HomeMy WebLinkAboutPermit Building 1993-12-15RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
O(fice: 726'3759
ASSESSORsJ 17-03-35-22
SPrIINGF!ELO
tf;'3 D6
JOB NUMSER I /7/q
225 Fifth Street
Spri ngf ield, Oregon 97 477?fr,
LoCATtoN oF pRopoSED WoBK: 701 l{atef St.. Sprfngfield' 0R-9747
TAX LOT:
ELOCK: ..,,---SUBDIVISIONLOT: ---
al!5-71C'6PHONE:
ZIP:
)
9l
CITY:
--
Eu
769 Monroe St.
onom1 Corp. (c DevelopmentNeighborhood EcOWNER
STATE: 0B
ADDRESS:
NEW X REMODEL ADDITION DEMOLISH OTHER
horrseNew9i8 sf 3BRstnrction ofDESCRIBE WORK:
EXPI RESADDRESS
Bob Tate Bu r -?747i1
PHONE
PLUMBING
CONTRACTOR'S NAME
GENERAL: -
ELECTRICAL:
CONST.
CONTRACTOR /
3130 Willaketalr- Eugere 70644
97 40t
MECHANICAL:
----
OUAD AREA: -
* OF ELDGS: -
OCCY GBOUP:
r OF STORIES:
FLOOD PLAIN:
ZONING CODE:
r OF BDRMS:
HEAT SOURCE:
RANGE: -
CCNI;TR. TYPE
Y OF UNITS:
_ OFFICE USE _
LAND USE:]l\-L
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:0o a.m. will be
made the slme working day, lnspections requestec after 7:00 a.m. will be made the following work day'
REOUIRED INSPECTIONS
@"*'o'arY Electric w
w
w
Rough Mechanical - Prior to
cover.8 Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to a Final Electrical - When all
electrical work is comPlete.c ove r,
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - lYlust be
approved to obtain Permanent
electrical power.
w Final Mechanical - When all
mechanical work is comPlete.
g Footirrg - After trenches are
excavaled.Fireplace - Prior to facing
materials and framing lnsP.
q4 Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.@
w
Framing - Prior to cover.
Other
Foundalion - After forms are
erected but prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
tc) filling trench.f(l orywatl - Prior to taoins
MOBILE HOIVIE INSPECTIONS
w
w
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After instailation
Post and Beam - Prlor to floor
insulation or decking.lnsert - After fireplac(-' afiproval
anC installation of unit.
Blocking and Set-Up - When all
blocking is complete.
E 5:""?1,1;suration - Prior to
f,J Curbcut & Approach - Af tcr
fcilns are erected birt Pri<;r tc
pl,icernent of concrete.
Plunrbing Connections - When
home has been connected to
water and sewer.a
a
a
w
Sanitary Sewer - Prior to filling
trencll.Electrical Connection - When
blocki ng, set-up, and Plumbing
inspections have been approved
and the home is connected to
the service panel.
L Sitlewalk & Driveway - Af ter
excavation is complete, forms
and sub-base materia: in Place.Slorm Sewer - Prior to filling
trench-
Water Line - Prior to fllling
trench.
Fence - When r:om1tlerec1.
Streel Trees - Whet :rll required
trees are plantecl.
Final l- After all required
insp€.ctions are approved and
porches, skirting, decks, and
venting have been installed.Rouglr Plumbing - Prior to
cover.w
fl
I
-r{ffi-
WATER HEATER:
n fl
fl
rl
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lr:t Type
-
A tnterior
-
Corner
-
Panhandle
--
Cul-de'sac
Set backs
#a
ls:
P.L.HSE,
N
ACC
-rs rHE PRoPosED woRK tN THE
}.IISTORICAL DISTFIICT, OR ON
THE HISTOFIICAL REGISTER?
---lf yes, this application must be signed
ancl approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
oo
E
GAR
//
/Z
/d
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is grantecJ on the express condition that the said
construction sh;tll, in all respects, conform to the Ordinance
adoptecj by the City of Springfield, including the
Developnrent Cocle. regulating the construction and use of
builclines, and may be suspended or revoked at any time
upon viol;rtion of any provisions of said ordinances.
Date
122:23
i-l
/5.c9
B v
Recei By
Date Paid
Receipt i.l umber:
Plah Check Fee
BUILDING PERMIT
VALUE
fz6q'
?,az/_,*2+?2/a
(A)
SQ. FT. X S/SQ. FT.q?L Zzd
#ae
ITEM
Main
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
?/.-o/tr€7/1a5
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved'SYSTEMS DEVELOPM tbla
G E CDNEcTAHR(s
Z'2$B)
ADDITIONAL COMMENTS
v Ur1r|r^^L,J.1^..0
vk
ITEM
F rxtu res
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
g5/
FT.
F-r.
(c)
N0
FT.
5/
?/,?a
.€,*-
2A*??,71Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
MECHANICAL PERMIT
arr6
N0
a.
4'&
<eE_/:
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
/h/ry-
(D)
6=-/o.a
.= 25
?€-2f,
By signature, I statc 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 anci all work performed shall be done in accordance
with the Orclinances of the City of Springf ield, and the Laws
of the Statc 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 certity that only contractors and employees who
are in compliancc with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requestcd at the proper time, that each address is readable
f rom llrc street, that the permit card is located at the front
of the property, arr<J the approved set of plans rvill remain
Da
Signat.
on the site at es during construction
John Hubbird
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --- ft
Curbcut
----
ft
Demolition
State SurchargeW ;r u#a;x
Total Miscellaneous Permits (E)
@,?lZ-rd*
o.oo
DATE I]AID
AMOUNT FIECEIVED
RECEIVED L]Y _.
VALIDATION:
BECEIP-i' NUMBE,R
TOTAL AMOUNT DUE (excluding elcctrical)
(A, B, C, D, and E Combined)
2/y'e/9
COzrPu/ O 20 g
vg I
Caroort/a.6rgPrr-7 t .
I
/
SPClINGFIELO
FENCB PBRI{IT APPLICATION
CITY OF SPRINGFIBLD
BUIIDING SAFETY DIVISION
225 North Fifth Streer
Springfield, 0regon 97477
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF SPRINGFIELD, OREGO'U
Job Location:
Assessors Map *t {Tfrl-?2- Tax Lot *:,4 { ',
Ovner:
Address:
Ci ty:
Phone *:;=7+z
zi p:
Value of Fence: fu.*Fence Permit is $5.00
Con t rac t orl Ins taI Ie r :
Address:Phone #:
City: State:Zipz
ConstructionContractorsRegistration#:-Expires:-
By signing this permit/application, I agree to caII for an inspection once myfence has been constructed (726-3769). I also stated that all information onthis application/permit is correct and that I vas provided vith the Springfietd
Development code requirements for fence standards.
ture te
FOR OFFICE USE
Date of Applicati on: A,-2 >r ? yZ nt *: ??f )r//
Receipt # / 78Zz Issued By:
Total Amount Collected:@
State:
('
checked for Derinqueneies| /- cheeked for Historical status:
?.1
b-
DNYIMEI,L CALG'TII,AIIONS
POR
NEIGHBORHOOD ECONO!fiC DEVETOPUENT CORPORATION
EXISTING RESIDENCE Orrul uAp 17-03-35-2-2i T.t. 10401
SPRINGTTELD, OR
DATE T
July 15, 1994
7 o tw
3 /7/
T1a zzr+r ,?/fr sil'a'at/wn ry
,fugYe A)zarr, //me tilt ru
alhbgyoc p/& Ja 27fr .v&*a )*sA
7,r5.
.I
.:
I Ivo aat92
PG IJ+
ftferL s rn eA'l
v
NOTE:
SOIL TYPE = IIAI.IABON SIIJTY CLAY IJON{
ROOF AREA = APPROX. 1178 S.F.
PERIIEABIIJITY RATE = 1.0 IN./HR. = €
AVAIIJABLE WATER CAPACITY = O.2O IN./ IN. = C,
WATERTABL,E=>6.0'
DESIGN F"AINFAI.L = 5 YR. STORM = 0.62 IN./HR. = P
DURATION = 1.0 HR.= T
THIS DES. I IS BASED ON INFII,TRATIOI ''RACTICES FOR THE
STATE OF MARYLAND DEPARTI'IENT OF THE LTTVIRONI{ENT'
CUR\IE NUI4BER FOR O\IERIJYING SOIL = 70 =
CURVE NT,MBER FOR I!{PERVIOUS ROOT AREA = 98
a (BASED ON GRASS CO\IER)
Qc (BASED ON ROOr AREA)
g=(p-0.25)2
P + o.gs
Q = 10,62 - 0.2(4.291!2 = 00.62 + 0.8(4.29,
Q" = [0.52 - 0.2(0.21)12 = 0.430.62 + 0.8(0.21)
MA,( AIJLOWABLE DRYT{ELL DEPTH = d,o = €Ts/vR
€ = 2.0 PERIIBABII,ITY RATET" = 24 hrs SUBSURFACE STORAGE TIITIEV" = 0.35 VOID RATIO Ot' DRYWELL ROCK
dHJ( = 1.0(24) = 59 IN.
0.35
cr
cr
S = 1000 10
uf,
S = 1000 L0 = 4.29
70
S = 1000 10 = 0.2L
98
= 20.4 sQ.rr.
L2
q'
A,
Qc
o
vRq,
P
c"
d"
€4
&
LENGTH =WIDTH =
HEIGHT =
v"{(P-O)*crdo+er
= AREA Or DRYWELL
= DEPTH OF RUNoFF rRoM RooF = 0.43 rN./HR.= DEPTH OF RT,NOF'F FRO}T O\TERLYING SoTL = O= 0.35
= DRYWELL STORAGE DEPTH = 9.0 FT.= 0.52 rN./HR.= 0.20 IN./IN.
= DEPTH OT SOIIJ O1IERLYING DRYWELL = 1.0 FT.= 1.0 rN. /HR.
= AREA CONTRfBUTfNG TO RUNOFF = 35g4 S.f.
.35(5.0)+ 0.20 ( 1.0 ) + 2.0(1.0)0
L2
LA-, -ou6,-0u5,-0, TOTAL HEIGHT = 6,-Ou
?aZ 4r
DRYWELL LOCAIION
\
\
\
\PRIVATE UTILITY EASET'€ilT
PER REEL
lNSfR. No.794t239
\
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7g12039
N 89043',50' E 78.00',
s 89. 43' 50' W 53.O4',
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9
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iffioz
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7.O'
L
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s E9043'.50'. W
5E.27'.
\
24'\9E&_
q
t4.o7'
B-
:.(\rc
m
ul
25-OO',
scALE r - 20'
(n
c
ur
m
6r:-oq
(Jrooo
r ALLEY
\
ar,
POLYETHYLENE
DROP BOX
HEIGHT - 5'-0" TOTAL DEPTH . 6'-0"WDTH - 4'-0" \. -
LENGTH . 6'-0A
NATIVE SOIL
6', -0"
TYPICAL S]DE VJEl/{
FINISH GRADE
v
-_--.>
FLOW FROM
ROOF DRAINS
I/4'MESH
GALV. SCREEN
\
SOLID PVC
PIPING E, tl.,ilJ -\J
DROP BOXES SHOULD BE
CLEANED AS NEfDED TO
ASSURE PROPER OPERATIONOF THE DRY NELL.
DRYWELL SHALL BE INSTALLED AMINIMUM OF IA FEET FROM PROPERTY
AND FOUNDATION LINES OR AS
SHOWN ON THE PLOT PLAN.
DRYWELL SHALL BE INSTALLED LEVELIN ALL DIRECTIONS.
DRYWELL SHALL NOT BE INSTALLED INANY PUBLIC OR PRIVATE UTTLITY
EASEMENTS.
!I
N
o+
+
DRYWELL D|MENSIONS:
)
L
L
lL
\\\
L
N
A A aAA A
L \L LNNN N,L L L,,
t
AtLAaL4 a
,A L L \\L L\A L
N,
\\\
A tsNLLL\
\
LL
L \\,A\4\A LA\
3- PERf,, PIPE
,
a L
L LL
L
T
\
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A
A
\
\
A
L
A
L
AL
AA
A
A
a t
I
uz4 uZanL\I
\
LN
A
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NL\
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As
N,\
t\t\
L,
"N,az
LL tNt\t Nt L'\
\
A
\
4
a
I\\"\LuILoo t \t \\
L \t Nt L' t \
\l \
A
L\"\.T\\t \" \L
4
oo " Nn L L\
A ,L
z'
A
L
)
!
a
AL.\
I I/2" - 3' WASHED
ROUND ROCK
ALU
L.\o
LLdLar
)
)
L
,
,
a7
ur'
Ia"
TRENCH) ,,MARAFI" OF EOUIV
, FILTER FABRIC. OVERLAP' 12" AT JOINTS (WRAP ENTIRE
40F4
NO SCALE
NOTE:
)
INSPIICIION REQUIIST | 7?.6-3'169 zoni,.,o IJ)Q
oFPICE: 726-3759
1 LLA
LBGA ON
Pernrits arc non-transferable and expire
iI vork is not started vlthin 180 days
of issuance or if vork ls suspen(led for
180 days.
2. CO}N'RACTOR INSTALINTION ONLY
Iilcctrical Contracto
Add r:css
Ci ty l'hone
Supervisor License Nunrber
lixpirat ion Date \b/r lALa
Constr Cotttr. l'lumber
Expiration Date
Signaturc of Supervising [Iectrician
Ouners Nam
Arld rcss \ tOC\ .\|L,
D.1q )l lr,,t 3. COHPLS'TII PBE SCTIEDULII DELOV
Signature Nev Resident iaI-Single or
MuIti-FamiIy per dr.relling uni t.
Service Included:
I tems
5t.t I lN Lil: ll:Lt,
Ci ty Job Number
1000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
tlrereof
Each Manuf 'd llome or
Modtrlar Duelling
Service or Feeder
I}. Services or Feeders
' Installatlon, Alteratlons or
6; Reloca t I on :
200 amps or less
201 anrps to 400- amPs
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect Only
C.
c
afr
?.2s Fury srru.:Hr Ii: [1:H%3::l?"q'8.'.I,?$*#fr"'I';
SPlUNGFfliLl)' ORI|GON )J t1J'lspptoeat'
lollorviru
uBC.ECTRI CAL PENHIT AP PLICATION
Cos t
$ 85.00
$ 1s.00
$ 40.00
Sum
_6
$ s0.00
$ 60.00
$100.00
$r30.00
$300.00
$ 40.00
Temporary Services or Feeders
Installatlon, Alteration or Relocation
citv@r''on
5
OVNIITI INS'TALLATION
I
200 amps or less I $ 40.00
201 amps to 400 amps * $ 55.00
0ver 401 to 600 amps _ S 80.00
0ver 600 amps or 1000 volts see .Drl
()
aIoiil
D. Branch Clrcul ts
Nev, Alteratlon or Extenslon Per Panel
One Circuit $ 35.00
Each Addi t ional
Circui t or vi tlr Service
or Feeder Permit S 2.00
E. 14iscellaneous (Service/feeder not incltrded)
-Each installation
Plrmp or irrigation
Sign/0u tline Liglt t ing_
Limi ted Energy/Res
5. SUDTOTAL OP ABOVE
5f State Surcltarge
TOTAI,
The installation is being made on
propcrty I ovn vhich is not intended
for sale, Iease or rent.
Ovners Slgnaturc:
s40
$40
s20
$36
.00
.00
.00
.00
DATE:
RIiCEI PT
I(Ii(:I.iIVI.]D IIY:
(trr*ta
5
I
Willamalane
Park & Recreation District
fob No.
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAME: \\t\tn PHONE:
ADDRESS: qt\oq \\rrsrss- €con^o-srArE:W.,, C$\O\
)
LOCATION OF PROPOSED BUILDINC SI
Street Address if Known
Platt Name:Tax Lot Number:
DEVETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Single Family - Detached
-l- 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
t X $400 PER UNIT =$
X $370 PER UNIT =$
X $277 PER UNIT =$
X $280 PER UNIT =$
N
1
WPRD SDC
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAT WPRD NET Strc ASSESSED (lf SDC reduced for Credit)
AD cr)
$4tD90
d$
$
Community Services D
City of Springfield
Date
qsqK
\\PsE,rLio
-,8 NO . nzrt t.[
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
T.IORKSHEET
(C0HHERCIAL & RESIDENTIAL)
NAME OR COMPANY:Nlr=pco
LOCAT ION: -Jo t wlart= -<-3-r 1-1 0bzi7 ?- - \o*\o I
Lt>? - Newl *LDEVELOPMENT TYPE:
BU I LDI
I. STORH DRAINAGE
IMPERVIOUS SQ. FT.
2. SANITARY SEt,lER.CITY
NO. OF PFU'S
(See Reverse)
K p Burdick
NG SIZE; 3i * ul5 NcLUDei gA.!sizE 'sQ Ft.
s
s
$ 11G4
zt:Z,O
q
(t
l'ba,x $0.203 PER SQ. FT.
X $42.08 PER PFU
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
\ x t.cr x$424.31
x x $424.31
x x $424.31
4. SANITARY SEWER-MWMC
N0.0F PFU,S x $15.125 PER PFU + $10 MtllMC ADM FEE
(Use PFU Total From Item 2 Above)
Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-M}IMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATiVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X
rqbb
b'Lz9
55L?)
- c12lo -
SDC Coordinator
.05
b
TOTAL SDC $lv1123
FIXTURE UNIT.CALCULAyION TABLE: r.rurnUer of New Fixrures X Unit Equivalent = Fixture Units (NorE
i"ir".noauls, calculSie only the NET additional fixtures)
NU'\4BER oF uNtT FtxruRE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub...
Drinking Fountain-----.
Floor Drain-
lnterceptors For Grease/Oil/Sollds/Etc""""""""'
lnterceptors For Sand /Ar-rto Wash/Etc" " " " " " "" "
2
'2a
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
'l
6
4
taundry
Clothes,vaqher - 3 Or More---.".'-"'
Mobile Hdriie Park Trap (1 Per Traiter)""""
Receptor Fgr R ef rigeratorflVat e r Station/Etc" " " "
Receptor For Commerclal Sink/Dishwasher/Etc-'
Shower. Single'Stall-.
Shower. Gang.....----.-
Sink, Bar, Commercial
Urinal. StallflVall....
Wash Basin /l-avalory, Single"""""
Water Closet, Public lnstallation"
Credit for Parcd or l-and Only lf Applicable
lmprwement (rf after annexation date)
V.'Ll x $U .:b
(Rate X Assessed Value)x$
2-
Water Goset. Private--..---..-.--.-.'
Miscellaneous:
TOTAL FIXTURE UNITS \t
CREDIT CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
'Lt '?-o?
(Rate X Assessed Value)
CREDIT TOTAL $
'b:Zo
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1.0OO
Assessed Value
1986
1987
1988
1989
1990
1991
1992
S 2.24
1.93
1.57
1.18
0-79
a.44
0.28
1979 or before
1980
1981
1982
1983
1984
1985
$3.21
3.13
3.08
2-96
2-A2
2.68
251
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
0.4
0.9
0.45
o.5
Residential..
Commercial--...--.--.-----..-
lndustrial-...
Govemmental.-....--.------.
IMPERVIOUSAREA=TOTALLoTSIZEXRUNOFFCoEFFICIENT
I
i
(