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