HomeMy WebLinkAboutPermit Building 1997-02-24SPFIITIGFIELE,
o
RESIDENTIAIJ PER}TIT APPIJICATION
CITY OF SPRINGFIEIJD
CO}TMT'NITY SERVICES DTVISION
BUIIJDING SAFETY
a
Office:
Inspection Line:
Page 1
ilob Number: 970191
726 -37 59
726 -3769
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 483 SPRINGDALE AVE
Assessors Map #: L7032242
Lot: Block:
Tax Lot #: 04500
Subdivision:
SPilNGFIEI.D,
owner: BI,D/OLM IORONS
AddTCSS: 483 SPRINGDALE AVENUE
Describe Work: LMNG & POOL TABLE RM AD
phone #:
citylstate/zip: SpRTNGFIELD, OREGON 97477
ADDITION
General:
uq3 CavdlLlioJl+ w
Plumbing:
Const.
Contractor Contractor #
.rarrffi. Et u c,e- B ud z ; tL fu*#utr-&'t^-'
fs3f,iran:.Dtqar Eugene OR 974t7O0O0
ARPS PLUMBING 0038123
1120 Bailey Hill Rd #8 Eugene OR 97
K&KELECTRIC OO872O2
520 So 68th Place Springfield OR 97
E:cpires
06 /2e / e7
or/24 / e8
!L/ 06 / e7
Phone
46L-7 093
484-7246
7 41,-2663ELectrical:
QUAD AREA: 5RNW
OCCY GROUP: R3
SQ FOOTAGE: 504
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
ZONING CODE: LDR
rNSUL PATH: P1
To reguest an inspection, cal-l- the 24 hour recording aL 726-3769.
A1I inspections reguest.ed before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUTRED INSPECTTONS ---
FOOTING - After trenches are excavated.
FOUIIDATION - Aft.er forms are erected but prior to concrete placement.
sr,AB - To be made after aII inslab building service equipment, conduitpiping, and other equipment items are in place but prior to concrete
INSITLATION - Floor; prior to decking Wa11/Ceiling; prior to cover
IrIIDERFLOOR PLITUBING - Pri_or to insulation or decking.
POST AIID BEAII - Prior to floor insulation or decking.
rNsuLATroN - F1oor,' prior to decking waII/ceiring; prior to cover
ROUGH PLITUBfNG - Prior to cover.
ROUGH EIJECTRICAIJ - Prior to cover.
FRAMfNG - Prior to cover.
rNsur"ATroN - Floor; prior to decking warr/ceiling; prior to cover
DRYI|IATIJ - Prior to taping.
FfNAL PLUIIBING - When all plumbing work is complet.e.
FINAL ELECTRfCAI - When a1]_ electrical work is complete.
FrNAL BurI.DrNc - when all required inspections have been approved andthe building is compl_ete.
ToLal Height: 14
Lot, Type: CORNER
Setbk From NPL: 50 Solar Approved: y
House
Setbacks
SW
20
EN
$/Sguare Feetftem
Main
--- BUILDING PERMIT ---
Square Feet x Val-ue
0.00
SPFINGFIELD
ta
h,
Job Number: 97OLgl Page 2
Garage
ADDITION
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
504 64 .66
0.00
32,589.00
32, 589.00
205.50
16.53
223 . 03(A)
SYSTEMS DEVEI,OPMENT CIIARGE (SDC)
(B)130.64
Systems Development Charge is due on all undeveloped propertj-es within the City
Ij-mits and the Citys Urban Growth Boundry which are being improved.
(Excluding Electrical)
unleee otherwise noted
--- TOTAL A}IOI'NT DUE ---
(A, B, C, D, and E combined)353.57
--- BUII,DING VALUE, PI.A.}I CHECK AI{D BUILDING PER}IIT
Thi-s permit, is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by Ehe City of
Spri-ngfield, including the DevelopmenL 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.
Plan Check Fee: L34.23 Date Paid:
Received By:
Pl-ans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
0t/28 / e7
02 /20 / e7
Receipt Number: 24425
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAI PERMIT TS REQUIRED
By signature, I atatse and agree, Ehat I have carefully examined
the completed application and do hereby certify that, all information hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with the Ordinances of the CiEy 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 struct,ure without permission of the
Community Services Division, Building Safety. 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 reguired inspections are reguested at the
proper time, that each address is readable from the street, that the permit
card
will
is located the front of the property, and t.he approved set of plans
e at aII times during construction.
te
SPNIi'GFIELI,
Job Number: 970L9:.
a SPruNGFIELO,a
Page 3
--- VAI.IDATION ---
2fu70/Receipt Number:
Date Paid:
Amoun! Received:
Received By:
2-7q4 7
l,L/ -
SPBINGF!ELD
a
CITY OF SPRINGFIETD SYSTEMS DEVELOP}TENT CITARGE
(RESTDENTIAL)
Page 1
SPruNGFIEIT',
Name or Company: BIID/OLIVE IORONS
Location: 483 SPRINGDALE AVE
Developement Tlpe: R euilding Size:
rfob No. : 970L91-
Lot Size:Sq Ft
1. STOR}T DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.AI.ISPORTATION
Number Of Units
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
576 X O.2L6 Per Sq Ft =
X 44.75 Per PFU =
X Trip Rate X Cost Per Trip
0
sL24.42
$o. oo
$0.00
$0.00
$0.00
$o. oo
iL24.42
$6.22
Transportat.ion Tota]
4. SAI{ITARY SEWER - UTiIMC
Number Of PFUs
0
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
Per PFU + MWMC Admin Fee
20 .590
x
x 0-50
TOTAIJ SDC
Reviewed By: TROY MCALLISTER Date:01,/30/97
$L30.54
SPRINGFIELD
Job Number: 970L9:-.
a o
Page 2
FIXTURE I'NTT CALCULATTON TABLE
SPruNGFIELD,
Fixture Tlpe
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Fl-oor Drain
Interceptors For Grease/oit/SoIids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/CloEheswasher
Clotheswasher - 3 Or More
Recept.or For Refrigerator,/Water Station/Utc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta11
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/wall
Wash Basin/Lavatory, Si-ngle
Water Closet, Public Installation
Water Closet, Private
MisceLlaneous
TOTAL FIXTURE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separat,ely(calculations are by gl-000)
Year Annexed:
credit For Parcel or Land only rf Applicabre: o x 0.00 = o.oo
rmprovement (if after annexation date): 0 x 0.00 = o.oo
CREDIT TOTAL = 90.00
(If land value is multiplied by 1- then the parcel/Iand credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
)
3
5
2
5
1
3
2
z
1
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Oflice:726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
SPFtINCFIELD
ELOCK:
JOB NUMBER I
225 Fittlr Strcet
Sprl rrgtlelr.J, Oregon g7477
TAX LOT:
SUBDIVISION
PHONE
ztP:STATE:
DESCRIBE WORK:
NEW
-
FIEMoDEL ADDITION DEMOLISH oTHEtl
GENEBAL:
PLUMBING
MECHANICAL:
ADDRESS CONST.
CONTRACTOR "I.:XPlilES PHON E
ELECTFIICAL:
OWNER:
ADDRESS:
CITY:
_ OFFICE USE -
QUAD AREA:
I OF BLDGS:
OCCY GROUP:
r OF STORIEST
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footlng - Af ter trenches are
excavated.
Masonry - Steel locatlon, boncJ
beams, groutlnO.
Foundatlon - Alter forms are
erected but prlor to concrete
placement.
Unclergrourrcl Plunrltlrrg - Prlor
o fllllng trench
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
Post and Beam - Prior to floor
lnsulation or decl<lng,
Floor lnsulalion - Prlor to
decklng.
Sanitary Sewer - Prior to fllling
trench.
Slorm Sewer - [)rior to tllling
trench.
Water Line - Prlor to filling
trench.
Rough Plumbing - Prlor to
cover.
LAND USE:r:LOOD I)LAIN
ZONING CODE: __
, OF BDNMS
SECONDAFIY HEAT:
SOUAnE FOOT^GE:.--
Final Elcctrical - When allelectrical worl< is complete.
Firral Mcclrarrical - When allnrechanical worl( ls cornplete.
Final Building - When allrequired lnspectlons have beenapproved and buildlng is
complet(]d.
O thcr
MOBILE I.IOME INSPESTIONS
Blocking and Set.Up - When allblocklnll is cornplete.
Plumbin.rl Conncctions - When
homc has been connected to
water and sewer.
Electrical Corrrrection - Whenblocl(lno, set.up, and plumblng
lnspcctions lravc bc'en approvod
and the ho,ne is connected to
the service panel.
Final - Alter all requlred
inspections are approved and
porcl.rcs, skirting, decks, and
ventinO have been lnstalled.
r OF UNITS:
CONSTR. TYPEr
HEAT SOURCE;
To request an lnspectlon' you must call 726'3769. Thls ls a 24 hour rccordlno. All inspections requestcc1 beforc 7:00 a.m. wlll bemade the sanle worklng day, lnspectlons requested after 7:oo a.m. wlll be macje the followlng worl< day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - prlor to
cover.Final Plurrrbing - Whcn allplumbing worl< ls complet.o.
Site lnspection - To be madealler excavation, but prior tosetting lorms.
Rouglr Electrical - Prior to
RANGE:
c ove r.
Electrical Servlce - Must tJe
approved to obtairr pcrrnancnt
electrlcal l)ower.
Flreplaco - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover,
Wall/Ceiling lnsulation - prlor to
cover.
Drywall - Prlor to taping
Wood Stovc - Altcr lnstall.rtlon
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcul & Altprroach - Af ter
forms are erected but prior toplacemcnt of concrctct.
Sidewalk & Driveway - Af ter
cxcavation ls complctc, foilIS
and sub.base malerial i11 placo.
[-l Fence - \ivhen completed
{ilreot Troes - Wlren all required
trees are planted.
CONTFIACTOR'S NAME
E
tl
tl
L]
r_l
tl
[]
WATER HEATER:
E
E
E
fl
tl
t_l
tl
Lot (accs
Lot sq. ftg.
Lot coverage
To pograPhY
Total helght
BUILDING PERMIT
Lot 'lyt)o
-
ltrterior
_.- Corner
-
Panhandle
-
Cul'de'sac
Sc tbacl(s
P.L,GAR ACC
N
E
HS
VALU E
IS E TJI]OI)OSED WORK iN THE
t-ilsroRlcAL DlsTRlcT, oR oN
TIIE HISTORICAL REGISTER?
l( yes, this application must be slgned
arrd approved bY the Historlcal
Coordinator prior to permit issuance.
APPROVED:
ITEM
Main
Garage
Carport
SO. FT. X $/SO. F-T.
Total Valuc
Building Permit Fee
State Surcharge
Total Fcc (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is grantecl on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Coclc, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances'
Rcoeipt Nutnber:-.
DatePlans Rcviewed [3Y
Plan Clrccl< Fec:
Date Paid
Received BY
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Rcsldential Bath(s)
Sanltary Sewer
Water
Storrn Scwer
Mobllo Home
t
Plumblng Pcrmit
Stato surcha rg" l3?r0
Total Charge (c)
F EE
5
N0
FT,
FT.
\ lo{^uru
PLUMBING PERMIT
By slgnature, I state and agree, that I have carcf ully examined
the completed application and do hereby certify that all
ln(ormatlon hcreorr is true and correcl, and I Iurther certify
that any and all work performed shall be done in accordance
with the Ordinanccs of thc Ci ty of Springfield, and the Laws
of tllc Statc of Orcgon pertaining to thc worl< described
lrercin, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buil<Jirrg Safety Divislon.
I turthcr certify that o|lly contractors and employees who
are in cornpliance witlr ORS 701,055 wlll be used on this
p ro jec t.
lfurther agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
(rom tlre street, that the permit card ls located at lhe front
Slg nat
Date
re
7
on the sit at all t
of plans will remainof the property, an
truction.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Homc
State lssuance
Statc Surcharge
Sidewalk
--
tt
Curbcut
---
ft
Demolition
State Surchargc
Total Miscellaneous Pcrrnits (E)
TOTAL AMOUNT OUE (cxcludin0 clcctric;rl)
(A, B, C, D, and E Cotnbincd)
Yent Fan
(D)
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Mechanical Pernllt
lssu ance
State Surcharge
Total Permit
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVT-.D
FIECEIVED BY
Systems Development Charge is due on all undeveloped
properties within the City linrits whiclr are being lmproved'
(
F'I.
$F r .f-rELG)
dB,E{;t Cl iii't-f o*^rS
' 1ql'r(e?
225 FIFTE STREET Ll .1 .,i-l
SPRTNGFTELD, oREGoN 97477 '
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
fJfq citv Job Number
q70rc t
&dV
OL
BLECTRICAL PBRHIT APPLICATION
3. COHPI-ETE FEE SCEEDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1 ON INST T ON
A)
LEGALr7o 'iwy IONoLl6An
A
C
D
E
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALT,ATION ONLY
Electrical Contractor d
Address (Ao S,,VA @
Phone
"t//
*L/3
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, ALterations
or Relocation:
200 amps or less I
201 amps to 400 amps _
401 amps to 600 amps _
60L amps to 1000 amps-
0ver 1000 amps/volts
Reconnect 0n1Y
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
PTION s 8s.00
s 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
s130. 00
$300.00
$ 40.00
Sum
.s.*
B
Ci ty
Supe rv i sor icense Number Sfr? I S
Expiration Date
Constr Contr. Number ga *oZ---
Expir:ation Date
Signa ture o perv Electrician
0vners Name rre dir- f,pr-nS
Address ola-'{'-
Ci ty Pnone)'{ /- l(?7
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
S 80.00 -Over 600 amps or 1000-voT[s see "B" above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Servicq,
or Feeder Permit Y S 2.00
?
f-
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
sign/outline Lighting- $
Liilited Energy/Res
-
S
Limited Energy/Comm $
ge
not included)
40.00
40. 00
20. o0
L5
RBCEIVED