HomeMy WebLinkAboutPermit Building 1993-8-11
RESIDENTIAL
p..ERfI,m APPLICATION
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
.
$P <-1'-11
'. JOB NUMBER
C\?J\ \lC?)
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSfDJ WORa ex Po
ASSESSOR~AP: \~(') \~
LOT' Y BLOCK'
~t:J iL, .<fl IS r= f ,c:;z,. ~ t;2.e.
TAX LOT' _r\Q WV
SUBDIVISION: i::t51. N Q Q.:1.v.mfQ. ,/
~ALm vA..
OWNER: L ,,,,,/l ~ /?, ....;r- /)-,fA.//J fro '''" fc'-
ADORESS' . /2.. 2... (") 2.:s nt=>"'/ P L. '
CITy:~,,e;r.=J[~ STATE:
(')~
Hn"""'l~
OESCRIBE WORK:
AI"",,,) /), SJ (/ ~ flc.rl./ Ji?,.::rj',
OTHER
NEW '" '>C REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL' Q~ L.J=-.
~
"
PLUMBING:
"
MECHANICA' .
ELECTRICA" d_~_,~?
DEMOLISH
PHONE:
-<<
ZIP:
ADDRESS
S02-./'/JJ~""l
CON ST.
CONTRACTOR'
'fY/d 46 <{;2 z
"
EXPIRES PHONE
72.1:-2/7/
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
\I/l1Curbcut & Approach - After
bfJ forms are erected but prior to
placement of concrete,
?SideW3lk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o
Street Trees - When all required
trees are planted.
"
/2L.~C' /~,.,,t:JH- 6R<n<-'A.~
,/
OUAD AREA:~ ~'R~~ - OFFICE USE -
LAND USE: \ \~(l FLOOD PLAIN'
. OF BLDGS: ~ ~ . OF UNITS' . ( ZONING CODE: L[)\'-
OCCY GROUP: M 6-r- JV\ CONSTR, TYPE: \J fJ . OF BDRMS' :::)
. OF STORIES: \ HEAT SOURCF' FG SECONDARY HEAT: \ 0 CC;()
WATER HEATER: G RANGE: 0 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 Final Plumbing - When all
plumbing work is complet.e.
D Site Inspection - To be made }Z?:ROU9h<1ctrical - PrIor to
after excavatIon, but prior ^o \ "cover,'(1 J\A 0)f2..-;
setting rms. K \..f.--/ \- - ~t -
'f::;z!::Un~ ,"95\~lrlcall,""" ':"'"' Electrical Servic~ - Must.!'~.
l Mechani - prior~I;~"",~ ~..J approved to obta - ---- .
~ _ electrical power,l" ~~
oling - After trenches are ,'; pFinal Building _ When all
excavated. 0 Fireplace - Prior ~facln-g-- required inspections have been
materials and framIng Insp. approved and b~d~n.A.Js
o Masonry - ~teel location, bond completed. I1LULLt~
beams, grouting. ~F . C( t -\
. '. rammg- ~t'hc~er
P . CVl' Other
Foundation -. After forms are
erected but prtor ~cR?ir~ ~O Wall/Ceiling Insulation - 'or to
placement. q~ ~O cover.
O Underground Plumbing - Prior 0 0 II Pit t I
to filling trench. rywa - r or a. ap ng.
o
Underfloor Plumbing/ Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to
decking.
\dsanitary Sewer - Prior to flt1lng
/ trench.
rf}Storm Sewer - Prior to filtlng
~ trench.
~ater Line - Prior to filling
r trench.
o Rough Plumbing - Prior to
cover.
m Final Electrical - When all
F electrical work ~wtt}e.iZ1 f2-..
D Final Mechanical - Wh'::': al~ -
mechanical work Is complete.
MOBILE HOME INSPECTIONS
~Iocking and Set.Up - When all
~'blocklng is compiete.
~IUmblng Connectj~ns - When
home has been connected to
water and sewer.
~lectrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
~Final - After all required
/ inspections are approved and
porches, sklrtlng, decks, and
venting have been installed.
LolP.I~G\B
CIIJ1.q<3}~.
4.103
C\ 'I . L~
Lot faces
lot Type.
lot sq. Itg.
Interior
Lot coverage
Corner
Topography
~ 'Panhandle
Total height
_ Cul-de-sac
BUILDING PERMIT
ITEM SQ, FT.
X $/SQ, FT.
Main
~
Garage
~rL
v
Total Value
Building Permit Fee
State Surcharge
HSE GAR Accl
I
I
I W I)' /
~___J
'I~:~'!::;:' ..
Setbacks
I P.L.
IN
\S
VALUE
Or;')(YX)
4qq~
J ~
" LQSCO
(A)
SYSTEMS DEVELOPMENT CHAR<f}: (SD<:h. *-
(B) P2./?:JCf -
Total Fee
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
San I tary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permll
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State SurChar9"
Sidewalk l p' Q- fl
Curbcut ~ fl
Demolition
State Surcharge
,FEE
c6)~ ,CO
~. 1:.5 .00
'~ Cf.)
~J.
IJ t-'7 ,{x.)
~~~ . f)S
'7B. i2~
. \ ,"\ \\-'
~""J _,
<<
105.o?
c!){). CD
Q.clS
A,'~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrlcal~ 4'llltE
(A. B, C, 0, and E Combined)
, ,
~S THE PROPOSED WORK IN'T~E -',
.. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
BUILDING VALUE,. PLAN CHECK
, AND BUILDING PERMIT
This permit is granted on the express condition t the said
construction shall. in all respects, conform t e Ordinance
adopted by the City 01 Sprlngllel . Including the
Development Code, regulating the c structlon and use of
buildings. and may be sus end or revoked at any time
upon violation of any provi s of said ordinances.
'.~
Date Paid:
, ,
/Plans Reviewed By
Date
Systems Development Charge ,Is due \on all undeveloped
" '
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
(
lLlU) J)S~ri e ~ ~I (ltu --nvr')
~ cl+' \ " _ \la.d~t)
\ ~{\nof.[_ UOTo{ \G\' 'G\
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By slgnature:1 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 certify
that any and all work performed shall be done In accordance
with the Ordlnanc~s 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
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
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
'tf the property, and the approved set of plans will remain
o the site at ~II tlme~ during constju~,-
atura ~1...-_/ .r"~G
C/ '--.----
Datp B-r/c 9.3
VALIDATION: rY1n---;;:;..
RECEIPT NUMBER '1-16L--J
DATE PAin ~ . \ \ ~ .::)
AMOUNT RE~EIV:;Q -::::}.r;;l 05'. fJ S
RECEIVED By'A\\.I)
.'
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,.
DEVELOPMENT SERVICES DEPARTMENT
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 unde~stand and agree
that with the approval of the attached permA~~~ne~_t~ following
manufactured homes will be placed at . <-p)' IT:>'?"':> (1JI ~ )
Springfield, Oregon, City Job Number c(-,allt?~ .
~ Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed tloor 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
width, 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 which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings constructed under the State Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width
with 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 width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
- Water line connection
- Street tree standards
- Sanitary sewer connection
- Electrical connection
- Minimum requirements for permanent steps
I also unders tand tha t if I am ins tall'ing a Type I Manufac tured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
if/' ~C
fur'e
, R-/t'-~
bate
0" . '"
.
.B NO. q ~ \ \ (p ~
CITY OF SPRINGFIELD_3YSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NA~E OR COMPANY: Leo 4 N1. J'. NllNNIC-K.EL
LOCATION: 5788 KALMIA
/'60t..-O'-l-/4- ()ZBoO
MANU, I-!-afVIE.
DEVELOPMENT TYPE: '-PI<... !JeW
If.",f; ,.w
BUILDING SIZE: UJJ(S1+ lo.ff.Z7.' ?,o-f.,?7..
6A~. /o.f-l."/A "'Hev 12.,lrz..
,
1. STORM DRAINAGE
LOT SiZE
SQ. Ft.
IMPERVIOUS SQ. FT.
?OIoZ-
X $0.203 PER SQ. FT.
~"-z.I~)
........... ..-/
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
l<i
X $42.08 PER PFU
("'(57~
'---- .....-/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/ X / .01 X $424.31 ~ <-fz~ ~
......... .../
X X $424.31 $
X X $424.31 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S 1<'6 x $15.125 PER PFU + $10 MWMC ADM FEE $ -z.~1.-z.!,
(Use PFU Total From Item 2 Above) ,
,-"{
$ 522..!
TOTAL-MWMC soc ~
SUBTOTAL (ADD ITEMS 1, 2 , 3 & 4) $ -z. 0 "?:..., !:>~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V' .,""E~)-:~ ~ !ro/'i~
U Kip Burdick. "
SDC Coordinator
~/O'~
'------'
o.f7-
TOTAL SDC $ 2)?"1 -
FIXTURE UNIT CALCU~ON TABLE: Number of New FiX1ureAi,it Equivalent = Fixture Units (NOTE:
, ~
For remodels. calculate only the NET addicional fiX1ures) ,. "
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
I' "
2
1
2
3
6
2
6,
6'
1
3
2
1 jHead
." 2
2
1
6
4
<i-
Bathtub..................,..,.."..... ,.".,..""....."..".,.,',.,.,',...
Drinking Fountain...,....,...,.....,.....,..,.,..".,...."..,.,..,...
Floor Drain..............,........."'...."....""...".......,...'...'"
Interceptors For GreasejOiljSolidsjEtc.................
Interceptors For SandjAu10 WashjEtc..................
Laundry Tub jQotheswasher.............,....,..............:.
Qotheswa~er . 3 Or More.....................................
Mobile Hdme Park Trap (1 Per Trailer)...........:....:.
Receptor F9r Refrigerator [Water StationjEtc........
Receptor For Commercial SinkjDishwasherjEtc..
Shower, Single' Stall......... ................................,.....,.
Shower, Gang.........................................,...............,.
Sink. Bar, Commercia!.............................................
Urinal. StallfWall...............................,...,... .............,..
Wash BasinjLavatory. Single..................................
Water Qosel, Public Installation.............................
Water Qoset. Private..................,.........................".
Miscellaneous:
~
". '
1-
-z...
7..
-z.
'2--
'i1
TOTAL FIXTURE UNITS
('Y{
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
Rate per $1,000
Assessed Value
$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
1979 or before
1980
1981
1982
,1983
1984
'1985
Improvement [If after annexation date)
3.1-1 X $ /~.1-"I :522.'1
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value) Z"
CREDIT TOTAL = $ 5 2. -
Credit for, Parcel or Land Qnly If Applicable
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residential.........................................:.,............ 0.4
CommerciaL.................................................... 0.9
Industrial........................................................... 0.45
Govemmental................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT