HomeMy WebLinkAboutPermit Building 1993-08-27SP,lINGFTELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
Q3c8BJOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
1 4 g V) oocl o^,r-s+ - Qn-
ASSESSORS MAP:l-l033qt)TAX LOT:
LOT:1 +BLOCK:SUBDIVISION
PHONE:
366 East 4Oth
97405ZIP:STATE:
503 686-9431
Euqene Oregon
Breeden Bros., Inc.
CITY:
ADDRESS
OWNER:
ruew X REMoDEL ADDrrroN DEMoLtsH orHER
S-F-Qri,.r,DESCRIBE WORK:
field
4r-rr+5
spr
Eugene
CONTRACTOR'S NAME
G EN ERAL:Breeden Bros.
ELECTRICAL:Thornton
ffi:
20-7O6C
25790
PLUMBING
MarshallsMECHANICAL:
EXPIRES
tt/30
PHONE
686-9431
ADDRESS
Eugene
i # 34s-3o55
*ta 747-7445
Absolute Plumbing Eugene
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llrl
LDA-
\l A/?aqlA 4
*P3vzw
- OFFICE USE -
SECONDARY HEAT:
* OF BDRMS:
LAND USE:
WATER HEATER
ZONING CODE:
FLOOD PLAIN
r OF UNITS:
RANGE:
tRru,P
I
SQUARE FoorAGE: |.04q
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STOFIIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a 24 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.
REQUIRED INSPECTIONS
Temporary Eleclric E'Rough Mechanical - Prior to
cover.K
.X
X
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
lVf Rough Electrical - Prior to
Rcover.Final Electrical - When all
electrical work is complete.
,K
,X'
Unde Electrical/.E Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.Mec or to cover,
Footing - After trenches are
excavated.pltrireplace - Prior to facingl4materials and framing lnsp.
Kt'"ttng - Prior to cover'
ItTwattlCeiling tnsulation - Prior to
lz\cover.
XforVwall - Prior to taping.
&Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
Other,K Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPE TIONS
| | Under{loorPlumbing/Mechanicalt J - Prior to insulation or decking.Wood Slove - After installation
Posl and Beam - Prior to floor
insulation or decking.lnserl - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
,x Floor lnsulation - Prior to
decki ng.E Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
V[ Sanitary Sewer - Prior to fillingI{trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.E
.^K
,x
Storm Sewer - Prior to filling
trench.
ffi Sidewalk & Driveway - AfterHexcavation is complete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.
Fence - When completed
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to Street Trees - When all required
trees are planted.
lumbi
cover.
,
t
CONST.
CONTRACTOR #
27
E
E
P.L.HSE GAR ACC
N
S rc
////
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
@o
z{9o
/22"ZI
Lot Type
Y hterio,
-
Corner
-
Panhandle
-
Cul-de-sac
* rHr PRoPoSED woRK tN THE
HlsToRrcAL DtsTRtcT, oR oN l/l n
THE HtsroRtcAl REGtsteaz Y lA)
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
M7 2* 1411,-
(A)-SZZ*Ea
9A^7,
I
t7r,3
X $/SO..FT. : VALUEtuv* Deryai4lZ oilE, -toy. t4q4,tr
Main
150
9zz.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Garage
{zhF,c<iallgr
l!rd@e-
$o?
27.f,o
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.
PIan check ,.., V5'7%
91co
Reviewed
blat lqz
Receipt Numbe
Date Paid
Received
SYSTEMS DEVELOPMENT C
(B)
HARGE (SDC) *
#?25263"
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
/1^ ;"
FT
FT.
FT.
(c)
o5
No1
Plumbing Permit
State Surcharge
Total Charge uz!7
ADDITIONAL COMMENTS5C=
.O (
Ppv 7
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
/< o-o
//3
31 ,"3
oa
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
Z*Io
/aa€
MECHANICAL PERMIT
Fu rnace
Exhaust Hood 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 further 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
>("
ru
Date
appof the property, and t t of plans will remain
the site at all duri
MISCELLANEOUS PERMITS
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, q D, and E Combined)
taPi{ib
iPG,9s
Mobile Home
State lssuance
State Surcharge
Demolition
State Surcharge
Sidewalk
Cu rbcut
6Q tt
30r
A
EI D /U.'"
DATE PAID
VALIDATION:
RECEIPT NU
AMOUNT R
RECEIVED
03
aoo4,t'
Nol
APPROVED.:
JoB No . 910883
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
NAME OR COMPANY:'o9 .Irtc .
14 Nooo*c*egf Dz . lTozb4t?- lSaooLOCATION:
Loz - xlcwDEVELOPMENT TYPE:
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
TSI S a. Ft.
,i ,l
2. SANIT ARY S Et,IER -CITY
No. oF PFU'I z5 x $39.78 PER PFU
(See Reverse)
3 TRANSPO RTAT I ON
NO OF UNITS X TRIP RATE X COST PER TRIP
x l,o-o 5 x $401.05
x $401 .05
x $401.0s
X $
X $
suBTorAL (ADD ITEMS 1,2, & 3) $ lg411J
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X -05
TOTAL-CITY SDC s l11z 4J-
5. SANITARY SEWER-MWMC
NO. OF PFU'S 25 X $13.62 PER PFU + $10 Mt.lMC ADMIN. FEE s3
4
5e
(Use PFU Total From
Mt,lMC CREDIT IF APPL
Item 2 Above )
ICABLE (SEE REVERSE)
LJ.
oZ
TOTAL-M!.IMC SDC
TOTAL SDCK
sDc
p Burdick
Coordi nator
4o{9
"5
-7-b5 x $0.192 PER SQ. FT.
I
J5o1-
FIXTURE UNIT CALCUI-ATlo-N raglE: r'tumUer of New Fixtures X Urm-Equivalent = Fixture Units (NOrE:
For remodels, calculate only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FITTURES EQUIVALENT UNITS
Bathtub...')-
Drinking Fountain.-.--
Floor Drain..
I nterceptors For G rease/Oil/Solids/Etc" "" " "'," "
I nterceptors For Sand/Auto Wash/Etc--...''" " """'
Laund ry Tub/Clotheswasher......
Clotheswasher - 3 Or More.-.........
Mobile Home Park Trap (1 Per Trailer)..."""""""
R eceptor For Ref rigeratorflVater Station/Etc" " "'
Receptor For Commercial Sink/Dishwasher/Etc'
2
1
2
3
6:
2
6
6
1
3
2
1/Head
2
2
1
6
4
Z
Shower, Single Stall.
Sink, Bar, Commercial...
Urinal, Stall/Wall....1Wash Basin/Lavatory, Single-.....-'.
Water Closet, Public lnstallation..9Water Closet, Private....
Miscellaneous
TOTAL FIXTURE UNITS
cREDlr CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits
Credit for Parcel or Land Only lf Applicable 2.87 x s t4.t4 4oo?
(Rate X Assessed Value)
lmprovement (if after annexation date)x$
Z
Z
_-----=-.
tz
L\
(Rate X Assessed Value)
CREDIT TOTAL = $lo 6Z
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
't980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1 985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
o.25
0.87
0.50
0.16
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
C'TY OF
srrrilN(;Ftt:Lo
Aie /6-z
225 FIFTE STREET
SPRINGFTELD, oREGoN 97477
INSPECf,ION RE0UBSTz 726-3769
0FFICE: 726-3759
1.0r
I,8GAL
JOB
Pernits are non-transferable and expireif vork is not started vlthin 180 daysof issuance or if vork is suspended for
180 days.
2. COI|TRACTOR INSTAIJ*ATION ONLY
Electrical Contrac awW
Address
Ci ty Phone V+2^gf+,
Supervisor License Ndmber V O1TS
ELBCTRICAL PERHTT APPLICATION
tw city Job Number 4 2O99",
ON
BU -11 3 COHPIJTE FEE
I
HuIti-Family per dvelling unit.
Service Included:2 lrtg> rtems Cos t
SCEEDULE BELOU
al-Single or
k)Sum
B
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf,d Home or
Hodular DveIling
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 0n1y
STIBTOTAL OF ABOVE
5f State Surcharge
TOTAL
I $ B5.oo ffie)
1 $1s.oo lDSe
s 40.00
$ s0.00
$ 60.00
$100. 00
$130.00
s300. 00
$ 40.00
not ineluded)
40.00
40. oo
20. o0
Expiration Date o I
Constr Contr. Number 2rzl:zOG C
Expiration Date
C. Temporary Services or FeedersInstallation, Alteration or Relocation
D Hiscellaneous ( Service/feeder
-Each installation
Pnmp or irrigation $
Sign/OutIine Lighting- $Limited Energy/Res $
Limited Energy/Comm S
200 amps or less $ 40.00
2oI amps to 4oo amps
-
$ 55.00
0ver 600 amps or 1000 volts see rrB'r above
I
A
Signature of Supervising clan
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
D. Branch Circui ts
Owners e
eddress%E, Aottr Avrz Nev, Alteration or Extension Per Panel
Ci ty fuoa,ffG-Ph,"./ig644r/Onb Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00OIINER INSTALI,ATION
RECETVED BY:
5
+L
OD
+U^"\P