HomeMy WebLinkAboutPermit Building 1993-7-19
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726--3759
LOCATION OF PROPOSED WORK:
ASSESS,ORS MAP:
LOT:
,~Y
'.BLOCK'
OWNER: 34#"-('
:~:RESr4';~
v-~.
~~q-r
tOA..-L-
t.j!}jL/LA
STATF'
DESCRIBE WORK: T~J':r4-LL A/LkJ
NEW V REMODEL' ADDITION
A-/A-A./b 1.' ~ ~,p
DEMOLISH
OTHER
.
SP4,-/f
c,-4'"
JOB NUMBER
--q3l81-G'
225 Fifth Street
Springfield, Oregon 97477
(t'QC>/,J,.u ~,~L
TAX LOT... 0-::2 n(')r)
Lt<tf~A' ~"1 ~~d"
SUBDIVISION:
PHONE:
/ -, ?t.2-- 48 3 to
ZIP'
Q-730/
,...
/I.AtAU?CW~
/
. , ,CONST.
CONTRACT~NAMI . ADDRESS ;. IlCO~T91ACTOR # EXPIRES
i 2.7 t.J L C ~,pll. /Jt.L /U;f ~ J.
GENERAL:, 1, t,f~ L()~J1"A.. c-7 -- 9-;401.... f,09oJ.t.. .,/9.::1
PLUMBING: (5JuviV e./l---- . *.l. . .
MECHANICAl'
ELECTRICAL: d~~t1:: , G/, t:!-h/'; t1e..r..JI-e..... /(?fJ t,.
QUAD AREA. 4~ ~
\
OCCY GROUP: rf'\~~ lv\
\
y~
~ OFFICE USE -
LAND USE: ~ \ ~..[)
# OF UNITS: , I
CONSTR. TYPE: 1/\/
HEAT SOURCE: ~ z=..:..
p---
# OF BLDGS:
# OF STORIES.
WATER HEATER:
RANGE:
PHONE
~ff-oAfb
?4/-~4
FLOOD PLAIN:
,UJ~
ZONING CODE:
# OF BDRMS'
-0
, SECONDARY HEAT:
SQUARE FOOTAGE: ~
To request an inspectIon, you must call 726-3769. This Is a 24 h'our recording. All Inspections requested before 7:00 a.m. will 'be
made the same working day. Inspections requested after 7:00 8.m." will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical : __Prior to
cover. ..._ 4' t"
.~Site Inspection - To be made
~after excavation, but prior to
setting forms,<",~/t.--)
o Rough Electrical - Prior'to
cover.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover,
1\:71" Electrical Service - Must be
~ approved to obtain permanent
electrical power.
f'Y1' Footing - After ;trenches are
~excavated.
o Fireplace - Prior to facing
materials and framing Insp.
o
Masonry - Steel location, bond
,beams, grouting;
~ Framing - Prior to cover.
o
Foundation - After forms are
erected but prior' to concrete
placement.
D Wall/Ceiling Insulation - Prior to
cover.
o
Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
o
Underfloor Plumbing/ Mechanical
- Pri.or to insulation or decking.
.~ ~'
D .Wood Stove - After installation.
o
Post and Beam..;.... Prior to floor
Insulation or decking.
o Insert - After fireplace.approval
and installation of unit.
, ; .1
o Floor Insulation - Prior. to
decking. \ ...
'fV>I Curbcut & Approach - After
~ forms are erected but prior to
placement of concret,e..,
l"\7r Sanitary Sewer...;.... Prior to filling
~trench, ,
..
. rv1 Sidewalk & Driveway - After
~ excavation is complete, forms
an~ sub.base material in place.
f\:7I" Storm Sewer - Prior to filling
~ trench.
~ Water Line - Prior to filling
~trench. .
o Fence - When co~p~ete(j, .
,
@:I)treet'Trees -: When,~II;eq~lr~d
rees are planted.' . . .' "
o Rough Plumbing - Prior to
cover.
o
Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work is complete.
o
Final Mechanical - When all
mechanical work is complete..
....:::7l" Final Building - When all
~ required Inspections have ,been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
"'R.7r Blocking and Set.Up - When all
)oC>o.l. 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 p~nel:.'
.'.
D Final - After all required
. inspections are approved and
. porches: skirting, decks, and
venting ,have been installed.
. I"
---U. Lot Type. . ' -- ---
Lot faces Setbacks IS THE PROPOSED WORK IN THE
~ X Interior I P.L 'HSE GARIACcl HISTORICAL DISTRICT, OR ON
Lot sq. ftg. IN I THE HISTORICAL REGISTER?
Lot coverage 2tJ9o Corner If yes, this application must be signed
~ Is I~ /g I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit issuance.
Total height - Cul-de-sac IE I
5 APPROVED:
4~~~CO
'$0.5".0
Z.~
5'~ .03
SYSTEMS DEYELOPMENT CHARGE (SDC)s#S
. .' (B) /I 1'12-'-1-.
')SpO ~
3,45~
-~
BUILDING PERMIT
SQ. FT. X $/SQ. FT.
t:'lJJJ. Vdwl.
ITEM
Main
Garage
, . 1,0
Carport Z~ /t!).
~,~QY1m~o\? _
Total Val ue
Building Permit Fee
. State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary Sewer
FT.
:
,
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreprace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk &-.0 ft
Curbcut ?.e::; ft
Demolition
State Surcharge
~LA.t~ REv.1a....
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C,D, and E Combined)
VALUE
~I 011
,
'2~~""l
/5t7V
FEE
?~~ tH>
25~
2'5~
~
/1')5"~
;2tJ 8D
5.;;z.r
/9.-
/3.7'>
~2.. 8 !
LiJ-5 (119
??/_7,7/
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of 'Sprlngfleld, including the
Development Code, regulating the construction' and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
'22. 8:3
Plan Check Fee' "7
Date Paid:
Receipt Number'
Rec~ived :
~~~,
Plans eviewed By
~A1
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
A$.-"- I t-, :Jq ()
.1JAPf J '^ I r;. QJ), " Cu.r.J.n<:::..,;dr;
_~.n(, ICJ70J
1),-, ,1-(,.., ,
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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining t9 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~oved set of plans will remain
on the sl~es du in construction.
.)("gnature =k0 1--1 _. ~
, Date ~l;r/9<
'( ~ ?
VALIDATION: CC '~)
RECEiPT NUMBER 5,c,?
DATE PAir' 1.~:. y-~
AMOUNT RECEC!\YED L.2. ~ <::;:5 , e:. (
RECEIVED BY \f'(C>-....J
- .
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.B NO. Q,?o47f.:.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ;[AME7" DE.5f!..A IA(A-e.1 L-A
LOCATION: 5"1(,,2 KAL-fv'JIA 51. /'i5o 2tJ?J"'Z3 - o z.-o tJO
DEVELOPMENT TYPE: L-PI?- - New MAI\JV. JIoM&
HU>1[; CA~hfZ.'" '(?'W ..
BUILDING SIZE: '2-11l-<{8 24"1. 22 /;.'511:1'1 LOT SIZE
, .
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 1-0?? X $0.203 PER SQ. FT. (}n79
2. SANITARY SEWER-CITY
NO. OF PFU'S J'if X $42.08 PER PFU ~S7 ":i)
(See Reverse) '-- .---/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1 X /. D , X $424.31 (4Z8 ~
'-- ----
X X $424.31 $
X X $424.31 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S /t x $15.125 PER PFU + $lO MWMC ADM FEE $ '2'&"2 -z.!:o
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICA8LE (SEE REVERSE) $ 52 ~
TOTAL-MWMC SDr, ~
'----4
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 1<6-7,2 -
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~.L't.k 7 It..;. /13
U Kip -Burdick I I
SDC Coordinator
~
,] 3!:>
TOTAL SDC $ /11-, -
,.. -~
FIXTURE UNIT ,CALC U ~ 0 N TABLE: Number of New Fixture.nit Equivalent = Fixture Units~fE:.
For remodels. calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
Bathtub......................... .............. ... ...............
Drinking Fountain......................... .....................
Roor Drain................................... .....................
Interceptors For Grease/OiI/Sollds/Etc.................
Interceptors For Sandi Auto Wash/Etc..................
Laundry Tub IClotheswasher.................... ...............
Clotheswa~er . 3 Or More.....................................
MobRe Hdme Park Trap (1 Per Trailer)..................
Receptor F9r Refrigerator /Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single .Slall................ .................................
Shower, Gang...........................................................
Sink, Bar, CommerciaL............................................
Urinal, Stall/WaIL....................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private...............................................
Miscellaneous:
1-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
I
I
7.
z-
TOTAL FIXTURE UNITS
-+
'2.-
z
z
A
If)
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCUUl.TION TABLE:
. jCUlale cre:!its separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
'1985
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
Credit for Parcel or Land Only If Applicable
3.'2-1 X $ Ib,Z-"f &;2 2-"
(Rate X Assessed Value)
X $ =
(Rate X tsS%'s~ Value) "
CREDIT TOTAL = $ 52 z_
Improvement (If after annexation date)
Rate per $1,000
Assessed Value
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
II
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential....................;................................... 0.4
Commercial...................................................... 0.9
Industrial........................................................... 0.45
GovemmentaL................................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
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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 Developmen~ Code, I understand and agree
that with the approval of the attached permits, one of ~pe fol+owing ,
manufactured homes will be placed at S0~ -<..aJl/VV">A cu <:v-t.."
Sp~i~ield, Oregon, City Job Number '131:Jqjfn .
~ Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with 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
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 tloorarea 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
- Yater line connection
- Street tree standards
- Sanitary sewer 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 .with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
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