HomeMy WebLinkAboutPermit Building 1992-4-3
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
. Office: 726.3759
LOCAT'ION OF PROPOSED AORK: n l 0
ASSESSORS MAP ! I ( JA : "'\."'\fr --\
'B NUMBER fmrJ49Ja
225 Fifth Strect
,
Ol-~)O
BLOCK' SUBDIVISION'
:;::}SG!) ~~('~Ljf) ,,'o",=U<lO-~l"~__.
CIIY. ' / \ STATF' -tJjU ZIP: '-1 IT- ( ./
DESCRIBEWORdJOJt\lVi k ~ ! ~1VI d\ofJ.~111')(\J
NEW REMODEL AD~IO~ DEMOLISH OTHER
LOT:
*
CONST.
CONTRACT~'S NA~~rY\.......t... ADDRESS ,1\ C~A~'
GENERAL: r,;.;x 00 ~r!.' ! u AL> -:91.05' n f\ ~rO j 11 0 \,..
PLUMBING:~' \ Q u) 11 D\ \a
MECHANICAl' - (\
ELECTRICAL: rUJ t )np P )
I QUAD AREA: 4\\ rDee J
. OF BLDCS: _ I - ,
OCCY GIlOU~': :~-- ------
. OF STORIES: _ _\
<::;' ;"'"~''-~'
WATER HEATER:
.;..-",.
- OFFICE USE -
\ \ \ \
. OF UNITS' (
SONST~. YPE: _'Jj\)_ _
HEAT SOURCE: --E:F
----.2".'.
RANGE:-'
M~~
0'do -Ltdo7
LAND USE:
FLOOD PLAIN:
ZONING CODE: illV
II OF BOHMS:____.._._ ____
, SECONDARY HEAl: "-F-!-O---
SQUARE FOOTAGE: :':'Y""J7_
To request an inspection, you must call 726.3769. This 15 a 24 hour recording. All inspections requested before 7:00 a./ll. will be
made the same working day. inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D
Site Inspection - To be made
after excavation, bul prior to
setting forms.
D
Undcrslab Plumbingl Electrical!
Mechanical - Prior to cover.
K;rFootin9 - After trenches arc
~ excavalcd.
D Masonry - ~tecl location, bond
beams, groutIng.
~Foundation - After forms arc
~ erected bul prior 10 concrete
placement.
D
Underground Plumbing - Prior
10 filling trench.
t91" Underlloo41umblncj)Mochanical
~ _ Prior to insulation or decking.
K7T Post and Beam - Prior to floor
~ insulation or decking.
rv1' Floor Insulation - Prior to
JL==i' decking. .
D Sanitary Sewcr - Prior to filling
trench.
KAStorm Sewcr - Prior to filling
l,.o..L trench.
D Water Llnc - Prior to filling
trench. .
l'7'f Rough Plumbing - Prior to
~ cover,
REQUIRED INSPECTIONS
D Rough Mcchanical - Prior to
cover. ,.
lY( Rough Electrical - Priorlc>
F cover.
D Electrical Service - Must be
approved to obtain permancnt
clectrical power.
'F replace - Prior t~ facing
aterlals and framing Insp.
Framing - PrIor to cover.
'"'fVf Wail/Ceiling Insulation - Prior to
~ cover.
%Drywall - Prior to ;ap;ng.
D Wood Stove - Afte,r Installation.
D Insort - After firep"ace approval
and installation 01 unit.
D Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
D Sidewalk & Driveway - Alter
excavation is complete, forms
and sub.base material in place.
D Fence - When completed.
D Street Trees - When all.requlred
trees are planted. ~ - .
"'f;::7f Final Plumbing - When all
~ plumbing work is complclO.
1Vf Final Electrical - When all
~clectrlcal worK Is complete.
D Final Mechanical - When all
mcchanlcal work is complete,
~Flnal Building - When all
~requlred inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
homo has been connected to
water and sewer.
D Electrical Connection - Wilen
blocking, set.up, and plumbing
Inspections have bcen approved
and the home Is connectcd to
the service panel.
D Final ~ After all rcquired
Inspections arc approved and
porches, skirting, dccks, and
venting have been Installed.
.
, -
-,
Lot faces .:LW Lot Type. Setbacks .5 THE PROPOSED WORK IN THE ~
'I PL. HSE GAR Accl HISTORICAL DISTRICT, OR ON
Lot sq. Itg. Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner z:J' If yes, this application must be signed
Is I a~nd approved by the Historical
Topography -/ Panhandle I Coordinator prior 10 pormit issuance.
Total height -\fi Cul.de.sac W
I
,E APPROVED:
BUILDING PERMIT
t5W7
X\5q~7{)~~~~
ITEM
Main
G arngo
Carport
Total Value
1(04-,50
.
:3,23
/ '1;7 .23
SYSTEMS DEVELOPMENT CHARGE (SDC) W5
. (B) fI, ..{f)q ~
Building Permi I Foe
Stale Surcharge
Total Fcc
(A)
PLUMBING PERMIT
ITEM
FEE
1n.<!)O
Fixtures
4-
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
FT.<:::'5o'
~5,"'"
Water
Storm Sewer
Mobile Homo
Plumbing Permit
c.,5,e.4>
~?,S"
_~fb, z S
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnscrtlFlrcplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Stale Surcharge
Sidewalk
It
Curbcut
It
Demolition
Slale Surcharge
Totai Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
c;.,5'n.~ e,
i
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition 1Ilat tile 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 tlmo
upon violation of any. ~ViSIOnn said ordinances.
Plan Check Fee: ~I ( )( () ~Q...,
Date Paid: ' ~ . I})~ ,~
Receipt Number:d '\,J;~.-f)TJl-
~ecelve~~ (C1)1l AA /
~~ -
_ __',OM-
PlanS. Reviewed By {
-:i?,-3 (-i'2-
Dale
Systems Development Charge is due on all undeveloped
properties within tho City limits which are bcing improved.
ADDITIONAL COMMENTS
PA:rti '#1.
-~
...-~ -
By signature, I stale and agree, that I have carefully examined
the completed app!lcatlon and do hereby ccrtify Ihat all
Information hereon Is true and correct, and I further ccrtify
that any and all work pedormcd shall be donc in accordance
with the OrdinanCt:s of the City of Springfield, and the Laws
of the State of Oregon perlainlng 10 the work dcscribed
herein, and" that NO OCCUPANCY will be made of any
structure witho~t permission of the Building Safcty Division.
I further certify that only contractors and employecs who
arc In compliance with ORS 701.055 will be used on Ihls
project.
I furthcr agree to ensure that all required Inspections arc
requested at the proper time, that each address is rcadable
from thc street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times durin7J~onstruction.
Xignaturp !JU!!f';l-, II/rlUh'L
Date 'i - 3- 9~
VALIDATION:
RECEIPT NUMBER t,(--;;r:;? C>
DATE PAID '-(---:5-"92
AMOUNT RECEIVED ~ 5"0, :fB 8'
RECEIVED BY 0~ ~~
p"/Y -~./...-
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. ta4'b X $0.186 PER SQ. FT. ~ I~o <;,2:.!
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
, .
. ,
"..'
JOB NO, Cf;;,oo./"). c..
CITY OF S~INGFIELD SYSTEMS DEVELOPM~ CHARGE
WORKSHEET I
, (COMMERCIAL & RESIDENTIAL)
.
,.
NANE OR COMPANY: !V\I~E:. J. CI-\-e::RYL MAJ.:O~14
LOCATION: ?b'l \ AK.r;,o...a'-lE./..\Loo:p
DEVELOPMENT TYPE: U::1I2, - A!:>bl"-'o>-.\
I "'I 0'2?")'Z3 ~ 04-';00
LOT SIZE
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S 1 X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
Is 1-b1 g~ I
x
X'
X $388.61
Is
-e-
X $388.61
$, .
x X $388.61
(Se~ Attachmen~ C To' Determine Trip Rates)
.' . . SUBTOTAL (ADO ITEKS 1,2,
j; -
&3)' $.;"0 ~
4. ADMINISTRATIVE FEES
'BASE. CHARGE' (SUBTOTAl ABOVE) X .05
Is ,., ,.=\
TOTAL-CITY SDCS. t..ffJ""!.!.-
5. SANITARY SEWER-MWMC
NO. OF PFU'S
x S13.25 PER PFU .+ S!O.MWMC ADMIN. FEE S .--
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
V'~L..k- ~h5/n
'------c Kip Burdick
sac Coordinator
s
--
TOTAL-MWMC socls ~
TOT AL SOC S t/-o "'J ~
,.
'j .
".\'. .
. '1..'
'I.
,q""
" ;'
. ,.
,.
,',
, .
,
"
\. .
: ') \
'':.',,/1:
II'\"
"''''
1.,<.
...J;'fr,~.'"
j"""';'
.::d~t: ..
. 'J.e.(,.,.. .
,,'i!>,..
'1'-' .
4..~ ,;..t .
]i~':3', .
~ ':fi,'
" ,'.,:
..,~ .
'~~~::;~' ~
, "
. };tt'
.':1-.
. ...~\ "
, 'I~} .
,,\;"1-..... .
~;~~~::;;
ft'.;j..,.. t
':;'i'i':".
I~~..lf.::"'"
~'ft-..:,\
~:'~'"
\".<." .
~. f~: .,
,',:r~'
)'U.~~,~~.;::
.:~r;~:~: .:,
....~tii.
:-. t,:
.,'," "'.....
,~L.,
"t".:.,
~ ."-.:~.~::,
:#~N';"
:\~)~~~' ~ .
....'i'I,.,. ,
~l\;;(!~
);t~~~:'i :
,~ ',. :... '-'.'
:0}t,FIXTU R E UNIT CALCU LA'" N T AS LE: Number of New Fj'1Ures.x.'1 Equivalent = Fi>.1ure Units (NOTE: .....
;~.~'For remodels, calculate only the NET Wiitional fi'1ures), . "
""'~"I;~':' NUMBE~ OF UNIT' FIXTURE
~~~tIfIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
:.I~~'.:;...'4:'.
<:~,. .
f-;r t ,~~tht~b..............;..,.....:............,..............................,,,
.. ,Drinking Fountain....".,..,..,..,......."....".,.....,..."....,..,.
Roor Drain......,...,;,..,..";.."".."..........,..,...........,.,.,,.,
'Interceptors For Grease/Qil/Solids/Etc...,.............
Interceptors For'Sand/Auto Wash/Etc.....,..;,:,......'
'(laundry Tub/Ootheswasher...."..............,.........,.,..
'Ootheswasher . 3, Or More................................,....
. . Mobile Home Park Trap (1 Per Trailer),.....,...........
"'W" Receptor For RefrlgeralorfWater Station/Etc.,......
,Receptor For Commercial Slnk/Oishwasher/Etc.:
. Shower, Single Stall..........:..........................,.........'.'
Shower, Gang,.....,...........,........................---,.,.... "
\~Ink. Bar, Commercl~1 ..----.-
Urinal, StallfWalL..-.-..-.....,:..-......-.......,---.""
Wash Baslnfl,avalory, Single._...._.....,
Water Ooset, Public Installation...__,__._.__....
Water aoset, Plivate_.____..;.__..
. .
Miscellaneous:.
I
2
t
2
3
6.
2
6
6
1
3
2
I/Head
2
2
1
6
4
"2--
I
-4-
TOTAL FIXl1JRE UNITS
c
7
)
Based on .assessoo value. If ,Improvements ~ after. annexation date' In .table,
. CREDIT CALCULATION TABLE:
"" "\iJ'c:alculate credlts stlparates.
'r.~ '"">f'
~t?~~~' I
<~:~:I y~
'."'..' \ .'
fi~~,.~ .
i'.;;1!~< AnneXed
'1?~i
~~?:1~~
;?'t?E1~~'
'~i~\\~~~":;'
,~~~\.w~
~:;. ,(;:.
'~;,; ::r;~t.
~;:~";'l
~.' , !j.:of
;,~~~;i.
'.:' ' "!':: ,
1979 or before
1980
1981
':, ,1982
1983
I' '. '1984'
Rate per $1.000
Assessed Value
S2.66
2.64
2.53
2.41
2.19
2.04
y~'
Annexed
1985
1986
1987
1988
1989
1990
: Rate per $1,000
Assessed Value
$1.69
.1.35
1.15
0.92
,0.59
0,23
I
j
JI
Improvement (If after annexation date) ,
x $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
c
Credit for Parcel or Land Only If Applicable
~; ."
. .
. .'
, ,
c
= S
~~ _:.-::
::'l<J.~
\\~ ~<
,
'.~:. \ :/:~:~."
i~{ :.V,~
I"';f:';.,:. .
~:t~~~
~"""
, 1;f~~
)'."~y.,~
~'" ~...;:~
:t;~:\
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