HomeMy WebLinkAboutPermit Building 1996-08-01RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office:726.375S
LOCATION OF.PROPOSED WOFIK:
ASSESSORS MAP:
LOT:
SPrrINGFIELC)
/h
JO'B rNU M BE o
i
225'Fr{rh
Sprlng.flel- ., ,r:...
St re.e t
BLOCK: : : I :SUBDIVISION
PHON E:
STATE 77ZlPi
3 /s
CITY:
ADDRESS:
OWNER:
eDESCRIBE WORK:
ADDRESS PHON ERACTOR #CONTRACTOFI'S NAME
MECHANICAL
ELECTRICAL
NS
NT
G ENEFIAL:
PLUMBING
WATER HEATEFI:
# OF UNITS
_ OFFICE USE -
OUAD AFIEA:
I'OF BLDGS:
a
SECONDARY HEAT:
RANGE| ._ " souhneroornce
OCCY GBOUP:
E OF STORIES:
ZONING CODE;
FLO,OD PLA[N
HEAT SOURCE
To request an lnspectlon, you must call 726.376g.'Thls ls
made the same worklng day, lnspections requested af te
REQUIR
a 24 hour recordlng.,All 'lnspectioni r"qu".tu,J befo
r 7:00 a.m. wlll be made the followl.ng.wor.k'd'ay...
ED INSPECTTONS
re 7:00 a.m. wlll be
Temporary Electrlc Rough.Mechanlcal * Prlor: to Flna} Plumblng - Whcn ail:plurnb.lng worl( ls complete.
Flnal Electrlcal - When all
elec.trical work is complete.
,l
Flnal Mechanical - When all
'mechanlcal worl( Is complete.
cover.
cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover_
Flr-eplace - Prlor to. faclng
materlals and f ramlng lnsp,
,,
al Buildlng - When alt
uired I nspectlons have been
and bullding lsMasonry -.Steel locatlor.r,; boncl
beams, groutlng.
:,,.
d.
Fram.lng - Prlor to bover,
Foundatlon - After forms.are
erected but prlor to concre.te
placement.[--l wall/
-
cover,
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsutatlon or decklng.
MOBILE HOME INSPESTIONS
lnserl - Af ter f lreplace approval,
and lnstallatlon of urilt.,,4
Blocking and Set.Up * When alt
btocklng Is complete.
Floor lnsulatlon - Prlor to
decklng,urbcut & A1:proach - After Bl,umbing Connec(lonS - When
[Omq nas been connected to
wate.r and sewer.
. j. :Sanltary Sewer - Prior to.lllling
forms are erected b(rt prl.or to
placemcn.t, of conc rete.
nch. i.,l
El.ectrlcal Connection -: When
.blocklng; set-up, and .plumblng
inspections have been approved
and the home ls connected tothe servlce fjanel.
[--l Storm Sewer - Prior to fitJing|J trench. I
Sldewalk .& Drlveway.- Af ter
excavation ls complct,e, forms'
and sub.base materlal ln place.
Fenc.e - When completed. . .
Waler Llne - Prlor to fillln
t renc h.
J
Rough Plumblng - Prlor,to'Streel Treos - Wheri atl rcqulred
l.rees arq planted.coveri:
efr,d, Oregon 97 A77
i
TAX
ER
BES
LAND USE:
,
Slte lnspectlon - To be made
after excavation, but prlor t.b'settlng forms.
E
:'fI
fl:Electrical - Prior toE
[l Footlng - After trenches are'J eicavated.
Electrical Servlce - Must be
apprOVed to obtalr.r per:mane6t
ele-ctrlcal power.
Rough
tl
E
E
tl
E
Wood Stovo - After lnstallatlon.
[--l Post and Boam - Prlor to fioortJ lnsulatlon or decklng. l
itr
Flnal - After all required
i;nSpdctlons are approved andpor.c.hes, sklrttng, decks, andventlng have been lnstalled.
PL.HSE
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set bac ks
GAT
]UILDING VALUE
\ND BUILDING P
LAN CH ECK,
E RMIT
'hls permlt is granted on the cxpress condltlon that the sald
, onstructlon shall, ln all respects, conform to the Ordinance
,.dopted by the City of Springfield, lncludlng the
)evelopment Code, regulatlng the constructlon and use of
ruildings, and may be suspended or revoked at any tlmo
rpon violation of any provisions of sald ordlnances.
)lan Check Fee
)ate Paid
leceipt Number
leceived By
)lans Rcvlewed t3y Date
;ystems Developmcnt Charge ls due on all undeveloped
)roperties within the City linrits which are being lmproved.
\DDITIONAL COMMENTS
P
J THE PROPOSED WORK iN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permit lssuance.
APPROVED:
VALUE
(A)
X $/SO. FT.
Tolal Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flx tu res
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
Stato surcharge /,'f , ? i
Total Charge (C)
FEE
.- <o'oa?/,FT.
FT.
5o'
PLUMBING PERMIT
.N
27,*
No
By slgnature, I slate and agree, that I have carof ully examlned
tho completed applicatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinanccs of thc City o( Sprlngfield, 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 perrnission of the Buildlrrg Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
p ro jec t.
I (urther agree to ensure that all required lnspections are
requested at the proper tlme, that oach address ls readable
from tho street, that the pcrmlt card ls located at the front
of the property, and the approved set of plans will remaln
%
times durlng constructlonon the slte at a
sls nature
Da
Wood Stove/ lnsert/ Flreplace Unll
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surchargp
Total Mlscellaneous Perrnits (E)
Vent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Mechanical Permlt
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT OUE (excludlng clcctrlcal)
(A, B, C, D, and E Comblncd)"-_79
'?27o L
RECEIVED BY
AMOUNT RECEIVED /1.Co
-qDATE PAID
VALIDATION:
BECEIPT NUMBER
FT.
N0
CITY OF
225 FIFTE STREET
SPRINGFTELD OREGON 97477 Autnorized
,
4.9 has thezoning,and does'not requiro epecffic landapproval,
o** 1,L4-4 U
SPRIhlcFIELI'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAI
ELE TRI CAL PERHIT APPLICATION
dfr,
Number Q A-t qil
fNSPECTION REQUESTz 726'3769
OFFICE: 726-3759
ON
trb ao
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLA I
Electrical Contractor
Address
Phone bfr *J 5/7
Ci ty o
3. COHPIJTE FEE SCEEDTILE BELOS
A Nev Residential-Sj.ngle or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
s 8s.00
I
Sum
Superviso cense Number 6 5
Expiration Date /a-/7z
consrr contr . wunaer 4,/2 //
Expirat ion Date / * 23- 27
of Supervising Electrician
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
amp-s
amps
amps
601 amps 000 amps
Over 1000 amps/voIts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
B
s 15.00
.00
.00
.00
.00
.00
.00
.00
5D,"'
Ci ty
Ovners Name
Addres
cir
s s0.00
s 60.00
s100. 00
s130. 00
$300.00
s 40.00
ess
00 amps
00 amps
orl
to4
to6
toL
200
201-
401
C
200 amps''or les
201 amps to 400
over 40L to 600 rps
000Over 600 amps or 1 voTTs see 'rBf' aEove
s s40
$ss
$Bo
amps
am
n /tr
D. Branch Circuits
Nev, Alteration or Extension Per Panel
a_r
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/OutIine Lighting_
Limited Energy/Res
Limited Energy/Comm
One Circuit S 35.00
Each Addi tional
Circuit or vith Service.
or Feeder Permit 3 $ 2.00
Phone
OIINER INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE
$40
$40
$20
$36
5 56"',--zFd-----7;ae
ERECETVED BY:
zoni,w-J-N:*
Page 1
CITY OF SPRINGFIEI,D SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAI,)
Name or Company: TRAVIS/BETH BEAIT
Location z 645 N 18TH ST
Developement Tlpe: R Building Size:
ilob No. : 950411
Lot Size:Sq Ft
1. STOR}T DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER . CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
1014 X O.2LO Per Sq Ft =
X 43.43 Per PFU =
X Trip Rate X Cost Per TriP
L
$2]-2.94
$43 .43
$0.00
$0. 00
$0.00
$0. 00
s2s6.37
iL2.e2
Transportat,ion Totsa1
4. SAIiIITARY SEWER - }TWMC
Number Of PFUs
0
MIrMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add IEems 1, 2, 3 & 4)
5. AD}IINISTRATIVE FEES
Base Charge (SubEoEaI Above) x 0.50
Per PF'U + MWMC AdMiN FCC
18.750
x
x
TOTAIT SDC
Reviewed By: TROY MCALLISTER Date:03/27/96
s259.1e
Job Number: 960411 Page 2
FIXTI'RE I'NIT CALCULATION TABLE
Number of
New Fixture
Unit.
Equivalent
Fixture
UnitsFixture Type
Bathtub
Drinking Fountain
FLoor Drain
Int,erceptors For Grease/OiI/Sotids/gtc
Inueceptors For Sand/Auto wash/EEc
Laundry Tub/Clotheswasher
Clotheswasher - 3 or More
Receptsor For Refrigerator,/water st,ation/ruc
RecepLor for Commercial Sink/Dishwasher/Etc
Shower, Single StaLl-
Shower, Gang
Sink, Bar, Commercial, Residentsial Kitchen
Urinal, Sta11/WalI
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CAICULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1ooo)
Year Annexed:
Credit For Parcel Or Land OnIy If Applicable: 0 x 0.00 = 0.00
ImprovemenU (if after annexation date): 0 X 0.00 = 0.00
CREDIT TOTAL = $0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
l-
0
0
0
L
2
1
2
3
6
2
6
L
3
2
2
2
L
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
SPFINGFIELD
h,
RESIDENTIAI. PERMIT APPTICATT N
CITY OF SPRINGFIETD
COMMI'NTTY SERVICES DTVISION
BUILDING SAFETY
Page 1
ilob Number: 950411
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 545 N 18TH ST
Assessors tutap #: L703362a
Lot: Block r
office:
Inspection Line:
726 -37 s9
726 -37 69
Tax Lot #: 18500
Subdivision:
OWNET: TR.AVIS/BETH BEAIiI
Address: 645 NORTH 18TH STREET
Describe Work: GARAGE & BREEZEWAY
Phone #: 953-1854
ciry/state/zip: SPRINGFIELD, OREGON 97477
NEW
General
eontractor
ZENT CONSTRUCT] OLO2825
27464 Crow Rd Eugene OR 974020000
Const,.
Contractor #Expirea
1,0/27/s6
Phone
345 - 57 65
QUAD AREA: 2RNW
OCCY GROUP: M
-- oFFICE USE --
LAND USE: l-l-11
CONSTR. TYPE: VN
ZONING CODE: LDR
SQ FOOTAGE: 1014
To requeat, an ingpection, call the 24 hour recordj-ng aL 726-3769.
A11 inspections reguested before 7:00 a.m. wilL be made the same working day,
inspections requested after 7:00 a.m. will be made the foLl-owing work day.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ROUGH PLIDIBfNG - Prior to cover.
ROUGH I,IECIIAI{ICAL - Prior to cover.
ROUGH EI,ECTRICAL - Prior Eo cover.
FRAMNG - Prior to cover.
FINAL PLUIIBING - When aII plumbing work is complete.
FfNAL ITIECIIANICAL - When aLl mechanical work is complete.
FINAL ELECTRICAL - When al-l- electrical work is complete.
FINAL BUILDfNG - When al1 reguired inspections have been approved and
Ehe building is compleEe.
Lot Faces: Iil
Total Height: 1
House
Garage
Setbackssw
L5 38
15 38
Lot Sq. Ft.: 8678
Solar Approved: Y
Lot Coverage: 28 %
Lot Type: CORNER
N
45
E
11
Item
Main
Garage
Total Value
Building PermiE Fee
Surcharge/admin
--- BUTLDING PERMIT ---
Square Feet x $/Sguare Feet
L5.27
Value
0.00
10, 152 . 00
14,458.00
110.10
8. 81
TOTAL FEE
524
(A)118.91
SPFI1|lGFIELE,
ilob Nunber: 950411
o
Page 2
--- SYSTEMS DEVEI.OPMENT CHARGE (SDC)
(B)269.L9
Systems Development Charge is due on all undeveloped properties within the City
]imits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT ---
IEem
Fixtures
Plumbing Permit
Surcharge/admin
TOTAIJ CHARGE
2
(c)
Fee
20.00
20.00
1.60
2L.60
(Excluding Elect,rical)
unl-eaa oEherwiee noted
--- TOTAI, A!{OI'MT DUE ---
(A, B, C, D, and E combined)409 .7 0
--- BUILDING VALUE, PLAN CHECK ATiID BUILDING PERITTIT ---
This permit is granted on the express conditj.on that the said consEruction
shalI, in all respecEs, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating Ehe construcLion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Pl-an Check Fee: 71.83 Date Paid:
Received By; DON MOORE
Plans Reviewed By: DON MOORE Date:
Building SiEe Reviewed By: LrSA HOPPER
03 /25 / e5
04/1.1,/e5
Receipt Number: 20827
- - - ADDITIONAI, COMMENTS
PAVE DRIVEWAY IF NOT CURRENTLY PAVED
DRIVEWAY REQUIRED TO BE PAVED
By signature, I suaUe 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 cerEify that any and all work performed
shal-I be done in accordance with the Ordinances of the City of Springfield,
and Lhe Laws of the 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 furt.her 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 afl 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 of Ehe propert.y, and the approved seE of plans
will remain on the site at all- times during consErucEion.
S gnature Date
SPFIi.GFIEL],
Job Number: 96O4LL
CITY SPruNGFIEI-D,
Page 3
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VAI,IDATION ---
7/
5-
,%-