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HomeMy WebLinkAboutPermit Building 1992-05-26SPrlI GFIELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726"3769 Olfice:726-3759 h, JOB NUMBER 225 Fif th Street Spri ng f ielcl, Oregot"r 97 47 7 -€*rfl,+ /7qLOCATIOI{ OF PFIOPOSED WORK: ASSESSORS MAP:/70 3) 3/ Lor: 1a BLOCK TAX LOT:1?J_ SUBDIVISION PHONE: ', ztPSTATEIEc"ttu--t Cil+A I SQLT- REMODEL ADDITION DEMOLISH OTHER I,DESCNIAE WORK *.* /- CONTRACTOR' GENERAL: PLUMBING:-- MECHANICAL: 'S NAME ADDRESShc>[--aquilfb-ile EXPIRES PI]ONE --Q33oz CONST. CONTRACTOR / _ OFFICE LAND USE: I OF UNITS: CONSTR. TYPE: HEAT SOUFICE RANGE r OF BDRMS: -- ZONING CODE: FLOOD PLAIN WATER HEATER: r OF STORIES: QUAD ABEA: SECONDARY HEAT: SOUARE FOOTAGE: I OF BLDGS: -OCCY GROUP: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be ntac,e tlle same working day, inspections requested after 7:0O a.m. will be rnade the following work day. REOUIRED INSPECTIONS I I 'Icmporary Eleclricll w Rough Mechanical - Prior to cover.tx Final Plurnbing - Wlren all plumbing worl( is complete. L_l Silc lnspection - To be made af ter excavation, l)ut prior to settirlg fornrs. w Rough Eleclrical - Prior to w Final Electrical - When all electrical work is cornplete.COVCT, Underslab Plumbing/ Electrical / Mechanical - Prior to cover.w W Final Mechanical - When all mechanical worl( is corrtplete. w Fooling - Af ter trenches are excavated.Fireplace - Prior to facing materials and framlng lnsp. E Masonry - Steel location, bond bearns, grouting.w w w Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placemen t. Wo'nu' Wall/Ceiling lnsulation - Prior to (oncover. w w w LZ w w w w Underground Plumbing - Prior to filling lrench.Drywall - Prior 10 taping MOBILE H MEI ECnON Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - Af ter installation Post and Beam - Prior to floor instrlation or decl<ing.lnsert - After fireplacc ap1;roval arrcl install;rtion of unit. Blocking and Set-Up - Wherr all blocking is cornplete. Floor lnsulation - Prior to decki ng.x Curbcul & Approach.- After forms are erected but prior to placernerrt of concrete. Plumbing Conneclions - Wlren home has been connected to water ancl sewer. Sanitary Sewer - Prior to filling trenctl.Electrical Conneclion'- When blocking, set-up, and plumbing inspections have been approvcd and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - Alter excavalion is complete, forrns and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumblng -'Prior to cover.K OWNER: ADDRE.SS: CITY: tl Dil fl Electrical Service - Must be approved to obtain Permanont electrical power. Final Building - When all required inspections have been approved and building is completed. Lot SetbacksLot faces Lot sq. ftg. Lot coverage TopographY Total heiglrt Eeze-ln te rior Corner --- Panhandle -- Cul'de-sac PL. N oo2?a,m' E ACCt'.tsE GAR /8' 3g/ /7' "5'^, f THE PROPOSED WORK IN THE YIISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? --lf yes, this application tnust be signed and aPProved bY the Historical Coordinator prior to perrnit issuance' APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditiorr that the said construction shall, in alt respects, conform to the Ordinance adoptecl by the City of Spring(ield, including the Developnlent Coclc, regulating the construction and use of buildings, and may bc suspenrJed or rcvokcd at any time upon violation of any provisions o{ said ordirranccs' ir-.wt:r>irt<: /- Plan Chcck Fce Datc Paid Rcccipt Nuntbcr: Reccivccl BY VALUE "426 (^) 37.22 BUILDING PERMIT ITEM SO. FT. Main ZZ$O:- Garage Carport Total Valuc Eluiltlirtll [)ct tlri t [--t:c State Sur<;lrargc lot;rl l:cc /a4.* 24.?(za-z x $/so. FT, Systems Developtnent Charge is clue on all undevcloped properties witlrin the City limits which are being itnprovecl'SYSTEMS DEVELOPMENT CH (B) # s ARGE (SDC) 89 AD ONAL COMMENTS ITEM Fixt u res Flesidcntial Bath(s) SanitarY Sewer Watcr Storm Sewer Mobile Home PLUMBING PERMIT FEE 222-< (c) F'T. FT. v2a.-././ b/b.vvG.* Plumbing Pcrlnit State Sttrch:rr1;c 'l-otal Cltarglc vzxk-- FT. M ECHANICAL PERMIT Fu rn ace Exhaust Hood 2.Y7'd;? Woo<j Stove/ lnsert/ Fi replace Unit Dryer Vent 7/<7 ab2/. /O'oo =z'4-,(D) 2f, N" 7r 7 -2 a>1a, Vent Fan Mechanical Permit lssuance State Surcharge Total Permit .? az2e-'2- By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationhereonistrueanclcorrect'andlfurthercertify that any and all work ;-rerformed shall be done in accordance with the Ordinances of the City of Springf ield, and tlre Laws of the State of Oregon pertaining to the worlt describcd lrerein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division' I f urther certify that only contractors and employees who are in compliance witlr ORS 701'055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable St Sig Date d tltea11 on the 'e at all tintcs ted d s the front mainplan from the street, th mit card of the proMISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidcwark €6-- ,,/'/3'. curLrcut /il5-- tt Demolition Statc Surcharge Total Miscellaneous Permits (E) /5.qe a> EZ@ ,/2 DATE PAID AMOUNT RECEIVED FIECEIVED BY VALIDATION: FIECEIPT NUMBEFI TOTAL AMOUNT DUE (excluding electrical) (A, B, C, O anrJ E Combined) zZZdQ7 a ,/r' \ 7ta* fra' ',v-- 225 FIFTB STP&Ef,is SPRINGFIEI.,D, OREGON 97477 TNSPBCTToN REQTTBST-. 726-1769 0FFICE: 726-3759 , \rfn 1 0N 0r IJGAL DESCRIPTION OB DBSSRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI,ITRACTOR INSTALI,ATION ONLY cirv 4?FCb Phone 7/7a42 Nev Residential-Single or "' {[uIti-FamiIy per dvelling unit. Serdtc'e.IncIuded : Items Cost slDrrtNGrtELu BLECTRICAL PBRHIT APPLICATION Nu b", ?2O%? PEB SCEEDULE BELOU Sum ,rry 1000 sq.ft. or Iess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, 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/volts Reconnect 0nly z $ 8s.oo 2 2- g ls.oo & $ 40.00 60. 100. 130. 300. 40. 7 Supervisor License Number 252,0 S Expirat ion oate /O1*72 Constr Contr. Number /252 Expiration oate €-S?7 Signature of Supe rvrs Electrician rs Name Address y/ l*/ ,/AG The installation is being made on property I own vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: ,*?6+2 RECEIPT *: B $ $ $ $ $ $ 00 00 00 00 00 00 50 citv F4;a,<z vnone 4i B 7 *F7va::"litt:l"litn service 09NER INSTALL,ATI0N or Feeder Permit S 2.00 D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circui t $ 3s.00 E. Miscellaneous (Service/feeder not included) Temporary Services or Feeders Installation, Alteration or Relocatio-n SUBTOTAL OT ABOVE 5Z State Surcharge TOTAL 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 40L to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see [8" above -Each installation Pump or irrigation $ Sign/Outline Lighting_ $ Limi ted Energy/Res _ S Limi ted Energy/Comm $ 40.00 40.00 20.00 36.00 5 RECEIVED B %.a>,- d_---4--2' -a- ir$e Electrical Contrac t"rfiVf ;H: &q- tddress -ZZ>,r/,Affi?i<- 7 y?. c. a ,a a stitttN(;FtELlJ A n.l a.s Air 225 FIFTII STREET SPRINGFIELD,0REGON 9747 I INSPF,Cf,ION REQUEST: oFFICE: 7?.6-3759 1 ON Permits are non-transferable and expire if vork is not started vlthin 180 days of issuance or if vork is suspended for 180 days. 2. CoITTR CToR ONLY Electrical Contractor Address PERHIT APP LICATION Ci ty Job Number 3. COHPI^BTE PEE SCTIEDULE BELOV Residential-Single or Mu Iy per dvelling unit. Service fncluded: Items Cost 1.000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 2oo amps or less A,201 amps to 400 amps 401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconneet 0n1y $ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 C D. Branch Circui ts Nev, Alteration or Extension Per Panel One Ci rcui t Each Addi t ional s 3s.00 -Each installation Ptrmp or irrigation Sign/OutIine Light ing- Limi ted Energy/Res Limi ted Energy/Comrn SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL 37 Aufru,;eo Sum 5i:LtTft',t'i- Ci ty ?"rum q(Y B [,ffi_ Ph Supe rv isor fi.ense Number Expiration Date Constr Contr. Number Expiration Date Signature sing Blectrician Owners Name Add ress Ci ty Phone OVNER ALI.,ATION The installation is being made on property f ovn which is not intended for sale, Iease or rent. Owners Signatrrre: DATE: Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see I'Brr above ( E Circuit or vith Service^ aA or Feeder Permi t /l ) $ 2. OO JU , Miscellaneous (Service/feeder not included) $ $ s s 00 00 00 00 40. 40. 20. 36.Dct)o) C RIiCEIVED I} 5 I / IbbKS q q)) JOB r{0. azo'bb1 CITY OF S INGFiELD SYSTEMS DEVELOPMT WORKSHEET, (cor{r{ERcIAL & RES IDENTIAL) _ CI{ARGE NAI'IE OR COMPANY : Gee-eA V,+uueY Co. or o Tr.tc- L0CATiON: l-1-1 4 trt 3ur-rr+ Loop l-'l o z %z- = t - tn \r- OEVELOPMENT TYPE: MDe- - L\E\{Dueue.* 3 BUILOING SIZE:LOT SI 1. STORM DRAINAGE IMPERVIOUS SQ. FT. tqq4 X 50.186 PER SQ. FT. (See Reverse For Runoff Coefficients If Actual Imperv. Area ?. SANITARY SEI.IER-CITY NO. OF PFU'S .F 7Z X 538.55 PER PFU (See Reverse ffi PFU'S) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP L x l,oo5 x s388.61'x x $388-61 4 ADI.IINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABoVE) X .os (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (StE REVERSE) S a. Ft. s bto9 Is Unknown) s lzoocl s 1gt9 s uqL: s 1o2 ToTAL-ilWfiC SDC S bn479 T.TAL sDC s ?bqgt! ,: i@FmenFto-DEteraine t'lfir$6iiilt*, rrEr{s l,z, & 3) s zz2oey-" TOTAL-CITY SDC S'?,qo+Y 5. SANITARY SEt.lER-HT.'fiC N0. 0F PFU'S bz x S13.25'PER PFU t SlC l{t{t{C ADH IN. FEE S 4A12 b Kip Burdick SDC Coordinator To? oNuy t d+z.rl't,^t ld Q,*r-y oF z ".b,'',ttg'D. N'* Qsvt *uH 1oc i,or*v (zxao t ,rcb) l'o5 3 U": a FTXTURE UNIT CALCULATION TABLE: i.:,.rnrber ot Nen,Fi(ures X Lrnii lqun'aiettl = Fixlure Uniis (I'JOTE For rernodels, calculate only the NET - iiiionsl fixrures) NUMBEF OF .- UNIT FIXTURE FIKTURE TYPE NEW FIKI-URES EOUIVALENT UNITS Bathtub....... Drinking Fountain- .-..-.-.----------.---- fl oor Drain-.... -...-. :.-....--. lnlerceptors For Grease/Oil/Solids/Etc----------------. lnterceptors For Sand/Atrto Wash/Etc.---------:------- ')+ Laundry T Clotheswasher - 3 Or More-..--..---. Mobile Home Park Trap (1 Per Trailer)-------- Receptor For Refri gerator/-\A/ater Station/Erc- - - -. - - - Receptor For Commercial Sink/Dishwasher/Etc-: Shower. Single Stall..---...--. Shower. Gang....--...-. Sink Bac Commercial Wash Basin/t-aratory, Single.------. Water Closet Public lnstallatioru- Water Closet, Prtvate.--...- + 2 1 t J 6 2 6 6 1 J 2 1 2 2 1 6 4 ead/H Miscellaneous: TOTAL FD(URE UNTTS 7z / cREDtT CALCUIATION TAB! tr: Based on assessed vatue- lf imprOrements occtrrred after annocation date in table. . calcrdate credtts z-.GU x s t6,bt *o 17- Credit for Parcd or tand Only lf Applicab{e lmprorement (f after annmtion date) (Rate X Assessed Value)xs (Rate X Assessed Value) CREDIT TOTAL = $4o 1z Year' Ann€t(ed Rate per S1.O0O Assbssed Vatue Year Anneratd Rate paS1.0OO Assessed Value 1985 1986 1987 1988 1989 1990 s1.69 I.JJ 1-15 o-92 0.s9 0.23 1979 or before 1980 1981 79132 t98g 1984 sz66zu 253 241 2'19 L04 RUNOFF COEFFICIENTS FOR STORM DRAINAGE I Resrdential-- Commercial----...-..-..... - lndustrial----- ...--....-.... 0-45 Governrnentat--.-.--------------- '-"""--- 0'5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 0.4 0.9 4 225 North Fifth Street Springfield, Oregon 97471 FENCE PEITHIT APPLICATION CITY OF SPRTNGTIEI.D BUILDII{G SAFETY DIVISION SPRINGFIELD Office: INSPECTION LINE: 726-3759 7 26-37 69 -OBEGO'VCITY OF Job Location:(-ZEI *#Lq^/ffit'\,al Assessors Map #:lloLv rax Lot *,0 (1 I L Phone #: zi p: Ovner: Address: Ci ty: Value of Fence: Con t rac t orlIns taller : Address:.0 State:6 0 Fence Permit is $5.00 I'jhone #:bl4 t\L Ci ty:State: Construction Contractors Registration li:q4 Expi res :6:1 :73r>t By signing this permit/appl.ication, I agree to caII for an inspection once myfence lras been constructed (726-3769). I also stated that atl information onthis application/pernit js correct and that I was provided r^'ith the Springfield Development code requirements for fence standards. 7 -7 2_ S gna ture Date FOR OFFICE USE 0v-,AW Date of Application:4-z 4 z--JOB {t:Qze3gz Receipt #(,, (E Issued By: Tota} Amotrnt Collected , ff5'dD Checked f or Delinquenei es: ./-Checked for Historical Statrrs: ---- .<\ -