HomeMy WebLinkAboutPermit Building 1992-05-21IELE,
RES!DENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBEFI
225 Fifth Street
Spri ngf ield, Oregon 97 477
LOCATION OF PROPOSED WORK:)lJ 7t9 'tZt tt #t@-4 olL "7
-6t )-a66,8ASSESSORS MAP:TAX LOT:
LOT:l'*BLOCK SUBDIVISION //aY gtv Lo_T
OWNER:tp \b-lL PHONE:74L-3esr
ADDRESS:2+?7 ,V, 3a Nl eT,
CITY:"3/iu N GFi tsLo STATE:o{L ZIP 77qa7
DESCRIBE WORK:
'/'NEW I/ REMODEL ADDITION DEMOLISH OTHER
ADDRESS
CONST.
CONTRACTOR #
1 6t" zt
EXPIFIES
7 n>-'lz
PHONE
GENERAL:Dxa,! b,1c,ue*ln en- VlYl il.3>te +r 71L+ zse
PLUMBING
MECHANICAL:i.t rr,ostl*tt'i LlBl '?"s?, Sfruue+try Z,t{ -Tqy:
ELECTRI E2 L-6 t?d *t Za*d -7-7
_ OFFI c
t
E
t
U r-QUAD AREA:
* OF BLDGS:
LAND USE:FLOOD PLAIN
* OF UNITS:r ZONING CODE:
OCCY GROUP:CONSTR. TYPE:
HEAT SOURCE:
# OF BDRMS
* OF STORIES:€re<r i-.O()
SECONDARY HEA-I:
SOUARE FOOTAGE:WATER HEATER RANGE:
To request an inspection, you must call 726-3769. This is a24hour 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.
REQUIRED !NSPECTIONS
Temporary Electric E Rough Mechanical - Prior to
cover.E 5ilfl .lltt':l; ;#ffi?"il:
{7 Final Electrical - When allJAl electrical work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Vl nough Electrical - Prior to
JAcover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.K Electrical Service - Must be
approved to obtain permanent
electrical power.
r Final Mechanical - When all
mechanical work is complete.
X Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
K Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
X[ t"-tng - Prior to cover'
I walltCeilinq lnsulation - Prior toa[.or.r.
X "r*'ll - Prior to taPing'
TVI Wood Stove - After installation.) A C/E?a<,nEe fiP.
B Other
Foundation - After forms are
erected but prior to concrete
placement.
X
,K
E
E
,xI
Underground Plumbing - Prior
to filling trench.
und"rtto@
- Prior to insulation or dedking.
MOBILE HOME !NSPECTIONS
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.X Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
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.
K*ru,.sewer - Prior to fillins
ffiSid"*ulk & Driveway - After
Sexcavation is compiete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Trees - When all required
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
X.
K Rough Plumbing - Prior to
cover.rees are planted
CONTRACTOR'S NAME
tl
E
E
E
E
tl
P.L.HSE GAR ACC
N t4,
S S,S'
lo'tb'
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
--w
it+13)
/-,b?o
ft.L
L!'
Lot Type
-
lnterior
-
Corner
-
Panhandle
! "u,-'"-t^"
Setbacks J THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.X $/SQ. FT.: VALUE
54rtr< za
_b^L1Ea
Main i4L
Garage 1t>
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
6%3*
323rz-{
(A)34/ ^=;
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 ordinances.
Plan Check Fee:2//"Z{
Date Paid 1-70 -2<*
Receipt Number:=r23
Recei
4#b-Plans ewed By
SYSTEMS DEVEL. P* t*t,,]'f Tjq!.Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE#
No }/1-ON
rr. ")';L
FT. 32
FT.
Plumbing Permit
State Surcharge
Total Charge
goo
(\,,/68"0
ADDITIONAL COMMENTS
€
MECHANICAL PERMIT oaFurnace I
Exhaust Hood
Vent Fan
Wood Stove/ln
Dryer Vent I
6
I 44?
N. r"3 ?io
seru.Fn65lEcE-DtuitQ--'-/t /5.oo3re
Mechanical Permit
lssuance
State Surcharge
Total Permit
uo
/o,ao
9e
(D)41 ss
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, 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 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 ap set of plans will remain
on the site times du n struction
natu
Date c- >t-? z-
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
2",|"-iiJ[wr,
curbcut Z-f t
Demolition f,, t *., f
State Surcharge
/ o,30
/y''o
Total Miscellaneous Permits (E)?9.50
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
*zr-*
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
2454.t2
JoB N0 . 73-oog,?
CITY OF i, RINGFIELD SYSTEMS DEVELOPIV.-.{T CHARGE
WORKSHEET /,
(cot'lMERclAL & RESIDENTIAL)
f)a.vrp JrA(AAR{LR-NAT.IE OR COMPANY:
Z l\. bt-I =,t.t-1o 2-rq 34 - Oob\8LOCATION:
BUILDING SIZE:LOT SIZ SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. zalb x $0.186 PER SQ. FT'
(See Reverse For Ruffis If Actual Imperv- Are
2. SANITARY SEWER-CITY
X $38.55 PER PFU
s+1b*
a Is Unknown)
s6€yNO. OF PFU'S
(See Reverse To Determine Tota I PFU'S)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
62\x [.a x $388.61
x _ x $388.51 $
x x $388.61 s
I3E[Tiffiment c To Determine rtiq-!l!q:),-^^ ,?r,,- r a o .r ^ tt--, z-o2
SiJBToTAL-(ADD ITEMS 1,2, & 3) $ l2r-'=-
4 ADMINISTRATIVI FEES
BASE CHARGE (SUBT0TAL AB0VE) X .os S 1b:'
LoTAL-CITY SDC s tcq t '9-
5. SANITARY SEI.'ER-MWMC
N0. 0F PFU'S )b x 513.25 PER PFU + S10 Mr.tt'lc ADMIN. FEE S Lqbz
(Use PFU Total From Item 2 Above)
Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE)s z1c:
TOTAL-MHMC SDC S ?-zob)
ip urdi ck
SDC Coordinator
?-5 1-
TOTAL SDC
aA
s lBbt>
-..-
DEVELOPMENT TYPE: LPF- - r.,.lEnt
FIXTURE UNIT CALCULH-ION TABLE: Number of New Fixturer^Unit Equivaletrt = Fixlure Units (NOTE
For remodels, calculate only the NE r additional fixtures)
FrxruRE rypE ilH#?tfri[.. .oU,t[,-.*, [l,il'.-t
Bathtub.......
Drinking Fountain
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 R ef ri gerat or fW ater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta||.............
Sink, Bar. Commercial...................
Urinal, StallflVall....
Wash Basin/Lavatory, Single.........
Water Closet, Public lnstallation..
Water Closet, Private........
z
L
z
Miscellaneous:
TOTAL FD URE UNITS la
CREDTT CALCUI-ATION TABLE: Based on assessed nalue. lf improrements occurred after anne><ation date in table,
calculate credtts
\o .-t t 21 (-q
Credit for Parcel or Land Only lf ApplicaUe
lmprovement (if after annexation date)
2,Gb x$
(Rate X Assessed Value)x$
.{
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
z
2-
T
(Rate X Assessed Value)
CREDIT TOTAL = g nn b1LI
Year
Annexed
Rate per $l.(n0
Assessed Value
Year
Annexed
Rate per 51,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
s2.66zu
2.53
241
2.19
LM
1985
1986
1987
1988
1989
1990
sl.69
1.35
1-15
0.92
0.59
0.23
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential-..--
Commercial...
lndustrial-....
Govemmental......-.......-.
0.4
0.9
0.45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
'7-
t
I
ctw oFI OPEGO'U
SPFlIl{GF]ELc}
DEVELOPME'{TSERY'CES
PUBLICWORKS
M ETROPOLITAN WASTEWATER M AN AG EM EN T
SincerelY,
2?5 FtFi4 S-':55 -
SPBINGFIELD CF . .,::)
r'50.ii 12: :;:',.
August 24, 1990
Jack Barkovic
218 H Street
Springfield, OR 97477
Re: Lot Line Adjustment (Journal No. 90-06-95) - Between properties located at
2397, 2403 ;;J 2427 W. gzna Street in the city of springfierd.
Dear Mr. Barkovic'
Staff Decision: Fina1 APProvaI'
The retter dated July 3, stated that there vere tvo conditions to be met prior to the
ei".ii"g of finat ap"pro"tf. These conditions were submittal of:
1. Tvo copies of a survey shoving points set; and
2. The nev legal descriptions for each property'
Conditions 1 and 2 have been met
If you have any questions, please call me at (503) 726-3759.
k. Karpt
Associate Planner
cc:Jeff Schvirtz
Tom Balzhiser
Tom Poage Engineering
225 North Fifth SrreetSpringfield, Oregon 97477
FENCE PERI{IT APPTICATION
CITY OF SPRINGFIEI,D
BUILDING SAFETY DIVISION
senr-l{GFreuo
0ffice:
INSPECTION LINE:
726-3759
7 26-37 69
CITY OF SPR OBEGO'V
Job Location:///,*d 3z --1
Assessors Mrp #t
Ovner:
Address:I
Ci ty:State, O,n-e
Construction Contractors Registr.ation f,,: 4tte
S ture
Phone #:
"%
-8sa /
ztp:?/r/ /
Expirest /L -g/-qU
-2"-qL-
te
Tax Lot #:
Phone #: 7// *3 zss
zip , q7/?1Ci ty:State I A-z
Value of Fence:63o'9 -Fence Permit is 95.00
Con t rac to r,/Ins tal ler :
fro &a(j I
By signing this permit/application, r agree to call for an inspection once myfence has been eonstructecl (726-3769). I also stated that all information onthis apprication/permit is correct and that r vas provided vith the springfieldDevelopment code requirements for fence standards.
X
Date of Application:^2
Receipt #
Total Amount Collected: .I*
IIOR OFFICE USE
JOB #:
fssued By:\2Z1--+-
Checked for Delinquenr.i es:
2_
Checked for Historieal Statrrs: L
Address:
ST"IT}{GFTEL(,
ON ONLY
does'not
a9
D.
ch
225 FIFTB STREET
SPRINGFIELD, OREGON 97477
INSPBCTION REQTIBSTZ 726-3769
OFFICE: 726-3759
PERHIT APPLI CATION
'-"' City Job Number
3 FEB SCBEDULE BELOIT
Nev Residential-Single or
MuIti-FamiIy per dwelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DweIling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
Pn 2oo amos or tess-v ,vXt 201 amps to 400 amps _'// 401 amps to 6oo amps
-601 amps to 1000 amps_
Over 1000 amps/volts _
Reconnect 0nly
C. Temporary Services or Feeders
Insta1lation, Alteration or Relocation
1.
Permits are non-transferab and expire
if vork is not started vlthin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INST
Electrical Contra
Add
A
t Sum
Ci ty Phone +lr(-4,
,q5HS
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Si ture of Supervising Blectrician
Ovners
Addres
Ci ty one
OVNER INSTALI..ATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
RECETPT
2oo amps or ress 1 S 40.00
201 amps to 4oo amps
.* $ 55.00
0ver 401 to 500 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr
Branch Circuits
aE66
Nev, Alteration or Extension Per Panel
$ 3s.00One Circui t
Each Arldi t ional
Circuit or vith Service
or Feeder Permi t $ 2.oo
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/outline Lighting- $
Limi ted Energy/Res $
Limited Energy/Comm $
SI,BTOTAL OF ABOVB
5Z State Surcharge
TOTAL
40.00
40.00
20.00
36.00
5
mE-con,
RECEIVED BY:
-L&3D