HomeMy WebLinkAboutPermit Building 1993-7-22
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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