HomeMy WebLinkAboutPermit Building 1994-06-21SPFrINGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office:726-3759 ?fr,
JoB NUMBE a %a6-A
225 Fifth Street
Sprlngfleld, Oregon 97477
e ry-LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
-
BLOCK:
TAX LOT o?2+
SUBDIVISION:
?//-/2/aPHONE:
4>*>ZIP:STATE:
DEN4OLISH OTHEFIADDrroN X
oWruen:
ADDRESS:
CITY:
DESCRIBE WOBK:
NEW- REMODEL
f4t
)..3\O,l
EXPIRES PHONEADDRESSCONTRA TOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR 'r
h\t
t
- OFFICE USE -
* OF BDRMS:
RANGE:
S OF UNITS:
LAND USE:
WATER HEATER:
SECONDARY HEAT:
SQUARE FOOTAGE:
OUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng, All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng c!ay, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
flf Rough Mechanlcal - Prior to,}4cover.
lVl'Rough Electricat - Prior to,A cover.
K
F
E
E
Flnal Plumblng - When all
plumblng wgrk ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Flnal Electrlcal - When all
electrlcal work ls complete,
E Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.K Electrlsal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng._x
X.
.<
Framlng - Prlor to cover.
'1./rounaatton - After forms are
Ja^erecled but prlor to concrete/ placement,WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPE TIONSE
tl
E
Undertloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvql
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulallon - Prior to
decklng.Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench,Electrlcal Connection - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to filllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Waler Llne - Prlor to filling
trench.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.
lVf nough Plumblng - Prior to
)a{.cover.
Hi-
FLOOD PLAIN:
zoNr^rs ;;;=,: L R-A--
[-l femporary Electrlc
I--lorher-
EE
[l Fence - When completed.
t,
i .fi::,r ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
THE PROPOSED WORK IN THE ,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
Zr,ryA'
/n,50j*,lz
rOa- 47
X $/SO. FT.VALUE
5,'?+ bzs
u2,4;/22.{a
7L;W
(A)
.z/*
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
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, includlng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
q.4?7
ZZz--v:z
P Reviewed
//6.1 a
Receipt Numbe
Date Paid:
Received
Plan Check Fee
SYSTEMS DEVELOPMENT cHlAgE (SDc)
<a\T?@
Systems Development Charge is due on all undeveloped
properties withln the City limits which are belng improved.
ITEM
Flxtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE_av
N0
a
FT, Lfu,o z'a-o2Jt
FT.
@*(2?'+=4,* G,??
PLUMBING PERMIT
(c)
Plumblng Permlt
State Surcharge
Total Charge Qt lbO
-*{-L-
ADDITIONAL COMMENTS
(
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
hta),
./5,N
2/e 70
Vent Fan
d\9
Mechanical Permlt
lssuance
State Surcharge
Total Permit
45 *,75
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
No/
/, 7-o
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 cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout 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 thls
prolect.
I {urther agree to ensure that all required lnspections 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 wlll remaln
Slgnatu
Date
on the slte times durln ructlon
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
Slate Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
#,42zd'4
3
VALIDATION
RECEIPT I.IUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
(
5t/ Dat{ t
FT.
(
D
3-{o
225 PIYIE STREET
The lollowlng proJect
zonlng, and does notSPRTNGPTEIJ)ORBGON 974 pproval.
sPf,trar( Sprlro
as submltted hrs the
require epeciflc land "tl.rcrtrcar.PERHTT APPLTCATT
ty Job Nunber
PEE SCEEDI'LE BELOV
,INSPECTTON REQIIEST:
OPPTCE:726-3759
1
IJGAL
DESCRTPTTON
New Residential_Single or
Il].11_I"liry per arEiii"g unit.)ervlce rncluded,
;;;"-.....o",
sS. ft or portiontnereof
Eaeh Hanuf,d Home or
-!:#i::3t"i::H.
7
A
Sum
T
ernits are non_transferab.l.e and expiret vork is not started ,i;;i"-i;o daysio';il::'e or ir vori i;';;;pil)"a-to,
!
CONTXACf,OR TNSTALI.ATTOTI ONLY
lctilcal Contractor ferviggs or Feedersrnstallation, AIi"."tion"or Relocation:
i39::t: e" }sf" e-ixi 1iP" to !00 a,np" <
:x,. :Ig" 1o 600 amis _
:y. "Tp: to 10OO amps-over 1000 amps/vol
$ Bs.oo
$ 1s.00
$ 40.00
eloca t i on
B
ress IYNN ,S
ELECIR,Po C
I Phone
OB 97438
rvisor Llcense Number
ratlon Date
r Contr. Number a?
ation Date
ture of Superv lsing Blectrician
tD \vaI+z'l L N lbrw
I;3i:ii:I, :; :,ii ;:.3 i, 5i"ji.i
s s0.00
$ 60.00
$100. o0
$130.00
$300. oo
$ 40.00
@ *-
c.
D.
i3i:ili: :; lffi",,Ds -
s 4o.oo
over 401 to 600over 660 ;;ril,;l*0il," i"F;ifl "-Branch Circui ts
Nev, Alteration or Extension per panel(
)d Phone I lLf O4 t-
IR TNSTALIATTON
alla-tion. is. beirig made onriorrn vhich is not intended, lease or rent.
One Circui tEach Addi tionalCircuit or with Serviceor Feeder permi t
--- "?
Ii:ff '};:::li. ( serv i cel reed
Iyrp.9. irrigation
iif,i(:i,il::,iif;h,i ns-
urmt ted Energy/comm
-;PI3tt sl.lf,:h
s?.W.t *tack-,
7-tr+_L_
s 3s.00
$ z.oo ee
er not included)
E
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.
Fence - When completed
gnatures
Floor lnsulation - Prior to
decklng.
Sanltary Sewer - Prlor to filllng
trench.
Storm Sewer - Prlor to filling
trench.
Water Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
40. 0040.00
-20.00
-36.00
-lO,+
s
$
s
$
5
3-
ll8,w-
water and sewer,
Electrical Connection - When
blocklng, set-up, and plurqbing
inspections have been approved
and the home is connected to
the servlce panel.
Final - After all required
lnspections are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
t
I
tl
tl
tf
tl
E
E
Streel Trees - When all requlred
trees are planted.
E
r'evo ttv. //J eb
CIIY OF SPRINGFIELD SYSIEHS OEYELOPHEruT CNRRCE
I./ORKSHEET. (c0t1t_IERCrAL & RESTDENITAL)
NAI'iE 0R C0ltPAl,ly:d
L0CAT i 0l,l:
DTVELOPI.ITNT TYPE:
BUILbII{G SIZE:
l. sToRl.t DRAIt,tAGE
IHPERVIOUS SQ. FT.
2. SANITARY SEI{ER-CITY
NO. OF PFU'S
(See Reverse)
76 x s0.203 PER SQ. FT.
Sl5.l25 PER pFU + Sl0 HI{HC ADH FEEAbove)
TOTAL.HI.IMC SDC
SUBToTAL (ADD ITEHS 1,2,3 & 4)
ABoVE) X .os
'L
d
T SiZ tr sQ. Ft
7 X-542.08 PER PFU
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x x s424.31
x x s424.31
x x s424.31
4. SANITARY SEl1,ER-Mlt''.lC
NO. OF PFU'S
(Use PFU Total From ltem 2
HI{HC CREDIT IF AppLICABLE (SEE REVERSE)
3
5. ADHINISTRATIVE FEES
BASE E(
s
s
s / /<,? Y
c
TOTAL SDC S .327€A;-
37.23
2v.
Coordi na or 1y7,'7
re-mGJClS' C:IIC.,'
FIXTUHE N'PE
tlLrt.13Eil L.\l:
NE\Y FIXTUNES
I
Ltil' t
IOLIIVAL E I.IT ur']tTS
-4 h
i t./r t Ui .s
Bathtub...'-'.
Drinking Founl;in"""
Shower, Gang.-..---""
S'rrK Bar. Commercial
'Urinal.
Wash
Water
/He*,d
l
i
?
3
6
.)
6
b
1
3
2
1
2
2
1
6
Soor Drain.' """""' """"
i nt-"t""ptoo For Grease/O illSolid s/ E I c" " " " " " " "'
i "i"t""btoo For Sand/Aul o \(a sh/E1c" " " " " "'. " "
Laurrdry Tub/Gothesrva sher" " "'
Gothes,vasher' 3 Or More"""""'
ur[nl Hoti;e Park Trap (1 Per TraileQ"":-"""""'
n"""pltt ni,r Befrigeraiorf{al er-station/Etc""""
n"""'pi"t For Commerctai SinrToishrva sher/ Etc"
Shower. Single'Stall"
I
A
J
,
\{ater CIoset' Prhe'te""""'
lliscellaneous:
TOTAL FI}'TUNE UNITS
CREDIT CALCUIATION TABLE: Based on assessed vatue' lf improvements occurred after annexation date in table,
calculate credis
Credit for Parcd or l-and Ody lf Applicable
lmprweinent (rf after annexation date)
(Rate X essesied Value)
(Rate X
x s--
Assessed Value)xs
CREDIT TOTAL $
BUNOFF COEFFICIENTS FOR STOBM D
0.4
0.9
0.45
0.5
HAINAGE
Besidential-
Commercial......-.'-....""
lndustrial.---
G overnmental-........-- " "
tr.ii:
Yq.z'r
Annexed
Rate Per Sl,OO0
Assessed ValueYe:r
Annexed
Bate per 51,000
Assessed Value
1986
1947
1988
1989
1990
1991
1992
s 2.24
1.93
1.57
1-18
0.79
o.44
o.28
1979 or before
193C
1981
1982
1993
1994
'1985
s3.21
3.13
3.08
2.96
2.A2
2.69
2.51
IMPERVIoUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT
/
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