HomeMy WebLinkAboutPermit Building 1994-4-15
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LOCATION OF PROPOSED WORK: _'7/9 ;)_._ ,P~/5t?:. o/~z-~ -
.-, ~~~.6l:S
ASSESS~.RS(~AP:. .<-:-~ 2'";~~-~ ./ TAX LOT: -r;4: :;1" ...
LOT: ~~"C s 'I,). "?,d BLOCK: SUBDIVISION: '--yy\.e Zz. 01,,'tldItii1r. 1
OWNER:~~- LQ-~~-P""~~~1r~_
ADDRESS: "291" ~ cr J'b~ lj~e (t.& ~'11 t::_ . . __.__
) a~'\ nv.,1 i~'1 STATE: _11 ktvll~t;I -J;:,"\,. . ZIP: -9 ~ ~ if ~
u'-~ . " ()
DESCRIBE WORK: Q d!d~ d,-~tCa......t~ .1L':',-W D -~""'-:V~::1 ~lb )'L(
NEW --4"- REMODEL ADDITION _ DEMOLISH QTHER
~7
/ RESIDENTIAL
PERMIT APPLICATION
.
v Inspecllons: 726-3769
Olllce: 726-3759
CITY:
.
5t-"HINUr-II::.LU
.OB NUMBER
~ P 'f5S
_97e>-/~_~
225 Fifth Street
Springfield, Oregon 97477
PHONE: )-30', -.:lq 7 - '/0:2?:
CONTRACTOR'S NAME (\ ADDRESS
GENERAL: \.../\'Yl C~..(H..Q.CL~li-f~R (}~,.~JJL
PLUMBING': J'V\CS~tu.,Y\li\. .t;~.=l~'~ E~t.u'
. f J
" .
CONST. .
'CONTRACTOR 1/
<lq'm
cJ tl ~'lb~; -\> B
II ,
EXPIRIS_ PHONE
~~!: ~ ';)()"-.)9).'1~
$D3 '3'14:-;'>(/0 7
II
MECHANICAL:
ELECTRICAL:Q~, ~q~.Dl,.~;Dl} S<tl.J31
.
.
Sd~ .. "~{,"'dl a!;
,Be_~ - OFFICE USE -
QUAD AREA: LAND USE: lU \ FLOOD PLAIN:
.. \ \ . ~t7 /'
" OF BLDGS: _:._ ' " OF UNITS: \/ ;J ZONING CODE:
OCC~ GROUP: .1\ '?1-t tv\. .
" .. CONSTR. TYPE: " OF BDRMS:
" OF STORIES: \ IHEAT SOURCE: t!P ~ c ./. ttkf;!:-L L SECONDARY HEAT:
c; c; I (P2PJ
WATER HEATER: RANGE: --' SQUARE FOOTAGE:
. '--'
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.
D Temporary ElectrIc
D Site Inspection - To be made
alter excavallon, but prior to
setting lorms.
o Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
~ Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grou.tlng.
1";7( Foundation - After forms are
A erected but prior to concrete
placement.
o Underground Plumbing - Prior
to IIl1lng Irench.
;;::;;;( Underlloorr-plumblijlJ~chan]::a1
. V"'.! _ Prior to Insulation or OeCKlng,
, g Post and Beam - Prior to floor
Insulation or decking.
~Floor Insulallon - Prior to
J,..L:J- decking..
,
~
. , .
I """. Sanitary Sewer - Prior to IIIlIng
~ trench. . - .
~ Storm Sewer - Prior to filling
~trench.
~ Water Line - Prior to IIIlIng
~ trench.
-d Rough Plumbing - Prior to.
J6.l.cover. , . ,
...--.. - .. - .
REQUIRED INSPECTIONS
f'V'f' Rough Mechanical - Prior to
~ cover.
I"5<f Rough Electrical - Prior to
"cover,
)""-"1 Electrical Service - Must be
~approved to obtain permanent
. electrical pdwer.
o Flreptace - Prior to facing
materials and framing Insp.
~ Fran:"ng - Prior .to cover.
~ Wall I Ceiling InsulaUon - Prior to
~cover.
~rYWall - Prior to taping.
o Wood Stove - After Installallon.
.'
o Insert - After fireplace approval
and Installation of unit.
.I~' Curbcut & Approach - After
~ lorms are erected but prior to
::' _placement of concrete.
~ Sidewalk & Driveway - After
JL.:t'-excavatlon Is complete, forms
and sub-base material In place.
o Fence - When completed.
fl1) Street Trees - When all required
t:!J;J trees are planted.
IV1 Final Plumbing - When all
~ plumbing work Is complete.
I
rcrFlnal Electrical - When all
~electrlcal work Is complete.
.
l..:><I Final Mechanical - When all
I' 'mechanlcal work Is complete.
~Flnal Building - When all
~equlred Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS,
o Blocking and Set.Up ~ When all'
blocking Is complete. !,..
I
I
o Plumbing Connections - When.
home has been connected to
water and sewer. '. " :
. . j
o Electrical Connectlon'~ When :
blocking, set.up, and plumbing I
Inspections have been approved,
and the home Is connected to '
the service panel. - . I
..
o Final - After all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed.
.
'I '. 'F"f1.".' "..,. '1\... . ~, ..' '" .t.., ,.'.
.
,
.
Lot laces
Lot Type
Lot sq. Itg.
_ Interior
,X Corner
Lot coverage
lupoyraphy '. I
Total height' ~S, .
4tl/
Panhandle
Cul.de.sac
-,'
Setbacks
P.L. HSE GAR ACC
N
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. '" VALUE
S
W
,E
6~~
_~hSC
FEE
/ t60 .00
'". .It........ }'
{P,~O
.l/a.9:J .ao
~,&o
4.S"O
q.&o
,<t'JO
22. $"tO
II?OO
/,13
~~3
2C),~r
/ ~ .9,0
,0D .t:rO
'J,4,S-.r
- ,
''?~ 1, '7'7
( IS THE PROPOSED WORK IN THE
'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
"'. II y~s. this application must be signed
. a'nd approved by the Htstorlcal
Coordinator prior to permit Issuance.
APPROVED:
2Y.l73"2 S'e-
r -
23 ,t!:1.0-0
!~.9.r
31'1,9S
SYSTEMS DEVELOPMENT CHARGE (SDC) #3
.M bi./-
(B) ~ IqqD-
Main
/:2?O
~~6
5b~ '2.e>
I Y./O
Garage
Carporl
Total Value
Building Permit Fee
State Surtiharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
'Z
Mobile Home
Plumbing Permit
State SurCharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
~
-
Wood Stovellnsertl Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slato Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk ? / It
Curbcut % It
Domollllon
State Surcharge
~~) A1bfhti'....J
. . .
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludIng electrical)
(A, B, C, 0, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condlllon thaI the said
construction shall, In all respects, conlorm to the Ordinance
adopted by the City of Springfield, IncludIng the
Development Code, regulating the construe lion and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
A-( &1
Date Paid:
Receipt Number:
I
Re7~~
Plans'Revlewed By'
3/Ltt~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
~,-;7b /f7 ~ $'68 ~~ Y6~ ~ ( .
5~~-/; -.~~ ~~~ __, . -; .
. J
~f)trnf'_L\\~O_lQL&rL} -?"
L~ ( ~ ,Cflor')
'-.&\\\_0tK TYrtn__J; G{ 111 \()
.-
I
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all,
I
Informallon 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 dtJscrlbed:
herein, and that NO OCCUPANCY will be made of any,
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used .on thle
proJect. . I
1
I further agree to ensure that all r,qulred Inspections are
requested at the proper lime, that each'addressls 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 limes du~g construction.
~Ignature . <....L ~
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Oat
.
VALIDATION:
/292s2
c/-/S-~~Y
AMOUNT RECEIVED .:8_2. 4 7, $'2-
a~
RECEIPT NUMBER
DATE PAID
RECEIVED BY
..
~
,
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.OB No.9 YO 203
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY:
LOCATION: '-t / q 5
DEVELOPMENT TYPE:
BUILDING SIZE:
MA?AOA DlE:ve.L-O'PM€:.N-r. rNC.
\ J
"DAI '::JY Sf. /7 /)? ~ 2-?~ - () '-!?;Jo 0
Lpl'<... - NeW 5FR- \
LOT StZE
,SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
'2- '1- fc 0
, X $0.203 PER SQ. FT.
~?87i)
'- -----
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
l<6
X $42.08 PER PFU
0'n~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/
X /.01 X $424.31
X X $424.31
~28~
"- ----- '
$ -
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S (1{ x $15.125 PER PFU + $10 MWMC ADM FEE $ 282~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3/ C!.-
TOTAL-MWMC SOC ~?I '!! ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ I){ q d
X $424.31
$
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5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~ L..~ '2/7-?Av-
U Kip Burdick I I
SDC Coordinator
C C)<f'~
~-+
TOTAL SDC $ I CJ 9 0 -
FIXTURE UNIl~:CALCUL.A.N TABLE: Number of New Fixtures. Equivalent = Fixture Units (NOTE~
For remodels, calculate only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub...,.......... .....,..........,. -....,......... -. - -..... -...... -.-. _..
Drinking Fountain................................. -...................
Roor Drain....,.., ... ....... .., ....... ...........,.. ,............... ......
Interceptors For Grease/Oil/SolldsjEtc.................
Interceptors For Sand/Auto Wash/Etc....,.............
Laund ry Tub /Clotheswasher.......:...........~......... ~..,..
aotheswa~her - 3 Or More.....................................
Mobile Hdme Park Trap (1 Per Trailer).............:....
Receptor F9r Refrigerator fWater Station/Etc........
Receptor For Commercial SinkjDishwasher jEtc..
Shower, Single. Stall....... ..................................... .....
Shower, Gang.. .................. ................. ........ ..............
Sink, Bar, Commercial............................. ....... .........
Urinal, Stall fWall..... .......... ............................. ...........
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private, .... ...... .......... ........... .......... .....
Miscellaneous:
-z
-,
.~
\
z
'"2-
TOTAL FIXTURE UNITS
,
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4-
'-
z
-z.
~
=
'53'
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
'1985
Rate per $1,000
Assessed Value
Year
Annexed
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
~.'2-1 , X $ Q,71
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
..
Credit for Parcel or Land Only If Applicable
Improvement [If after annexation date)
Rate per $1,000
Assessed Value
I
I
ii
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
. -'- --'
-, - - .
~ ,'2
-
= $ 31 t]..
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