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Home My WebLink AboutPermit Building 1992-4-27 No . ~~, RESIDENTIAL PERMIT 'APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPRINGFIELD BLOCK: OWNER: r ~. (r~ .r- -5 ~ &:-~ ADDRESS: __I y q;;- ~.,2f;:?~/..2. '--'--~~~~- DESCRIBE WORK: fl~ /~/ftD' W~ LOT: CITY: ' NEW REMODEL CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAl' QUAD AREA: 1/ OF BLDGS: OCCY GROUP: II OF STORIES: _______._ WATER HEATER: STATE: ~~ ~ ADDITION DEMOLISH - OTHER JOB NUMBER ~20/~6 225 Fifth Street Springfield, Oregon 97477 TAX LOT: .c:!' 7'~ SUBDIVISION: PHONE: ~ h'f - C/ L/-':::;- ZIP: _~2~S- O/~T ?47/?7~7: ADDRESS CONST. CONTRACTOR 1/ PHONE - OFFICE USE - LAND USF' Ii OF UNITS: CONSTR, TYPE' HEAT SOURCE:"': RANGI=' EXPIRES FLOOD PLAIN: ZONING CODE: 1/ OF BDRMS' ' SECONDARY I-fEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This Is a 24 ~lOur 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, I I Temporary Electric o Site Inspection - To be made aileI' excavation, I)ut prior to selling forms: o Underslab Plumbing I Electrical/ Mechanical, - Prior to cover. o Footing '..;.... After trenches are excavated, o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placemen t. o Underground Plumbing - Prior to filling trenctl, o Underlloor Plumbingl Mechanical - Prior to insulation or elecl{,ing. o 'Post and Beam - Prior'to floor insulation or ejecking. o Floor Insulation - Prior to \ \ decki ng, ... ...'.:- o Sanitary Sewer - Prior to filling trench. o Storm, Sewer - Prior to filling trench. o Water Line - Prior to filling. trench. ~ Rough Plum~ing ..:... Prior ,to ~ cover. , .' REQUIRED INSPECTIONS CJ Rough Mecha,nical ~ Prior to cover. ,"" . o Rough Electrical --'Prior'to cover. : o Electrical Service - Must be approved to obtain permanent electrical pow'er. o Fireplace - Prior to facing materials and'framlng Insp, o Framing - Prior to, cover. i I D Wall/Ceiling Ipsulat:ion - Prior to cover. , i o Drywall - pri~r to taping" i D Wood Stove ...i.. After installation, D Insert - Afte~ flrep'race approval . and Installali9n of unit. ! o Curbcut & Approach - Alter forms are erected but prior to placement of concrete. I , I I ' o Sidewalk & Driveway - After excavation is complete, forms and sub-base :material in place, ~D Fence - When completed. i o Street Trees ....L. When all required trees are planted. ;" '.... rn Final Plumbing - WllCn all plumbing worl< is complete, I I' Final Electrical - When all electrical worl< is complete, o .1 Final Mechanical - When all mechanical worl< is complete. D Final Building - When all ' required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking is complete, ' o Plumbing Connections - When , home has been connected to water and sewer. o Electrical Connection - When blocking, set.up, anej plumbing , inspections have been approved, and the home is connected to the service panel. o Final - After aI/ required inspections are approved and porches, skirting, decks, and venting have been instal/eel. Lol ;faces Lol sq, :lIg,:' Lol Type,> ~ Irilerior Lol coverage Cprner "t' Topography Panhandle Tolal heighl Cul-de-sac BUILDING PERMIT 'I S THE PROPOSED WORK IN THE; HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? I~ yes, Ihis application must be signed and approved by the Hislor'ical Coordinator prior to permit issuance. Setbacks I PL. HSE GAR ACC IN S W -, c- . , '~~--~ ITEM SQ, FT. X $/SQ, FT. VALUE Main Garag~ Carport .' Tolal Value Building Permit Fee State Surcharge -------- Total Fee' (A) -~.--~ (B) SYSTEMS DEVELOPMENT CHARGE (SDC), 'i93~r PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Horne Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Slave/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Tolal Perrilit (D) MISCELLANEOUS PERMITS Mobile Horne State Issuance Sfate Surchargl:) Sidewalk It Curbcul It Demolition State Surcharge Tolal Miscellaneous Permits (E) FEE _~2~ / _ 6"2- _?-~.i 2. TOTAL AMOUNT DUE. (excluding eleclrical)'5" /;;:~' (A, ~, C, 0, and E Combined) .. ;. APPROVI;D: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permil is granted onlhe express condition that the said construction silall, in all respects, conform to the Ordinance adopted by.'.lhe City,.of Springfield, including the .' '" - . Development Code, regulating the construction and use of ,buildings, and may be-s}Jsf?erid~d ?r revoked al any time . 'upon violation of any provisions of said ordinances, Plan Check Fee:.____ Date Paid: Receipt Number Receiveel By: Plans Revieweej By Date Systems Development Charge is due on all undeveloped properties within Ihe City limits which are being improved, ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furl her certify that any and all work performed shall be done in accordance with the Ordinances of Ihe City of Springfield, and the Laws of Ihe Slale of Oregon pertaining to Ihe work described herein, 'and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I furlher ~ertify thai only contractors and employees who are in compliance with ORS '701,055 will be used on this project. I furlher agree 10 ensure that all required inspections are requested at the proper time, that each address is readable from the-street, Ihat the permit card is located at the front of the property, and the approved sel of plans will remain on the sile at all limes' uring construction.. Signalure r d. ~ Dale t(--'27~~. VALIDATION: RECEIPT NUMBER -ti-~ "2- '-1<27-92 DATE PAID AMOUNT RECEIVED ~/7. ~ ~ECEIVED BY ~_-j;r~P~-~ '/' /v "~ !/ "" ." , . ; 1'- ~ JOB NO. 9:<~/,;Sh d,_ CITY'OF ~. ,INGFIELO SYSTEMS OEVELOPM j CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NN1E OR CONPANY: . /? L /F.r=::- ~~L..~~ - / LOCA T I ON: ({;, ~,~L'> ;13 ( .?:s ~ ~B~~ <-:- DEVELOPMENT TYPE: ?f~P f13~~ (r~ ,7Jc=.//z::>e:-~~ BUILDING SIZE: LOT SIZE SQ. Ft. . 1. STORM DRAINAGE .\ IMPERVIOUS SQ. FT. X SO.186 PER SQ. FT. \s (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY \ Is ':? ~~ 9~ ............., NO. OF PFU'S q X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. 'TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X' X $388.61 X $388.61 Is I $ x X $388.61 , $ (See Attachment C To Determine Trip Rates) I SUBTOTAL '(ADO ITEMS 1,2, & 3) $ 4. ADMINISTRATIVE FEES 'BASE. CHARGE (SUBTOTAl ABOVE) X ..05 lu~ "3 ctJ TOTAL~CITY SOCS . S. SANITARY SEWER-MWMC NO. OF PFU'S '9 x 513.25 PER PFU .+ S!OMWHC ADMIN. FEE S 1/9. <5"' (Usi PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S TOTAL~MWMC SDC Is TOTAL SDC S q~3.S/ . ~~?~/~', ,/ 4A ~Kip BeJrdltV- -r SOC Coordinator FIXTURE UNIT CALCULATION TABLE: Number of New Fi,,"(ures.x Unit Equivalent", Filo.1ure Units (I\JOTI;: For remodels. calculate only the NET ji,ion21 lilo.1ures) -;, .FIXTURE TYPE Batht ub__.__.__.__ __ .__" ..__.. ....... _... __... ----.- -- .u._.. u' u..,....... Drinking Fountain------:--.. __ ... ..___...... .-.- .u_... - u"" ...- -- -. A oor 0 rain_. --.......:........:.....--.............. --. -- -- -.-. -...- -..... Il"\terceptors For Grease/Oil/Solids/Etc..----.....--..-- Interceptors For Sand/Auto Wash/Be------.--.:------. laund ry Tub / Ootheswasher.............----......... -,... ---- Ootheswasher - 3 Or More:.::.__.......___.:__.....___...;,.-- Mobile Home Park Trap (1 Per Trailer}................__ Receptor For RefrigeratorjWater Station/Etc__...... Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Singl e StalL.......:................ ......---.---..:.--.. S howe r, Gang... ..--......-.. ... ..,. ...--....-. ......--.---....... Sink. Bar, COmmerciaL....-....--.-.---.-.---.-- Urinal; Stall fWaIL.....-....~...~..........--.....---........... Wash BasinjlaVatory, Single...____..._.___..___..____ Water Ooset, Public Installatiol1....--.-...-..-.--....... Water Gto~et. Private_._..._....___..____._..__. Miscellaneous:. . NUMBEJi OF NEW FIXTURES ....... r-.' . ~ " UNIT ,FIXTURE EOUIVALENT UNITS 2 1 2 3 6 2 o' 6 6 1 3 2 l/Head 2 2 1 - 6 4 ;z 2. / t;I . . " ~ ..... -. /. I I I TOTAl FIXTURE UNITS q Based on"'~<>~.ed value. If.improvements occurred after annexation date in ,table. CREDIT CALCULATION TABLE.: calculate credits Separates. I ' Rate per $1.000 Assessed Value S2.66 2.64- 2.53 2.41 .2.19 2.04 Year Annexed \... .. ,":.' 1979 or before 1980 1981 ,1982 1983 1984' Year Annexed 1985 1986 1987 1988 1989 1990 Rate per Sl.000 , Assessed Value II Sl.69 1.35 1.15 0.92 0.59 0.23 Credit for Parcel or land Only Ii Applicable l!.TIprovement (rt after annexation date) . x S (Rate X A<:<:t:><:<:ed Value) X S (Rate X Assessed Value) CREDIT TOTAL = S RUNOFF COEFFICIENTS FOR STORM DRAINAGE "\.\ ..-. Resid entiaL.. ..........___...._................. ..........---.... 0.4 COmmer cicl n............. ....... ...__....u........... .~........ 0,9. Industrial.__._.---....................--............................ 0_4'5" . .. G overnment2.L--:.... ..., ____....n. _.. ......--.... ............ 0.5 . . ...~ " ....... . . IMPERVIOUS AREA == TOTAL LOT SIZE XRUNOFF COEFFICIENT