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