HomeMy WebLinkAboutPermit Building 1993-03-30Sr^.^g w. ?83 S qrP
RE-IDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Olfice: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
5r-?tInal,FIEl-1,
.OB NUMBER
225 Flfth Street
Sprlnglleld, Oregon 97477
TAX LOT:- o5-L
SUBDIVISION
2
BLOCK:
Th
PHONE:
ZIP:STATE:
\-.oOWNER:
ADDRESS:
CITY:
toN __4-DEMOLISH OTHER
DESCRIBE WORK
NEW BEMODEL A
PHONEIRESS3
Fo
a )
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
coNsT.
CONTRACTOR '
\
3
c(
OUAD A
?-
L
- oFFtcE usE -
WATER HEATER:
, OF BDRMS:
FIANGE:
A OF UNITS:
LAND USE:
, OF BLDGS:ZONING CODE:
FLOOD PLAI
SECONDARY HEAT
SOUARE FOOTAGE:
CONSTFI. TYPE:
HEAT SOURCE:
OCCY GROUP:
r OF STORIES:
To requesl an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecllons requested before 7:(X) a.m. wlll be
madethesameworklngday,lnspectlonsrequestedafter7:ooa.m.wlllbemadethefollowlngworkday.
ffEOUIRED INSPECTIONS
Temporary Eleclrlc 4
w
a
Rough Mechanlcal - Prlor to ffi flnat Plumblng
cover. tz-Y plumblng work - When all
ls complete.
Slle lnspecllon - To be made
after excavation, but prlor to
settlng forms.
Rough Eleclrlcal - Prlor to fr Flnal Eleclrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumbing/ Electrlcal /
Mechanical - Prior to cover.
Electrlca! Servlce - Must be
approved to obtaln permanent
eleclrlcal power.
4 ,
Flnal Mechanlcal - When all
mechanlcal w6rk ls complete
a Footlng - After lrenches are
excavated.Flreplace - Prlor to faclng
materlals and lramlng lnsp.
w Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.Masonry - Steel locatlon, bond
beams, grou.ting.w
a
w
Framlng - Prlor lo cover.
w OtherFoundallon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywal! - Prlor to taplng.
MOBILE HOME INSPECTIONS
@
E
a
q
4
l-l Wood Slove - Afier lnslallallon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After llreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complele:
I
Plumblng Connecllons - When
home has been connected to
water and sewer.
Floor lnsulallorr - Prlor to
decklng.a Curbcul & Approach - After
forms are erecled but prlor to
placement of concrele.Sanltary Sewer - Prlor to fllllng
trench.Eleclrlcal Conneellon - When
blocklng, set.up, and plumblng
lnspectlons have been approvod
and the home ls connecled lo
the servlce panel.
Storm Sewer - Prlor to lllllng
lrench.
W Sldewalk & Drlveway - After
excavatlon ls complele, forms
and sub-base materlal ln place.
Water Llne - Prlor to fllllng
trench.n Fence - When completed.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Flnal - Alter all requlred
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been ln3talledlwa
tl
ciz t QLI
i
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulation or decklng.
E
Lol laces
Lot sg. ltg.
Lol coverage
Topography
Total helghl
@
*P
LolrType
X tnr.rro,
-
Corner
-
Panhandle
-
Cul-de-sac
a*ia--
:AA->
IS THE PROPOSED WORK IN THE
HISTORICAL OISTRIGT, OR ON
THE HISTORICAL REGISTEB?
-
ll yes, thls appllcatlon must be slgned
and approved by the Hletorlcal
Coordlnalor prlor lo permll lesuance.
APPROVED:
P.L.HSE GAB ACC
N 5?
S gr'
W lt
E ?o
$/SO. FT. - VALUE
5ze €/2,>a/?-- e22
BUILDING PERMIT
llso
(A)
4 0c)
SQ. FT. XITEM
Main
Garage
Carporl
Total Value
Bulldlng Permlt Fee
Slale Surcharge
Total Fee
?e/22e
*.-// a.o
a?a
v/2 7a
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granled on llre express condlilon that lhe sald
conslructlon shall, ln all respects, conform lo lhe Ordlnance
adopted by the Glty of Sprlnglletd. lncludlng the
Development Code, regulallng lhe construcUon and uge ol
bulldlngs, and may be suspended or revoked al any tlme
upon vlolallon ol any provlslons of aald ordlnances.
q lcqlqt
By:
Recelpt Numbe
&
Date Pald:
Recel
Plan Check Fee:
-^95
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) f :fr
Systems Developrnent Charge ls dus on all undeveloped
propertles wllhln the Clly llmlts whlch are belng lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanllary Sewer
Waler
Slorm Sewer
Moblle Home
FEE
4
./za
FT.
FT.
FT.
(c)€tr6
./b.*
PLUMBING PERMIT
Plunrblng Permlt
Slato Surcharge
Total Charge
E.*
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Venl Fan N' V
Wood Stovellnsert/Flreplace Unll
Dryer Vent
(D)
7. -5
?-f>.a +,
Mechanlcal Permlt
lssuance
Slale Surcharge
Total Permlt
/Z.SP
,/D.+
.F=
??.7v
I
By slgnature, I stat€ and agree, that I have carelully examlned
the completed appllcatlon and do hereby pertlly that ail
lnlormatlon hereon ls true and corrsct, and I lurther cetilly
that any and all work perlormed shall be done ln accordance
wllh the Ordlnanccs ol the Clty ol Sprlnglleld, and the laws
ol the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wll! be made ol any
slructure wllhout permlsslon ol lhe Bulldlng Salety Dlvlslon.
I lurther certlfy that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
prolecl.
I lurther agr€e lo onoure that all rggulred lnrpectlona are
requested at the proper llm6, that each address ls readable
lrom the str€st, that ths pormlt card le located at the ltont
ol the properly, and the approved set ol plans wllt remaln
Date
the slte at all tlmes d ng con8tructlon.
MISCELLANEOUS PERMITS
Moblle Home
Slate lssuance
Slale Surcharge
Stdewatk 6O I
curbcut AZ n
Demolltlon
Slale Surchargetrt4e/a,/:fur UPc
Tolal Mlscollaneous Permlls (E)
//-*
/7.=.gd
1be *,D
/?.*
ToTAL AMoUNT DUE (exctudlng etectrtcat ZZ-fi-CZ.
(A, B, C. D. and E Comblned)
VALIDATION:
BEoETPTNUMBER- /z//too-. '
DArE PArD 3r/S or/2r',t
AMOUNT REC
RECEIVED BY
N'. z.
q\
'.'!",, ,:CITY OF OFEGO'U
SPflINGFIELEl
Il:,l'J1"#l!%B:"lH'?ilx.P$*tr'#:
225 vLwfl s1"BBf, aPProval' t 'nO
SPRINGPIBLD' ORBGON 97477 Zonias [-zl-t-
INSPEcTIoN REOI BsTz 726-T169 " 43OPPICB: 726-3759 e"'to.1ff-X-
1
IJGAL DESCRIPTION
2,
DESCRIPTION
permits are non-transferable and expire
if vork is not started vithin 180 days
of lssuance or lf vork ls suspended for
180 days.,
2. COIII?AC;IOR INSTALI.ATION ONLY
EIecLrical Contractor RoSE CORP
u$e
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nunber
PEE SCEEDTILB BELOU
A Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaeh Hanuf'd Home or
-Hodular DveIIing
Servlce or Feeder
$ 8s.00
$ 1s.00
s 40.00
B Services or FeedersInstaIIation, Alterationsor Relocation:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
m
OFa
Sum
Address 89976 DAY L
, City prrcrrup Phone GBG-090S
Supervisor License Number 1 55BS
Expiration Date 10/1/95
Constr Contr. Nurnber 54$;it
Exp lration Date 9/3019s
Slgna ture I Electrician
0wners Name
Address
ci ty-Phone
OgNER INSTALI,ATION
The. installatioir is beirig made onproperty I oun whlch is not intendedfor sale, lease or rent.
Onners Slgnature:
oxrYz {-6^? /
RBCBIPT-T:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
-Beconnect Only
C. Temporary Services or'FeedersInstallation, Alteration or Relocation
200 amps or less - S 40.00 qA
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
g 80.00
Over 600 amps or 1000 voTts see rrgrr "ffi[-
F s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
00
00
00
00
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi t
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
s 3s.00
$ 2.00
?Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy./Res
-Llmi ted Energy/Comm
s
$
s
$
40
40
20
36
-72-
RECEIYED
5
^a\
I
/a-
5t.t ul'a(;l: IGLIJ
The following Proiect as submittad hm the lollowirg
zoning, and does not require
proval
specifi c,"nO u*U rBarra,CAL PERH IT APPLICATION
Ci ty Job Number
SCIIEDULE BBLOU
m
225 IIII.TII STIU.:IiT ;:lr
N 97477 LDEst,tutlcIrIELl), oltlico
INSPIICIION REQUI'.ST z 726-3-16
oFPICE: 726-3159 Date
1 OII INST
N
Pcrnrits arc non-transferable and explre
It vork is not started '/1thin 180 days
of issttance or if vork Is suspended for
180 days.
2. CO}IITACf,OR INSTALIJ\TION ONLY
Iilcctrical Contract or Rose Corporatlon
^ r_t_-_ _^ 89976 Day LaneAdd r:ess
Ci ty Eugene l'hone 686-0905
Supervisor License Ndnrber 1 568-S
Expiration Date 10-01-93
Constr Contr. Number 54431
Expiration Date 9-30-95
S ign ature of Su pervising Blectrician
0wne rs
Arld ress
City hone
OVNFJT ALLA
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signaturc:
DATE:
A. Nev Residential-Sing1e or
Multl-FamilY Per dvelling un
Service fncluded:
I tems
I
c
L000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
thereo f
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
Services or Feeders
fnstallation, Alterations or
Relocation:
200 amps or less
201 anrps to 400 amps
-
401 amps to 600 amPs
-
601 amps to L000 amps-
Over 1000 amps/volts
-
Reconnect 0nlY
(
ll
-b
JD
it:
Cos t
$ 85.00
$ 1s.00
$ 40.00
Sum
.00
.00
.00lgrr ,f,f,f
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or less $
201 amps to /r00 amps
-
$
over 4b1 to 600 a,nps
-
$
0ver 600 amps or 1000 volts se
40
55
BO
re
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
one Cl rcui t S 35.00
Each Addi t ional
Circuit or vith Service
or Feeder Permit $ 2.00
E. l'liscellaneous (Service/feeder not included)
-Each installation
Plrmp or irrigation
Sign/0utline Liglr t ing-
Limi ted Energy/Res
-
Li /Comm
AL Or AD0VB
5Z Sta
$
$
$
s
00
00
00
00
40.
40.
20.
36.
ArO
RIiC[IPT
I(Ii(:I.IIVIII) IIY:
o
TOTAI,
D., ':
Willamalane
Park & Becreation District
fob No.
NAM
AD
LOCATION OF PROPOSED BUI N SI
Street Address if Known
Platt N
1
B. Single Family - Attached
NO OF UNITS
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
Tax Lot Number:
ONE:
DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Single Familv - Detached
I
I Single Family home Manufactured home not in a park
NO OF UNITS I X $400 PER UNIT =
X $:ZO PER UNIT =
X $277 PER UNIT =
NO OF UNITS X $280 PER UNIT =$
WPRD SDC
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NFI SDC ASSESSED (lf SDC reduced for Credit)
d)
$
$
$
CC)
$
$
$
6
Community
City of Sprin
Services D
gfield
Date
K\Aq
srn*:(S r'r fi8,3tk
5&rfr
)B No. 7l t 414
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
}IORKSHEET
(CoMMERCIAL & RESIDENTIAL)
NAME OR COMPANY
:9ua 5. 4t {!T./g 02 o5l 2- - SaoOLOCATION
LPP - *lew SreDEVELOPMENT TYPE:
BUILDING SIZE:
1 STORM DRAINAGI
IMPERVIOUS SQ. FT
2. SANITARY SEt,lER.CITY
NO. OF PFU'S
(See Reverse)
SiZ
zt o4 x $0.203 PER SQ. FT.
X $42.08 PER PFU
x $424.31
x $424.31
x $424.31
TOTAL-MI,IMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
a. Ft.
3 TRANSPORTAT ION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X
X
/,o/
4. SANITARY SE1,lER-Mhlt.4C
NO. OF PFU'S x
(Use PFU Total From Item 2 Above)
Mt.lMC CREDIT IF APPLIC.ABLE (SEE REVERSE)
$
$
$I5.125 PER PFU + $IO MhlMC ADM FEE s zbz z5
1
ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL AB0VE) X .05
Kip Burdick
SDC Coordinator
b
5
,lzl'!
15143
/o 5 b
TOTAL SDC
2-a
s 1151 ')
*
I
oOZ5
CALCUI-J ^ ON TABLE: Number oI New Fixlures nit Equivalent : Fixture Unirs (NorE:
For remodels. calculAie only the Alf addirional fixtures)
NUN,IBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub...Z
Drinking Fountain-.-.-.
Floor Drain..
lnterceptors For G rease/O il/Sol ids/Etc" " " " " " " "'
lnterceptors For Sand/Atrto Wash/Etc" " " "" " "-"'
eadH
2
1
z
J
6
Z
6
0
1
.,
2
1/
2
2
1
6
4
Ltaundry Tub/Clotheswasher- -..
Clothes-waqher - 3 Or More.-..-..--..
Mobile Hdme Park Tr:ap (1 Per Trailer)'.""""""""
Receptor For RefrigeratorAVate r Station/Etc" " " "
Beceptor For Commerclal Sink/Dishwasher/Etc-'
Credit for Parcd or tand Only lf Applicable
lmprovement Crf after annexation date)x s_-
(Rate X Assessed Value)
CHEDIT TOTAL
Shower, Single'Stall..
Shower. Gang.......-...2
Sink, Bar, Commercial..
Urinal, StallflVall.Z z
Wash Basin/Lavatory, Single-.--...--.
Water Closet, Public I nstallation.
Water Closet, Private......-..
Miscellaneous:
TOTAL FIXTURE UNITS lr
cREDlr CALCUT-ATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
3.zt x $7.7 t at'l
---q-
(Rate X Assessed Value)
$
l{2t -
Year
Annexed
Rate per $1,O0O
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
19B0
1981
1982
1983
1984'1985
F.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
198B
1989
1990
't991
't992
s2.24
1.93
1.57
1.18
0.79
o.44
0.28
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.. """"""" 0'4
Commercial.............--..-. """""""' 0'9
lndustrial"" """""""' 0'45
Governmental.......-..--.-.. """""""' 0'5
tMpERvlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.)-