HomeMy WebLinkAboutPermit Building 1992-05-27ASSESSORS MAP
SP'TINGFIELE'
RESIDENTIAL
PERMTT APPLICATION
Irrs lrections: 7 26'37 69
Ollice: 726-3759
LOCATION OF PROPOSED WOBK d
.l6e NuMaen
225 Fif th Street
Springfleld, Oregon 97 477
?zae4,
D1bb
a o
tlDL@ TAX LOT:
LOT: --=-q BLOCK SUBDIVISION S,co
PHONE:OWNER
ADDRESS
CITY:(STATE:ft)1
DESCRIBE WORK:f+
*r* #{REMoDEL // ADDlrloN z--feMoLlsH oTHER
ZIP:
A. >Zt*-
CONTRACTOR'S NAME
CENERAL:
PLUMBING
MECHANICAL: . .-. 44-eL-
Crr6r^L---(1aa'ot: j :2J ,J'/1
ADDRESS
CONST.
CONTRACTOR #
a37
EXPIRES PIJONE
A
iELECTRICAL
OUAD AREA:
, OF BLDGS
_ OFFICE USE -3 LAND USE:\t\ \
r OF UNITS:
FLOOD PLAIN:
-ZONING CODE:
SECONDARY HEAT:. _
SOUARE FOOTAGE:
OCCY GROUP:w , OF BDRMS: ---
" OF STORIES
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATER RANGE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
rnade the same working day, inspections requested after 7:00 a.m. will be lnade the following work day.
REQUIRED INSPECTIONS
[-l remOorary Eteclric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
)(li:,'::x;;i:J - ro be made X-settin ,, ,"r,,rt.15#&2!'1 t Rough Electrical - Prior lo tr;;3,,::Til::t', ;"Hffi i: illcover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
X::::ut--
Arter trenches are
Fireplace - Prior to facing
materials and framlng lnsl-r.
Vrir,rt Buildino - when alt
Ar"qr,r"o ,nap-u"t,ons nave Deen
approved and building is
completed.Masonry - Steel location, bond
bearns, grouting..E
Ex
Framing - Prior to cover,
D(::*i'tT ;, # i?i J:il:" il"
placentent.
Other
--
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Xf'""; rS^',,",:ll;, I,ii
or to rroor lnserl - After flrePlace approval
and installation of unit.
Blocking and Sel-Up - When all
blocking is cornplete.
x Ftoor lnsulation - Prior to
<lecking.Curbcut & Approach - Af ter
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connecled to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
fr;i"-"t:.., I ::'#;,'. ; Al f :
and sub-base material in Place.
Electrical Conneclion - When
blocking, sel-up, and plurnbing
inspections have been approvod
and the lrorne is connecte(, to
the service panel.
Slorm Sewer - Prior to lilling
trench.
Waler Line - Prior to filling
trench.
Street Trees - When all rr-'quired
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
venting have becn installed.
L]
Rough Pluntbing - Prior to
cover.
t
l-_l fence - Wlten comPleted'
n
tl
t-J
r
tl
lI
tl
^s txe PRoPosED woRK lN THE
IJISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER? -----
lf ycs, tlris allplicatiorr rnr-rst be signed
arr<l ;r1;provc<-l by tlrc l-listoric:rl
Coot<Jinator prior to pertnit issuance'
APPROVED:
GAR
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
-- lnterior
---
Corner
-
Panhandle
Cul-de'sac
PL.ACC
N
E
S,
Setbacks
HSE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granted on ttre express condition that the said
construction shall, in all respects, conform to the Ordinance
adopterJ by the City of Springtield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
*-#-Pla Reviewed By
3
upon violation of anY
Plan Check Fee: ,---
provisions of said ordinances
-#
Beceipt Number:
Received
Date Paid
VALUE
(A)
X $/SQ. FI.
Total Value
Building Permit Fee
State Surcharge
Total Fee
A oca g6
--%Ie__32
78,21
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systerns Dcvr:lo1-rtttr:trl Cllalge is due on all tttrdcvclcipccl
properties witlrin tl)c City lirrits wl-riclr arc beirlg itnprovccl.sYSr E M s D EV E Lo P * u rr,"l n ^v;_{r"yr*
ADDITTONAL COMMENTS
t
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) lll - -,
FEE
FT,
FT.
FT.
(c) ;
Sanitary Sewer
Water
Storm Sewer
Mobile Home
WoocJ Stovc/ lnsert / Fircplace Utrit
Drycr Vetrt
MECHANICAL PERMIT
tlJ
c
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state anci agree, that I have caref trlly examined
the completed application and do hereby certify that all
information hereon is truc and correct, antl I f rtlthrjt'cerIlY rr
llrat any ancl :rll worl< pr:rlortnecl shall bc clorrc itr ;tcr;otd;tttco;f .-
with the Ordinattccs ol thc City of Springliclti,;rrrd lltt: Lawl; .r
of the St;ttc of Orerlotl pctt;tirling to tllc wotl< rlr::;<;rilrt"'tl
lrercin, ;rrrrl tt{p.NO oCCUPANCY will lrt: ttt;ttlc ol ;ttry
structure withorit peptrission ol tlre Buildinll Satcty Divisigr' ,I furtlrer certi{y t}at orrly contractors an(, crnployces wht'
are in compliarfbe with ORS 701.055 will bc uscd on tltis -
prolect.
e .J
I f urther agree tci ensure that all required itrspeclions are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction sX ,
Date
ignatu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -=.- ft
Curbcut --- ft
Demolition
State Surchargc
Total Miscellaneous Permits (E)
VALIDATIONT r/
RECEIPT NUMBER
DATE PAID
AMOUNT FIECEIVED.
/7a:-
RECEIfED BY
--
-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)Ja#r
Plumbing Permit
State Surcharge
Total Charge
6rAZ
I=E,vIllEl\ I IAL - - \>\)l-n IEI'<EIAL
SIDEIUALK / CURBCIJT SPFIINGFIELO
APPLICATIOII / PEB1IT
225 NORTH FFTI{ gTREET
9PRll.l3FlELD, OREGohl 9'141'1
El.l6 INEERI|.I6 D lvl I lOl'lffitcENo. 12b-91>3
lNgFECTlOhl LINE:'126 -3163
JoE ADDRE99: 2Zo'Z 3?.ile
A99E990R9 t1AP NO.'l1- oZ* io -zl, TAXLOTNo.o
9lBDlvl9lOl.l:
ouaER o ct3 IU'T'l&
ADPRE9$ ZZc, z- KI =Z
* ?CITYr -urVtr.-T>
5TATE: OI3--Z,,t774 7 a Pl.tcr.lE No. 7 z G,-91<, 7
SIDEUJALI< CURB S|DE _ gETtsACK _
cuRB-cr,JT: ,K RE9IDENTIA
-
col.lt'GRtca _
9ECO.ID DRI\EIUAY ( sEE TRAJ+IC )
REAUIEg AFFLICATIOII FOR A gECONP DRI\EIIJAY(T.4.IA)
OR A COTJNTY AFFLICATIOhI rcR FACILITY P=R1IT (C %-2O3)
IF IN THE U6.8.
DA1E OF APFLICATIOI.I
RECEIPT NO:
cAs*{
45sq
CHECK L//
*
cl.lEcKED tuR pg1-'**ENCtEg -4
SIGNED:
DATE:
IIJOFK TO BE FEFF€RI,IED EY:
COT.ITRACTOR*{reGI9TRATION NO.*EXPTRE5: /-e -
ADDR=95 PHOhIE;
ffiEDTJRE FOR IN9FECTIOhI RE@IJE9T:
CAIL 12b.3'169 (RECORDER ) 9TATE YOIJR CITY DE9IGNATED JO3 NIJI-l3=R, JOB ADDR=Sg,TYPE OFIN9FECTIOI.{ reAUE9TED r'$.]D II.HEN YOIJ IUILL B= READY rcR IN9PEcTIcI.I. cianTRAcToRS oR ouAERS N/.I.1E AIDFlloNE NL['1BER REotlEgTg RECEI\GD BEFoRE 1t@o /fr UJILL BE HADE I-{E gAmE DAY, REaU=9TS /trTER.1,ooAIl IUILL tsE IIADE THE NEXT uJORKII.IG DAY
EXl9Tll.lG ELI ILDING PER1IT NO. ( TF APFL ICABLE )
*YOIJR CITY TED Joa No. tef Q Z, o @+3*-EBooK
REAUIRED IN9PECTIChIS 9IDEIUALK / DRI\E"IJAY
FOR ALL CONCRETE PAVING UJITI-.IIN
THE STR=ET RIGHT d IUAY, TO 3E
I,IADE AFTER ALL EXCAVATING
15 COTIPLETE AlD FORI1 TIJOR<AID sUB-BAsE T1ATERIAL 19
11p1-AcE
CUFS / APPROAC}I APR6I,
A.FTER FOR|15 ARE ERECTED
BUT PRIOR TO FOURING
CONCRETE.
x
FEE9: glDEtlALKS CURts.CUT IUALK X
TOTA PEF,IIT FEE,1 tZ ,7O
rlA.OO + tO.l9/LF.( X )
OF UJALK
tlo.o@ + vo.t>/LF. ( X ) I 8
COi-1}'1ERICAL DRIV€UJAYs 9HALL
HA\G 5'TO A'FLAIRS
3'- O'gTA\DARD
I ;-],A\G CAREFJLLY EXA]'1INED T}..IE COHPLETED APPLICATION FOR PEBIIT, iJ.lD DO HER=BY CERTIFY THAT ALLINT, 1ATION I.]ER=ON 19 TR]E A\D CORR=CT, A\D I RIRTI]ER CERTIFY'|HAT A\Y AND ALL UPR< PERFO+1EDg.JALL BE DONE IN ACCORDANCE IUITH THE ORDINANCES G.I.H= CITY G SPRIN.gFIELD, A\D TI-.I= LAIl,I3 oF TI.jEgTATE OF OREGON PERTAINING TO TI{E II]ORK DE9CRISED H=. =II.{, A\D TiJAT NO OC'CUPA\CY UILL 3E I.,1ADEG ANY STRJCTURE UJITHOJT PEBIIS9IOI{ OF TI1E BUILDING DIVIglO{ I FURTI]ER CERTIFY ;HAT ONLY coNTRAcToRgA\D EHPLoYEE9 tlJi-lo ARE lN COI'IPLIANCE [,lTH ore 1atg5> ujll-L 5E U9ED oN Tr]tg PRoJEcT.
DATE
OUNER ,)< COhITRACTOR
JOB NO.n?-o t-+b
CITY0FS"-INGFiELOSYSTEMs0EvELOPML-;.CHARGEWORKSHEET
(C0HHERCIAL & RESIDENIIAL)
NAI.IE OR COI.IPANY:o c fi**t TA
LOCATION:
DEVELOPI'IENT TYPE:
2?-oz
^I
rl9l\,
g
e(tr'(
BUILDING SIZE: lb'5* t9 , q *'t LOT STZ
1. STORH DRAINAGE
IMPERVIoUS SQ- FT-
(See Reverse For Runo ff Coeffici ents
Ito x 50-186 PER SQ- FT'
If Actual ImPerv' Area
S a- Ft-
tb
Is Gknown)
?I S ER-CI TY
3
No. oF PFU'S : ; x 538-55 PER PFU
i;;"-R";;.'" ffi PFU's)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
x
x s388-61
x $388-61
x x s38B'61
I6e-Iiiac[#nE cJ-o oetdrui ne Tri o Rates )'' ''gtdiAtl(noD ITEt'ls 1,2, & 3)
S
s
t720-
,:
S
+-
4 ADI'IiNiSTRATIVE FEES
BASE CHARGE (SUBT0TAL ABovE) X '05
l-.r)- 5
Kip Burdick
TOTAL-CITY SDC S 1\L!
5. SANITARY SEI.IER-}{1.IHC
N0- 0F PFU'S x Sl3'25 PER PFU + S10 Hl'!l'tC AIHIN' FEE
(Use PFU Total From Item 2 Above)
t'l1{t'tc CREDIT IF APPLiCABLE (SEE REVERSE)
S
TOTAL-H!{MC SDC
50C Coordinator
(-1z-
TOT SDC S
u:!-
s
C'TY OF OREGO'U
sl'rilNGFtEL()
225 FIFTB STREEf,
SPRINGFIELD, OREGON 97477
INSPECTION REQTIEST. 726-3769
OPFICE: 726-3759 i-.. qid
,0N 0r
IJGAL DESCRIPTION
Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty Phone
Supervisor License Ndmber
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Blectrician
Owners Name
Address 2Za Z_ \/.4ZAA- sr
ciry f,dF) , phone 72C- t y'OZ
OIINER INSTALI^ATION
The installation is being made on
property I own vhich is not intendedfor sale, Iease or rent.
0vners Signature:
Jr
ELBCTRICAL PERilIT APPLICATION
Ci ty Job Number
COHPI,BTE PBE SCEEDULE BBLOV
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost Sum
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocat ion:
B
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps
0ver 1000 amps/volts
Reconnect Only
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
c Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see I'Btr above
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
One Circui t /- $ 3s.00 35o'
Each Additional
Circuit or with Service
or Feeder Permi t J* S 2.00 4o o
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
-Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
s 36.00
DATE:
RECEI
za oaa?Tffi
1e,?,
RECEIVED B
77 fL 5
1.
at.
JOB DESCN.IPTION
AI\^ iT?t(48 ttv.? :F c-eQaf
nqDo
A.
-_____
APPLICATION FOR A SECOND DRTVET'AY
DATE:4 -aq-?*
APPLICANT (PROPERTY OID{ER) :,4ADDRESS OF APPLICAIIT:
ADDRESS OF PROPERTY FOR 2ND DRTVEUAY:/
APPLICANT'S TELEPEONE NO. :
The folloving conditions must be ansvered affirmatively in order for this
"ppri""iion Io be considered for approval:
1).Propertyiseitherasinglefarnilyresidenceorduplex.
YES \/- N0-
2).Theproposeddrivevayvilltakedirectaccessfromaminorstreet(not a torrector or arteriar street)' YES X' N0
-'3).
4).
s).
6).
7).
The drivev
return of
11 have a minimum setback of 30 feet from the curb
,tersection (for corner rots)' YES x= N0-'
The proposed drivevay (parking area) must have a minimum depth of
lEfeetbetveenthefrontPropertylineandthegaragetcarport'
i"n"" or vaII, ii .ny (iaentital io setback for garage) '
YES V NO
^Theseconddrivevaymusthavedirectaccesstoagarage'carport'
rear yard or th;. "ia" y..a vhere the vehiele, trailer or boat viII
be sttred. YES X No-'
If the vehicle, trailer or boat is to be parked/stored in the side
yard, there must be a minimum setback of b feet betveen the stored
vehicle and the slJ"-piop"rty line. This setback is for fire
fighting access "ra tL clmply vith the intent of the zoning code'
seiback-satisfied? YES X- N0-'
The proposed parking/storage area nust not cr'
obstiuciion to adjacent property drivevays or
movement on a public street. Satisfied? YES x=
ay vi
an in
eate a vision
to any vehicular
N0_.
This application shall include an 8 L/}tr x 11rr draving shoving existing
drivevays, and the proposed drivevay. Please include dimensions, and
measurements to to"d intersections and/or bordering drivevays'
A11 applications outside the city limits of Springfield that are vithin the
Urban Grovth Boundary require a Lane County permit.
2o
:Hlil:,,ri;Iti:li:**lF+r*it*'j*i]*ml
area adjacent tc
behind the.back :i::# ili.i'li-ii"k-""pl3r.i:_lo||I::: ?l"I'=ru*ark sharr be
drivewaY vith a
depttr of 6'r or potir""d cenent -loic,t"i"' The area behind the s
paved to gre prlperty tine or f;;';;i;i"n"" ot'q tt"i-vhich ever is greater'
rhe- applicant asrees that if he/she does not pave the area behind the sidevalkvithin 30 days of cutting the curb opening, tire city of Springfield has theauthority of close the driver.y.cceis by the removal of ihe lurb cut. AIIincurred costs shall be assumed by the aiplicant and if unpaid, said cost sha1lbecome a lien of the property.
tlhen this application is approved by the City, the applicant (property ovner)must obtain a drivevay pernit from the Publil'uorks bepartmeni'nniinelringDivision.
PERUIT FEE
DATE:
APPROVED BY:
DATE:I
BUILDING PERMTT NO.:20G 3
DATE:
1q-
Y n#f-c,uto ft,,a 4
a. !n an inproved street (existing curb):
510.00 plus S.15 per linea1 foot of curb cut.
b. 0n an uninproved street (not curbed): S12.00
c- 0n_currentry unimproved streets that are under construction:
912.00.
PROPERTY OIINER'S SIGNATIJRE:
*
TRA 9-1
ATTACHMEM: City
Dated
of
1
Springfield Standard Draving No. 3-110/8/82
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