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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