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HomeMy WebLinkAboutPermit Building 1993-7-22 ~30--rhl SPRINGFIELD ,.. RESIDENTIAL PERMIT APPLICATION JOB NUMBER 225 Filth Street Springfield, Oregon 9747.7 Sf' ~5z.. S - "fz..cr Inspections: 726.3769 Office: 726.3759 /70J.. '3 <I TAX LOT: SUBDIVISION: t7A1T1 ~A,I ..~ _I~~/J . c/ PHONE: _/-.Jbs -S~L2fb 7 ASSESSORS MAP: LOT: _~ BLOCK: I{,C. 4UJ~Q mClAAl ~. .~ OWNER: A-C. d- ADDRESS: ~-'::J. 2.D CITY: ....~~. ~.-tc.~J STATE: ~Q,..,i!.tt. , DESC~IBE WORK,___~..dJ~f.. . /~Jj B,~AIU'., NEW ~EMODEL' ADDITION ~_n ~OLlSH OTHER '. ZIP: L=? Cf'o I CON ST. , CONTRACTOR It PHONE ") ~7.-JJ><I" 9]] <1.517 LV ] <? J''f iii EXPIRES ADDRESS (P] C( 1..L..d. CONTRACTOR'S NAME GENERAL: -1{JJ~iil- PLUMBING:~~ ~~. ,:. " M2CHAI--J ICAL: ,LtY~~:_~~_.__lL.lY_1:. ELECTRICAL: __tJ1fk ..afluJ, ", CCf1,~_QL3 fIJ!i~~fjg Cc.R. ) 7 ;r~a. /1- 93 _'____~eJ3 "0 I Cf ." - 9 rt CCfJJl..~.!t:::.,~ ___C? p o~ - S'~~ c-d.. - OFFICE USE -- { ( \ , QUAD AR'E/,: ~~~ " OF BLDGS: l - OCCY GROUP-.R~'t' )J\ " OF STORIES: (,' J :;---~ (~ . FLOOD PLAIN' - ZONING CODE:.WfC-J . It OF BDRMS: ..... ~ . LAND USE: . 1/ OF qNITS" . , I '_ C~i:;STr-{~,crYPE: l I~) HEAT-SOURCE: 1='c,;.-:. " .'" C~' RANGE: i.';' ,C./ " SECONDARY HEAT: ----I J) SQ~ARE FOOTAG E: ,J.UM 1=- ;'. I J., ,i..:~.' "I ; I \ I d',,'j i~. l'.t \ ,II,: . 1.1 I' ,';. tj, {.t. ;,. I Iii. WATER HEATER: To request an inspection, 'IOU must call "12(;,3769, This j~;a 2A hour recording. Alllnspecti;ns' reqUeS';~d before 7:00 <:l.m. will be made the Si1me working day, inspections reques'ted af'tJ'j- '7:00 a.m. win be made the following work day. REQUIRED INSPECTIONS !5<f'R;ugh'Mechanical - Prior to ~ cove~ . ~mp",,,y EloWI, r\/1' Site 1I1spection - To be made ~ after r:xcavation, but prior to . setting lorms, cp,p ,I- I~ Final Plumbing - When all ~ plumbing work is complete. ~ Rough Electrical - Prior to cove~ I'CA"Final Electrical - When all ~electrical work is complete. . ~ Final Mechanical - Wilen all ~mechanical work Is complete. o Undelslab Plumbing/ Electricall Mechanical - Prior to cover. IVf Electrical Service - Must be JL-~ap'proved to obtain permanent electrical power. 1Q1' Final Building - When all ~ .equired inspections have been approved and building is' completed. ~ Footing - After trenches are ~ excavated. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beam:;, grouting. ~ Framing - Prior to cover. o Other l'J'!' Foundation - After forms are ~ erecte:u I)ut prior to concrete placement. r;>4' Wall/Ceiling Insulation - Prior to cover. ~ Drywall - Prior to t~Ping. D Underground Plumbing - Prior to lilling trench. MOBILE HOME INSPECTIONS 1VT Undellloo(plumbin~echanic'!V ~ _ Prior to insulation or decklllg, D Wood Stove -'- After installation. D Blocking and Set.lIp - When all blocking is complete. .~ Post and Beam - Prior to floor ~ insulation or clecl<ing. o Insert ,-- After fireplace approval and installation of unit. [~ Plumbing Connections - When home has. been connected to water and sewer. 1"VI Floor Insulation - Prior to ~ decking.' , 1"v1 Curbcut & Approach - After ~form3 are erected but prior to rlacoment of c.oncrete. d Sanitary Sewer - Prior to lilling ~trencll. o Electrical Connection - When blocl<ing, set'Llp, and plumbing inspections have been approved and the home is connected to ttle service panel. ~ Sidew<l!k &. Driveway....... Aller ~excavatioll is c0mpiet.@;'forrns and sub.base material in place. ~Slorm Sewer - Prior to filling ~ trencll. L.I Fence - When corn'ple:'.ld. l\.A Water Line - Prior to Oiling ~ trencll. CJ Final - After all required - inspections are approved and porches, s!:irting, decks, and venting Ilave been installed. ~ ~/f-:Zl ~treet Trees - When all required ( L ;..trees are planted., " rv( Rough Plumbing - Prior to JL.::'l- co vel'. f. '." Setbacks HSE GAR Accl I '- -.' 4:41Y#~~ BUILDIN<;i VALUE"PLA.N t~H~CKI"" X $/SQ. FT. =~'.tLUE --- AND BUILDING PERMIT' (\i ,) ."\ ~:J.t) '.,. ',~'" This perm,il is gran ted,,?n_ th,e,~:xpr.e',~~\COndit.i,~Q t,~at th,' e said I-I '\ 1\. l' f. construction shall, In all respects,confor~ to the Ordl.nance I V vi ;,:Q . - adopted by the City I.~f, $PJ.LngllEl.!sL ~nClul~[iV19 the ,;-., l.....,,4!' -, Dev~lopment Code, regulating the construction and use 01 ~.. ~.".~ buildings, and may be suspended or revoked at any time ....)1' . ;~IL; " >2'-l. upon v;~)latio~.of an~~~.s of said ordinances, 7~~~~. Plan Check Fee' ,:6 "-.) ~~q Date Patd ( (J A. :3 '9 ,~~~/,~(). J "',~ .." (!).!;' Received y: -', ,te, ,--1&---- '~~. '."~,,...~-l\.'Y:3.;,f'?h.:l . (A) :5-cZ-1~,~./, .~~7~ ,~. j,.~ ~~~_~ ..... . /0 v \', . SYSTEMS DEVELC).p'r.5ENT CHARGE":(SD'C) ~:'., Systems Development Charge is due on al.Ltundeveloped " .',t', (B)' 1J,1~!itf?J; propertieswithintheCitylimitswhicharebeingimproved. Lot laces c..., Lot Type Lot sq. Itg. 6014 ~ Interior Lot coverage ~ Corner Topography c:5~ Panhandle \C\/ Total height Cul-de-sac ~\~J .- I P.L. IN Is Iw I' E 1/ jJ \ B U II~ g,IN~_ P E ~ Ml"f, I~En~SQ. FT. Main ~,...,. f'~5 \)1"'[<.,(,., Garage ~_J Carport Total Value "B'~il~ing Permit F~- ~_.. ,C> State Surcharge .> - \\ Total Fee ~ PLUMBING PI;RMIT ITEM FEE Fixtures Residential Ba'th(s) NO ~.._-. / ~ I'J (J..() . Sanitary S()wer FT. Water FT. Storm Sewer FT. Mobile Horne V' ?" .,! ;'>,1' Plumbing Permit State Surcharge f!:,,~ ~~~oo Total Charge (C) MECHANICAL PERMIT ~ ,tnJ 4, S-O ~, t9-0_ /s Co " 3.11"--0 Furnace Exhaust Hood Vent Fan NO 2 Wood Stove/lnserttePlac:..0Yit Dryer Vent Mechanical Permit ~.:i , 51:) - , /;f)..E)O /..7} dfr;. 2 5 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk k'2- It Curbcut .'2.JJ:- ft Demolition : 13.3eJ _-1420 Stat!;) Surcharge . . ~M~/~~~~ Z~~~ 3~.50 TOTAL AMOUNT DUE (excluding electrical) ~'5~; ::t*7~./~ Total Miscellaneous Permits (E) CA. B. C. D. and E Combined) .. 2.6.,. " -.- _'-,___1 1/ I I IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed ^' and. approved by the Historical Coordinator prior to permit issuance, " ,- .., ' APPROVED: ADDITIONAL COMMENTS _~lX lC\()l riD_ , ~+- -r ,~,~3U J \~~_ [yrrQ_)', \(~Lcf9 : lr :~ ! l' " n't,LI: ,.i j~l- 'PA711- ~1. By signature, I state and agree, thall have carefully examined the completed application and do hereby certily that all information hereon is trueand correct, and I lurther certify that any and all work performed shall be done in accordance with the Ordinances 01 theCity of Springfield, and the Laws of the: State of Oregon pertai ni ng to the work descri bed herein, and that NO OCCUPANCY will be made 01 1ny structure without permission 01 the Building Salety Division. I further certily that only'contractors and employees who are in compliance with ORS 701.055 will be used on this project. '[["AlL r/ / Date VALIDATION: RECEIPT NUMBER DATE PAID 1&,Oj ?/2YI'J. ",,' ~.~$.~ AMOUNT RECEIVED RECEIVED BY ,I'i,: . ,JOB NO. Q?;o7 8 { CITY OF SPRINGFIELD SYSTEMS' DEVELOPMENT CH'ARGE r.iA. ,WORKSHEET:, .' (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ;:;. c. 4 R. C. HOLLI1J'.{D LOCATION: ~ 7'22. 13l-UE38E:.L-I- Cr. DEVELOPMENT TYPE: l.-[}J< - NIEW SFi<:.. -,BU-ILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. .LOT SIZE .. SQ. Ft. 2'f1t.f X $0.192 PER SQ. FT. ~7~sl:) """--- -- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) /<6 X $39.78 PER PFU (;; 1(0 oj) """--- -- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X 1.005 X $401.05 . X X $401 ~.05 1-," , X X $401. 05 C:t.fD3~ """'- -- $ $ SUBTOTAL (ADD ITEMS 1,2, _ &}) $ } 5" 7 ~ , ~ ) .i~ I ~~ . 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c;- 7'1~) . ........ -- . TOTAL-CITY SDC $Jf.?77~ 5. SANITARY SEWER-MWMC' o Iv NO. OF PFU'S 10' x,$13.62 PER PFU + $10 MWMC ADMIN. FEE $"255- (Use PFU Total From Item 2 Above) ~~L~ . 0 Kip Burdick SOC Coordinator ro I" / q "3 I I $ ??8?3 TOTAL-MWMC SDC~ --- -- TOTAL SDC $ I 'B 'fc..j13:.. MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULAT .~ TABLE: Number of New Fixtures x' For remodels, calculate only the NET additional fixtures) Equivalent = Fixture Units (NOIE: '. -: FIXTURE. TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS I 2 t.{- 1 2 3 6 2 '];. 6 6 1 3 2 1 jHead 2 ~ 2 1 'Z. 6 4 Cjs Sa thtu b................................................................,..... Drinking Fountain..... ....................................:........,., Floor Drain........... ..................... ................................. Interceptors For GreasejOiljSolidsjEtc................. Interceptors For SandjAuto WashjEtc.................. La undry Tub jClotheswasher.................... .... ........... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator ;Water StationjEtc........ Receptor For CommerciaISink/DishwasherjEtc.. Shower; Single StalL............................:................. . S hower, Gang............................. ................... .......... Sink, Bar, CommerciaL...... ... .................................. U ri nal, Stall ;Wall.... ..... ....;......................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private......... ....... ........ ....................... Miscellaneous: 1..... -z.. '2- TOTAL FIXTURE UNITS IS CREDIT CALCULATION TABLE: Based on.assessed value. If improvements occurred after annexation date in table, calculate credits separates. ~~:[.. Year . Annexed 1979 or before 1980 - .1981 1982 1983 1984 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $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 ".-- -- ~-- ...-" -., -:z .~3 X $ /3.53 3$ 2-.1 (Rate X Assessed Value) X $ (Rate X Assessed Value) = $ "2..Q 2-! CREDIT TOTAL .,/ 0 ~ Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.......... ............................................ 0.4 Commercial.,.............. ...................................... 0.9 I nd ustrial.................... ........................................ 0.45 Govern mental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT