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HomeMy WebLinkAboutPermit Building 1993-5-21 LOCATION OF PROPOSEPAORK:~Q ASSESSORS MAP: hCJdn?A" c9. 5 ~LOC;- - ~ OWNER\. clf\f)- \ 1\ to 1 ",I', ADDREEpIlJ' ",+,~ 'It Jn~ i () H.Q, ~u.lt) U/ CITY: C'J'\D ^ "hLlJL9. S;ATE-1l ~--f:!tl1;L()j)O , DEMOLISH OTHG -=-_____. . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' DESCRIBE WORK: NEW REMODEL JOB NUMBER CJ6DCN!J 225 Fifth Street j}pringfield, Oregon 97477 ) '- J)rtf/.Q--/" . TAX LOT (YJ. I CO SUBDIVISION: CO} rlt\o (\ To.rYtJJJL PHO:-JE: Sqro ~211({ZL__ ZIP !1.f'}4Elf-_ * CONST ~T~Cf3' ,-1~PIRES ___fll;;,E~ ~O\~ (. ~~ ~g-4~ CONTRACT~S NAME~ ADDRESS GENERAL: PLUMBING: '~1\Q.~ I n1J) MECHANI'" t. . ELECTRICAll \.G:-j .~ ~ ill.1A..fYJ /l ./ - OFFICE USE - QUAD AREA: 4t\.:sF-. LAND USE: II$n . OF BLDGS: r-!J - . OF UNITS: I OCCY GROUP: ~Di-.AI\.. CONSTR. TYPE: V AI . OF STORIES: _.-1. HEAT SOURCE: ~ ~'- <2_ L-/ RANGF' T WATER HEATER: :LOOD PLAIN: - D LONING CODE: -.UJJ___ . OF BDRMS: - ~___ SECONDARY HEAT: SQUARE FOOTAGE:---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 same working day. Inspectlons requested after 7:00 a.m. will be made tho following work day. D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting for.N~N n ~a.V Underslab ~Mectrical1 Mechanical -. Prior to cover. ~ ~ooting - Aftor trenches are T excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prlo~tol\. c.R.nNte~ placement. ~W\..t.L,-, '{ o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to insulation or decking, o Post and Beam - Prior to Iloor insulatIon or decking. D Floor Insulation - Prior to decking. ~ Sanitary Sewer - Prior to (1lIing ~trenCh. Storm Sewer - Prior to filling trench. ~Watcr Line - Prior to filling '-P trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior lo cove:-. m Rough E'miA- rhriCGJ F cove:.. .....rv~- o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framing~ o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After f1ieplace approval and Installation of unit. ~urbcut & Approach - After forms arc erected but prior to placement of concrete. (~Sidewalk & Driveway - After 1::(:J ~xcavation is complete, forms and sub-base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work is complete. rLZ)7Final Electrical - When all ~ electrical wo~o1\mf\th 0 o Final Mech:n~Ja~ ~-:r mechanical work is complete. ('7'1)inal Building - When all \" ~eQuired inspections havc been approved and building is comple.led. q~ o Other MOBILE HOME INSPECTIONS k-n~locking and Sel.Up - When all ~blOcking is complete: ~IUrnbing Connections - When home has been connected 10 . water and scwer. ~Iectrical Connection - When blocking, set-up, and plumbing inspections have bcen approved and the home is connected to the service panel. ~F'nal - After all requircd nspections arc approv'Jd and porches, skirting, decks, and venting have becn installce!. Setbacks I P.L. 'HSE: GAR' ACC I I N I I S I Iw 1 L~~-~ Plan Check Fee: 45~O Date Paid: (g) t"J 3D) :5i1Lm ReceIpt Number' c:O,a~ ReceIved By: (A) 5Q.33 Plans Reviewed By Date Lot faces Lot TYljC ... "I!" Lot sQ. Itg. Interior Lot coverage Corner Topography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SQ, FT. X $/SQ. FT. ~ VALUE 4Q. qJ12 j~ .f () 1;2..20 loCO Main Garage ~CO__ carpor~ ~1-:~ Total VaIUl~ Building Permit Fce State Surcharge To t;"! I Fee SYSTEMS DEVELOPMENT CHARGE (SDC) J$ (B) fU!LS 'j ~ PLUMBING PERMIT ITEM FEE Fixtures Re~~identi;:.! Bath(s) N' Sanitary Sewer FT c90_'oO ~~.~ Water FT Storm SevJCr FT. Mobile Home Plumbing Permit 'J59Q _0.15 2flfl5 Stale Surcharge ToWI Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Drycr Vent Mcchonic;11 Purrnil Issuance State Surcharge t25 Tolal Pernl;t (D) MISCELLANEOUS PERMITS Iffi pJ i!dl3 fOCd bW Mobile Home Stale Issuance State surcia;r\" Sidewalk .~ ft CUlbcut d~ ft Dernoli tiOll State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding ClectriCal)~~\ (A, S, C, D, Bn(l E Combined) IS "'PROPOSED WORK IN THE HIS~ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, thi1s 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 that the said construction shall, in all respects, conform to the Ordinance adopted by the. City of Springfield, including the Development Coele, regulating the construction and use 01 buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS [\ 11 ~ f\s'fu) ~~~ LQ'Q:lQL) \D\\\nl >tfJlTI _ ,: ~ . - C cA-~ -r I ( IJ/J 40 J ~/JU -ru. ("-~ ('P JI~ '-.f'Q ~ ( JQ\JJJLlI)-.1~ \ )\ 0 ~\ II 1\ Of}~) . By sIgnature, I state anej 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 t~3t any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the worll; described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify tllat 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 p:roperty, and the approved set of plans will r main on the seat all time ri constructio Signatur / ...- . DatI" VALIDATION: rOc q/ RECEtPT NUMBER r::A...~ (I DATE PAID <p(.~.:{f\~~ AMOUNT REC~- '. \" 1" ().' \1 RECEIVED B~W-~__) . I . . JOB NO. '1~c.,1 OS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: At-.\t.J. TACn,;. LOCATION: S"\'l~ K'AcL-M\!l. LANE:. l'bo1.0~"2-"'"':>-O-z.IOO DEVELOPMENT TYPE: LDI2.. - rv\A-tJ.uFAL"'uI2..E.D ~ME- PM) If".... ~ ~. ,~.U> J".1,cS6 BUILDING SIZE: 17"2-"1. .2."~. ,.,.. "2." LOT SIZE SQ. Ft. , / I. STORM DRAINAGE IMPERVIOUS SQ. FT. l..f>SS ~ X $0.192 PER SQ. FT. C; Stf~ ~ --- -- 2. SANITARY SEWER-CITY NO. OF PFU'S f<; X $39.78 PER PFU c;7/100;) (See Reverse) ----------- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \,005 X $401.05 c; 4-030~ --- -- X X $401. 05 $ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) ~ CoI ~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~1> ~~) -- TOTAL-CITY SDC $ ,..,~o~ 5. SANITARY SEWER-MWMC. NO. OF PFU'S ('is x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ l.SS I.!., (Use PFU Total From Item 2 Above) ~:.., ~ J.~~t_ ~ Kip Burdick SDC Coordinator 5' //1 /'1"':> { L::1(q I ~ TOTAL-MWMC SDC~O~~ ~ -- TOTAL SDC $ I q c,." "!... MWMC CREDIT IF APPLICA8LE (SEE REVERSE) ... . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS ). :- 2 1 2 3 6 2 6 . ..6 1. 3 2 1/Head 2 2 1 6 4 <f Bathtub...... ................... ................ ..... .... ............... ..... Drinking Fountain.. .................................... ...... ..... .... Floor Drain. ............................................................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc......:.........::. Laundry Tub IClotheswasher.................................., .,. Clotheswasher - 3 Or More.............................:..:...: . Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher IEtc.. Shower, Single Stall................................................. Shower, Gang.......,;................................................. Sink, Bar, CommerCia1............................................. Urinal, StalljWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: 2.- .' . ! ~ J z.. "..r.. .1 .:., ..." { 'Z- 1. z.. 'Z- 'il' TOTAL FIXTURE UNITS I'D CREDIT CALCULATION TABLE: calculate credits separates. I~.. Year I Annexed Based on assessed value. If improvements occurred after annexation date in table. 1979 or before 1980 1981 1982 1983 . 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 I .I Rate per $1,000 Assessed Value Year Annexed Rate per $1.000 Assessed Value Improvement (if after annexation date) 2 ,~'!> X $ I". -z..1 '-/-t.. ,~ (Rate X Assessed Value) X $ (Rate X Assessed Value) .J ,,~ CREDIT TOTAL = $ "t'''' Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.... ......... ....................... .................... 0.4 Commercia1...................................................... 0.9 IndustriaL. ..................... .............. .... ...... ........... 0.45 GovernmentaL.....................:........................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT