HomeMy WebLinkAboutPermit Building 1994-06-23I,
RESIDENTIAL
PERM'T APPL'CAT'ON
lnspectlons: 726-3769
Ofiice:726-3759
JOB NUMBER
225 Flfth Street
Sprlngflelcl, Oregon 97477
uval
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:/7e2 <:,at< 2 TAX LOT aft4
LOT:
-
BLOCK:SUBDIVISION:
PHONE:
< z'-
??ztPSTATE:
?"zg N
CITY:
ADDRESS:
OWNEB;
NEW
-
REMODEL ADDITION L"/ DEMOLISH OTHER
DESCRIBE WORK:
/.Y
ELECTRICAL:
33N?Io"ro R, 6 ?sP{xPr RESADDRESS
({
EcONTRACTOR'S NAME
GENERAL:
SE-
OUAD AREA:"CB]0r,^)
* OF BDRMS:
WATER HEATER:
- oFFlc
ZONING CODE:
FLOOD PLAIN:
# OF BLDGS
LAND USE:
* OF UNITS:
BANGE:
SECONDABY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspeclon, you must call 726-3769. Thls ls a24 hour recordlng, All lnspections requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
m
tr
n
m
ry
ry
s
N
ry
w
r
tr
[l femporary Eleclric
Slte lnspectlon - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing / Electrlcal /
Mechanical - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to fllling trench.
Underlloor Plumblng/ Mechanical
- Prlor to lnsulatlon or decklng'
Rough Mechanlcal - Prlor to
cover.
Rough Electrlcal - Prior to
cover.
Electrical Service - Must be
approved to obtaln Permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsP.
Framlng - Prlor to cover.
Wal Celli ng lnsul atlon Prl or to
cover.
D rywall Prl o to ta pl ng.
Wood Slove - After lnstallatlon.
lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but Prlor to
placemont of concrete.
Sidewalk & DrivewaY - After
excavatlon ls comPlete, forms
and sub-base materlal ln Place.
Fenqe - When completed.
Stroel Trees - When all requlred
trees are planted.
lVl Flnat Electrlcal - When all
$ electrical work is complete.
Flnal Plumblng - When all
plumblng work ls complete.
Flnal Mechanical - When all
mechanlcal worl< ls complete.
Flnal Building - When all
requlred lnspectlons have been
approved and bulldlng is
completed.
.tt^t *)st(arrA tb
A\I
o
M LE H
d.'5
o
Post and Beam - Prlor to floor
lnsulatlon or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prlor to fllling
trench.
Water Line - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
Blocklng and Set-Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
72"q 3Z
/1r<,
MECHANICAL:
tf
tl
Eleclrlcal Conneclion - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home is connected to
the servlce panel.
E
It
n
E
E
tl E tl
.... ".,'.).tu 1,,,
P.L.HSL GAR ACC_
N
S
W
E
STH E PROPOSED WORK N THE -
HISTORICAL DlsrRlcT'OR ON
THE HISTORICAL
lf yes , this aPPllcatlon must be slgned
and approved bY the Historlcal
Coordinator Prior to permit issuance'
APPROVED:
\
Lot faces
Lot sq. ftg'
Lot coverage
TopograPhY
Total helght
Lot TYPe
.- lnterior
_._- Corner
_- Panhandle
-_
Cul-de-sac
BUILDING PERMIT
VALUE
3t M*r^
?;{,PT
(A)
38 .So
SQ. FT. X S/SQ. FT.
,<2t 26
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHE
AND BUILDING PERMIT
Thls 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, including the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
CslJtqReviewed By
t
Plan Check Fee:a=.<
Receipt Numbe
I DJG-I-
CK
Date Pald:
elved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) 9a r?
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
No
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
Fils
CJr^ +CE u
A DITIONAL COM MENTS
q-. -\sG*
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
MECHANICAL PERM!T
(D)
N0
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed application 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 Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCy wiil be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compllance with ORS 7O1.OS5 will be used on thls
project.
I further agree to ensure that all required inspections are
requested at the proper ilme, 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 will remaln
on the slte at all times during construction.
Slgnature ,
Date
-
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total MlscEllaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combtned)73
7i
,/< s
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
t-13raa;/./6q \.aa
/2
FT.
FT.
225 FTPTH STREBT
sPRrNGFrEl,D, oREGON 97477
INSPECTION REOIIEST: 726-3
0FFICE: 726-3759 Data (/
1. tocATroN 0F.
TEGAL DESCRTPTION
JOB DESCRTPTION
lIPrt'A'GF,ELO
PERI{TT APPLICATION
City Job Nunber
SCEEDIII,E BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveJ.ling
Service or Feeder
$ 8s.00
$ 40.00
Services or Feeders
Installation, Alterations
or ReLocation:
200 amps or Iess
ior "rp" to 400 amPs
-40L amps to 600 amPS
-
601- amps to l-000 amPs-
Over l-000 amPs/volts
-
Reconnect 0n1Y
fhe lollatlng pra/ea u subntttcd ta the
zoning, and does not require epecific lend
approval.
A
Sum
Address \
Ci tv Phone
Supervisor License Number
Expiration Date
C.
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Address
ciw iWzzrt YhoneT%'€5B
OIJNER TNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
TemporarY Services or Feeders
Insiallaiion, Al-teration or Relocation
B
s 1s.00
,)00
not ineluded)
40.00
40.00
20.00
$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
above
40.00
55.00
80.00
e rtBrt
D Branch Circuits
Nev, Alteration or Extension Per Panel
One circuit '--- $ 35.00 7r
Each Addi t ional-
Circuit or vith Service
or Feeder Permit
200 amps or fess $
ior .rp" to 4oo amps
-
$
over 4b1 to 6oo amps
-
$
Over 600 amps or 1000 volts se
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
signzOutline Lighting- $Llilited Energy/Res
-
$
)
E'
Ovners S
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
DATE:
RECEIVED
ture:
.-2,
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;."ce or if vork is susPended for
180 days.
2. CONTRACTOR INSTATLATION ONLY
ELectrical contr actor fuf*
JOB NO.
CI{ARGE
s
7 6s'
NAI'IE OR COHPANY:
LOCATION: .2ZZ 7 ^J
DEVELOPI,'INT TYPE:
BUILDING SIZE:0T siz
I. STORH DRAINAGE
II'IPERVIOUS SQ. FT.
2 SANITARY SEll|ER-CITY
NO. OF PFU'S
(See Reverse)X S42.OB PER PFU
3 TRANSPORTATTON
NO OF UNITS X TRIP RATE X COST PER TRIP
x x s424.3r
x x s424.31
x x s424.31
4. SANiTARY SEl{IR-I.II{I.IC
NO. OF PFU'S
(Use PFU Total rom Item 2
MlllI4C CREDIT IF AppLTCABLE (sEE REVERSE)
TOTAL-Ml.lMC SDC
SUBToTAL (ADD iTEMS I,2,3 & 4)
BASE UETO E) X .os
CITY OF SPRINGFIELD SYSTEHS DEVELOPMENT
( c ,Hr{ ERH?I [r#55L, 0,.,
$15.125 PER pFU + StO HHHC ADM FEEAbove)
7
Ft.
s
5
O,l6
rd i nator TOTAL SDC s /.,/
/1/)z
.4{7r x s0.203 PER SQ. FT.
FlxTuRE uNlT^cALcuLATIoN TABLET r.nrnrlrcr or Ncrv Firlrrres X Urrit Etiui',lc^t = Firltrre Unils (t{oTtl
For remodets. catcurlio'-fr,1utu l''- atlt'liiiorr'rl lirltrrc:')
I,rur.1.[It-ol- -^ Lri{ll' rlxTUFE
NE\i, l:tXTUnES I-OUI\'/'LIlJT Ul'JltS
Balhtub'.."""" "':"" " " " "
Drinking Fourrtlirr"""
Roor O.ain" """"""""""
i#;;il; For Grease/oil/solidsi EIc" """""""'
ili;;ili;" For Sand//'uto \\'a slr/Et c" " " "" " " " "
;fu ; Tub/oothesrvasher"""'
Clothesruaqner' 3 Or l'4ore"""""'
ffiffil}ie p"'r Trap (1 Per Trailer)"":""""""'
;r.#; ;Fp; B erri s eraioiAVat e r S t at i o n / Et c" " " "
Receptor For Commeictui SintToishrvasher/Etc"
Shower, Single Stall'
FIXIURE N'PE
Shower. Gang"""""'
Slnk Bar. Commercial
'Urinal,
Wash
\\tater
:l
I
?
3
t)
2
6
6
1
J
2
r /Had
2
2
1
b
.r
Water Closet, P
l,tiiscellaneous:
rivate..........
TOTI.L FIXTURE UI{ITS
0.4
0.9
0.45
0.5
$
value. lf improvements occurred after annexation date in table'
CREDIT CALCULATION TABLE: Based on assessed
calculate cre<ihs
RUNOFF COEFFICIENTS FOR STOR
Residential.
Commercial-..........."""'
tndustrial..--
Governmental..,..........."
credit for parcd or Lard only lf Applicable
-
(R.r. * LrSrrx **l-
tmprovement (rf after annexation date)
-iR.t,
x Lrl; u*rl
CREDIT TOTAL
M DBAINAGE
Assessed Value
Bate Per 51,000Year
Annexed
AssesseC Value
Rate Per S1'0OOYear
Annexed
1995
1987
1998
1989
1990
1991
1992
S 2.?-4
1.93
1.57
1.18
0.79
0.44
0.28
1979 or before
1980
1 981
1982
1983
1984
'1985
s3.21
3.13
3.08
2.%
2.BZ
2.68
2.51
IN4PERVIoUSAREA=ToTALLoTSIZExRUNoFFCoEFFICIENT