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Home My WebLink AboutPermit Building 1993-7-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD .~ PI JOB NUMBER ~D ;7 225 Fifth Street Springfield,Oregori.97477 LOCATION OF PROPOSED WORt<' 7sg,< f ?}gg' /~/!? ASSESSORS MAP' ~?-2'"2. -~/ ~~ V~cl51P.;z;> . L~,,2S TAX LOT: ~.-: _.....--~~~ CITY' SUBD~~: .7l!!> ?_~ ';; PH~NE: '9~-.~6 '9<. STATF' ~/?? . LOc" _- BLOCV'- ';Z>~T .~)'>7,....._>, ~~/77..;';'_, PWNER' \..~ 5:. .~:<?,,?3"~ . . ADDRESS .//?C;;' P....-~~/~ _~ Z~t::;~V' ,r DESCRfBE WORK: .~~~~"..,.c-r~T ~~~ NEW -)C-.- REMODEL ADDITION DEMOliSH OTHER ZIP' q;?t:/4fP / ADDRESS CONST. CONTRACTOR' EXPIRES PHONE CONTRACT<7'N NAME A ."" GENERAL l ,V~ 0i\ l2P PLUMBING'~ . MECHANIC: ~y \ 0 (i'T ELECTRICA\1 . L (l-o f:;f- QUAD AREA: ~ ~\0 . OF BLDGS: -T \ OCCY GROUP: _~ ~,~f\I ~ ~. ./ . OF STORIES: WATER HEATER: 8.aR?5 ~,~c; (5JIClm I' , . - OFFICE USE - LAND USE: \ \ 9P . OF UNITS: d--.. '__ CONSTR. TYPE: _~.JJ HEAT SOURCE: ~t:.iE'C7 /,*,,p~t:.. <( / .' RANGE: FLOOD PLAIN: ZONING CODE: Lf)~ . OF BDRMS: ~ +-3 SECONDARY HEAT: 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. o Temporary Electric o Site Inspection - To be made after excnvation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. ~ Footing - After trenches are ~xcavated. o Masonry - ~teel location, bond ,beams, grouting. ' l":7'f Foundation - After forms are ~rected but prior 10 concrete placclllcnt. o Underground Plumbing - Prior to filling trcnct~. 1'\:71' Underlloor(Plumbin~chanic;D ~_ Prior tOlnsulation-or aecKlng, 1':11' Post and Beam - Prior to floor '~jnsulation or dec~,ing. ~ Floor Insulation - Prior to decking. rYrSanitary Sewer - Prior to filling ~Irench. I'9f Storm Sewer - Prior to fitllr.$f ~ trench, ~ Wate~ L1no - Prior to' filling ~ trenGn. r"\71 Rough Plumbing -'Prior 10 V~cOV(!(. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. ~ Rough Electrical - Prior to ~ cover. . . I'\:7\' Electrical Service - Must be ~ approved to obtain permnnent electrical power. o Fireplace - Prior to facing materials and framing .Insp. ~ Fra~ing - Prior to cover, ~ Wall/Ceiling Insuiation -:- Prior to ~ cover, - ~ Drywall - Prior 10 taping. D Wood Stove - After Instnilatlon. D Insert - After fireplace approval and Installation of unit. ~ Curbcut &. Approach -- After ~ form5 arc erected bu~ prior to placement of con~'I~t9"" i':71 Sidawalk &. Driveway -- After p..t c;';'';H'Iation Is coml,let.:-. fo~ms and sub-base materia; in pla(:e, [.-J Fnnce -, Wh::m cor~p~ter1. ~ ~.~Tcct Trees - 'lJherl .j!!'"r.;lquired ~ u.-;..;s are planted. tvf Final Plumbing - When all ~ plumbing work is complet,e. K7f" Final Electrical - When all ~ electrical work is complete. R:A Final Mechanical - When all ~ .m'echanical work Is complete. ~Final Building - When all ~ required Inspections have been approved and building is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is corr.plete. o Plumbing Connect!ons - When home has been. connected to watl:r and sewer. o Electrical Connection - When bloc!-.ing, set-up, and plumbing inspections have been approved and the home is connected to the service panel. [-1 Final - After all required -----: inspections are approved and pOH:hcs, skirting, decks, and venting have been installed. . . Lot faces Lot Type Setbacks IS THE PROPOSED WORK IN THE..- I P.L. , ACC I . HISTORICAL DISTRICT, OR Olf Lot sq. flg. fi1L3 Interior HSE GAR I IN /4- THE HISTORICAL REGISTER? Lot coverage ~D Corner i If yes, this applic~qion must be signed L.~ Is 5 I and approved by the Historical Topography Panhandle Iw 18 Coordinator prior to permit issuance. Total heiyhl z;L ~'de.sac I ~. ; I I_J APPROVED: BUILDING PERMIT ITEM SQ. FT, X $/SQ. FT, s;:.. ?-D I-IJ~ VALUE 1~~2j/.~ c., t:. 25,~ Main ;2/7t; 4~Z Garage Carport /,,?~~10 47'.h..?: !:' __21.9'1 ~3..~t, SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) /I ?;;o B";" J!.. Total Value Building Perm!t Fee State Surcharge Total Fee (Al PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) ~)( 2- ~20,pe:> Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge /Ipf..":. 33~ Tolal Charge (C) MECHANICAL PERMIT furnace Exhaust Hood 2- 4- qtJ 0 . J2f20 .' Ven t Fan N' Wood Stove/lnsertlFireplace Unit Dryer Vent .z.. ~po, Mechanical Permit 27tJO ID.OO J.3S' ,-<~.3S:- Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk //'O It 30 It 31,6-0 -#I. So. Curbcut Demolition State Surcnarge Total Miscellaneous Permits (E) 4a170 ~I TOTAL AMOUNT DUE (excluding e!ectrlcal) (A, B, C, D, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in ail respects, conform to the Ordinance adopted by the CilY of Springfield, ".including the Developfiicnl Co,::ie, rC~lulati"g the construction and use of buildings, and may be suspended or revoked at any time upon violation of any, provisions of said ordinances. q6~ k"7Z- ~-9~ Receipt Number: ~~ ~ ~~....:.. .~ an Revlcwe"O "f'j. Pian Check Fee: 51l~~6- ~~;;rt7' ::> Date Paid: Received 2/~/A, Y[5aKi Systems Development Charge is due' on all undcveloped properties within tht~ City limits which are being improved, ADDITIONAL COMMENTS ~~ / -~#7-:=-~ _~~J -..., ~6___r<;'" ..... ' - fI;;~~~:~~~~ By si90ature, I state and agree, that I have ~arefully examined the completed application and 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 01 the City of Springfield, and tht: Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division,' J further certify that only corttractors 'and employees who are'in compJiance with ORS 701,055 will be used on th:s project. ! further agree to ensure that all required inspcctio.ns are requested at the proper time, .that each address is readable from ~he str~et, that the permit card is lo~ated at the front of the'property, and the approved set of plans will remain on the site at all times during construction, f /7. . r> ..L. >(.Ignatur~ ,/ /- - ~ / ~ . 7-z..C.-q~ Date -' VAUDA1ION:" f7 { .A_~ RECEIPT NUM~R "-1 ~ DATE PAID ~.f: (j .t1~ - AMOUNT REC VE. .:tt . .~(____ RECEIVE; BY _ lDC\.:)' .- ,'~ .. em NO. 0'70 'i?6 '1 CITY OF SPRINGFIE[DSYSTEMS DEVELOPMENT CHARGE i WORKSHEET (COMMERCiAL & RESIDENTIAL) NAME OR COMPANY: .JAfV1f=.":> 13. LA RUE. LOCATION: 713'" '78~. r.LOVE;/LLEftr= LooP DEVELOPMENT TYPE: t'V/()(Z. - Ale.rA1 DUPLF=:.x II {; -:z;,'2- 7.- ?:> I - Z.qbO i ~(JOCJ , BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE SQ. Ft. IMPERVIOUS SQ. FT. 'Z."?'iL..- X $0.192 PER SQ. FT. c; '-I5'1i0 ----- --- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 3'2- X $39.78 PER PFU ~'2-120 , 3. TRANSPORTATION ~ NO OF UNITS X TRIP RATE X COST PER TRIP 1. X 1.00<; X $401.05 ~oco~) --.. --- X X .X $401.05 X $401.05 $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 'Z??5-;~ 4. ADMINISTRATIVE FEES BASE CHARGE (SU8TOTAL ABOVE) X .05 ((;1.fo q~) ----------- TOTAL-CITY SDC $ 2"'''''5 'Z-2. 5. SANITARYSEWER-MWMC NO. OF PFU'S 72 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $4'-15 8'f (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ I:L-..Ld () Kip Burdick SDC Coordi nator (, h7 !e'3 I I $ '2'" ': TOTAL-MWMC SDC~q~ TOTAL SDC $ ~oB4 'to FIXTURE UNIT CALCUL.A~N TABLE: Number of New Fixtures ,Iii 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...........,...... Laund ry Tub /Clotheswasher.......,.......,.,................. Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Recepfor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower. Single Stall.......,........"......."................."... Shower, Gang......,............,.......,....... .,..................... Sink. Bar, CommerCial....."......"........... ....... ,.........., Urinal. Stall/Wall..........,..... ......,................................ Wash Basin/Lavatory, Single.................................. Water Closet. Public Installation............................. Water Closet, Private............................................... Miscellaneous: :2 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 7. 1.. o.J. L./. TOTAL FIXTURE UNITS "" o.J. '-I- Lf _It.. :'2 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 L 1979 or before 1980 1981 1.982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 Credit for Parcel or Land Only If Applicable -Z . S' ~ X $ q, 1.- '5 ? "2 G. '.! (Rate X Assessed Value) Improvement (if after annexation date) X $ . (Rate X Assessed Value) Z l'l CREDIT TOTAL = $ G.- 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 Rate per $1,000 Assessed Value l I I $2.16 1.90 1.60 0.25 0.87 0.50 0.16 11