HomeMy WebLinkAboutPermit Building 1993-1-26
LOCATION OF PROPOSE'l1t}1' I",f-tqct:\
ASSESSORS MAP: I ~ ~~
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DESCRIBE WORK: 11JV 0 V-- \A:-+ J')L.l"'{:> (.e..X-
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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:, __
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WATER HEATER:
BLOCK:
STATE:
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q&( 5P&
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DEMOLISH
OTHER
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JOB NUMBER
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- OF/BSE)
LAND USE: (
II OF UNITS: J
CONSTR. TYPE:- V /l/
HEAT SOURCI=' \W ~
U
FIANG 1='
225 Fifth Street.
Springfield, Oregon 97477
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TAX LOT" 0 4'lcO +
SUBDIVISION: :srrut"'~ 't;? j'A)SP
PHONE:c:a&~ S'f~,.. i{ 11__\
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ZIP'
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EXPIRES PHONE
L - 9'5 Cf3s-SCr !/,r
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FLOOD PLAIN: .. -. \
ZONING CODE: LJJr2-J
# OF BDRMS: <9+ ~
SECONDARY HEAT: .
SQUARE FOOTAGE:d / (jJ()
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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.
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[ZJ Final Plumbing - When all
plumbing work is complete.
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&1 Final Electrical - When all
P electrical work is complete,
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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.
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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.
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d:Flnal''-;After all required ..
. .Inspectlonsa-re approved and
.' . porches,'sklrtln-9, decks, and.
venting have been Installed.
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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~' .,
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Topography ~~ Panhandle S /e~~
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Total height .f'J.ey Cul'de.sac W ~!.5; ,
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E /t:J/I'/#.,
of '
BUILDING PERMIT
I /d42~ &!L() = q!J~~
8m m{) 7/~!/8
ITEM
Main
Garage
Carport
~_l91
7./.~
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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>
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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~
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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)
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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
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,
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CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculflte credits separates.
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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)
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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
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RUNOFF COEFFICIENTS FOR STORM DRAINAGE
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Residential.......................... .., ..... ............ .......... 0.4
CommerciaL...... ... ....................... ....... ......... .... 0.9
Industrial........ ......... ............_.... .............. ..... ...... 0.45
GovernmentaL....................... ............. ............ 0.5
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IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT