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Home My WebLink AboutPermit Building 1995-08-07OTTOF SPPINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMITI'NITY SERVICES DIVISION BUII,DING SAFETY t Page 1- ilob Nr:.nber: 951089 225 North Fifth street Springfield, OR 97477 Locatsion of Proposed Work: 551 N 19TH ST Assessors Map #: 17033613 Lot: Block: Office: Inspection Line: 726 -37 59 726 -37 69 Tax Lot #: 09000 Subdivision: Owner: RUTH CONKLIN AddrESS: 551 NORTH 19TH STREET Phone #: 747-91-88 city/state/zip: SPRINGFTELD, OREGON 97477 Describe Work: DINING ROOM ADDITION ADDITION General: Plumbing: Electrical: Contractor RUDE oo44lo4 1560 Horn Lane Eugene OR 974040000 ANKENY OO15].12 91585 N Coburg Rd Eugene OR 9740100 LYNNS 0102315 PO Box A FalI Creek OR 974380000 Const. Contractor #Expires ot/os/s6 o1/20/e5 1-O/L4/es Phone 45L-2785 685 -2667 725 -7 895 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN OFFICE USE -- LAND USE: 111L ZONING CODE: LDR HEAT SOURCE: WH # OF BLDGS OCCY GROUP SQ FOOTAGE 1 R3 203 To request an inspection, call the 24 hou.t recording aL 726-3769. A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wi]1 be made the following work day. --- REoUTRED TNSPECTTONS --- FOOTING - After Lrenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. POST AIiID BEAII - Prior to f loor insulation or decking. INSULATION - Ffoor; prior to decking Wal-l-/Ceiling; Prior Lo cover ROUGH ELECTRICAL - Prior to cover. FR.AMINC - Prior to cover. INSULATION - Floor; prior to decking wa11/Ceil-ing; Prior to cover DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is compl-ete. Total Height: 13 Lot Type: INTERIOR Setbk From NPL: 25 Sofar Approved: Y Item Main Garage ADDITION Totaf Value Building Permit Fee Surcharge/aamin $/Sguare Feet Value 0.00 0.00 11, 409 . 00 11, 409 . 00 92 .50 7 .4L TOTAI. FEE 203 56 .2 (A)99.91 --- BUILDING PERMIT --- Square Feet x lsPRINGFIELD h, Job Number: 951089 clTr oF a Page 2 - - - MISCEI.I,AIiIEOUS PERMITS Surcharge/edmin SDC (OI,D FEE) TOTAL MISCEI,LAI{EOUS PERMITS 0.00 47.62 (E)47.52 (Excluding Electrical) unlegE oEherwise noted - - - TOTAL AMOI'NT DUE (A, B, C, D,and E combined)L47.53 --- BUILDING VALUE,PLAI'I CHECK AIID BUILDING PERMIT - - - This permit is granted on the express condition that the said construction shal1, in all respects, conform to the ordinance adopted by the city of springfield., inctuaing 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. Plan Check Fee: 60.13 Date Paid: Received BY: Plans Reviewed BY: DoN MooRE Date: Buitding Site Reviewed By: LISA HoPPER 06 /2e / e5 oe/04/es Receipt Number: 18115 --- ADDITIONAL COMMENTS --- PATH 1; SEPARATE ELECTRICAL PERMIT ]S REQUIRED. By signature, I staEe and agree, that I the completed application and do hereby is true and correct, and f further certi have carefully examined certify that atl information hereon fy that any and atf work Performed shall be done in accordance wit,h 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 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 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 of the property, and the approved set of plans will remain on the site at all times during construction. c ture Date --- VALIDATION --. Receipt Number: Date Paid: Amount Received: Received BY: S 'oB No. 15 t o b5 crrY or sPRrNcFrErrD sYsTEMs DE\IELOPMENT CHARGE WORKSHEET (C0MHERCIAL & RESTDENTTAL) NAME OR COMPANY:€.-:r u C"sfKLtt-l LOCATION:5qt N . rq1]!St.1103Zbt%oq oo DEVELOPMENT TYPE:LDE_Arr n TroNl BUILDING SIZE:x\9,c2 I. STORM DRAINAGE IMPERVToUS SQ. FT. NO. OF PFU'S (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ve,0T srzE sQ. Ft. zt1 x $0.209 PER SQ. FT. X $43.26 PER PFU X x x x $436.19 x $436. 19 x $436.19 $ $ $ $ 4673 4. SANITARY SEWER-MWMC N0. 0F PFU'S $17.19 PER PFU + $10 Ml,lMC ADM FEE (Use PFU Total From Item 2 Above) r4t.lMc CREDTT rF AppLTCABLE (SEE REVERSE) TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) 5. ADMTNISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 Kip sDc Burdick Coordinator Date u lzo /qs_-t- TOTAL SDC $ +1? 2. SANITARY SEWER-CITY k?':F*-/*'r- a RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PBOPOSED WORK: ASSESSORS MAP: LOT: SPR!I\lGFIELc) & JOB NUMBER 225 Fifth Street Springfleld, Oregon 97 4Zl rAxLor o?eeo SUBDIVISION: _BLOCK: PHONE: STATE:ZIP:D.<y'zzCITY: ADDRESS: OWNER: NEW REMODEL DDITION DEMOLISH OTHER DESCRIBE WORK: ADDFIESS EXPIBES PHONE ELECTRICAL: CONTBACTOR'S NAME MECHANICAL: coNsT. CONTRACTOR # GENERALI PLUMBING RANGE: - OFFICE USE _ LAND USE: WATEB HEATER: ZONING CODE: FLOOD PLAIN: r OF UNITS: OUAD AREA: # OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: # OF BDRMS: - OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls is a 24 hour recordlng. All inspections requesled before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m, wlll be made the following work day. REQUIRED INSPECTTONS [--l remporary Electrlc Rough Mechanlcat - Prior to cover. Final Plumbing - When ailplumblng worl< ls complete. Slte lnspectlon - To be made after excavatlon, but prior tosetting forms. Rough Electrical - Prlor to Final Eleclrical - When ail electrical work is complete.cover, [-_| Underslab Plumblng/ Electricat/ - Mechanlcal - Prior to cover.Electrical Service - Must be approvecl to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to factng materlals and framing lnsp. Final Buildlng - When alt required inspections have been approved and building is completed,Masonry - Steel locatlon, bond beams, groutlnO.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Celling lnsulatlon - Prlor to cover. Underground Plumbing - Prlor to filllng trench. .[-_l Drywall - Prlor to taptng Underlloor Plumbing / Mechanlcal - Prior to lnsulation or decking. MOBILE HOME INSPE TIONS Wood Stove - Afler lnstallation Posl and Beam - Prlor to floor lnsulation or decking.lnsert - After flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When ailblocklng ls complete. Floor lnsulation - Prior to decklng.Curbcut & Approach - After forms are erected bUt prior to placemenl of concrete. Plumblng Connectlons - When home has been connected to water and sewer. ffisanitary Sewer - Prior to fiiling ,,,Htrench.Electrlcal Connection - When blocking, set.up, and plumblng lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to fllling trench. Sidewalk & Driveway - After excavatlon ls complete, forms and sub-base material in place. Waler Llne - Prlor to filling trench. Fence - When completed. Street Trees - When all requlred trees are planted. Final - After all requiredinspections are approved andporches, sklrting, decks, andventing have been installed. Rough Plumbing - Prior to cover. q ,4 q Zzeg tl tl E E fl E tf E tl EE E E ii. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Gul-de-sac tbacks P.L,HSE GAR ACC N S E -S THE PROPOSED WORK lN THE ' I HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - l( yes, thls applicatlon must be slgned and approved bY the H istorlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls 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 constructlon and use of buildlngs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: - ---------.--.--- Plans Reviewed By Date Receipt Numbe Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home Plumblng Permit State Surcharge 7 ?f I ,?t Total Charge (C) FEE N0 rt z'aO.*>Fr. zro 224o--<2-r<.1 HZ PLUMBING PERMIT ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent (D) Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed applicatlon and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work perfornied shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed 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 ln compliance with ORS 701.055 will be used on lhis project. I further 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 ls located at the front of the property, and the approved set of plans will remain on the site at all times during construcilon. Date aeL\Signatu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, q and E Combined) ,22 2-+ VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED HECEIVED BY FT. FT, N0 CITY OF OREGO'U 225 FITTE STREET SPRTNGFIELD OREGON 97 INSPECTION REQIIBST: 7 OFFICE: 726-3759 &r.lthorized 1.OF ALLATION DESCRIPTION JOB Permits are non-transferable and expire if work is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COI.ITRACTOR INSTALI,ATION ONLY Electrical Contrac ro, % Address %)tux 23 r//6- u3€ BLE TRICAL PERUIT APPLICATION City Job Nunber SCEEDTII,E BELOII A. Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost $ 8s.00 SPRINGFIELD 1-000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modul-ar Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: D. Branch Circuits SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL The,followir',lg project as submtted hts thszonlng, end dc€o not require spocfflc land8t:p16tu1. Sum ?ryc_4t7c' 200 amps or less 20L amps to 400 amps -401- amps to 600 amps _60L amps to 1000 amps_ Over 1000 amps/volts Reconnect Only 20L amps to 400 amps _Over 401 to 600 amps .Over 600 amps or 1000 vol-lr $ 1s.00 $ 40.00 s see ttgn "$ffi 2.oo lfi@ not included) 40.00 40.00 20.00 36.00 B Ci ty Phone supervisor License Number ffi35 Expiration Date /0'k $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number Expiration Date //-/-V6 - 5'/0,ia zoo amps or less Temporary Services or Feeders Installation, Alteration or Relocation Signa re of rvising Electrician $ 40.00 $ ss.00 $ 80.00 'uFt Address 4t lU"fif,Nev, Alteration or Extension Per Panel one ci rcui t I $ 3s . 00 ZruCEach Additional Circuit or vith Service or Feeder Permi t F $ Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ Slgn/Out1ine Lighting- $ Limited Energy/Res - $ Limited Energy/Comm S clry S'/flnE4tllp Phone OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Onners Signature: E 5 DATE: RECEIVED (N