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
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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)
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C cA-~ -r I ( IJ/J 40
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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