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Home My WebLink AboutPermit Building 1992-9-11 HESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 72G-37S9 LOCATION OF_J)J10POSED WOFll<: J5_Lf-~_ _Cbn-r~\0,.IQ.~ ~;OFl~; r;;r~J 1 D3_~2_3_3_ ~'-'~~,. .....,~ LOT ~ ---_-.F6__ ______ BLOCI<: 3 OWNER:~~+Cv'~JJ~dLo.vJ ,j iAI;~ n.. UCLII ADDRESS: J3.~ Q:. C 1kVl+~~nlc:;;".J_l:).L\fcLfL CITY: 5r(IV\.J~LJr/ STATE: oR JOB NUMBER '7 21/~o 225 Fifth Street Springfield, Oregon 97477 PHONF./4(,,-,7:5:.~K (w) 312 -17ZI ----- ZIP:' 97477 DESCRIBE WORI<: t:t'>J1V;f?y'-f Uf=:,~~+; n1 NEW REMODELX ADDITION 1G..fd9-. +0 ~ I &A loevn./ ,.80...i--kv~.~ ;~vJ'~k~J L,tf,'h~ (€e>rj, DEMOLISH OTHER CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR /I GEN ERAL: _6lw~---------,,----------_.._---,,---- PLUMBING: ___._ " MECHANICAL: ,,__ ..)_\_____________,__..,.._....., CLECTRICAL: __, _, ,_'..!..-- EXPIRES PHONE - _." ___ ___ ._.__.~ _._ __.. ._u______.____" __0______________ ------------ -_._---_.._-~._----~--,--,-------_._--_._-_._---------- OUAD AREA: _& ~.1D,i..U---,- " OF BLDGS: __ul___ ,- OCCY GROUP: -B------ It OF STORIES: \ WATER HEATER: - OFFICE Usr - LAND USE: ___moot l \ \ V-f\) 1/ OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: .2~ '--L.. FLOOD PLAIN: ZONING CODE: ""'"' LX '\ 2..-J /I OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726.3769. Tllis is a 24 hour recording. All inspections requested before 7:00 a.m. wi!i be made the same working clay, in:;pections requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbingl Electricall Mechanical - Prior to cover. ~ Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, groLl ti ng, I)<f Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. "fV'1 UnderfloQf"1l1umbin~echa~ ~ - Prior tb--tIl"U"''';~~-t uec~: D 'f':7I Post and Beam - Prior to floor ~ insulation or decl<ing. l<c71' Floor Insulation - Prior to I6l decking. [J Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench, o Water Line - Prior to filling trench. 1'o./f Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS l'o./'T Rough Mechanical - Prior to ~cover. rV'f Rough Electrical - Prior to ~ cover, D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~rnming - Prior to cover. ~ Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. D Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. D Curbcut & Approach - After forms are erectecJ but prior to placement of concrete. D Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. D Fence - Wilen completed. D Street Trees - When all required trees are planted. ~ Final Plumbing - When all plumbing work is complete. I'J( Final Electrical - When all ~electrical work is complete. "C'A Final Mechanical - When all ~ mechanical worl< is complete. ~ ' 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, and plumbing inspections have been approved and the home is connected to the service panel. o Final - After all required inspections are approved and porches, sl<irting, decl<s, and venting have been installed. . . 1 rr' ~.I..' Lot fac.ef',; . Lot s~."'f~'9. . .' Lot TYPE Interior Lot coverage Corner Topography Total' height Panhandle Cul-de-sac .~ I .' I BUILDING PER'MIT r ,. J ITEM SO. .FT. X $/so. FT. Main Garage Carport Total Value Building Permit Fee State Su rcharge Total Fee (A) Setbacks . I __ ___ ____.J 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. , HSE GAR ACC ;. I ;c; I' P.L. IN Is \W IE VALUE \ /~cPtJJ@ '~,S'O f,OJ ~? S'.5 SYSTEMS DEVELOPMENT CHARGE (SD~ fcI3 . . (B) . i-Zq'l.-~ PLUMBING PERMIT ITEM Fixtures ~ Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Su rcharge Total Charge (C) MECHANICAL PERMIT Furnace ,~t.<J~ Exhaust Hood Vent Fa!) NO I Wobd Stove/!I1S~rt/Firepface Unit Dryer Vent Mechanical Permi t. A/lltU I Issuance . State Su rcharge Total P~rmit '. . (D) MISCELLANEOUS PERMITS Mobile'Home State Issuance State Surcharge Sidewalk . . ft Cu rbcut ft Demolition State Surcharge To'tal Miscellaneous Permits (E) ,,":',. '-'<;' TOTAL AMOUNT DU~ (excluding electrical) (A, B, C, D, and E Combined)' . FEE .3D fHJ 3CJ.~ /laQ __3..1.50. --k~ /~-~ 16~O /O,d-O .7F 2'5 .7S ~1/~ APPROVED: ~H!'~DING VALUE, PLAN CHECK.- ~;ND ~UILDING PERMIT This permil is granted on the express condition thai 'the said const'r'uclion shall, in.all resJpects, conform to the Ordinance adopted by the Ci ty of Springfield, including the Development Code, regulating the construction and use of buildin~ls, and may be suspended or revol~ed alany Ulne upon violation of any provisions of said ordinances. Plan Checl~ Fee: .____~? ,Z ~_____ 0>. 2'( r'1i2 Date Paid: D,/ .-t.t' --t-' . Receipt Number:__(O(j~t') . .....~ Received' B : Q..;v / . Cj/~2- f Date Systems Development Charge. is due on all undeveloped properties within tile City limits which are bein~l improved. ADDITIONAL COMMENTS ,.."'r. .By signature, I state and agree, that I have carefullypamined the completed application a'nd 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 Sprin'gfield, and the Laws of the Stale of Oregon pertaining to the worl< described herein, and that NO OCCUPANCY will -be made of any structure without permission of the Building Safety Division. I furthel' 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 reql,lired inspections. are requested at the proper time, that eacll.address is readable from the street, thai the permit card is located at the fron.! of the properly, and tile approved set of plans will remain on the sile at all tirnes c1urin~J construction. ~gllat~~rI~~2 ~f//. ~ tV u ( Date ;ff--9-, . I/~ ----- VALIDATION: ~ iff ~/~/ ~/T~~/(pl';'. . :;:~~:::~EIVED -~r-- RECEIPT NUMBER DATE PAID JOB NO. 91...\ \ 6Q CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: :JE.Fff2-t=.'< ~ -:S\.JL.\C:. l-.\E.LL LOCATION: '~Lf1.- QE:l--\.,€':N'U.lA:L BL'iD . II D~rz.??~ -I~OC DEVELOPMENT TYPE: LDR...- R1::Mot>E:.L BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ,LOT SIZE SQ. Ft. - . X $0.192 PER SQ. FT. c; ,e--; """-- . ------ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 7 X $39.78 PER PFU C:;1e,~ ~ ---- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $401.05 X $401. 05 .X $401. 05 Ce-~ x $ $ - SUBTOTAL (ADD ITEMS 1,2, & 3) $ ~-r~~~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ' ~\~~ TOTAL-CITY SDC $ 7..Gf2 ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ --- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC~ "-. --- TOTAL SDC $ Z '12 '2;,8 .~. D~Lc.i- r~ /'t-S/42- ~ Kip Burdick f' SDC Coordinator FIXTURE UNIT CALCULAln.JN TABLE: Number of New Fixtures X vllit Equivalent' = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) . FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT . FIXTURE EOUIVALENT UNITS Batht u b....................................................................... o ri n ki ng F ounta i n..................................................... Floor Drain.... ............ ...................... .....:... ............ ..... Interceptors For Grease/OiI/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 ;Water Station/Etc........ . Receptor For Commercial SinkjDishwasher jEte.. Shower, Single S.t,aIL................................................ S hower, Gang. ,........ ......................................... ......... Sink, Bar, CommerciaL............. ..... ....... ................... Urinal, Stall ;Wall.........:............................................. Wash BasinjLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private.......'.............................:.......... Miscellaneous: .1 2 1 . 2, 3 6 2 6 6 1 3 2 '2... 1 jHead 2 2 1 6 4 4- TOTAL FIXTURE UNITS 1 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 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 Improvement (if after annexation date) X $ (Rate X Assessed Value) X .$ (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL................... ............................. ..... 0.4 Commercial. ..................... ........ .................. ...... 0.9 Ind ustriaL... .................... ................................... 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT