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HomeMy WebLinkAboutPermit Building 1993-7-26 ... RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . fz JOB N U M B E R 93. t!? i!$;;!:fi!!!! 225 Fifth Street. Springfield. Oregon 97477 LOCATiON OF PROPOSED WORK: _~ ~ 7!t:;? ASSESSORS MAP: /7......-=1-=2-=3/ 7f;i'45'f: <:d.J~Jt:l!i;Zu..~;::- L~2> TAX LOT: ~q~~~~ L. ~ CITY' .-- ~BD~SION' ~ ... /--- -' , PHON~ ?~~69':2 , STATE:~- DESCRfl3[ WORK: _~a3!75Z7'J.?A=~ NEW ---J!.- REMODEL __ ADDITIOt:l 2???L~ LOT' _ _~ BLOCK: -= /~....-:~~ ~7/7:~ 7-z;>c......- O~NER:_r/~~ 6- LA7#~ _ //, . r ADDRESS' //75"" ;2?~K~/CA"" ,?i'7/ Z~e_ - / DEMOLiSR OTHER ZIP: '"q/r~/ ADDRESS CONST. CONTRACTOR' EXPIRES PHONE CONTRACT~ NAME ..1>"\ GENERAl' \\J.\...Q)'\\ ~ PLUMBING' _\. AJ.-.. MECHANIC~f\I\11(lL~\ OQ'A ELECTRICA\' d\~QT1 0 [\ t- . QUAD AREA: \ ~~W . OF SLOGS: \'. ~-):r-JV\_ ~ '[J OCCY GROUP: . OF STORIES: WATER HEATER: ~ R8R?5 S/l ClI C14 ., - OFFICE J{5E - LAND USE: \\~.D ____ . OF UNITS: ~ CONSTR. TYPE:.-5J.....fJ HEAT SOURCE: P>-_'d-,~t?C RANGF' l() FLOOD PLAIN' ZONING CODE: -UD...V . OF BDRMS: '?J-\-3 SEGONDARY HEAT' SQUARE FOOTAGE: ~ To request an inspection, you must call 726-3769. This Is a 24 hour recorrilng. All Inspections requested before 7:00 a.m. will be mnde the same working day. Inspections requested after 7:00 a.m. will be made the followIng work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Uncterslab Plumbing/Electrical I Mechanical - Prior to cover. f\:7f Footing - After trenches are ~ excava.ted. . o MaslJlJry -.i~teel location. bond bcaHl5r,~grou lIng. . .' ~ : . \, I'vJ Foundation - After forms are ~ (;t~c:~-'lf'b;jt prior to c"Oncrcte' . placement. CT lIndeigroundPlumbhfl .- Pr!0r . ,to filling trencll. ~ Underlloo~mbi~~anlca,!) ~_ Prior 10 in!>"u:iJtlon ...;1i.t,!'~r-.nl~. I~ Pos: and Deal~1 - Prior to floor ~ insulation or deckllln. ~ Floor Insulation - Prior tl.' ~ decking. rv1 Sanitary Sewer - Prior to Iilii/1Q . ~lrcncll. r'i71 Storm Scwcr - Prior to filllnu ~ trench. rc:/f Water Line - Prior 10 filting ~ trench. . r~ Rough PlumOina - PriQr :0 Y~cover. REQUIRED INSPECTIONS ...[7'l Rough .Mechanlcal - Prior to ~ cover. ~Rough Electrical - Prior to ~over. 1':7\ Electrical Service - Must be .JL:S-.approved to obtain permanent electrical power. o Fireplace - PrIor to facIng materIals and framing ::1s.p. ~Framing - Prior to ct):,er. IV1' WaIl/Ceiling'lnsulatio',l - Prior to ~ cover. jX:( Ol'/wall - Prior to taping. o Wood Stove --:. After in~lallatlon. [IlnSrilt - After fircpla:.:e npPlova: _".I 31,(1 installation 0: un:t. . fV?i C Jrbcut ~t Approach -". Aite:! )""~IC'rr!\g arC', eri;c~e(j -but :=rior to pl,lCdlllCf~l 01 concrete; KASh:,?W,"H~ & Drivew3Y -- A:lel ~ C:):'~ih'3!i0n i~ '~.of'~p!etE.. (,;rms ~q~d :"d).base materiai in rlace. r--I @ ""lnc~ .- V'iller. cr'.!nrdah~l: 5:;<:(:1: ....rces - W~lC(! a;: leqt.drea tr::i~:'> ai'~ 'n1arltClL ~ Final Plumbing - When all ~ plumbing work is complet.e, rY1 Final Electrical - VVhen all ~ electrical work is complete. ~.A Final Mechanical - When all ~mechanicat work Is complete. ~ Final Building - When all ~requlred Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS :1 Blocking and Set.Up - When all L._' bloci<iflg is complete. CJ Piumbing Connections - When home has been connected to water and sewer. CJ !::Iectrlcal Connection - When blockinG. set"up. and plumbing inspections have been approved and the home is connected to the service panel. ,] Final - After all required L_ insp~ctjOr'lS are approved a:1d porches. skirting, df]CI(.~. and venting tlcwe been Ino;tz.;led, . ~ ~. --. Lot faces Lot Type Setbacks THE pROPOSED WORK IN THE , . Lot sq. fig. m7 ~Interior I P.L. HSE GAR ACC i HISTORICAL DISTRICT. OR ON IN 5 i THE HISTORICAL REGISTER? Lot coverage ~ Corner !. It yes, this application must be signed Is I L:Z~ 5 I and approved by the Historical Topography Panhandle Iw IJL __J Coordinator prior to permit issuance. Total height ZZ' Cul-dc.sac IE APPROVED' BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. Main 217~ 4-.72 5"~ .2,0 j!!//O Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE I~Zf%= LP./"",~. ~D f?~~:fO 199,ZS' z4:J.I :O!)2":3/~ SYSTEMS DEVELOPMENT CHA~GE (S~;)~ (B) ";08'-1- -- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) !:!:...2 ')( 2. Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT . Furnace Exhaust Hood z... 4 Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent z Mechanical Permi t Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk C;~ ~O It fI Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B. C. 0, ar.d E Combined) FEE '22.0.tw ---10_00 ~ q.t>;o 12.~ t:; &>-D . 27bO /0.00 /..3S' ~.:r.r '/8.40 /f.$P .~2~O 4r>/&;.31 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said cC'nstruclion shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Cod~, regulatin"g the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. . /./. -- ~ Plan Check Fee: -7j:::5.. ~ ~ Dale Paid: -h~ 0-~ ~~....~ , ' 9-/~:r . . 7hlh~ / ~.l Systems Development Charge is due" on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ?~r- ~_r;- 0~ <-~ , "': --'-_, 7.:> ~" , It~ -.7#~;r//~ hr~A" - L. /'?;:Y""" ..A'/6-~ By signature, I state and agree, that I have carefully examined" the completed application and do hereby certify. that all lnformation hereon is lrue and correct, and I further certify that any and ail work performed shall be done in accordance with the OrdinancBs of the City of Springfield, and the ,Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I furttler certify that only Gorrtractors and ern,)Jc'/ees who are In compllance with GRS 701.055 will be used on this project. . I further agree to cnsurt';: lh<.lt :;.11 required inspcclio.nsare requested at the proper timG, that"eac~ address is readable from the street, that the permit, c3rd is located at the front of the property, rl.nd tl1e approved set of plans will remain on the :;ite al <iil times during construction. ~gn~- ~ L/. DaIO__.J-:..Lc. - '1 ~ VALiD.MION: -:t. RECEIPT NUMBER q h4 l DATE PAID f).....:.ar~Cd~-=-- AMOUNT F:EC~~._ ~n...~1 Lu.! flSCEIVED 13fj') C~ ') I -- . . -as NO. 0-;'0 P~6P, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . l.... : (COMMERCIAL & RESIDENTIAL) , NAf1E OR COMPANY: 5ANlF.S?; LA gut:. LOCATION:.780 4 782. N. f'..LoVE;R.LEA-1=' LooP DEVELOPMENT TYPE: l)IJo!Z. - ^/~1A1 DUPL~J. LOT SIZE /707:J1--Z~1 - 2-qcoi~(;oO BUILDING SIZE: I. STORM DRAINAGE. IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S 32- (See Reverse) 3. TRANS PORT A TI ON SQ. F t. L.?q2- X $0.192 PER SQ. FT. c: '-f5'1i;J --- -- X $39.78 PER PFU ~1-nq?J -.... ------- NO OF UNITS X TRIP RATE X COST PER TRIP 2.. X /.ooS X $401.05 C;;Dh 0-) ---- --- X X $401.05 $ X X $401.05 } SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1.:,? 5 ".z. 4. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 ((;2.fo <f:!;) --------- TOTAL-CITY SDC $ -z.fo"'51-~ 5. SANITA'RYSEWER-MWMC NO. OF PFU'S 72. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $LN5 8'f (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~Ld (,f71/93 () Kip Burdick SDC Coordinator $ '2b''J TOTAL-MWMC SDC~~ TOTAL SDC $ ~o8t../- "0 FIXTU HE 0 N IT CALCU LA TI" ABLE: Nurnbe; 01 New Fixtures X UI.ivalent ~ Fixture Units (NOTE: " For remodels, calculate only the NET additional fixtures) , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...................................................................... Drinking Fountain..................................................... Floor Drain................................,............................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Elc.................. Laundry Tub/CIOlheswasher........ .......... ...... .... ....... Clotheswasher ' 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Elc.. Shower. Single Stall................................................. Shower. Gang.......................................................... Sink, Bar, CommerCiaL............................................ Urinal, StallfWall.................. ............................... ... ... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. ,Vater Closel, Private.............................. ................ Miscellaneous: 7, 7, 7- L/. 4- TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 ...J. ..;. L/- t.f I" ::'2 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred atter annexation date in table, calculate credits separates. \ I ,I I' Year Annexed 1979 or before 1980 1981 1982 1983 1984 Rate per $ 1,000 Assessed Value Year Annexed $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 - -------- ..-_. .- -z..~~ X $. q. 7/:> ?:> (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Credit for Parcel or Land Only If Applicable Rate per $1.000 Assessed Value $2.16 1.90 1.60 0.25 0.87 0.50 0.16 = 2G,./~ ----.-- - - - Z ,'I =$ (,~ . IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Improvement (if atter annexation date) v \ I, , I, RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential...........................,............,...,........... 0.4 Commercial...............................,...................... 0.9 I nd ustriaL....,.................,.......,..................... ...... 0.45 Governmental.................. ......................... ," ..... 0.5