The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-01-27SPRINGFIELr) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Off ice: 726-3759 LOCATION OF PROPOSED WORK ASSESSORS MAP: 4r2 h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION Rrua C LOT: --'BLOCK PHONE: ZIP:STATE: ru -e€CITY: ADDRESS: OWNER: NEw 4'FIEMODEL ADD'T'ON DEMOLISI-I OTHER DESCRIBE WORK: 3e -E &-aa-- 27 ry'so au'?/sr EXPIRES PHONEADDRESS *;/fi//l, --s/441tZf/ZA- o s CONTRACTOR'S NAME MECHANICAL: ELECTRICAL CONST. CONTRACTOR # CENEBAL: PLUMBING 3t .L -*aEL I RANGE: * OF BDRMS: WATER HEATER * OF UNITS:ZONING CODE: _ OFFICE USE _ LAND USE: CONSTR. TYPE: - HEAT SOURCE:SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: ' OF STORIES] OUAD AREA: , OF BLDGS To request an inspection, you must call 726-376g. This is a 24 nour recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS Temporary Electric Site lnspection - To be made after excavation, but Prior to setting forms. u no " r"t/.66ffiiDl ec t ri c a t / M ec hanic a-l:?7i6i to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Underground Plumbing - Prior to filling trench. Underf loor Plumbing / Mechanical - Prior to insulation or decking Post and Beam - Prior to floor insulation or deckirrg. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to f illing trench. Storm Sewer - Prior to filling trench. Water Line - Prior to fllling trench. Rough Plumbing - Prior to cover. F{7 Electrical Service - Must be Arpprored to obtain Permanent electrical Power.x Rough Mechanical - Prior to cover. Rough Electrical - Prior to COVET Fireplace - Prior to facing materials and framing lnsP' Curbcut & APProach - After [orms are erected but Prior to placement of concrete. Fence - When comPlereo. treet Trees - When all required rees are plantecl fV Final Building'- When all ,A.required insPections have been approved and building is completed. Final Plumbing - When all plumbing work is comPlete. Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved anci the home is connected to the service Panel. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been instailed. Bx B B Btr' M lV1 Foundation - After forms are )Aerected but Prior to concrete placement. ffitt''.t"g - Prior to cover' Other Wall/Ceiling lnsulation - Prior to E OrVwall - Prior to taPing. MOBILE HOME INSPECTIONS Wood Stove - After installation tf lnserl - After firePlace aPProval and installation of unit. Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been corrnected to water and sewer.x. X K, X ,K Vf Sid"*alk &€riveuraY - AfterlA"r"orution is conrPiete, forms ancl sub'base material in Place. /.-,96 -s/ L FLOOD PLAIN: r E tlE Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type X tnterior - Corner . Panhandle - Cul-de-sac Se t bac ks 6gzs 82" ACC A THE PFIOPOSED WOFIK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED %?"tuzl ,7 /4' 1E PL.HSE GAB N S (?- rotar Varue (dA//iA) Building Permit Fee State Surcharge Total Fee (A) VALUE/754 ?e=z<_a27S X $/SQ. FT, aA BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adoptecl by thc City of Springfield, including the Developrnent Code, re-qulating the construction and use of buildings, and nray be suspended or revoked at any time upon violation of any provisions of said ordinances. lbs,4ticwed ByPlan s 1o Da(e Received B Date Paid Fleceipt Number:-- Plan Check Fce 2ii?1o zc., SYSTEMS DEVELOPMENT CHARGE (SDC)(B) SlhZ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. FEE <4 5:A 7 (c) FT. FT. s:o PLUMBING PERMIT -/604 _ A,ltnarftz .-/A/?r/Plumbing Permit State Surcharge Total Charge ITEM Fixtures Residential Bath(s)N0 Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent GT ,30 8.70 L (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carelully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certif y that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State 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 certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front Date ) ES Kgnu,u on the site at al tion of the property, and the a set of plans will remain MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewark --a-a- &#/<ur6.E Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) #P TOTAL AMOUNT DUE (excluding electricai) (A, B, C, D, and E Combined) z.o2.zz I I -$r AMOUNT RECEIVE RECEIVED B'/ VALIDATION: FIECEIPT NUMBER _w__ 1r,. /o#tut o , .a3 341: DATE PAID OREGC'TY OF Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 225 FIFTE STREEf, sPRrNGrrELD, oREGoN TNSPBCf,ION REQTIBST: 0PEICE: 726-3759 974 726-376 1 LOCATION OP DESCRIPTION-?- ft.'cre JOB 2. COI{TRACf,OR INSTALI.ATTON ONLY Address ciW EOAOon_ phone Supervisor License Ntimber Expiration Date constr contr. Numbe Expiration Date Signature of Supervi Owner Name Qfe ELECf,RICAL PERHIT APPLICATION city Job wurber Q2,ty'AO SCEEDULB BELOII Nev Residential-Single or HuIti-FamiIy per dvell.ing unit. Service fncluded: I tems Cos t _,1_ h & <s sPtilNGFtI: Lr) 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf,d Home or Modular Dwelling Service or Feeder Services or Feeders fnstallation, Alterations or Relocation: 1 amps to 600 amps r 1000 amps/voIts onnect OnlyRec A 9r^., tON Sum B $ 85.00 s 1s.00 $ 40.00 1 30. 00 300.00 40.00 Electrical Contrac rwM E.@ra 200 amps or less 201 amps to 400 amps - 50.00 60.00 100.00 $ $( $( $7 C Temporary Services or Feeders Installation, Alteration or Relocation lelan 200 amps or less $ 40.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrB'r above Address 7H E.Ava ciry Eb6Btt_ yn"""6Y6a4) / OTINER INSTALI,ATION The installation is being made on property I own vhich is not intendedfor sa1e, lease or rent. 0vners Signature: D. Branch Circuits Nev, Alteration or Extension Per Pane1 Onb Circui t Each Addi tional Circr.ri t or vi th Service or Feeder Permi t s 3s.00 s 2.00 E. l'{iscellaneous (Service/feeder not included) 5 SI,ETOTAL OP ABOVE State Surcharge 00 00 00 00 40. 20 36 40 BY: DATE:r TOTAL cx) zoning' 1. -Each installation Pump or irrigation $Sign/0utline Lighting- S Limi ted Energy/Res S Limited Energy/Comm S I Bro-n'rno f],*,- 1B NO.7 ?-t.+ G B CITY0FSPRINGFIELDSY!IE-I'I.SDEvEL0PMENTCHARGEWORKSHEET (CoHMERCIAL & RESIDENTIAL) .ar.tc NAME OR COMPANY:be eee Wo5 LOCATION:GI o c?t-1 (, DEVEL0PMENT TYPE : Lp?- xlewt'a,.? STZ S a. Ft. BUILDING SiZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT.L4LZ x $0.192 PER SQ. FT SANITARY SEI,IER_CITY No. oF PFU'I 16 x $39-78 PER PFU (See Reverse) TRANS PORTAT I ON NO OF UNITS X TRIP RATE X COST PER TRIP 2 3 I. X A l x $401.05 x $401.0s x $401.0s s s SUBT0TAL (ADD iTEMS 1,2, & 3)$l 5G+17- 4 ADM INIST TIVE F EES BASE CHARGE (SUBTOTAL ABovE) X '05 5. SANITARY SEt,IER.Ml,lMC TOTAL-CITY SDC S IT.*AE $13.62 PER PFU + $10 MIIMC ADMIN. FEE $ZC29r9 NO. OF PFU'S Item 2 Above )(Use PFU Total From MHMC CREDIT IF APPL -K'ip Burdi ck SDC Coordinator TCABLE (SEE REVERSE) L-J.- lo 5++ 45g,3 Zb Z TOTAL SDC $ Ig5+I9 ol FlxruRE UNtr CALCULATION TABLET Number of New Fixtures Xr,vrit Equivalent = Fixture units (NorE: For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.....'- Drinking Fountain---" Floor Drain. I nterceptors For Grease/Oil/Solids/Etc""""""""' Interceptors For Sand/Auto Wash/Etc""""""""" Lau nd ry Tu b/Cl otheswashe r" " " " " " " " "'." " " " " " " " Clotheswasher - 3 Or More""-"""' Mobile Home Park Trap (1 Per Trailer)""""""""" neceptot For RefrigeratorAVater Slation/Etc"""" n"""'ptot For Commercial Sink/Dishwasher/Etc" Shower, Single Stal|...""""" Shower, Gang-..-.-..--. Sink, Bar, Commercial Urinal, StallflVall..-- Wash Basin/Lavatory, Single""-""- Water Closet, Public lnstallation"' Waler Closet, Private.-.---"' 2 1 2 3 6 2 6 6 1 3 2 1/ 2 2 1 6 4 L tb Head Z Z _-d- C)?- lvliscellaneous: TOTAL FItrI-URE UNITS rg CREDITcALcUtATIoNTABLE:Basedonassessedvalue.lfimprovementsoccurredafterannexation date in table, calculate credits separates' z.av X t5 ,G .++.15 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) .?_ $ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE +4 .15 Residential.. Commercial ......----- 0-4 0.9 0.45lndustrial Governmental ....._........ 0.5 Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1 985 1986 1987 19BB 1989 't990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 '1979 or before 1980 1 981 1 982 1 983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERVIOUSAREA:TOTALLoTSIZEXRUNOFFCOEFFICIENT I I I SPRINGFIELE, ?z //e?, BLOCK:SUBDIVISION rz'rret-/rr'l/s LOCATION OF PROPOSED WORK:/7a i 3/'rk ro, /O6ots e?a-- '-LOT: JOB NUMBER ASSESSORS MAP: RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 7a/ c.s&zie./ Dt lnc- e- 225 Fifth Street Spri ngf ield, Oregon 97 477 PHONE: STATE:r\ 6n6<4 3/ ZlPl q74c<CITY: ADDRESS: OWNER: ADDITION DEMOLISH OTHER DESCRIBE WORK: *-* X REM.DEL NAME ADDRESS PHONE 7qc /t, E -K+5 CONTRACTO G EN ERAL: PLUMBIN EXPIRES MECHANICI\L ELECTRICAL: CONST. CONTRACTOR # FT u)T E_- OFFICE FLOOD PLAIN LD RANGE:WATER HEATER: ZONING CODE: # OF BDFIMS * OF UNITS: LAND USE: CONSTR. TYPE: HEAT SOU SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: # OF STORIES To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS X ,K ,x E x E pf u nd.r"tr@tectrical /z+ Mechanical - Prior to cover. lVFooting - After trenches are .Fl excavated. l-l Temporary Electric Site lnspection - To be made after excavation, but prior to setting forms. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulatlon or decking. Post and Beam - Prior to floor insulation or decking. U/Electrical Service - Must beJ \approved to obtain permanent electrical power. ,K Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Fireplace - Prior to facing materials and framing lnsp. Wood Stove - After installation lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & triYe$r€f - After excavation is complete, forms and sub-base material in place. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. p] Framing - Prior to cover. Vl w"ltlceiling lnsulation - Prior toAcover. (3t'*ull - Prior to ta'ins' Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. K,lXT,.Sewer - Prior to rillins gf Water Line - Prior to fillingJA.trench. Vl Rough Plumbing - Prior to /,4cover. QUAD AREA: * OF BLDGS: E E r E[-l Fence - When completed. @x"l:TffiYhen ar I requ i red Lot faces Lot sq. ftg. Lot coverage Topography rot"t n"isn02# lnterior - Corner - Panhandle - Cul-de-sac Lot Type Setbacks P.L.HSE GAR ACC N S E . S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: \2 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development 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. /o-zzc*J7 eviewed By Date Paid Receipt Number: Received Plan Check Fee:2*7,30 VALUE laa,?e97?'rsz*959 444(A) ?Z>:? 2-/o Total Value Building Permit Fee State Su rcharge Total Fee /oz%824/zr BUILDING PERMIT ITEM SQ. FT. Main Garage Carport X $/SO. FT. Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT C (B) HARGE (SDC)* tas+9 # ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /6e-@ 8',P /bg?o(c) FT. FT. FT. No2 PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMEN6 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERM!T 2?_.50 I o,@ lls 22 6?(D) tu &o N0 OP4ro Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By signature, I state 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 and all work performed shall be done in accordance with the Ordinances of the City 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 structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with 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 from the street, that the permit card is located at the front 2S atu Date sd v of the property, and the set of plans will remain on the site at all on- MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sidewark 65 / t, Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) /1.7s TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ? 5n-c6 CJ V go RECEIVED AMOUNT DATE PAID VALIDATION: RECEIPT NUM t{e