HomeMy WebLinkAboutPermit Building 1994-05-03RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PBOPOSED K:
ASS
LOT:
RS MAP:
JOB NUMBER
225 Fifth Street
Springf ield, Oregon 97 477
"rffLa-f
BLOCK:
TAX LOT:
SUBDIVISION
01PHONE:
(p ZIP:
(.
cl.,
0 STATE:
OWNER:
ADDRESS:
CITY:
FIEMODEL ADDITION DEMOLISH OTHERJ-<.tr- Ze<il ?u\( (-DESCRIBE WORK:
NEW
,S NAME EXPI RES PHONE
l8zl.-.
4
Z {D
1
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MECHANICAL:
ELECTRICAL:
ADDRESS
PLU M BING:
GENERAL:
CONT
CONST.
CONTRACTOR #
it\\
€-,
_ OFFICE USE -
RANGE:
* OF UNITS:
LAND USE:
WATER HEATER
* OF BDRMS:
SECONDARY HEAT
SQUARE FOOTAG
ZONING CODE:
FLOOD PLAIN
CONSTB. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
s OF BLDGST
To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. All lnspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day.
RESUIRED INSPECTIONS
lVfooting - After trencnes areF{ excavated.
[-l Temporary Electric
Site lnspection - To be made
after excavation, but prior to
settlng forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Masonry - Steel locatlon, bond
beams, grouting.
Underground Plumbing - Prior
to filling trench.
rei?|1
f7 Rouoh Mechanlcal - Prior to
,Acove-r. ?&D Clf . f..4
f,7 Rough Electrical - Prior toj4cover.
K
Vffinat Plumbing - When ail
,Jdplumbing work is complete.
F
X
Final Electrlcal - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Electrical Servlce * Must be
approved to obtain permanent
electrlcal power.
Fireplace - Prlor to faclng
materlals and framlng lnsp.
Wood Stove - After installation
tnsert - After flreplace approval
and lnstallation of unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materlal in place.
Street Trees - When all required
trees are planted.
ffi Final Building - When all
Rrequired inspections have been
' approved and building is
completed.
?Vf Poundation - After forms areJAerected but prior to concrete
placement.
Vf Framing - Prior to cover.
EZ wallrCelllng lnsulatlon - Prior to,fti cover.
['o*"ll - Prlor to taplng'
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
a
rto or ec ng.
Post and Beam - Prior to floor
lnsulation or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prlor to filling
,trench.
Kx
K
,K
.ry.
[V[ Rough Plumbing - Prior to
f cover.
mbin
,sf\\L
[---l other
E
tl
l-l fence - When completed.tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total
\0
4!Jo
d55
Lot Type
-X.orn., ?
ornter
i.. ro THE PROPOSED WORK lN THE
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
-
Panhandle
-
Cul-de-sac
PL.HSE GAR ACC
-aDN
S /bk
/5
5 5E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted 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 Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordlnances.
Reviewed By
R
7fuit
Receipt Numbe
Date Paid:
Plan Check Fee:9-f
BUILDING PERMIT.'
3
(A)
tr )
x $/so. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
"//-/5'y'{Pao
z,/sB-tlr-f :-:_
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHA
t/-'o ,a - ,,,
RGE (SDC) .#M
ADDITIONAL COMMENTS
?
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
/?: r'
q,63
abz(>(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
<op
^ -."-
z r 7b-)Lat(D)
3,6D
1,28
Vent Fan 3-o o
oa
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Nol
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformation hereon ls true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, 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 ln 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 permit card ls located at the front
of the property, and the approved set of plans will remain
3Date
ffin,,,,u
on the slte during
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ll
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
? 10</t<a/'' ^ ^
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
2t 2/
/2<?b
-7
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
ITEM
Main
Garage
Carport,
,N n0 [1
//ffi z
3
-ZTo
CITY OF SPF Oaeeott
SPtttiIGF'ELO
The lollowing projeC as submltted hao the
zoning, and does not require spe*itic l;..i
EIACTRI CAL PEBHIT APPLICATION
L R City Job Nr*U", ?/2lEf726-3769 S- rc_qq
lt'Ie6,IjfflPLBTB PEB SCEEDUIa BELov
A. New Res ldential-Single or
MuIt i per dv-Iling unit.-FamilY
ce IncIServi uded:
l(i u$e
approval
225 VTYTE STRBBf,
SPRTNGFIEI,D, ORBGON
INSPECTION RBOTIBST:
97477
Orrrcs, 726-3759
1 OP
Autliorized $
Address
ci Phone
Supervisor Llcense Number
Expi ration Date
Constr Contr , Nunbet 1k22ft
Expiration Date
of
Owners Na,me
Address
Cl tY Phone
1000 sq.ft. or less
nach additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dwe1ling
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
$ Bs.oo
$ 1s.00
$ 40.00
see
.00 _G.00
.00uBn a5ffi
Sum
permits are non-transferabl: "ll expire
ii-;;;k ls not started vithin 180 daYs
;; i;:ili"'-ii ii vort ls susPended for
180 daYs.
2. CONItsACTOR INSTALI,ATION ONLY B'
*ffiKfuto,frarlklrT{:
c Temoorary Services or Feeders -ili;ii;iion, Alteration or Relocation
200 amPs or less
201 amPs to 400 amps
-
401 amps to 600 amPs
-
601 amPs to 1000 amPs-
over 1b00 amPs/vo1ts
-
Reconnect OnIY
200 amps or less 3
201 amPs to 400 amPs
-
Over 401 to 600 amPs
Over 600 amps or 1000 volts
Branch Circuits
One Circult
Each Additional' Circuit or vith Service
or Feeder Permit
--Each lnstallation
Pump or irrigation
sigir/outllnb t ightlng-
Limited EnergY/Res
-
Llmited EnergY/Comm
$ so.oo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
s40
$ss
$80
f
D
B
Nev, Alteration or Extension Per Panel
$ 3s.00
$ 2.00
olltER TNSTALIATION
The. lnstallatloir ls beilig made.on
oror"ttv I own vhich is not intended
tor'sall, lease or rent'
Miscellaneous (Service/feeder not included)
Slgnature:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
are,
€
DATE:I
.RBCBIVBD
5 SIIBTOTAL OF ABOVE
5Z'State Surcharge
/,P
IAGAL DESCRTPIION;-;-.
=t, aaa*
TOIAL
5r-.
YOF OREGON
SPR'NGF'ELO
rITTB STRBBf,
INGFIEI,D OREGON
iPEC'TION REOTIBST:
FICB: '726-3759
LOCATION OF INSTe.
IJGAL DESCRIPTION
Autl'roritcd
66
A.
AcouprxtB FEE ScEBDULB BBLov
1000 sq.ft. or less
Bach additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Hodular Dwel}ing
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Nev Residential-Single or
MuIti-FamiIY Per dwelling unit'
Service Included:Items Cost
APPLICATION
$ 2.00
Sum
a
_=
7
$ Bs.oo a,
$ 1s.oo -5
$ 40.00
Permits are non-transferable and expire
ii-"ott is not started vithin 180 days
;i i;;ili" ot lf vork ls susPended for
180 daYs.
2. COITIBACTOR INSTALI,,ATION ONLY
Electrical contrac r.orJ& ELWU-| L
Address
Phone
g1 - 511o
200 amps or less,oi ffi; to 4oo amps
-401 amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amPs/volts
-
Reconnect 0nIY
B.
D
E
00
00
00
00
00
00
$ s0.
$ 60.
$100.
$130.
$300.
Ci tY Euh
Supervisor License Number LS
Expiration Date t0- \ -q5
Constr Contr. Number
Expiration oar." 6 - ZZ - 44
s of
Address
City- Phone.
OSNER INSTALI,ATION
TemDorary Services or Feeders
in"'tuff"iion, Alteration or Relocation
200 amps or less $ 19'99,0i ;*bt to 400 amPs
-
t l:'99or"r +br to 600 amPs T $ 8o'oo
0ver 600 amps or rbOOETts see rrBrr aEEIE-
Branch Circuits
Nev, Alteration or Extension Per Pane}
40$
i
The installatioh is beirig made on
pioputtv I ovn vhich is not intended
for sale, lease or rent'
Omers Signature:
One Circuit
n""n-eaai t ional
Circuit or vith Service
or Feeder Permi t
-
s 3s.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sien/0utIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
S
$
$
$
40.
40.
00
00
00
00
e
20
36
5. SUBTOTAL OP ABOVBtr t;S.iLSurcharge t) ?oDATE:
RECEIVED o .fo
Blectrician
Nry" Fats /f+<a-ffi^
c.
A R C H IT E C T UR E
A PROFESSIONAL CORPORAT!ON
l6m EXECUTIVE PAR(WAY. SUrrE 3@
EUGENE, OREGON 974CI
7lol3s-""
?ERC}LATToN TEST ror. b<nruELL DESIGN
Tercolation rate:
M aximum r ainf all inteneity:
Roof areaz
YoidlVolume:
NORTH 5
'TR9TKINGFI
15 AUGUST 1994
AveragelO.5 minuteelinch of drop *
1.O inchlhour (1OO year)
1316 eoyft
z,z.
EEl
.97477
1316 sa ftx1inlhr
-
12inlft
if 113 voide, volume
if drop obebTyed
and rainfall
11O cu falhour rainfall
33O cu ft
5.71inlhr
1,O inlhr
33O cf x1,O inlhr = 5b cu ft
5,71inlhr
Q4
tD c
.'i.\. -.";
OF
OREGON
Yolume required
* Assumed
At eite, Vrovide (1) dryuell4' x b' x3' deeV for total volume of 96 cu fL > 5B cu fl required.
TyVical at dryv,rell provide 1 1/2" round rock wilh cloih fabric over prior to dirl, backfil| Locate
dryvtell at northweet corner of lol, within seiback requiremento.
Finish Grade
12" minimum
Coveraqe of 1oil
Over Fabric Matting
Dryuell with1l
3'-O"
.i
1
:..
Round Rock
.,,
,
Willamalane
Park & Recreation District
fob No.
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
PHONE:NAM
ADDRESS:
LOCATION OF PROPOSED
Strea Address if Known:
srnruff zre
B
PIatt Name:Tax Lot Number:
DEVETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling typeffit<.t
A. Single Family - Detached
-L
Single Family home Manufactured home not in a Park cr)
NO OF UNITS
B- Sinsle Familv - Attached
NO OF UNITS
C- uulti-Familv Aoartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
X $400 PER UNIT =
X $370 PER UNIT =
X $277 PER UNIT =
X $280 PER UNIT =
t $
$
$
$
CO
WPRD SDC $
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
ippioual. See SDC'Credit workshbet. $
3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credit) $
)
Community Services
City of Springfield
sron Date
C
0(
)
1.