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Home My WebLink AboutPermit Building 1992-2-3 .' y' , RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 \ e\ \) LOCATION OF PROP9~ J,:;O~, ~1. P..fY7 ASSESSORS M~.JO )~o.'-,\ . LOT: ~ ~ . BL~C~'-.L\- OWNER'\ ^\\O-\'r~~f\~HY\t)J ADDRESS: trn - ~' 1- \\\~\ 0 CITy:~Tl10 . 0 ~~ ('\ \.~O . . STATE: t .A . qfJfY),{ JOB NUMBER PHONE: iAln-[J(11 , CONST. CONTRACT~ NAME L ADDRESS ,-CONTRACTOR · GEN:RAL: '(,On:;rJ \ JO mk'f\ 5til4-N\f\ 11'0 PLUMBING' MECHANICAL: ELECTRICAL: k1 Q '\\il'-to ~ . I ~ ~ i QUADAREA:~~t:- . OF BLDGS: , I OCCY GROUP~~ . OF STORIES: ~I DESCRIBE WO K: NEW I REMODEL WATER HEATER: IF ./ 1- '.fJ LJllo +n Q 6EMOLlSH OTHER . ~~LOffi~ L()~\2rl - I - OFFICE USE - LAND USE: \ IfV; I HEAT SOURCE: r:- s 9.-/ . OF UNIT"" CONSTR. TYPE: RANGF. ZIP: Gf,4l..9) ) EXPIRES .~I 1:J./:J1/Qrt- CM-m FLOOD PLAIN' ZONING CODE:-LOP---- . OF BDRMS: '* SECONDARY HEAT: SQUARE FOOTAGE , To request an Inspecti~:>n, 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 the following work day. . , , . D Temporary Elect,riC M Site Inspection ,- To be made P after excavation' but prior to setting forms. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. D Under.lab PlumbinglElectrlcal1 Mechanical - Prior to cover. , ~ooting - After trenches are r excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prio'r to concrete placement. I I Underground Plumbing - Prior to filling trench. D D , Underfloor Plumbingl Mechanical - Prior to insulation or decking. L , o Post and Beam 1- Prior to floor Insulation or decking. I D Floor Insulation - Prior to decking. I ~sanitary Sewer!- Prior to fitling trench. , ~t~rm Sewer -;. Prior to filling trench. ater Line - p'r1o; to filling trench. ! . ~ o Rough Plumbing - Prior to cover.. I . , . I I D Electrical Service - Must be approved to obtain permanent electrical power. . o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After installation". D Insert - After fireplace approval . and installation of unit. ~Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. ~idewalk & Driveway - After ? excavation is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing work is complete. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work is complete. D Final Building - When all required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS 0BIOCking and "Set.up - When all T blocking is complete. rPIUmblng Connections - When home has been connected to water and sewer. fEleetfical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. ~inal - After all required ~ ~nspectlo~s are approved and porches, skirting, decks, and venting have been installed. Lot TYP. Setbacks Interior I P.L HSE GAR ACC I IN I Corner Is I Panhandle Iw I Cul-de-sac IE I Lot faces Lot sq. ftg. Lot coverage Topography Total height BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. &g~!i~~ , l)7h -3 ,1.<1 oJ.~ ~ ~ Main Garage 'h' Total Val ue Building Permit Fee (~3~\) State Surch'arge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) 1$ (B) ~ 1 (., rO'tZ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N" Sanitary Sewer FT. ,q ~ .00 A~, DO A~.oU Water FT. Storm Sewer FT. Mobile Home Plumbing Permit 'l~~ 8 .1!:) '1'6 ,'/5 State Surcharge Total Charge (C) MECHANICAL PERMIT Fu mace Exhaust Hood Vent Fan N" Wood Stove/lnsertlFireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) Q1 Lf'f) .cO nl)D ,CD O.cQ5 lR,~ ICi.7D MISCELLANEOUS PERMITS Mobile Home State Issuance State Surch~~ ~ Sidewalk ~ ft iQJ Curbcut ~ ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) / '. .IS THE PROPOSED WORK IN THE HISTORICAL DISTRiCT, O~O THE HISTORICAL REGISTER? If yes, this application m 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 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. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped pr~'perties within the City limits which are being improved. ADDITIONAL COMMENTS "d\<::\ \" \t}~."..t.O _ \ l:~\ 0\cxC) IS~{\\nQ~MX~\ \V\'\q . -LBf)0L..',(J\ l Mn~ ~QQLJ \ ha~) On t\~:} Ofllll >>Q (){LQ1 15 .ll In. I Deli.) \ ~ ' .e\tf-) loth e.. ._ 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 to 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 addre'ss is readable from the street, that the permit card is located at the front 'of the property, and the approved set of plans wlll remain on the sltAes during c4ion. Signature ~~. t1 C4'r-.vp~ Date L- :5 -CJ2- VALIDATION: RECEIPT NUMBER. 3<:;:; '7.7 DATE PAID "< ":'5-~--:;L AMOUNT RECEIVEP" . c9n3L\. .~ \ ~~~ ,/~ RECEIVED BY J08 NO. Cf1..0011 CITY OF S.INGFIELO SYSTEMS OEVELOPM~ CHARGE WORKSHEET /, (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: M~..(-if.LE:.Ne,U~ LOCATION: 5'" B I KA.\..""I/l, l~o"2. O'?"2.? - O'2..<?oo DEVELOPMENT TYPE: LDlZ.. - M~I.lFA-L-rtllU::D {.-\tlM~_ ~Me Q.AlL. t>."'. BUILDING SIZE: Z&,c-l-<l-I'2."-I<f, \7.....-z.0 LOT SIZE SQ. Ft, 1. STORM DRAINAGE IMPERVIOUS SQ. FT. l(.,'-\o X $0.186 PER SQ. FT. ~ ~c>So-l- (See Reverse For.Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S le, X $38.55 PER PFU (See Reverse To Determine Total PFU'S) $ G::'<~? ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X' 1.c>",C; X $388.61 X' .. X $388.61 ......:,. ..,.,~.~",~..-."..",.-...t"'.".=' .. X '$388.61 . (See. Attachment C To Determine Trip' Rates) .. . . ..." . ... . SUBTOTAL (ADD ITEMS 1,2, I -z.n. . _so;, . $ -j-' b...=-:- . $" -. ....:~:..::. . -. -~.._, . '---"-' $ ." . .. 4'1 & 3)$ I"?B"'l- .... . , " 4. ADMINISTRATIVE FEES BASE CHARGE (SU~TOTAL.ABOVE) X .05 $ (.,"') .....1 TOTAL-CITY SDC S'HSB~ 5. SANITARY SEWER-MWMC NO. OF PFU'S I~ x $13.25 PER PFU .+ $10 MWMC ADMIN, FEE s~~e~ (Use PFU .Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V'J~.L....L ~ Kip Burdick SDC Coordinator \ /~ol&f"l-- I ( s Q1~. TOTAL -MWMC SDC $ 'Z II ....., TOTAL SDC $ \ Co'" 0 '-l~ ~ . FIXTURE UNIT CALCU ~ION TABLE: Number of New Fixtur. Unit Equivalent = Fixture Units (NOTE: Forreniodels. calculate only the N~ additional fixtures) NUMBEfl OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.;..................................................................L . Drinking .Fountain.........................,..........................~. Aoor.Drain..............;...;.,.............;.:..........................: Interceptors For Grease/OD1Solids/Etc................. Interceptors For Sand/Auto Wash/Etc..........,....... Laundry TublClotheswasher................................... Clotheswasher - 3 Or More............................~........ MobDe Home Park Trap (1 Per TraDer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/DishwasherlEtc.:. Shower. Single Stall................................................. Shower, Gang...................:....................................... Sink. Bar. Commercial............................................. Urinal, Stall/Wall....:...........:.:.................................... Wash Basin/Lavatory. Single.................................. Water Closet. Public Installation............................. Water Closet. Private................................................ Miscellaneous:. 1_ 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 '-1- z.. 2.. 7. 2.. ? [I, TOTAL FIXTURE UNITS = IB CREDIT CALCULATION TABLE: calculate credits separat~ _ .1 . "Year ... AnneiEid 1979 or before 1980 1981 1982. 1983 1984 Based on assessed value. I.f . Improvements occurred after annexation date in table. $1.69 1.35 1.15 . 0.92 0,59. 0.23 . .1 1i Rate per $1,000 .. . Assessed Value 52.66 2.64 2.53 2.41 2.19 2.04 Year' .- . Annexed 1985 1986 1987 1988 , 1989 1990 . Rate per $1.000 Assessed Value Credit for Parcel or Land Only If Applicable '2..<0(" X S \~ ."1"2- (Rate X Assessed Value) X $ (Rale X Assessed Value) CREDIT TOTAL = ~.,O~ Impl:ovement (If after annexation date) = = $ ":,10'; RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential........................................................ 0.4 Commercial...................................................... 0.9 IndustriaL................................................,........ 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT