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HomeMy WebLinkAboutPermit Building 1993-12-27 ~ "..' ,; '" RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769, Office: 726.3759 t@ mCSLy,thiGL> . ~ TAX LOT: CJG~,\) R i SUBDIVISION: \\90-...- \JOJ\ ~J PHONE/" b~~~-k=-D;.:-:\ STATE: l~ lD f\ on~ ZIP' C{ r 14(Y rL I ~ 0 .Dl- {-1~ fLD n2 ./ DEMOLISH OTHER 0 . LOCATION OF PROPOSED WORK: , ' 4, \' \ ' ASSESSORS ['An. -~l ~(YA.OS 'A. ~ l\.-J BLOC...' . ''Q'"'''' -(;. ~-O'=-'-' ~_._. \.\ Q"""" ~- .. '\ OWNER. ~ .~=v:~JJ~~~~v:r.~~.9~-Q...>.~,~_.) - ADDRESS \' .:C::l_ ~'< CITY- t? DO'PY\ C ., .~ . DESCRIBE WOR~' l\ '\ \\'\ f\ l. tJ "\ NEW REMODEL ADDIT ~ LOT' . sP~56" :i.4.~l? l04 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 \ , , I EXP~..~ PHONE / o'~''-rr l Q%, ,lll,.l. I S' "\ .qt (/)%\, T7( 01 ~ \~.~lq.~i2f(\ ,\r-~ .., .. CONST, ~L~PJ # Lo~ CONtRACT~'S NAM? . JJ.. ADpRESS"\ GENERAL:H{Y'Yl12f1 llJl.l)) I)l ~,S,Fn ) PLUMBING: ( ""')(Yy\ 0. f\ tlc\ \\ \\ 9.. ~ MECHANICAl' ~ ~..c:. f 1 ,,!fit!) 0 f'\ J- ELECTRICAL, ~~~\f\'-\-S~,\'" 7 LU~ \0:] QUAD AREA: ,~~~ - OFFICE Un LAND USE: \ \ cAe FLOOD PLAIN' # OF BLDGS' \ # OF UNITS' JtJ ZONING CODE: f J)f2---'" OCCY GROUP: (~';<...-", tv, CONSTR. TYPE: # OF BDRMS: ...~ # OF STORIES: \ HEAT SOURCE: ~L- SECONDARY HEAT: WATER HEATER: P....... RANGF' cf-. SQUARE FOOTAGE: J f) R,?.. , 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 some 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 after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. . g Footing - After trenches are . excavated. . D Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected bu't prior to concrete placement., D Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. ~ Rough Electric~ ~~or ./ cover. ~l.N-,~ D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. l7J Fra~~r. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Underfloor Plumbing/Mechanical D W d S AI i i _ Prior to Insulation or decking. 00 tove - ter nstallat on. D Post and Beam - Prlor to floor Insulation or decking. D Insert - After fireplace approval and Installation of unit. p D Floor Insulation - Prior to decking, " II ~ ~ Sanitary Sewer - Prior to filling trench. . ~ Storm Sewer - Prior to filling trench. . ~I / I i ~ Water Line..., Prior to.fllllng ~ trench. I I' , D Rough Plumbing - Prlor.to cover. \ ' .,.-.j ,~ " 'I rC7I Curbcut & Approach - After '/.J forms are erected but prior to '. placement of concrete. ~ Sidewalk & Driveway - After excavation Is complete, forms . and sub-base material In place. D Fence":" When completed. D Street Trees - When 'all required'" trees are planted. , . D Final Plumbing - When all plumbing work Is complete, ~ FInal Electrical - When all F.J electrical work is complete. ctcu~ D Final Mechanical - When all mechanical work Is complete. 1C7\) Final Building - When all ~ required Inspections have been approved and building Is completed, q'oAQ.o/....J D Other MOBILE HOME INSPECTIONS d Blocking and' Set.Up - w~en 'all I blocking Is complete. ~ Plumbing Connections - When home has' been connected to water and sewer. . ~ Electrical Connection - When blocking, set-up, and plumbing" Inspections have been approved and the home is connected to the service panel. 'leA Final - After all required , ~ Inspections are..approved and . . porches, skirting, decks, and ' venting have been. installed. Lol Type . Setbacks Interior I P.L. HSE GAR ACC IN Corner Is I Panhandle Iw ~' I, Cul.de.sac IE I Lol laces Lot sq. flg, Lot coverage Topography Total height BUILDING PERMIT ITEM sa: FT: t ...._ j - -.;l.:' Main ' '," . x ~fSa. FT, " c VALUE ~C{{4 ..J \ L\ : \0 Garage 4r9-. '\ -f& .~ , ,~D4'LL\: fl4 ' c::D ...~,'l3 j~,~.3 SYSTEMS DEVELOPMENT CHAR~E (SDC) 1/5 It. (B) Z.IO~- Tolal Value Building Permit Fee ( ~4..'LA, "') State Surcharge Total Fee (Al PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Slorm Sewer FT. J:F, (JO ~~.OQ AS.OU Mobile Home Plumbing Permit Stale Surcharge Tolal Charge f)~ ,CD ~f)S OF) . i).s lc) MECHANICAL PERMIT . Furnace Exhaust Hood Vent Fan N' Wood Stoveflnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge o Total Permit (D) MISCELLANEOUS PERMITS Mobtle Home 1m .00 .::s ,~') cS({)OQ ~Z\~) \L\ .~J) State Issuance State Surch~e Sidewalk L/j lo It Curbcul -ID It Demolition Stale Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrICal)~4tliCf1 lA, B, C, D, and E Combined) T. \ .HE PROPOSED WORK IN THE " 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? .. If yes, this application must be slg'ned and approved by the Historical qoordinator prior to permit Issuance.' !:" .. " -, 1 I ~\ .' f: . .~ " ) .< ~ I ! I ., , ! , ~. APPROVEP' BUILDING VALUE, PLAN CHECK' AND BUILDING PERMIT . Thls'permlt is.granted on the express condition lhat the said constru'Ctf6n shall, In all/respects, confomlto'the Ordinance ad9Pt{~ r~Y~;th'e/C)ty _.~f .Sprl,ngflel~. }'1rCludlng the Development Code;"regulatlng 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' Date Paid: Receipt Number' Received By: ? .. , , Plans Reviewed By Date Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~'\~i'm f'AC~/)(rlu.illU It ) \_~~ Tl ~U \:=\~) , \. '~ount(b: \C\\W Jl\ ~r (jfYrl lion t 0. By slgnalure, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certHy that any and all work performed shall be done In accordance with the Ordinances 01 the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struclure without permission of the ,Building Salety Division. I further certify thaI only cont",ctors and employees,who are In compliance with ORS 701,055 will be used on'thls project. I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the property. an e approved set of plans will remain on the site at all I es duri~ cons)~uctlo//7 X:lgnoturp ~p/.-1 Ie, J::"~' Datp 1'-/IO/cJ3. VALIDATION: r 1'1'/Y j), ( n RECEIPT NUMBER 1?l~1' LY DATE PAIf'\~ &(,:f1? AMOUNT RECEIVF~~;..os I ~,CJ.-1 RECEIVED BY , \!"f"l.) ,/ - "* ,.~ ,- . S'P_FIELD , DEVELOPMENT SERVICES DEPARTMENI. 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726.3753 FAX (503) 726.3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that ~ith the approval of the attached1X' ~!Js, one of tP~ fbllo~ing manufactured homes ~ill be placed at ~ ..,:':-) tf)'CSL\'\:XL\n ) S~rgfield, Oregon, Ci ty Job Number -. \') ,lrft- .- (\. ~ Type I Manufactured Home. A multi-sectional (double ~ide or ~ider) unit ~ith an enclosed floor area of not less ,than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in ~idth, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards ~hich reduce heat loss to levels equivalent to the performance standards required of single family d~ellings constructed under the State Specialty Codes. Type II Manufactured Home. A unit of not less than 12 feet in ~idth ~ith an enclosed tloor area of not less than 500 square feet, that has a nominal roof pitch of 2, feet in height for each 12 feet in ~idth and that has no bare metal,siding or roofing. I further state, by my signature belo~, that I have been provided ~ith the follo~ing information: - Manufactured Home blocking - ~ater line connection Street tree standards - Sanitary se~er connection - Electrical connection Minimum requirements for_permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter ,~ith stone, brick or other masonry materials, and ~ith no more than 12 inches of the enclosing material exposed above grade. Il~ j j~ Slgna:lure l~ft7h3 . bate ~. '. . .OB NO. Q3/2.foY- .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: JItM e s 'PIfULtJOiJ S\ LOCATION: '-II~ 'F()f1:.SYTHIA Ilio2-()5Z'2-- Ot!)<!() "i ' DEVELOPMENT TYPE: L.ol!:. . NE.W MItAlo. fk/V1e." !\-oMl: (,sAuuE. '!/.w . BUILDING SIZE: Z?>,("" , 7-4 no}- 17,( 2."Z LOT SIZE SQ. Ft. l. STORM DRAINAGf; IMPERVIOUS SQ. FT. 'Z.,'f ~ ' X $0.203 PER SQ. FT. ~5CO 7 9'!) '-- .-"'" 2. SANITARY SEWER-CITY NO. OF PFU'S I~ X $42.08 PER PFU ~'57 '!::!~ (See Reverse) '-- ..---/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X /.01 X $424.31 X $424.31 X $424.31 ~Lj.ZB ~ '-- .-"'" $ X X 4. SANITARY SEWER-MWMC NO. OF PFU'S If(, x $15.125 PER PFU + $10 MWMC ADM FEE $ Z1)'2 z5 (Use PFU Total From Item 2 Above) $ SUBTOTAL $ ?~ 'Z; TOTAL-MWMC SDC ~ (ADD ITEMS 1,2,3 & 4) $ '200 ~ ~ '~;;k MWMC CREDIT IF APPLICABLE (SEE REYERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 K!.' A 7<, -L....j._ !/~ /ti3 () Kip Burdick SOC Coordinator ([;00 ~) "- --- /1" TOTAL SDC ~ 2/0?- '. FIXTURE UNIT;CAlCUuesN TABLE, Number of New Fixture.it Equivalent = Fixture Units (N0TE: '. For remodels. calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS z. 2 1 2 3 6 2 6 6 t 3 2 t/Head 2 2 1 6 4 <f Bathtub........,............"".",..,.",."".""""", """,..,..,..' Drinking Fountain..,..""."",..,....""""""..,.,..,..,.,'" ,.. Roor Drain........ .............,.",..",.""...,.""",....,"",..,.., Interceptors For Grease/OiI/Sollds/Etc..,.............. Interceptors For Sand/Auto Wash/Etc.................. laundry Tub/Ootheswasher.......,....,.,..............,..... Ootheswa~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F:or RefrigeratorjWater Station/Etc........, Receptor For Commercial Sink/Dishwasher /Etc.. ' Shower, Single ,StalL............. .........., .............. ........ Shower. Gang...................,..........,....,......."............, Sink, Bar, CommerciaL............,..,........,......,.......... Urinal, StalljWall.:............ .....................,...,.......,....,.. Wash Basin/Lavatory, Single....,............................. Water Ooser. Public Installation............................. Water Ooset, Private.................,..,.........."..........",. Miscellaneous: 2 I z. '2. '2.. -z.. ~ TOTAL FIXTURE UNITS = 16 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table. calculate credits separates. L Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 11 " $3.21 3.13 3.08 2.96 2,82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1:57 1.18 0,79 0.44 0.28 .. Cre<!it for Parcel or Land Only If Applicable Improvement ('If after annexation date) ?1-1 X $ /O.3S=7l7'Z'= (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ ~? oz..=: RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential....................:...................... ..:.......... 0.4 CommerciaL........................................ ........... 0.9 Industrial........................................................... 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT