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