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Home My WebLink AboutPermit Building 1993-02-09SPRINGFIELD 1RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726'3759 JOB NUMBER 225 Fif th Street Springfield, Oregon 97477 g LOCATION OF PROPOSED WORK ASSESSORS MAP:/7 -O Z-3,1-t 3 BLOCK:LOT: TAX LOT:-56 ffi PHONE: /* ZIP:STATE:?z1 - {zea €- CITY: ADDRESS OWNER: NEW _-2.- BEMODEL ADDITION DEMOLISH OtrI+EFl DESCRIBE WOFIK: EXPIRESADDRESS 2 2/--2/? / 44 4zZ 7r/ PHONE CONTRACTOR'S NAME MECHANICAL: ELECTHICAL: CONST. CONTRACTOR # GENERAL: PLUMBING I a - OFFICE USE _ OUAD AREA: * OF BDFIMS: HEAT SOURCE: - CONSTR. TYPE: -' WATER HEATER: * OF BLDGS: OCCY GROUP: - I OF STORIES: ZONING CODE: FLOOD PLAIN * OF UNITS:.. LAND USE: SECONDARY HEAT: SQUARE FOOTAGE:RANGE: - ,?.2 To request an inspection, you must call 726-376g. This is a 24 hour recording. All inspections requested before 7:o0 a'm' w made the same working day. inspections requested after 7:00 a.rn. will be made the foilowing work day' REOUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Prior to f-l TemporarY Electric ll Site lnspection - To be made af ter excavation, but Prior to sett in f ornrs. Un Mecha nical - Prior Footing - After 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 Plumbingl Mechanical - Prior to insulation or deck:ng' Post and Beam - Prlor to floor insulation or decking. Floor lnsulalion - Pticrr to decki ng. cover. Electrical Service - Must be approved to obtain Perrnanent electrical power. Fireplace - Prior to facing materials and f raming lnsP. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. ill be Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS L=4++eclrica! Connection - When'ZJ biOCking, Set-U[r, and plumbing inspections have been aPProved and the horne is connected to the service Panel' E M ffisanitary Sewer - Prior to tillirrg f lrencn. p*tnsewer - Prior to rirrins Ii--TMlater Llne - Prior to {llling ?4/trencn' f-V fkrat - After all ;equired 'W^=p"ctions are a;:Pioved and ccr,:iles, skirting, r-.lecks, arrd venting have seen instalied. [--l Orywall - Prior to taPing lnsert - Af ter f irePlace aPProval .n6 165;lallatiorr of unlt, L-]Curbcut &. APProach - After f.lrnrs are rlrer;ted Lr!t Prior to placerneni of Lo'lcrct'1. l_l Sidewalk & DrivewaY - Alter excavation is comPlete, lorrts and sub-base material in Pia':e. l__l l'ence - When ccmPlele(, ,e4Blocking and Set.UP - When all-U blocking is comPlete. fZ Plumbing Connections - When' Iza-J 56ms has beeh connected to vlater and sewer. ectrical Rough Plumbi,rS - Prior to C a)'/e r [- .l Streei -Irt,ai - Wr,cn alt to'tuir':d!- j l:,:,,s ar,-. pii,,rif.:. SUBDIVISION: r tl tl I--l Wood Slove - After installation. 2? C -41- Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type Y lnterior - Corner - Panhandle --- Cul-de-sac Setbacks P.L.HSE GAR ACC N S E S THE PROPOSED WORK IN THE 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: BUILDING PERMIT ITEM SQ. FT. Main Garase '-rLY LJ'l L X $/SQ. FT. C€3c) LU Carport t4$d- (A) Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditron that the said construction shall, in all respects, conlorm 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. Plans Reviewed By Date Plan Check Fee: Date Paid Receipt Number: Received By SYSTEMS DEVELOPMENT C (B)'o*$,1';"3 *- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS I', \ ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home I FEE @ o (c) NO FT. FT. Fi. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit M ECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the cornpleted 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 proiect. 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 Signatu re Date on the site at all times during con on. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surchargg(^ Sidewalk lL/ tt Total Miscellaneous Permits (E) ftCurbcut Demolition State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) F1',)38 )t,ea )I ++- RECEIVED AY AMOUNT RECEIVED DATE PAID VALIDATION: RECEIFT NUMBER a c0 a OREGONCITY OF SPR SP}I'AlGF'ELf,' SPRTNGPTBIJ, OREGoN 97477 ' inspscf,rox Brousst, 726-q62 t DOPFrcE:72:3-3759 t''.,-t- m BIJCTRICAL PERHIT APPLICATION city Job n ^a", 93ffi77 225 FTrT,E STREBT Cons t Expir Zonlng' ar approval' R-\ Authorized Signature 1.OF IJGAL DBSCRIPTION Electrical Contractor Address ci ty- Supervisor License Expiration Date i,:-r Contr ati Date of Supervising Blectrician Owners Name ruoi{Surrtt 3. COI{PI.^ETE PEE SCEEDTILB BBLOV A. New Residential-Single or HuIti-FamiIY Per dvelling unit. Service Included: Items Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum JOB DBSCRIPTION; --- -;-iEarteb za Pareauto eanfr*€ permits are non-transferable and expire if vork is not started r,'ithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COIITRACTOR INSTALI.ATION ONLY 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder B c D. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts - Reeonnect 0nIY Temporary Services or Feeders Insta1lation, Alteration or Relocatiop 200 amps or less -S 40.00 over 4b1 to 600 amps - $ 8o.oo Over 600 amps or fbOOETts see uB" a666 Branch Circuits Nev, Alteration or Extension Per Panel -tr . $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 * -Yx -* RBCEIVED N, /?at-s ilaa=ue 10?Yr\ L,J 346601-91 Permit No Address: lssued %tr 7 Note: Oregon Law, ORS 701.055(4) , requires residential construction permitapplicants who are not registered with the Construction Contractors Board tosign the following statement before the building permit can be issued. This state-ment.is required for residential.b_uilding, elec[rical, mechanical, and plumbingpermits. Licensed Architect and Enginebr applicants, exempt from registratioiunder ORS 701.010(7), need not su6mit thid btatement. Thib statement wiil befiled with the permit. Fill in the applicable blanks, and initial boxes 1 and z, and either box 3A or 38: STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONS!BILITIES Date: R OFFICE USE ONLY WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT 1 2 I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is soldor offered for sale before or upon completion. My general contractor is--- Contractor registration num I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the construction contractors Board. OR 3. eF{ I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certily that the above information is correct and that t have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reYerse side of this form. 3 t-gg gnature o rm Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 3 A t sr.r uN(;l: lELt) Qynittscj has the lollowing 2.25 I]II.'TII :;TRI:I.:T st,tuNGFI!lLI), oREGoN 91 477 gLEGTRICAL I'BRHIT APPLICAT ION INSPIICTION REQUIIS'I: 72-6-3'169 ll^.&Ci ty Job Number oF'PICE: 7?.6-37s9 ," ){O-q3 3. COHPLETII T'EB SCIIEDULB BELOV 1 ON 0 LEGAL DESCRIPTION JOB Pernri ts are -transferable and exPlre it vork is not started vlthin 180 days of issuance or if vork ls suspentled for 180 days. Nev Residential-Single or HuIti-Family Per dwelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion t lrereo f Each Manuf 'd llome or Modular Dwelling Service or Feeder $ 8s.00 $ 15.00 Services or Feeders Insta}latlon, Alterations or Rclocation: 200 amps or less 201 anrps to 400 amps - 40L amps to 600 amPs - 601 amps to 1000 amps- 0ver 1000 amps/volts - Reconnect OnIY -,f\A Sum ON 2. CO}NT.ACTOR INSTALI-ATION ONLY Iilectrical Contractor Ad d r:es s r,E d)L Ci ty Plrorre E ffiScx> Supervisor License Ndnrber 7/5 -s B.g;fu $ s0.00 $ 60.00 $100.00 $130. 00 s300.00 $ 4o.oo Expiration Date Constr Contr. N - z9<c- /c) Expiration Date /o 3 Signature of Supervising Electrician k), /94-ru- Temporary Services or Feeders Insiallation, Alteration or Relocation 200 amps or less $ 40'00 201 amps to /r00 amps $ 55.09 over 4b1 to 6oo amps - $ Bo.oo , 0ver 600 amps or 1000 volts see I'B'r above Dranch Circui ts Nev, Alteratlon or Extension Per Panel umbe r c D 0vne rs A<ld rcss Ci ty Phone STALTNTION The installation is being nrade on property I own vhiclr is not intended for sa1e, Iease or rent. Ovners Signature: DATE: One Ci rcui t Eaclr Additional Circui t or vi tlr Service or Feeder Permi t $ 3s.00 s 2.00 E. l'liscellaneotts (Service/feeder not included) -Each installation Plrmp or irrigation Sign/0utIine Light ing- Limi ted EnergY/Res - Limi ted EnergY/Comm 5. SUBTOTAL OP ABOVE 5f State Surcharge TOTAL Lo s40 s40 s20 s36 .00 .00 .00 .00 I(IiCI']IVT]D IIY: d d iect as not r€ &$4o.oo&. ! JOB NO.13oc>q1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (CoMMERCIAL & RESIDENTIAL) A xit axtl ,\4NAME OR COMPANY: 4st ^J . '3a 9 s-r i7oL3i I 1 - 3booLOCATION: LbR - rtlew NOPKC ilr *tt-DEVELOPMENT TYPE: BUILDING SIZE: Tlct:9€ lW+ SIZ F S a. Ft. I. STORM DRAINAGE IMPERVIoUS SQ. FT.i 6b2 x $0.192 PER SQ. FT 2. SANIT ARY SEI^IER -C ITY NO. OF PFU'S I$ X $39.78 PER PFU (See Reverse) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / x /.oc9 X$401.05 3 X x $401 .05 X x $401.05 $ SUBT0TAL (ADD ITEMS I,2, & 3)s t4b4 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 TOTAL - C ITY SDC s t+bb 1o 5. SANITARY SEt,lER-MWMC NO. OF PFU'S lg x $13.62 PER PFU + $10 MI.IMC ADMIN' FEE sz55 t9- (Use PFU Total From Item 2 Above) Mt.lMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-Mt^lMC SDC TOTAL SDCKip Burdick SDC Coordinator S- 4 21 2.'?- t ..1Lqq o4'1tG ok, '03 28 7 $/1tl 8 ,l FTXTURE UNIT CALCUI-ATION TABLE: t'tumuer of New Fixtures X For remodels, calculate only theNEI additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES ,t Equivalent = Fixture Units (NOTE UNIT FIXTURE EQUIVALENT UNITS Bathtub....... Drinking Fountain...... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc.-............... I nterceptors For Sand/Auto Wash/Etc... -. --... - "." " Laundry Tub/Clotheswasher Clotheswasher - 3 Or More........--..-.-..,i...... -........... Mobile Home Park Trap (1 Per Trailer).-.....-.-....."' Receptor For Ref rigeratorAVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stali............. Shower, Gang........... Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin/Lavatory, Single-......... Water Closet, Public lnstallation..4 Water Closet, Private.... Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed valUe. lf improvements occurred after annexation date in table, calculate credits separates. '2-?- 2 1 2 3 6 2 6 6 1 ., 2 1 2 2 1 6 4 I ead/H Credit for Parcel or Land Only lt Applicable lmprovement (if after annexation date) 2.82 x$q.2 21 (Rate X Assessed Value)x $- (Rate X Assessed Value) CREDIT TOTAL n-L?=$ i, I - Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1 986 1987 1988 1989 1990 1991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT + Z Z L -6- -o-