HomeMy WebLinkAboutPermit Building 1992-03-24sr,n
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
JoBNUMBE^ 22o37/
225 Fif th Street
Springfield, Oregon 97477
TAX LOT:
BLOCK:SUBDIVISION
OWNER AattUts L bra PHONE:%-h/%
//.<q N 7.n- o(ADDRESS:
CITY:STATE:&ZIP:
ADDITION DEMOLISH OTHER
DE-SCRIBE WOFIK:
*.*rK- trEMoDEL
EXPIRES PI-IONEADDRESS
au//e<
t(
t(
CON TNACTOT]':] NAME
MECI'lANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR l/
Ct- NERAL.:
I)t I.,JMBING
\
RANGE
C OF BDRMS:
WATER HEATER
_ OFFICE USE -
ZONING CODE:
FLOOD PLAINOUAD AR LAND USE:
, OF BLDGS:* OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
e OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:0o a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be rnade the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
lurnbing worl< is contplete.
N Site lnspection - Tcr be made
;rftcr cx<;;rv;tlicirt, l-rttt llriclr to
sL.t t i n g lcrrrns. 6ffbe-
{:;;';,i'Electrical - Prior to )l./ rir,ut Electrical - Wlten all
.Algtectlical work is cotrll.rlutc.
Underslab Plunrbing/ Electrical /
Mecharrical - Prior to cover.,B Electrical Service - Must be
approved to obtain Perrrlanent
electrical power.
Final Mechanical - Wttcn all
mcchanical wor[( is complete.
X Footing - After trenches are
excavated.[--l Fireplace - Prior to facingU materials and framing lnsP.
IV-Framing - Prior to cover..Ad
-[Z Final Building - When all
.) orequired inspections have been' 'approved and building is
completed.Masonry - Steel location, bond
bearns, grouting.
TTfoundation - After forms areAgt.ctud but prior to concrete
placemen t.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.f_l Drywall - Prior to taPing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insutation or decl<ing.Wood Stove - Aiter inst;rllation
Post and Beam - Prior to floor
insulation or deckit-tg.lnsert - After flreplace apllroval
and installation of unit.
Blocking and Set-UP - When all
blocl<ing is comltletc.
Floor lnsulation - Prlor to
clecking.Curbcut & Approach - Af ter
forms are erected llut Prior to
placement of concrete.
Plumbing Connections - When
home ltas been corlrlected lo
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connectiotr - When
blocki rrg, se't-Llp, anci lllurttbi ng
i rrsl.lections havc l)("'cll alpprovt-'tj
:rrrtl tlrc ltorne is conrtcctc(l tc)
tlre service pattcl.
Slornr Sewer - Prior to f illing
trerlcll.
Siclewalk & DrivewaY - Af ter
excervatir:n is contPlete, fortrts
:rncl sub-base rltatcri;rl itr plat:c.
Water Line - Prior to f illing
trench.
Ferrce - When cornPleted.
Street Trees - When all r,equirPd
trees are planted.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
-tt**,r^t-
PERMIT APPLICATION
lns;pcctiotts;: 720-3 /09
Office: 726-3759
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S I-I-i E PROPOSED WORK IN
I.I ISTO R ICAL DISTFII CT.
I'HE t{ISTORICAL REGI
F-Lot Iar;cs
Lot sq. ftg.
Lot coverage
TopograpltY
Total height
Lot 'lype
.Se AC
t-.rsE ACC
_l
P.L,lrrterior
Corner
Pzrnhandlo
Cul-de-sac
lf yosr, this application rn
irrr<l rttrprovctl bY tlt
t be signed
l"listorical
[L5"
Coorditrator Prior to Pc it issuance.
APPROVED:E
N
S
GAR
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granted on the expresd conditiorr that the said
construction sl-rall, in all respectq, con{orm to the Ordinance
adoptecj by the City of Springfield,'ir.rcluding the
Developrrrent Co(le, rcgulating the construction and usc of
buildings, and may be suspended or revoke<J at any time
any provisions of said ordinances
*,,{yr-.vi
__J "/3 =7L
upon violation of
Plan Check Feeo: .
r's
Rcceipt Number:
Recei
Date Paid
BUILDING PERMIT
VALUE
,
{a -%GA
*s
(A)
SQ. FT, X $/SO. FT
5ry= (sa>-
ITEM
Main
Garage
Carport
Total Value
Builcjing Permit Fee
State Surcharge
Tot;tl Fcc
-7_{i:
Systems Developtncnt Cllarge is due on all undcveloped
properties willrirr the City linrits which are being intprovetl'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) *+atsJ t4
ADDITIONAL COMMENTS
ITEM
Fix t u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
NO
/60
(c)
A_ -__z-
FT.
FT
FT'
oo2/,
PLUMBING PERMIT
FEE,
-2a-?
Plumbing Permit
State Surcharge
Total Charge
M ECHANICAL PERMIT
Fu rn ace
Exhaust Hood
vent Fan ry- - /
Woort Stove/ lrrsert I Fireplace Unit
Dryer Vcnt
-<7f,3 -J-'-
4t4/@,
(D)
3r--
10_@_7;
Mechanical Permit
lssu ance
State Surcharge
Total Permit
By signature, I statb atrd agrec, that I have caref ully examined
the completed application and do hereby certify that all
irrformation hereon is truc and correct, and I furthcr certify
that any and all worl< ;rcrformecl shall bc done in accorcJattcc
with the Ordinance s of tlrc City of Springf ielc.l, arrrl the Laws
of the State of Oregon llcrtaining to the worl< dcscribcd
Irerein, and tlrat NO OCCUPANCY will bt.' trtaclc of any
structure without perrttission of the Building Safety Division.
I f urther certily that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper tinre, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
Date \7 2/-2 2-
at all times durjng construch.-/fu-tionon the site
natu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk f t
Curbcut
---
ft
Demolition
Statc Surchargc
Total Miscellaneous Pernrits (E)
iA.,^4_--
lall .?!iAMOUNT RECEIVE
RECEIVED BY
VALIDATION
NECEIPT NUMBER 4ot-1- -
DArE PAID 3:Zi 4L
TOTAL AMOUNT DUE (exclucling electrical)
(A, B, C, D, and E Combined)
isa.ss
JoB N0. TzoZ- t
CITY OF SF .NGFIELD SYSIEMS DEVELOPME''. CHARGE
WORKSHEET ,
(coHfiERCIAL & RESIDENTIAL)
NAI.IE OR COI'IPANY: DEN*IS L. LOVE
LOCATION:It9a Nl.-Ttt,-l1 O?22-b+b-lzteo o
DEVELOPMENT TY?E: tre-- ulo**+*oe/Gegxze w*a 8P.-fl1
BUILDING SIZE: .Zb+z>ry (acu,tpes E*t4yg1 st . Ft.
I STORM DRAINAGE
IMPERVIoUS Sq. FT. 15n X $0-186 PER SQ. FT-
(See Reverse For Runoff Coefficients If Actual Imperv- Are
SANITARY SEWER.CITY
NO. OF PFU'S 1 X 538.55 PER PFU
(see Reverse ffi PFU'S)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x s388.61
x x s388.61
:-:.' .'. t.
)a-x s388.ii1
(See. At C To Deteroine Trip Rates )'(AoD ITEl.tS 1,2, & 3)ls.+1t93St,BTOTAL
s t+l'f
a Is Unknown)
s zb1z2 a
2
3
s
4. ADI'TINISTRATM FEES
BASE CHARGE (SUBT0TAL 4B0VE) X .os
5. SANITARY SEI.'ER.HI{MC
S 2oq3' //'
TOTAL-CITY SDC s*at5J
SI3.25 PER PFU .+ SlC T.ItllHC AIHIN. FEE
s
S
s
TOTAL-HI{HC SDC s€-
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
MI.IHC CREDIT IF APPLICABLE (SEE REYTRSE)
Kip Burdick
SOC Coordinator
b t-1 7-. TOTAL SDC s 4ar5]
.a
FTXTURE UNIT CALCULATION TABLE- I',ltrmber olNert Firtures " 'trrit Equivalent = Fi>lure Units (['JOTE
For rernodels, calculate only the NE - Jdiiional fixrures) 'v
NUTvIBEF OF UNIT FIXTURE
FIXTURE ryPE NEW FITTURES EOUIVALENT UNITS
lnterceptors For Grease/Oil/Solids/Etc----------.-----
I nterceptors For Sand/Auto Wash/Etc---------:------
taundry
Clotheswasher - 3 Or
Mobile Home Park Trap (1 Per Trailer)------.-
Receptor For R ef rigeratorAVater Station/Etc---- ----
Receptor For Commercial Sink/Distn'rasher/Etc-:
Shower. Single Stall..--...--.-.
Shower. Gang..-........-..-.......-.------
Sink Bar. Commercial
U rinal. Stallfl/all.-..
Wash Basin/k\ratory. Single-..---.--
Water CIoset Public lnstallation--
L
Water Closet
Miscellaneous:.
TOTAL FL{TURE UNTTS 1
/
cREDtT CALCULAION TABI r: Based on assessed vatue- lf lmprorernerds occtnred after annexatircn date in.taHe.
calctdate credits
Credit for Parcel or Land Onty lf ApplicaHe X S
-
(Rate X Assessed Value)
lmprorement (f after annmtion date)
,. (Rate X
x s_
, Assessed Value)
CREDIT TOTAL
2
1
2
3
6
2
6
6
1
3
2
/Head
-4
2
2
1
6
4
=$
Year -
Arup(ed
Rate perS1.0O0
essi:sseO Value
Year
AnneAil
Rate perSl.O0o
Assed Vdue
r985
1986
1987
1988
1989
1990
sl.@
-r-35
1-15
o-92
o59
o-23
1979 or before
1980
1981
1982
1983
1984
sz66z&
2.53
247
z.19zu
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential-
Commercial
lndustrbl-----
Governmentat--------.------- """""""' 0'5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
0.4
0_9
0.45
Alara
I
t
C'TY OF
s1'rllN(;rtcL()
ab
225 FIETE STRSET
SPRINGFIEID, 0R8G0N 97 477
INSPECTION REQUEST: 726-37
OFEICE: 726-3759
1. LOCATION OT TNST
IJGAL DESCRIPTION
/703 4z
JOB DESCRIPTTON
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COT{TRACTOR INSTALI^ATION ONLY
Electrical Contractor
Address
Ci ty Phone
Supervisor Lieense Ndmber
Expiration Date
Constr Contr. Number
Expiration Date
Ourners Name
Address
ELBCTRICAL PEru{TT APPLICATION
,rryr'o")Number QZ O 37 I
COHPIJTE FEE SCMDUI,E BELOV
Nev Residential-Single or
I t i -Fami Iy per dwelling unit.
Se rv ed:
I tems Cos t
$ 85.00
s 1s.00
$ 40.00
i.000 sq. f t. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf ,d iiome or
-Modular Dwelling
Service or Feeder
STETOTAL OF ABOVE
5X State Sureharge
TOTAL
aa
Sum
B Services or Feeders
Installation, Alterations or
ReLocat ion:
200 amps or less t-/'
201 amps to 400 amps
-401 arnps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
Reconneet 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "B'r above
$ s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
58
C
ciry s,lRl . &Phone -l' '('o'_-_____--7-
OVNER INSTALLATION
The installation is being made on
property I oun vhich is not intendedfor sale, lease or rent.
Ormers S
DATE:
Onb Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit Z S 2.00
Miscellaneous (Service/feeder
-Eaeh installation
Pump or irrigation $
Sign/Outline Lighting- $
Limited Energy/Res S
Limited Energy/Comm $
lao
.L not included)
40. 00
40. o0
20. o0
52,o'
?- 7e
RECEIVED BY:
5
--8674-
?ho
Signature of Supervising Electrieian