HomeMy WebLinkAboutPermit Building 1993-01-11SPRtI\lGFtRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF
ASSESSORS MAP:
LOT:
q&fi f,
&
JOB NUMBEFI
225 Fifth Street
Springfield, Oregon 97 471
TAX LOT:
BLOCK:SUBDIVISION
STATE:
OWN
ADDRESS:
CITY:
PHONE:
ZIP:
ON
-.-
DEMOLISH OTHER
DESCRIBE WO
NEW BEMODEL A
ADDRESS EXPI RES PHONE
\\
E,SN
PLUMBING:
GENERAL:
MECHANICAL
ELECI'RICAL:
CONST.
CONTRACTOR #
rL Q-\)
TRQUAD AREA:
* OF BDBMS:
-oF
OCCY GROUP:
* OF BLDGS:ZONING CODE:
FLOOD PLAIN
RANGE:WATER HEATEFI
* OF STORIES:
EU
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
# OF UNITS
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recording. All inspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:0O a.m. will be made the following work day.
REOUIRED INSPECTIONS
f-l Temporary Electrict_J Rough Mechanical - Prior to t-- r -iinat plumbing - When allcover. LJ plumbing work ls complete.
Site lnspection - To be made V Roug h Electrical - Prior to @rnut Etecrrlcat - When au
f electrlcal work is complete.after excavation, but cover.+qnrysett i n s
bing call Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.- Prior
ng - After trenches are al Building - When attexcavatedFireplace - Prlor to faclng
materials and framlng lnsp.
required lnspectlons have been
approved and building is
Masonry - Steel location, bond
beams, grouting.
completed.q@LaK---
dation - After forms are
Framrns-4eircry-
Other
erected but prlor to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONS
Post and Beam - Prior to floor
lnsulation or decking.
ing and Set.Up - When all
lnserl - After flreplace approval
and installation of unit.
blocking ls complete.
Floor lnsulatlon - Prior to
decklng.& Approach ;- After lCtflumUing Connectlons - whenf nome has been connected to( water and sewer.
Sanfia4t Sewer - Prior to filling# trench.t
d"ror^Sewer - Prlor to filling
F trench.
forms are erected but prior to
piacement of concrete.
rical Connection - WhenSidewalk & Driveway - After
excavation is cclmplete, forms
and sub-base material in place.
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
er Line - Prlor to fllllng Fence - When completed
trench.I - After all required
pections are approved and
Slreel Trees - When all required
trees are planted.
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
r-i-- _
L
rL]
n Underlloor PlumbinolMechanicalLJ -"il;,-6;;;;i;ii;;;;;;t'i;;: l-_l wood srove - Aner instalauon.
tl
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac.
Setbacks
P.L.HSE GAR ACC
N
S
E
S THE PROPOSED WORK IN THE
HISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SQ. FT.
79?](A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
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 any time
upon violation of any provisions of said ordinances.
l:L.13
Reviewe -Dr[eBy
Receipt Numbe
Date Paid
Rece
Plan Check Fee:/3
SYSTEMS DEVELOPMENT C
(B)"oH,'rf]fl *Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
ZS
ZS
75 0"
79, ?s(c)
FT.
FT.
2-sco
),7f
No
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
l-
)+(
Wood Stove/lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with tlre 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 further 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 remain
nat u re
//Date
VE
on the site I times during struction
DATE PAID
AMOUNT REC
RECEIVED
VALIDATION:
RECEIPT NUMBE
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk ?5 n
Total Miscellaneous Permits (E)
/ 3.oo24
?
ft
S
Cu rbcu t
Demolition
urc
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
4D()
FT.
I
d8lo!-s
SPF!NGFIELO
CITY OF OREGON
DEVELOPMENT SERV'CES
PUBLIC WORKS
M ET RO PO LITAN WAST EWAT E R M A N AG E M E NT
- Manufactured Home blocking
- Vater line connection
- Street tree standards
ure
- Sanitary sever connection
- Electrical connection
- Minimum requirements for permanent steps
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726.s75s
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Deve1o pment Code,I understand and agreethat vith the approval of the attached permi of
manufactured homes will be placed at
Springf d, 0regon, City Job Number
Type I Manufactured Home.A multi-sectional (double vide or viderunitvffioorareaofnot1essthan1,oo0squarefee
that has a nominal- roof pitch of 3 feet in height for each 12 feetvidth, that has no bare metal. siding or roofing, and that has beencertified by the manufactLlrer to have an exterior thermal envelope
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 Home. A unit of not less than 12 feet in widthvlth an enclosed floor area o f not less than 500 square feet, that hasa nominal roof pitch of 2 teet in height for each 12 feet in vidtl'r andthat has no bare metal siding or roofing.
I further state, by my signature belov, that I have been provided vith thefolloving information :
)t,
in
I also understand that if I am installing a Type I Manufactured Home, the homeshall be encLosed at the perimeter vith stone, brick or other masonry materials,
and vith no more than 12 inches of the enclosing material exposed above grade.
?3
IHlht
St.tttNGl.lt LU
0tus
97 477
lzo-ltog \ ''
equire specific land use
225 I]II.TII STR.UIiT
SPTUNGFIELD, oRI':GoN
INSPBCTION REQUP.ST:
oFPICE: 7?-6-3759
1
ON
DESCRI
Pcrnri ts arc rlon ansferable and exP lre
if vork is not started v lthin tBO daYs
of issuance or if vork ls suspen<led for
180 days.
2. CONTTA TOR INSTALI.J\TION ONLY
IiIcc trical Con trac tor d.
Add r:css ,r5 5 d^z *
Plrone 7ffls
c ELBCTRICAL PENHIT APPLICATION
Ci ty Job Number
SCTIEDULE BELOV
Nev Residential-Single or
HuIti-FamiIY Per dvelling unit'
Service Included:
I tems Cos t
$ 85.00
$ 1s.00
$ 40.00
Services or Feeders
Installatlon, Alteratlons or
Reloca t ion :
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
tlrereof
Each Manuf 'd llome or
Hodular Dwelling
Service or Feeder
200 amps or less
201. anrps to 400 amPs
--401 amps to 600 amPs
-
601. amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0nIY
p1
\?-qj \
ON
&
A
B
C
D
Sum
4O\
Ci ty
Supervisor License Ndmber
Iixpiration Date C)
Constr Contr. Number L'3/3 7E TemporarY Services or Feeders
intiuff"iion, Alteration or Relocation
200 amps or less $ 49'99
;oi ;;; io aoo amPs
-
$ sl'99
or"r abr to 6oo "*P" -
$ Bo..oq
0ver 600 amps or fbOOG-fts see ilBrr above
-Each installation
Pr.lmp or irrigation
iisilloutf ine Light ing-
liii ted EnergY/Res
Limited EnergY/Comm
-STIBTOTAL OF AI}OVB
iu stut. surcharge
TOTAI,
5
$ so.oo
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
$ 40.00
$ 40.00
s 20.00
s 36.00
S
/o */$;;c-
5E>:pi ra t ion Da te /o
Signature of Supervising F'lectrician
Ovners Na
Add ress
Ci ty Plrone
OVNER S'TALLATION
Branch Circui ts
Nev, Alteration or Extenslon Per Panel
One Ci.rcuit $ 35'00
Each Acldi t ional
Circtri t or wi th Service , tl
or Feeder Pur*i
-J- $ 2'oo d'-
l'liscellaneous (Service/ f eeder not included)
.n
The installation is being made on
nrooerty I ovn vhich is not intended
ior'sale, Iease or rent'
Ovncrs Signature:
E
-eG1-'--e---i oATE,
RIiC[,I
I(IiCI.]IVIiD I}Y:
5
,
ffi
n*T
furs84s?
d)
E
JoB NO.9zt'l1t+
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MI'IERCIAL & RESIDENTIAL)
NAME OR COMPANY:5nr.a Plou=oN
LOCATION:btz 3, L+ lbr Punce 110zb24V - O-5 o
DEVELOPMENT TYPE: LPR - NTNT 9F4
BUILDING SIZE:SI . Ft.
1. STORM DRAINAGE
IMPERVI0US SQ. FT.ZZbb x $o.lez PER sQ. FT
2 SANITARY EhIER-C ITY
NO. OF PFU'S IX X $39.78 PER PFU
(See Reverse)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
3
\ xt x $401.05
x $401.05
x $40I.05
,to
$
X
x
SUBTOTAL (ADD ITEMS 1,2, & 3) $ t55b49
$
L-CITY SDC lb G
2f9
4 ADM INIS TIVE F EES
BASE CHARGE (SUBToTAL ABoVE) X .05
5. SANITARY SEWER-MWMC
NO. OF PFU'S
(Use PFU Total From
MhlMC CREDIT IF APPL
Item Z Above)
ICABLE (SEE REVERSE)
,)- 1
K p Burdick
$13.62 PER PFU + $10 MhlMC ADMIN' FEE $zrrt9
7a-
TOT
T0TAL-Ml^lMC SDC
TOTAL SDC
c1
,+bqz
1tb*
0709
71z+7
SDC Coordinator
+nb $/fiu1
I
FlxruRE uNlr cAl-cul../Al JN TABLE: Number of New Fixtures x 't Equivalent = Fixture Units (NorE:
For remodels, calculate only the N.il additional fixtures)
NUMBER OF UNIT FIXIURE
NEW FIXTURES EQUIVALENT UNTTS
FIXTURE TYPE
Bathtub.......
Drinking Fountain..-...
2-
Z
2-
TOTAL FIKTURE UNITS
Z
?-
a.U
2
1
2
3
6
2
6
b
1
3
2
1/Head
2
2
1
6
4
t
Clotheswasher - 3 Or More"""""""""1"""""""""
Mobile Home Park Trap ('l Per Trailer)"""""""""
n "".ptor.
For R ef ri geratorAVater Station/Etc" " "'
n"""btot For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall
Shower, Gang...........
Sink, Bar, Commercial
Urinal, StallflVall-...
Wash Basin/Lavatory, Single""""
Water Closet, Public lnstallation"'
Water Closet, Private...--."'
I\,,4iscellaneous
a
cREDlr CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
2.\Z x $ ?.?-?.f L
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL = $2f9
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 985
'1986
1987
1988
1 989
1 990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
1979 or before
1 980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Commercial
lndustrial.....
0.4
0.9
0.45
0.5Governmental.
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT