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Home My WebLink AboutPermit Building 1991-9-23 LOCATION OF PROPOS~WORr S1Qt" ASSESSORS MAP' \r")Qf.J)-4\ 4- ~ .~RE~'DENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726:3759 ' LOT: I SPRINGFIELD k'A.LIVI,A LN . BLOCK' '. OWNER: M. /(p..-n\LEbJ WE:sTR~ook ADDRESS: 9B ~FJl:I'l7'\GG' AVE. 'V AJ(" FA) ~ CITY: DESCRIBE WORK: ---M.o.R fL~ NEW 'I- REMODEL CONTRACTOR'S NAME GENERAL: 'r"",~.l"",\ -\.\ARflUO,", I' ,/ PLUMBING' MECHANICAl' ELECTRICAl' I-\U."1J>If.. ~ FAJ:r/'T. QUAD AREA: ~Q ~~ . OF BLDGS' I OCCY GROUP: - R~ \ . OF STORIES: 9~ WATER HEATER: ADOITION STATE: ~ '- Ho,..,f' PCACGhI(i;NT J t:.Pttt./>(;,~. I q//~-~ DEMOLISH. OTHER JOB NUMBER ,225 Fifth Street Springfield. Oregon 97477 TAXLOT: rJ2.~TI-..., SUBDIVISION: ~6N. 7Y~~AC4;: PHONE: 4&2}- (").3.5 q ZIP: ~~, ~ f=.n U t,J2ftT70N J CONST. CONTRACTOR' c'C,4cf.7 20 - 23~ pa REQUIRED INSPECTIONS o Rough MechanIcal - Prior to cover. D Rough Electrical.- Prior to cover. ~ Electrical Service - Must be I approved to obtain permanent electrical power. D Fireplace - Prior to facIng materials and framing Insp. ADDRESS r "14.1.1 T / . - OFFI~E us~ LAND USE: \ \ ~ ) \ , HEAT SOURCE: +:' E...... 7.-/ . OF UNITS: CONSTR. TYP'" RANGE: EXPIRES S-)-9z.. /1-30.'11 PHONE 68'1 -n62. . . '. FLOODPLAIN' ~, '\ ZONING CODE:Lf)~ . OF BDRMS: 5 SECONDARY HEAT: SQUARE FOOTAGE' \? JI\ \ 0 "- ,-.....--- "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 ma.de the same working day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. \ \ \Rl Footing - After trenches are ~ excavated. D Masonry - Steel locatlo\l, ?Ofld beams, gro~ting. ~ Foundation - After forms are ~ erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/ Mechanical - Prior to Insulatlon or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prlor to decking, ~ Sanitary Sewer - Prior to filling Lp' trench. ~ Storm Sewer - Prior to filling If-=:I tre~ch. . , . ~ W~t~r ~Lin: ....:. Prl.or .to filling Iz:::t trench. ' . o Rough Plumbing - Prior to cover. D Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. o Wood Stove - After Installation. D Insert - After fireplace approval and installation of unit. @. Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Si.dewalk & Driveway - After ~ excavation Is complete, forms ar)d sub-base material in place. D Fence - When completed. A Street Tre~s ~ When all Yequi'red ~trees are plan~ed. D Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work is complete. D Final Building - When all required inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS J;:?t Blocking and Set.Up -, When all ~blocking is complete. ~ Plumbing Connections - When home has been connected to water and sewer. ~ Electrical Connection - When I blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. ~inal - After all required " .' rnspectl~ns are approved and porches, skirting, decks, and venting have been installed. Lot faces ~T~:~e! Lot sq.' ltg, Lot coverage Corner Topography Total hei ght Panhandle Cul-de-sac BUILDING PERMIT sa. FT, I THE PROPOSEOWORK IN TH'~ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? . If yes, this application mu e signed and approved by the Historical Coordinator prior to permit issuance. , \ I P.L. IN Is Iw IE Setbacks I HSE GAR I ACC I I I I Main Garage~nrt. f)!Y\ ~, Carport l) <J X $/sa FT &~;;P1UgO \ :'1\"\ ITEM ~\-\~ Total Value \) Q.. ~ Building Permit Fee ';f?,o'lJJ, State Surcharge Total Fee (A) 0\\ DC) " ,-':J/A. r:;t> ~ - APPROVEO: . UILDING VALUE, PLAN CHECK A BUILDING PERMIT This pe it is granted on the express condition t the said constructi shall, in all respects, conform to e Ordinance adopted by e City of Springfield Including the Development Co regulating the co ruction and use of buildings, and may suspended r revoked at any time upon violation of any p isio of said ordinances. Plan Check Fee: /" "'- Date Paid: /l"ians Reviewed By Date .......... SYSTEMS DEVELOPMENT CHA1GE (S~~ ~ . (B) 1I~\- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT, FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge ", Sidewalk rc'/7 It Curbcut c!JO"'" ft Demolition State Surcharge FEE ~5.CO A)5.C:O f:lC;~ 05DU ,,~. ')1:) 18.1-5 IDS.cO ~f)DO ~~.~5 \R.bS \RDO Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical,;OOICJ~ (A, B, C, D, and E Combined) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \' {\ ()t, n \ or-, . \, f'lo x\N\ot oY \ -l.\\.\.)\~~ 0 '\ ...'\\rtCll~ ~ ~ , . ~ ~\cA~oroolt.l 'o\\ll~ \D'"\ \(') . - J _, )\.)\ {\ bJ: ('iQ 1 () ~ \ l--\ ' let By signature, 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 certify that any and all work performed shall be done in accordance with the Ordin~nces of 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 of the property, and the approved set of plans will remain on, the site at all times durinYfonstruction. Signature~ /Y~~ Date cr'2,~ -q, VALIDATION: ~ Q . 1\ \ ("") RECEIPT NUMBF", T \ 0fJ f\~ '3l2s DATE PAID y. 3 0'( I AMOUNT RECEIVEDc!J()r]{ () .4..~ RECEIVEO BY (:1)\.1'()~) - j, .'~ I SPRIFIELD DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726-3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of 'Springfield Development Code, I understand and agree that wi th the approval of the attached permi ts, one, qf ,he fo!lowing manufactured homes will be placed at EtJ1Cn Q ~('\ \ I'f\\r\--, Springfield, Oregon, City Job Number . r),~'r:::., . o Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior dimensions enclosing a space of at least 960 square feet, with roofing and siding materials that are commonly used or compatible wi.th si te built homes. . o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: - Mobile home blocking - Sanitary sewer' connection - Yater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps \ -BAJ~ ature ' . Q-23-CJ/ Date CITY OFAPRINGFIELD SYSTEMS DEVELO.NT CHARGE +1="" \IOSS .,. ,WORKSHEET' ' NAME OR COMPANY: M. ~"'-n-H..e.E:.(-"'\ W~S\~Roo\<'-. LOCATION: 1::,1'1{o ~UV\\A. l..J.,..(-"'\E:. 1'00 2-D 4 14- - 0'2...<">00 DEVELOPMENT TYPE: L-Dl2- HW'e &Aol'- Ow BUILDING SIZE: '2e-.<41> . \<{,l z..I . ,~..,L.'z.c> LOT SIZE SQ. Ft.. 1, STORM DRAINAGE IMPERVIOUS SQ. ~T: 1'1.00 X SO.186 PER SQ. FT. S.~Co'-\~ (See Reverse Foi Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S \ S X 538.55 PER PFU (See Reverse To Determine Total PFU'S) "0 S ",<'j'Q- 3. TRANSPORTATION :;0 OF UNITS X TRIP RATE X COST PER TRIP X I,OoS X $388.61 $ ~O S~ X X 5388.61 s ~ X X 5388.61 (See Attachment C To Determine Trip Rates) , SUBTOTAL (ADD ITEMS 1,2, & 3) S $ I 0+4-'1 ~ 4. ADMINISTRATIVE FEES' 8ASE CHARGE (SUBTOTAL ABOVE) X ,05 $ 124~ TOTAL-CITY SDC S \~~\~ 5. CREDITS, IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: . / fA TOTAL - C ITY SDC X (50%) = ADJUSTED CITY SDC S l'f / /T 6. SANITARY SEWER-MWMC NO. OF PFU'S l~ x 513.25 PER PFU + S10 MWMC ADMIN. FEE S 'Z.'-fSSo (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~L~ Of/llJ/'i1 vi Kip Burdick SDC Coordinator S '2,~~ TOTAL-MWMC SDC S "2..\0 o.l TOTAL SDC 5 n~\'-l-' ,- 1 FIXTURE UNIT CALCULA~N TABLE: Number of New Fixtures 4t Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS , ' Ba thtub....................."..............,................................ 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).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower. Gang.......................................................... Sink, Bar, Commercial.......,..............,...................... Urinal, StalljWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation...........:............:.... Water Closet, Private.............................................., Miscellaneous: '2- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 "1- 1- TOTAL FIXTURE UNITS = 4 '2- "1- 7.r ~ l~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Rate .per S 1,000 I Assessed Value ;;: ~ ;:::J 1.35 1.15 0.92 0.59 0.23 = "2-'2> ~"i = = $ "2-&~ - Yea, Rate per S 1,000 y--- c=.. .A.nr.ex2d Assessed Value ;'.nnexed :: " :.( :-?f.:;-? ,'" ~- 1~~~ II '.' - ,_':'.':0 1980 2.64 1986 I 198i 2.53 1567 1982 2.41 1968 1983 2.19 1989 198-l 2.04 19S0 Credit for Parcel or Land Only If Applicable 2.-.<O'=> X s -'0.,1_ (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL ., Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential,.....,.......,..."..,.......,.,.,.,.,...,............, 0.4 Commercial" "..." '............ ...... ,. ,. ..,.., .., ,.. .... ,..... 0,,, I nd ustrial..,...".,."..........,..............,.....,............,. 0.45 Governmental...,.............,.................,............... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT