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Home My WebLink AboutPermit Building 1993-10-04SP]l!'{GF!ELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT: f,. ASSESSORS MAP:A LOI tDl5A BLOCK:SUBDIVISION "tr (t)a-"STATE ztP o 3 P^gort CITY: ADDRESS; OWNER NEW- REMODEL ADDITION DEMOLISH OTHER )fDESCRIBE WORK: coco R#ADDRESS EXPIRES ST. + +q 'o2 { T e PHONE 2<:( 7 5 N NCONTRACTOR'S NAME MECHANICAL: ELECTRICAL: GENERAL: PLUMBING \j , _ OFFICE USE _ * OF BDBMS: WATER HEATER:RANGE: /I FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: I OF STORIES: QUAD AREA: # OF BLDGS LAND USE: # OF UNITS CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recording. All inspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [--l Jemporary Electrlc Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing I Electrical / Mechanicat - Prior to cover. Footing - After trenches are excavated. Masonry - Steel locatlon, bond beams, grouting. Underground Plumbing - Prior to filling trench. Underlloo - Prior'to ion ng Sanitary Sewer - Prior to filling trench. Water Llne J Prlor to fllling trench. f,l Rough Mechanlcal - Prior to /a(cover. M no,rgt Electrical - Prior to.4.cover. ,X Final Plumbing : When all plumbing work is coinplete. Final Electrical - When all electrical work is complete. K XE F .X 'lYFoundation - After forms arelderected but prior to concrete placement. fr"^ing - Prior to cover' p[ WatttCeillng lnsutation - Prior toF{cover. X otr*"'l - Prior to taping' al Building - When all uired inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When atl blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. Eleclrica! Service - Must be approved to obtain permanent electrical power. Fireptace - Prlor to faclng materials and framlng lnsp. Wood Stove - After installation lnserl - After flreplace approval and Installation of unit. Curbcut & Approach - After are erected but plior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal ln place. Fence - When completed. reel Trees - When all required are planted V-finat Mechanical - When att /AJ mechanical work is complete. V Post and Beam - Prior to floor ,lAlnsutation or decking. ff5iXX1,.lg"'r"tro" - Prior to N Xffs,or,,. sewer - Pilot to filtlng fA(trench. "K kl Rougtr Ptumbing - Prior toF{ cover. e7F,r2 PHoNE: Zo-f, zaZ^ vrt* kr'r,As'{, u ERSO- ?-wa. ?_/ r fl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type X tn,"rio, - Corner - Panhandle - Cul-de-sac Setbacks &oo %?" lS ,,rE PROPOSED WORK lN THE HrsroRrcAL DtsTRtcT, oR oNh-\ THE HTSTORTCAL REGTSTER?- 4 Lt, lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED 14o lLB5 P.L.HSE GAFI ACC N 5 S /t // 2o E +t BUILDTNG PERMIT X $/SO. FT.VALUE 7€r/ue/./,flt7,ZS /g"t 9?7?f 44o/z os 319-' (A) fG.20 //,/o ITEM Main Garage Carport SO. FT. /3/5 K 3?1^. Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING 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 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. o ?23 Reviewed By %!"a ' Date Paid Receipt Number: Recei Plan Check Fee:Q-- SYSTEMS DEVELOPMENT C (B) HARGE (SDC) B # nzzu2 Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home FEE /06^?'t @P2 (c) a Oa No FT. FT. FT. PLUMBING PERMIT Plumblng Pe,rmlt State'Surcharge Total Charge ITIONAL COMMENTS '73o tb I r t/ty' 2 ) I\ AD Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent /o,ao 3r (D) 2 afo N0Vent Fan G3' /.t-o ?uo Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace 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 certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, 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 project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at a times duri construct lon. ignatu re Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewaik ?€ tt curbcut jL- t, Demolition W+*mA/-*oe s'b'e' 4 " -^ Total Miscellaneous Permits (E) @/rc fu?o 4H,70 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 30s6,gz VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVE RECEIVED BY a3 /,r 3 3 v.63 /7, /4.*o = '.---- JoB No. 7? tzsl CITY OF SPRINGFIELD SYSTE!,IS DEVELOPMENT CHARGE }IORKSHEET (coMt'IERcIAL & RESIDENTIAL) r-oP M TNAME OR COMPANY:M 9&DA T)zVe LOCATION:S T \B ozo6\'?- - O'-t ot DEVEL0PMENT TYPE: LPP - N9${ 6tR BUILDING SIZE:s izr-sQ Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT.ZZ2-L x $0.203 PER SQ- FT- Z SAN ITARY El,lER-C ITY NO. OF PFU'S (See Reverse) t8 X $42.08 PER PFU TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.ol X$424.31 Tt-t 3 s x X x $424.31 x $424.31 4. SANITARY SEIIER-MI^IMC NO. OF PFU'S (Use PFU Tota l* I From Item 2 Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) $15.125 PER PFU + $10 Mt,lMC ADM FEE Above ) TOTAL.MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) s 7rt1 ^L5 5 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X 'os K Burdi +5 o1 5tE Z5t 09 sDc p Coordinator 9 TOTAL SDC s \q z 65 $ I -rA nr E' I units 1'ri-lre:FIXTURE UNIT CALCUI-ATIu .{ TABLE: ruumuer oI New Fixlures X L Iquivalent = Fixlure ioi,*"O"ls, catcutAie onty the NET additional fixtures) NUI!4BER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Z Bathtub.. Drinking Fountain...-.. Floor Drain-. lnterceptors For Grease/Oil/Sol id s/E1c" " " "" "" " lnterceptors For Sand/Auto Wash/E16...... --.-..:--.. i Laundry Tub/Cl otheswasher-.... -.... -....... -.. -.... -- - : -.... 2 1 2 J 6 2 6 6 4 Z Clotheswaqher - 3 Or More........ -......:...,. Mobile Hdme Park Trap (1 Per Trailer).. Receptor For RefrigeratorAVate r Station/Etc- - - -. -. - Receptor For Commerclal Sink/Dishwasher/Etc-- Shower, Singte'Stall.. Shower. Gang.. Sink, Bar, Commercial Urinal, StallflVall.LWash Basin/tavatory, Single.....--.-- Water Closet, Public lnstallation. Water Closet, Private......-.. Miscellaneous: TOTAL FIXTURE UNITS lv CREDIT CALCUT-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits s Credit for Parcd or Land Only lf Applicable b.zr x $ q."l 7\r1 1 3 2 1 2 a 1 /Head 6 4 2 -2 --3- llnprovement (f after annexation date) (Bate X Assessed Value)x $_ (Rate X Assessed Value) CREDIT TOTAL $gt'J Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,00O Assessed Value 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 a.44 0.28 1979 or before 19BO 1981 1982 1983 1984 1985 $s.zt 3.13 3.08 2.96 2.82 2.68 2.51 RUNOFF COEFFICIENTS FOR STORM DRAINAGE lndustrial.... Govemmental.. 0.45 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT t, I ?_ C'TY OF OREGO'U 225 F]Ffg STREET apProval' sPRrNGPrEl,D, 0REGoN 97 477 INSPECTION REQTIEST Z 72 0PPICB: 726-3159 Dale 1 0 SPFIINGFIELc, ELECTRICAL PERHIT APPLICATION City Job Number 3. COHPI.,ETE PEE SCffiDULE BELOV A Items The following proiec't as submttted hae the lollowirg iilr.ii, ,ii'i?5"Jnot require specilic land use h ature. ) \EffiFff'I J oB- \- PTIQN Permits are non-transferable and expire ii vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Z" CONTRACTOR INSTALINTION ONLY E-1-ectrical Contractor Rose Corp Address 89976 DaY Lane Ci Eugene Phone 686-0905 Supervisor License Number 1 568 -S Expiration Date c4411 Expiration Date Sigaature rvts ctrician 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder A Cos t s 8s.00 s 1s.00 s 40.00 s s0.00 s 60.00 s 100. 00 $130.00 s300.00 $ 40.00 s 3s.00 S .2.oo 6 3D_ Sum luded ) Ovners Name Add ress Ci ty one ----*a6-frffi4* OVNER INSTALT,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Orrners Signature: DATE: Ld-d:", Alteration or Extension Per Panel Services or Feeders Ins tallation, 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/voIts Reconnect 0n1y Branch Circuits One Circui t Each Additional Circui t or vi th Service or Feeder Permi t SIIBTOTAL OP ABOYE 5Z State Surcharge TOTAL B Constr Contr. Number C B Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 over 401 to 6oo amps - $ 80.00 Over 600 amps or 1000 voT[s see ttgrt "f,f,[fL Hiscellaneous (Service/feeder not inc -Each installation Pump or irrigation S 40.00 Sign/outline Lighting- S 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm S 36.00 5 RBCEIVgD o ?n jo Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Willamal a DiPark & Recreation nestrict SYSTEMS DEVELOPMENT CHARGE WORKSHEET lob No. ZIP N E: ADDRESS:STATE:tDA U rth 4\oth .f[noo t, Platt Name:Number: DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) \gcac61 !.rt?Dl 1 A. Single Family - Detached I Single Family home Manufactured home not in a park NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS X $400 PER UNIT = X $370 PER UNIT = X $277 PER UNIT = X $280 PER UNIT = WPRD SDC $ 2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. $ 3. TOTAT WPRD NEf SDC ASSESSED (lf SDC reduced for Credit) $ Do $ $ $ $ Community Services Divisi City of Springfield Date LOCATION OF PROPOSED BU N Street Address if Known: i d) C'TY OF OREGO'U SPFlINGF!ELO p'orect Es submttteC has the (h 225 YTYIA STREET SPRINGPIEI,D, OREGON 9]477 INSPECTION REQUESTz 726- OPPICE: 726-3759 Authorized Sig 1.CATION ST LBGAL DESCRTPTION DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Z" CONTRACTOR INSTALI,ATION ONLI Rose Corp Electrical Contractor 89976 Day Lane Add ress Ci ty Eugene 686-0905 Phone Supervisor License Number 1 568-S Expiration Date 1 0-01 -93 constr contr. Number 54431 ;!' Expiration Date 9-30-e5 pervisi Blectrician ELECTRTCAL PERHIT APPLICATION City Job Nunber ?78 SCffiDULE BELOV Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: t. or Iess tional 500 r portion f'd Home or DveIling or Feeder I tems Cos t s 8s.00 s 1s.00 s 40.00 Services or Feeders fnstallation, Alterations or Relocation: lr6e. Q.U41 A c E 100 Lac sq th Eac Ho Se 0 sq.f h addi. ft o ereof h Manu dular rvice Sum _b .00rrgt "ffi![ not included) 40. 00 40. 00 20. 00 B 200 amps or less 201 amps to 400 amps _401 amps to 500 amps _601 amps to 1000 amps_ 0ver 1000 amps/voIts Reconnect 0n1y 201 amps to 400 amps _0ver 401 to 600 amps S S $ s s0.00 s 60.00 s100.00 $130.00 s300.00 $ 40.00 00 00 40 55 80 e Temporary Services or'Feeders InstaIlation, Alteration or Relocation 200 amps or less Signature of-Qu ,,-.1=2 gwners Name Phil Rose Address 89976 Day Lane Ci ty Eugene Phone 686-0905 OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATB: over 600 amps or 1600-6Tfs se 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 Miscellaneous (Service/feeder -Each installation Pump or irrigation S Sign/Out1ine Lighting- S Limi ted Energy/Res S Limited Energy/Comm S STETOTAL OP ABOVE 5f State Surcharge TOTAL RBCSIVED B 5 4a-d-2uo -ffi ,*1M-- !t