TOTALLoTSIZEXRUNOFFCOEFFICIENT + L, I