The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-06-08SPrr FIELO Fffi',ff'?-;itl,.o''o* lnsoections: 726'3769 oltic", 726'3759 JOB NUMBER 225 Fifth Street Springf i d, Oreg on 97477 8r LOCATION OF PFIOP ED K: ASSESSORS MAP: TAX LOT SUBDIVISION: BLOCK )PHON E: ztP; ( STATE: OWNER: ADDRESS: CITY: OTHERDEMOLISH DESCAIBE WOR NEW - BEMO PHONEEXPIRES ADDBESSNCONTRACTO MECHANICAL: ELECTRICAL: 33N?Io"r"*' GENERfu:- PLUMBING: - OFFICE USE - C OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: } OF BDRMS: ZONING CODE: , OF BLDGS: _ OCCY GROUP: * OF STORIES: CONSTR. TYPE HEAT SOURCEI AI ti on S re qu ES ted befo re 7:00 a.m WI be 7 26-3 769.Th S 24 hou record ng.ns pec To CS an NS pect o n,you MU st cal wl il be ad e th e fol owl n s o rk day,requ pect io requ ested al te 7 :00 a.m m de he S arme wo rki n s d ay,n NSma EQUIRED INSPECTION Rough Mechanical - Prior to cover. Bough Electrical - Prior to cover. SR [--1 TemPorarY Electric ll Finat Plumbing - When all plumbing work is comPlete' Site lrlspection - To be made iitut ,--*iur"tion, but Prior to setting {orms. Underslab Plumbing/ Electrical I Mechanical - Prior to cover' Flnal Electrical - When all electrical work is comPlete' Electrical Service - Must be approved to obtain Permanent electrical Power. Fireplace - Prior to facing materials and (raming lnsP' Framing - Prior to cover' I---l Final Mechanical - When all I I mechanical wort< is comPlete' oting - After trenches are Final Building - When all reouired insPections have been approved and building is comPleted. excavated. Masonry - Steel location, bond beams, grouting.Olher ,1 f-flFounclation - After forms areLF "t""t"d but Prior to concrete Placernent' Wall/Ceiling lnsulation - Prior to cover. E F E E Underground Plumbing - Prior to filling trench. Drywall - Prior to taPing. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking'l-l Wood Stove - After installatlon Post and Beam - Prior to floor insulation or decking.lnsert - After firePlace aPProval and installatlon of unit. Blocking and Set-UP - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trenclr.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling Sidewalk & DrivewaY - After excavation is complete, forms and sub-base materlal in Place.trenc ll Water Line - Prior to filling t ren c ll. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. d Rouglr Plumbing - Prior to cover.[] E r IS THE PROPOSED WORK IN THE HIS-TORICAL DISTRICT, OR ON THE HISTORICAL REGISTEI]? - lf yes, this application must be signed and approvr-'d by the Historical Coordin:rtor prior to permit issuance. APPROVED Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E Setbacks BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the exprcss condition tlral the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction ancJ use of buildings, and may be suspended or revoked .1t any time upon violation of any provisions of said ordinanccs. Plan Check Fee: - Plans Reviewed By Date Date Paid Receipt Number:-- Received By: VALUE (A) d, X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are beinE improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMM ENTS ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) NO FT. FT. F-r. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed elpplication and do hereby certify that all information hereon is true and correct, and I f urther certily that any and all work performed shall be done in zrccordance 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 permissiorr of the Building Safety Division' I f urther certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspcctiorls are requested at the proper time, that each address rs readable the permit card is located .lt the {ront the approvecl set of plans will remain Signature Date on the site at all mes cjuring construction. f rom the street, ot the ProPertY,MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk __.---'ft Curbcut --..-- ft Demolition State Surcharge (E)Tot al Miscellaneous Permits \ 5 ERc VALI N DATE PAID RECEIPT NU AMOUNT RECEIVED _ _,J08 N0.Teozq b CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:s TIL D ?* 7843 70 N . 4lsI Sr l1b2 z r4t -oolooLOCATION:3 DEVELOPMENT TYPE:Mo *- Ne DOPI.ev LOT StZ S a. Ft. BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.1e2 PER SQ. FT.g NO. OF PFU'S 2I X $39.78 PER PFU (See Reverse) 3. TRANS PORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP 2 xo ,b 13 x $401.05 x $401.05 x $401.0s sX x $ 4 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL AB0VE) X .0s K sDc p Burdick Goordi nator SANITARY SEWER-MWMC N0. 0F PFU'S ZZ x $13.62 PER PFU + $10 Mt.lMC ADMIN' FEE (Use PFU Total From Item 2 Above) MI'IMC CREDIT IF APPLICABLE (SEE REVERSE) suBToTAL (ADD ITEMS 1,2, & 3) s n51b3 TOTAL-CITY SDC $ a4 3B 5 12 Bts'9 3 TOTAL SDC s zt+u g7 2. SANITARY SEWER_CITY FIXTURE UNIT CALCUIATIO.- IABLE: Numoer of New Fixtures X unit For remodels, calculate only the NET additional fixtures) NUMBER OF FIXTURE ryPE NEW FIXTURES Bathtub.Z Drinking Fountain...... Floor Drain.. Interceptors For Grease/Oil/Solids/Etc-.......-"""' lnterceptors For Sand/Auto Wash/Etc. -... -. -. "" " " Laundry Tub/Clotheswasher. Clotheswasher - 3 Or More.---....-.. livalent = Fixture Unit: (NOTE: UNIT EOUIVALENT FIXTURE UNITS -q- 2 1 2 3 6 2 o 6 't 2 1 2 2 1 6 4 Mobile Home Park Trap (1 Per Trailer)..""-""""" Receptor For RefrigeratorAVater Station/Etc"""' Receptor For Commercial Sink/Dishwasher/Etc' Shower, Single Statt.........-.--..---.. Shower, Gang.................- Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin/Lavatory, Single--.-.-. Water Closet, Public lnstallation-. Water Closet, Private..-... Miscellaneous ead/H L L Z TOTAL FIXTURE UNITS --T- z-s ,, CREDIT CALCULATION TABLE calculate credits separates. Based on assessed value-lf improvements occurred after annexation date in table' Credit for Parcel or l-and Only lf Applicable lmprovement (if after annexation date) 2 ,8\x$ (Rate X Assessed Vatue)x $-- 5 E (Rate X Assessed Value) CREDIT TOTAL = $ ar:, RUNOFF COEFFICIENTS FOR STORM DRAINAGE 0.4 0.9 0.45 0.5 I Residential.. Commercial lndustrial.-... ""':"""" Governmental.--.--..---....- Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1 985 1986 1987 1988 1989 1990 1991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERVIOUS AREA : TOTAL LoT SlzE x RUNOFF COEFFTCIENT ?- -SP'TINGFIELr, RESID ENTIAL PENUIT APPLICATION lnspections: 726'3769 Ollice: 726'3759 JOB NUMBEFI 225 Fifth Street Springfield, Oregon 97477 TAXLOT: - SUBDIVISION # LOCATION OF PROPOSED WORK: ASSESSOBS MAP: LOT ,- 77 (-)o BLOCK: To request an inspection, you must call 726'3769' This is a 24 hour made the same working clay, lnspections requested af ter 7:00 a'm' REQUIRED INS [-l remPorarY Electric w F Y recording. All inspections requested before 7:00 a'm' will be will be made the following work day' PECTIONS Site lnsPection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Fooling - After trenches are excavated. Floor lnsulation - Prior to decki ng. Slorm Sewer - Prior to filling trench. Rough Mcclranical - Prior to cover. Rough Electrical - Prior to cover Electrical Service - Must be approvecl lo obtain Permanent electrical Power. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is comPlete' Final Mechanical - When all mechanical work is comPlete. P F F PL Masonry - Steel location, bond beams, grouting' w'Foundation - After forms are erected but Prior to concrete placement' Underground Plumbing - Prior to filling trench. Underlloor Plumbingl Mechanical - Ptiot to insulation or decking'w dPor, and Beam - Prior to floorLfJ insulation or decking' F fl?at itary Sewer - Prior to filling ch. F dlater Llne - Prlor to fillingl# trench. t ffiougn Pluqbing - Prior to f cover. [--l FirePlace - Prior to facingI I materials and f rarning lnsP' F w Framing - Prior to cover' Wall/Ceilirrg lnsulation - Prior to cover, Drywall - Prior to taPing Wood Stove - After installation lnsert - After iirePlace approval and installation of unit' Curbcut & APProach - After forms are erectcd but Prior to placement ol concrete. Sidewalk & DrivewaY - After excavation is conrPlete, forms and sub-base material in Place. Fence - When comPleted. Slreot Treos - When al! required trees are planted. al Building - When all required insPections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set'UP - When all blocklng is complete. Plumbing Connections - When home has been connected to water and sewer. Eleclrical Connection - When blocking, set'uP, and Plumbing inspections have becn approvcd and the home is connected to the service Panel. Final - After all required inspections are aPProved and porchcs, skirtlng, decl(s, and venting have been installed. OWNER: ZIP:STATE: CITY: \ PHONE:3 qq_ clz7o ADDRESS:CI )Y6l,-Jgci ADDITION DEMOLISH OTHER DESCRIBE WORK: REMODELNEW X PHONEEXPIRESADDRESS.{'i'l stq 2-),/{-I z>a\c ',r''., .\ .l tlCONTRACTOR'S NAME CONST. CONTRACTOR ,' GENERAL: PLUMBING MECHANICAL: __- ELECTBICAf, o FFICE US A OI- UNITS: CONSTR. TYt-'E HEAT SOURCE: RANGE:WATER HEATER: FLOOD PLAIN: ZONING CODE: * OF BDRMS: SECONDARY HEAT: E:SOUARE / OUAO AFIEA: I OF BLDGS: LAND USE OCCY GROUP: I OF STORIES: 7 tl tl r F F fl e (J ()- \)e\Pcl \o tr E IS I'HE PROPOSED WORK IN THE }1IS-TORICAL DISTRICT, OR ON TI.IE HISTORICAL REGISTER? - ll yes, this applicatlon must be signed and approved by the H istorical Coordinator prior to permit issuance. APPFTOVED P.L. N S E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typo - lnterior - Corner - Panhandle ------- Cul-de-sac& I.ISE _q-ry1 AC 9- l<sSct BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tlris perrnit is granted on thc express condition that construction shall, in all respects, conform to the aclopteu by the City oi Springfield, L)evelopfilent Cotle, re6lulating the cons Date v arrs llcvicwecl By Flcccipt Nu th d I ding the ion and use of upon violation of anY Provi o said ordinances. [)lan Chcck Fee: Datc Paid Rccei nance at any timebuil<iings, an(l may be susPend VALUE q,.3p. c0 (A) FT. X $/SO. FT. BUILDING PERMIT Total Val ITEM Main Garage Carport Building Permit Fee State Surcharge Total Fee Systenrs Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT C (B) HARGE (S #zt4 i3)P ADDITIONAL COMMENTS (r/ 'l tttt_l { ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE FT. FT. (c) Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert./ Fireplace Unit MECHANICAL PERMIT (D) e-JtPeDryer Vent Mechanical Permit lssuance State Surcharge Total Permit Fu rn ace Exhaust Hood Vent Fan By signature, I state ancl agree, that I have caref ully examined the cor.npletecJ application and do hereby certify that all information hereon is true and correct, and I further certify that any ancJ all v;ork performed shall be done in accordance wittr tl-re Orc.linances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described lrerein, anrJ that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certily that orrly contractors and employees who are in compliance witlr ORS 701.055 will bc used on this proiect. I lurther agree to ensure that all required inspections are requestecl at the proper time, that each address is readable the permit card ls located at the lrorrt the approved set of plans will rctrrain Signature Derte f rom the street, th of the propertY, on the site at all s cluring construction MISCELLANEOUS PERMITS Mobile Home state lssuance State Surcharge sidewark 3L ,,2nCurbcut .- )6\ ft Demolltion VALIDATION: RECEIPT NUM DATE PAID S Su rc ha tal Miscellaneous Permits (E) ] ,oroa AMouNT DLIE (Cxcltrrlinr; elr:r;tricrtl i if,,3, C, t),;rtril F- (ltrtrrl 'r''|r:'i) PERU ,[r1443 AMOUNT RECEIVEO \C,(lli:()t lvl:tl Il'/ ./ \ f) FT. ^ -q.rc*4 M oc 7z ).00-o C'TY OF SPRINGF'ELD, OREGO'U SPRtr 'IELE) 225 TITYTB STREET SPRTNGPIELD, oREGoN INSPECTION REQTIBST: OPPICB: 726-3759 97477 1 JOB Permi ts non-transferable and exPire if vork is not started vithin 180 days of issuance or lf vork 1s suspended for 180 days. 2. COIiITRAC:TOR INSTALI,ATION OIILY Electrical Contractor Address 35V Pt, Ci ty pnone 744-/165 Supervisor Li 7 tflo"' 35 7'7 s' Expiration Date 3-1 Constr Contr. Number ??,/gz Exp iration Date Signature of Su ising Blectrician 0vners Name Add res s The iollorvino r,rni^.r '*.'\ o' rht'lr}3ed h+ thq iir"*ii, iiic;'-':. iroi iutiurru -i*oiiic land approval. "u-i,!,9LY78lb u80 BLECTRICAL PER}IIT Ci ty Job Nunber SCBBDTILB BBLOV A. Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: m B plElL I tems&lr0d)1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular DveIling Servlce or Feeder 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- Over 1000 amps/volts Reconnect 0nly SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL ON Cost Sum $ 8s.00 $ 1s.00 s 40.00 $ so.oo $ 60.00 s100.00 s130.00 $300.00 $ 40.00 C D Temporary Services or Feeders Insta1lation, Alteratlon or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 6oo ambs - S Bo.oo 0ver 600 amps or lbOOGTts see rrBrr aIffi Branch Circuits Nev, Alteration or Extension Per PaneI Ci ty Phone OgNER ALI.ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: one circuit $ 35'oo Each Addi tional Circuit or with Service or Feeder Permit $ 2.00 E Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- S Limited Energy/Res - S not included) 40.00 40.00 20. 00 36.00 I nA ,rRBCEIVBD 5 @ 2 -e4 1D