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Home My WebLink AboutPermit Building 1993-05-07SPt:lINGFIELD ;q 5rp JOB NUMBER. - 225 Fif tlr Street Spri ngf ielrJ, Oregclrr 97477 qRESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Otfice: 726-3759 LOCATION OF PROPOS ASSESSORS MAP LOT: $E\rt 1JiuEtwolcrAX t-()l-oraca RLOCI(::iLJt.II)IVII;ION: , I'I IONE: SI-ATL: ( ZIP: r\s5OWN ADDRF: CITY: orHEn -DtrMOLlSllADDITI CI{_ oDE E LEWN PHONEEXPIRESADDRESS,S NAMECONT MECHANICA ELECTR ooNS'r. OONTITACTOII /' G EN ERAL: PLUMBING la3e Jt/j L 3 P: rz o[= sTOFllts:tru €_SQUARE FOOIAGE:WATER HEATEFI:RANGE: -.-_- IIEAT SOUt]C[: _ OFFICE USE _ LAND USE: - \-\-5t) II OF UNITI]: ,, CONS]T'II, I-YT't::,/ ot tll)FtMS: \ IJECOT'IDANY IIEAI: FLOOD PLAIN:_-, ZONING CODE: - OUAD ABEA: / OF BLDGS OCCY GROU To request an inspection, you must call 726-376g. This is a24hour recorclir.rg. All irrspcctions requested be(ore /:o0 a.m. will be made the same working day, inspections requested after'7:00 a.m. will be rnaclr: tlre followinq worl< clay' REQUIRED TNSPECTIONS fl TemporarY Electt'ic L-J Rough Mechanical - Prior to cover.IJ Firral Plunrbing - Wlrr:n all plunrbing work is corrtPlete. Site lnspection - To be made after excavation, but Prior to Rough Electrical - Priot ttr , I /]Firral Electrical - wlrerr all Y-' eec'irqr\ru&r> | --l Final Meclianical -'tr{/hen alllJ mecl.,onical work is cornplete. COVE T q%a^rsetting forms. Underslab Plumbi Electrical Service - Mr.tsl l.rt: approved 1o obtain poIIlr:lnorll electrical power. Mechanical - Prior oting - After trenches are Final Building - Wllcn all required insPections have beenexcavatedFireplace - Prior to {acing materials and f rarning lnsP.33t#[',1.1*ry)trrf ' Masonry - Steel location, bond beams, grouting.rnrrrg -ior t t_l Other ----ndalion - Aftcr {orms are erected l:u placemen t. tp no C Wall/Ceilitrgl rrsulalion -ior to covcr Undergrotllrd Plurrrbirrg -to filling trenclt. ror MOBILE HOME INSPE TIONS Underlloor Plurnbing/ Meclratrical - Prior to insulation or <lecking'Wood Stove - Af tt:r itrsl;rll;rtiorr kirrg arrd Set.U1: - Wlren all Post and Beam - Prior to floor insulation or decking'lnserl - Atler f ireplace ap1'rtr-rv,l and installation of unit. ocking is cortlPlete. Floor lnsulalion - Prior to decki ng. urr-rbing Connections - When rbcut&ApProach-A{ter horne has been connected to water and sewer. lary Sewer - Prior to f illing forrns are crectod but Priol t() placement of concrr:te' trench.ectrical Connection - Wherr Sidewalk & DrivewaY - Aitr:r excavation is cotnPlete, forttts and sub-base rnaterial in Placr: locking, set-up, and Pluntbing Storm Sewer - Prior lo filling trench. inspections have been aPProved and the home is connecled to the service panel. er Line - Prior to tilling Fetrce - Wlten c<-rrttplrltr:tl. trench Final - Af ter all retluirt:rJ inspections are approved and porr:hes, skirting, tlecks, and vcnting have tteerr installerl.Street Trees - When all retlrlitcrl trees are Plilnted. / Electrical/ Rough Plunrbing - Prior to cover. tl E f -l DrVwall - Prior l() [;.tpir1g. E tl I] tl Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type _- lnterior -- Corner -- Panhandle - Cul-de-sac t bac ks HS GANP.L. IS THE PROPOSED WORK IN THE IlISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? .- lf yes, this application must be signed and approved bY the Historlcal Coordinator prior to permit issuance. APPFIOVED: NCC N S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition t construction shall, in all respects, conform to adopted by the CitY of SPringfield, Development Code, regulating the co buildirrgs, and maY be susPended Rccei Date;rns Rt:viewed 13y v: c luding the revo ked at any time sio Plan Check Fee Date Paid Receipt Num e said i nance tion and use of said ordinances.upon violation of anY BUILDING PERMIT Cqqa\) 51k_ n-.ta (A) LUESO. FT. X $/SO. FT.ITEM Main Garage Carport o Total Value Buildlng Perntit Fee State Surcharge Total Fee Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHAR (B) G #t8 b49 E (sDc) 6 ADDITIONAL COMMENTS ITEM Flxtures Residential Bath(s) Sanltary Sewer Water F Ef: (c) FT. N0 FT. FT. PLUMBING PERMIT -i5P'5 ?sBE Plumbing Permit State Surcharge Total Charge Storm Sewer Mobile Home Wood Stove/ lrrsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permlt Fu rn ace Exhar"rst Hood Vent Fan By slgnature, 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 further 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 pertalning to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Buildlng Safety Division. I further certify that only contractors and employees who are ln compllance with ORS 701.055 wlll be used on this proiect. I f urtlrer agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain , re on the site at I times durlng constructlon MISCELLANEOUS PERMITS Moblle Home State lssuance State Surchargg sioewarx &t rt curbcut .21- ,, Demolition State Surcharge Total Miscellaneous Permits (E) .{D I ----E.-) ryDATE PAID AMOUNT R BECEIVED VALIDATION: RECEIPT NUM TOTAL AMOUNT DUE (excluding electrio (A, B, C, D, and E Corrtbined) ( -r- Date ( C'TY OF OREGO'U 225 PIETE STREET SPRTNGFIELD, OREGoN 97477 INSPECTION REQITESTz 726-3769 OPPICE: 726-3759 Phone 7Z? -/fN 1 OF Electrical Contractor Address A f a)'"4.4 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. CONTRACTOR INSTALI.A'TION ONLY SPrlItt-;FIELO EIJCTRICAL PERHIT APPLICATION ty Job Number BELOV Nev Residential-Single or MuIti-FaniIy per dvelling unit. rvice Included: I tems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or s 8s.00 $ 1s. oo Hodular Dvelling Servlce or Feeder E S 40.00 Services or Feeders Installation, Alterations or Relocation: .*... ttl 'i e I w B Ci ty Supervisor Licen:e Number ?4 ; € Expiration Date L--7 Signa ture of Supervising Electrician Owners Name 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amPS- 0ver 1000 amps/vo1ts Reconnect 0n1Y 200 amps or less 201 amps to 400 amps _ Over 401 to 600 amps Over 600 amps or 1000-ToT[s SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL D. Branch Circui ts Nev, Alteration or Extension Per Pane} One Circuit S 35'00 Each Addi tional Circui t or vi th Service or Feeder Permit $ 2.00 s s0.00 s 60.00 s 100 .00 s130.00 s300.00 s 40.00 Expiration Date o '/ - T{ constr contr . t'tunber L Z/ 3 7 Temporary Services or Peeders InstaIIation, Alteration or Relocation c s $ $ S 40.00 55. O0 80.00 ee ItBtt a6ove not included) 40.00 40.00 20.00 ! Address Ci ty Phone OSNER INSTATI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATB: Miscellaneous ( Service/ f eeder -Each installation Pump or irrigation S Sign/Outline Lighting- S t imited Energy/Res - S Limited Energy/Comm S E RECEIVBD -7)5 IJGAL DESCRIPTION'7Cz 3t /z o/zoz JOB DESCRIPIIONt/a,2/,4 M - 40.@l-tb0 -+24!- JOB NO.4q o5io CITY OF SPRIIIGFIELD SYSIEI}'S DEVELOPMEflT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) R./IN RGOLI9NAME OR COMPANY: t4 4 N,v sry Sr.l1o zt t 4v - otzozLOCATION: DEVELOPMENT TY BUILDING SIZE: PE: LP Gae. U ?-b 1. SJORM DRAINAGE IMPERVIOUS SQ. FT. 9,N 0 g SIZ 2og$ x $0.1e2 PER sQ. FT sQ. Ft No. oF PFU 's I t (See Reverse) X $39.78 PER PFU 3. TRANS PORTA ION NO OF UNiTS X TRIP RATE X COST PER TRIP / x /,005 x$401.05 x $401 .05 x $401.0s $X X 4 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL AB0VE) X .05 5. SANITARY SEWER-MI^,MC NO. OF PFU'S (Use PFU Total From Item 2 Above Mh,MC CREOIT IF APPLICABLE (SEE REVERSE) ip Burdick (u SUBT0TAL (ADD ITEMS 1,2, & 3)s t61-0y TOTAL-CITY SDC b $13.62 PER PFU + $10 Mt.lMC ADMIN. FEE $ 755tL a,o lg ) lb So TOTAL-l4l^,MC SDC oo 19 1 lt,o4 SDC Coordinator 5 5 3 TOTAL SDC 2. SANITARY SEWER-CITY x FIXTURE UNIT CALCUI-ATI9*1"5" Number or New FMures For remoder", ".ttur"tJfi;;;NEi additional fixtures) NUMBER oF -^NEW FTXTURES X Unit Equivalent UNIT EQUIVALENT = Fixture Units (NOTE: FIN'URE UNITS FIXTURE TYPE 7 Bathtub..-.-.- Drinking Fountain""' Floor Drain-- lntercePtors For Grease/Oil/Solids/Etc--. lntercePtors For Sand/Auto Wash/Etc.....------- Laund ry Tub/Clotheswasher. Clotheswasher - 3 Or More... tr4obile Home Park Trap (1 Per Trailer)...........-.-.... Receptor For RefrigeratorAVater Station/Etc--..-... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta||................. Urinal, StallflVall....2Wash Basin/Lavatory, Single.. Water Closet, Public lnstallation..TWater Closet, Private...... It4iscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. * 2 1 2 J 6 2 6 6 "t J 2 1 2 2 1 6 4 4 u ead/H ?- 2- -ts- Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) z ,93 x$5,8' (Rate X Assessed Value) /b (Rate X Assessed Value) CREDIT TOTAL _ $lb? Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 't984 $2.8s 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 --- -T-- I x $_ CITY OF SPRINGFIELD, ORECOA' SP'IINGF!ELr, DEV E LO PM EN T S ERV I CES D EPART M ENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726-s689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Devel.opment Code, I understand and agree that with the approval of the attached pe I one o ng manufactured homes viIl be placed at fie1d, Oregon, City Job Number Type I Manufactured Home. SpriRgY uni t vi th an enclosed floor I further state, by my signature belov, thatfolloving information: A multi-sectional (double vide or vider) area of not less than 1,000 square feet, I have been provided vith the that has a nominal roof pitch of 3 feet in height for each 12 feet invidth, that has no bare metal siding or roofing, and that has beencertified by the manufacturer to have an exterior thermal envelope meeting performance standards vhich reduce heat loss to }evels equivalent to the performance standards required of single familydvellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in vidthvith an enclosed floor area of not less than 500 square feet, that hasa nominaf roof pitch of 2 feet in height for each 12 feet in vidth andthat has no bare metal siding or roofing. - Manufactured Home blocking - Uater Iine connection - Street tree standards ture - Sanitary sewer connection - Electrical connection - Hinimum requirements for permanent steps te I also understand that j.f I am installing a Type f Manufactured Home, the homeshall 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. 2 /rr3 C'TY OF SPRINGFIELD, OREGO'U S: -nINGFIELE} 225 YIreE STREET sPRrNGrrELD, OREGoN 97477 INSPECf,ION REQIIBST. 726-3769 OFFICB: 726-3759 flt 117 1 Permits are no transferable expi if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INST Electrical Contract Address t.i \N- Ci ty Phone Supervisor cense Number Expiration Date, Constr Contr. Number 2 Expiration Date Signature Superv ising Electrician Ovners Address Ci Phone OVNBR ALI^ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0cners Signature: EIJCTRICAL PERHIT APPLICATI) ppF % d y-___c:i"+,y Job Nunber 3. COHPI,BTE FBE SCffiDTItE BELOII A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder B c. 5. SIDTOTAL OF ABOVB 5f State Surcharge TOTAT Services or Feeders InstalIation, 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 Cos t $ 8s.00 $ 40.00 50.00 60.00 100.00 130.00 300. 00 40.00 s see rrBrr a56F Sum @ ONLY C s $ $ $ $ Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000 voTt $ 40.00 $ ss.oo $ 80.00 D..Lo Branch Circuits Nev, Alteration or Extension Per Pane1 one circuit $ 35.00 Each Additional Circuit or vith Service, tt ()() orFeederPermit I $ 2.00.4.-- Miscellaneous (Serviee/feeder not included) -Each installation Pump or irrigation $ 40.00 Li;ited Energy/Res - $ 20.00 E DATE: RECEIYED cri $ 1s.oo