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Home My WebLink AboutPermit Building 1993-4-15 ~ ~ . ,- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 ellice: 726,3759 .' LOCATION OF PROPOSED WORK: ~ j?/'02- ASSESSORS MAP, Co LOT' SPRINGFIELD BLOCK, OWNER. ADDRESS, J11~tK /613 51; -f-fee L&witf ~ -s-'r- ~D CITY' ~ 1-19111. JefS .' DESCRIBE WORK' NEW '>< REMODEL ADDITION STAT':. OR- . :X>Z,70 J/- 3?'/ GlccA5\' DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: PHONf. 74: 7-4<:(7;).. Zip. q 7477 CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE GENERA' . (}J,q,fK. Le4U'F/:/- 131,~ iC ~'i- :f;J.D 69'?S9 /(J-'13 747-'1~7"J.. PLUMBING: _ FteJe^/ A/'ul') 5 !f)~C) I MECHANICAL' 'fk, PIUItC nml'1 [X31.q3 041 () , I 1 ELECTRICAl. 6jAJAJ {:;. GI-ec. ~?>\D\ . I DSQS 'k9Jo .I)gqs ~~ - OFFICE USE - OUAD AREA, LAND USE, _II. I I FLOOD PLAIN. unrzJ . OF BLDGS: I . OF UNITS: ~ ZONING CODE, OCCY GROUP R~-\-M CONSTR. TYPE: . OF BDRMS' --3 . OF STORIES, J\- HEAT SOURC':. SECONDARY HEAT, FV WATER HEATER' t../ RANGE, _ V SOUARE FOOTAGE: (') YJ..o5L To request an Inspection, you must call 726.3769. This Is (] 24 hour recording. AlIlnspectlons requested before 7:00 a,m. will be made tt'le same working day. Inspections requested after 7:00 a.m. wilt be made the following work day. i,tl Temporary Electric R1 Site Inspection - To be made t..p after excavation, but prior to setting forms. o Underslab Plumbing/Electricall Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel locatlon. bond beams, grouting. I':7f Foundation - After forms are Ip.1 erected but prim to concrete placement. i -":.i Underground Plumbing - Prior ,>- to filling trench. rvf Unde~floo~U~bi.;eMccha~~ ~ _ pnor 1~"i';;.;,,"Rtld1:'~', .............., no. ~ Post and Beam - Prior to floor insulation or decking. I'7r Floor In~ulation - Prior to ~ decking. rcIf Sanitary Sewer - Prior to filling 7AJ trench. f':?'r Storm Sewer - Prior to filling ~ trench. ~ Water Une - Prior to filling ~ trench. l".:7f Rough Pluolbing - Prior to I,.L::j cover. REQUIRED INSPECTIONS RA Rough Mechanical .- Prior to ~ cover. fC"7f Rough Elcclricnl - Prior to ~ cover. rvr Electrical Service -- 1\/1ust be lp approved to obtain permanent electrical power. f':7r Fireplace - Prior to facing ~ materials and flaming Insp. ~ Framing - Prior to cover. N1 Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Slave - After installation. lllnsert - Afler fireplace approval and inst<:.'l!ation of unit. ~ Curbcllt & Approach - After ~forJ1ls arc erected but prior 10 placement of concrete. ~ Sidewalk & Orivewny - After t,L-=' excavation is complete. forms and sub-base mat("~;q: in place. o Fence - When COr:1ph~ted. ~"Irc~t Tr~cs - W;1un :a:: r'..=Quircd (9tre0S ;:lr~ pi3nle1. rM Final Plumbing - When all t.p plumbing work is complete. rv1 Final Electrical - When all ~ electrical wor.k Is complete. I':7r Final Mcchanic31 - Whon all l.Al mechanical work Is complete. RA Final Building - When all I".bL required inspectIons have been approved and building is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set-Up - When nil blocking is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking. set-up. and plumbing Inspections have been approved and the home is connected to the service panel. o Fin'" - After all required Inspectlons arc approved and porcl1C:s, sKln:ng. decks, nnd vt:>ntir.g ~ave t>cen Instnlled. .Ji- . Lot faces Lot Type Lot sq, ltg, ~ Interior I P.L. Lot coverage me> ~ Corner IN Topography 1&0 Panhandle Is Total height ~ Cul-de.sac W E BUILDING PERMIT HSE GAR /D - .." '/2-1 ITEM , SQ. FT, X $/SQ. FT. VALUE Main / f1'5 if 5 h', 20 /f)36'fl7,~ Garage 81{ ---1-'1,10 1/9'or;,Oo Carport fJ/{ Rtft9Hf5() III~ ')/6, M 31,lflg.~ /5 /"(Z-,~ C; t; t1, tP" '2-- 7. 5(:) S77.50 SYSTEMS DEVELOPMENT CHAftGE (SDC) If. (B) ff ZO~S~ Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Ba:h(s) N' -z., /60,tX) Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home ',. Plumbing Permit State Surcharge '~t{)D / h f?rOO Total Charge (C) MECHANICAL PERMIT -' . If{!) '1,50 (,', ()o Furnace Exhaust Hood Vent Fan N' ~ Wood StoveJlnsert/Fireplace Unit Dryer Vent 3 ,,~ Mechanical Permit N.r;o 10lcPO ,Q8 7,f). 't<? Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk lH..~ It Curbcut S'2.. ft '} I rOt') I if /68 Demolltion State Surcharge 1-Hou/l- Pl-ltMctfeq< Lf{) . 0<0 Total Miscellaneous' Permits (E) TOTAL AMOUNT DUE (excluding eieetrical) z.~ 't 6. g z.. (A, S, C, D, and E Combined) Setbacks A ~ ., " . IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? ACC I I I /5 =-1 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 thalthc 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, &/ Atr? , , ~". Date Paid: Receipt Number' ReceiAY' Pla~ fij(r_7 Systems Development Charge is due o'n all undeveloped properties within the City limits which arc being improved. ADDITIONAL COMMENTS -5~~z1-S_/t?"72- 5, c,."jM C'>JJIJ[) S1d Q s~d.QJ t nYJJ ccbA--r'. \r\.~r'l() ~ . 1 ~~ ~mQ): \l\\Ql? ? -~~ ~Op,d (" AV!T By signalui-c, I state and aoree, that I have carefully examined the completer:! applical10n and do hereby certify that all information hereon is true and correct, and I further certify that any and al) work performed shall be done in accordance Wltll the Ordinances of the City of Springfield, and the Laws of the State of Oreoon pertaining to the work described tlerein, an~l \hal 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 QAS 701.055 wIll be used on this project. ; I furlher agreo to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that tile permit card is located at the front of the property, and the approved set of plans will remain I. f the site, at~es during construction. 0.ignalUrp '7 //."~I~ Dale :cr-IS--c;3 VALIDATION: RECEIPT NUMBER O&/?~ Y'7'~ 97 DATE PAIf'l AMOIINT RECEiVeD 7Q~ C::::. RECEIVED BY 4~ . .._ '.J.~ ~i. ." .- -JOB NO. q~o'fS<i CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAME OR COMPANY: /'IJAf<1< LEAVlt, LOCATION: (" 7 (07 G, /.. P, {../ E;,t< Pr<.. DEVELOPMENT TYPE: L/?,e. - AlEiN 5HZ- BUILDING SIZE: . I X' " '],.- 0 ?;, 1/ - 4'-fo () LOT SIZE SQ. Ft. 1. STORM DRAINAGI;: IMPERVIOUS SQ. FT. '2-'1'7L.- X $0.192 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S /1 X S39.78 PER PFU (See Reverse) 3. TRANSPORTATION C:570"~ --- ...-- ~ -------- NO OF UNITS X TRIP RATE X COST PER TRIP / X /, 0tJ5 X $401.05 X X $401.05 c-'-It> ?J 0-0 .--- -- $ x X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 171...Cf~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G: 8" ~ --- ...-- TOTAL-CITY SDC $ t!Jt5 ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S /1 x $13.62 PER PFU + $10 MWMC ADMIN. FE,E $ 'Z.G.'6'.! (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) )~.,~L..L ~ Kip Burdick SDC Coordinator <-fh/1~ I $ '1"'! TOTAL-MWMC SDC~I~~ . -...-- ",-"-+ TOTAL SDC $ "Z-O?7 --- FIXTURE UNIT CALCULA TIt TABLE: Number of New Fixtures X U.QUiValent ~ Fixture Units (NO;:?;; ~< . For remodels, calculate only the NET additional fixtures) . NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS FIXTURE TYPE I 2 'f 1 2 3 6 2 2..- 6 6 1 3 2 l/Head 2, "2- 2 1 2;> 6 4 '6 Bathtub,.........,.............. ... ,....,...........,.......,................ Drinking Fountain.....,.................,.........."................. Floor Drain...."........,...".. ,.......................,........"....... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.......,.......... Laund ry Tub /Clotheswasher.....,...........,.........,.".... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall.......,.,.............".,.........,............ Shower, Gang....................................... ........ ..,'.,..... Sink, Bar, Commercia!...................,.,........,.............. Urinal, StalljWall...........................,..... ... .',.. .............. Wash Basin/Lavatory, Single....,......... ..,................ Water Closet. Public Installation......... Water Closet, Private................ Miscellaneous: 1.-- ~ Z- TOTAL FIXTURE UNITS ~ /1 CREDIT CALCUI.ATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. " Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Improvement (If after annexation date) '2.(3 X $ /7.'>7 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL ~ .;. q 72:, Credn for Parcel or Land Only If Applicable 72- ~ L!::I:...q - RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residentia!.... ..................................,.... ............. 0.4 Commercial".....................................,.............. 0.9 IndustriaL...., ............ ............ ....... ....... .............. 0.45 Governmental......."..".....................,......,.,....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT