HomeMy WebLinkAboutPermit Building 1992-03-10SPrl!NGFIELTD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
O(fice: 726-3759
LOCATION OF PROPOSED
ASSESSORS MAP
LOT.
JoB NUMBE "9b3lz- ,
t*1
SUBDIVISION
225 FiIth Street
Springfield, Oregon 97 477
BLOCK:
V1l.'irrb>PHONE:OWNER
tr^STATE:
iorr
<-
ADDNESS JS'S
zre, Q 7117CITY;
*r* --K- REMoDEL ADDtrtoN DEMoLtsH orHER
Df:SCRIBE WORK:
cr.rvrnAr' 'fi}(w'
t't UMulNC: hat*,,
MECHANICAL: T'IA
ELECTRICAL, A+
PHONEDDR+ESS
0reu)rww,
5I
EXPI RESCONTRACTOR'S NAME
&e )tUiEY (fil
CONST.
CONTRACTOR /ilzlqz ru qb&)
ta_4,19 ffiz?D
v HEAT S
RANGE
# OF BDRMS
OURCE
_ OFFICE
LAND USE
r OF UNITS:
CONSTFI. TYPE: -
WATER HEATER: -.---
FLOOD PLAIN:-
OCCY CROUP:
SECONDARY HEAT:
SQUARE FOOTAGE:
ZONING CODE:
r oF SroRtF.S: err
OUAD AREA:
C OF BLDCS:
To request an inspection, you rnust call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
nrade the same working day, inspections requested after 7:00 a.m. will be rnade the following work day.
REQUIRED INSPECTIONS
Bx
Tonrporary Electric E
K
Rough Mechanical - Prior to
cover.K
B
,K
x
Final Plunrbing - Wlren all
lrlurnbing work is conrplctc.
Site lnspection - To be made
af tcr exc;rv;ttion, l:ut prior t<,>
Rough Eleclrical - Prior tt,r Final Electrical - When all
electrical worl( is cornplete.cover.
Underslab Plumbing / Electrical /
Meclranical - Prior to cover.B Eleclrical Service - Must tre
approved to obtain peilnanent
electrical power.
Final Mechanical - When all
mechanical worl( is comJ;lete.
.EL Fooling - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.E
E
B
Framing - Prior to cover.
'f,7 Foundation - After forrns areJ4erecte(l tiut prior to concrete
placemenl.
Other _--.
Wall/Ceiling lnsulation - Prior to
cover.
E.
x,
E
x
K
E
&
R
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloo echan Wood Stove - After installation
- Prior to on or ng
Post and Beam - Prior to floor
insulzrtion or decl(inO.lnsert - After {ireplace apl)roval
and installation of unit.
Blocking and Sel-Up - When all
blocking is cornplete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - Af ter
forms are erected but prior to
placement of concrete.
Plunrbing Connections - When
home has been connected to
water and sewef
Sanitary Sewer - Prior to filling
trench.Eleclrical Conneclion - When
blocking, set-up, and plurnbing
inspections lrave been approvcd
ancl the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Aiter
excavation is complete, forrns
ancl sub-base malerial in place.
Water Line - Prior to filling
trench.
Fence - When completed
a
lreel Trees - Wfen all required
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
x.
rees are planted. " ,
TAX LOT:
fl
fl
Lot fa(:cs Lot Type
terior
Corner
--
Panhandle
" ' ' ar1-6s-qac
Setbacks S'THE PFIOPOSED WORK IN THE
-HIS.TORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .'_-=--
lf yes, this application must be signed
and apProved bY the H istorical
CoortJinator prior to permit issuance'
APPROVED:
Lor sq. fts. 7ao
Lot coverage Z%
ropography Zttl
rotar rreisht dW
P.L,I-JSE GAR ACC
N /s I
1
J /s'
5',
20 I
E
BUTLDING 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
Developmcnt Cocle, rr:gulating the construction ;rnd use of
btrildings, and may be suspended or revoked at any tirne
upon violation of any provisions of said ordinanccs'
DateeviewedPI
s-7 -?z
2/D oo
Plan Clreck Fee:
Date Paid:
Recei pt Number:
Received ,BY:
Z:?_?-?Z_
3"s L___
BU!LDING PERMIT
SO. FT.
b-€@-
17-3--
earl
(A)
/y'!o
X $/SQ. FT.
3a.70
ITEM
Main
Garagc
Carport
VALUE
E-DES
86-b7
Total Value
Building Permit Fee
State Surcharge
Total Fee
@.=
?4,*
22.4
Systems Developtnent Charge is ctue on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT C
(B)^o^fr;Z\?'"
ADDITIONAL COMMENTS
ITEM
Fixt u res
Residential Bath(s)
Sanitary Sewer
Water " "
Storm Sewer
Mobile.Home
N:2x2.1,p -/EZ-/a
PLUMBING PERMIT
FEE
FT.
FT.
FT.
(c)/L'
/a-yD
- Z'tz'Plumbing Pertnit
. State Surcharge
Total Ch
MECHANICAL PERMIT
Furnace Z ,* €
Exhaust Hood ?/< 7'?
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent 2-,(7
(D)
7
4
_73__
4/6€
Vent Fan
Mechanical Permit
lssu ance
State Surcharge
Total Permit
No zxj
By signature, I state ancj agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certily
that any and all work perlormed 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 {urther agree to ensure that all required inspections are
requested at the proper time, that each adclress is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will renlain
onstructionll times duringon the site
UJ
Date- - .--
ignatu
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surchargc
sioewatx# tr
curbcut ?-O -- tt
Demolition
Stalc Surcharge
Total Miscellaneous Permits (E)M 65
RECEIPT NU ER
DATE PAID
AMOUNT FIECEIVED
RECEIVED BYTOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)t2-)
__6.
-/= -
VALIDATION:
225 FIFTE STREEf,
SPRINGFIEIJ, ORBGON
INSPBCf,ION RBOTIBST:
0PPICE: 726-3759
The f o!l.v;iri6 prcject
zonii;ii anai'Joes
apprc"ar'
97477
726-3769
1. LOCATION OP INST.i.':od
IJGAL DESCRIPTION/7Dz 3{ z D/nfl
JOB DBSCRIPTTON
l-Yt,6L*
Permits are non-transferable and expirelf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONIRACTOR INSTALI,ATION ONLY
Erectrical contrac to, CWnpLel/ €lu.{*,>
ST"IIN(;FIELf,'
hmtte
lsrd
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelllng
Service or Feeder
City Job Number
COUPI.^ETE FEE SCBBDUT.E BBtOg
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
2 $ 8s.00 /2
,CATION
3/z
A
Sum
Address P, O " boY -Cl
citv L+lV(Jty! )lb rhone 7Y?-o?oF
Supervisor License Number \ 666 S
Expiration Date o o 13
Constr Conrr. Number 2-O^Lqq L
$ 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/volts
Reconnect 0nly
C. Temporary Services or Feeders
Installation, Alteration or Relocation
2- $ 1s.oo ?o
40
above
$ s0.00
$ 60.00
$1oo.0o
$130.00
$300.00
$ 40.00
Exp 200 amps or less / $ 40.00
201 amps to 4oo amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ so.oo
Over 600 amps or 1000 volts see rrBrlSignature of Supervlslng Electrlcian
Owners Name
Address P,<5, 6o* 26
Ci ty ul*l*'t, tb phone -74"1<10{
OTINER INSTALI..ATION
The installation is being made onproperty I own which is not intended
for sa1e, Iease or rent.
Osners Signature:
DATE:
PT
iration Date 3
D. Branch Circuits
New, Alteratlon or Extension Per Panel
One Circuit $ 35.00
Each Arldi t ional
Circuit or vith Service
or Feeder Permit S 2.00
B. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lightine_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVB
5I State Surcharge
TOTAL
2qo
/2
$ 40.00
$ 40.00
s 20.00
s 36.00
RBCEIVBD BY:
')Z-
5
=€2..?
PBRI{IT
JoB No - a2ob\'2-
CiTY 0F SPl.^NGFIELD SYSTEFTS DEVEL0PMEU CIIARGE
WORKSHEET ,
(cof'{HERcIAL & RESIDENTIAL)
NAI'IE OR COMPANY:Lewee*ce \41. ?t+r LL te9
L0CATION: b 7n1 -qa {++ue.srox €p 11a-l-z,crzz_ - OInOO
DEVELOPI'IENT TYPE: LPA * I{CW DUPLEX
BUILDING SIZE:SIZ F s a- Ft-
i. STORM DRAINAGE
IMPERVIOUS SQ. FT.ZG1.L x $0.186 PER SQ. FT.s41 , q1lo-
(See Reverse For Runoff Coefficients If Actual Imperv. Are
2. SANITARY SEI.IER-CITY
NO. OF PFU'S 2?. X 538.55 PER PFU s o+otg
(See Reverse To Determine Total PFU'S)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
.7 x l.oob s -1a\!9
x
'..-.:...-.-.-.x:.-xs388.61.'
(See. Attachment C To Deteruine Trip_Ralgs)
SI,BTOTAL'(ADD ITEl,tS 1,2, & 3)'S-ZO r-9---"
4 ADI'IiNiSTRATIVE FETS
BASE CHARGE (SU8T0TAL ABoVE) X .0s s louzJ
a Is Unknown)
3
x s388-6I
x s388.61
TOTAL-CiTY SDC s Lz>259
5. SANITARY SEI{ER-HI{MC
N0- 0F PFU'S 2Z- x Sl3-25 PER pFU + SIC gg6c AltiIN- FEE S bc:t63
(Use PFU Total From Item 2 Above)
r'il,rMc CREDIT IF AppLICABLE (SEE REVERSE)S LGI?
TOTAL-HI.IMC SDC sz15b9
Kip Burdick
SDC Coordinator
b b
TOTAL SDC S Z5ot83-
s
FIXTIJRE UNIT CALCULAI ION TABLE: I{IIMbET OI NETIJ FiXIUTCS )
For rernodels, calculate only the t"lq addiiional {i>:tures)
NUMBEF OF
FIXTURE TYPE NEW FIKI-URES
rit Equivalerrt = Fixlure Unils (l'JOTE
UNIT FIXTURE
EOUIVALENT UNITS
/
Laundry 2-
Clotheswasher - 3 Or More..-.-...--.
Mobile Home Park Trap (1 Per Trailer)----------------.
Receptor For RefrigeratorflVater Station/Erc---.-- - -
Receptor For Commercial Sink/Dishwasher/Etc-:
Shower, Single Stall.----..---..
Shower. Gang---....--..
Sink Bar. Commerciat
Urinat. Stall^Vall....
Wash Basin/Lavatory. Single-*---
Water Closet, Public lnstallatioru-
Water Closet. Private--......
Miscetlaneous:.
TOTAL FL{RJRE UNTIS 2'L
/
CREDIT CALCULAION TABLE: Based on assessed rratUa lf .tnprorements ocanrred after anno<ation date in table.
. calcdate credils
1Z
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
+
Z 4
Z
e
/Head
4
1
2
CreditforParcel ortandOnlylfApflicable L't b X S a'b"
(Rate X Assessed Value)
tmprwement 0f after annocation date) X S
-
(Rate X Assessed Value)
CREDIT TOTAL
2-b
l7-=$Zb
Year
Anneo<dd
Rae perSt.OOO
AssessedValue
Year'
Annoced
Rate per S1.@O
Assilssed Value
1979 or before
1980
1981
1982
1983
1984
sz66
L&
253
L47
z.19
ZM
1985
1986
1987
1988
1989
1990
s1.69
1_35
1-15
0-92
0.s9
o.23
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential-
Commerciel----.-..-
lndustrial----
Governmeaizl.---.-.-...----.---
0.4
0.9
0.45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
-