The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-06-08SP'II7{GFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Springfleld, Oregon 97 477 *LOCATION OF PRO ASSESSORS MAP: S D WOR TAX LOT: LOT _-_BLOCK;SUBOIVISION OWNER: ADDRESS: CITY: PHONE: STATE:ZIP: L AD DE ERNLISH - OTNEW =-- REMO DESCAIBE WOR ADDBESS EXPIRES PHONEcoNTRACTOA'S ruArr r MECHANICAL: -- -ELECTRICAL: - CONST. CONTRACTOFI ,{ GENERAL: PLUMBING u( 3P|cQ-, RANGE * OF BDBMS: _ OFFICE WATER HEATER: + OF UNITS: LAND USE:QUAD AREA: # OF BLDGS FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This ls a24hour recordlng. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS mporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after r:xcavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Under slab Ptumbing / Electrical / Mechanical - Prior to cover. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materlals and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other'Founclation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover, Underground Plumbing - Prior to filling trench.Drywall - Prlor to taPing. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After firePlace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki n g.Curbcut & Approach - After forms are erected but Prior to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is complete, forms and sub base material in Place. Water Line - Prior to filling trench.I Fence - When comPleted. Rough Plumbing - Prior to Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.cover ) fl Electrical Service - Must be approved to obtain Permanent electrical power. tl r E tl E E E tl ffil-d\^4 E E E Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type - lnterior -- Corner - Panhandle - Cul-de-sac acks P.L.HSE GAR N S E ACC IS THE PBOPOSED WORK IN THE HIS].ORICAL DISTFIICT, OR ON THE HISTORICAL REGISTEI]? _-- lf yes, this application must be signed and approved bY the Historical Coordin:ltor prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thispermitisgrarntedorrtheexpressconditiorrtlratther;aid construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, ir.rcludrng the Development Cocle, regulating the construction and use of buildings, and nray be suspended or revoked ''t any time upon violation of any provisions of said ordinances' Plan Check Fee: =-- Receipt Number:-- D:t tr:Plans fleviewed BY Date Paid Received BY: BUILDING PERMIT VALUE ( (A) SO. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due bn all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N FT. FT. FT. 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 rn ace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certif y that any and all work performed shall be done in :tccordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the wc:rk described herein, and that NO OCCUPANCY will be m:rde 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 project. I further agree to ensure that all requtred inspcctiorls are requested at the proper time, that each address rs rcadable thc permit card is located at the f ront hc approved set of plans 'rvill renrain Signature Date ae from the street, th of the property, a on the site at all ti during construction VALIDATION RECEIPT NUMB DATE PAID AMOUNT RECEIV RECEIVED MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electric (A, B, C, D, and E Combined)"yi/451.o5 I RESIDENTIAL PTfrMI APPIICATION SP -ft lnspections: 726'3769 Otfice:726'3759 LOCATION OF PROPOSED WORK: -3le ASSESSORS MAP:- Zg BLocK OWNER: h, JOB NUMBER 225 Fifth Street Spri 'ield, Oregon 97477 PHONE:3 {q- 727a * o SUBD!VISION: LOT: , ADDITION DEMOLISH OTHER.x REMODEL DESCRIBE WORK: NEW EXPIRES S?78t 7tt) DDBESS ?z PHONE CONTRACTOR'S NAME GENERAL: CONST. CONTRACTOR ,4 MECHANICA ELECTRICAL PLUMBING: \<.r. Rq \a ^, Ja-\\\ ADDRESS STATE:O(^{zlP'.?)Y0l CITY: QUAD ABEA: , OF BLDGS OCCY GROUP: I OF STORIEST WATT:R HEATER: r: SECONDABY HEAT: SQUARE a24hour recording' All inspections requested before 7:00 a'm r 7:00 a.m. will be made the following work day' iED INSPECTIONS nal Plumbing - When all umbing work is comPlete' ugh Electrical - Prior to el inal Electrical - When all ectrical work is comPlete' [,-l remRorarY Electric Site lnsPection - To be made ,ft". "r.rrrtion, but Prior to scltrng forms. Uricicrslab Plumbing / Electrical / Mechanical - Prior to cover' C-/rT)Fooling - Af ter trenches are YJ excavated' l,,lasonry - Steel location, bond beams, grouting' - OFFICE S LAND USE: , OF UNITS CONSTR. TYPE: HEAT SOURCE: RANGE: Rough Mechanical - Prior to cover. cover. cover. r Final Mechanical - When all mecfranicat work is comPlete' E: Building - lVhen all tions have been uilding is FLOOD PLAIN ZONING CODI S OF BDRMS: pl will be To request an inspection, you must call 726'3769' This is r,:aOe tne same vrorking day' inspections requested afte REQU I R ectrical Service - Must be approved 10 obtain Perrnanen electrical Power' FirePlace - Prior to facing matlriats and framing lnsP' raming - Prior to cover' l/Ceiling lnsulalion - Prior to required insPec approved and b comPleted. I--'l otner ffi :":l j3' f,J, ;, lJ l"J J:'# :",1"n placement' LJ Y Y,?:: Underground Plumbing - Prior to fi!ling trench' Underlloor Plumbing / Mechanical ].'itior-i" insulation or decki ng' rywall - Prior to taPing MOBILE HOME INSPE TIONS Wood Stove -. After installation Blocking and Set'UP - When all blocking is comPlete' W1:";line - Prior to rirrins latron or deckin0 Floor lnsul decki ng. ation - Prior to SaniiarY Sewer - Prior to f illing irerlch Sewer - Prior to tilling trench. Rough Plumbing - Prior to Plumbing Connections - When il"me nui been connected to water and sewer' Electrical Connection - When oi""xins, set-uP' anci Plumbing .r..r""t.^a have been aPProved ,nd tn" home is connected to the service Panel' and Beam - Prior to floor lnsert - /rfter fireplace approval and instailation of unit' Curbcut & A.PProach - After ioi*t ,to erectcd tJut Prior to placement ol concrete' Sidcwalk & DrivcrtaY - After excavation is complete, torms anO-suO'n^se material in Place' i Fence -- \A,'nen comPleted' r cot/er. L7l Street frecs - Wh':n all reqriired [-flJ tr"". are I)lirnted. Final - After all required insJections are aPProved and ;;;;;;, skirtins, dccks' and IJniins h"u" been installed' 3(tl T aL(! Lot {aces Lot sq. (tg' Lot coverage ToPographY Totat height Lot Type I nte rio r - Corner --- Panlrandle Cul-de-sac POSEb wonr'IN THE IS HISTO 1 HE PRO RICAL DIST RICT'OR oN THE H tsToRlcAL REG ISTER? t be signed It Yes'this applic ation mus H istoric al and aPProved by the it lssuance' Coord inator Fri or to perm APt]BOVED: ADDITIONAL COMMENTS tsy signature, I state and 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 certify that any and arl work performed shail be done in accordance with the Ordinances of the City of Spr:ingf ield, and the Lawsof the State of Oregon pertaining to the work describecJherein, ancj that NO OCCUPANCy will be nla.Je of anystructure witl'rout permission of the Building Safei.y Division.I further certify that only contractors and employees whoare in compliance wiilr ORS 701.055 will be used on thisproject. I turther agree to ensure that all required inspections arerequested at the proper time, that each address is read abl cfrom the street, t the permit card is located at the f rtr,tof the property,the approved set of plans will re,;rainon the site at al imes during construction Signatu re Date -A2 E VALI N: RECEIPT NUMB DATE PAID AMOUNT R RECEIVED BUILDING PERMIT VALUE Date(A) I FT X S/SQ. FT. 5,, PLAN CHECK ERMIT BUILDING VALU AND BUILDING E, P evt ewed By Recei p t Nurrrb Plan Check Fee Date Paid upon violation of any provisions of said ordi ITEM Main Garage Carport Total Value Building Perrnit Fee State Surcharge Total Fee This permit is granted on'.hu express condition that the Said consli'uction slrall, in all respects, conform to the Ordinanceadopteu by the City oi Sprlngfield, inctuding the Developnrent Code, regulating the construction arrd use ofbuiidings, and may be suspended or revoked at any time SYSTEMS DEVELOPMENT C (B) HARGE (SDC) #,tu 4u83 Systems Development Charge is due on all undeveloped properties ra;ithin the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N"\'. o fo-[m FT. FT. FT. cer (c) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent 3- No A4 (D) IA MECHANICAL PERM!T Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan MISCEL|-AN EOUS PERMITS Mobile Home State lssuance State Surcharge Sidewatk .34 ,, -1 f\ Curbcut ,3gl n Demolition TOTAL AMOUNT DUE (exctudinO etectrica{ (A, B, C, D, and E Combined) - Total Miscellaneous permi ) (E) tdA, Surcharge OI EI R zk c9 CITY OF SPF"VGFIELD, OFEGO'V .r-..,* l^DR SPltI'IIGFIELD BIE TRICAL PERHIT225 PITTE STREEf, SPRINGTIBIJ, ORBGON 97477 TNSPECTION REOUBST: 726-3769 oPPrcB: 726-3759 1 180 d ays. 2 COMRACTOR INSTALI,ATION ONLY EIec t r I Contractor Address Ci ty Supervisor License Num Exp iration Date Constr Contr. Expi ration Signa rs Address Ci ty Phone OSNBR The installation is being made on which is not intended 1e 0mers Stgna DATE: City JOb Nunber COIIPLBTB PBB SCEBDT'LE BELOV Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Ineluded: I tems b (s l\7 q; 3. A.*l- ffi I JoB DBacRrprro* ,,\-{-rnl) \ Ll.ol;t- \ Permits are\ non-transferable and expire if vork is not started within 180 days of lssuance or if vork ls suspended for Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular DveIIing Service or Feeder Services or Feeders Installation, AlEerations or Relocation: Cos t $ 8s.00 $ 1s.00 $ 40.00 B 200 amps or less 201 amps to 400 amp 401 amps to 600 amp 601 amps to 1000 am Over 1000 amps/volt Reconnect 0nIy STIBTOTAL OP ABOVB 5f State Sutcharge TOTAL -Each installation Pump or irrigation Sign/0utIine Light ing- Limited Energy/Res -Limited Energy/Comm s-s_ps_ s_ s s0.00 s 60.00 $100.00 s130.00 $300.00 $ 40.00 c Temporary Services or FeedersInstallation, Alteration or Relocation 2oo amps or ress ( g 4o.oo 4D 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-v6'fts see uBu aE6E Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ .2.00 E. Miscellaneous (Service/feeder not included) c property f for sale,00 00 00 00 $40 $ao $zo $ro RBCEIVBD ) Supervlsing Blectrician e or rent. 5 180 daYs. 2. COI{TRACTOR INSTALI,ATION ONLY Electrical Contractor Address 53 S. pnone 744-/165 non-transferable and exPire ot started within 180 daYs or lf vork ls susPended for CJ isor Licer{se7 { Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less,oi ;*;" to 4oo amps -40L amps to 600 amPs - 601 amps to 1000 amps- 0ver 1000 amPs/volts - Reconnect OnlY #":,11i :xr gff f :l tr#is#,rf":r 225 FTFitg STREET SPRTNGFTEID, OREGON 97477 INSPECTI0N REQIIEST: 7 0PPICB: 726-3759 'tl.scrRtcAl, PBRHTT APPLTcATToN D@ City Job Nunber l,)a'COHPLBTB PEE SCtrBDULE BELOS A. Nev Residential-Single or MuIti-FamilY Per dvelling unit. Service Included:Items Cost 1,000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DveIIing Service or Feeder $ 8s.00 s 1s.00 Zonirig 26-3769 1 JOB Permi ts if vork of issu cx) isn ance B sA c D s so.oo $ 60.00 $100.00 $130.00Ci ty Supe ber 7/7 s' Expiration Date 3 Constr Contr. Number ?14 lz Temoorary Services or Feeders insiaffuiion, Alteratlon or Relocation 200 amps or less $ 19'99 zoi "*b" to 400 amPs - q l:'99o;;r abr to 6oo amps - $ Bo'oo 0ver 600 "rp" or-ibOO 'oTts see rrB, a56F Branch Circuits Nev, Alteration or Extension Per Panel -Each installation Pump or irrigation Sisn/Outline Lighting__ Limited EnergY/Res Limited EnergY/Comm S- SIIBTOTAL OF I\BOVB 5Z Sttt" Surcharge TOTAL rv $300.00 $ 40.00 Expiration Date Signature of ing Blectrician Ovners Nam Address Ci ty OVNER DATB: $ 3s.00 $ 2.00 E.Hiscel}aneous(Service/feedernotincluded) e ON The installation is being made on oioo.tty I ovn vhich is not intended for'sale, lease or rent' Osners Signature: $ s $ $ 40 .00 .00 .oo .00 40 20 / C'TY OF OREGON RBCBIVBD 36 sPRt. ;rELO s 40.00 Sum 0c 2-9 4 One Circui t n""n-eaai tiona] Circuit or with Service or Feeder Permit - _-JoB no- ?boz73 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MI'IERCIAL & RESIDENTIAL) NAME OR COMPANY:s vL Dt tnnA LocArIoN'- SL.pg q 31e N . 4/sJ I l1o zr4t -ootoo DEVELOPMENT TYPE: MO*- NEW DOPI-?Y sQ. Fr BUILDING SIZE: 1. STORM DRAINAGE IMPERVI0US SQ. FT. NO OF UNiTS X TRIP RATE X COST PER TRIP LOT SIZ t7 gb x $0.192 PER SQ. FT- $ s SUBT0TAL (ADD ITEMS 1,2, & 3)$/151b3 ?SANIT ARY SEWIR -CITY 3. TRANSPOR TAT ION NO. OF PFU'S 2I X $39.78 PER PFU (See Reverse) 2 xO ,(,13 X $401 .05 X x $401.05 x x $401.0s 4 ADMINI TiVE FEES BASE CHARGE (SUBT0TAL ABoVE) X -05 5. SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total From Item 2 Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator TOTAL-CITY SDC 1 5 61 $13.62 PER PFU + $10 MwMC ADMIN- rw sboTb! Above) JB TOTAL-MWMC SDC TOTAL SDC 1Z 8t>tb 1-1 s Zt+b g9 ?ZX FIXTURE UNIT CALCUL.ATIO.. rABLE: ttumuer of New Fixtures X Uni For remodels, calculate only the Nfl additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub....... Drinking Fountain...... Floor Drain.. I nterceptors For Grease/Oil/Solids/Etc"" " """" "' I nterceptors For Sand/Auto Wash/Etc"" ""-"" " "' Z Laund ry Tub/Clotheswasher Clotheswasher - 3 Or More.. ?- ,uivalent = Fixture Units (NOTE UNIT FIXTURE EQUIVALENT UNITS -3- ---q- ? -8 2 1 2 3 6 2 6 6 1 .) 2 1/Head 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 Stall Sink, Bar, Commercial-- U rinal, Stall/YVall..-.-..--..- Wash Basin/Lavatory, Single.--..-" " Water Closet, Public lnstallation" Water Closet, Private...--. lr4 iscellaneous CREDIT CALCULATION TABLE calculate credits seParates. L /- L TOTAL FIXTURE UNITS 2Z Basedonassessedvalue.lfimprovementsoccurredafterannexationdateintable Credit for Parcel or Land Only lf Applicable 2.8'> x $6 SE (Rate X Assessed Value) lmprovement (if after annexation date)x$ (Rate X Assessed CREDIT Value) TOTAL g 29=$ RUNOFF COEFFICIENTS FOR STORM DRAINAGE 0.4 0.9 0.45 0.5 Residential... Commercial. lndustrial..... Governmental..---.----.--.-- Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1 985 1 986 1 987 1988 1989 1990 1991 $2.16 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 SIZE X RUNOFF COEFFICTENT