The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-11-17 (2) LOCATION OF PROPOSED~~K:;jSP~ ASSESSORS MAP: I f)C.) \. -1141- ' . '" - , ~ BLOCK: OWNER: \~\ ~~ \...~\.C\ ^~ ~ / ADDRE~ q~ U' ~ A4"\-1~ CITY: :(~=l~tQ.---- DESC~I~ORK:~Y;' ~JLb~W~ NEW X-/ REMODEL ADDITION DEMOLISH / C6NTAA~ GENERAL:\I~ ' PLUMBING:~ ). , '-... " RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: MECHANIC L: ELECTRICAL: QUAD AREA: 4- R:SE. II OF BLDGS: t OCCY GROUP: R7>+ M l It OF STORIES: ~ WATER HEATER: STATE: OTHER 1", JOB NUMBER qA\~)~ I' I: t, I~ . 225 Fifth Street Springfield, Oregon 97477 ;. ( r' ... , ~~ " " , ~'l i' 1. ZIP: Lr1~L~ i. . I, I" I. i CON ST. C~~5.ACTOR It n J "It:fl ~- '. ~~ VD h,{ I\~~t/ . ~~ - I~ Rough Mechanical - Prior to ~I cover. ~ Rough Electrical - Prior to ~ cover. f'Jif Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. I"C/I Wall/C'elllng Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. 'f':7l Underllooalumolll~l1anic!!l/ ~ ~ _ Prior tol'li'suldllon ~aecKlng, ~ Wood Stove - After l~stallat'lon. "ZQtt~ etA. r'~~ ADDRESS - OFFICE USE - \ \ \ \ ~,^j CONSTR. TYPE: V IV f' f-" LAND USE: It OF UNITS' HEAT SOURCE: G RANG E: o Insert - After fireplace approval and Installation of unit. ..r71" Curbcut & Approach - After j2S.J forms are erectecl but prior to placement of concrete. ~ideWalk'& Dr;veway - After j2SJ.~xcavatlon Iscomplete, forms and sub-base material In plaGe. , I' i' FLOOD PLAIN: ZONING CODE: \ DR-J ~ SECONDARY HEAT: ~? SQUARE FOOTAGE: J 8r::RJ II OF BDRMS' 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 . .,' ".; 1.-::. .....;' ,: , o ,Electrical Connection - Wh'en " ',' 'blocklni;l;"SE;lHJp,':an~ ,plumbIng . .Insl?ectlons' have been approved . :',and,'thehorne')s: connected to t.he ~enilcepanel.' >. . ' o Fence - When completed. ' , " "" ,',', );",' '.'.: \' , ", .51' Fln~I,":';'~f~~r:.a.!J.~r~(iu(re'di;;;{;. ' @ , ' , :. ,..._' . '" I,nsp'ect!,~~~ 'i3-~~:;~pR.r.o'(~d,'ar:'d" . ' -2.. Street Trees - When all requIred:,. '. pO~ChE!~fovskfrtlng;.'decKs';land! " trees are planted. . .ventlng'have! been:lnstalled. ~ Final Plumbing - When all ~ plumbing worl< Is complete. k7"i'" Final Electrical -When all ~ electrical work Is complete. I ~ 0,' P Temp","" Elec'''c o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbingl Electri<:all Mechanical - Prior to cover. fV( Footing - After trenches are ~excavated. o Masonry - Steel location, bond beams, grouting. rs;?1' Foundation - After forms are ~erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. C81.Post and Beam - Prior to floor Insulation or decl<lng. ~ Floor Insulation - Prior to ~ decking. . J><J Sanitary Sewer - Prior to filling .trench. IV1 Storm Sewer - Prior to filling ~ trench. . I'V'1' Water Line - Prior to filling ~ trench. r'\7l' Rough Plumbing - Prior to ~over, K7Flnal Mechanical - When all ~ mechanical worl< Is complete. ;, i' I I\::;r'"Flnal Building - When all ~ required Inspections have been approved an9 building is completed. r" ~~l ;. l~ t'. f,: t;' f:, o Other .. V, \, !; MOBILE HOME INSPECTIONS t' < o Blocking and Set.Up - When all blocking Is complete. !- ~ o Plumbing Connections - When home has been connected to water and sewer. L f' ~~\ ~.' I.! I:.~ ~.' '~. { f5 -fi ',' f.~ t~ ~ ~t '< i;~ Lot faces ~- L\ /pe;, Setbacks '. ., I Lot sq. ftg.' . I nt'erl.or, . } , P.L. HSE GAR ACC ,,; '. 'N Lot coverage COrner Is T() p()graphy Panhandle ;. \4/ 4 Cul'd~.sac Total height W THE PROPOSED WORK IN THE ISrORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. E ~ ' ". ' ,B4ILQI~~' PERM.IJ (~7~ ~~b=. Iff-Pi ~~ Jj',jn 1*A.p ITEM Main Garage Carport ')R qS'D. 37r0,dO / &_S"tD 3~o SYSTEMS DEVELOPMENT CHARGE (SDC) $ . . (B) ~ \q ':>S~ Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Z Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Horne JI'd7.~ . Plumbing Permit State Surcharge ~~ 14?~(J.f) Total Cllarge (C) MECHANICAL PERMIT _~.6-<) 4.~O . J~f?[) /c;.a t> ~.6-0 Furnace Exhaust Hood Vent Fan NO 2- Wood Stovellnsert/Fireplace Unit Dryer Vent Mechanical Permit -34-5"0 ~pO / ,'7) ~~23 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ? 3 ft Curbcut a..0 ft e;S'" ' 20, ~.2. 0 Demolition State Surcharge Total Miscellaneous Permits (E) ~~.6" 25Q3."2..(b TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) APPROVED' .. . ._, , " BUILDING VALUE,' PLAN CHECK AND BUILDING PERMIT This permit is granted on tile 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 a~y pro' ions. of said ordinances. Plan Check Fee: . ~ Date Paid: 1) .~R;..L-f:~ Receipt Num~r' \QUD Received By: _ - } ~-:-'. ~~ J/'/0D~a~t~/j-2- PlanS-Reviewed By '- '- 'l ' Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS OA/AbSll1~~ L~ (/ /S)-53() \~to)." l!:1!1l9 By signature, I state and agree, that I have carelully exam.ined the completed application and do hereby certily that all Information hereon is true and correct, and I lurther certily that any and all work perlormed shall be done in accordance with the Ordinances 01 the City of Sprlnglield, 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 01 the Building Salety 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 on the site at all times during construction. Vignature ,1~ A~ ~- v'- v ""--J Date VALIDATION: l n q ~ RECEIPT NUi"~ER 1- . Q 1- . J DATE PAID \. \ (.G1 ~ AMOUNT RECf.!:IVfJt W ~ (p , t:) 3 RECEIVED Br;:::;t)ll)(A _ J '.' ~ _ . ,J: . ":":,4,JOB~,JW. q 2. , 51 2- CITY OF SPRINGFIELD SYSTEMS DEVELoPMEftr CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 10 N '{ ~ o:S A ~ S \(::. Y LOCATION: (Pl~4 ~L-\Je:;.e,~L-L 1,O'2-:'Y4Y: - ooe,O?.. DEVELOPMENT TYPE: LVt2-- WE:W 'SFR .~ BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. 21<qS X $0.192 PER SQ. FT. G?~~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 1<6 X $39.78 PER PFU <GI~O~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP - \ X \.005 X $401.05 X X X $401.05 0D~V $ X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ \lP?S 1i NO. OF PFU'S \E> x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 'Z.~S'Cc (Use PFU Total From Item 2 Above) V'Y-)~L~ \\ Kip Burdick SDC Coordinator (() /7--8 I crt. I , $ ~B z:i TOTAL-MWMC SDC~(O~ TOTAL SDC $ \ 9 s S ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) >, .' FIXTURE UNIT CALl "U IN TABLE: Number'ofNew F , For remodels, calculate only the NET additional fixtures) ~es ~' 'it Equivalent = Fixture Units (NOTE: ~~ FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS ~ 2 Y. 1 2 3 6 2 'Z 6 6 1 3 2 1/Head 2 "2- 2 1 -Z 6 4 B Bathtu b...................................................................... Drinking Fountain. ........... .............. ...................,....... Floor Drain. ..... ................................. ......................... 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 jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL.........,...........,............ ....... ......, Shower, Gang.. ........................................................ Sink, Bar, Commercia!............................................. Urinal, Stall jWaIL........ .... ........................................ Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: '1- "2... TOTAL FIXTURE UNITS I~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. 197~ or before 1980 '0,_, 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 \ II , Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value z. 6~ X $ ID ,S~ ~€:, 'Z-3- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ ~f:>'2.!. Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) 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