HomeMy WebLinkAboutPermit Building 1993-09-16SPRINGFIELD
R FS rq:NTIAL
PERM.T APPLICATION
lnspections: 726'3769
Office: 726'3759
q3 // 7_r
h,
JOB NUMBER
225 Fifth Street
Springfield, Orcgon 97 477
TAX LOT:
SUBDIVISION
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
o
PHONEOWNER
CITY:
((STATE
\
C ZIP:a-? {-=l 7ADDRESS:Ecr
NEW -- REMODEL ADDITIoN L DEMOLISH OTHER
A-\rttr-rIt^)^:l.tDESCRIBE WOFIK:
\\?
EXPIRofL<..
I J
c
Vo (eB
NEADDRESSCONTRACTOR'S NAME
PLUMBING
MECHANICAL:
ELECTRICAL:
CONTBACTOR #bz'z-
E
CONST.
USE -
\
t3B7-
OUAD ARE
# OF BDRMS
- oFFrc
WATER HEATER:
* OF BLDGS:
RANGE:
FLOOD PLAIN:
ZONING CODE
SECONDABY HEAT:
SOUARE FOOTAGE:
OCCY GFIOUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
To request an inspection, you must call 126-376g. This ls a 24 hour recording. All inspections requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day'
REQUIRED INSPECTIONS
|--l TemporarY Eleclric w
w
w
mSite lnspection - To be made
after excavation, but Prior to
setting forms.
Underslab Ptumbing/ Electrical /
Mechanical - Prior to cover.
Footing - Af ter trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking'
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Waler Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Eleclrical Service - Must be
approved to obtain Permanent
eiectrical power.
Fireplace - Prior to facing
materials and framing lnsp.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Final Electrical - When all
electrical work is comPlete.
Final Mechanical - When all
mechanical work is comPlete.w
wa
n
g
a
a
w
a
ffi Drywall - Prior to tapinC
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-UP - When all
blocking ls comPlete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Electrical Conneclion - When
blocking, set-up, and Plumbing
inspections have been aPProved
and the home is connected to
the service panel.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.
Wood Stove - After installation.
lnsert - After f lrePlace aPProval
and installation of unit'
Curbcut & Approach -- After
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivevraY - Aft()r
excavation is comPlete, forms
and sub-base material in Place.
Slreet Trees - When all reriuired
trees are planted.
/zo)
.>
GENERAL:
LDRI
E
r
[-l fence - When comnleted.
[l
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N d'
S
ffii 7/-
E /z/
IS THE PROPOSED WORK IN TfIE
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:
VALUE
M/Z@-/?- '
(A)
X $/SO. FT.
5S z f4,20
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
/r'a'2'?.a7/{7--=
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.
Rec
ewed By Date
)
?-a*
93
Date Paid
Receipt Number:
Plan Check Fee:
SYSTEMS DEVELOPMENT C
(B)'o*?lgzgl#.Syst6ms Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
4 ,flA
/,fo7/--<?(c)
No
FT.
FT.
FT
@,.-
PLUMBING PERMIT
FEE
4.4
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
/f*
(D)
,1P,4
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
No l/
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 Springfield, 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 contiactors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
Signatu
Date /
on the site
S
ti S
from the street, that is located at the front
of the f plans will remain
tion.
,
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
(t
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits
6
(E)
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
VALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT R
Total Value
Building Permit Fee
State Surcharge
Total Fee
,F
7f?s
?.25 ItIl'-Tll l;TRI':li't
sPruNGFIlil,l), oltl':(:ol't 97 47'l
INSPTIGI'ION REQUIIS'I: 7?-6-3'169
0FI'ICE: 7?.6-3751)
1.oN ol,LA'TION
Hy
ILBCI'RICAI TTNNIT APPLICATION
City, Job Number q 3r/
COHPLUTII PEB SCIIEDULB DBLOV-t)
Nev nesidentlal-Single or
HuItl-FamiIY Per dvelling unit'
Servlce Include<l:Items Cost
1000 sq.ft. or }ess
Each additional 500
sq. ft or portlon
tlrc reo f
Each Hanuf 'd llome or
Hodular Durelling
Servlce or Feeder
s os.oo
$ 1s.00
$ 40.00
Servlces or Feeders
InstaIIatlon, Alterations or
Rclocation:
200 amps or less
201 anrps to /r00 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0nly
D. Dranch Clrcul ts
$ 35.00
SUDTOTAL OT' ADOVE
5I State Surclrarge
TOTAI,
'. . ,.'^.or,",,,i,
tr/-;1OB
:,1{Y:
Sum
JOD DESCNI
Pcrnrits arc non-transferable and explre
i( vork is not started vlthln 180 days
of issuance or if vork ls suspen<led for
180 days.
2. CO}N'RACTOR INSTALI,ATION ONLY
Iilcc t rical Con t rac tor
Addr:ess ZL
ciry EL0,Ea,E tltone344€t7{
sr.rpcrvi.sor License Ndnrbcr 3ll,t '-<
Iixpi ra t iotr Da te
D
s 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Con:;tr Cotrtr. Number
Expiration Datc
Si gna turc of Su pcrvising Electrician
0uners rne
Arld rcss
Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or less S 40.
201 amps to /r00 amps
-
$ 55.
over 4b1 to 600 amps
-
$ so.
Over 600 amps or 1000 volts see rl
c.
00
o0
o0
D" a[66
$m.-lteratlon or Extenslon Per Panel
One Clrcuit lEach Addi t ional
Circuit or vith Service-
or Fee<Jer Permi t ,
6
r City ['lronc
OUNEN IN ALI.NTION
The installatiorr is being made on
property I ovn vhich is not intended
for sale, Iease or r.ent.
Ovncrs Signature:
s 2.oo x,
E. l'liscellaneotts (Service/feeder not included)
-Each installation
Plrmp or irrigation
Sign/0u tline Ligh ting:
Limi ted Energy/Res
i
i
s
$
s
s
40.
40.
20
00
00
00
00
-:"--
DATE:
RIiCII
r( l.:('1.: I
P1'
vl.il) llY:
5
36.
,si
.A
/, /,€?/
cB No. 7zll75
CI-TY OF SPRINGFIELD SYSTEI'IS DEVELOPMENT CHARGE
T.IORKSHEET
(coMt'IERcIAL & RESIDENTIAL)
NAME OR COMPANY:Mavu AKD WI t-r-tnvtgot l
bot rl . 'rar!LOCATION:
DEVELOPMENT TYPE : LO?-- A>P r.rt N
BUILDING SIZE: toxzo;*29 tNcr-€Ave> L}T SIZ
I. STORM DRAINAGT
IMPERVIOUS SQ. FT.424 x $0.203 PER SQ. FT.
2. SANITARY SEt.lER-CITY
NO. OF PFU'S
(See Reverse)
-7 X $42.08 PER PFU
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $424.31
x -- x $424.31
x x $424.31
4. SANITARY SEWER-MWMC
NO. OF PFU'S $15.125 PER PFU + $10 Mt^lMC ADM FEE s
. Ft.
Y
TOTAL-MWMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
s
s
(Use PFU Total From Item 2 Above)
M}IMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .0s
K p Burdick
o
7
-+
SDC Coordinator
TOTAL SDC $ b1e 66
FIXTURE UNIT CALcuL.. loN TABLE: Number of New Fixrures,. Unir Equivalent = Fixlure units (NorE:
For remodels, cafcufAie-ot'V tn" *i additional fixtures)
r rNrT Fl)NUIlBER OF UNIT FIXTURE
FIXTURETYPENEWFIXTURESEOUIVALENTUNITS
Drinking Fountain.---..
Floor Drain,-
lnterceptors For Grease/Oil/Sol lds/Etc'
lnterceptors For Sand/Auto Wash/Etc"
2
1
2
J
6
2
6
6
'I
2
1
2
2
1
6
4
Receptor F6r R ef rigeratorAVater Station/Etc" " " "
Receptor For Commerclal Sink/Dishwasher/Etc-'
Laundry Tub/Clotheswasher- --.. - -""
Clothes-waqher - 3 Or More---.---
Mobile Hdme Park TraP (1 Per Trailer)
Showe( Single'Stall....
Shower, Gang-.-...--...
Sink, Bar. Commercial
Urinal. StallflVall....
Wash Basin/Lavatory, Single.
Water Closet, Public lnstallation--.
Water Closet, Private.....
Miscellaneous:
Credit for Parcd or Lard Only lf Applicable
tmprwement (if after annexation date)
I
TOTAL FIXTURE UNITS
x$
(Rate X Assessed Value)
ead/H
Z
___q-
1
I
CREDIT CAL.ULATI6N TABLE: Based on assessed vatue. lf improvements occurred after annexation date in table'
calculate credits seParates.
xs
(Rate X Assessed Value)
CREDIT TOTAL $
0.4
0.9
0.45
0.5
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.
Commercial............. --..--
lndustrial....
Govemmental
Year
Annexed
Rate per $1,00O
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
1979 or before
1980
19Bl
1982
1983
1984
1985
F.21
3.13
3.08
2.96
2.82
2.68
2-51
1986
1 987
1988
1989
1990
1991
1992
$2.24
1.93
1.57
1.18
0.79
0.44
0.28
tMpERvtoUS AREA = TOTAL Lor SlzE x RUNoFF coEFFlclENT
..,
t,
I