HomeMy WebLinkAboutPermit Building 1992-7-14
OWNER:_S+l?V~(\'?-. \-\0.-\)"',10'(
ADDRESS__1 \ (0 l-f CY...>Y2"L\,' (' St-Le..Lt
CITY: _.sp'C~f', P.\ Ii,
hap ( P
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOT:
DESCRIBE WORK: _/iJl'.u.J
v'
NEW u____ REMODEL
ADDITION
'.'
CONH1AcrOIl'S NAME
CENERAL: _ ,~_~f
PLUM13ING: .
MECHANICAL:
ELECTRICAL:
OUAD AREA: 5?.~
. OF BLDGS: - \-
OCCY CROUl': _.1i ~'"\ M
. OF STORIES: \
WATER HEATER: _ f ./
BLOCK:
STATE:
\')'Y-Pl\.t""\"
,..J
'B NUMBER _22~;~_
225 Flflh Street ,
Springfield, Oregon;97,477
')'.,<'"
1 ').. , (ftriRjO(J ~2a~ Court t;_fJi. d .
TAX LOT/J /tJ~ (Jr)
12 a flNl..WOC)c/....
SUBDIVISION:
PHONE' 1 L'i t- - <XC)~) Lf
,
ZIP: C\ ILl l-!
ADDnESS
CONST,
CONTRACTOR'
EXPIRES
r'HONE
REQUIRED INSPECTIONS
K7f Rough Mcch~nic<ll - Prior to
~ cover.
K:7f'Rough Elecllical - Plior to
~covcr.
I\7f Electrical Service - Must be
~pproved to obtain permanent
electrical power.
D Fireplace - Prior to facln~g
materials and framing Ins'p.
~ Framing - Prior to cover.
rs;:1 Wail/Ceiling Insulation - Prior to
~cove~ .
~DrYWall - Prior to t~Pi~9'
W1 Wood Stove - After installaJion.
~ ~ --I ~1t"lol.Xe l".p.
D Insert - After fireplace <:Jpproval
and Installation of unit.
"K:7f Curbcut & Approach - After
~ forms are erected but 'prior to
placement 01 concrete.
\.,\
1\71' Sidewalk & Driveway - After
~excavation Is complete, forms
and sub.base material in place.
D Fence - When completed.
~Street Trees - ~hen ~!' required
l..9 trees are planted. ..\ .: .: -\.
FLOOD PLAIN: - ~
ZONING CODE: _L-\JJ
. OF BDRMS' ~ r.s
SECONDARY HEAT: _f~---
SQUARE FOOTACE: _l~)~!-
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 ~arnc working day, inspections requested after 7:00 a.m. will be made the following work day.
DEMOLISH
OTHER
~TeIllPOI':lry Electric
o
Site In:~pcction - To be Illade
aller e>:t:avation, but priol 10
SCllillU IOrlns.
o Underslab Plumbing/ElectricalJ
Mechanical - Prior to cover.
~Footin9 - After trenches are
~ excavalueJ.
D Masonry - Steel location, bond
beams. nrouting.
'K71' Foundation - Afler forms are
~erecte(1 I)ut prior to concll::le
placelllCnt.
o Underground Plumbing - PrIor
to fillinO trench_
~ Unde~floo~lumbin~echan~
~ _ Prior to In~U".HIOll ol,.nivr.lng.
KA Post alld Beam - Prior 10 floor
~in~ulation or (lucking.
'K/f Floor ln~ulation - Prior 10
~deckinu.
1V1 Sanitary Sewer - Prior to filling
~trenctl.
~ Storm Sewer - Prior to filling
~trt;:nch.
f\?1' Water Line - PlioI' to filling
~trench.
T5<f Rough Plumbing - Prior to
,....over.
\lloL.LC>\:yopc S~q,_
- OFFICE USE -
, LAND USE: _tll \
" OF UNITS: __.1__,
CONSTR, TYPE: _VA) "
HEAT SOURCE: & ""'.....7" ~~
RANGE:. V
K"/r'Final Plumbing - When all
~ plUlllbing wol'l< is cOlllp~ete.
i\:::/r'Finnl Elcctricul - Wlltm alt
~ electrical worl< is complete.
r'v'('Final Mechanicnl - Wlwn all
~mechanical work is complete.
~ Final Building - When all
~ required inspections lla'/(~ beon
approved and building i:)
completed.
DOthcr
MOBILE HOME INSPECTIONS
D Blocking nnd Set-Up - When nIl
blocking Is complete.
D Plumbing Connections .- Wlwn
home has been connecled lo
watt.:r and sewer.
D Electrical Connection -' When
blocking, set-up, and pllllTlbinU
inspections Iwvc been <JpprOvt)(j
and the home is connected to
tlw service panel.
o Final - Arter all required
inspections are approved an(1
porches, skirting, decks, and
venting have been installed.
Lot faces ~- Lot Type. Setbacks
Lot sq, fig, 9lis- ,/ Interior P.L. HSE GAR ACC
Lot coverage !22o Corne r N 'IS'
Topography 12"!lf!J Panhandle Is
Total height -\la' Cul.de.sac Iw 17' /1' I
L /2.'_---.J
BUILDING PERMIT
SQ, FT.
/:?~5:3/
SO?
ITEM
X $/SQ, FT, =
VALUE
$:20
/'/./.0
7~ "2'3 ~/S -
7,L);?8.zc. .
Main
Garage
Carport
~k
~.-
,?~. ~
2hZ.
~O L2:::? 3:;-
- ,
-32./... ~
/~.~
,
3L1-.&J
SYSTEMS DEVELOPMENT CHARGE (SDC) ~,
, ' .JI-z..'O
(B) ~lfI>'7?-
Total Value
Building Permi t Fee
Slate Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
:2
/C/)~
Sanitary Sewer
FT,
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
8,01>
&~()O
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
4,S"O
900
.
)5.0-0
,?, c3-<)
Vent Fan
N'
,,<?
Wood Stovellnse~Place un!;)
Dryer Vent
Mechanical Permi t
::<:/.SO
/0.60
J. f:'~
~~.
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
'7S"
:J.7
-? /.25
-L4-PS
It
Curbcut
It
Demolition
Stale Surcharge
Total Miscellaneous Permits (E)
~5.30
z..49~.~
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
As THE PROPOSED WORK IN THE
~ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior topclmil IS8uance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition thai the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at ony time
upon violation of any provisions o~ said ordinances.
Plan Check Fee: -::::? if'!. 7"'6
Date Paid: 6~~~ 9"2
Receipt Number' ~ /Y'
Rec:~~~ --"
PIaf1s\Reviewed By
~
-f!~L
Systems Development Charg~ Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
.P4T~ /
( c;A 4-1 Urn ,:..v~)
\ cinm fn:b)~ i Yl~
By signature. I state and agree, that I have carefully examined
the completed application and do hereby certify that alt
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accord<lncc
with the Ordinances of the ClIy of Springfield. <lnd the Lt1ws
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 Safely Divblon.
I further certify that only contractors and employees wllQ
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections arc
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the prolerty nd the approved set of plans will remain
on the site a.t I times dU~ consYftion. .
Signature ~/1 V mU1JiA /
- "
Oat'"'
h - ;;;.{, - 91----
VALIDATION:
RECEIPT NUMBER ,;)?;4S?
. Vi.
DATE PAID YJ -J 4 -;; 2-
AMOUNT RECEIVFn Z .'S~_ t.f L:>
\
(1 AAA;' 0
RECEIVED BY
JOG rw. _'3.J.o~eJ~!,
CITY OF S.NGFIELD SYSTEMS DEVELOP~I. CHARGE
WORKSHEEf I
. (COMMERCIAL &. RESIDENTIAL)
NAHE OR C0I1PANY: S-rE:-I/E:-f..-\ ~. 1-k.\J~~
LOCATION: o..f?"2.-"? "fD'f.......'YIH-IA.
\ ~O'2--oc::,'2-1 - 19 1'2.-00
OEVELOP~IENT TYPE: Lv~ - ,,_If:.\1J C?~f?-
BUILDING SIZE:
1. STORf1 DRAINAGE
IMPERVIOUS SQ. FT. "2..??e, X SO.186 PER SQ. FT.
(See Reverse For Runoff Coefficients If Actual Imperv. Area
,LOT SIZE
SQ. Ft.
~,~"l.:~
Is U~~
6Z"'? :~
3. TRANSPORTATION
NO OF UNITS X'TRIP RATE X COST PER TRIP
, \
X 1.00S X $388.61
~~~0
S
X' X $388.61
X X 5388.61 i ' ...i-'
(Se~ Attachmen~ ~ To Determine Trip Rates)
....' ' SUBTOTAL '(ADD ITEMS 1,2, &. 3):L,\t;~o1;j.."
4. ADMINISTRATIVE FEES
'BASE, CHARGE (SUBTOTAL ABOVE) X ;05
01~~
TOTAL-CITY SDCS; Il.-.?-;>P:,<-?
5. SANITARY SEWER-MWMC
NO. OF PFU'S
I~
x S13.25 PER PFU + S10MlIHC ADMIN. FEE S "2.4'6 ~~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~~~Lc.k-
. -- U Kip Burdick.
SOC Coordinator
Go I~{) /,,7.-
( ,
's "2;.1"U
IOTAL-HWHC SDc~0
TOTAL SOC S I ~'7?~~
FIXTURE UNIT CALCULA.N TABLE: ,'umber 01 New Fi,"ures X. Equivalent = Fi,"ure Units U,OlE
For remodelS. calculate only the NET additional ii,"ures) ,
NUMBEr OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
1.-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
Bathtub,.................... .............. ...............,.......... .........
Drinking Fountain..:...:..............................................
Roor Drain...........:........:.........................................,.
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For'Sand/Auto Wash/Etc..........:.......
Laundry Tub/Ootheswasher..................................,
Ootheswasher - 3 Or More.....................................
Mob~e Home Park Trap (1 Per Tra~er)..................
Receptor For Refrigerator JWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower, Single Stall..........:....................................,.
Shower, Gang.............................................._.........'
Sink, Bar, CommerciaL..........................................
Urinal, StaIlJWaIL...............~......................_.._......
Wash Basinjlavatory, Single...................._...........
Water Ooser, Public Installation.............................
Water Ooser, Private_...._........._......-.
Miscellaneous:.
-t.-
'l-
TOTAL FIXTURE UNITS
=
<-f
"2-
1.-
1..
e,
1~
Based on,assesse<l value. I(lmprovements ~rred alter annexation date in ,table,
,
CREDIT CALCULATION TABLE:
calculate credits ~parates.
I
Year'
Annexed
Rate pet $1.000
Assessed Value
$2.66
2.64
2.53
2.41
2.19
2.04
Year
AnneiEid
1985
1986
1987
1988
1989
1990
1979 or before
1980
1981
1982
1983
1984'
?\-+1
Credit for Parcel or Land Only Ii Applicable
"2,(,(p X s 1\.~3
(Rate X Assessed Value)
X S
(Rate X Assessed Value)
CREDIT TOTAL
= s ~I"t!.
=
Improvement (If alter annexation date) .
Rate pet S1,OOO,
Assessed Value
S1.69
1.35
1.15
0.92
0.59
0,23
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL, ..,....,...,.......,................... ,............, 0,4
COmmercizL.....,.....,.............m....................... 0.9
IndustriaL....................................,................... 0.45
Governmental...................,....,..........,............... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT