HomeMy WebLinkAboutPermit Building 1993-11-30tuLA
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SP'TINGFIELO
JOB NUIVIBER q3t GLl
225 Fifth Street
Springfield, Oregon 97 477
e,{)/ s \.tb?,*ino oi,,
ASSESSORS rvrnp: lJ Of,' 3L3+
LOT:
-
BLOCK:
OWNER T!-urr'rr {.1 , L"^€-
ADDRESS:
SUBDIVISIO N, Dt"rt n-n C a-rct-^ ^
TAX LOI:( )D\ct
PHONE:-1111 - \o L{ (,.
CITY:STATE:OQ ztP
NEW )/ REMODEL ADDITIoN DEMoLISH oTHER
V1r-n^l S l:DESCRIBE WORK
ADDRESS PHONE
tut oA ,
r,?qo(
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
d 3€l
EXPIRES
GGENERAL: -
PLUMBING:
CONST.
CONTRACTOB #
e
e
f
OCCY GROUP:Q3
?
_ OFFICE USE _
LAND USE
I OF BDRtr4S:
RANGE
, OF STORIES: ---
WATER HEATER
# OF IJNITS
coNSrR. wez: V M-
HEAT SOURCE Ewt
OUAD AREA:llll FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUAFIE FOOTAGE:
# OF BLDGS' * {
To request an inspection, you must call 726-3769. This is a24hour recording. All inspeclions requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m- will be made the following work day.
REOUTRED INSPECTIONS
.STemPorarY
Electric X
X
Rough Mechanical - Prior to
c()ve r.
l9rinat Plumbino - When all
f-rJ ptumbing worli is complete.
Site lnspeclion - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prioi to 'l\TFinal Electrical - When all
JA'l elecrrical work is cornplete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.r Electrical Service - Must be
approved to obtain Pcrrnanent
electrical power."K Final Mechanical - When all
mechanical work is complete.
K Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
E:;l al Burilding - When all
uired inspections have been
Masonry - Steel location, bond
beams, grouting.
approved and building is
completed.F
X
X
X Other
Foundation - After forms are
erected but Prior to concrete
placement.Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taPing
MOBILE HOME INSPECTIONS
,E
,K
,tr
X
E
K
X
Underl Wood Stove - After installation.
- Prior t on EC ng.
Post and Beam - Prior to floor
insulation or decking.lnsert - Af ter f irePlac(] aPProval
and installation of un t.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulalion - Prior to
decki ng.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 filling
trenctl.Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been apProved
and r.he home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Water Line - Prlor to fllllng
trench.
Fence - When coml)leted'
Rough Plumbing - Prlor to
cover.
Strcel Trees - When all reqtrired
trees are Planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.@
Q. t-,>oz a-rr^r-,.K,1,r,,^-t Atn"2
q1
*?f a
tl
E Framing - Prior to cover.n
fl
GARPL.
N
-L
2,O
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
X tn,or,o,
-
Corner
-- Panhandle
_- Cul'de'sac
ACC
SZZ2
-HL5 E
Setbacks
HSE/?59-
42o
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
rante<j on the express condition that the said
in all respects, conform to the Ordinance
any provisionq olsaid ordinances'
,/'r#,rcev:
EVI CW ed
2
q
This permit is -t;
corrstruction shall,pringfield, including the
the construction and use ofadopted bY the CitY of S
Developmerrt Code, regulati ng
decl or revoked at any timeay be susPen
t b18)Receipt Nurnbet:
Recei
_l1l
buildings, and m
upon violation of
Plan Cl.recl< Fee:
Date Paid:
BUILDING PERMIT
VALUE
UDHLq
e
(A)
10s1f,()
63
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SQ. FT.
z4_zfo
/z1s
Systems Dcvelopment Charge is due on all undeveloped
properties withirr the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) * to-ol7
ADDITIONAL COMMENTS
I
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
7/.2"
?5,7b
PLUMBING PERMIT
Plumbing Permit
state surcharge
Total Charge
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
,7r
(D)
_3,?o_
SE
zOO@+ __
z/,O/nr4.*f 15*
O ,ao
2€,7r
Vent Fan
Mechanical Permit
lssu ance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
NOZ
By signature, I statc and agree, that I have caref ully examined
the cornpleted application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all wc;rk performed shall be done in accordance
with the Or<Jinanct.rs of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, ancj that NO OCCUPANCY will be made of any
structure without pcrmission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance witlr ORS 701.055 will be used on this
proiect.
I f urtlrer 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 approved set of plans will remain
on the site at all times during construction.
g natu rc
Date
MTSCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Total Miscellaneous Permits (E)
p-o,*wtUPztxt*r,x 50c.
Demolition
State Surcharge
,!
VALIDATION:
RECEIPT NUMBER 7
7/
DATE F'AID
AMOUNT RECEIVED
RECEIVF.D tIY -
IS THE PBOPOSED WORK IN THE
I]ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? _--
lf yes, this application must be signed
and apProvecJ bY the Historical
Coorclinator prior to permit issuance'
APPROVED:
TOTAL AMOUNT DUE (excluding elcctrical)
(A, B, C, O, and E Cornbined)zD7e3/
3>
I
I
8z:9' 4.5o
1
/
CITY OF SPF"VGF'ELD, OREGO'U
5Pll!NGFIELO
The foficwlng pro$ed m +u&dllad hae lhe
iJ,imi, *,u lires nqt rqquko speaifio,laRd h
BTACTRICAL PERHIT APPLTCATION
city Job **o", Q3 i WoT
tsthwH
t+he
225 PTfrE STRBEf,approval.
SPRTNGFTBLD, oRBGoN 97477
INSPBCTTON REOTIBST:
OFFICE: '726-3759
1 LOCATION OP
o-93
Authorizedsisn"trr" 5J- 3- C0HPIEIB PBE SCSDLLE BELOS
-6t 3 A. Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:I^EGALl'1 o 3 a Items Cost Sum
JOB PTION
permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or lf vork Is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contrac torS!', E Lt#U4 e-
Address 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
e n-frlociE^b Phone
Supervisor License Number 4tzS
Expiration Date i0- r -q5
c.
Constr Contr. Number t'.1 ZJN
Temporary Services or Feeders
Installation, Alteration or Relocation
iration Date 6-z - q4
B
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf 'd ltome or
Modular Dwel}ing
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
STTBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
/ $ Bs.oo 85 6'a
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$r30.00
$300. oo
$ 40.00
Exp 200 amps or ]ess
201 am-ps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000-6TlssBlectrician
rs
Address
Ct ty FrMeact PhoneT 7
-U
OSNER INSTALI,ATION
The installation is belng made on
property I ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
DATE:
$ 40.
$ ss.
$ 80.
see It
00
00
00
B" aE6E
a D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
B Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
$ 40.00
Limited Energy/Res $ 20.00
RBCEIVED
6--
5 &
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I.IORKSHEET
(coMl'IERcIAL & RESIDENTIAL)
THo N1ft5 t-\ov\e9. S.tcNAME OR COMPANY:
46 r 3.b+1ts Sr.\1o1-br b+ - oo5ooLOCATION:
LDK -NEw S ??DEVELOPMENT TYPE:
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVIoUS SQ. FT.
2. SANITARY SEl^lER-CITY
NO. OF PFU'S
(See Reverse)
OT SIZ
a x $0.203 PER SQ. FT.
X $42.08 PER PFU
$15.125 PER PFU + $IO MWMC ADM FEE
Above)
a. Ft.
It
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x \.ot X $424.31
x ----- x $424.31
x x $424.31
4. SANITARY SEI,IER-|'1I,IMC
s
$
NO. OF PFU'S
(Use PFU Total From Item 2
MhlMC CREDIT IF APPLICABLE (SEE REVERSE)
ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABoVE) X .05
p Burd ck
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)$ t2-{o
(6 'u1
q4 b5
5
Lzze9
AuzY
4zzE3
1?-
SDC Coordinator
t\b qb
TOTAL SDC $lboL 11
JoB NO. abtGbl
Ir
FIXTURE UNIT,CALCUtA I ION TABLE: Number of New Fixtures
For remodels. calculAte only the NET additional fixtures)
NUN4BER OF
FIXTURE TYPE NEW FIXTURES
Bathtub..
Drinking Fountain--.-'-
Floor Drain..
lnterceptors For Grease/Oil/Sol ids/Etc.
lnterceptors For Sand/Atdo War
Laundry Tub/Clotheswasher. -.. --
sh/Etc.
Jnit Equivalent = Fixlure Uniri (NOTE:
UNIT
EOUIVALENT
FIXTURE
UNITS
2
1
2
J
6
2
6
6
1
3
2
1/
2
2
1
6
4
z
Clothes-walher - 3 Or More.--.--.
Mobile Hdme Park TraP (1 Per Trailer)
Receptor For RefrigeratorAVater Station/Etc- " " "'
Receptor For Commerclal Sink/Dishwasher/Etc"
Shower, Single'Stall..
Shower, Gan9...........
Sink, Bar, Commercial
Urinal. StallflVall....
Wash Basin/Lavatory, Single- ---. ----
Water Closet, Public lnstallation.-.
Water Closet, Private.......
Miscellaneous:
TOTAL FIXTURE UNITS t\
cREDlr CALCUIATIoN TABLE: Based on assessed vatue. lf improvements occurred after annexation date in table.
calculate cred its separates.
Aedit for Parcd or land Only lf Applicable
lmprovement (rf after annexation date)
X $ l?2'n I 44''2
(Rate X Assessed Value)
L
I
r-t
Head
5.zl
x$
(Rate X Assessed Value)
CBEDIT TOTAL $ q4€
Year
Annexed
Rate per $1,00O
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
1979 or before
19BO
1981
1982
1983
19&r
1985
s.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1 987
1988
1SB9
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
o.44
0.28
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
0.4
0.9
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
\
Wi!t.e"umlens
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
fob No.
-PHONE:
STATE:ztP
NAME:
ADDRESS:
LOCATION OF PROPOSED
Street Address if Known:
Platt Name:
1
Community
City of Sprin
Services
gfield
SITE: ,
=.3f1,\f[xo
ZBUIN
\\i
PEyEIOPMENT fYPE ,
(Check appropriate dwelling(s). SDC Calculations and dweling typedefinitions are on the back.)
A. Single Family - Detached
]- single Family home Manufactured home not in a park
NO OF UNITS I x $400 PER UN|T =$
B. Single Family - Attached
NO OF UNITS
C. Multi-Family Apartment
X $:ZO PER UNIT =$
NO OF UNITS X $277 PER UNIT =
D. Manufactured Home Park
NO OF UNITS X $280 PER UNIT =
Tax Lot Number:
40n CO
meq
d
$
$
WPRD SDC
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credit)
$
$
$
Date
d)
Lswr
3
4
Notice of Satisfaction
For
certificate of unsafe, substandard or Dangerous Building
NOTICE lS HEREBY GIVEN by DAVID J. PUENT, Building Officiat, City of Springfietd,Community Services Division, as follows:
1' A Certificate dated March 16, 1987 was duly recorded in Lane County Records statingthat an unsafe, substandard or dangerous building existed on property known as 355South 34th Street, Springfield, Oregon ,97478, filed on March 20,1gB7 in Reel 1451,Reception No. 94043b6, official records for Lane county, oregon.
2' A permit for dernolition of tlre unsafe, substandard or dangerous building was issuedMay 11, 1987 to the owner of tl're property for the removal of the deficient building.Verification of the dernolition and removal was made by the City Building lnspector JnMay 1 2, 1987.
BE IT HEREBY I(NOWN THAT THE CONDITION CITED IN THE CERTIFICATE NOTEDABOVE NO LONGER EXISTS.
The Legal Description for the property l<nown as 353 South 34th Street, Springfield,oregon,97478, is more partlcurarry cjescribed as follows in Exhibit,'A,':
EXHIBIT "A''
The North one-half of LOT 4, BLOCK 9, DOUGLAS GARDENS, as plarted and recordedin Volume 4, page 73, Lane county oregon plat Records, in Lane county oregon.
Dated this 22nd day of June 1995
David J ,BU tng of
Personally appeared before me the above named DAVID J. PUENT and aclcnowledged theforegoing instrument to be his voluntary act and deed.
Before me:
Notary Public for regon
My Comrnissionexpires 6 L-78