HomeMy WebLinkAboutPermit Building 1993-10-29SPRINGFIELO
5? +tz
JoB NUMBEa ??lzT
225 Fifth Street
Sprl ngf leld, Oregon 97 477
TAX LOT:ag/aP
RLSID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP:
LOT:
*
a
BLOCK: SUBDIVISION:
PHON
ZIP:
e.-
STATE:
OWNER:
ADDRESS:
CITY:
New ?y REMoDEL ADDlrloN DEMoLISH orHER
DESCRIBE WORK:
PHONEEXPIRESADDRESS
CONST.
NTRACTOB #CONTRACTOR'S NAME
GENERAL:
PLUMBING
MECHANICAL:
ELECTRICAL:
SE_
Z,RANGE:
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS:
WATER HEATER
- OFFICE
LAND USE:
HEAT SOU SECONDARY HEAT
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
OUAD AREA:
r OF BLDGS:* OF UNITS:
CONSTR. TY
To request an inspecilon, you must call 726-3769. Thls ls a24hour recording. All lnspectlons requested before 7:00 a.m. wlll be
made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
,('"-oot"t'
K
X
Electric
Site Inspection - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing/ Eleclrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underl
- Prior to nsu on ng.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prlor to filling
trench.
Water Llne - Prlor to fllllng
trench.
Rough Plumbing - Prior to
cover.
.KH"": ^1,wff.,\-i);*'"
9Rough Electrical - Prior to
F{cover.
X Eleclrical Service - N4ust be
approved to obtaln Permanent
electrlcal power.
Fireplace - Prlor to faclng
materlals and framing lnsP.
Wood Stove - After lnstallation.
lnsert - After flreplace approval
and installation of unit.
Curbcul & APProach - After
forms are erected but Prior to
placement of concrete.
Trees - When all requlred
trees are planted
,ffiframlng - Prlor to cover.
\Vf walllceilino lnsulalion - Prlor to
fA"over.
foo*'ll - Prlor to taPlng'
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and Plumblng
inspections have been aPProved
and the home is connected to
the servlce panel.
,E
-F7 Post and Beam - Prior to {loor
JAl"lnsutrrion or decki ng.
tr
tr
,K
E
tr,
lVsiO"*"lk & DrivewaY - After
F{excavation is comPlete, forms
and sub-base materlal ln Place.
l-l Fence - When comoleted.
x
Final - After all requlred
lnspections are apProved and
porches, sklrting, decks, and
ventlng have been installed.
.4-4>e
.ff-o )
E
[Yf rinal Plumbtng - When all
plumblng work ls comPlete.
lVPinat Electrlcat - When all
14 electrlcal work is complete.
IVfFinal Mechanical - When all
JAL mechanical work ls; complete.
fii7t finat Building - When all
F{required lnspectlons have been
approved and building ls
completed.
-.5 otn"' o \L - \Praj
R-
fl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
@M.&
ud
Lot Type
4nrcrior
-
Corner
-
Panhandle
-
Cul'de'sac
Set lS r HE PROPOSED WORK 111 T+lE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcation must be slgned
and approved bY the H istorlcal
Coordinator prior to permit lssuance.
APPROVED:
P.L.HSE GAR ACC
N 7 '7
s 7
W
E /E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the sald
constructlon shall, in all respects, conform to the Ordinance
aciopted by the City of Springfield, lncluding the
Development Cocle, regulatlng the construction and use of
buildlngs, and may be suspended or revoked at any tlme
upon violation of any provlsions of said ordinances'
Flev
P- ?22;a?
2
73*'.By
Receipt Numbe
Plan Check Fee:
Date Paid
Recelved
VALUE
(A)3?/LS
62
Main
Garage
Carport
$/so. FT. =
#->
1zz1
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
BUTLDING PERMIT
ITEM SO. FT. X
47zez
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHAR ct&tU"G
#
E (SD
20 gb(B)
\rrll
TONAL COMMENTSAD
tL
-)
ITEM
Flxtures
Residentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
//e
(c)co
FT.
FT.
FT.
0
PLUMBING PERMIT
gLao
i
By slgnature, I state and agree, that I have carefully 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 in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Building Safety Dlvlslon.
I further certify that only contractors and employees,who
are ln cornpliance wlth ORS 701.055 will be used on thls
project.
I further agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the lront
of the property, and the approved set of plans wlll remaln
on the site at all tlmes durlng constructlon.
lgnature
Date /r'-?9-?Z
VALIDATION:
RECEIPT NUMBER
DATE PAID
Z,P
.t/ SO
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N0
Stovr:Flreplace Unlt
Dryer Vent
Mechanical Permlt
lssuance
State Surcharge
Total Permlt (D)
MISCELLANEOUS PERMITS
Moblle Home
Stale lssuance
State Surcharge
Stdewatk @ tt
curbcut 3D n
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
.?7,s.
/ o,oo
/, g8
tu
Oosr
3g
/?.to
/4,so
33 ro
-27?b,6b
1rAMOUNT BECEIVED
BECEIVEO BY
Plumblng Permlt
State Surcharge
Total Charge
?
/Ar/^
iri li t
1
The. f ollcwlng proiect 8s submitted haa thezon;nq, arid docs'not rsquir€ specific land
97 47'TPPtoYat.
ON OI' INST
LECAL DIISCLIPTION
JOB DESCRITIION3"R*5
Pcrnrits are non-transferable and explre
1t vork is not started vltlrin 180 days
o[ issuance or if vork ls susPended for
180 days.
2.25 ItIl'Tll srRl':lir
sl,ruNGrI [:Ll), oltl':(;01'l
INSPIICI'ION REQUIIS'I :
OFI'ICF.: 7')-6-375t)
2. CO}N'RACTOR IN!;TALINTION ONLY
IiIcc t rical Con t rac tor DvwAl
Ci ty E,l'houe ,<uL,rc3q{
Strpcrvi.sor License Ntinrbcr 4
Iixpiratiott Date
Iixpi ra t ion Da te ,<-zz -q3
si turc of Supcrvising F.Iectrician
Ouners Name
7?.6-3'169 7.5n;
o.otu* lflas.h3 3. COHPLUTIT t'EB SCNEDULB BBLOV
tlal-SingIe or
foffiffi.11i
ueo
Ci ty Jo
1000 sq.ft. or less
Each addltlonal 500
sq. ft or portlon
thc reo f
Each Manuf 'd llome or
Hodular Duelling
Service or Feeder
CAL PINTHIT APPLI CATION
b Number ?s/275
Q)iy
Items Cost Sum
// g ss.oo bs
z $ ls.oo 3a
s 40.00
50.00
60.00
00.00
$130.00
s300.00
$ 40.00
40.oo fu_
55.00
80.00
s see rrBrr aEove
HuItl-FamiIY Per dvelling unit'
Serv I ce Incltrded :
D. Scrvlces or [eeders
Installatlon, Alteratlons 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 OnIY
c.
201 amps to 400 amps
-
over /r0t to 600 amps _
0ver 600 amps or 1000 volt
Temporary Services or Feeders
Installatlon, Alteratlon or Relocation
s
$
$1
s
$
$
Add ress
Ci ty ['lronc
OVNIIR INJ;'I'ALLATION
Tlte installation is bcing made on
property I ovn vhiclr is not interrded
for sale, Iease or renr.
ovners Slgnatttre:
DATE:
NNCIII'T
tU.:(:t.:I VI:l)
D. Dranch Clrcul ts
Nev, Alteratlon or Extenslon Per Panel
$ 35.00
$ 2.00
E. l'lisceflaneotts (Servlce/feeder not lncluded)
-Each installation
Plrmp or irrigation
Sign/0utline Lightlng-
Limi ted EnergY/Res
-
Limi ted Energy/Comrn
SIIDTOTAL OP AIOVB
5I State Surcharge
TOTAI,
00
00
00
00
s40
s40
s20
s36
t_.J-aa&__
lrY:4ry t,/
5 {fiy,' tlrld
-/TT
nrsrtr:osr 3?ZbW
tD- I *q,<
Con:;tr Corttr . ""*U", 1.1061?
One Ci rcui t
Eaclr Additional
Circtri t or vi tlt Service
or Feeder Permi t
JOB NO.clztzlS
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
}IORKSHEET
(cot'tMERcIAL & RESIDENTIAL)
Ro ^/ Ra 'EN6 oRGNAME OR COMPANY:
TH 80205 t z- 08loo
LOCATION:
DEVELOPMENT TYPE:
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVI0US SQ. FT.
2 SAN ITARY Et,lER-C ITY
NO. OF PFU'S
(See Reverse)
5FR
siz
o8 x $0.203 PER sQ- FT.
t1 X $42.08 PER PFU
x $424.31
x $424.31
x $424.31
$15.125 PER PFU + $10 Mt,lMC ADM FEE
2 Above)
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
. Ft.
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
x
x
.0
4. SANITARY SEl^lER-Mt,lMC
I From Item
s 26223
NO. OF PFU'S
(Use PFU Tota
MUMC CREDIT IF APPLICABLE (SEE REVERSE)
t13t
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL AB0VE) X .os
K Burd
Zil 03
sDc
p
Coordinator
TOTAL SDC S TOB;IL
4b
I I
q
FIXTURE UNIT,CALCULAI ,N TABLE:
For remodels. calculSie only the NE addilional fixtures)
NumberofNewFixluresXtEquivalent=FixlureUnits(NoTE:
FIXTURE TYPE
Bathtub....
Drinking Fountain...-..
Floor Drain-.
lnterceptors For Grease/Oil/Sollds/Etc..."""""""
lnterceptors For Sand /Auto Wash/Etc. - - - -.. -.. - -.." "
Laundry Tub
Gothesraqher - 3 Or More.........,
Mobile Hdme Park Trap (1 Per Trailer).
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
2-
2
'I
2
J
6
2
6
6
'l
3
2
1
2
R eceptor For R ef rig eratorAVate r Stati on / Etc" " " "
Receptor For Commerclat Sink/Dishwasher/Etc"
Shower, Single'Stall...
Shower. Gang...-.---..-
Sink, Bar, Commercial
Urinal, StallflVall...-zWash Basin/Lavatory Single.
Water Goset, Public lnstallation...-?/-T-
Water Closet, Private.....
Miscellaneous
TOTAL FIXTURE UNITS
cREDlr cALcul-ATloN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
Credit for Parcd or tand Only lf Applicable
lmprwement (rf after annaation date)
7.7 I x$.1t btta
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
/Head
I 7
---;-2
1
b
+
g
q
x$
= t Vtta
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
$3.21
3.13
3.08
2.96
2.82
2.68
L51
1985
1 987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1-18
0.79
o.44
0.28
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
7-