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HomeMy WebLinkAboutPermit Building 1995-12-11SPRINGF!ELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Ntunber: 95L730 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 226L N 5TH ST Assessors Map #: L703262L Lot: Block: Office: Inspection Line: 7 26 -37 59 7 25 -37 59 Tax LoE #: 01900 Subdivision: CITY OF SPilNGFIELD, ONEGON OWrlET: .IIINE A.I'IN LOCKLEAR Address: 2261- NORTH 5TH STREET Phone #: .7{'4<;I€EF city/state/zi-p: SPRTNGFIELD, OREGON 97477 Describe Work: RESIDENTIAL ADDITION ADDITION General: Contractor WELLS 29530 Hodsdons Const. Contractor #Expires 1,0/oe/e6 Phone 585 -1,9240085512 DaIe Lane Eugene OR QUAD AREA: 1RNW OCCY GROUP: R3 SQ FOOTAGE: 525 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN ZONING CODE: LDR INSUL PATH: P1 To requeat an inspection, call the 24 hour recording at 726-3769. A11 inspections requested before 7:00 a.m. wi-Il be made the same working day, inspections requested after 7:00 a.m. wil] be made the following work day. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected buL prior Lo concrete placement. ITNDERFLOOR PLITMBING - Prior to insulation or decking. POST AIiID BEAITI - Prior to f loor insulat.ion or decking. INSULATION - Floor; prior to decking Wa1}/Ceiling; Prior to cover ROUGH PLITMBING - Prior to cover. ROUGH MECIIAI{ICAL - Prior To cover. ROUGH ELECTRICAL - Prior to cover. FRAIIING - Prior to cover. INSULATION - Floor; prior to decking Wal1/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL PIJITMBING - When all plumbing work is complete. FINAL ELECTRICAL : When all electrical work is complete. FINAL MECHATiIICAL - When al-I mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. House Lot Sq. Ft.: 7954 Solar Approved: Y Tota1 Height: 20 Lot Type: fNTERIOR Setbacks sN B W 35 E IEem Main Garage BALCON-Y Total Value BUII,DING PERMIT Square Feet x 526 $/Sguare Feet 56.20 VaIue 29 , 55a .0O 0.00 1,394.00 30, 9s5 . 00 Building Permit Fee 138 10.10 L97.50 Lot Faces: W Setbk From NPL: 5 SPRINGFIELD ilob Number: 951730 CITY OF SPruNGFIELD, ONEGON Page 2 Surcharge/aamin TOTAL FEE (A) 15.81 2L3.3L --- SYSTE}TS DEVEI,OPUENT CIIARGE (SDC) (B)300.99 Systems Development Charge is due on all undeveloped propertsies within Ehe City limits and the Citys Urban Growth Boundry which are being improved. --- PLI'MBTNG PERMIT --- ftem Fixtures Storm Sewer Plumbing Permit Surcharge/eamin TOTAL CHARGE ) Fee 20.00 25 .00 45.00 3.50 48.50(c) --- MECHA}iIICAL PERMIT --- Mechanical- Permit Issuance Surcharge/Admin TOTAL PERMIT 15.00 10.00 1.20 (D)25.20 (Exeluding Electrical) unlees otherwise noted --- TOTAI, A}TOI'I{T DUE --- (A, B, C, D, and E combined)589 .10 --- BUII.DING VALUE, PLAIiI CHECK At{D BUIIJDING PERMIT --- This permit is granted on the express condition that the said construction shaII, 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. Plan Check Fee: 128.38 Date Paid: Received By: DON MOORE Pl-ans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER lo/3L/es t2/04/es Receipt Number: 19458 --- ADDITIONAI. COMMENTS By eignatsure, I atate and agree, that I have carefully 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 sha1l be done in accordance with the Ordinances of the City of Springfield, and the Laws of Ehe 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 reguired inspections are reguested at the proper time, thaL 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 rema /2- / l-25- Signa ure on the site f times during construction Date SPRIl{GFIELD .Tob Number: 951730 CITY OF SPruNGFIELD, ONEGON Page 3 Receipt Number: Date Paid: Amount Received: Received By: --- VAIJIDATION --- /a^e y' lr CITY OF OREGO'U 225 FIFTS STREET SPRTNGFTELD, oREGoN 97477 YAGjb INSPBCTION REQUESTz 726-3769 OFFICE: 726-3759 l: i' :"/i' i ir:3a 1 LOCATION OF INSTALLATION,[ ELECIRICAL PERHIT APPLICATION Ci ty Job Nu-uber s/73 \- corpGrt rrE scffiD,LE BEL,II A. Nev Residential-Si.ng1e or Multi-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or Iess Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder $ 8s.00 s 1s.00 s 40.00 B. Services or Feeders Installation, Alterations or Relocation: The {aliolving pro,iect es eubmllted hae the follcw! r.1it'.8, and <joes nc.t require specii;c li:rld rrrg apc:oiel. :itlFttrrl(iFlELCt SUBTOTAL OT ABOVE 5Z State Surcharge 32 Administrative Fee TOTAI I LEGAL DESCRIPTI ON OIq1ot z LI AD Sum JOB DESCRTPTION il o ),-l ile-u B,*L (-, D C-(-,h, Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for L80 days. 2. COIITRACTOR INSTALI,ATION ONLY Electrical Contractor ress Ci ty Phone Supervisor L se Number Expiration Date Cons t r tr. Number ration Date Signature of Supervising Electrici 0vners Name Jn^.L^.( l.o" C.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/vo1ts Reconnect OnlY 200 amps''or 201 amps to 0ver 401 to Over 600 am ss0 Soo s100 s130 s300 $40 .00 .00 .00 .00 .00 .00 1 4 6 ps ess S 40.00 00 amps S 55.00 00 amos S BO.OO or fbOO-voTEs see rrBrr a6tE- Address ,r.I r',J ss Ci ty s Phone 1'17- 62aI OVNER INSTALT-ATION The installation is being made on property I ovn vhich is not intended f or sal-e, lease or rent . 0vners Si D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit I s 35'oo 3.f Each Additional Circuit or vith Service or Feeder P"rmit q S 2.oo /8 Mi.scellaneous (Service/feeder not included) G]i]\ E -Each instal]ation Pump or irrigation $ sign/outline Li.ghting- $ Liilited Energy/Res - $ 40.00 40.00 20.00 36.00 +-------, DATE: RECEIVED ture: 5 $ t5?, o Page 1 CITY OF SPRINGFIELD SYSTE}TS DEVELOPMENT CIIARGE (RESIDENTIAL) Name or Company: rfUNE ANN LOCKLEAR Location: 226L N STH ST Developement Type: R Building Si-ze rTob No.: 951730 Lot Size:Sq Ft 1. STORM DRAINAGE Impervious Sq Ft 2. SA}IITARY SEWER - CITY Number Of PFUs (see Page 2) 3. TRNISPORTATION Number Of Units 5. ADIIINISTR,A.TIVE FEES Base Charge (Subtotal lr,bove) 331 X 0.210 Per Sq Ft = X 43.43 Per PFU = X Trip Rate X Cost Per Trip 5 $6e. s1 $217 .Ls $0.00 $0.00 $0.00 $0.00 $285.55 $14.33 Transportation Total 4. SATiIITARY SEWER - M!'N{C Number Of PFUs 0 MWMC CREDIT If Applicable (see Page 2) TOTAL - MI^MC SDC SITBTOTAL - (Add Items 1, 2, 3 & 4) Per PFU + MWMC Admin Fee 18.750 x x x 0.50 TOTAI. SDC Reviewed By: TROY MCALLISTER Date: Lt/06/95 $300.99 Job Number: 951730 Page 2 FIXTURE I'NIT CAI,CULATION TEBLE Fj-xture Tlpe Number of New Fixture Unit Equivalent Fixture Units BaEhtub Drinking Fountain Floor Drain Intercept,ors For Grease,/Oi1/SoIids/Et.c Intecept,ors For Sand/Auto Wash,/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Recept,or For RefrigeraEor/Water SEaUion/Utc Receptor for Commercial Sink/Dishwasher/Euc Shower, Single Stall Shower, Gang Sink, Bar, Commercial, Residential Kit,chen Urinal, SEaIl/WalI Wash Basin,/Lavat,ory, Single Water Closet, Public Installation Wat,er Closet, Private Miscellaneous TOTAL FIXTIIRE UNITS = CREDIT CALCITLATION TABLE: Based on assessed va1ue. If improvements occured aft,er annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: Credit For Parcel Or Land Only If Applicable: 0 X 0.00 = 0.00 Improvement (if after annexation datse): 0 X 0.00 = 0.00 CREDIT TOTAL = $0.00 (If land value i-s multiplied by 1 then tshe parcel/land credit, is not accurate.) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 0 5 1 3 6 2 6 1 3 2 z 2 1 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 t_ 0 1 0 SPRINGFIELD RESTDENTIAI PER}TIT APPLICATION CITY OF SPRINGFIEIJD COMMI'NTTY SERVICES DTVISION BUIIJDING SAFETY Page 1 ilob Nr:rnber: 95L730A 225 North Fifth Street Springfield, OR 97477 Location of Propoeed Work: 2251 N 5TH ST Assessors tUap #: L'7032621, Lot: Block: Office: Inspection Line: 726 -37 s9 726 -37 59 Tax Lot #: 01900 Subdivision: OFSPilNGFIEID, ONEGONaTr Owner: iTUNE A}IN LOCKI.EAR Address:. 225L NORTH 5TH STREET Describe Work Phone #:4ffi citylstate/zip: SpRTNGFIELD, OREGON 97477 ADDITION -- OFFICE USE -- To request, an ingpection, cal-I the 24 howr recording at 726-3759. A11 inspections requested before 7:00 a.m. wil-l be made the same working day, inspections requested after 7:00 a.m. wil-I be made the following work day. --- REQUIRED INSPECTIONS --. ROUGH PIJITMBING - Prior Lo cover. ROUGH MECIIANICAI, - Prior To cover. ROUGH ELECTRICAL - Prior to cover. FRAIIfNG - Prior to cover. DRYI'IALL - Prior to taping. FfNAL PLUIIBING - When all plumbing work is complete. FINAL I{ECIIANICAL - When al-l- mechanical- work is complete. FINAL ELECTRICAL - When alL electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. --- PLI'MBING PERMIT --- ftem Fixtures Plumbing Permit Surcharge/aOmin TOTAL CHARGE 3 Fee 30.00 30.00 2 .40 32.40(c) --- MISCELLAI.IEOUS PERMITS --- Surcharge/admin CITY SDC TOTAL MISCEI,I.A}IEOUS PERMITS (E) 0.00 3L9.21 3L9.2L (Excluding Electrical) unlesa otherwiee noted --- TOTAI, A}TOI'NT DUE --- (A, B, C, D, and E combined)351.51 --- BUTLDTNG VAIUE, PLAI{ CHECK ATiID BUIIJDING PERMIT --- This permit is granted on the express conditj-on that the said construction shall-, in all respects, conform to the Ordinance adopted by the City of Springfield, including t,he 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. SPBI]{GFIELD Job Number: 951730A qTTOF ONEGON Page 2 Plan Check Fee: 128.38 Received By: Plans Reviewed By: DON MOORE Building Site Reviewed By: Date Paidt Lo/3L/95 Date:01,/26/96 Receipt Number: 19458 --- ADDITIONAI. COMUENTS REVISE UPSTAIRS TO INCLUDE A NEW BATHROOM By signaEure, I atsate and agree, that I have carefully examined Ehe completed application and do hereby certify that a1I informaEion hereon is true and correct, and I further certify that any and all work performed shal-l be done in accordance with the ordinances of the City of Springfield, and the Laws of t.he SEate of Oregon pertaining to the work descrj-bed herein, and that NO OCCUPANCY wj-11- be made of any sEructure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are i-n compliance with ORS 701.055 will be used on this project. I further agree to ensure that all reguired inspections are reguested 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 on the siEe t all times during construction ture Date --- VALTDATTON --- Receipt, Number: Oate eaid:( Amount Received Received By: JOB N0. q5 ta3o A CiTY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE l^iORKSHEET NAME 0R C0MpA'l.lY 5-un,€ &qx Lo(k ccAR LOCATION 5''1ZZbi srREer DEVELOPMENT TYPE:RzsiJe-f,'., I AAAr \d Re-.;isi.* .AJ i\ BUILDING SiZE:OT SIZ 1. STORM DRAINAGE IMPIRVIOUS SQ. FT X $0.2i PER SQ. FT 2. SANITARY SEI,^/ER-CiTY NO. OF PFU'S (See Reverse) a 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x - x $437.93 x_xs437.93 x - x $437.93 4. SANITARY SEh/ER-MI^JMC Ft Troy l.lcAllister SDC Coordi nator X $43.43 PER PFU '71 5 3ia S $ N0. 0F PFU'S _x $i8.75 PER PFU + $10 Mt^/l'4C ADMiN.FEE (Use PFU Total From item 2 Above) Mt^/l',lc CREDIT IF APPLICABLE (SEE REVERSE) TOTAL.MWilC SDC SUBTOIAL (ADD ITEMS 1.2.3 & 4)s 3c{ 5. ADMINiSTATIVE FEFS BASE CHARGE (SUBTOTAL ABOVE) X .05 f(qf sa.1)LLttrc<.-t S ! Date '26, TOTAI SOC '7 a)t5 -:'- lr" RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPFtINGFIELD d/e/a/ava ?;,t 7:a h, JOB NUMBER 225 Fif th Street Springfleld, Oregon 97 477 LOCATION OF PROPOSED WOBK: ASSESSORS MAP: LOT: 2_TAX LOT:h/7 a--z SUBDIVISION;BLOCK 2_L STATE:ztP: L t PHONE: {7>? 777- 6 o6 CITY: ADDRESS: OWNER: NEW -- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS o€363 7 q/_g?o4_a\-a> EXPIRES .:, PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - r OF BDFIMS: WATEB HEATER: FLOOD PLAINLAND USE: SECONDARY HEAT SOUARE FOOTAGE:RANGE: OCCY GROUP: , OF STORIES: ZONING CODE: _ CONSTR. TYPE HEAT SOURCE: # OF UNITS: _ To request an lnspection, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the sanle working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. Temporary Electrlc REQUIRED INSPECTIONS , -. lough Mechanlcal - prlor to cover.l-_l Flnal Plumbing - When ail|J plumbing work ls complete. E Slte lnspectlon - To be madc after excavation, but prior to setting forms. Rough Electrical - Prior to Flnal Electrlcal - When all electrical work is complete.cover. I-_l Underslab Plumbing/ Electrical/ - Mechanical - Prior to cover.Electrical Servlce - Must be approved to obtaln permanent electrlcal power. ,X Flnal Mechanical - When all mechanical wotk ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Final Buildlng - When alt required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.Framlng - Prlor to cover, Foundatlon - After forms are erected but prior tO concrete placement. Kotn"t .4zts t E Wall/Celling lnsutatlon - Prlor to f/t- Z ' cover. [-l UnOerground Plumblng - prior ,|J to filling trench.Drywall - Prlor to taping Underlloor Plumblng / Mechanlcal - Prior to insulatlon or decking. MOBILE HOME TNSPE TIONS Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor lnsulation or decklng. t Floor lnsulalion - Prlor to decking. lnserl - After flreplace approvql and installatlon of unlt. Blocking and Set.Up - When all blocking ls complete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set.up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to fllllng trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Water Line - Prlor to filling trench. Fence - When completed. Bough Plumbing - Prior to cover. Stre€t Trees - When all requlred trees are planted. Final - After all required lnspections are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. / 7D <2_/ fi\P QUAD AREA: r OF BLDGS: E [-l Curbcut & Approach - AfterlJ forms are erected but prior toplacemcnt of concrete. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E i'-rS THE PROPOSED WORK iN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: VALUE (A) X S/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUTLDING PERMIT ITEM SQ. FT. Main Garage Carport 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. 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 FEE (c) N0 FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Mechanical Permit lssuance State Surcharge, 7 f t,{,f Total Permlt (D) aS-e /o,4 ^./ZO4a. .t?'7vr'€ N0 /,L a Vent Fan Dryer Vent aA< /9.s.. { aa s MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I lurther certlfy 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 pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on thls project. I f urther agree to ensure that all required inspections are requested at the proper tlme, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all times durlng co Date /z- -{--38 ructlon. Signatu MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) 2,. 204reL" - za VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY