HomeMy WebLinkAboutPermit Building 1992-6-15
OWNER _HAl2Vf'.)I wd.~_LJ.8J'l,A<
ADDRESS' _1_zq'1 s. "H2L "5r:
~
"..----
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Olliee: 726.37,,9
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: _LfO(??~
LOT'
CITY:
I DESCRIBE WOFIK: -domft~
NEW REMODEL ADDITION
CONTI~ACTOIl'S NAME
r
.
SPRINGFIELD
72U"
D?~ I
f.-Ir./ J \/ Sr.
. . I
'7_
BLOCt<.
IB NUMBER q~o5'tP /
225 Fifth Street
Springlield, Oregon ~74"n
TAX LOT:
/D3/120___
SUBDIVISION:
PHONE: rJ-I-e:, - CJC?5f
STlir~'
~ Z'P:_cz.7f7~
(,/A..JrM J/W~
DEMOLISH
OTHER
'P>.4:"5 FUF'j( )-r-
'. t
ADDRESS
CON ST.
CONTRACTOR'
GENEFlAL: _.j-J._Wd__L-.JAM_S_ -.-qfV"-~-.-
PLUMIlINGT0A.l1 ~r..___
A..?' / ., /
MECHANICAL: _~'r....~l.,,-5
ELECTRICAL: ~/Ltr
QUAD AREA'
. OF BLDGS:_
OCCY GROUP:
. OF STORIES: _
WATEn HEJ\f'ER'
()f; ~?
72..2.{-c;
25 n./J
'2-/35/
- OFFICE USE -
LAND USf'
. OF UNITS:
CONSTR. TYPE:_
HEAT SOURCE:
RANGF'
EXPIRES
PHONE
12/<;"L.__7.~ :ct?fi:i
__3/13~3__~~:~330
J212'2,t7~~Z- Ztf.?-
. I
~48;&3 ~7.-L$.5l
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:
To request an inspection, you must call 726.3769. ThIs Is a 24 hour recording. All Inspections requested before 7:00 a.m. wilt be
maelc the sallle working day. Inspections requested after 7:00 a.m. will be made the following work day.
CI Temporary Electric
I I Site Inspection - To be made
after excavation. but prior to
sCHino forms.
'0
Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundalion - Atter forms are
erected but prIor to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
REQUIRED INSPECTIONS
"f;,2f Rough Mechanical - Pr.lor to
r~ cover. . .
1"::71 Rough Electrical - Prior to.
J.6l cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
"fV7l Wall/C'elllng Insulation - Prior to
~cover.
;g( Drywall - Prior to taping.
"f'\::::/r UnderlloCll ""Ium~~n~cchan~
~ _ Prior to InsuJalton .or u~t,;r(lng. . 0 Wood Stove - After Installation.
o Sanitary Sewer - Prior to filling
trench.
~ Storm Sewer - Prior to tilling
)C>J trench. PERIM~ '&tA1A.J
O Waler Line - Prior to filling
trench.'
'F;7f Rough Plumbing - Prior to
~ cover.
D Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place.
D Fence - When completed. .
D Street Trees - When all required
trees are planted. .', ..
~ Final Plumbing - When all
~plumblng worl<. is complete.
~ Final Electrical - When all
~electrical work is complete.
f':7I" Final Mechanical - When all
)LX mechanical work is complete.
"1Vf Final Building - When all
~equlred Inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - WIlen all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Eleclrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
t he service panel.
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have,t)cen installed.
Lot fnees
Lot Type.
Interior
Setbacks
P.L I HSE GAR I ACC
N
-~--
Lot sq. rt~l.
Lot coverage
Corner
Topography
Panhandle
S
.S THE PROPOSED WORI( IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, tllis application mUGl be sl~Jrled
and approved by the Historical
Coordinator prior to permit issuance.
Tolal height
Cul-de.sac
:!'!.....-----.
~-- ---
APPROVED:
BUILDING PERMIT
ITEM
SO. FT. X $/SO. FT. VALUE
OJ(/C/.vAL- 9o,:!f~f!2.'S
VkLue
M:lin
C;lIaoc
Ctlrport
~tG'[lr ...I,.,
~ --L~(/5-
To1;!1 ValurJ
.,;0/0
(A)
(8)
PLUMBING PERMIT
ITEM
FEE
Fixtures
_LQ'2. 50
(_ /6000)
Hesidonlial Bath{s)
N' ~
FTJEgs~ .
F~C::V
S;milary SQwer
Wnlcr
Storm Sewer
FT.
Mobile HOllle
Pllllllbin~J Permit
=<z.~
1.~3
-3.1./3
Sttlle Surcharge
Tol;d Cllafflc
(C)
MECHANICAL PERMIT
FU/'ll<1ce
Exhaust Hood
Vent Fan
~1> N'
I
7,...-0
Wood Stoveflnse.rtlFlreplace Unit
Dryer Vent
Mechanical Permit
.~.<=
./5
I~;sui)nce
Slate Surclmrge
~.'s
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mol)ile Humc
Statc Issuance
:':~Itlle SlIIcl1;lI'ge
:3idowalk
II
Curbcut
It
Demolition
~:;I:llc SUfchmgo
-4-5.. ~4
.Jrb~LjJ~.
Tot~ll Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. S, C, D. and E Combined)
54/.95
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit.is grnnlcd on the express condition thiltlhc said
construction shill I, in all respects, conform 10 Ihe Or(!inflncc
;ldoptcd by Ihe City ()f Sprinofkld, iTll~llIdinu Ihe
Development COde,HJOlllaling the con:"lructhlll alld ll:;e ()f
l;uildln~ls, and may be suspended or rcvoked at any timo
upon violation of <.lny plfwi:;ions of "aid Oldinance~;.
Plnn Check FC~~T 3.oQ. ;z.,t",___
ley; Pt'%'A19<....--;2(,3,'70/
Date Paid: ])1.1 E!:.- -1-5-;~-- .-
neceipl Numl;cl':
fle~.ejV~C B~ ____.--:-_____
~--
Plan :.tevieweu By
_~J;<?~ .
7b:lc"'3-.
Systems Development Chnrge Is due on ill! undeveloped
properties within the Cily limits which arc being improved.
ADDITIONAL COMMENTS
2ATlI_L
----- --.----.-
By signature, I slate and agree, that I tlave carefully examined
the completed application and do hereby cellHy th;lt all
information hereon is true :md correct, and I furl her eertHy
that any and all work pcdormed shall be done in .1ccordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the wotl~ described
herein, and that NO OCCUPANCY will be Inade of any
structuIC without pcrll1i.ssion of the Building Safely Division.
I furl her certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to cnsure tllat all required im;poclions are
requested at the proper time, thai each addre:;s is readable
from the street, that tho permit card is rOcall~d al tile front
of the properly, and tile apPlOveu :;cl of 1J1:1ll:: will relllain
" / the "~t:~:::)S dU~ IT'"
Awnnh~~/c/
/
Date
Z6
CITY OF
II
, JOB NO, g2L:J.s..c;, I
tRlNGFlELD SYSTEMS DEVELOPMtT CHARGE'
WORKSHEET
(COMMERCIAL &. RESIDENTIAL)
NANEDR COMPANY: ~M\/e.y \.4/d.LI".4rnS
LOCATION: '12. q 0 HtJ LL Y ~ .,....
DEVELOPMENT TYPE: S:::i L. ~, 1rt%/lI81.1TIM
,.
BUILDING SIZE:
LOT SIZE
(R.BI//~/OtU )
SQ. Ft.
I. STORM DRAINAG~
IMPERVIOUS SQ. FT. X SO.186 PER SQ. FT. h .-
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S {\ X 538.55 PER PFU
(See Reverse To Determine Total PFU'S)
Is 2..Co"l ~I
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
.,- X $388.61
Is;
x
X
X $388.61
s. -
X X $388.61
(See Attachment C To Determine Trip Rates)
SUBTOTAl '(ADO ITEMS 1,2,
$
&.3) $-z.~g5
4. ADMINISTRATIVE FEES
'BASE. CHARGE' (SUBTOTAl ABOVE) X ;05
Is I ~o./:j I
TOTAL-CITY SOC S 'Z'iP~ ~
5. SANITARY SEWER-MWMC
NO. OF PFU'S
I
x 513.25 PER PFU.+ S!OMWMC A!JMIN. FEE S 10'2- ~
(Use PFU Total From Item 2 Above)
NWMC CREDIT IF APPLICABLE (SEE REVERSE)
1/ . <=--:v" .
. ..f ~.L,_,J..
. \.J Kip Burdick ... -
SDC Coordinator
(. ,j, 0,1'1 '2-
s -
TOTAL-Mlmc SDC Is ID"Z-1Z
TOTAL SDC i3.<;<>t. ~
FIXTURE UNIT CALCULA-,N TABLE: Number of New Fi'1UreSX. Equ~'ale"l = Fi,1ure Units (NOTE:
For remodels. calculate only the NET addition31 fi'1ures) .
NUMBEfl OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
I
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
Ba1htub......................................................................
Drinking Fountain.......:..............................................
Floor Drain.. .........:........:......................... ........ .........
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For'Sand/Auto Wash/Etc..........:.......
Laundry Tub/C1otheswasher...................................
C10theswasher . 3 Or More.....................................
Mobile Home Park Trap (1 Per Tra~er).................
Receptor For Refrigerator fWater Sta1ion/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower, Single ~taIL..............................................
Shower. Gang...................:............._........................
Sink. Bar. COmmercial__...._.._...__...._.......
Urinal, StallfWalL.....................-....-.......---........
Wash BasinfLavatory. Single.
Water Closet. Public Installatioll...._..._..__..........
Wa1er Closet, Private...-......_....___.._
Miscellaneous:.
(
(
\-
TOTAL FIXTURE UNITS
=
-z-
(
t..f
"7
Based on assessed value.. If .Improvements occurred after annexation date in ,table,
CREDIT CALCULATION TABlE:
calculate credits separates.
I
I
Rate per $1.000
Assessed Value
52.66
2.64
2.53
2.41
2.19
2.04
Year
Annexed
1985
1986
1987
t988
1989
1990
Rate per Sl,OOO.
. Assessed Value
$1.69
1.35
1.15
0.92
0.59
0.23
Y~
Annexed
1979 or before
1980
1981
'1982
1983
1984'
Credit for Parcel or Land Only Ii Applicable
x S
(Rate X Assessed Value)
X S =
(Rate X Assessed Value)
CREDIT TOTAL = $
\ .
Improvement (d after annexation date) .
I
JI
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
':
ResidentiaL...........................:...................._.... 0.4
COmmerc~L.................................................... 0.9
IndustriaL........................ .............. ................... 0.45
GovernmentaL................................................ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT