HomeMy WebLinkAboutPermit Building 1992-06-02ESIDEN IIAL
:NMIT AI)PLICNTION
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)CATION OI
iSESSOFTS l,4AP:,- -
5 Pltti.,(-t:lr:Lu
JOA NUMBETI
225 Fittlt $treL'l
Springlie:lcl, Orcltel1 974/ /
lzole
h,
P*oPosjrD worr(: ' 1A S--.-- 5 J-!::-:;/-
f,T:BLOCK:SUBDIVISION.
-,
PHONE:)WNER: -.
ADDRESS: --(_
clv - -)
tJ
x
X
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TorCqUeStal,inSpecti()r),youlllUStcall726.3769'Thlslsii.24hourrecording.AllinspectionsrequeS
maclt:tlte:,illr,i)worl\arrllday,illslrectiorlsrcquestctlafterT:0Oa'rn'willbemadethefollowingwork
REOUIRED INSPECTIONS
Ef Rough Mr:t:ltatrical - Prior to
ffc<rver.
,}4fgh
Ercctrical - Prior to
0€--,*-mll7STATE:
-
Electrical Service - Must be
approvecl to obtain Pertnanent
electrlcal l)()wer.
Fireplace - l)rior to {acing
rrraterlals and lratning lnsP.
Framing - Prior to cover.
Wall/Ceiling lrrsulation - Prior to
cover.
Drywall - Pricit to taping
Wood Stove - Af ter ir'rstnllation
lnserl - Af ter firePlace aPProval
ancl installation of unit.
Curbcut & ApProach - After
fortnS are (-.'ru(ilcd but I)rior to
plircement of t:otrcretc.
Sidewalk & Driveway - After
excavation is conrplete, forms
:rrrtl sub-t;rt:;t.: ttt;iterial itt place.
l-_| Fence - Wlren comPleted
Street Trees - When all recluired
tre.-.s are pl;rrrted.
ted before 7:00 rr.m. will t.re
day.
l- | fetrt1,,,, rrY Eler;tri':rl
l- | Site lrr'.lrecliorr fo lrt: ttt'r(lu
L - l itItur '. .tv;rtl(,n. l,rlt l)lltrr tti
S(ittillr, lOrrnS.
X
.x
Final Plunrbing - Wlre rr all
plunrbing worli is cotrllrlr-'te.
Final Electrical - Wltt.:rr all
electrical worl( is colrll)l(.1e.
Final Meclranical - Wltrrn all
mechanical work is t:otrtlllel,:.Undersl,rb Plurnbing/ Electrical /
Mecllatrrcal - ['tlt-rt to ct'ver.
Foolirrll - Af l,:r trenche:; are
€XCilV:l l':d
Masonly - Stet:l locatiorl, bolld
beatrts,,lroutitrg.
Foulrclirtion - p'flcr forrtrs are
erecte(l l)ut Ptior lo concrete
placetrt, nt.
Unclcrqground I)ltrnlbing -- l)rior
to lillit,il trench.
Undut ll / Mechanical
- [)rir,t to ron or tleckitttl
Posl alrd Beant - Prior to floor
insUlati{rt.l Or (jer)1. ing.
Sanit;rry Sewcr -- Prior t,.r f illirtg
tren('ll.
Storrn liewer -- [)rior to lllling
tren<;lt.
Walcr l ine - l)rl()r to lillrrrg
trenclt.
rl
&B
X
-E'
NT/Final Building - Wlrt:rr ,rll
,JAl required insput;tiotls lr.t,.: b.t tt
approved and l-ruilding i:;
corrr pleted.
Otl'rer
-
-
lV(Floor trrsulaliorr -- Priot ttr
/A\de4.i,', r
MOBILE HOME !NSPECTIONS
Blocking arrd Set'Up - Whtrtt ;rll
blocking is cotnPletc
Plumbing Corrtrecliotts -- Wlt,'tr
holne lras becn conn{rcl,r(! t,)
water ancl sev,/cr.
Electrical Connection - Wttctt
blockirrg, set-up, ancl plrrtttbirril
inspections llave bectl ill)pr()vr r( I
ancl tlre hotnc is cortnr)( t(-'(l l(,
the servico l).lnel.
Final - A{ter all reqrriretl
inspections are approvecl anrl
porches, skirting, rlct:lts, ;rntl
venting have t-reen in:;t;rlled.
rez->'}^-\---_€--
,N E_ DE
\nxMOLISH OTHENADDITI()
ILDESCnIBE \'r')RK: -
NEW -,Rf:MOt)t.L
CONI RACltrr. S \AMl f, i ADDRF-I;S
cEN t-frAl: 1o,l wt".a-,ctrt* gstT), ) 4zz
PLUMBTN(.: /il4 //t t Cict-i) { L|tiu'Lnhp
\,
t,llot'ltEXPINT-:;
Ndi
-T' .-T
CONST.
CONTRACTOR #
MECIIANI(IA t
ELECTRICAL
E_
SRSQ-, -
US
\\
_t
'|
?<FLOOD PLAIN\\
E,L!33-rI{
_ OFFICE
OCCY CROUi'
'I OF UNITS:
LAND USE:
RANCiE:
--
OUAD ARIN
, OF BLDCS
CONSTR. fYt'f.:-:V
HEAT SOURCE: - --, OF Sl'OFllF:i ---
WAIER HEAI i-R:
-
SECONDARY HEAT: --
SQUARE FOOTAGE: -,.
ZONING COD
r OF BDRMS:
>(Rough l)lumbing - Priot trr
COV€:,'.
-
\---
t_.1
rl
rl
fJ
q?t(
il
tl
ks
Lot faces
Lot sq. ftg.
Lot coverage
ToPograPhY
Total height
Lot TYPe
-- lnterior
-
Corner
-
Panhandle
...- Cul'de-sac
ACCGAFIEL,
N
S
E
APPROVED:
EHTNKWOREDPOSROPETH)NoRoCTISTRIDRICAL,TOISH ?ERSTRLEGCARITOHSHTE cdnllesnocatiSplhapaCyeoHehbvdeoappdN CC.na !laSStopenatopriorrdoCo
BUILDING PERMIT VALUESQ. FT.
(A)65-ai
x $lso. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
_@afo
3./3
E. PLAN CHECK
PERMIT
on the express condition tlrat ttre saicl
ii ,.tp..tt, con[orm to the 0rdinance
ity of Springlield, including tho
Development Code, regulating the constructiort ancl use of
buildings, and may be suspended or revoked at :rrly lirnc
upon violation of any provisions of said orclin:tnces.
Pla eviewed By -G/zb-Ll DaG
)F)-
Plan Check Fee:
Date Paid
Fleceipt Number:
Received
a-
iH,'s'J$'tJ,t'H
This permit is granted
construction shall, in ;
adopted by the C
SYSTEMS DEVELOPMENT CHAR
(B) *T-11?9)w2b2 -
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
3
(c)3/5O(
N0
FT.
FT.
/,5O
PLUMBING PERMIT
FEE
.3D.oo
Plumbing Permit
State Surcharge
Total Charge
N" I f,k,,rfi | /1oc
Wood Stove/ Insert/ Fireplace Unit
Dryer Vent
25,71(D)
'7€
oo
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state and agree, that I have care{r.rlly examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ielcl, zrnd lhe Laws
of the State of Oregon pertaining to the wotl< rlescribc<l
herein, and that NO OCCUPANCY will be trracle of arry
structure without permission of the Building Safety Division.
I further certify thal only contractors and employer:s who
are ln compliance with ORS 7O1.O55 will be ttsed on tlris
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 locatec, at the front
Date
natu
o truction
set of plans wrll remainof the property, and the app
on the si mes duri
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
y'{tozz
VALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT R
RECEIVED
MUSt
rl
rmit
4n.lo7,
FT.
C'TY OF
225 FIFTII STREET
SPRINGFIELD, ORBGON 97477
INSPBCTI0N REQIBSTt 726-3769
OFPICE: 726-3759
b
1
Permits are non-transferab anif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI^ATION ONLY
st'rilN(;Frr.L(,
ELECTRICAL PERHIT APPLICATION
City Job Number
COHPI.,BTE FEE SCEEDULB BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocat ion:
00 amps or less
A
B
Sum
81,
Ad
ci
Su
ectrical Contractor
dress
Phone
perviso License Number
$
$
$
$
s
$
50 00
00
00
00
00
00
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
60.
100.
130.
300.
40.
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Blectrician
vners
Address
Ci ty Phone
OIINER
The installation is being made on
property I ovn vhich is not intendedfor sale, lease or rent.
Owners Signature:
DATE:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see I'Brr above
ON
D. Branch Circuits
Nev, Alteration or Extension Per Panel
onecircuit I S35.00
Each Additional
Circuit or with Service
or Feeder Permit I $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
€5
/az
$
$
s
$
00
00
00
00
40.
40.
20.
36
5
RECEIVED B
.d
u,:J7;,1'o;#'1,f$ I
JoE tio . 7zo1oz
CITY OF SPRINGFiELO SYSIEMS DEVELOPMtsNI CI{ARGE
WORKSHEET
(C0HHERCiAL & RESIDENTIAL)
NAI1E OR COI'IPANY:K M b
B 2:b I - o1-1C-C
LOCATiON:
DEVTLOPMENT TYPE:
BUILDING SIZE:LOT SI
X 538.55 PER PFU
PFU'S)
Trio Rates)"i[aioiAtt(Roo ITEM5 1,2, & 3)
sQ- Ft-
4'
Is Unknown )
Lbn 96
+
s
s
89
4q
s 1-b *e
1. STORM DRAINAGE
IMPERVIoUS SQ- FT- .- x 50'186 PER SQ' FT'
(See Reve"r"-io.'Rumlf Actual Imperv' Area
?. SANITARY SEI.IER-CITY
3
NO. OF PFU'S
(See Reverse To Determine Total
TRANSPORTATIqN
NO OF UNITS X TRIP RATE X COST PER TRIP
x $388-61
x $388-61
-6r
x
x
4-
(See
5. SANITARY SET.'ER-H1''HC
$
TOTAL-CiTY SDC
513-25 PER PFU .+ SI0 HI''HC AIHIN' FEE s
S
TOTAL-MI.IMC SDC +
NO. OF PFU'S
(Use PFU Total From Item 2 Above)
l'lwl'lc CREDIT IF APPLICABLE (SEE REVERSE)
A^.r)-
Kip Burdick C
SDC Coordinator
+t,'1-
TOTAL S za"?!
II ?b
ADI'IiNISTRATIVE FEES
BASE. CHARGE (SUBToTAL AB0VE) X '0s
FIKTURE TYPE
Credtt for Parcel or Land Ody li ApplicaUe
tmproremerfi fi after annoatlcn date)
xs
(Rate X Assessed Value)x s_
(Rate X Assessed Value)
CREDIT TOTAL - S
2
1
2
3
6
2
6
6
1
2
t /Head
2
2
'l
6
Clotheswasher - 3 Or More-'-"'---"
Mobile Home Park Trap (1 Per Trailer)'----'-'
Receptor For Refrigerator/Water Station/Etc--'-'---
Receptor For Commercial Sink/Dishr, asher/Etc-:
Shower. Single Stall----------.--
Shower. Gang-----------
SinK Bar. Commercial
Wash Basin/t-avatory. Single-------
Water Closet, Public lnstallation--
Water Closet, Prtuate..----
a,u
Miscellaneous:-
TOTAL HXTURE UNTTS
cREDtT CALCULAION TABI tr. Based on assessed vatUe lf.lmprorements ocarrred after annexation date in table.
calculate credits
Year
Annoced
Rate perS1,0OO
Assessed VaIue
Year
Anne(ed
Rate per 51,000
Assbssed Value
1979 or before
1980
198'l
1982
1983
1984
sz66
Z*
2.53
247
219
zo4
1985
19B6
19B7
19BB
1989
loon
s1-@
1-35
1-1 5
o-92
0-s9
o-23
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resident-ral------------------ 0-4
lnduslrial-----
0.9
0-45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Floor
lntercePtors For
lnterceptors For Sand/Auto Wash/Elc----'-"--""'---
Laundry
1