HomeMy WebLinkAboutPermit Mechanical 1997-03-20ESIDENTIAL
ERMIT APPLICATION
lnspectlons: 726€769
Offlce 728€759
I.oCATION OF PROPOS
R
P
ASSESSORS MAP:
PllII\lGF q b/L/L
JOB NUMBER
225 Flfth Street
SprlngflelC, Oregon 97472
ED WORi7c 35+h
TAX
LOT BLOCK:SUBOIVISION:
To requeet an lnspectlon' you must call 726-3769. 'l'hls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a,m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Flnal Ptumblng - When allplumblng wgrk ls complete.
Slte lnspectlon - To be mads
after excavatlon, but prlor to
settlng forms.
fl
tl
fl-l Unaeratab PtumblnglElectrlcal/H Mechanlcal - Prior to cover.
l-l Footlng - After tEenches areH o(csrat€d.
lJ trlaronry - Stoet tocarton, bondlJ bearns, groutlng.
Foundatldn - Aftdr forms are
eroatbd but prlor to concrete
placement.
l-'l Rough Mechantcal - prtor tou cover.
l-l Rough Electrlcat - prlor to|J cover.
n Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
[l Flreptaoe - Prtor to factng
-
materlala and framlng lnsp
[-l Framlng - Prlor to cover.
WalltCblllng ln
cover.
i
stllatlon - Prlor to
Sldewalk & Drlveway - After
excavatlon ls completo, (orms
and sub.base materlal ln place.
Str.ol Tlees -,Whon all requlred
trses aro planted.
l-l Flnat Electrlcalu electrlcal work I - \Alften all
s complete, s
Flnal Mechanlcal - When allmechanlcal work ls compl€te.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.
tl Other
MOBILE HOME INSPE TIONS
Plumbtng Connectlons - When
home has been connected to
water and gewer.
Electrlcal Connectlon - Whenblocklng, sel.up, and plurpblng
lnspectlons have been approved
and the homo ls connected tothe servlce panel.
n l-hdergrcunC Plumblng -- piioi
'J to fllllng trench.Drywall - Prlor to taplng.
Underlloor Plumblng t Mechanlcal
- Prlor to lnsulatlon or decklng,tl Wood Stove - Aftor lnstallatlon.
tl Post lnd Beam - Prlor to floor
lnsulatlon or decklng.
D Floor lnsulallon - Prlor to
decklng.Curbcut & Approach - Alter
forms are erocted but prlor to
placement of concreto.Sanltary Sewer - Prlor to lllllng
trench.
[-l Storm Sewer - Prlor to fililngu trench.
!-l llrtq Llne - Prlor to llnlng fl Fence - When cornpteted.H 13sn"n.
l-l lngert - After flreplace approvalH and lnstallatlon of unlt.
Blocklng and Set.Up - Whe6 ail
blocklng ls complete.
Rough Plumblng - Prlor to
cover.
+n PHONE:
ztSTATE:
OWNER:
ADDRESS:
ClTY:
DEMOLISH OTHER
I
NEW- REMODEL ADDITION
DESCRIBE I.r/OFIK:
ADDRESS EXPIRES PHONE
^8")1(
CONTRACIOR'S NAME
GENERAK
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR '
- OFFICE USE -
r OF BDRMS:
OUAD AREA:
r OF BLDGS:
OCCY GROUP:
, OF ST'',ORIES:SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE;
'r OF UNI.TS:
-ZONING CODE:
tl Flnal - After all requlred
lnspectlons are approved andporchos, sklrtlng, d6cks, andventlng have been lnstalled.
tl
o
RANGE:
P.L,HSE GAB ACC
N
S
E
Lot facos
Lol sq. ftg.
Lot covorago
Iopography
Total helghl
Lot Type
-
lnterior
-_- Corrter
-
Panhandle
-
Cul-de'sac
KSSe IS THE PROPOSED WORK TN THE -' HrsToBtcAL DlsTRlgr, oR oN r\n,,,THE HISTORICAL REGISTER? I IV
ll yes, thls applloatlon must be slgned
and approved by the H lstorlca!
Coordlnator prlor tg permit lssuance.
APPBOVED;
VALU E
(A)
X $/SO. FT.
N!al n
Carport
Gaqage
Total Value
Bullding Permit Fee
State Surcharge
Total Feo
BUILDING PERMIT
ITEM SO. FT.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
proporties wlthln tho Clty limlts whlch aro being improvetJ,
ITEM
Flxtu rest
Resldentlai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
FT,
(c)
PLUMBING PERMIT
Plumblng Permit
Stato. Surcharge
Total Charge
Wood Stovei lnsert/Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
CO
4 w
Mechanlcal Permlt
lssuahce
State:surcharge
Tqial Psrnit
Furnace
Exhaust Hood
Vent Fan
MISCELLANEOUS PERMITS
Moblle Homo
State lssuance
State Surchargo
Sldewalk
-
ft
Curbcut
-
ft
Oomolltlon
State Surcharge
TOTAL AITAOUNT DUE (exctudlng etr
(A, B, C, Q and E Comblned)
cal)
"{jl
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, lncludlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any time
upon vlolatlon of any provisions of sald ordlnances.
Plan Check Fee:
Dute Falci;
Recol pt Number:-
Recelved By;
Plans Flovlowed By Date
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carof ully e;(arnlned
the completed appllcailon and do hereby cerilfy that alt
lnformatlon hereon ls lrue and correct, and I f urthor cerflfy.
that any and all work performod shall be done ln accordancs
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the Stato of Oregon pertalnlng to tho work descrlberJ
heroln, and that NO OCCUPANCy wlll be made of any
structure wlthout permlsslon of the Bulldlng Safety Dlvlslon.
I further certlfy that only contractors and employees who
aro ln compllance wlth OFS 701.055 wllt bo used on thls
prolect.
r iurtirsr agree to ensure that ail requirod inl;[;;+ot,l"?rs arrr
reguested at the proper tlme, that each address ts roarlable
from tho street, that the permlt card is located at the front
of tho property, and tho approved set of plans wlli remaln
on the sl at mes durlng constructlon.
Slgnature
6)
VALIDATION:
(BECEIPT N
DATE PAID
UMB
AMOUNT BECEIVEO
BECEIVED BY
f
FT.
Total Mlscellaneous permils (E)
\
CITY OF SPRINGF'ELD, OREGON
SPFI !IELD
The lollov
zoning, a
aPtrroval.
vino trroiect gg s
na?bes not ro'l
225 ?TFTE STREET
OFFICE: 726-3759
SPRTNGFTELD, 0REGON 97477
INSPECTION REQITESTz 726-3769
EI,ECTRICAL PERI{IT APPLICATION
city Job N*b", ?Z/y'/7
JrA'-cou*,xes-;FEE SCEEDUI,B BELOV
A Nev Residential-Single or
Mu1tj.-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dve1ling
Service or Feeder
$ 8s.00
?$ 1s.00
1. LOCATION OP
JOB DBSCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.,ATION ONII
Electrical Contractor
Address
Constr Contr. Number
Expiration Date
Signa rvtsl Electrician
o
citv ?e Phone /;,?2,- OqOS
Supervisor License Number /;69.{
Expirat ion oate ,/4,//r/ 4f
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
-Z201 amps to 400 amps _
40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0n1Y
200 amps or less
20L amps to 400 amps
-over 401 to 600 amps
Over 600 amps or 1OOO voTts
Z g 4o.oo 94-4
130
3
Sum
B
$
s
s
$
$
$
00
00
00
00
00
00
.0040
55
80
$
$
$
s
50
60
00
00
40
1
?/Temporary Services or Feeders
Installation, Alteration or Relocation
c
00
00
ee trBtr aE6ve
Owners Name
Address q4<//3{
cit Phone 74/'-{77
OSNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0nners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each instalLation
Pump or irrigation
Sign/0utIine Lighting_
Limited Energy/Res _Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
RECEIVED
LEGAL DESCRIPTION/?*zpr'21 / z,aze
a)
CITY OF SPruNGFIEID,
SPFINGFIELD
h,
RESIDENTIAI, PERMIT APPLICATION
CITY OF SPRINGFIELD
COM},II'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
dlob Nunber: 96L444
225 North Fifth street
Springfield, oR 97477
Location of Proposed Work: 359 35TH ST
Assessors ttap #: 1-7023L24
Lot:
Office:
Inspection Line:
726 -37 59
726 -37 69
Block:
Tax LoE #: L26OO
Subdivision:
OWNET: DENNIS/BARBARA WARD Phone #: 746-738L
Address: 345 35TH STREET city/st.ate/zip: SPRINGFIELD' oREGON 97478
DeSCribC WOTK: T{A}IUF HO}TE & GARAGE NEW
QUAD AREA: 3RNC
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 2
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1385
To requeat an inspection, call the 24 hour recording aL 726-3769-
A11 inspections reguested before 7:00 a.m. wilt be made the same working day,
inspections req[rested after 7:00 a.m. will be made the following work day'
.-- REQUIRED INSPECTIONS .--
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement '
WATER tINE - Prior to filling trench.
sAtiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER IJINE - Prior to filling trench.
MAIiIUF HOME/UOBIITE HOME SET UP - When at1 blocking is complete-
UANUF. HOIIE/UOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspecEions have been approved and home is connected to panel
MAIIUF. HO!,1E/MOBILE HOME PLITIIBING - After home has been connected to
water and sewer'
ROUGH ETECTRICAL - Prior to cover.
FRNIING - Prior to cover.
CITRBC1E - After forms are erected but prior to placement of concrete.
SIDEWATK - AfEer excavation is complete, forms and sub-base material
in place.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When aII required inspecLions have been approved and
the building is comPlete.
FINAT SET Up - After all required inspections are approved and porches
skirLing, decks, venting, house numbers, etc. have been installed.
LoE Type: PANIIANDLE
Item
Main
Garage
FTG/PERIM FOI'NDATION
Total Va1ue
Building Permit Fee
Surcharge/Admin
--- BUII,DING PERMIT ---
Square Feet x
576
$/Square Feet Value
35, 105 . 00
10, 368 . 00
7, 866 . 00
54,339.00
134.50
L0.77
TOTAL FEE (A)t45.27
SPF!NGFIELD
h,
ilob Number: 96L444
OF
Page 2
SystemsDevelopmentchargeisdueonallundeve}opedpropertieswithintheCity
limits and ttre citys urban Growt,h Boundry which are being improved'
SYSTEIiS DEVELOPIIENI
.-- PLI'MBING PERMIT
50
50
50
CIIARGE (SDC)
(B)2 ,89L .93
Fee
25.00
25.00
25.00
Item
SanitarY Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/admin
TOTAI, CIIARGE
75.00
5.00
(c)81. 00
- - - MISCEI,tA}IEOUS PERMITS
Mobile Home
State Issuance
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
TOTAL IIISCEI.I.ANEOUS PERI{ITS
10s.00
20.00
8.40
1-r- . 95
11.95
l-, 000. 00
(E)1,157.30
(Excluding Electrical )
unlees otsher-wise noted
--- TOTAL AIIOU}illr DUE ---
(A, B, c, D, and E combined)4,275.50
-.- BUILDING VATUE,PtA}I CHEEK A}ID BUILDING PER}IIT -'-
This permit is granted on the express condition that the said construction
shaI1, in alf respects, conform to the ordinance adopted by the city of
springfield., inc:-uaing 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 Feez 87.43 Date Paidt 10/23/96 Receipt Numberz 23572
Received BY: LORNE PLEGER
Pl-ans Reviewed By: LISA HOPPER Date: L1-/2L/96
Building Site Reviewed By: LISA HOPPER
- -. ADDITIONAI, COMI{ENTS - - -
A & T ESTIMATE ONLY. IND]VIDUAL LOTS NOT LISTED
rN couNTY SYSTEM AS OF L0/3L/96
GARAGE PLANS REVIEWED AND APPROVED BY DON MOORE
DRIVEWAY REQUIRED TO BE PAVED
By signature, I st,ate and agree, that I have carefully examined
the completed application and do hereby certify Ehat all information hereon
is true and correct, and I furt,her certify that any and all work performed
shall be done in accordance wiLh the Ordinances of the City of Springfield,
and the Laws of the StaEe of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure withouE permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this projecE.
CITY OF SPruNGFIEI.O,
SPFINGFIELD
.fob Number: 961-444 Page 3
I further agree to ensure that all reguired 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 sets of plans
will remain on the site at all times during construction.
/2,/?/?/2
Signature oate / '/
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATTON .--
/z-7-72
4225,;'o
2*y'gas'
ATT OF SPilNGFIELD,
SPFIr.GFTELD
Page 1
ENGINEERING DIVTSION DEVELOPMENT PLAN REVIEW
RESIDENIIAI, IMPROVED STREET
Developer: DENNTS/BARBARA WARD Job No
MAif AddrCSS: 345 35TH STREET SPRINGFIELD, OREGON 97478 PhONE #:
Tax Lot #: !70231-241,2600 Project Address: 369 35TH ST
Subdi-vision: Lot: Blk: Eng. Rev. No.:
.: 96L444
7 45 -7 38L
Book
StreeL Gravel
359 35TH ST
Existing Curbcut: N
EXISTING IMPROVEMENTS
Ac Mat Curb FuII Imp SW width Curbside
Y 5 FEET
Setback
5:1 FLAIRS
ENGINEERING REQUIREMEMTS
Additional Right of Way: N
ImprovemenE Agreement: N
Easements: N
SAI{ITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-80O-332-2344
Available: Y Stubbed Out To ProperEy Line: Y Depth: 4-6
Size of Line: I In.
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: PER PLITMBING CODE
Comments: NEED PUBLIC WORKS PERMIT FOR NEW SAIIITARY CONNECTION
FT
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: OWNER MUST PROVIDE DRAINAGE PLAN
Pipe Parking Lot Drainage To: N/A
SIDEWALK AT{D DRIVEWAY INFORTIATION
New Curbcut Appr.: Y STANDARD Width: 13 Ft Flairs
SidewaLk Permit: Y Width: 5 Ft Length: 13 Ft
CurbcuL Permit: Y WidEh: 13 Ft
Handicap Ramp: N
COMMENTS: CURBCIII MUST BE WITHIN THE PARCELS STREET FRONTAGE
3 FT
ENCROACHI{EMI AI'ID ASSESSIIENI
Encroachment Permit Required: Y CONTACT ENGINEERING DIVISION AT 726-3753
Sanitary Sewer In Lieu Of Assessment: N
Comments: NEED PUBLIC WORKS PERMIT FOR NEW SAIIITARY CONNECTION AND DRAINAGE
SPECIAL NOTES AI{D REQUIRE}IENTS
All- work within the public right of way shall be in conformance with the City
of Springfield standard specificaEions for construction. A11 existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsibl-e to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: TROY MCALLISTER Dare: tL/oe/95
SEE DRAWINGS ON SPECIAIJ REQUIREMENTS FOR FURTHER IIITPORTAIIT INFORMATION
OREGO'VCITY OF
SPF}hiGFIELD
D EV E LOP M E NT S E RVI C ES DE PARTM E NT
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree of
permits, one of the following manufactured homes will be placed
Springfield, Oregon, City Job Number
Type I Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or
roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
performance standards which
for single family dwellings at
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing,
and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance
standards which reduce heat loss to levels equivalent to the performance standards required for single
family dwellings at the time of construction.initials
I further state, by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundatior
not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than24 inches of the enclosing material exposed above grade.
Zfr,225 FIFTH STREET
SPRINGFIELD, OR 97477
(s41 ) 726-3753
FAX (541) 726-368e
reduce heat loss to levels equivalent to tt^re pgrformance standards required
the time of construction. 5 t; initials
t.,n Lr- L,t )^^"0 rA/q /7bt6"t f v-trJ-_7
WillamalanePait & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAM PHONE:
ADDRESS:i45 i=+n sk,srArE: W- ,'t,
LOCATTON OF PROPOSED BUILDING SITE
Street Address:
Ptat Name, . A\(.t)Tax Lot Number:L+
X $1,000 per unit = $t00D.rD
-_\1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Manufactured home not in a Park
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
-
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDO-payer must lumish prool of
\Mllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Single Family home
NO. OF UNITS
lo Se -/z t_-? t 76
$
$
$
IDOO.CD$
$
g
$xD(pp
City of Springfi
Department Date
Aut 444