HomeMy WebLinkAboutPermit Building 1994-11-10r'
SPFlINGFIELO
RESID ENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
LOCATION OF D
MAP:\
%lp&JOB NUMBER
225 Fllth Street
Sprlngfleld, Oregon 97477
TAX LOT
BLOCK:SUBDIVISI
LOWN
CITY:
ADD
STATE:
HONE:
ztP
OTHEBHDITION D
DESCRIBE WORK:
NEW y- BEM9DEL
NAM ADORESS EXPIRES NERrcoN
GENERA
PLUMBING:
MECHANI
E
tbqa
V
\
?
\\
SE-_ OFFICE
WATER HEATER:
FLOOD PLAIN:
ZONING CODE:
r OF BDRMS:
LAND USE:
r OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
BANGE:
SECONDARY HEAT:
SQUABE FOOTAGE:
OCCY GROUP:
I OF STORIES:
QUAD AREA:
r OF BLDGS:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecilons requested belore 7;00 a.m. wlil bemade the same worklng day, lnspectlons roqu€sted after 7:0p a.m. wlll bo made the followlng work day.
REOUIBED INSPECTIONS
[Yl Rough Mechantcat - prlor tolA( cover.
[! Rough Electrlcal - prlor to€t cover.E
tl
E
B
B
E
X
x
E
x.
E
B
x].
MtrI
K.
Temporary Electrlc
Slte lnspectlon - To be made
aftor oxcavatlon, but prlor to
sottlng forms,
Underslab Ptumblngl Etoctrlcal /
Mechanlcal - Prlor to cover.
.
Fooftng - Aftor trenches are
excavated.
Masonry - Steel locatlon, bond
beam9, groutlng.
Foundatlon - Aftor formg are
erectod but prlor to concrete
placoment.
Undorground Plumblng - Prlor
to fllllng trench.
Undorlloor Plumblngl Mochanlca!
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
docklng.
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.
Water Llno - Prlor to fllllng
trench.
Rough Plumblng - Prlor to
cover.
Flnal Plumblng - When allplumblng work ls complete.
Flnal Eloctrlcal - When all
electrlcal work ls complete.
Flnal Mochanlcal - When all
mechanlcal work ls complete,
Electrlcal Servlce - Must be
approvod to obtaln permanent
slectrlcal powor.
Curbcut & Approach - After
forms are er€cted but prlor loplacomont of concrete.
l-l Ftroplaco - Prlor to faclngH materlalg and lramlng lnsp.
ffi tt"tlng - Prlor to cover.
ffiwatttCbtllng tnsutatlon - prlor to
-
cover.
Koo*"tl - Prlor to taPlng'
[-l Wood Stove - Attor tnstailarton.
I_l tnsert - After flreplace approvalu and lnstallatlon of unlt.
E
ffll,lnat Bulldlng - When ail.4 fequlred lnspectlons have been
approved and bulldlng ls
completed.
Sldewalk & Drlveway - After
excavatlon ls completo, forms
and sub.base materlal ln place.
n fence - When compioted
Slrool Treoo - When all requlred
treos aro planted.
Other
MOBILE HOME INSPECTIONS
Blocklng and Sot.Up - When altblocklng ls complete.
Plumblng Connectlons - When
home has been connected towater and sewer,
Electrlcal Connectlon - Whenblocklng, set-up, and plumblng
lnspectlons havo been approved
and the home ls connected to
the servlce panel.
Flnal - After all requlred
lnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled.
LOT:
SRSQ-
tl
tl
I
HSE GAR ACC:
N
S
W
E
Lot faces
Lot sq. ftg.
Lot coverago
Topography
Total helght E
ft'1::",,.,
X
"o,n",
-
Panhandle
-
Cul-de-sac
BUILDING PERMTT
l0*7+
(A)
x E
u
ITEM
tr,taln
Garage
Carport
Total Value
Bulldlng Permlt Fee
Stat€ Surcharge
Total Feo
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMTT
Thls permlt ls granted on th€ express condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adop.ted by -thg Clty of Sprtngfletd, tnctudtng the
Development Code, regulatlng the constructlon and use ofbulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlslons of sald ordlnances.
I
P d
Plan Check Fee:
Date Pald
Recelpt Num
Recelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) y'pqh q
Systems Developmcnt Chargo ls due on all undeveloped
propertles wlthln the Clty llmlts whlch are betng lmproved.
ITEM
Flxtures
Besldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.
FT,
I(c)
4EC +
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
No
oo
5Ot
(D)A 1.8a'
MECHANICAL PERMIT
Mechanlcal Permlt
lssuance
State Surcharge
Totat Permlt
Furnaco
Exhaust Hood
Vent Fan
By slgnature, I atato and agree, that I have carolully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls truo and correct, and I furthor ceril(y
that any and all work performed shall be done ln accordance
wlth tho Ordlnances of the Clty of Sprlngflelc,, and the Laws
of the Stats of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCy wlil be made of any
structure wlthout permisslon of the Bulldlng Safety Dlvlslon.
I further certlly that,only contractors and employees who
are ln compllance wtth ORS 7O1.O5S wlll be usect on thls
prolect.
I further agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that each address ls read
from the street, that the permlt card ls located
of the property, and the approved set of plans
I
able
at
I
n
the front
ill
Slgnature
Date
on the slte at all rucdurlng
MISCELLANEOUS PERMITS
Moblle Home
State issuance
Slate Surcharge
stdewalk lLp a,
curbcur Dfu,,
Demolltlon
.l ,i': ltr'.nriliil r.
1 rS THE PROPOSED WORK tN c' HlsToRlcAL DtsTRlcT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgied
and approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
:t
VALIDATION;
BECEIPT NU R
DATE PAIO
AMOUNT RECEIVETOTAL AMOUNT DUE (exctudlng electrlcat)(A,B,qQandEComblned)BECEIVED BY
P^L.
ffi
0 H"%
-_--ii--
Nq AL
FT.
.ol
Total Mlscellaneous permlts (E)
ru
i,
zon;nfr, and doee
225 FIPTE STREET
SPRINGFIELD OREGON 974
INSPECTION REQIIESTz 72
OFFICE: 726-3759
1. LOCATION OF ON
PTI
JOB DESCRIPTION) <FP
Permits are non-transferable and exp'lre
i f vork i s no t s tar ted vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALLATION ONLY
Electrical Contractor
Address (I J 3rd -\+
Ci ty Phone ,-lf :r-l L:?
Supervisor License Number
!iPRll{ErflELD
BLECTRICAL PERHIT APPLICATION
Tho follcwing a3
requii'e sPe';i
q4tCity Job Nunber
SCMDTILE BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost Sum
A
D
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
-LL
b,
3D
$ 8s.00
Expiration Date
constr contr. number b\l4S
trxpiratlon nate 9-4 -- \6
S ture of sing Electrician
0vners Nane
$ 1s.00
$ 40.00
Services or Feeders
InstaIlation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
60L amps to 1000 amps_
Over l-000 amps/vo1ts
Reconnect 0n1y
c Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
20L amps to 400 amps
-
$ 55.00
over 401 to 6oo amps
-
S 8o.oo
Over 600 amps or tbOO voTts see ,3rr
"[f,![-
Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit s 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lightit g-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00t0-r-5
Address
OIINER INSTALLATION
The install-ation is being made on
property I orvn vhich is not intended
for sale, Iease or rent.
Ovners Signa
DATE:
g
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5 P
BRECEIVED
C'TY OF SPR"VGFIELD, OREGO'V
,crovol.'
7oni,." LPy'-
Ar.rihcrlzeo
\
City 9r>Ft2:, Phone >44-4frA
ATTACHMENT BI .,^q
N0 . ?z/5 r/
CITY OF SPRINGFIELD SYSIEIIS DEVELOPMENT CHARGE
WORKSHEET
(COHMERCIAL & RESIDENTIAL)
I.IAHE OR COMP/NY:
,"/
LOCATiON:?5j
DEVELOPMENT TYPE 1t D
BUILDING SIZE: I OT SI
1. STORI.J DRAINAGF
IMPERVIOUS SQ. FT.
Ft
2>67_X $0.209 PER SQ. FT
2. .O*rro*v sEwER-CITY
NO. OF PFU'S
(See Revense)
3. TRANSPORTATTON
NO OF UNITS X TRIP RATE X COST PER TRIP
x /,o/ x $436.19
x x s436.19
x _ x $436.19
4. SA,NITARY SEI^IER-|'4\/JMC
X $43.26 PER PFU
$17.19 PER PFU + $iO MVll',lC ADMIN.FEE
Above)
SUBTOTAL (ADD ITIMS 1,2, & 3) $ /7
s 3/ F,42
Y
I
$
NO. OF PFU'S
(Use PFU Total
F
From item 2
|'4hlt'4c CREDIT iF APPLICABLE (SEE REVERSE) -TOTAL-Mt^ll-4c SDC
SUBTOTAL (ADD ITEMS 1.2'3 & 4)
5. ADMINISTATTVE FEFS
BASE EflARGE (
P
SDC
Date: //-7-74
QD
s I ?q8,7(
,
E) X .05
7r,b3
82. SDC
i nator
TOTAI SDC 2078.
I
FIXTURE UNIT CALCULATION TABLE: Number of New Fixrures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/lvater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall........
Shower, Gang.........
Sink: Bar, Commercial, Residential Kitchen...
Urinal, Stall/lVall.. :.......
Wash Basin/Lavatory, Single.
Toilet, Public lnstallation..,
Toilet , Private....
Miscellaneous:tTtat mp's .gxr
TOTAL FIXTURE UNITS
2,
1
2
3
6
6
6
1
3
2
1/Head
2
2
1
6
4
e
CREDIT CALCULATION TABLE: Based on assessed value.
calculate credits'separates.
lf improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or bef ore
1 980
1981'
1 982
1 983
1 984
'1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
1 985
1 986
1 987
1 988
1 989
1 990
1 991
1 993
$2.46
2.14
1.77
1.37
o.97
0.61
o.44
o.15
Credit {or Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x$
(Rate X Assessed Value)x s_
(Rate X Assessed Value)
CREDIT TOTAL -s