The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-08-24Ll) RESIDE,NTIAL PERMTT APPLICATION lnspections: 726-3769 Office:726-3759 ASSESSOFiS MAP OWNER: ADDRESS: -1b tr Lor: lL@- 1 h, LOCATION OF PFIOPOSED WORK: 3b-3 !TO-J-I tq s{ 5 Pr;Fi4 JOB NUMBER 225 Fifth Street Springfleld, Oregon 97 477 ft TAX LOT:17 -o3 ' %-/3 SUBDIVISION 2 PHONE:W 7?/2 looP ZIP ft{?2 L. BLOCI(: a1 L sIt4 CITY: NEW --- -.- REMoDEL ADDtrtoN --4 DEMoLIsH orHER CONST. ,vl f7.o CONTRACTOR'S IlAME (jENERAL: €o" I Pr.uMBrN c, DIL<r /"r.rAn -witl t \ro*4. - urq5c/l,p .F CoNTRACTOR ,' EXPIRES PHONE roo^r x ohJ-AiE - Z-u i !-h "-44--Ca* /-*nL b . - lee*std u -*L - fJ,,-s,- - V -t'u- ADDfI MECHANICAL: - ELECTRICAL: - Plumbi M _ OFFICE SE_ # OF BLDGS OCCY GNOU QUAD ATIEA # OF BDRMS HEAT SOURCE: RANG ZONING CODE: FLOOD PLAIN SECONDAFIY HEAT SOUARE FOOTAGE: I " Ot- STORIES: . I WATER HEATER: LAND USE:. , OF UNITS: CONSTFI. TY -lb request an inspection, you must call 726-376g. This ls a24hout recordlng. All lnspecllons requested before 7:o0 a.m. will be rnacle the same workilg rlay, inspectlr>ns requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Rough Mechanical - Prior to Final Plumbing - When all plumbing worl< is comPlete.(. lVrootlng - After trenches are lat excavated. l---l remporary Eleclric L' Site lnspection - To be madtr afler excav;rtion. but Priot to serring fornrs. Sgi4AC< w h Electrical - Prior to Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to faclng materlals and framlng lnsP. Framing; - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. Drywall -- Prior to ta[)ir1g. x B F V1 Final Building - When all Asequired lnsPections have been approved and building is completed. Final - After all required inspections are aPProved and porches, sklrting, clecks, and ventlng have been installed. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work ls comPlete.Underslab Plumbing/ Electrical / Mechanical - Prior 1o cc,vcr. Masonry - Steel location, bonrl bearns, grottting. Foundation - Afte.'r forms are erected but Prior to concrele placenrent. Underground Plumlling - Prir:r to,illing trench. B F X X D< ff3s1 fl Post and Beam - Prior to (loor insulation or decking. Floor lnsulation - Prior to decki ng. Sarritary Sewer - f)rior to f illing trenclt. Storm Sewer - Prior tr-r lilling trench. Water Line - Prior to filling trench. [-l Wood Stove - After lnstallatlon lnsert - After flrePlace approval and lnstallation of unit. Curbcut & APProach - Af ter fornrs are erected but Prior to pl acornerr t of conc rctc'. Sidewalk & DrlvewaY - Af ter excavation ls comlllete, forms and sub-base nrateirial in Place. Slreet Trees - When all required trees are planted. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocklng ls complete. Plumbing Connections - When horne has been connected lo water and sewer. Electrical Connection - When blocking, set-up, arrd Plumbing inspections have been approved and the home is connected to the service Panel. tr(x X Underll - Prior Mechanical or <lecking. ,x'Rough Plumbing - Prior to cover. L_l E Fence - When comPleted. tl tl 1 ,oal ful 7.1" - 30t4 STATE: DESCRIBE WORK: I fl E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type _ - lnterior - Corner - Panhandle "'-. Cul-de-sac Set ks IS THE PROPOSED WOFIK IN THE -HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTEB? --lf yes, this application must be signed and approved bY the Historical Coordin:rtor prior to pcrmit issuance. APPROVED: GAR ACCP.L.HSE N S E BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construclion shall, in all respects, conform to the Ordinance actopted by the City of Springfield, including the f)eveloptnent CotJe, regulatirrg the conslrtrction ancl ttse of builtlirrgs, atrd ttlay br-' sttsFetrdecl r:r revoked at arry litttc upon violation of any provisions of said orditratrces' Pran checl< rr,", / f.3. O- / - Date Paid: aFez- Receipt Ntt.tb,r: {9 =" s*#z VALUE (A) vq,fr<. oo_231,' 6Va s X $/SQ. FT, sL20 Ze-!? -- /J.o3 Total Value Building Permit Fee State Surchargo Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Developntcnt Ctrargo is due on all undeveloped properties within the City limits which are being itrrproved'SYSTEMS DEVELOPMENT C (B)'o*Etu:t?* ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT, FT. FT. (c) 72,99 ,ro Plumbing Permit State Surcharge Total Charge -35I Wood Stove/ lnsert/ Fireplace Unit Dryer Vent 3,o o / 5.@A'/t,O, (D) __,3-_ Jp.3= 75 Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood Nol By signature, I state arrd agree, that I have caref ully exarnitred the completcd application and do hereby certily that all information hereon is true and correct, and I further certi{y that any and all work pet formecl shall be done in accordance witlr the Ordinatrces of tl.re City of Springf icld, and the Laws of tlre State of Orel;on pertaining to the work dcscrit)ed lrerein, and that NO OCCUPANCY will 'be made of any structure without perntission of the Building Safety Division. I further certify that only contractors and enrployees who are in compliarrce witlr ORS 701.055 will be used on this project. I f urther agrce to ensrrre that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front Date set of plans will remainof the property, arrd tho aPP onst ron tlre site at all ti Z,nnuru,u MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _-- ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E)L7 44 DATE PAID VALIDATION: RECEIPT NUMBEFI AMOUNT BECEIVED. RECEIVED BY -- TOTAL AMOUNT DUE (excluding electrical) (A, B, C, O and E Combined) -%a-4 -ax 7 %J!_ L 5l'lrlNt-;t'lr:LU Da OREGO'U IJGAL DESCRIPTION/7ns 3a l./2- 6-00 JOB DESCN,IPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COMRACTOR TNSTALI.ATION ONLY Electrical Contractor Add ress Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrician CATION///u HuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular DveIling Service or Feeder $ Bs.oo $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 1..- 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 00 00 00 00 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see "B'r above B Sum *1OOvt/.$ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c 0vners Name OgNER INSTALI..ATION The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Ovners S DATE: RECETPT D. Branch Circuits Nev, Alteratlon or Extension Per Panel one Circuit S 35.00 Each Additional Circuit or vith Service - or Feeder Permit C $ 2.00 /?- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limi ted Energy/Res Limi ted Energy/Comm Addr Ci ty ess Phone $ 40. s 40. s 20. s 36. 5. STIBTOTAL OP ABOVE ar ao 5Z State Surcharge -R-ToTAL /oS./o RECEIVED BY: ,fx ' 't- +1, ,,-^ g /. - ELECTRICAL PERHIT Ci ty Job Nunber u9e 225 FIFTB STREET SPRINGFIEID, INSPECTION REQIIBST: OFPICE: 726-3759 1 LOCATION OF rot f -9!--- -:roB No. elzntz CITY0FSPRINGFIELDSIIE-I'ISDEVEL0PMENT'CHARGEWORKSHEET (C0MI'IERCIAL & RESIDENTIAL) IL NAME OR COMPANY: LOCATION:b G4 a {H 5T l1o =v btz - \Ll."C) DEVELOPMENT TYPE: Lb Z ._ A>UT .r T O I..-t BUILDING SIZE:SIZ S a. Ft. T. STORM DRAINAGE IMPERVIoUS SQ. FT-ry>+x $0.192 PER SQ- FT 2 SAN ITARY Et,lER_C ITY NO. OF PFU'S 1 X $39.78 PER PFU (See Reverse) 3 TRANSPSRTA ION NO OF UNITS X TRIP RATE X COST PER TRIP A X X x $401.0s x $401.05 x $40i.05 $ 4 ADMi ISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 5. SANITARY SEt^lER-MI,JMC NO. OF PFU'S SUBT0TAL (ADD ITEMS 1,2, & 3)$baoql TOT L- C ITY SDC ${oo $13.62 PER PFU + $IO MhlMC ADMIN. FEE (Use PFU Total From Mb,MC CREDIT IF APPL Y Item 2 Above ) ICABLE (SEE REVERSE) TOTAL-Mt^lMC SDC Kip Burdick O ^rvz-- € SDC Coordinator TOTA SDC $*oo $ $ t FlxruRE UNlr CALCUI-ATI,JN TABLE: ruumner of New Fixtures X Urm Equivalent = Fixture Units (NOTE For remodels, calculare only the NET additional lixtures) NUMBER oF uNlT FlxruRE FIXTURE TvPE NEW FIXTURES EQUIVALENT UNITS ( Bathtub......- Drinking Fountain.----' Floor Drain. lntercePtors For Grease,/Oil/Solids/Etc lnterceptors For Sand/Auto Wash/Etc. Laundry Tub/Clotheswas 2 1 2 3 6 2 6 6 1 J 2 1/ 2 2 1 6 4 Clotheswasher - 3 Or More"""""' ftfoUif" Home Park Trap (1 Per Trailer)""""""""' n"".p,ot For BefrigeratorAVater Station/Etc"""' H"""'prot For Commercial Sink/Dishwasher/Etc' Shower, Single Stall- Sink, Bar, Commercial Urinal, StallflVall Wash Basin/Lavatory, Single" """ "" Water Closet, Public lnstallation"""' Water Closet, Private.""' tr.r'liscellaneous: Head TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table' calculate credits Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$ lnate X Assessed Valuex$ (Rate X Assessed CREDIT Value) TOTAL =$ RUNOFF COEFFICIENTS FOR STOHM DRAINAGE Residential.. Commercial lndustrial..... Governmental... --.-..--. o.4 0.9 0.45 0.5 Year Annexed Rate per $1,000 Assessed ValueYear Annexed Rate per $1,000 Assessed Value 1985 1 986 1987 19BB 1989 1990 1991 s2.16 1.90 1.60 o.25 0.87 0.50 0.16 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT '7- I tt --q- 1 I