HomeMy WebLinkAboutPermit Building 1999-07-28sF iita.iFtEl-D
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work:
Assessors Map #: 17023LL3
Lot: 81
NOTICE:
THIS PERMIT SI,IALL EXPIRE IF THE WORK
arTH OR IZED u N D ER TH I S!]:-EU[!-S]9-|-
CouruemcED oR rs ABAN 66nEffiffi B; : XHi:"1;;;' "".
- o"
ANYIS0DAYPERIOD. coMItItNrrY sERvrcEs DrvrsroN
Page 1
Job Nurnber: 990815
BI'U.DING SAFETY
ATTENTIONlUr*,sur ' 't'rv" t(iquilee \:(.,u IL
rcriow iures adopt6.o bv the 9lt9-t ^lliitv-n
ll"Slf ggffi i-'36,I1fl i;;$8f*ri*'ffi qr
31s OGIG. \fiu may oOt'in copres of the-rules by
"";,"],xl['9,'1i:i*it*ffi p,q.ffi
$ft
&'
ffice :
Line:
125-3759
726-3769
0
SPilNGFIEIT',
Owrrer: VELMA HAMMER
Address: 315 38TH ST.
DescTibe WoTK : MANUFACTURED HOME/GARAGE
Phone #: 725-a670
city/state/zip: sPLFD OP., 97 478
NEW
ContracEor
Const.
ConEractor #Expires
03/20/ot
Phone
942-a177General:,f . L. BEAN CONST OOBOO44
781.56 MOSBY CREEK COTTAGE GROVE OR
QUAD AREA: 3RNC
OCCY GROUP: R3
SQ FOOTAGE: 2L52
OFFICE USE --
LAND USE: 1150
CONSTR. TYPE: VN
# OF BLDGS: 1
INSUL PATH: P1
To requests an inspection, call the 24 hour recording at 726-3769
A11 inspections requested before 7:00 a.m. will be made the same worki-ng day,
inspections requested after 7:00 a.m. wiLl be made the following work day.
2gno --- REQ,TRED rNsPEcrroNs ---
FoOTING - After Lrenches are excavated.
FOTNDATION - After forms are erected but prior to concrete placement..
MANUF HOME/MOBTLE HOME SET UP - When a1f blocking is complete.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing wit.h finish materials.
FP-N{ING - Prior to cover.
tdANuF. HoME/MoBrLE HoME EtEcTRrcAr. - when blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MAtitUF. HOME/MOBII,E HOME PIJI'MBTNG - AfTCT hOME hAS bEEN CONNECTCd TO
water and sewer.
PEDESTAL - Prior to cover.
FINAL ELECTRICAL - When al-l- electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the buifding is complete.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation j-s complete, forms and sub-base material
in p1ace.
FINAL SET UP - After all required inspecLions are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Coverage: 23 *LoL Faces: N
Topography: 2
House
Garage
Lot Sq. Ft.: 9075
Lot Type: INTERIOR
Setbacks
SWE
10 15 23
N
1B
480 18.34
--- BUILDING PERMTT ---
Square Feet x $/Square Feetftem
Main
Garage
Value
0.00
8, 803.00
SPFIN.\FIELD
,.lob Number: 990816 Page 2
MANU/HOME
FTG/FDN
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
s0, 000
5, 000
53,803
00
00
00
(A)
104.50
8.37
1L2.87
PTIIMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
50
50
50
Fee
25.00
25.00
25.00
15.00
90.00
7 .20
(c)97.20
--- MISCELLAI{EOUS PERMITS
Mobile Home
State fssuance
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
.{+Ifit+Iit+IrHifFr
TOTAT MISCELLNiIEOUS PERMITS (E)
105.00
30.00
f .ql 1p-ro_
50.00
50.00
860.20
@ao-
2,L25.70
(Excluding Elect,rical )
unless oEherwise noEed
--- TOTAL AIIIOI'NT DUE ---
(A, B, c, D, and E combined)ffi7.
-+4+t-+'--- BUII,DING VALUE, PLAI{ CHECK A}.ID BUILDING PERMTT ---
This permj-t is granted on the express condj-tion that the said constructi,
sha11, in all respects, conform to the Ordi-nance adopted by Ehe City of
Springfield, including the Development Code, regulating the construction
/ 33).67
on tl.Fo
3 ,"/?
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Plan Check Fee: 67.93 DaLe Paid:
Recei-ved By:
Plans Reviewed By: AL WARD DaLe:
Building Site Reviewed By: BOB BARNHART
o5/L7/ee
o7 /22 / ee
Receipt Number: 034507
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I sEate 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
shal-l- be done in accordance with the Ordinances of the Clty of Springfi-e1d,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY w111 be made of any structure without 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 t.his project.
15PRINGFIELD
Job Number: 990815 Page 3
I further agiree 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 on the site at all times during construction.
V// lm,/*// "Tt,ts"*sig;aLu'r'e- -
//t-,Da
qTT OF SPruNGFIELD, ONEGON
--- VALIDATION ---
os57 zfReceipt Number:
Date Paid:
Amount Received:
Received By
1 2t 11
1 7 ,.(
SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
QQ-oa8l6'ct 1.JOB NUMBER
225 Fifth Street
Sprl rrg f I elr.l, Oregon 97 477
LOCATION OF PROPOSED WORK:3 E*J , OQ,
ASSESSOFIS MAP:TAX LOT:
LOT
-
BLOCK:
PHONE:
ZIP:
I
&-S'IATE:7 3
l/il-" lL*r,OWNER:
ADDRESS:
CITY:
BEMODEL ADDITION DEMOLISH OTHERNEW
DESCRIBE WO
GENERAL:
PLUMBING:
ADDRESS
fro
F-XPIRES '1 PHONECONTBACTOR'S NAME
MECHANICAL:
CONST,
CONTRACTOFI #
RANGE:
r OF BDRMS:
WATER HEATER
FLOOD I]LAIN
Y OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
QUAD AREA:
'r OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
_ OFFICE USE _
LAND USE:
To request an inspectlon, you must cali 726-3769. Tiris is a 24 hour recorciirrg. Aii inspections requested before 7:00 a.m. wiil be
made the same worklng day, lnspections rcquesled af ter 7:00 a.m. wlll be made lhe followlng work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc
ffiffilMechanrcar - Prror to E Flnal Plurnblng - When all
plumblng worl< is complete.
Slte lnspection - To lre made
after excavatlon, but prior to
settlng forms.
Final Electrlcal - When all
electrlcal work ls complete.
Underslab Plumblng/ Electrical /
Mochanlcal - Prlor to cover.
Final Mecharrlcal - When all
mechanlcal worl( ls complete,
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When all
required lnspections have been
approvod and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
WalltCelllng lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to fllling trench.Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONS
Undertloor Plumblng/ Mechanical
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prior to floor
lnsulatlon or decking.lnsert - After flrei:lace approval
and Installatlon ol unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Ftoor lnsulatlon - Prlor to
decking.Curbcut & AJrproaclr - After
forms are ert:cted but prior lo
placement of concrete.
Plumblng Connectlon! - Whon
home lras been connected to
water and sewer,
Sanltary Sewer - Prior to fllling
trench.Electrlcal Connection - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls completc, forms
and sub-base malerial in place.
Water Llne - Prlor to filling
trench.
Fence - lvhen coiirpleted
Rough Plumblng - Prior to
cover.
(itreet Trees - When all required
fioer ar6 plantod.
SUBDIVISION: -
_,-^ ; ^
,fo,^ .a.G r'a. Z "4 F/eLt--/24+,
ELECTRICAL:
--
E
tl
E
L]
E
E
tl
E
E
tl
tl
fl
E
tl
tl
fl
tf
{NI
olectrlcal
[-l Final - After all required,J lnspectlons are approved and
porches, sklrting, decks, and
ventlng havc been lnstalled.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
--
lnterior
--
Corner
,.-- Panhandle
_- Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
, THE PROPOSED WORK TN THE .
HISTORICAL OIBTRICT, OR ON
TIJE HISTORICAL REGISTER?
-
ll yes, this appllcation must be slgned
arrd approved by the Historlcal
Coordinator pri6r to permit issuance.
APPROVED:
VALUE
(A)
X $/SO. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spri nQfield, 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
Receipt Numbe
Plan Check Fee
Date Paid:
Recolved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tl'rc City limits which are being improved.
FEE
(c)
FT
PLUMBING PERMIT
Residential Bath(s)
Plumblng Permit
State Surcharoe
Total Charge
Sanitary Sewer
Water
Storm Sewer
Mobile Home
ITEM
Fixtures
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY wilt be made of any
structure without perrnission of the Bullciing Safety Divislon.
I further certify that only contractors and enrployees who
are in cornpliance with OFIS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all me n.
Signature
Date
ing constru
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut _-- ft
Oemolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
i0
AK .bb
No
t:4
Vent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust l-loorj
Mechanical Permit
lssuance
State Surcharge
Total Permit
t6AMOUNT RECEIVED
RECEIVED AY
DATE PAIi')
(}
Pr.J(}.
VAI-IDATION:
FIECEIPT NUMBEFI
N.
FT.
fl__
:I)3-{
C,ITY OF OREGOA'
s. -.rGF|ELO
At I Ei\
follow ru es adopted bv
Center. Tho-s
aw requires you tCI
e rutes are set forth
ihe rJreg,ln UBITCIRICAI, PERHIT APPLICATION
rougn CAF 952€U0t!r Job Numbe f1 0( /6
225 FIFTS STRNET
SPPJNGFIELD, OREGON 97
INSPECf,ION REQUEST: 7
0FFICE: 726-3759
1 OF IN
DESCRIPTI
477
26-3769 '.
2-001-0010 th r
calling the cente 3. COHPI^ETE SCBEDTILE BELOV
rforthe Ore
nay obtair oples of the rules bv
FEE
'R?tl1'&"", ial-Single or
Mu
v
L ti-Family per dvelling unit.
Ltl la
DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of rssuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALT.ATTON ONLY
Electrical Contracto
Add res s 3
Phone dfd 436
ON
c?o
Ne
Service Included:
LCC0 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
Items Cost Sum
s 8s.00
$ 1s.00
/ g 4o.oo fu=oo
Srjpervi-sor License Number #/es
Expiration Date -o
Constr Contr. Number 087
Expiration Date -a 7-o /
si of upe Electri
Ovners Name LM
or Relocation:
200 amps or less
201 amps to 400 amPs _/r01 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
Feeders
ion or Relocation
$ 40.00
$ ss.00
a6ove
s 80.00-vofTs see ttBtt
D. Branch Circuits
F!
llev, A1teration ol Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
orFeederPermit- -l g 2.oo 29
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0ut1ine Lighting-
Limited Energy/Res
40.00
40.00
20.00
36.00
Ci ty
Address
Ci ty
RECEIPT
itf 3t 1/'
Phone -726'-tl7o
s s0.00
s 60.00
$100.00
s130.00
s300.00
s 40.00
OVNEI( INSTTiLI,ATION
The installation is being made on
property I ovn vhich ls not intended
for sale, lease or rent.
0vners Signature:
$
$
$
$
t/a-
7L
o0
DATE:Ls
SUBTOTAL OF ABOVE
7 fl st^te surcharge
32 Administrative Fee
TOTAL
5
RECEIVED B
?T_
I ,z o
//
Temporary Se
UNAffi
600 amps or
to 600
ANY 180
JOURNAI OR JOB N0. qil6
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY Ver*^ Nn n t*r Et2\
LOCATION .)z- _3 t t3
DEVELOPMENT TYPE <.E 7---
BUILDING SIZE:SIZ Ft
*qu Ncag /L7L
G n^d€ ,1r2+1. STORM DRAINAGE P^J@ Or.t zL ,Zo
OLD l-lofre _q or>\
1294|o
(
IMPERVIOUS SQ. FT t,7 +o X $0.227 PER SQ. FT $
2. SANITARY SEI^IER-CITY N€", frvfon€' oro<t
NO. OF PFU'S q X 547.14 PER PFU
J
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x $475.32
x $475.32 $
4. SANITARY SEWER-|\4l,'ll'4c
A. REIMBURSEMENT COST:
NO. OF FEU'S X PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X PER FEU $
Ml^lMC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^jl',lc ADMINISTRATIVE FEE
<$
TOTAL_Mt^ll'4c SDC $€
SUBTOTAL (ADD iTEMS 1,2,3 & 4)$ 6n, 24
5. ADMINISTRATIVE FEES:
BASE ABOVE) X .05 $ 40,qL
SDC Coordi nator
ATTACH 'A.l^lPD
X
$4 L4,2/2
$a
sO
$ 10.00
Date 7 -6-q9
TOTAL SDC $ b.zo
FIXTURE UNIT CALCULATION TABLE: Number of New Fixturas X Unit Equivalent : Fixture Urtits
(NOTE: For remodels, calculate only
FIXTURE TYPE
NET additional fixtures)
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
4
Bathtub.....
Drinking Fountain...
Floor Drain. ...........i....
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc.................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen..........
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet, Private.......
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
TOTAL FIXTURE UNITS q
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se a rates.
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 s
Year
Annexed
Rate per $1,OO0
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 9BB
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 B
2.82
2.42
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
0.83
o.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Residential....
Commerical...
lndustrial.......
Governmental
... o.4
... o.9
.. 05
... o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT