The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-09-09Jrttia!vr- aeLv RESIDENTIAL PERMIT APPLICATION nspecr;ons: 726'3709 Office: 726-3759 LOCATION OF PROPOSED WORK: LOT:4rZ*. //4f afr Zfr, . _JoB NUMBER ?3t zoS 225 Flf th Street Sprlngfleld, Oregon 97477 glh ASSESSORS MAP: - TAX LOT: SUBDIVISION:BLOCK STATE: PHONE:g zlP"9&zqu) ,4b'i{tl CITY: ADDRESS OWNER: DEMOLISH OTHERloTN DESCRIBE WOFIK: REMODELNEWJ.- EXPIRESADDRESS so3.. ) a )- o ) eJ PHONE gq se CONTRACTOR'S NAME GENERAL: PLUMBING MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # \.tt \ E 3P S.,C-' _ OFFICE USE _ WATER HEATEB:RANGE: r OF UNITS: LAND USE:FLOOD PLAIN ZONING CODE: P OF BDRMS:OCCY GFIOUP: * OF STOBIES: OUAD AREA: , OF BLDGS SECONDARY HEAT SOUARE FOOTAGE: To request an inspectlon, you must call 726-3769. This ls a 24 hour recordlng. All lnspections requested before 7:OO a'm. wlll be made the same working day, lnspectlons requested after 7:OO a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS IVI Rough Mechanlcal - Prlor lo .JA't cover. TVSite lnsoection - To be mac,e14after exiavation. but prior to' ""rung torms. ;7f7t&*S Temporary Electric Underslab Plumbing / Electrical / Mechanical - Prior to cover. Fooling - After trenches are excavaled. Masonry - Steel locatlon, bond beams, grou.ting. Underground Plumbing - Prior to filling trench. Underll - Prior to on or ng. Rough Eleclrical - Prior to Curbcut & Approach - After lorms are erected but prior to placenrent of concrete. Sidewalk & Driveway - After excavation ls complete, fornrs and sub-base material ln place. Fence - When completed Flnal Plunrbing - When all plurnblng work ls comPlete. Flnal Eleclrlcal - When all electrlcal work is complete. Final Mechanical - When all mechanilal work ls complete.Electrical Service - Must be approved to obtaln permanent electrical power. Fireplace - Prlor to faclng nraterlals and f ramlng lnsp. fi tt"'.tng - Prior to cover' IVI wattlceiling lnsulatlon - Prlor tolAcover. EorVwall - Prior to taplng. Wood Slove - After lnstallation. lnsert - After flreplace approval and lnstallatlon of unit. E E K E. X X X ,K, [Vfinat Building - When all lAlequlred lnspectlons have been approved and buildlng is completed. M Foundalion - Afler forms areAerected but prior to concrete placement. F(/Posr and Beam - Prior to floor J4 lnsulation or decking. l\7f Floor lnsulalion - Prior to lA decxins. V Sanitary Sewer - Prior to filllng )Al trench. lV Stor- Sewer - Prlor to lllllng14trench. F7 W"t", Llne - Prior to flllinglA,J trench. i Xg;;"t: Plumbins - Prior to ffiftrr""trrees - when att requlred(wvees are planted. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocklng is complete. Plumbing Connections - When home has been connected to water and sewer. Electrlcal Conneclion - When blocklng, set-up, and plumblng lnspections have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. EW tr- CONSTB. TYPE: HEAT SOURCE: E E tl Lol faces Lot sq. ftg. Lot coverage Topography Total helght @o&1?2. r1- Lot Type z \ lnterior - Corner ___ Panhandle - Cul-cle-sac r- THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - ll yes, thls appllcatlon must be slgned and approved by lhe Hlslorlcal Coordinator prlor to permlt lssuance. APPROVED: P.L.GAR ACCHSE N !+ S 5+ W 4/ E 20 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantect on the express condltioh that the said construction shall, ln all respects, conform to the Ordinance adopted by the City ol Sprlnglleld, lncludlng the Development Code, regulatlng the constructlon and use ol bulldlngs, and may be suspended or revoked at any tlme upon vlolalion of any provislons of sald ordlnances. e-/2-73 Pla evlewed By &%l Date Pald: Flecelpt Number: Recelved Plan Check Fee @ ?.r(A) X $/SQ. FT.= VALUE 7fG3r.tt s4t 7.a) Total Value Bulldlng Permlt Fee State Surcharge Total Fee 8ld59s 37? "- I ?2'7t BUILDING PERMIT ITEM SO. FT. Main Garage Carport /3/s,7r ra-^?o 3a4 ^t- /4|o Systems Development Charge ls due on all undeveloped properties withln the City limlts whlch are being lmproved. SYSTEMS DEVELOPMENT C (B) HARGE (SDc) *g{rqtz':" ADDITIONAL COMMENTS c.p?acT: 'lt 7 ) ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE /({,* (c) FT. FT. FT. No 2- PLUMBING PERMIT Plumblng Permlt Stato Surcharge Total Charge AP /oe?o Wood Stove/ lnsert/Flreplace Unlt Dryer Vent L@ & (D) & 22ro 7 /3 c3 Venl Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood No3 By slgnature, I state and agree, that I have carelully examlned the completed appllcatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I further certlly that any and all work performed shall be done ln accordance wlth the Ordlnances of the Clty of Sprlngtleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any struclure wlthout permisslon of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees who are ln compllance wlth ORS 701.055 wlll be used on thls prolect. I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that each addross ls readable from the street, that the permlt card ls located at the fronl of the property, and the approved set ol plans wlll remaln Date I p.,nn",u," on the slte at all tlmes du MISCELLANEOUS PERMITS Moblle Home Stale lssuance Stale Surcharge Srdewark 62 n Curbcut 7A lt Demolltlon State Surcharge Total Mlscellaneous Permlts (E) r/ /4'_4?" 3 3,20 e*) VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT FIECEIVED RECEIVED BY TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, Q and E Comblned) 24/5.33 t -4fo constructlon. ctfY oF OREGO'U SPFlINGF]ELO TI % 225 FTTTS STREET SPRTNGPTELD, oREGoN 97477 INSPTC:TI0N REQTESTz 726-3769 OPPICE: 726-3759 wk_ELECTRTCAL PERHIT APPLTCATION Ci ty Job Nu-mber act -L'7 1 LOCATION OP 2" CO}TTRAC;TOR INSTALI,ATION ONLI Rose Corp E-],ectrical Contractor PLETE PEE SCE}DULE BELOII Nev Residential-Single orHulti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Hanuf,d Home or - Modular DveIIing Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feedersfnstallation, Alterationsor Relocation: INSTALI-A%?TION?g7<5<A B c LBGAL DESCRIPTIONo?- JOB DESCRIPTION Sum Permits are non-transferable and expireif vork is not started vithin lB0 daysof issuance or if vork is suspended ior 180 days 8997 6 Day Lane Add ress Eugrene 686-0905 Ci ty Phone 1 568-SSupervisor License Number Expiration Date 1 o-01 -93 constr contr. Number 54431 |; Expiration Date 9-30-95 Signature rvising Electrician ovners Name Phil Rose Address 89976 Day Lane Ci ty Eugene phone 686-0905 OSNER INSTALI..ATION The installation is being made on property f ovn vhich is not intendedfor sale, lease or rent. Ouners Signature: DITE: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/voIts -Reconnect 0n1y Temporary Services or FeedersInstaIlation, Alteration or Relocation s s0.00 s 60.00 s 100. 00 $130.00 s300. 00 $ 40.00 .00 .00 .00 ilB'' 200 amps or less L?'- 201 amps to 400 amps -Over 401 to 600 amps -0ver 600 amps or i000T5Es Sao Sss $so see @ aSovF D. Branch Circuits Nev, Alteration or Extension per panel One Circuit S 35.00 Each Addi tional Circui t or vi th.Service or Feeder Permit S.2.00 B Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limi ted Energy/Res -Limi ted Energy/Comm SUBTOTAL OF ABOVE 5I State Surcharge TOTAL s 40. S ao. s 20. s 35. 00 00 00 t BNBCEIVSD z€5 & - JOB NO . q? lTos NAME OR COMP LOCATION: CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }IORKSHEET (col'ltlERcIAL & RESIDENTIAL) ANY:2 5 z -fuo LDR.- x(Ew Fp Tt+ DEVELOPMENT TYPE: BUILDING SIZE: I. STORM DRAINAGE IMPERVI0US SQ. FT. NO. OF PFU'S (See Reverse) 2222 x $0.203 PER SQ. FT. tg X $42.08 PER PFU x $424-31 x $424.31 OT SiZ F sQ. Ft. 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X /.ot X$424.31 $x x 4. SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total From Item 2 Above MhlMC CREDIT IF APPLICABLE (SEE REVERSE) $ $15.125 PER PFU + $10 Mt,lMC ADM FEE z z5 t-l I TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X .05 L Kip Burd c ?-093 SDC Coordinator TOTAL SDC S I7 8 262 2. SANITARY SEt,lER-CITY lg x FIXTURE UNIT CALCUI-A'. - JN TABLE: Number of New Fixlures x For remodels. calculAie only the NET additional fixtures) NUN4BER OF FIXTURE TYPE NEW FIXTURES Bathtub... Drinking Fountain...... Floor Drain.. lnterceptors For Grease/Oil/Sollds/Etc" " " """"'-' lnterceptors For Sand/Auto Wash/Etc:-......-..""" " L-aundry Tub/Cl rit Equivalent = Fixlure Units (NOTE: UNIT EOUIVALENT FIXTURE UNITS z 1 2 J 6 2 6 6 1 3 2 1 2 2 1 6 4 Clotheswaqher - 3 Or More......, Mobile Hdme Park Trap (1 Per Trailer).................. Receptor For RefrigeratorAVater Station/Etc- -. -... - Receptor For Commerclal Sink/Dishwasher/Etc-- Showei Single'Stall.. Shower. Gan9......---.- -.....-.--...-.---.-i.-.-.- Sink, Bar. Commercial Urinal, StallflVall....ZWash Basin/t-avatory, Single. Water Closet Public lnstallation--. Water Closet, Private...-.'2- Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCUT-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits Credit for Parcd or land Onty tf Applicable lmprovement (rf after annoation date) 3 ,?l x $ 1,'71 btL (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL $vt'J /Head L --=?- g x$ Year Annexed Rate per $1,0O0 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 s.21 3.13 3.08 2.96 2.82 2.@ 2.51 1986 1987 1988 1989 19gO 1991 1992 $ 2.24 't.93 1.57 1.18 0.79 0.44 0.28 RUNOFF COEFFTCIENTS FOR STORM DRAINAGE IMPERVTOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -,tz l I OFEGO'UC'TY OF SPF sPF.i.<;FIELO a$ rict r8quire sPecific land use o of A Z() e{ 225 PIFTE SMBBjr SPRINGEIBU), oREGotl 97477 INSPBCTION RBQIIBST: 726$7 OPEICE: 726-3759 Author,ead OP ON S /qil<\6 IJGAL DESCRIPTION? oaos )O<,tol Permits are -transferable and exPlre if vork is not started vithln 180 days of lssuance or lf vork ls suspended for 180 days. 2. cortnAcroR TNSTALIJ\IroN oNLY Electrical Contractor Address ry.ao W =L/.\) Phone ZVq ?)]t/ BIJCTRICAL PERHIT APPLICATION City Job Nunber O SCBEDT'LE BELOV Nev Resldentlal-Single or MuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Hanuf'd Home or -Hodular Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: s see uB" a56IE- 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ over 1000 amps/volts -Reconnect 0nIy Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps -0ver 600 amps or 1000 voT[ Toning 1: LOCATTONqq3_ Sum ct B c. s s0.00 $ 60.00 $100.00 $130.00 $300. 00 $ 40.00 $ 40.00 $ 5s.00 $ 80.00 b Supervis or Llcense Number (-a, S LE Explration Date 'lqq Constr Contr. Number ttrQ Expl 'ratlon Date s)q lq,t ture of Supervlsing trlclan \ 0vners Name Address D. Branch Circults New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or uith Service or Feeder Permit $ 2.00 B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Light ing- Liml ted Energy/Res ILimited Energy/Comm ctw !l6oL PhoneL/8r-l-/8B, OUNBR INSTALI,ATTON The installation ls being made on property I own whlch is not intended for sale, lease or rent. Omers Slgnature: DATB: I q $ 40.00 s 40.00 $ 20.00 $ 36.00 aogo 5 ST'BTOTAL OF ABOVB 5Z State Surcharge TOTALa RBCEIVED o f loc) 3e oo | .oo SPFII,\JGFIELE) C'TY OF OREGO'U %,. 225 PTYTE STREET SPRINGPIEI.,D, OREGON 97477 INSPECTION REOIEST: 726-37.69 4,7 iZ . 0PFICE: 726-3759 Authorized 1.OP TI JOB Permi ts e non-transferab and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. Z" CO}IIRACTOR INSTALI,ATION ONLI Electrical contractor Rose corP 89976 Day Lane Add ress Ci Eugene Phone 686-090s Supervisor License Number 1 568-S Expiration Date 1 0-01 -93 Constr Contr. Number 54431'" Expiration Date 9-30-9.5 Signatu Supervis Electrician 0vners Nane ELECTRTCAL PERHIT APPLICATIONt&- Ci ty Job Nunber qc\0rE A PLETE FEE SCEEDULE BELOV Nev Residential-Single or Hulti-Family per dvelling unit. Service fncluded: I tems Cost Sum s Bs.0o bs ?o s 1s. oo 3o oo $ s0.00 s 60.00 s100.00 $130.00 $300. 00 $ 40.00 not included) 40.00 40. 00 20. 00 36. 00 a 1000 sq. f t. or less t- Each additional 500 sq. ft or portion thereof 2 Each Hanuf'd Home or Modular Dwelling Service or Feeder s 40.00 Services or Feeders fnstallation, 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/voIts Reconnect Only Temporary Services or'FeedersInstalIation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 0ver 401 to 600 amps - S 80.00 Over 600 amps or 1000 voTts see rtgtt "f,f,fi- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circui t or vi th Service or Feeder Permit S.2.00 B C. 7 Addr Ci ty ess Phone OVNER ALI.A The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: Miscellaneous (Service/feeder -Each installation Pump or irrigation S Sign/OutIine Lighting- S Limi ted Energy/Res - SLimited Energy/Comm S EI BRBCBIVED SI,IBTOTAL OP ABOVE 5Z State Surcharge TOTAL 5 _//.#_-mTT- f[6 {rlt^"'inr1 ttc lr.rlJ tise