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Home My WebLink AboutPermit Building 1993-03-23SPRII\tGFIELT' LOCATION OF PROPO ASSESSOBS MAP: h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAxLoT: //Aol1 SUBDIVISION ?ac,<ere * LOT:BLOCK: / tt'rr-t !/eno-2z-PHONE: 623 STATE: da?ZIP: /-z/e tO 6e -z Sne,tErtaCITY: ADDRESS: OWNER Lz''NEW - REMODEL ADDITION DEMOLISH DESCRIBE WORK: OTHER Sarrs^l {z< z z_{4*,^,,72 6-Ztzr ^ ADDRESS //a,ro*.1 ,soz. PHONE ELECTRICAL:A^ CONTRACTOR'S NAME GENERAL: MECHANICAL PLUMBING: CONST. CONTFIACTOR #EXPIRES //- q3€,epnr (r _ OFFICE USE _ RANGE: OCCY GROUP: * OF BLDGS: QUAD AREA LAND USE: WATER HEATER: * OF STORIES: # OF BDRMS: I OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: FLOOD PLAIN: ZONING CODE CONSTFI, TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. This ls a24hour 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 followlng work day. REQUIRED INSPECTIONS [l remporary Etectrlc Rough Mechanical - Prior to cover. Final Plumbing - When allplumblng work is complete. Site lnspection - To be made after excavation, but prior to Rough Electrical - Prior to w5inal Electrical - When all setting forms.cover.ect rlcal work is comp]ete.m^fr0l) Mechanica\ - whln arrW;:'erslab Plumb Electrical Service - Must be approved to obtain permanent electrical power. Final hani Pri mechanical work is complete. ng-A ter trench w Final Building - When altrequlred lnspectlons have been approved and building is excavated Fireplace - Prlor to faclng materlals and framing lnsp.Masonry - Steel locatlon, bond beams, grouting.completed.qwffir,.^cover. ffifounaation - After forms are - erected but prior to concrete placement. Other Wall/Ceiling lnsulation - prior to cover. Underground Plumbing - prior to filling trench.l--l Orywalt - prtor ro taptng Underlloor Plumbing / Mechanicat - Prior to insulation or decking. MOBILE HOME INSPECTIONS Wood Stove - After installation. Posl and Beam - Prior to floor insulation or decking.[--l lnsert - After flreplace approval - and installation of unit. _-a1V V8locking and Set-Up - When ail f.- blocking ls comptete. I drru^rrng conneclions - when f nome has been connected toI water and sewer. Floor lnsulation - Prior to decking.flCurbcut & Approach - After forms are erected but prior toplacement of concrete.Ya Sanitary Sewer - Prior to filling trench. idewalk & Drlveway - After trical Connection - When Slorm Sewer - Prior to filling trench. excavation is complete, forms and sub-base materlal in place. blocking, set-up, and plumbing inspections have been approved and the home is connected tothe service panel. Waler Llne - Prlor to filling trench.l-l Fence - When compteted nal - After all required Slreel Trees - When all requlred trees are planted. inspections are approved andporches, skirting, decks, andventing have been installed. rical I g Rough Plumbing - Prior to cover. RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 79t P E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type., - lnterior - Corner - Panhandle - Cul-de-sac. ks -rS THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OFI ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E X $iSQ. FT. ,"+ tD 4re-& (A) ,ffi 9zsn)Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 Developrnent Code, regulating the construction and use of buildings, and may be suspended or revoked at upon violation of any provisions of said ordi s Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received B time SYSTEMS DEVELOPMENT CHARGErl b(B) Systems 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 FEE m 5 (c) N0 FT. FT FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood Ely signature, I state and agree, that I have carefully 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 wlthout 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 prolect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable {rom the street, that the permit card is located at the front of the property, and the approved set of plans will remain 3-H*73 on the site at all times during c o ruc MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharger\d. Sidewalk ed J tt curbcut CJA ,, Demolition State Surcharge Total Miscellaneous Permits (E) & 3 ECEIV D DATE PAID VALIDATION: RECEIPT NUMBER AMOUNT FI RECEIVED TOTAL AMOUNT DUE (excluding electrical (A, B, C, Q and E Combined) ,3 lo4=t 3q8, CITY OF SPRINGF'ELD, OREGOA' SPFlINGFIELE' DEVELOPMENT SENVrcES PUBLIC WOBKS M ETRO PO LITAN WASTEWATER M AN AG E M ENT - Manufactured Home blocking - I^later line connection - Street tree standards MANUFACTURED HOME SET-UP AGREEMENT - Sanitary sever connection - Electrical connection - Minimum requirements for permanent steps 225 FIFTH STREET SPRINGFIELD, OR 97477 (50s) 726"375s As required by the City of Springfield Development Code, I understand and agree ;:i:,::[l,ll"n3Hll"l?1,"f"'xi":::":f"1._HdHLii" 5dff^'&l'fiy , Spr i fie1d, Oregon, City Job Numbet @. Type I Manufactured Home. A multi-sectional (double vide or vider) unit vith an enclosed floor area o f not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in vidth, that has no bare metal si.ding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards vhich reduce heat loss to levels equivalent to the performance standards required of single family dvellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than L2 feet in vi ea of not less than 500 square feet, tha a nominal roof pitch of 2 feet in height for each 12 feet in vidt that has no bare metal- siding or roofing. I further state, by my signature belov, that I have been provided vith the folloving information: drht has h and I al-so understand that if I am installing a Type I Manufactured Home, the home shaIl be enclosed at the perimeter vith stone, brick or other masonry materials, and vith no more than 12 inches of the enclosing material exposed above grade. =t-z"3, qs ture Date CITY OF SPR'N'GFIELD,OREGO'I' 225 FIFTE STREET ,4 SPRTNGPTELD, OREGON 97477 2' INSPECf,T0N REQIIEST z 726-3769 OFFICE: 726-3759 1 OP Permits are transferable expi re if vork is not start ed vithin 180 days of issuance or if vork is suspended for 180 days. 2. COIITRACTOR INST.ONLY Electrical Contr Address Ci ty Phone Supervisor cense Number iration Date SP. ,GFIELD EIJCTRTCAT PER}IIT APPTTCATION City Job Number COHPI,ETE FEE SCffiDUIJ BELOS Nev Residential-Single or Hulti-Family per dvelling unit. Service Included:Items Cost s 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder L q3 l.c 3 A Sum Exp Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name Address L ci Phone OVNER INSTALI,A'TTON The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. 0vners Signature: DATB: $ 40.00 B Services or Feeders Installation, 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/vo1ts Reconnect Only $ s0.00 $ 60.00 $100.00 $130.00 $300. 00 $ 40.00 40.00 55.00 80.00 rBrr aSove D. Branch Circuits Nev, Alteration or Extension Per Panel C. Temporary Services or Feeders Installation, Alteration or Relocation =E $ 1s.00 $ 3s.00 $ 2.00 @ 9- 200 amps or less $ 201 amps to 400 amps - $ 0ver 401 to 600 amps - $ Over 600 amps or 1000 vofts s ee One Circuit Each Additional Circuit or vith Service or Feeder Perni t ( E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting Limited Energy/Res Limi ted Energy/Comm SIETOTAT OP ABOVB 5Z State Surcharge TOTAL s 40.00 s 40.00 $ 20.00 $ 36.00 Or RBCBIVED 5 CrD \D\qs, *--.r-r-- JOB NO. NAME OR COMPANY: LOCATION: DEVELOPMENT TY BUILDING SIZE: PE \ 1. . STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY T SIZ x $0.192 PER SQ. FT. X $39.78 PER PFU SUBT0TAL (ADD ITEMS i,2, & 3) S a. Ft. NO. OF PFU'S (See Reverse) 3. TRANSP ATION NO OF UNiTS X TRIP RATE X COST PER TRIP i x $401.05 x $401 .05 x $401 .0s X X X $ s 4 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .os 5. SANITARY SEI^JER-MWMC TOTAL-CITY SDC $13.62 PER PFU + $IO MI,JMC ADMIN. FEE TOTAL-MWMC SDC NO. OF PFU'S (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) Kip d) 1 rcBE I I SDC Coordi a TOTAL SDC U CITY OF SPRINGFIELD SYSTE],IS DEVELOPUENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) I FIXTURE UNIT GALCUIA',- JN TABLE: Number of New Fixtures X --.it Equivalent = Fixture Units (NOTE: For remodels, calculate only theNEI additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIKTURES EQUIVALENT UNITS Bathtub....... Drinking Fountain...... Floor Drain... lnterceptors For Grease/Oil/Solids/Etc............... I nterceptors For Sand/Auto Wash/Etc................. Laundry Tub/Clotheswasher. Clotheswasher - 3 Or More.......... Mobile Home Park Trap (1 Per Trailer)................. Receptor For RefrigeratorAVater Station/Etc....... Receptor For Commercial Sink/Dishwasher/Etc. Shower, Single Stall.. Sink, Bar, Commercial.. Urinal, StallflVall Wash Basin/Lavatory, Sin91e.......... Water Closet, Public lnstallation.. Water Closet, Private......... Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits rates. 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 + Z /Head 'i-e Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = g Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982r 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1 987 19BB 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. Commercial lndustrial Governmental. 0.4 0.9 0.45 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I I Z-