HomeMy WebLinkAboutPermit Building 1992-3-20
LOCMION OF PROPOSED WORK: 7 2 n
ASSESSORS MAP JPDgC).;l I~-
- ' ,
/ t:J 7'- BLOCK:
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
011 ice: 726.3759
LOI'
OWNER'
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ADDRESS:
CITY'
-.
SPRINGFIELD
~z..c..'/'
::57',
STATE:
~
DESCRIBE WORK' /!/;;E.?<..J
NEW ...---- REMODEL
~,:V'.
t:2-E::S1" ,&;)/".JT/, /f"L
ADDRESS
&&U,
72'7V Y C,e.rs..S'
~~ ~~~~,;.ue7
6/tc..> ~L.a.T7U::
ADDITION
CONTRACTOR'S NAME
p.u/L."-"~
GENERA' .
I'LUMBING'
MECHANICAl'
EtECTRICA\ .
OUAD AREA: .::4:W
. OF I1LDGS __h~'4='fV\
OCCY r.1l0UP K ' -- -
. OF STORIES' - 'G.: .
WArER HEATER' ~
DEMOUSH
OTHER
.
0:'::>0:16b
Ctn<-J'T:
CgNST.
'C NTRACTOR #
5'8/5/
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LLT ]5/-),0...5
SUBDIVISION/?'?C,t' NfC.C5 /5T LJ-4J?
PHONF'
7 2--6 -/.:rZr
- OEElqE ~SE -
tAND USE:]LI
# OF UNITS: ',_ 'I rt7)
CONSTn.1Yf-'i.:.:~_\L.lV'
Pi/
HEAT SOUW''''
f::.-/
RANG'"
ZIP' 774?' S
EXPIRES
~z.
/'
PHONE
7U -/;'-i!!,.r
FLOOD PtAIN: _ _~_
~OO~:::::~~~~~?
SECONDARY HEAT: -fTQ.-~-1-
SQUARE FOOTAGE: ~~_1.
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will l)c
made the same working day, inspections requested after 7:00 a.m. will be made the following JJork day.
~pormY Eleclric
[Xl Site Inspection - To be made
after excavation, but prior 10
sellin!) forms.
o Undcrslab Plumbing/ElcctricalJ
Mechanical - Prior to cover.
r::::;t Fooling - After trenches are
Lp excavated.
1=1
Masonry - Steel location, bond
I~callls, Uloutin!).
IZl
Foundation - After forms arc
crectcel lJul prior to concrete
placement.
[2]
Underground Plumbing - Prior
to filling trench.
IZJ
Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
[l] Post and Beam - Prior to floor
insulation or decking.
[ZJ
Floor Insulation - Prior to
(1ecking.
IZI
Sanitary Sewer - Prior to filling
trench.
(]] Storm Sower - Prior to filling
trench.
lZJ Water Line - Prior to filling
trench.
[ilJ Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
lZl RO,ugh Mechanical .- ~rior to
cover. .
rA71 Rough Electrical - Prior to
~ cover.
[X] Electrical Service - Must be
approved to obtain permanent
electrical power.
D
Fireplace - Prior to facing
materials and framing)nsp.
IZI
Framing - Prior to cover.
lXJ Wall/Ceiling Insulation - Prior to
cover.
[Xl Drywall - Prior to tap.ing.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
[]J Curbcut & Approach - After
forms arc erected lJut prior to
placement of concrcJe.
IN'l Sidewalk & Driveway - After
L,L:J excavation is complete, forms
and sub-base material I~,..place.
..- ',-
D Fence - When completed~' .
o
Street Trees - When all required
trees are plante.d.. ..... _
1ZI Final Plumbing - When all
plumbing worl< Is complete.
l.Z) Final Electrical - When all
electrical work is complete.
QI
Final Mechanical - When all
mechanical work is complete.
[Xl
Final Building - Wilen all
rCQuired inspections have bcen
approved and buile1ino is
completed.
DOlher
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
tlOrne has been connected to
water and sewer.
o
Eleclrical Connection - When
blocking, set-up, and plurnlJino
inspections have been approved
and the home Is connectcej to
the service panel.
o
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been in~tarred.
J
~
Lol fa""" ""LW
Lot sq. Itg. ~ &=
Lot coverage ..220
.~" I $a77IV?
opo~Jlap 'Y _
Total hciglll ~..rr
a6
Lot Typc..e
Interior
__ _.;?elb~cl<s _
~ HSE GAR ACC
.IS THE I'I,OPOSED WOHK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? A/O
~zr 1z.._
-"'-- 1/ 0 __
'-~'!!"'Q.. - ---
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Corner
~11andlc
N
~3
_ Cur.dc-sac
BUILDING PERMIT
ITEM SO. FT.
X $/50, FT.
VALUE
-::J~.9 -;;J.8'10
Jdi?;)..I./"'O
Main
/337
'1.?+-
.39. 7
._J.!i..1-
G<3I<lVC
Carporl
~
I q.r;,:~3u
--:::?7"f'.~
_L&:...6.5 .
_'21''9 / .~5
SYSTEMS DEVELOPMENT CHARGE (SDC)
$ '7n1_<;'t2. ld3
Total Value
Building Permit Fcc
Slale Surcharge
Tolal Fcc
(A)
(B)
PLUMBING PERMIT
ITEM
FEE
" Fixlures
Residential Bath(s)
N'
~
_.L'Z2-::Sc:>.
Sanitary SCWCI
FT.
Water
FT.
Storm Sewer
FT.
Mobile Homo
Plumbing Permit
/9 2~-:'Jb
"7.6::3
-::?a.z.L?
State'Surcharge
Tolal Cll:H{lC
(C)
MECHANICAL PERMIT
L. . -'>
LY - ;5C::>
/2.e>~
/~--
"5"'-.......
Furnace
Exhaust H09u
Vent Fan
N' 3/ J./
W.oorJ Slovc/lnscrtJcfircplaco Unit)
Dryer Venl
MCGtwnical Perfllit
_<Ze:2...-?O
_,Lt::? tnT
-:z .?>?>
~2-S;:;:
Issuance
Stale Slllcharyc
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile HOlllc
Slate Issuance
State Surcllarge
Sidewalk _?--5 It
CurbCllt -L$- fl
.1{}. "2~
jZ:...7~
Demolition
z.o
If yes. this application must be signed
and approved by the Historical
Coordinalor prior to permil is~;u:lIlce.
APPROVED'
Tllis penni! i~~ W:lIllcd on tile express comJilion \Ilal tl1~ :,ai(!
construction ~;hall. in all respects. confulllIlo IlIe O/(Jin:lIlGe
adoptcd by tllQ City 01 Springfield. inclu(linO the
Developmcnt Cod~, rC~llllalino tllC Gom:lruclion and Uf;(~ or
bllildin~ls. and may be suspended or ICvokcd al ilny lime
upon violalion of any provisions of said ordinancet;.
Plan Check Fcc: ?l1';),J:jc.
Date Paid: _--=.LL'iJ='l_?
Rccci pt NumLJer'
Received By: ~r=-,...e~
~~
_ri.:;Z ~ -
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which arc being improved.
ADDITIONAL COMMENTS
,
~
J~luLrJsd Q ) U~ t n~
~_~~Jg~
~~+T lbOil0 '~
By signature, I state and agree. III at I have carefully exarnined
the completed application and do hereby certify tllilt all
information hereon is Irue and correct. and I furl her certify
thai any and all work performed shall be done in accordance
Wltll tile Ordinances of the City of Springfield. and the Law:;
of Ihe SI<ltn of Orenon pertninino 10 the wotl~ dl~:~C1jlJr~d
herein. and Il1al NO OCCUPANCY will IJe 11Iar"~ of :lI1Y
structure witllOlll penllis~;ion of tile Building Safety Division.
I furlllCr certify that only contractors and elllploy'~n~~ who
arc in compliance wHll GRS 70-1.055 will be uSt:d on this
project.
I further. agree \0 ensure thot all required inspections ::lIe
requested at the proper lime. that eaell address j~, lendable
from the street. that the permit card it; located at 1Il(~ fronl
of the properly. :111(1 the npproved set of plans will remain
on the site al all times during construclion. .._
Slgnnturr ~ /. t--P.
, ,
DOlte
z--//?- 92-
VALIDATION: ~. A ~
nECEIPT NUMI.lEH --, ~1-=t:V---V.
DATE PAlO <-2,W~._.
..c:...- .- AMOUNT RECE~ED.. ' --- '0
TOTAL AMOUNT OUE (excludin[l electrical) ~~_._.z.:!!> L11\=1f ()(
(A, B. C, O. nn<1 E Combined) Kf~_.A~~:~~~'~'~4rr~~;,IV~p: - - ..' --' "'\-\::I~.L--
State surchmge, /fL?:3.8.25
/,N-L./tfO-L>F ~~~B7T ~e~.::J~
~......,/~~
Total Miscellaneous Permits (E) ~__)J .~
.
.
CITY OF SPRINGFIELD
IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP
We, the undersigned property owners, request permission to connect the
following described property to the sanitary sewer owned and maintained by the
City of Spri ngfi e 1 d. We therefore agree to pay a charge of $0.17 per square foot
of the benefiting property for the first 150 feet of depth as a deposit against
future assessments for sanitary sewer.
Tax Lot No.
18 02 02 12 05203
Receipt No.
4[J)()
Property Description:
Address 7291 HOLLY STREET ~
PARCEL 3 OF LAND PARTITION PLAT NO. 9I-POI05 AS PLATTED AND RECORDED
IN THE LANE COUNTY OREGON PARTITION RECORDS IN LANE COUNTY, OREGON.
This agreement does not include the cost of a house connection to said City
Sewer, sewer user charges, connection fees, plumbing permits or other such costs
to be assumed by the property owner. .
The applicant agrees to waive all right to remonstrate against an
improvement project for sanitary sewer to be duly initiated by the City Council,
but not the right to protest the amount or manner of spreading the assessment
thereof, if the same shall appear to Applicant to bear inequitably or unfairly
upon said property of Applicant.
NOW THEREFORE, the City agrees that if Applicant complies with the terms
of ,th is agreement and with a 11 other app 1 i cab 1 e 1 aws of the State of Oregon, Lane
County, and the City, the sa i d App 1 i cant sha 11 be ent it 1 ed to connect the
existing residence to the public sewer systems.
The covenants herein contained shall run with the land herein described,
and shall be binding upon the heirs, executors, assigns, administrators, and
successors of the parties hereto, and shall be construed to be a benefit and a
burden upon the property herein described. This agreement shall be recorded in
the Lane County Deed Records.
TI~
WHEREFORE, the parties have set their hand and seal this ~ day of
MNU~ , I9~L..
CITY OF SPRINGFIELD
By {Q/A...'~ 'f(, &/8.1,,,.,"_
Director of Public Works
"
v;;JZ If- ~
STATE OF OREGON)
) SS
COUNTY OF LANE )
On this U:;TI' day of lV\N7ru
before me and signed the above document.
, I9~L., there personally'appeared
,.
t
OFFICIAL SEAL
I) DON R. ROGERS .
.' NOTARY PUBLIC. OREGON
COMMISSION NO. 002786
MY IXIMMISSKlN EXPIRES IIOV. ~ l!ll1
~ rz.. ~
Notary Public for Oregon
Finance Department Information:
Trunk Sewer
My Commission expire~
, q ~ 17 !/. '2. __
/7% 1- 0)( 0- "/ft
"1S'
Lateral Sewer :Ii ~ 3:"le-1'CJrAL
CITY OF SPRINGFIELD - PUBLIC WORKS DEPT - 225 FIFTH STREET - SPRINGFIELD, OREGON
~~~
,f
JOB NO. '1W"2-Dto
CITY OF ~.INGFIELD SYSTEMS DEVELOPM" CHARGE
WORKSHEET '
, (COMMERCIAL & RESIDENTIAL)
NAHE OR COHPANY: s,-'1:;vE:. W\\..I.-IA.......~
LOCATION: IL-~I UOU..Y:",T,
DEVELOPMENT TYPE: L.V!2. - IlE-W ~PR-
\'2>0 "2.0"2. \"Z.- OS"2.0::. ,
BUILDING SIZE:
LOT SIZE
SQ. FL
1. STORM DRAINAGE ~
'2--0 &'''2-
IMPERVIOUS SQ. FT. ~~
(See Reverse For Runoff Coefficients
X SO.186 PER SQ.,FT. $ -z,p~?~
If Actual Imperv. Area Is Unknown)
,2. SANITARY SEWER-CITY
NO. OF PFU'S "Z. '2y X S38. 55 PER, PFU
(See Reverse To Oetermine Total PFU'S)
$ 8B~ Co?,
. 3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
\ ,
x \.oos X $388.61
$ -2-C\' ".;;.;;
~I'C>'-
"
X
X $388.61
$ -
..~. .
...~~-~. .....~'~' j(":' ~.::--::'~ X $388.61 - .."
(Se~ Attachmen~ ~ To Determine Trip Ra~es)
. ., SUBTOTAL (ADD ITEMS 1,2, & 3)
$ .
$/ (p(e,O ~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X ;05
"
$ 'X~ o~
TOTAL-CITY SDC $ l/L./?)'2
5. SANITARY SEWER-MWMC
NO. OF PFU'S
'Z."::>
x S13.25 PER PFU + S10 MWMC ADMIN. FEE $~i'-\:.2,
(Use PFU'Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~ ?~.L.....k..
Klp Burdick
SOC Coordinator
-z../'l.-1/4'"2-
, ,
, S ??'Z~
TOTAL-MWMC SOC $ -z.e, I So
-,.,
TOTAL SDC S 2oz.S -
~
FIXTURE UNIT CAlCUlAi.l.ION TABLE: Number of New Fix1ures ~nil Equivalent = Fix1ur~ Units (NOTE:
For remodels. calculate only the ~ditional fix1ures) .
NUMBEfl OF ' UNIT fiXTURE
,FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.......................:..............................................
Drinking Fountain..:...:..............................................
Floor Drain...........:........:......................................:....
Interceptors For Grease/OU/Solids/Etc.:...............
Interceptors For'Sand/AUlo Wash/Etc........:.:.......
Laundry Tub IOotheswasher...................................
Ootheswasher . 3 Or More.....................................
MobDe Home Park Trap' (1 Per TraDer)..................
Receptor For Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower, Single Stall..........................................-.....
Shower, Gang...................:.......................................
Sink, Bar, Commercial.............................................
Urinal, StalIfWalL.............:.:............................-......
Wash Basin/Lavatory, Single............................_....
Water Ooset, Public Installatioll.............................
Water Ooset, Private....___..._.._..............._....._....
Miscellaneous:,
2.
?
'?
TOTAL AXTURE UNITS
2
t
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
c
L/-
2.
'2-
?
\'2
Z~
r
CREDIT CALCULA110N TABLE: Based on assessed value. If Improvements occurred after annexation date in table,
calculate aedils separates.
Year
Annexiid
1979 or before
1980
1981
1982
1983
1984
Rate per Sl,OOO
~Value
$2.66
2.64
2.53
2.41
2.19
2.04
Year'
Annexed
1985
1986
1987
1988
1989
1990
Credit for Parcel or Land Only If Applicable
-z .<..c. X S 12.<;
(Rate X Assessed Value)
'X S
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (If after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential........................................................ 0.4
COmmerciaI...................................................... 0.9
IndustriaL_.................................... .................. 0.45
GovernmentaL......:......................................... 0.5
?,?1S
c
"'" ..5
= $ .....?-
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
~
Rate per S1,OOO.
Assessed Value
1
$1.69
1.35
1.15
0.92 .
0.59
0.23