HomeMy WebLinkAboutPermit Building 1993-8-9
OWNER: On",a IA k nQr-bora P ~lj.50..r
ADDRESS: J11. ~ De I rose.. A Lie..
CITY .3fr;-j .c;,I~
DESCRIBE WORK: T ",~-4o.ll t J Y!fP
NEW L REMODEL ADDITION
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
BLOCK.
STATF.
()(.).
.
JOB NUMBER CJ.!JI{E)
225 Filth Street
^c::.M',-nfi.-::ld, Oregon 97477
)
TAX LOT:
SUBDIVISION:
()f] ~(Y )
C.()ld~ If!//tl((:)
PHONF'
7'-/ fc - LJC/.;2 0
ZIP:
-*
C\G H) f\p
OTHER ~
CONTRACTOR'S)':/.AME .
GENERA" ::J() N-tiC! M
PLUMBING:
, I ADDRESS
Howe, \\373
CONST.
CONTRACTOR d
I"LII CruKQd, 3,g.23'51
PHONE
71oC(-77<14
MECHANICAl.
ELECTRICAl.
QUAD AREA '1-~~
. OF BLDGS: :\ .
QCCY GROUP: ~~-t M
. \ '
o
II OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE \ \ 'S, n
'/1 OF UNITS- \
CONSTR. TYPE; .J/-r-A.J
HEAT SOURCE: ~t- 'E.-
C~
RANG'"
EXPIRES
)~/Cj ~
FLOOD PLAIN'
ZONING CODE:
. OF BDRM~
llJ~
~
-
SECONDARY HEAT:
SQUARE FOOTAGE:
To request ar"l inspectIon, you must call 726.3769. This is a 24 hour recording. AI/Inspections requested before 7:00 a.m. will be
made the same working day. inspections requested after 7:00 a.m. witl be made the foHowing work day.
.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior tP'\
setting f~S. ;,,:,, ~J_
~ Underslab. umbi gJElectrica!l
~ Mechanical - Prio
~oting - After trenches are
excavated.
, Masonry - Steel IDeatIon, bond
beams, grouting.
~oundation - After forms are
erected but p~~~
placement. '-\ _ _. _6
D Underground Plumbing - Prror
to filling trench.
D
Underfloor Plumbing/Mechanical
- Prior to ir!sulation or decking.
D Post and Beam - Prior to floor
insulation or decking.
D
Floor Insulation - Prior to
decking.
:mitary Sewer - Prior to filling
trenctl.
torm Sewer - Prior to nlnF19
rench.
D Rough Plumbing - Prio( to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
~~~c~h q01~
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and (raming Insp.
<rfPFraming - Priof to cover.
D wall15~priorto
cover.
D Drywall - Prior to taping.
[""1
Wood Stove - After installation.
D Ir~scrt - After fireplace :3.DProval .
,~nu in'.)!<3I~atio~ of ur,it.
~ Gurbcut & Appmach - After
forms are erected but prior to
plc:.cement of concrete.
{-/OSidewalk &. Driveway - After
~ excavation is complete, forms
apd sub-base material in place.
D
Fenc~ - \lV:1en completed.
D
Str~ct l'rC2S - \/".,lhen al! mquired
trees <J:e pl;..;:,t~(l.
'EYFinal Plumbing - When all
plumbing work Is complete.
m:inal Electrical - When all
I electrica~M complete.
D Final Mechanical ~I
mechanical work is comptete.
~inal Building - When all
required inspections have been
approved and ~/ding is
completed. ,--\~i
D Other - n ~
MOBILE HOME INSPECTIONS
~:ocking and Set-Up - When all
r blocking is complete.
~;IUmbing Connections - When
home has been connected to
water and sewer.
In.,ectrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
~'nal - After air required
.~ inspections are ap;::rcved and
porches, skirting, d~cks, and
venting h3ve been installed.
Setbacks
I HSE GAR I ACC I
I
I
Lot faces
.
Lot Type
~lnteriOr
Corner
I P.L.
IN
Is
Iw
IE
Lot sq. Itg.
Lot coverage
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
SQ. FT.
X $/SQ. FT. ~ VALUE
LVPD rr.\O ~
'- '\5?l<>\\'ww.L Y 5,'Cff)
(\9~\o<6) . ~~-~
4.Cr~
\ ffi 43
ITEM
Main
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) #3
11 '8!>
(B) " ?_D r:, '..:'
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
r95PO
aSOO
c!J.. S .a.J
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
fJSCO
Q.'lCS
'JR. '15
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StoveJlnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
t7f
MISCELLANEOUS PER~.~:TS
Mobile Home
\ DS.DO
~OcD
~e:s.:JS
\yL\:S
\ 4 .::J()
State Issuance
State Surcharge
Sidewalk Lo3 It
Curbcut ~
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding el~ctfical) ri403.'11
(A, B, C. D, and E Combined)
.
:. IS THE PROPOSED WORK IN THE
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 that the said
construction shall, in all respects, conform to the rdinance
ado pled by the City of Springfield, in uding the
Development Code, regulating the constr Ion and use of
buildings, and may be suspended or oked at any time
upon violation of any provisions 0 aid ordinances.
Plan Check Fe"">
/""
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
~\A~f~ b.~ (\Of\t~
(r 11 f\ _ Y'\I)j ri 2 ) ,'<11l0R/ n QL)
\ j-Xl v\ ffi9toru (~~
. .
\ CA:\,\ f\ Q K \l.tto )! \ L\ f'(:1
\~*TTI\o.~q()' I
,
~ l~Or-n t-rf').. 0 \.1-\2 VYY'ut)
~'O. \J.Jj.Q..('~ (jJ\\Qt--\-"", 0l 00 rt
lNJ'lOOO~ \U
By signature, I state and agre~CarefUIlY examined
the completed application and do hereby cCrlify 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 Slale of Oregon pertaining to the work described
tlCrein, 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
arc in compliance with GRS 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
rrcr.l the ::ot:-cct,th;::t the perm;: cord is located at :tH: f'Gflt
of the prOPC(3;t, nd the appro d set of plans will remain
on the sIte a a I times durin construction.
Signature V'l11j1'
Dale 'i? -q~
VALIDATION: CS1
RECEIPT NUMBER
DATE PAID ~. - '. ~ '^>
AMOUNT R~IU~ ~ _ . \~
RECEIVED B~\f'\~'
::':.: ~:..-. '>r:....
.,
"
.
.
,-~_.
r::;';'"-
225 FIFTH STREEr:. .
SPRINGFIELD, OR 97477
(503) 726.3753
FAX (503) 726.3689
MANUFACTURED HOME SET-UP AGREEMENT
As required b.y the City of springfi.eld Development Code, I understan:;ran agree
that with the approval of the attached pe~~s~one o~he !~}\g
manufactured homes will be placed at _ ,""1L..J nJ p (It,' n.J10 ~
Springfield, Oregon, City Job Number Q,=)l ();e::..f', ~ -
~ Ty~e I Manufactured Home, A multi-sectional (double wide or vider)
unlt vith an enclosed tloor area of not less than 1,000 square feet,
that has a nominal roof pi tch of 3 feet in height for each l2 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 ;i~ vidth
wi th an enclosed tloor area of not less than 500 square feet"J;",j:"hat has
a nominal roof pi tch of 2 feet in height for each 12 feet in ",{(Hh' and
that has no bare metal siding or roofing. ';;:~a:
I further state, by my signature belo~, that I have been provided with the
following information:
- Manufactured Home blocking
- Vater 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.
7>/q!q3
Date I
,',
.
eB NO. q~I()r;O
'''-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Dol-lA.\-D ~ 12:,Pd~_e,A-e..A -P6-r1S~'::>ON
LOCATION: '3'1 'i>Co k'A-t..M IA
\<60'2.0"?'l-'? - 0"2-'2-00
DEVELOPMENT TYPE: L-P1Z. - ~ew kl\A"'IJ. t+oMF
G+I/Z.. f).W. HOMe.
BUILDING SIZE: 2-" -i. 7.0../- fn/';() II ,2,)1. '52- LOT S~'ZE
SQ. Ft.
1. STORM DRAINAGI;:
IMPERVIOUS SQ. FT. Z.t,7'7J X $0.203 PER SQ. FT. ~5l/-?"~
'- .-/
2. SANITARY SEWER-CITY
NO. OF PFU'S I 'b X $42.08 PER PFU ~
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $424.31 ~2-8~)
"- .-/
X X $424.31 $
X X $424.31 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S I<J x $15.125 PER PFU + $10 MWMC ADM FEE $ -Ze'2. 'Z,2
(Use PFU Total From Item 2 Above)
TOTAL-MWMC SDC
$ 'S'2-~
?'2...:j~
~
~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
k-<'_~LJc, -, /27.-/':;3
U Kip Burdick I /
SDC Coordinator
~
g;
TOTAL SD~$ '20-;.1 -
FIXTURE' UNIT ,CALCU LA eN TABLE: Number of New FixlUres .it Equivalent = Fixture Units (MOTE: "
For remodels. calculate only the NET additional flXlures)
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
FIXTURE TYPE
'Z.
2
1
2
3
6
2
6
6
1
3
2
.1/Head
2
2
1
6
4
4-
Bathtub.................................................................... ..
Drinking Fountain.....................................................
Floor Drain................................................................
Interceptors For Grease/OiI/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
laundry Tub/Ootheswasher..........:..:.~:;.::...:....:..;.... '
Ootheswa~er - 3. Or More....................."........,.....
Mobile Hdme Park Trap (1 Per Trailer)......:............
Receptor F9r Refrigerator flNater Station/Etc........
Receptor For Commercial Sink/Dishwasher lEtc;.:' "..-
Shower, Single .Stall....... ........................... ........... ....
Shower, Gang...........................................................
Sink, Bar, CommerciaL...........................................
Urinal. StallflNall.......................................................
Wash Basinllavatory. Single..................................
Water Oosel, Public Installation.............................
Water Ooset, Private...............................................
Miscellaneous:
7-
, .
'2..
.. .
<
.' ':,'."
4f-'-, .
..'
'.. ".
'Z.
~
2-
'6
TOTAL FIXTURE UNITS
=
Ii
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Based on assessed value. If improvements occurred after annexation date in table.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
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
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
~.z..1 X $ lG:,.'2.-; '5'2-2-1-
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value) .,
CREDIT TOTAL = $ 5'2-~-
..
Credit for Parcel Of land Only If Applicable
Improvement (If after annexation date)
RUNOFF COEFFICIENTS FOR.STORM DRAINAGE
Residential.......,:...........;::......;....:.......:..;;......... 0.4
"." fir . .
CommerciaL..............!..................................... 0.9
l.... -,
Industrial........................................................... 0.45
GovernmentaL................................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
-.JOB NO. Cf?:>/oo'=t
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: f(oe>t.It:../ i DOJi!rm-fY 13un..€::f':.
LOCATION: //6 Z Wes..,- 'D I S/. LoT of8.. <ft1l Ai>D fA/N/?;()W 6(An:.!:.
DEVELOPMENT TYPE: LOJZ. - NE:.IN $F,R
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
LOT S I'ZE
SQ. Ft.
'?1-1/
X $0.203 PER SQ. FT.
~ ("''7?~
'-- ~
2. SANITARY SEWER-CITY
NO. OF PFU'S 1~<4 X $42.08 PER PFU
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X ).01 X $424.31
X X $424.31
X X $424.31
4. SANITARY SEWER-MWMC
~\069"'?l
'-- .-/
~4'l-e~
'-- ----
$
$
NO. OF PFU'S -z.y. x $15.125 PER PFU + $10 MWMC ADM FEE $ ?.,~~
(Use PFU Total From Item 2 Above)
, J ~, . . ." .
MWMC CREDiT IF.APPLICABLE (SEE 'REVERSE} .
$ ?O~
TOTAL-MWMC SDC
?&.j-3~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Z. 4- ~
5. ADMINISTRATIVE FEE~
BASE CHARGE (SUBTOTAL ABOVE) X .05
~~._ .P.A_'~ Ilzzh~
, G Kip BurdicK "
SDC Coordinator
<f1~
'-- :/
TOTAL SDC $ 'V??G::.z,z
FIXTURE UNlt',CALCU~ON TABLE: Number of New Fixtures.nit Equivalent = Fixture Units (NOTE:--
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
Bathtub..................................................................... .
Drinking Fountain.................................................. ."
Roor Drain................................... .............................
Interceptors For GreasejOiI/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc....,...............
Laundry Tub/Ootheswasher.....................:...:..:..:... ..,
.qotheswa~!j[ -..3 ,C1r More..........................,...........
Md15~e Hdtne Park Trap (1 Per Trailer)........:.........
Receptor Fgr RefrigeratorJWater Station/Etc........
Receptor For Commercial Sink/Dishwasher IEtc..
Shower, Single.StaIL...............................................
Shower, Gang...........................................................
Sink, Bar. CommerciaL...........................................
Urinal, StaIlJWaIL.....................................................
Wash BasjnjLaV<ltory, Single..................................
Water Ooset, Public Installation.............................
Water Ooset, Private...............................................
Miscellaneous:
z..
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'-I
':Ij
TOTAL FIXTURE UNITS
FIXTURE
UNITS
'-I
'Z,.
7..
<4
-L7~
'2.'4-
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculat~ C{!ld tts separates.
-..
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
_.1983
1984
'1985
Rate per $1,000
Assessed Value
Year
Annexed
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
e.s.TII't1A,eo~ 'b6~
No
Credit for Parcel or Land Only If Applicable
1986
1987
1988
1989
1990
1991
1992
r: /... ZfooJFD - c.cep,r
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
-:2. oe
= $ ;.JO-
=
I~provement (If after annexation date)
.I~'
'.
_I
RUNOFF COEFFICIENTS FOR.STORM DRAINAGE
,'.'
Resldential........;...........;.........:..............~.......... 0.4
CommerciaL................................................... 0.9
IndustrlaL........................................................ 0.45
GovernmentaL................................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT