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HomeMy WebLinkAboutPermit Building 1993-1-26 LOCATION OF PROPOSE'l1t}1' I",f-tqct:\ ASSESSORS MAP: I ~ ~~ LC-t- 10 'f20Vl 12-D~ tA.9 0 Lif'.es-f IIV\ ~ 0.,. ()b'\'S,. pD DESCRIBE WORK: 11JV 0 V-- \A:-+ J')L.l"'{:> (.e..X- I NEW V REMODEL ADDiTION CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # GENERAl' 'M-: ~~ ~l \etN\~ ?foCf-CJ'L ~:.for;'..o '740. '7/)?J- PLUMBINr-:. '~eM( f~b'IA"'" MECHANICAL: ~.~ ELECTRICAL: ~b)~~~ RESIDENTIAL PERMIT APPLICATION .Inspections: 726-3769 Office: 726.3759 LOT: OWNER: ADDRESS' CITY:~ ill;' QUAD AREA: 4RSu 'OF BLDGS, .~ OCCY GROUP, _ . ~-I- ~._ II OF STORIES:, __ fJ WATER HEATER: BLOCK: STATE: t"... 0 f ;i if q&( 5P& ., ~ ' " DEMOLISH OTHER L~ !'.' JOB NUMBER f.;- - OF/BSE) LAND USE: ( II OF UNITS: J CONSTR. TYPE:- V /l/ HEAT SOURCI=' \W ~ U FIANG 1=' 225 Fifth Street. Springfield, Oregon 97477 I:' !; t,; k' 1':. TAX LOT" 0 4'lcO + SUBDIVISION: :srrut"'~ 't;? j'A)SP PHONE:c:a&~ S'f~,.. i{ 11__\ :;: " VI: .... i'; '\, " ZIP' III '.':," '. I!'.,' t.:. EXPIRES PHONE L - 9'5 Cf3s-SCr !/,r I: ;'.t I:' r' ~.~ ; L~ I: :.~ .. t", "', FLOOD PLAIN: .. -. \ ZONING CODE: LJJr2-J # OF BDRMS: <9+ ~ SECONDARY HEAT: . SQUARE FOOTAGE:d / (jJ() .}, 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 made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS ~emporary Electric ~ ~ite Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. 171 Foundation - After forms are ~ erected but prior to concrete , placement. r7l Underground Plumbing - Prior ~ to filling trench. r7I Underlloor Plumbing/Mechanical l4-l -,Prior to insulation or deckin~J. rA1 Post and Beam - Prior to floor ~ Insulation or decking. r7I Floor Insulation - Prior to CLJ decking. . r7l Sanitary Sewer - Prior to filling ~ trench. rXj Storm Sewer - Prior to filling trench. . r:;.;I Water Line - Prior to filling l4J trench. ~ Rough Plumbing - Prior to cover. '" ~ Rough Mechanical - Prior to lftJ cover. CKJ Rough Electrical - Prior to cover. [L1I Electrical Service - Must be approved to obtain permanent electrical power. . o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. CZl Wail/Ceiling Insulation - Prior to cover. IXI Drywall - Prior to taping. o Wood Stove - After I~stallatl~n. D Insert - After fireplace approval and installation of unit. [AJ Curbcut & Approach - After forms are erected but prior to placement of concrete. Ii7l Sidewalk & Driveway - After L.4-J excavation is complete, forms and sub-base material In place, D Fence - When completed. n7l Street Trees - When 'all required L.tLI trees are planted. ~ :: [ZJ Final Plumbing - When all plumbing work is complete. L ,.' &1 Final Electrical - When all P electrical work is complete, ::: I~' 1: ~ i:- "I " rJfI Final MechanIcal - When all IAl mechanical work is complete. IA71 Final Building - When all W required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocklng'ls complete. 4 ~ o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to .'t,he service panel. ~. . r:' ., ,r.-. f., ~~. ,., ;" , . d:Flnal''-;After all required .. . .Inspectlonsa-re approved and .' . porches,'sklrtln-9, decks, and. venting have been Installed. .; ~ I' I',! ~? l -HE PROPOSED WORK IN THE - t,ISTORICAL DISTRICT, OR QN 111 0 THE HISTORICAL REGISTER:Ul'v(,,) If yes,'this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lot faces ~ Lot TYP,~. Setbacks ,.. h~-f-~ . '.<.0" ACC sq. ftg. ..Ii.:":"?'}"':"" . P.L" HSE GAR Lot . p'ri\~~I<I! ' ,}~: -'~. '''', Lot coverage -:3'~ . , C6rn~r N /4~' ., I , Topography ~~ Panhandle S /e~~ I . Total height .f'J.ey Cul'de.sac W ~!.5; , I I E /t:J/I'/#., of ' BUILDING PERMIT I /d42~ &!L() = q!J~~ 8m m{) 7/~!/8 ITEM Main Garage Carport ~_l91 7./.~ ~~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . (~) ~ ~'.p.f B ~ Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath{s) NO 2)( -::z.k# FT. ':::?:2CJ. ~ Sanitary Sewer Water FT. Storm Sewer FT. Mobile Home Plumbing Permit ~. .//{ c:IiICl5 /6.Ob 33"~. 0If:S State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood 2. )r~5~ ~-~~ Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent 2x7 -.G . d- 2:$ Mechanical Permit /~. ClC> r ~ Issuance ~.&IP .7~ -::2.'5' ~ State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ / ft Curbcut ~ ft -;Z:2 ./s:- / t/. :i::> Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~.t< 27 APPROVED: 'BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT /:::<~ ..c.- . Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS CtU.Jlffiru ~ t ~+ -(,' ! 4~, 6'70 ~~\\WI-.:Lm_o )'. \ L\ (00 By signature, I stale and agree, that I have carefully examined the completed 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 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 t11at 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 th properly, and the approved set of plans will remain on t site at times jurln construction. I'M VALIDATION: -:::z.... RECEIPT NUMBER _ rl~ 5 .-/ DATE PAID (-c!J..0---.Q=S AMOUNT RE~D . L/~o/~_ Z7 RECEIVED Be f) ~ .../ JOB NO. q-z. \ ?loCe> CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE , .'. WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: i<o "-\ 1<-.O-e:.e..f2.l? LOCATION: (p~~y ~ (0'1'1 (p ~LUE.'e:>€:.l-L... DEVELOPMENT TYPE:. l-D~ - NE:.W OLlPl-e..~ tI62~1??~ - CY: bO~ BUILDING SIZE: LOT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ~\-,+ X $0.192 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S ~lo X $39.78 PER PFU (See Reverse) 3. TRANSPORTATION SQ. Ft. c;- CocA~ --- ---- ~~)2oi) ~ ~ NO OF UNITS X TRIP RATE X COST PER TRIP "'2 X _ t. OO~ X $401 ;05 CBo~0 ; ~ $ $ , X X . X $401.05 X $401. 05 SUBTOTAL (ADD ITEMS 1,2, & 3) $ "'2-~Lt, "0 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <Ct~7...Y TOTAL-CITY SDC $ "'2-"B~~ 5. SANITARY SEWER-MWMC NO. OF PFU'S :,c:. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ Soo~"2. (Use PFU Total From Item 2 Above) ~'.~L~ '-0 Kip Burdick SDC Coordinator \ \ !ll.oj/C1.Z $ '4"2- ~ TOTAL-MWMC SDC~ "2.2- TOTAL SDC $ ~,-\-y.f) MWMC CREDIT IF ~PPLICABLE (SEE REVERSE) /" FIXTURE UNIT CALCULATh.JN TABLE: Number of New Fixtures XL... Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS y. L-\ 2 f, 1 2 3 6 2 4 6 6 1 3 2 1/Head 2 '+ 2 1 y.. 6 4 \ lo Bathtub............................... ....,.................................. . Drinking Fountain. .................................................... Floor D rai n................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher.................... ............... Clotheswasher - 3 Or More.................;~.................. Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator ;Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL........... ....... ....... ..................... S hower, Gang. .......... ............................................... S ink, Bar, CommerciaL................. ........ ................. Urinal, Stall ;Wall............... ......... ..... .............. ............ Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private........... ......... ........... ....... ......... Miscellaneous: '-t- 2 -z... r L TOTAL FIXTURE UNITS ~l.o r , , <. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculflte credits separates. :. ,. ~~< f-' Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value :\.... 1985 1986 1987 1988 1989 1990 1991 Credit for Parcel or Land Only If Applicable L . f8 ~ X $ \ 4. e 7 .... '2.o~ (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) .,~o~ CREDIT TOTAL = $ ""t ~ 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 I. !" ! 'J: ;~ I} r ~i f ,. i ( ~ ' r RUNOFF COEFFICIENTS FOR STORM DRAINAGE !- Residential.......................... .., ..... ............ .......... 0.4 CommerciaL...... ... ....................... ....... ......... .... 0.9 Industrial........ ......... ............_.... .............. ..... ...... 0.45 GovernmentaL....................... ............. ............ 0.5 ';. '. IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT