HomeMy WebLinkAboutPermit Building 1994-05-03SPRINGFIELE,
RESID ENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PROPOSE
AS M
d
JOB NUMBER
225 Fifth Street
Springf ield, Oregon 97 477
TAX LOT:
SUBDIVISIONBLOCK:
Nfi"07lPHONE:
4l tl otSTATE:ZIP:
6
wnCITY:
ADDRESS:
OWNEFI:
FIEMODEL ADDITION DEMOLISH OTHER
(
(
-T--
DESCRIBE WORK:
NEW
178
EXPIRESADDRESS PHONE
OL4^1GENERA -q
ELECTRICAL:
CONST,
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
CON
T3D-€
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE:
* OF BDRMS:
WATER HEATEFI:
CONSTR. TYPE:
* OF UNITS:
SECONDARY HEAT:
SQUAFIE FOOTAGE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
- OFFICE USE -
LANDUSE: llt t
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
K'",'ootary Electrlc
K
x
Rough Mechanlcal - Prior to
cover. zuictt c(&o< , F,z
Rough Electrical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work ls complete.
Site lnspectlon - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, grouting.
Prior to nor s.
Post and Beam - Prior to floor
insulation or decking.
X
.4
K
"Kx
K
X
KFramlng - Prlor to cover.
l5Zf watllCetling lnsulation - Prlor to|'3cover.
Pnow*ull - Prlor to taplng.
n Wood Slove - After lnstallation.
Eleclrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Fireplace - Prlor to faclng
materlals and framlng lnsp.
lnsert - After flreplace aPProval
and lnstallation of unit.
Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBTLE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water!and sewer,
I
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
fEVl FIoor lnsulation - Prior toadecking.
l\fSanitary Sewer - Prior to filling
fl(rench.
F7 Storm Sewer - Prior to filling
LALtrench.
V[ Water Llne - Prlor to flllingtAtrencn.
Pf Rough Plumbing - Pricir toJftover.
)lr{ q7+fl btoofi l.4q -q,l
tl E
lVl'Foundation - After forms are
.J4erecled but prior to concrete
placement.
[l Underground Plumbing - Prior
L---J to filling trench.
E
l---l Sidewalk & Drlveway - Afteru excavation is complete, forms
and sub-base materlal in Place.
l-l Fence - When comPleted.
6"rr..t Trees - when all required( Utt""" are planted.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
.X
"orn", ?
-
Panhandle
-
Cul-de-sac
4SU1
,o THE PROPOSED WORK lN THE
ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
@o
P.L.HSE GAR ACC
N
S 20
/5ll
E 7 7
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:-
Flevi By 7 k;!" /
2 /o
Date Paid
Recei
Plan Check Fee:
ITEM ,a A t4 SQ. FT. X
t^rnl2?'W
Garage L'CO
VALUEzefr{
.i tu
a40r
(A)
$/s
BUILDING PERMIT.'
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
flffi
4i-1 'ro
Systems Development Charge is due on all undeveloped
properties within the City limlts which are being improved.
SYSTEMS D EV ELo P y:A: ^EW
ADDITIONAL COMMENTS
l"oto (
J
#
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
N" 2 /A,4o
FEE
FT.
FT.
FT.
ae
(c)
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
a90
/s.oa
.7?o
/s
32 ?3(D)
4r.
N" 2__Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
2?7-
/o?o
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and dp hereby certify that all
information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the 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 Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure 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
of the property, and the approved set of plans will re
Date
*2.'n"
1 stgnat,
sl
n
ure
ructs during
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
tt
Oemolition
State Surcharge
256./o
Total Miscellaneous Permits
y'dlaa-: '"=<l
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, q and E Comblned)
9a7,73 73
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
Tercolation rate:
M axim u m r aint all int en oit'Y :
Roof area:
VoidlYolume:
1366 eotftxl inlhr
12inlft
if 113 voide, volume
if drop observed
and rainfall
A R C H IT E C T UR E
A PROFESSIONAL CORPORATION
I6M EXECUTIVE PAqKWAY, SU]TE 3OO
EUGENE. OREGON 97AOI
344-3332
TERCOLATION TE T FOR DKWVELL DEgIGN
2719 NORTH 51 gTKEET
9TKIN IELD, OKEGON.97477
15 AUGU1T1994
AveraqelO.S minuteelinch of droP *
1.O inchlhour (1OO Yaar)
1312 eqft
.33
113 cu tllhour rainfall
342 cu ft
5.71inlhr
1.O inlhr
342 cf x1.O inlhr = 60 cu ft
5.71inlhr
[t.d
i,
:9
s
1
1
:i;
.+.t
1[
:,
,l!
rI
,u
1,
t,
t'
{
I,,i
il
,l:
I
:,
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i
',1:
rii
,ri
i,i
ao
ftre "b*
,"t't.$3$'L,.t te11 !aP;.'iv\Volume required
* Agsumed
At site, prwide (1) drywell 4' x b' x3' deeV tor total vo-lume of 96 cu lt > 60 cu fL required'
Typical at dryweil provide 1112" round rockwith cloth fabric over prior to dir| backfil| Locate
d,rywell at northwesf, corner of lol,, within eetback requiremenlo'
Finish Grade
12" minimum
Coveraqe of 5oil
Over Fabric Mattlnq
Drywell with11l2"
Round Rock
3'-O"
CITY OF ONEGON
SPRI,\lCFTELO
The tollollng ploFcf !. rub{nltt d h-tho
zbningr rnd doo3 not rcquhe lpecnc hnd
qp
approval
zonino be
76,t. b-Lo-9/i
-|
AL'lhrEed
^b
BI,ECTRICAL PERHIT APPLICATION
City Job nunbec ?74757
PEE SCEEDTILB BELOV
225 FTTf! STREEf,
sinillCrrslD, oREcoN 97477
rirsprctrox iuousst: 726-3
OBFICB: '726-3759
DATB:
A.Nev Residential-Single or
iiuiti-r"tiIY Per dvelling unit'
permits are non-transferable and expire
ii-"otf. is not started vithin 180 days
;; i;;;;"" ot If vork ls susPended for
180 daYs.
2. COI{I?AGIOR INSTALI,ATION ONLY
Blectrical contrac rctJlY ELffiU4 L
Address ?
Cl tY E^h Phone n - 9tto
Supervisor License Number =fi1
Expiration Date l0- \ -q5
Constr Contr. Number
ation Date
ing Blectrician
Name
Address
ci Phone
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
c.
D.
B
5. SUBTOTAL OF ABOVB
5f State Surcharge
TOTAL
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or lessioi ;-;" to 4oo amPs
-401 amps to 600 amPs
-
601 amPs to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect 0nIY
Temporary Services or Feeders
in"iuff"iion' Alteration or Relocation
200 amps or less $ 19'99toi ;;; to 4oo amPs
- t ::'99o;;r +br to 6oo amps - $ Bo'oo
Over 600 amps or lbOOETts see rrB* a6ffi
Branch Circuits
New, Alteration or Extension Per Panel
rtems cost sum
n $ Bs.oo at
2* $ 1s.00 <b
$ 40.00
$ 2.00
B
i
$ s0.00
$ 60.00
$100.00
$130.00
$3o0. oo
$ 40.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
-
$ 3s.00
Miscellaneous (Service/feeder not included)
OITNER INSTALI,ATION
The installatioir is beirig made on
pioperty I ovn vhich is not intended
for- sa1e, lease or rent'
0vners Signature:
-Bach installation
Pump or irrigation
Slgn/OutIine Lighti.g-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
s 40.00
$ 20.00
$ 36.00
RECEIVED /2 (.2,e
,2)2H',?X4"f#Y',p"
IJGAL DESCRIPTION
ii 'ta^-,, *6aa
LS
Willamalane
Park & Recreation District
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
PHONE:
lob No.
96.:{3.4Ul
C'
*LOCATION OF PROPOSED BUIL
Street Address if Known:
Platt Name:Tax Lot Number:
DEVETOPMENT TYPE (Check appropriate dwellingG). SDC Calculations and dwelling type
definitions are on the back.)
1
ADDRESS:
NO OF UNITS
B. Sinele Familv - Attached
NO OF UNITS
C. Multi-Family Apartment
Community
x $400 PE: uNlr -=
X $370 PER UNIT =
A. Sinsle Familv - Detached
II Single Family home Manufactured home not in a park_t._ e L $
$
4ODP
NO OF UNITS X $277 PER UNIT =
D. Manufactured Home Park
NO OF UNITS X $280 PER UNIT =
WPRD SDC $
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit worksheet. $
3. TOTAL WPRD NFf SDC ASSESSED (lf SDC reduced for Credi0 $
5
$
$
M
City of Springfield
lvt Date
srArE:eA r,, Qg40 I
g
4TPD