HomeMy WebLinkAboutPermit Building 1994-06-24RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOHK:
ASSESSORS MAP 3
LOT:
I
225 Fifth Street
Springfield, Oregan 97 477
TAX LOT:o 1 roo
0
BLOCK:SUBDIVISION
PHONE:
77ZIP:o,STATE:
7q7- 74 (?
2 oo eq//
CITY:
ADDRESS:
NEW- REM.DEL ADDrroN -L
/6 r ?o I fluJ,ro a dJtJ: "^
DEMOLISH OTHER
DESCRIBE WORK:
EXPIRES PHONE
NONE
coco
Ato N€
ilE IQ,o
.r*ty&F/-?f/? *
al
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
ADDRESS
PLUMBING:
G EN ERAL:
NST.
NTRACTOR #
LiA
- OFFICE U
WATER HEATER
ZONING CODE:
FLOOD PLAIN:LAND USE:
* OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:_
RANGE:
OCCY GROUP:
# OF STORIES:
OUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
To request,
made the s
an inspection, you must call 726-3769. This is a24hour recording. All insoections reqqested hefore 7:oo a.m will berame working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
I temporary Electric Rough Mechanical - prior to
cover.l--l Final Plumbing - When ailtJ plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
E 3'*rr: Electricat - prior to W Final Electrical - When alt
electrical work is complete.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanlcal - When all
mechanical work ls complete.
E Footing - After trenches are
excavated.w Final Building - When ail
required inspections have beenapproved and building is
completed.Masonry - Steel location, bond
beams, grouting.
Flreplace - Prior to facing
materials and framing lnsp.
a
a
Framing - Prior to cover.V Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulalion - prior to
cover.
[-l Underground plumbing - priorI I to iiiriig ir"""n Wort*.rl - Prior to taping.
Underlloor Plumbing/ Mechanicat
- Prior to insulation or decking.
MOBILE HOME TNSPECTIONS
Wood Stove - After installation
m Post and Beam - prior to floorinsulation or decking.lnsert - After fireplace approval
and lnstallation of unit.
Tl Blocking and Ser.Up - When ail
-
blocking is complete.
fV Floor lnsulation - prior to.-+ decking.Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - Whenhome has been connected towater and sewer.B
w
Sanitary Sewer - prior to fllling
trench.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materlal In place.
Fence - When completed.
Electrical Conneclion - Whenblocking, set-up, and plumbing
inspections have been approved
and the home is connected tothe servlce panel.f--l Water Line - prior to filtinglJ trench.
Rough Plumbing - prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventing have been installed.
JoBNUMBE" ?y'n5JG
frnnne ,E ^u t,OWNER:
Et4/
r
E
P.L.HSE GAR ACC
N /2/
S dz.>r.
,//'
E q,'v.
Lot taces
Lot sq. ftg.
Lot coverage
Topography
Total height
L:t rype
15.
15 THE PROPOSED WORK IN THE
ISTORICAL DISTRICT,lnterior
Corner
Panhandle
Cul-de-sac
OR ON
STER? N OTHE HISTORICAL REGI
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Ptan Check ,u", 83 53
f,-29-iw
Date
Date Paid:
Receipt Num
Received By:
VALUE
tv> 7,86
-Szto ryEq
(A)81,*
fo
BUILDING PERMIT
SO. FT.
/"r?32_
X $/SQ. FT.
,(6 8a
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)L6,zl
ADDITIONAL COMMENTS
ITEM
Flxtu res
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
No
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanlcal Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, 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 further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set oI plans will remain
Signature
-?-
5
Date
on the site at all es durlng construction.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
R
VALIDATION
RECEIPT NUM
DATE PAID
AMOUNT RECEI
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
Z4::
afi
225 FIFTH STREET
SPRINGPTELD, oREGoN 97477
INSPECTION REOUEST: 726-
OFFICEz 726-3759
1. LOCATI ON OF INSTALLATION
3 t/24'"37
LEGAL DESCRIPTION
hA rA t 7o3.o?/ao Aot Z.f /3tkc
Sec o erd 44a tV t<dL+' eAzo fc
JOB DESCRIPTI ON
r3'EO t4 tAJ-/'
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATTON ONLY
Electrical Contractor
Address
city- Phone
Supervisor License Number
Expiration Dat"
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name TO*rUlt < l<^ YPa ttS
Address 3Oo ,U ?
?t/- ? {6
The installation is being made on
property I ovn vhich is not intend
for sale, Iease or rent.
Signature:
DATE
*ffi1-Lq 4v- _-,
Authorizodsisnature,rlflL coHptETE ffi SCffiDIIIE BELOS
J3€
Nev Residential-Single or
Multi-Family Per dvelling unit.
Service Included:
I terns Cos t
SPFINGFIEL(,
One Circuit /
Each Additional
Circuit or vith Service
or Feeder Permi t 3
ELECTRICAI PERUIT APPLICATTON
city Job Nu b", ?/0ji36
The follcwlng project as subrititted has thezonrng, ai:d does rrqt roquire specific landap1>roval,
A
"-tz-fi tt
Sum
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
$ 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPs _401 amps to 600 amps _
60L amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0n1y
$ s0.00
$ 60.00
s100.00
s130. 00
$300.00
s 40.00
c
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTts see ttStt
"[fr[
ci tv S f ,,a?{ cld, d K Phone
OIJNER INSTALI.ATION
$ 3s.00
$ 2.00
4{
e
E. Miscellaneous (Service/feeder not included)
-Each install-ation
Pump or irrigation
Sign/outline Lighting-
Limited Energy/Res
Limited Energy/Comm
$
$
$
$
40.00
40. 00
20. 00
36.00x
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
aCITY OF SPR OFEGO'V
RECEIVED
aa
J,B N0. 7/os36
CITY OF SPRINGFIELD SYSIEI'IS DEVELOPMENT CHARGE
I.IORKSHEET' (col'il'tERcIAL & RESIDENTIAL)
NAME OR COMPANY:J^ ruo.L(sE
aLOCAT ION:o 5
BUILDING SIZE:OT SiZ F
I. STORM DRAINAGE
IMPERVIoUS SQ. FT.x $0.203 PtR SQ. FT.
2. SANITARY SEI^/ER-CITY
NO. OF PFU'S
(See Reverse)
X $42.08 PER PFU
3 TRANSPORTAT ION
NO OF UNITS X TRIP RA X COST PER TRIP
x x $424.31
x
--
x $424.31
x _ x $424.31
4.
N0.0F PFU'i- - / x $I5.r25 pER pFU + $r0 Mt.lMC ADM FEE(Use PFU Total Frofr Item 2 Above)
t4t,lMc CREDTT rF AppLTCABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FIES
BASE (E) X .0s
ck
sQ. Ft.
$
$
b
3.2
p
Coord i na
TOTAL SDC s 67,2
DTVELOPMENT TYPE: Res: /6,,2o, QDoTva<
32f)
FIXTURE UNIT,CALCU, aTION TABLE: Number or Nerv Fixlur x Unit Equivalent = Fixlure Units (NOTE
For remodels, calculAle only the fwr additiorral fixlures)
NUhIBER OF
NE\! FIXTURES
x$
UNIT
EOUIVAL
FIXTURE
UNITSTFIXTUBE TYPE
Bathtub.......
Drinking Fountain......
Floor Drain.. .-..-....:-..-.....-.-...-.
lnterceptors For Grease/Oil/Solids/Etc.
lnterceptors For Sand/Auto \{ash/Etc.-.
laundry Tub/Ootheswasher....---.....
Clotheswaqher - 3 Or More..
Mobile Hdme Park Trap (1 Per Trailer)
lmprovement (rf after annexation date)
Residential....
Commercial..
Beceptor For RefrigeratorAVater Station/Etc""""
Receptor For Comm erclal S ink/D ishwasher/ Etc"
Credit for Parcd or tand Only If Applicable _---.\ $
-1nate
X Assessed Value)
ead
J
6
2
6
6
1
3
2
1lH
2
2
1
b
.+
Shower, Singte Stall..
Shower, Gan9...........
S!nk, Bar, Commercial
' Urinal, Stall/Wail....
Wash Basin/Lavatory, Single-..-.---..""
Water Closet, Public lnstallation--
Water Closet, Private......---...--..
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCUTATION TABLE: Based on assessed vatue. lf improvements occurred after annexation date in table'
calculate credits
(Rate X Assessed Value)
CREDIT TOTAL
0.4
0.9
0.45
$
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
lndustrial....
Year
Annexed
Rate per $1,0o0
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984'1985
s3.21
3.13
3.08
2.96
2.82
2.68
2.51
19B5
1987
1988
1989
1990
1991
1992
s 2.24
1.93
1.57
1.18
0.79
0.44
0.28
tMpERvlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT