HomeMy WebLinkAboutPermit Building 1992-11-17
OWNER: \~\ ~- '--~\.(\ ^~ ~ /
:~~RE~Q~9-~ ~:~~
DESC(/jORK: ~ \=,. ~ JLbrt lli~
NE~ REMODEL ADDITION DEMOLISH
C6NTRA~ ADDRESS
GENERAL: \\'\L..-.' -
PLUMBING:~1 ,
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
TAX LOT: aR)d
SUBDIVIS~~~N\y1\Q~
, PHONE: LPB- \5~f)
Gill IfJ\.--
STATE:
OTHER
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JOB NUMBER ct~ \ l(\)~"
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225 Fifth Street
Springfield. Oregon 97477
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MECHANIC L:
ELECTRICAL:~~~JL;r~ VD hi \\~!f\\fj
QUAD AREA: 4- R:SE.
/I OF BLDGS:' 1..'---:-:2\...'--.L tl.1\
OCCY GROUP: ~C)\ 'v
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/I OF STORIES:
WATER HEATER:
- OFFICE USE -
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CONSTR. TYPE: V IV
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LAND USE:
II OF UNITS:
HEAT SOURCE:
U
RANGE:
P~~E
lo '60 -lR3?
, tO~~--~&S
fn<66-\<6. ~1
4-9J'5-PJJs-
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FLOOD PLAIN'
ZONING CODE:
\ ()(U
3
~p
/I OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: J ~
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
P Tempo,"'y Elec'''c
o
Site Inspection - To be made
after excavation. but prior to
setting forms.
o
Underslab Plumbing I Electrieall
Mechanical - Prior to cover.
IV( Footing - After trenches are
~excavated.
o Masonry - Steel location, bond
beams. grouting.
1)<1 Foundation - After forms are
~erected but- prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
1'-'1 Rough Mechanical - Prior to
~I cover.
c><r Rough Electrical - Prior to
cover.
~ Electrical Service - Must be
~ approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
I"J1 Wall I C'elllng Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
~ U nderflooQ-' I u m OJn a1.llI/t!f<: 11 an Ic!!l/
~ _ Prior to fnsulclllo'llbraecKlng. g Wood Stove - After I~stallatlon.
"ZQrt,p etA, r',4J ~
C5<1 Post and Beam - Prior to floor
'Insulation or decl<lng.
~ Floor Insulation - Prior to
~ decking. _
J5<J Sanitary Sewer - Prior to filling
.trench. _
IV! Storm Sewer - Prior to filling
~ trench.
1'\71'. Water line - Prior to filling
~ trench.
~ Rough Plumbing - Prior to
, cover.
D Insert - After fireplace approval
and Installation of unit.
~ Curbcut & Approach - After
J25.J forms are erectecl but prior to
placement of concrete.
~ Final Plumbing - When all
~ plumbing worl< Is complete.
~ Final Electrical - When all
~ electrical work Is complete.
KxFinal Mechanical - When all
~ mechanical work is complete.
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I\::;;r'"Flnal Building - When all
~ required Inspections have been
approved and building is
completed.
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o Other
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MOBILE HOME INSPECTIONS
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D Blocking and Set-Up - When all
blocking Is complete.
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o Plumbing Connections - When
home has been connected to
water and sewer.
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D. Eiect~ical.C'6n~ecth;)n- V.ih1en
.. blocklntlU~~~'u p,~'an<;l,plu mbl ng
Inspections" have bee'n approved
,and.the horne' Is: co'nnected to
"" t.he s~rV!~e panel.,'{. ". ::.,
D Fence - When completed. . . . :;', '",I";',\,'i-,i,.'ii /'~:;{,'
. . ,'. ,r:ji.. Fih~I""'~Afte."'h~ll~n~W~fre'd~':~~;"".,','
, ..', ". "L.2j .lnspectJ6'ris;afe\i/t....rbved tn'd'(.>
'@StreetTreeS-Whenall'reQUlred:.t' :'':;:.'.';.''p. .6'rch.;s.,i,~skT'r..'.ah;9'.'.,P.de.c.k's..I\a..'rrd.l!./.'.
-~ "", 1-'-''':':''<- ","""'.1',-- ,
trees are planted. . " '." .vent!ng-havs,'been'lnstalled:" _
~idewalk & Driveway - After
.J...&.l ~xcavatlon Is, complete, forms
and sub-base material In place.
Lot faces
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Lot sg.' ftg.'
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Setbacl~s
HSE GAR ACC
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THE PROPOSED WORK IN THE
IsrORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Lot coverage
TOP9graphy
. '
Panhandle
-.:# Cul-d~-sac .
Total height
\4/
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BUILDING PERIVI.IT.;
::i: (~7~~~b =, I~Pi
~~ tl-In ~AP
Garage
Carport
f)Rq3\) ,
3710,00
/~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 ?~
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
JC::L;?,~
.
Plumbing Permit
State Surcharge
~~
J (P~.b.f)
Total Charge
(C)
MECHANICAL PERMIT
/'/7 .6-<)
7f.~O
~fi7()
;C:;.B ()
3.8-0
Furnace
Exhaust Hood
Vent Fan
NO
2.
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
-34-~O
.J.b'po
;:7)
~.23
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk 73 ft
Curbcut .Q..0 ft
2L;,9 r-
-'-1:-.2. 0
Demolition
State Surcharge
Total Miscellaneous Permits (E)
~~.6
2-5Q3,20
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
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, If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED'
BUILDING VALUE,. PLAN CHECK
AND 'BUILDING PERMIT
This permit is granted on the 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 ' ion,S of said ordinances.
Plan Check Fee: " ~
Date Paid: '~R;..Y:~
Rece;p' N"m~L~\Q\3
Recc;'ed By, ~ )
~ ~ J/'D~~a~t~/Y2-
PlanS-Reviewed By '- /:~ 'l '
Systems Development C~large is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
011 JI Jr\Sln/~
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C cl4-_ (/ / 3) ::53C)
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By signature, I state and agree, that I have carefully exam,ined
the completed applicalion 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 thaI NO OCCUPANCY will be made of any
structure withoul permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance Witll 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.
IX~gnature ~JO 13~
Date
VALIDATION: l n (q ~
RECEIPT NUr~~ER '1-- '.Q ,L . J
DATE PAID \. \ 1.C1:-L.
AMOUNT RE~EIV~ . 2/74; (P . t::> 3
RECEIVED B~ llJrA _ J
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." ,,,,,,JOB. uq. q 2.. I 5 I 2-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEA\ CHARGE
'IV{ORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: \ONY 'E:>O:s A~S~Y
LOCATION: (P1YY ~L.-U~e,~LL 11D'2.:,yL{t4 - OO~O2...
DEVELOPMENT TYPE: LV~- ~~W ~R
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 2,<qS X $0.192 PER SQ. FT.
LOT SIZE
SQ. Ft.
cC~<>(. ~
2. SANITARY SEWER-CITY
NO. OF PFU'S !B X $39.78 PER PFU
(See Reverse)
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3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
. \ X \. OcS X $401. 05
X
X $401.05
00~;:)
$
X
~ .
X $401.05 $
SUBTOTAL (ADD ITEMS 1,2, & 3) $ \~5~ 14
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~L"~
-- ----
TOTAL-CITY SDC $ \1~B~
::' ~,,;
5. . SANITARY SEWER-MWMC
NO. OF PFU'S \~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ "Z.'::>Slla
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ ?B 25-
TOTAL-MWMC SDC~
............. ..----
TOTAL SDC $ \9SS~
~ ~L~ (() /7--8/'(t.
\) Kip Burdick
SDC Coordinator
"-!'1l
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FIXTURE UNIT CAL\.. ~U, )N TABLE: Number of New F
. For remodels, calculate only the NET additional fixtures)
res)'
d
'it Equivalent = Fixture Units (NOTE:
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
'2.-
2 Y.
1
2
3
6
2 'Z
6
6
1
3
2'
1/Head
2 7-
2
1 -z.
6
4 B
Bathtu b......................................................................
Drinking Fountain.......................... ........ ..................,
Floor Drain............................. ................ ...................
Interceptors For GreasejOiljSolids/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 fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc,.
Shower, Single StalL............................... ................
S hower, Gang...... ..... ....................... .................. ......
Sink, Bar, CommerciaL..........................,................
Urinal, Stall fWaIL......... ..... .......,...............................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private...................... ........, ................
Miscellaneous:
'Z-
-z,
TOTAL FIXTURE UNITS
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CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
197$ or before
1980,_...
1981
1982
1983
1984
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
~1
$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
?~ '2.-j.
Improvement (if after annexation date)
Z .6-:' X $ \ D . S ~
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
= $ ~~'2~
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential...... .......... ...................... .................. 0.4
Commercial................ .............. ........................ 0.9
I nd ustrial.:................ ......................................... 0.45
Governmental... ..... ........................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT