HomeMy WebLinkAboutPermit Mechanical 1993-08-18SPFlI]tGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Oflice: 726-3759 LOCATION OF PROPOS WORK: ASSESSORS MAP: LOT Zfr, JOB NUMBER 225 Fifth Street Springfleld, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION /qz-07B-)PHONE: STATE:ZIP:_9 2<CITY: ADDRESS: OWNER: DEMOLISH OTHER DESCBIBE WORK: NEW - REMODEL ADDITION GENERAL: ADDRESS EXPIRES PHONECONTBACTOR'S NAME PLUMBING: MECHANICAL: ELECTFIICAL: CONST. CONTRACTOR # BANGE: , OF BDRMS: - OFF]CE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN:QUAD AREA: # OF BLDGS SECONDARY HEAT: SQUARE FOOTAGE; OCCY GROUP: *,OF STORIES: CONSTR. TYPEr HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspections requested before 7;00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. EQUIRED INSPECTTONS l--l Temporary Electrlc Rough Mechanlcal - Prlor to cover. Final Plumbing - When all plumblng work is complete. Slte lnspection - To be made after excavation, but prior to setting forms. Rough Electrlcal - Prior to Final Electrical - When all electrical work is complete.cover, Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final-Bulldlng - When all required lnspectlons have beeri approved and building is Masonry - Steel locatlon, bond beams, groutlng. compl Foundatlon - After forms are erected but prlor to concrete placement. o Wall/Celling lnsulation - Prlor to cover. Underground Plumbing - Prior to fllllng trench.[-l Drywall - Prior to taplng. MOBILE HOME INSPECTIONSEUnderlloor Plumblng/ Mechanical - Prior to lnsulatlon or decking.Wood Stovo - After lnstallatlon. Post and B€am - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng is complete. Floor lnsulalion - Prior to decking.Curbcut & Approach - After forms are erected but prior to placemont of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to fllling trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base material ln place. Water Llne - Prior to filling treinch. Fence - When completed. Stre€t Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover. qacl71tt/ vL:rAA ,.4 # OF UNITS: -- tl E l--l Framlng - Prlor to cover. E E vE E E E tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Tyl 'v - lnterior - Corner - Panhandle - Cul-de-sac Set P.L.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SQ. FT. Total Value Building Permlt Fee State Surcharge Total Fee BUILDING 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 Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Recei pt Numbe Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fix t u res Residential Bath(s) Sanitary Sewer Water Slorm Sewer Moblle Home FEE (c) No FT. PLUMBING PERMIT FT. Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/Flreplace Unit Dryer Vent Mechanical Permit lssuance state surcharse + aOfO Total Permit (D) By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCy will be made of any structure without permission of the Buildlng Safety Divislon. I further certlfy that only contractors and employees who are ln compliance with ORS 7O1.OS5 will be used on thls proiect. I further agree to ensure that all requlred inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Date on the sit Slgnature {"" e at all tim during constructlon .( MISCELLANEOUS PERMlTS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) :TOTAL AMOUNT DUE (exctuding etectricat) (A, B, C, Q and E Comblned) R VALIDATION: RECEIPT NUMB DATE PAID AMOUNT R BECEIVED Plan Check Fee: _ FT. n F- ),f ^a l'n cbp CITY OF SPR OREGOAI SPrlIilG}IELO The lollo' zoning' a aPProval J: rijquilo gpec 225 PTYTH STRBET ELBCTRICAL PERHIT APPLICA A. New Residential-Single or HuIti-FamlIy per dvelling unit. Service Included: I tems Cos t $ 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Modular Dvelling Service or Feeder $ 40.00 B. 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 0nIy D. Branch Circuits Nev, Alteration or Extension Per Panel SPRINGFIEI.D 0RBGoN 97477 INSPBCTI0N RBOI BsTz 726-Tl-69.5:Lb'9 Ll City Job Number OPPICE: 726-3759 A,.rw 3 COIIPI^ETB FBE SCEEDTILE BELOV 1 Authorizod Signaiure' Sum Address {oo 4n Ci ty e.Phone CgB' 3() lo Supe rvisor Llcense Number 3gl1 5 Exp iration Date /D- | - 1rJ Constr Contr. Number S1*1lft Expi ra t ion Date 3-ll -1q Slgnature of Supervlsing Blectrician Owners Name Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 0ver 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voTts see rrBrr am s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c Addre Ci ty 4 Phone I 3-5:CD LD onecircuit I S35.od Each AdditionalCircuit or vith ServicH or Feeder Permit 'I $ 2.00 The installation is being made on property I own vhich is not intended for sale, lease or rent. Ovners Signature: DATE: B. Miscellaneous (Servlce/feeder not included) -Each installation Pump or irrigation Sign/OutIine Light Llmited Energy/Res ing- Limited Energy/Comm s 40.00 s 40.00 $ 20.00 $ 36.00 5. STTBTOTAL OP ABOVB 5Z State Surcharge TOTAL _G RSCEIVBD CD \.1/-1, \o fPiffiB'Uior,.+s ffitransferable and expireif vork is not started vithin 180 days of lssuance or if vork ls suspended for 180 days. 2. COIITRA(f,OR INSTALI.AIION ONLY Electrlcal Contractor \\ er^*'S f 1u,'toi. $ 1s.00 -P PHONE: ,>Q7ztP a STATE:O?ECITY: ADDRESS: OWN x-DEMOLIS}] OTHER DESCRIBE WORK: NEW --- REMODEL ADDITION EXPIRESADDRESS ELECTRICAL: O //) Q) d 8s PLUMBING: - -4U MECHN NICAL -L/NDEZE&*lrv{-b PHONECONST. CONTRACTOR #CONTRACTOFI'S NAME GENERAL: --4-UN43- - E_ Eu) ,r # OF BDRMS: WATER HEATER: _ OFFI ZONING CODE: FLOOD PLAIN # OF STORIES: -- -. OCCY GROUP: ., RANGE: SECONDARY HEAT: SOUARE FOOTAGE: OUAD AREA: I OF BLDGS: CONSTFI. TYPE HEAT SOUFICE: l.AND USE: # OF UNITS €1 SPNI]{GFIE RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 (Jlft,;u: /?ti'3/59 LocAroN oF PRoPosED woFlK: 43/- ASSESS.RS *or, 1VO3 z-Q 4 > 3i?,,11i:, :: ffi, "fl ,;D tdltJOB NUMBER <z Ar '-),t/4"/ )a,?4 '>D2TAX LOT: LOT:BLOCK:SUBDIVISION To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng, All lnspectlons requested before 7:00 a.m. wlll be macle the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS A .L J---l remnorary Eleclrlc Slte lnspection - To be made af ter excavation, but Prior lo setting forms. Underslab Plumbing/ Electrlcal / Mechanical - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bonci bearns, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to filling trench. Underl echanical - Prior to on or decking Posl and Beam - Prior to lloor lnsulation or decking. Floor lnsulation - Prior to decking. Sanltary Sewer - Prior to filling trench. Storm Sewer - Prlor to filllng trench. ,K l;*tt Mechanlcal - Prlor to F Vl flnat Plumblng - When all /a{ plumblng work ls complele. F(7| FInal Electrlcal - When alljAelectrlcal work is complete. K. Rough Eleclrical - Prlor to cover, Electrical Service - Must be approved to obtain Permanent electrical power, Fireplace - Prlor to faclng materlals and framlng lnsp. Framing - Prior to cover, WalllCelling lnsulalion - Prior to cover. Drywall - Prlor to taPlng. Wood Stove - After lnstallatlon lnsert - After flrePlace approval and lnstallatlon of unlt. Curbcut & APProach - After forms are erected but Prior to placement of concrete. Sidewalk & DrlvewaY - After excavation ls complete, forms and sub-base materlal ln Place' [--l Fence - When comoleted' Slreel Trees - When all requlied trees are Planted. Final Mechanical - When all mechanlcal work ls complete. ,x.. X tr x K Flnal Bulldlng - When all requlred lnspectlons have been approved and bulldlng ls completed. Other MOBILE HOME INSPECTIONS Blocklng and Set.Up - When all blocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. Electrlcal Connectton - When blocklng, set-up, and plumblng lnspeetlons have been apProved and tho homo ls connected to , the servlco panel. ,K. K x. ) Water Llno - Prior to lllllrlg trench. "K Rough Plumbing - Prior to cover. tltl ,x tl K tl tl tl Flnal - After all requlred lnspectlons aro approved and porches, sklrtlng, decks, and ventlng have been installed. Lot faces Lot sq. ftg. Lot coverage TopographY Total height zed /2s2. n' \ ln terior cbrner Panhandle Cul-de-sac SeLot Type P.L.HSE GAR ACC G S E ^\ I. JE PFIOPOSED WOBK IN THE. HISTORICAL DISTRI T, OR ON THE H ISTORICAL.REGISTER? - lf yes, this application must be signed and approved bY the Hlstorlcal Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecl on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Sprlngfield' irrcluding the Development Cocle, regulating the construction and use of buildings, anrj nray be suspended or revoked at any tilrle upon violation of any provisions of said ordinances. Pran check Fce: 1fu:1*.- Date Paid: -2- 4:22- ,/*,rF* eviewedPla Recelpt Nutnber Beceive BUILDTNG PERMIT VALUE /o7z Carport /*-396b --_zezs29W 2406(A) X $/SQ. FT. -{6 gfi( ITEM Main Total Value Building Permit Fee State Surcharge Total Fee Lp Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved.SYSTEMS DEVELOPMENT C (B)'^[liiiDeB ADDITIONAL COMMENTS ==A'kfrfE E@,Pr{- -/es77 /S 444k8?) ITEM Flxtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home FE,E SSE *3pE 2€,oo (c) No FT. FT. PLUMBTNG PERMIT 7s Plumbing Permit State Surcharge Total Charge Z?f Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT ,22), Mechanical Permlt 7' (D) No I 2s,7< tE eole''/of:lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have carefully examined the completed aplrlication and do hereby certify that all lnformatlon hereon is true and correct, and I f urther certify that any and all work perfortned shall be done in accordance wlth the Orclinance s of tlre Clty of Springf leld, and thc Laws of thc Statc of Ot'r:r;ort pcrtainlr'tg to thc wotk dcscribed horein, arrd tlrat NO OCCUPANCY will bc made of any structure without J.rcrnri:;slc.rn of ttre Buildlr.rg Safety Division. I further certlfy that only contractors and cmployees who are ln complianr:e witlr OllS 701.055 will be used on this proJect. I further agree to erlsu[e that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permit card ls located at the front I set of ans wil matn ,[ / sis the site natu re of the propertY, artd the aPP I times duri Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - It Curbcut - ft Demolition State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined)75/,4' VALIDATION: BECEIPT NUMBER 24)t"ti DATE PAID 31 ,nl Qa IAMOUNT RECEIVED BECEIVE,D T]Y.s N ru 2 -Pxfrl"-/ Fr. L 50 JOB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (C0MMERCIAL & RESIDENTIAL) Ce*rc.A. ?xru-res 3 NAME OR COMPANY: LOCATION:t4v t N.1 4sr I 1 o >2-bLlz - olooo DEVELOPMENT TYPE I LDF- - ADDI.TION BUILDING SIZE:T SIZE-SQ Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT 610 x $0.192 PER SQ. FT. ? NO. OF PFU'S (See Reverse) X $39.78 PER PFU TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP Y x $401.0s X x $401.0s $ X x $401.0s $ SUBT0TAL (ADD ITEMS 1,2, & 3)o lo 4. ADMI iSTRATIVE FE ES BASE CHARGE (SUBT0TAL ABoVE) X .05 TOTAL-CITY SDC s 4zt 5. SANITARY SEt^,ER-Mt,lMC NO. OF PFU'S x $13.62 PER PFU + $IO MI,JMC ADMIN. FEE $ (Use PFU Total From ltem 2 Above) Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) l^J- tt TOTAL-Mt,lt'4c SDC Kip Burdick SDC Coordinator 20b! zlBv 4- 2- TOTAL SDC s 4?1 G SANITARY SEWER.CITY FIXTURE UNIT CALCUISTION TABLE: t'tumoer of New Fixtures X Unit Equivalent = Fixture Units (NOTE For remodels, calculate only the NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIKTURE UNITSRXTURE TYPE I Drinking Fountain. Floor Drain- I nterceptors For Grease/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) Receptor For RefrigeratorAVater Station/Etc.. - - -.. - Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta||............. Shower, Gang........... Sink, Bar, Commercial U rinal, StallflVall.... Wash Basin/Lavatory, Sin91e.......... Water Closet, Public lnstallation.. Water Closet, Private......... Miscellaneous: TOTAL FIXTURE UNITS cREDtT CALCUI-AT|oN TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. 2 1 2 3 6 2 6 6 1 3 2 1/ 2 Z ,l 6 eadH Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = $ Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1 988 1989 1990 1 991 $2.1 6 1.90 1.60 0.25 0.87 0.50 0.16 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..0.4 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 2 I + 1 I