HomeMy WebLinkAboutPermit Building 1999-09-03SPFTITIGFIELD
225 Nor
Springf
Location of ProPo
Assessors MaP #:
Lot:
Page 1
Job Number: 990773
Office:
InsPection Line:
725 -3759
725 -3'7 69
eed Work: 365 S 38TII ST
L'7023L44
Block:
Tax Lot #: 01500
Subdivision:
Owner:VIRGINIA WALL
Address: 355 s'38TH
Phone #: 726-0Bs0
city/stat e/zlp: sPLFD oF.' 97 478
NEW
Describe Work
General:
Plumbing:
Electrical:
MANUFACTURED HOME
Contractor
"CONST
2+
Const.
ConEractor #
o060925
shrftruCIru6
Expires
o7 /1"21 ee
o7 /12/ee
o7 /L2/ee
Phone
345 -227 9
688-0150
588-0150
oR 974080000
-- OFFICE USE --
LAND USE: 1150
CONSTR' TYPE: VN
call the 24 hour re cordi
Lot Sq. Ft.: 7000
Lot TYPe: CORNER
Setbacks
SWE
20 10
18
ng at 726-3769'
# OF BLDGS:
SQ FOOTAGE:
t-
L7 82QUAD AREA:
OCCY GROUP
3RSC
R3
AltinspectionsrequestedbeforeT:00a.m.wi}}bemadethesameworkingday,
inspections requesied after 7:OO a'm' will be made the following work day'
--. REQUIRED INSPECTIONS --'
DEMOI,ITION - After demolitio" i"-"o*p1ete and all debris is removed
from the site '
FOoTING - After trenches are excavated'
FouNDATIoN-AfterformsareerectedbutpriorLoconcreteplacement,
MANUF HOME/MOBrr',E HOME sET uP - when all blocking is complete '
ROUGH ELECTRICAL - Prior to cover'
SHEAR WALL NAILING - Before covering sheathing wj-th finish materials '
FRAMING - Prior to cover'
DRYSIAIJL - Prior to taPing '
MANUF. HOME/UoBILE HOME ELECTRICAL - when blocking', setup', and
plumbinginspectionshavebeenapprovedandhomeisconnectedtopanel
MANUF. HoIdE/MoBrL; HoME Pr'LMBTNG - atllr home has been connected to
water and sewer'
PEDESTAL - Prior to cover'
FrNAr, BUrr.DrNG - when atl required inspectlons have been approved and
the building is comPlete '
FINAf, sET Up - aiter all required inspections are approved and porches
skirting,decks,venting,ktousenumbers,etc'havebeeninstalled.
To requesE an inspection,
N
Lot Coverage: 30 ?
Lot Faces: W
TopograPhY: 2
House
Garage
10
$/Square Feet
--- BUILDTNG PERMTT ---
Square Feet xItem
Main
Val-ue
0. 00
SPIlIiIGFIELI,
Job Number: 990773
SPilNGFIELT',a
Page 2
Garage
MANU/HOME
FTG/FDN
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
350
L7 82
18.34 6,4]-9.O0
55,000.00
4, 000.00
75,4L9.00
(A)
85.50
6 .93
93 .43
--- PLI'}TBING PERMIT ---
Item
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAL CHARGE (c)
Fee
15.00
15.00
), .20
L6.20
--- MISCELI.ATiIEOUS PERMITS
MobiIe Home
State Issuance
Surcharge/admin
DemoL it.ion
CITY SDC
PLAN CHECK AD.f .
TOTAL MISCELI,ANEOUS PERMITS
105
30
00
00
)eH Y.Vo
80
51
70
L9
593
11
870.51(E)
(Excluding Electrical )
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)_y" {
118.0'l
--- BUILDING VALUE, PLA}iI CHECK AI,{D BUILDING PERMIT -.-
This permit is granted on the express condition that the said construction
shal-l-, in all respects, conform to the Ordinance adopLed by the City of
Springfield, including the Devel-opment Code, regulating the constructj-on and
use of buildings, and may be suspended or revoked at any time upon vj-olation
of any provisions of said ordj-nances.
Plan Check Fee 44.53 Date Paid:
Received By:
Plans Reviewed By: AL WARD Date:
BuiJ-ding Site Reviewed By: BOB BARNHART
06/08/ee
sE'/PE./A
Receipt Number: 034362
--- ADDITIONAL COMMENTS
A SEPREATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
5 STREET TREES REQUIRED
By signature, I staEe and agree, that I have carefully examined
Lhe completed application and do hereby certify that all information hereon
is true and correct, and I further certj-fy that any and all work performed
shal1 be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining Lo the work described herein,
and that NO OCCUPANCY wilf be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contracLors and employees who are in compliance with oRS 701.055 will be
used on this project.
SPRINGFIELD
Job Number: 990773 Page 3
I further agree to ensure that alf required inspections are requested at the
proper time, that each address is readabl-e from the street, that the permit
card is located at the front of the property, and the approved set of plans
wi-ll remain on the site at all times during construction.
7-g-7v
Signature Date
SPilNGFIELD,
--- VALIDATION ---
oT't7b LReceipt Number:
Date Paid:
Amount Received:
Received By:
rfr
RESIDENTIAL
PERMTT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRII\lGFIELD
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
?io ZZJ
3b5 5 3r
ASSESSOBS MAP;/ 70L 3t Ltl
TAX LO]:O/s-oo
LOT BLOCK:
?7s-t/t /PHONE:
4u
6
STATE:orL
,
lV
S,
9 3x"
w+1/,
ADDRESS:
CITY:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
/7of fr,oilltlfn*EXPIRES ,3 PHONE
/ao n a, y/
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
<CB
- OFFICE USE -
WATER HEATER
FLOOD I)LAIN
* OF UNITS:
RANGE:
OUAD AREA:
* OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
, OF BI]RMS:
-
LAND USE:
OCCY GROUP:
r OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon
made the same worklng
Temporary Electrlc
' you must call 726'3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll beday' lnspections requested after 7:00 a.m. will be macre the foilowrng work day.
REOUIRED INSPECTIONS
Rough Mechanlcal - prior to
cover.
Slte lnspectlon - To tre madeafter excavatlon, but prior tosetting forms.
[--l Underslab plumbing/ Electrical /
-
Mechanlcal - prlor to cover.Electdcal Servlce - Must beapproved to obtaln permanent
electrlcal power.Footlng - After trenches areexcavated.
l-l Masonry - Steel locaflon, bond
-
beams, grouilng.
n Framlng - prlor to cover.
Foundatlon - After forms areerected but prlor to concreteplacement.WalllCelilng lnsutatlon - prtor tocover.
[l UnAerground plumblnq - priort-r to flllt;g trench l-_.] Drywall - prlor to taptng.
Flreplace - prlor to faclngmaterlals and framlng lnspl
Flnal Bulldlng - When allrequlred lnspecilons have beenapproved and bullding iscompteted.
Rough Electrical - prior to
cover.
Final Plumbing - When allplumblng worl< ls complete.
I-l Flnat Etectrlcat - When ail.J electrlcal work is complete.
l-_l Finat Mechanlcat - When ail
-
mechanical work is complete.
0"r,,o
MOBILE HOME INSPECTTONS
E ;ff-,ffi,?'3.i,";i3L- when arr
Plumbing Connections _ Whennome has been connected towater and sewer.
tl
Un{erlloor plumblng/ Mechanlcal
- prior to lnsulaflon or decklng,
Posl and Beam -r prlor to floorlnsulatlon or decklng,
Floor lnsulatlon - prlor todecklng.
Sanltary Sewer - prior to filllngtrench.
Slonn Sewer - prlor to filllngtrench.
Water Lane - prlor to fillingtrench.
Rough Plumbtng - prlor tocover.
l-l Wood Stovo - After lnstaltailon.
[-..| lnsert - Alter flreplace aDorovet
-
and tnrtaftailon ot unlt.
Curbcul & Approach - Aftertgrms are erected but prior topracement of concrete.
Sidewalk & Drlvewav - Afterexcavailon ls complete, formsand sub.base materlal in place.
Fence - When cci,tpleted.
Eleclrlcal Connecllon _ When:l::Iilg, set.up, and ptumbtnsrnspections have been approvedand the home ls connected tothe servlce panel.
f] $ffit"I;"3,"";"In.^ arr requrred
Final - After all requiredr,nspecflons are appioved anct
.p_ol:.h.sr sklrtlng, decks, andvenilng have been lnstalled_
SUBDIVISION: -
ztPt q7 L/7 7
Itl
@,.,
Lot Typ,
-
lnterior
-_
Corner
-
Panhandle !
-
Cul-de-sac
. -IS THE PFIOPOSED WORK TN THE.' HrsToBrcAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Historlcal
Coordlnator prlor to permit issuance.
APPROVED:
ACC.P.L.HSE GAR
N
S
W
E
VALUE
tf.0D
/ tr.oo
r7 to(A)
/.v o
Total Value
Building Permit Fee
State Surcharge
Total Fee
,4
X $/SQ. FT.ITEM
Main
Garage
Carport
BUTLDING PENffiIT
so. FT.
Thls permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordindnce
adopted by the City of Springfield, including ttle
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 Fee:
-Receipt Number:-
Plans Flevlewed By Da-G-
Date Paid
Received By:
DING
BUI LDI NG
AND BUIL
e, FTRru CHEcK
PERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(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
Moblle Home
FEE
(c)
N'
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I lurther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Buildllrg Safety Divislon.
t further certify that only contractors and employees who
are in compliance with ORS 701'O55 wlll be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
lg natu re
Date )?'(-?
on the slte at uring co
Wood Stove/ lnsert/ Fl replace Urrit
Dryer Vent
MISCELLANEOUS PERMITS
Total Miscellaneous Permits (E)
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Mobile Home
State lssuance
State Surcharge
Sidewalk -._--- It
Curbcut --_-.-_ ft
Demolitlon
State Surcharge
MECHANICAL PERMIT
Furnace
Exhaust Hood
7770(
AMOUNT BECEIVED
RECEIVED BY
DATE PAII)
VAt-IDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, Q and E Comblned)
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
_W
ADDITIONAL COMMENTS
C'TY OF SPR OREGO'V
225 FIFTE STREET
SPRINGFIEI,D, OREGON 97 477
INSPECf,ION REQTESTz 726-3769
OFFICE: 726-3759
1.TOCATION INSTALLATION
7 ft
FIELO
BLE TRTCAL PERHIT APPLICATION
Ci ty Job Nurber
3. COHPI.ATE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:Items Cost
$ 8s.00
A
Sum
DESCRIPTI
(c
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 ONLY
Electrical Contractor
Address
Ci tv Phone
Supe rvisor License Numbe
Expiration Date
Constr Contr
Expiration
Si of Supervising Electrician
Ovners Name l/D/* tUrLL
eaar""" 7A f S. 3 &E ?T
ciw ffi vnone 726, -&5O
OIJNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPs
-
401 amps to 600 amPS
-
60L amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect 0n1Y
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Modular Dvelling
Sertice or Feeder
$ 1s.00
L $ 4o.oo 9o9-
B
C
D
s s0.00
s 60.00
s100.00
$130. 00
s300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 6oo amps
-
S Bo.oo
Over 600 amps or fbOO voTts see ngrr
"f,ffi-
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Eich Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Misceflaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting_
Limited Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAI
s
$
$
s
ba
40.00
40.00
20.00
36.00
6)
DATE:
RBCEIVED B
E
---77a---)-------':-^,(o__SBP
SPFI
JOURNAI OR JOB NO Q?o 77 ?
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY U4 R er xt t* h--l LL
LOCATlON Sar 5. s8 rtL
DEVELOPMENT TYPE
BUILDING SIZE OT SIZ F SQ Ft
1. STORM DRAINAGE
IMPERVIOUS SQ
t,lE-ileu
Nce
6eP*t
Tavea Plo
I 84E+r?ztsU
- | ,lz'
I 4<-*
oLb tloPtc
2. SANITARY SEWER-CITY ({e,t pFo,, c:*ual
NO. OF PFU'S
X $0.227 PER SQ. FT 33o
X $47.14 PER PFU $ J 21,7{
$d
$
$ o**
$*-
FT. /,
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X x $475.32
4. SANITARY SEWER_Ml^lMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X PER FEU
MI,\IMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^IMC ADMINISTRATIVE FEE
5. ADMINISTRATIVE FEES
BASE CHARGE S
SDC Coordi nator
ATTACH'A. [^JPD
<$
$ 10.00
TOTAL-MI^IMC SDC $ €r-
SUBT0IAL (ADD ITEMS i,2,3 & 4) $ cao. 4?
ABOVE) X .05 $ 33,o2_
Date: 7- L -fr
TOTAL SDC $ O?3 ,,r/
l-4r u
7
x _ x $475.32
FIXTURE UNIT CALCUL&IION TABLE: Number of New Fixturn .X Unit Equivalent = Fixture rlqiqs
(NOTE: For remodels, calculate only
FIXTURE TYPE
NET additional fixtures)
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
t
Bathtub.....
Drinking Fountain....
Floor Drain. .............:..
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gang...
Sink: Bar, Commercial, Residential Kitchen...........
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet , Private
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
-z-
dlHea
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits arates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
X$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.83
0.67
o.52
o.3B
o.21
'1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlY)
Residential.
Commerical..........
lndustrial...
Governmental.......
.......... o.4
.......... 0.9
05
.......... o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
7
(Rate X Assessed Value)
CREDITTOTAL -$ --