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HomeMy WebLinkAboutPermit Building 1993-12-16PRINGFT rAX Lor: fuT Of Qru BLOCK:SUBDIVISIONLOT: JOB NUMBER LOCATION OF PROPOSED WORK; ASSESSORS MAP: RESIDENTIAL PERMIT APPLICATION lns pections: 726-3769 Office: 726-3759 225 Fifth Street Springfield, Oregon 97 477 PHONE: STATE:ZIP: r I 74,jr 3a- CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK MECHANICALi ADDRESS EXPIRES PHONE ELECTRICAL:,J.B-az€z-7. CONTRACTOR'S NAME CONST. CONTRACTOR # GENERAL: PLUMBING LDT\ _ OFFICE USE - OCCY GROUP: FLOOD PLAIN ZONING CODE: * OF BDRMS: LAND USE: WATER HEATER: * OF STORIES: RANGE: * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Thls is a24 hour 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 INSPECTIONS [-l Temporary Electric L___l llfRough Mechanical - Prior to ,ftover. f,7 nough Electrical - Prior to JAlcover. X llfzFinal Electrical - When all flelectrical work is complete. x tr F,K Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Underground Plumblng - Prior to filling trench. Final Plumbing - When all plumbing work is complete. Final Mechanical - When all mechanical work is complete.Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materlals and framlng lnsp. Wood Stove - After installation lnserl - After flreplace approval and installation 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. Fence - When completed Street Trees - When all required trees are planted. fflFoundation - After forms areA( erected but prior to concrete placement. f t'."t'ng - Prior to cover' NIZ wattlceilinq lnsulation - Prior toJALcor"t K'o*"tl - Prior to taping' Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumblng inspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. ,Kyg?|1 rto on E X Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decking. Water Line - Prior to filling trench. fXl Sanitary Sewer - Prior to fillingArench. l$ Storm Sewer - Prior to filling ,.fltrench. ,K ,Km"tl Plumbins - Prior to .)< r., E E E il tf An-ae zF 3g/ S. 3/& Lot faces Lot sq. ftg. Lot coverage TopographY Total height /4/7 -l/Zo tr * Lot Type v - lnterior - Corner Panhandle - Cul-de-sac Set THE PROPOSED WORK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? _-- lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED:) HSE GAR ACCP.L. N 25 29S 2t E 3a 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 Plans ewed By Received B Date Paid Recei pt Number: d ordinancesooPlan Check Fee: VALUE 254.Gs e/6/ (A) PERMIT SQ. FT. BUILDINb ITEM Main Garage Carport X $/SQ. FT. {6.2" Total Value Building Permit Fee State Surcharge Total Fee 242falZI: Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT C (B) HARG,E (SDC) # fl rcus")' ADDITIONAL COMMENTS 5Hr1*r7e 4*frr*Z /' tt Stzz E/.r/Z *)ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE Fr. > Itb( ?.ao N0 Io (c) /8/2P A.Q 30* ;b/30.oo PLUMBING PERMIT 7/,*30? Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent /9,oo ,7f 75,75(D) 2&<------el-4-- f4/to/,*i@ a-O 4fo /' 6Lo(O,N" ?-_Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace 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 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 approved set of plans will remain Date l>-tk7? don the slte at construction. Xigrutur" MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition tN uE4 aSl4aletwtanf wt( t (tu'F)e Total Miscellaneous Permits (E) //bs?4 y'gg.eo TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)333t37 / /z -/aDATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER /24;id ( " '. /*t,-,:'gt FT. OREGO'UCITY OF SPR 225 BTYlg SI"BEf, SPRTNGFIBLD, oRBGoN 97477 INSPBCTTON BBOUESTT 726-3769 OPPICB: '726-3759 f-r f)o Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork ls suspended for 180 days. 2. COI{TRACTOR INSTALI,ATION ONLY Blecrrical contrac torJ& ELW-\ L Address Ct ty t-uhD'aL Phone 81 - hlo Supervisor License Number 4tzs Expi ration Date t0- r -q5 constr contr. llumuer '9?5,ffi ?9 ZCO Expi tion Date s of trician s Name Address Ci ty Phone OUNER INSTALI"ATTON The installatloh is beirig made onproperty I own vhich is not intendedfor sale, Iease or rent. Onners Signature: SPRInlGFIELO EIJCTRICAL PERHIT APPLICATION City Job Nunber 3. COHPI,ETE PBE SCEEDT'LB BBLOS A New Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less \ Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular DveIIing Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B Services or Feeders Insta1Iation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect Only s s0.00 $ 60.00 s100.00 $130.00 $300. oo $ 40.00 1 LOCATTON OP\q 1S ,OJ LEGAL ON r-l e 2-,+ oo boc)Sum gs'0JOB1PEUuPrroN ? C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 amps or 1000-6Tt .00 .00 .00 l|Bl.aSoG- not included) 40. 00 40.00 20.00 ?S.ooSUBTOTAL OP ABOVB 5Z State Surcharge TOTAL Bw oQ $40 $ss $80 sees D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Addi tionalCircuit or with Serviceor Feeder Permi t s 3s.00 S 2.oo E Miscellaneous ( Service/feeder -Each installation Pump or irrigation $Sign/0utline Lighting- S Limi ted Energy./Res - $Limited Energy/Comm S DATE:- q '\<-.?,ol )<- RBCEIVED C\ 5 ?S Cr)I-)q ES i Willamalane Park & Recreation District SYSTEMS DEVELOPMENT CHARCE WORKSHEET *,.q3\E[ 3Am\cOO lob NAME: ADDRESS LOCATION OF PROPOSED B Street Address if Known: unity ces X $280 PER UNIT = PHONE: STATE: SITE:$\ Platt Name:Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Single Family - Detached Single Family home Manufactured home not in a park NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS \X $400 PER UNIT =$ X $370 PER UNIT =$ X $277 PER UNIT = ?O $ WPRD SDC 2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAT WPRD NEI SDC ASSESSED (lf SDC reduced for Credit) $ $ $ ,6 City of Springfield Date CID oo &]u$L -ADDRESS-397 S 34TH ST DESCR:S.F. RESTDENCE -OWNER- ROBIN ?HOIifAS 719 GARDNER DRATN, oREcoN 97435 BUTLDTNG DrvrsroN JOB# 93L751_ 83 6-2 03 9 -LEGAL-LOT BLOCK 1_7 0231.3400600 _ENERGY_ HEATI-WH 2- 1.H20- E 1,RANGE-E 2INSULATTON ]- PATH-P1 FTNAL -VALUE-40464 931124 / s4o331, -STATS_BLDG ZONE LDRSTORTES FLOODPLATN BEDRM OCC GRP R3 UNTTS sQ FEET 720 CONST TYPE VN-rNFO- NEW RESIDENTIAL 11_11- OO1-061-RES PLAN CHECK OO2-O O2-BUILDING PERMIT OO3-OO5-PLUMBING OO4_OO6-MECHANICAL OO5-087-MECHANICAL ISSUAN 006-016-rN LrEU/ASSESM 0 07 - 07 A-sDclwr LLAMALANE 008-070-sDc/sToRM 009-071-sDC/SANTTARY 010-072-SDC/TRANSP 011_-073-SDC/ADMTN O1 2-05s-REGIONAL SEWER O]-3-OO4-ELECTRICAL 014-O5O-BWOP PENALTY FEE 001-002-FoorrNG OO2-OO3-FOUNDATION OO 3-02 I_UNDERFLOOR PLUMB OO4-13 I-UNDERFLOOR MECHAN OOs-OOs-POST & BEAM OO6-0Og-INSULATION FLOOR OO7-02 6-SANITARY SEWER OO8-027-STORM SEWER OO9-024-WATER LINE O1O-02 3-ROUGH PLUMBING O ]-]--03 ]--ROUGH MECHANICAL OL?-O 42-ROUGH ELECTRIC 013-044-ELECTRIC SERVICE O]-4-OO6-FRAMING O]-5-OOg-INSULATION 016-011-DRYWALL 017-02g-FINAL PLUMBING O1 8-03 g-FINAL MECHANICAL 019-04g-FINAL ELECTRICAL O2 O-O]-g-FINAL BUILDING O O ]--O O 3 -FOUNDATION OO?-O? -WATER LINE -CONTRACTORS- GENL-THOMAS HOMES CONTRACTOR PHONE _7 47 _50 46 PLMB- ELECT-JB ELECTRTC MECH- DESGN_ QUAD AREA 3RSC SEQ_REQUIRED PERMITS- --_----FEE_-SURCHARGE--DATE--RECPT-_CAT-------VALUE 40.00 242.50 181.20 15.00 L0.00 1,135.94 400.00 242.79 462.88 42B. ss 63 .11 t_28.06 85 .00 85.00 SUB. CORRECT PLOT PLAN TWO 0.00 t2.L3 9.06 0.7s 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.25 0.00 931_1_18 93L2L6 93L2L6 931,2L6 93L2L6 93]-2L6 93L2L6 93L2t6 93L2L6 93L2L6 93]-2L6 93L2L6 940225 940225 10937 LLL64 TLL64 LLL64 LLL64 LLL64 LLL64 LLL64 LLT64 LLL64 LLT64 Lt1,64 1,L777 LL777 l_01_ 520 40,46 0 4 0 0 0 0 0 0 0 0 0 0 0 0 SEQ-MINIMUM INSPECTIONS + REQUIREMENTS-- --EXP DATE---ACT DATE- 500 93L2L7 931,2L7 940L20 940L20 940301_ 93L2L7 940L20 940329 940225 940225 940308 940308 940301- 940LzL 940308 940329 940329 940329 940331 93t2L7 0K 38 93L2L7 POK 28 SEQ--TNSPECTTONS -COMMENTS------- -----DATE---RSLT--rNSP 003-002-FooTING O O4-02 6-SANITARY SEWER OO5-OOs-POST & BEAM OO6-02 1-UNDERFLOOR PLUMB OO7-OO5-POST & BEAM OO8-02 ].-UNDERFLOOR PLUMB OO9_027_STORM SEWER O 1 O-O O 9-INSULATION 011-042_ROUGH ELECTRIC 012-0 _ELECTRIC SERVICE OT3-023-ROUGH PLUMBING 014-OO6-FRAMING 015-02 3-ROUGH PLUMBING O 1 6-0 3 ]-_ROUGH MECHANICAL 017-OO9-INSULATION 018-OO6-FRAMING 01-9-011-DRYWALL O2O_044_ELECTRIC SERVTCE OZL_O 42_ROUGH ELECTRIC 022-O29-FINAL PLUMBING 023-04g-FINAL ELECTRICAL 024-024-WATER LINE O 2 5-O 3 g-FINAL MECHANICAL O2 6-OO9-INSULATION 027 -OLg-FINAL BUILDING SUB. CORRECT PLOT PLAN DRYWELL U/E c/N c/N NO INSP. 131 REQUIRED WALLS ADD RECEPT. BELOW SUB-PANEL MINIMUM INSPECTION DONE 94OL2L 93L217 0K 38 28 28 28 2B 28 28 28 50 50 28 38 28 28 93t2L7 940LLg 940LL9 940L20 940L20 940L20 940t2L 9402L7 9402L7 940223 940225 940225 940225 94030r. 94030r- 940 3 08 940 3 08 940 3 08 940329 940329 940329 940329 940331 94033L OK IRC IRC OK OK OK OK NOTOK NOTOK NOTOK POK OK OK OK OK OK OK OK OK OK OK OK OK OK 38 3B 3B 50 50 28 50 2B 28 3B 38 JB NO.,1 ?i151 CITY0FSPRINGFIELDSYSTEMSDEVEL0PMENTCHARGE I,IORKSHEET (CoI.II{ERCIAL & RESIDENTIAL) NAME OR COMPANY:obixl T4 e rq*5 +L llo z i i")-/- Ph p-'T c F (,d c) LOCATION:3a -7 )r 5rr- 1 DEVELOPMENT TYPE:L-DF . NEN Dt?-:v t.1lc a*€ LOT SiZBUILDING SIZE:ol c "z L; STORM DRAINAGE IMPERVIOUS SQ. FT.{{7 C x $0.203 PER sQ. FT' 2. SANITARY SEl^lER-CITY NO. OF PFU'S (See Reverse) I X $42.08 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 4 SAN ITARY Et,lER- x $424.31 x $424.31 x $424.31 $15.125 PER PFU + $10 Mt,lMC ADM FEE 2 Above) TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) . Ft. $i'7 6 '1 b,L I i X X x I ." i $ MC 7 NO. OF PFU'S (Use PFU Tota Mr^lMC CREDIT IF APPLICABLE (SEE REVERSE) I From Item 5* 5. ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABovE) X 'os K p Burdick a TBoy tlb- SDC Coordinator ll 2 TOTAL SDC $lez a i'1 s FIXTURE UNIT,CALCUL-.ON TABLE: Number of New Fixrures-xrJnir Equivalent : Fixture Unitr (NoTE: For remodels, catculAte only the NEJ additional fixtures) NUN,IBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITSFIXTURE TYPE /- Bathtub.... Drinking Fountain...... Floor Drain.. lnterceptors For Grease/Oil/Solld s/Etc.....-----."" lnterceptors For Sand/Auto Wash/Etc....... -. -....-.' l-aundry Tub/Clotheswasher. -... - -- -. Clothes,waqher - 3 Or More...--. Mobile Hdme Park TraP (1 Per Trailer)................. Fleceptor For Refrigerator/Wate r Station/Etc' --. " " Receptor For Commerclal Sink/Dishwasher/Etc.- Shower, Single'Stall.. Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin/Lavatory, Single.- Water Closet, Public lnstallation--. Water Closet, Private......-.. Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits Credit for Parcd or tand Only lf ApplicaHe tmprovement (rf after annexation date) b 'Lt +g ') (Rate X Assessed Value) i 2 1 2 J 6 2 6 6 1 3 2 1 2 2 1 b 4 i z- ead/H 2- x$ (Rate X Assessed Value) CREDIT TOTAL $4 $'- 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 s.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 '1987 1988 1989 1990 199't 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 o.28 RUNOFF COEFFTCTENTS FOR STORM DRAINAGE IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT x$15o1 I