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