HomeMy WebLinkAboutPermit Building 1993-03-01SPRINGFIELE)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
q
225 Fifth Street
Spri ngfield, Oregon 97 477
LOCATION OF PROPOSED WORK 3:7r>^/. .t-< a4 5
t1CI.3\ 31ASSESSORS MAP:
LOT
TAX LOT
BLOCK:?SUBDIVISION ?,+r<rz
PHONE:
STATE: O P ZIP:
_ ?^.
J z - .s-z </a5e6 .L hapsa
4zoCITY:
ADDRESS:
OWNER
Sr, ,4or tutu^<
NEW X FIEMoDEL ADDtloN DEMoLtsH orHER
DESCRIBE WORK
MECHANICAL:
-----
ADDRESS EXPIRES PHONE
Pzr-4*t/
CONTFIACTOR'S NAME
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
\N
?
E
OUAD
- OFFICE
RANGE:WATER HEATER:
FLOOD PLAIN
ZONING CODE:
, OF BDRMS
HEAT SOURCE:
LAND USE:
; OF BLDGS:
CONSTR. TYPE
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF UNITS, I ,
OCCY GROUP:
* OF STORIES:
To request an inspection, you must call 726-3769. Thls is a24 hour recording. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspectlons requested after 7:0O a.m. will be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Flnal Plumbing - When ailplumbing work is complete.
Site lnspectlon - To be made
after excavation, but prior to
settlng torms.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beanrs, grouting.
Foundation - After forms are
erected but prlor to
placement.
Underground Plumblng - Prior
to filling trench.
Posl and Beam - Prlor to floor
insulation or decking.
Floor lnsulalion - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
w WAilq electrical worr31
Rough Electrical - Prior to
cover
Electrical Service - M(rst be
approved to obtain permanent
electrical power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framrns - Prror r"q6)W
Wall/Ceiling lnsulatlon - Prior to
cover.
l---l Drywall - Prlor to taplng
lnsert - After flreplace approvql
and lnstallation of unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
l-l fence - When completed.
Street Trees - When all required
trees are planted.
inal Electrical - When ail
Final Mechanical - When
mechanical work is complete.
inal Building - When allw
w
Other
MOBILE HOME INSPECTIONS
@tocxlng and Set-Up - When ail
f blocklng is comptete.
1f-fttumbing Connections - When
f home has been connected to
' water and sewer,
@ed.rical Connection - When
:- blocking, set-up, and plumbingI inspections have been approved
and the home is connected to
the service panel.
V{Final - After all required.+ inspections are approved and
porches, skirting, decks, and
venting have been installed.
fit'",d.*ulk & Driveway - After
Y excavation is complete, formsr and sub-base matcrial in place.
JOB NUMBER
{
.rh,+il)FA?,TD
f H5G-
€?)
l--l Underslab PlumbingrElectrical,lJ Mechanical - Prior to cover. I I
tl
q
flfl
E
fl
l-l Underlloor Plumbino / MechanicatI-j --'F;i;;a; ;;;;r.rffi;;J;;k-i;;: l--l wood stove - After instauation.
E
E E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac-
Setbacks IS ,E PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED
P.L.HSE GAR ACC
N
S
E
(t3.,011)
(A)
JO
X $/SQ. FT. : VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This 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 of
buildings, and may be suspended or revoked at
ans Reviewed By Date
Flcceipt Numbe
upon violation of any provisio of said ord
Plan Check Fee:
Date Paid:
Received
time
SYSTEMS DEVELOPMENT CHAR
(B) #
GE (sDc)
tf 7b1L #Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N
FT.
FT.
FT.
(c)
@
A)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
-7-
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the cornpleted application and do 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 Springf ield, and ihe 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 further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card is located at the front
of the property, and the approved set of plans will remain
S
te
nth e site at all times duri
atu
St rU
MISCELLANEOUS PERMITS
Mobile Horne
State lssuance
State Surcharge
sidewark lb t,
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
t[E.e
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)I
l-
DATE PAID
VALIDATION:
RECEIPT NUM
AMOUNT R
RECEIVED
.51r r.Hl(\-
oc)
CITY OF SPR OREGON
s-Fntrrrcrtelo
DEVELOPMENT SERVICES
PUBLIC WOBKS
M ET ROPO LITAN WAS|EWATE R M AN AGEM E NT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.375s
MANUFACTUR,ED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, f understand and agreethat vith the approval of the attache
manufactured homes r',il1 be placed atSpringfield, 0regon, City Job Number
i ts,f the oll ngd
Tyle I Manufactured Home.A multi-sectional (double vide or vider)oor area of not less than 1,000 square feet,that has a nominar roof pitch of 3 feet in height for each L2 feet invidth, that has no bare metal siding or roofing, and that has beeneertified by the manufacturer to have an exterior thermal enveJ-ope
meeting performance standards vhich reduce heat loss to levels
equivalent to the performance standards required of single familydvellings constructed under the State Specialty Codes.
Type II Manufactured Homq. A unit of not less than 1"2 feet in vidthvith an enclosed flooi area of not less than 500 square feet, that hasa nominal roof pitch of 2 feet in height for each 12 feet in vidth andthat has no bare metaL siding or roofing.
I further state, by my signature belov, that I have been provided vith thefolloving information :
- llanufactured Home blocking
- !/ater line connection
- Street tree standards
- Sani tary se!,'er connection
- Electrical connection
- Minimum requirements for permanent steps
f also understand that if I am installing a Type I Manufactured Home, the homeshall be enclosed at the perimeter vith stcrne, brick or other masonry materials,
and vith no more than 12 inches of the enclosing material exposed above grade.
S-t - 9.3
a u Date
:{:
225 FITJTII STtTIiIiT
snuNGFIELD, ORIiGON 97477
INSPP.CTION REQUIiST z 726-31
oFPICE: 7?-6-3759
ELBCTRICAL PgRilIT APPLICATIONR-Job NumberCi tytCOHPLETB PBB SCIIEDULE BBLOII
A Nev Residential-Single or
MuIti-FamiIy per dwelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
tlrereo f
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ 85.00
$ 1s.00
$ 40.00
Services or Feeders
InstaIIation, Alterations or
Relocation:
5t'rilN(il:lGLu
c
D.
5. SImT0TAL 0r ADoVB
5I State Surcharge
TOTAL
0h
69
Authorized Sign
1 ON u{-ry'ly'on
ION
Permi ts are non-transferable exp I re
it vork is not started vlthin 180 days
of issuance or if vork ls suspended for
180 days.
2. CONIRACf,OR INSTALIJ'TION ONLY
c
IiJcr: t rical. Con t rac tol-'
J
200 amps or less
201 anrps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconnect 0nIY
200 amps or less
201 amps to /r00 amPs
-
0ver 401 to 600 amps
-
Over 600 amps or 1000 volt
Sum
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
s
$
$
ss ee rrBrr a6oF
_&
B
Addr:ess
Ci ty
&55 A
umber
Phone 3'F/{Sol)
Superviso License Ntimber 7f55
Expiration Date
Constr Contr. N
7s
- 294 c_Temporary Services or Feeders
Insiallatlon, Alteration or Relocation
Ilxpi ra t ion Da te /<)3
Signature of Supervising Blectrician
k).
Ovners Name
Arldrcss
City I'hont:
OVNEN INS'TALLATION
The installation is being made on
property I olrn vhich is nof intended
for sale, Iease or rent.
0sners Signature:
Branch Circuits
Nev, Alteratlon or Extension Per Panel
one circuit $ 35'00
Eaclr Additional
Circuit or with Service , ,1
or Feeder Permit I S 2'00 -L
l'liscellaneous (Service/feeder not incltrded)
-Each installation
Ptrmp or irrigation
Sign/OutIine Ligh ting-
Limi ted EnergY/Res
-
Limi ted Energy/Comm
E
40.00
55.00
80.00
$ 40.00
s 40.00
s 20.00
s 36.00
DATE:
RIiCEI PT
IiIiCI.IIVID IIY:
q)
-T,.:
a,aa
\
I
z
- f;:lle,irinc oroiect as submitteC har the fo
LD
g)
l3-7 l<
CITY OF SPR OREGO'V
SPRINGFIELO
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(50s) 726-s753
FAX (503) 726 s6B9
March 21,1994
Willis Patrick
56956 S. Morse Road
St. Helens, OR 97053
t
Dear Mr. Patrick:
The Springfield Building Code Administrative Code requires that, for a permit to remain
valid, construction work authorized by it must begin within 180 days from the date of
purchase of the permit. If work is suspended or abandoned during the course of
construction for a period exceeding 180 days, the permit will automatically expire.
If a permit has expired and suspension and/or abandonment of work on a project has not
exceeded one year, a permit to start or resume work may be purchased for one half the fee
required for a comparable new permit, provided that no changes have been made in the
original plans and/or specifications.
If a permit has not yet expired and a permit holder anticipates the need for more time to
begin construction work, the Community Services Manager may choose to grant a one time
extension of the permit not to exceed 180 days upon receipt from the permit holder of a
written request explaining why the extension is necessary.
The attached form indicates the most recent information in our records with regard to
construction activity associated with your permit. Please advise this office of your
intentions with regard to the permit by ten (10) days from the date of this letter.
Please direct inquiries to me at 726-3664 Mondays, Tuesdays and Thursdays, 8:00 a.m. -
5:00 p.m.
Sincerely,
Deanna Buckem
Community Services Secretary
attachment
E/{-t*,---
Willis Patrick
56956 S. Morse Road
St. Helens, OR 97053
JOB ADDRESS: 330 N. 35th Street JOB # 930190
I
LAST ACTMTY DATE: May 13, 1993
INSPECTION RECORDED: Framing
OTHER:
Your permit expired on November L3, 1993.
If you plan to start or resume work on the project, a new perrrit must be applied for.
If we do not hear from you by March 31,1994 (ten (10) days from date of letter), we will
clear our files of all related information with regard to the permit.
Ail4'
JrB No. 1bol1ot
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTTAL)
NAME OR COMPANY:
LOCATION:4z:o A/)< T1+.)-l-7ozv tbt - ooloo
DEVELOPMENT TYPE : I DR - Nfu ilHUF\LTUZED I-/"uEttiu €pAve
lL*t8 anA(*
BUILDING SIZE:{-?8 SIZ
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.24LG x $0.192 PER SQ. FT.
2. SANITARY SEWER-CITY
. Ft.
NO. OF PFU'S
(See Reverse)
/8
3. TRANSPO RTAT ION
NO OF UNITS X TRIP RATE X COST PER TRIP
x l, oo5 x $401.05
x _ x $401.05
X x $401.0s
(
J
$
4
SUBToTAL (ADD iTEMS 1,2, & 3)$ t58 +'11
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X .05
TOTAL-CITY SDC $ Ibbl 12
5. SANITARY SEWER-MWMC
NO. OF PFU'S Ig X $13.62 PER PFU + $10 Mt4lMC ADMIN. FE
(Use PFU Total From Item 2 Above)
MI,IMC CREDIT IF APPLICABLE (SEE REVERSE)
E $ 255t9
,(z 5t
TOTAL-MWMC SDC/*rL Z
Kip Burdick
SDC Coordinator
I
TOTAL SDC $ tnL19
9T
X $39.78 PER PFU
FIXTURE UNIT CALCULAf,ION TABLE: r.rumoer of New Fixtures X Unr Equivalent = Fixture Units (NorE
For remodels, calculate only the N[f additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE ryPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.......
Drinking Fountain....--
Floor Drain..
2
1
2
.)
6
2
6
t)
1
.)
2
1/
2
1
6
4
I nterceptors For Grease/Oil/Solids/Etc" "" ""'." "
I nterceptors For Sand/Auto Wash/Etc"" """""""
Clotheswasher - 3 Or More.."""""
Mobile Home Park Trap (1 Per Trailer)"""""""""
Receptor For RefrigeratorflVater Station/Etc""""
Receptor For Commercial Sink/Dishwasher/Etc"
Laund ry Tub/Clotheswasher. "" "" " "
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
Shower, Single Stall-.........-..
Shower, Gang.--..-.....
Sink, Bar, Commercial
U rinal, StallflVall..-....-....-.-.."" " "'
Wash Basin/l'-avatory, Single"""" "" ""
Water Closet, Public lnstallation"
Water Closet, Private....-
Miscellaneous:
TOTAL FIXTURE UNITS
.REDIT CALCUI-ATISN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
Z.gb x t5.oL 4zsl-
eadH
$
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL - $4zsL
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
o.87
0.50
0.16
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential 0.4
lndustrial.
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT