The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-9-1 / RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 . SPRINGFIELD ..,..- -.-- . JOB NUMBER '72./r(~ 225 Fifth Street Springfield, Ore{Jon 97477 , Y'u t= TAX LOT' d 2 <"h) ,.. SUBDIVISION: PHONF' STATE: OfGli... ZIP: 17477 LOCATION OF PROPOSED WORK: 2.. ~ ASSESSORS MAP: /'7/J'" 2 7 LOT' BLOCr<' OWNER: __$I1;i..:L1( c. We ';.s.€ ~ ADDnESS ~23".~J _~L",~.'L....v_v_1i. CITY- 'S,f'R.I..J(, ~t.~ DESCRIBE WORI<: .~;.. / /'!LtZ7I ADDITION V ~,~ /77rJA J I;EW REMODEL DEMOLISH OTHER ,',.' 'j' CONST, CONTRACTOR'S NAME ADDRESS . CONTRACTOR # . ' /.., I-Yl-.l..(. ....,{,,, C EN ERA L: ~r~c...J ~...::SSQ.~,,=_(.!,-&'r:___J{.~G.~.6..._~_._-=r '2.....l I'LUMBING: $u.."~,( ~(.v""EI""l_ ~<...__ '-f^71J 11.-- .0-- MECHANICAl' ICLECTRICAL. )3-,. ^-:'~~, If. !".L<;,Jf:tZ,..L<'-._ h.lJ c.. -, ?, 7i-, 'L--- OUAD AREA _\~}\)LO . OF BLDGS: I '~CCY GROUP:_\-\ -')__ # OF'sTORIES: _ \ WATER HEArER: - OFFICE USE - LAND USE \ \\ \ h OF UNITS: ^ } CONSTR, TYPE. V IV HEAT SOURCE: RANGF' EXPIRES S-'7 -'1<.- 1-'1- 91 PHONE t.j S~--~d 9.( YW-7'/'-(Q , " l...-&- 7'\ "8, -/~h"'_ FLOOD PLAIN' ZONING CODE:.ill ~ . OF BDRMS' :: SECONDARY HEAT: SQUARE FOOTAGE: d:3! :.' To request an inspection, you must call 726.~769. This Is a 24 hour recording. All InspectIons requested before 7:00 a,m. wIll be maclc the safne working day, in:ipoctlons requcslcej after 7:00 a.m. will be made the followIng work clay. 1=1 Temporary Electric D Site Inspection - To be mndc after excavalion, tlut priOI to setting forllls. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond bcafll~, U'otJtin{J. i'c7( Foundation - After forms are ~ erected txlI prior to concrete placement. 'K:7f Underground Plumbing - Prior ~ to filling trencll. o Underlloor Plumbing/Mechanical - Prior to insulation or deckino. o Post and Beam - Prior to floor Insulation or clccl<ing. 'tV1 Floor Insulation - I:lrior to /~ decl<inu. 1Vf Snnitary Sewer - Prior to filling ~trenCI). o Storm Sewer - Prior tu filling tn:nch. I-I Waler Unc_- Prior 10 flHinO --.J trench. . ~ Rou'gh Plulllbinfl - Prior to ~ cover. REQUIRED INSPECTIONS ~ ROUflh Mechanical - Prl~)f to ~;ovc~ . , P1 Rough Electrical - Prior to ~cover. Cl Electrical Service - Must be approved to obtain permanent electrical power. CI Fireplace - Prior to facln~1 materials ancJ framing Insp. ~ Framin{] - Prior to cover. 1VfWall/Ceiling Insulation~"":" Prior to ~covcr. ~ ~ Drywilll - Prior to taping. . CJ Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. \ o Curbcut & Approach - After fOlms are erected but prior to plncement of concrete. [:] Sidewalk & Driveway - After l~xGavnlion l~; complete, forll1:, and suIJ-IJ3$e nw.terial In plclce. D Fence - WIlen completed. D Street Trees - Wh_e_n all rpqulred trees arc planted. "fV71 Final Plumbing - When all ~plumblng worl< Is complete.. K:7'i Final Electrical - When all ~ electrical worl< is complete. 'rY1 Final Mechanical - When all ~ mechanical worl< IG complete. 'f;(7f Final Building - When all ~required inspections have been approved and buildinU is cornpletc(l. DOther MOBILE HOME INSPECTIONS ': o Blocking and Set.Up - When all plocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and plumbing inspections Il<lVe been approvc(l and the home is connected to !t)C service panel. o Final - Arter all required inspections are approved and porches, sl<irting, decJ<s, amI" venting have been installed. Lot faces Lot TYP. Interior Lot sq. fig. Lot coverage Corner Topography Panhandle Total height Cul.de-sac BUILDING PERMIT ITEM so. FT. X $/ SO. FT. ~L Main Garage Carport Total Value Building Permil Fee State Surcharge . Tolal fee (A) ~~ i PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Slorm Sewer FT. Mobile Home \ , Plumbing Permit State Surcharge Total Charge (C) .3 MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertl,FirepJace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total-Permit (D) I MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut It Demolitlon Slate Surcharge Total'Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) " Setbacks 1...Eb-I.!:!..SE GA~ ACC N --- -~ -.--- .THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? I f yes, this application must be signed <.lnd approved by tile Historical Coordinator prior to pCl'mit issuance. ~----- .w . . .~ =1_= VALUE FEE .~~ /.50 __3/.5"0 -/~.'O IDCJ$. .1~ '2,c;.7~ 42~ Af'PROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thi~; pCflllit is oranted on the express condition tl1atlhe said construction shall, in al.l respects, conform.to lhe Ordinance adopted by tlle City of Sprin~lficld, including the Developrnent Codc, regulalinu tile construction <lnd u:--.c of uulltlin{js, ami may bo suspendcd or Icvoked al any time upon violation of any provisions of said ordinanccs. Plan Cllccl< Fcc: _t:?O, /3 Date Paid .. ~. ~.:L'~o/9?.... Receipt Nurnber:__S_'Z-77 Recclved ./? ~ _ !,~/;:}#>J\.fL- ~~..., ~z., Plan ~ed;;"-';~BY -~:ter-L Systems DQvelopl1lcnl <?Ilarge is due on all undeveloped properties within the City limits whicll are being improved. ADDITIONAL COMMENTS JMh-\------- Oy signaturc,I state and aglee, tllat I tlave carefully ex,?mined the compleled application and do hereby certify that all information hereon is true and correct, and I further certify', that any and all worl< pCI forme(1 shall be done in accordance . with the Ordinances of the City of Springfield, and the Laws of the Stilte of Orenon pcrt;linin~l to Ille work described herein, and thut' NO OCCUPANCY witl 'be lllade of any structure without permiSSion of the Building Safety Division. I fUrltlCf certify lIlal only contractors and omployees who' are In compliance with ORS 701.055 will be used on this project. I furtllor agree io cnsure thai all required inspections arc' requested at tho proper time, that each address is readable fro~ the street, lhat tile permit card is located at the front of the property, and lllC t:lpproved set of plans will remain on the site at all limes during construction. Xgnature ~,<--.J. L J / g "'l- I '7'-- .Oatp ) VALIDATION: RECEIPT NUMBER ~CJ~ 7'_/ -:/' L ~7~~G.35 ~ A::-, _ /? I""!.Z!, '" _~?O . 63 --c--'-f~ E--'Z!3 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . (B) 1-~I'U DATE. PAin AMOUNT f1ECEIVED RECEIVED BY '~, ' .'^ I . f '. ----"eOB NO. 921\(,,0 '1: CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAME OR COMPANY: 71E:-vE. L.HE E'7E: /VI .6.01-\ LOCATION: 1- ~'-\ I c..l-E:II..~" u e:.. n o~-z. Ill.. - 42..-00 DEVELOPMENT TYPE: I_D"'- - AP.DIIION 'NGu.JPE.,? O.H.'~ . BUILDING SIZE: '2~.?f.-\o.? LOT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT .?.<-l-Cc . X $0.192 PER SQ. FT. SQ. Ft. c; Y-\~~ . :-- -<" 2. SANITARY SEWER-CITY NO. OF PFU'S 7 X $39.78 PER PFU (See Reverse) (;.I~-~~) --------------- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $401.05 c; ) -- --- X X $401.05 $ X X $401. 05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ ~"Z.'? ,""I 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 Gl("'Zl'>) --- ~ TOTAL - C!TY SDC $ ~y. \ <>Q. 5. SANITARY SEWER-MWMC NO. OF PFU'S -- x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) .~ ~Lvlc- (j Ki P Burdi ck SDC Coordinator ~ /1..'! /42..- I $ TOTAL-MWMC SDC~ ~ ~ "- -- TOTAL SDC $ ~+I q.l MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULAT!N TABLE: Number of New Fixtures X ~ Equivalent ~ Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS Bathtub..................... ................................................ Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry 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, Commercia1..........:.... Urinal, StalljWall........................ Wash Basin/Lavatory, Single.... Water Closet, Public Installation.. Water Closet, Private.......... Miscellaneous: \ 2 '2. 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 / 1 6 4 '* .......r.......................... ....j..................... TOTAL FIXTURE UNITS -, CREDIT CALCULATION TABLE: Based on assessed value. calculate credits separates. r---- If improvements occurred alter annexation date in table, 1979 or before 1980 1981 1982 II 1983 L- 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.U5 0.87 0.50 0.16 - - I 1 \ Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Improvement (if after ann ,xation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land )nly If Applicable RUN )FF COEFFICIENTS FOR STORM DRAINAGE R esid ential........................................................ 0.4 Corr\mercial...................................................... 0.9 IndJstrial......................... .................................. 0.45 I . Governmental.... ............................................... 0.5 I IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT