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Home My WebLink AboutPermit Building 1993-3-15 ASSESSORS MAP: '7 I ~ M'YYJ t'A/ J'7 f!7 flt.t-f (3L.-I//,) # Y ,5" -I-Id' to L.<j l.- f, / /VV.-J $, F O. RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOT' OWNER: ADDR~~~' CITY' DESCRIBE WORK' NEW :./ REMODEL , ADDITION . SPRINGFIELD BLOCi<" STAT'" DEMOLISH , , OTHER :i>t.1.0 1-\-- 3"lt . ' JOB NUMBER!Z3 07 ~ ~ 225 Filth Street Springfield, Oregon 97477 TAX LOT: _~qo ,t.,r 1M..4' ~ SUBDIVISION: ~ - , ','- C"-4-C"M'ti:_- ""/~ PHON'" ,--:-v ..... ,r. ZIP: CONTRACTOR'S NAME ADDRESS (l d 2. u -7im Il//...;; )I n f ~~;,I.f -.;);ill tt.-A ,211/ () / tlllt ';~I/"" Ol.-W ' MECHANICAL' ' A.I it- 7/' 1"-.4 I I , P ,/l~ cJ It..e--Ik.//'/ .c. CONST, CONTRACTOR' , 13;;2.91/-1 8~~ ~"\L) EXPIRES PHONE (P';O .9...~ "7C/? 77t!Jt/ ItJ . s ''1.,3 14~. qos 1 o3'cl\- .q'J., .I/-%r7IJF -.!JYd/,~53 . , GENERAl' PLUMBING: ELECTRLCA' ' QUAD AREA' 4R~ . OF BLDGS: ( OCCY GROUP: ,tj>.(\.~-t N\ ')~ . OF STORLES: WATER HEATER: - OFFLCE USE - LAND USE: A I [ \ V'{ /7 CONSTR, TYPE: /V HEAT SOURCE: W \-\- F, . OF UNiTS: RANGF' FLOOD PLAIN: --... ZONING CODE: -WI! ~ . OF BDRMS: ~ SECONDARY HEAT: - t:.fJ SQUARE FOOTAGE:,..A~~ To request an Inspection, 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. Inspections requested after 7:00 a,m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing! Electricall Mechanical - Prior to cover. ~ Footing - After trenches are. ~ excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After (orms are ~erected but prior to concrete placement. REQUIRED INSPECTIONS .'Of Rough Mechanical_ -:.., Prior to ~ cover. ~ Rough Electrical - Prior to ~ cover. K71' Electrical Service- - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. r\:/r WalllCeiling Insulation - Prior to ~ cover. D Underground Plumbing - Prior [)Q Drywall - Prior t,o, t,aping. to filling trench. K7f' UnderflooyPlUmbin~e{hanICal) 'R/!' ' ~ - Prior ts:Ii:~_:_,:_.. 3, aecKlng, ~ W;~ov';;'tc~~t: L'F,t;:i.atJon. ~ Post and Beam - Prior to floor ~ Insulation or decking. D Insert - After fireplace approval and Installation of unit. ~ Floor Insulation - Prior to ~decklng, t";7"f Sanitary Sewer - Prior to filling ~ trench. _ ~ Storm Sewer - Pri?r to filling ~ trench. . . i"i7T Water Line - Prior to fILling ~ trench. j, . f;J7( Rough Plumbing' - Prior to ~ cover. ~Curbcut & Approach - After ~ forms are erected but prior to placement of conc.re~e. \ f"V( Sidewalk & Driveway - After ~excavatlon is complete. forms and sub-base material In place. o Fence - When ~omplet:d. ~treet Trees'- When ail required vtrees rtre planted: ~ I"<V'I' Final PLumbing - When all ~ plumbing work Is complete. RJif' Final Electrical - When all ~ electrical work Is complete. ~Final Mechanical - When all ~mechanlcal work Is complete. ~ Final Building - When all ~ required Inspections have been approved and building is completed. D Other MOBILE HOME INSPECTIONS D Blocking and Set,Up - When all bLocking is complete, D Plumbing Connections - When home has been connected to . water and sewer. tJ Electrical Con~ection - When blocking, set.up. and plumbing inspections have been approved and the home Is connected to the service panel. D Final - After all required inspections are approved and porches, skirting, decks. and venting have been installed. !.-ot faces ,h.., Lot Tvpe . Setbacks ~10 ~ _._--~.- PL. HSE GAH ACC Lot sq. Itg. Interior N ,= 1sJ{.- '2il = Lot coverage Corner Topography jgJp Panhandle S Total height ~ Cul-de-sac ~~ /S~ E 15"1- ------- RECEIPT NU~~R ' -3~L~ DATE PAID -",,:::xl~ . --?a...,"'/ z.s A;vIOUNT ~'VE -- TOTAL AMOUNT DUE (C:,xcluding electnl~[!I) ~~ 7'J- ,_,... _ I. AA (A, B, C, D, and E Combined) f'o~UVE~ Y n .~JLf _____________ __ ________L____ _ _ BUILDING PERMIT ITEM SQ, FT, VALUE X $/SQ, FT. C:;b~r.) _L-I/O It;40B2- -c;,-7!~ Main /~$'6- ~~ Garage Carport JLC2f25tJ _~7-'?S ,_Z2.@9 4:-&o/~ SYSTEMS DEVELOPMENT CHARGE (SDC) #3 (6) :/I "2-0f:n 'fE. Total Value Building Permit Fee State Surcharge Tot31 Fce (A) PLUMBING PERM!T ITEM FEE Fixtures Residential Bath(s) N' '2, -t9.Z 50 Sanitary S~wcr FT., FT., Water Storm Sewer FT., Mobile Home Plumbing Permit 9 ;'3 202--13 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace .d~o .- _Lt5 f'O Exhaust Hood Vent Fan N' s WoOd StovellnsertlFireplace Ul)it Dryer Vent _3..~O Mcctlanical Permi t ;2:2..~O _/-D-,M> JJ3 -. 33." 3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewolk -.LaL It Curbcut ~ ft :Z5.~~ -11-.~ Demolition State Surcharge Total Miscellaneous Permits (E) .THE PROPOSED WORK IN THE ;STORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 1f yes, this application must be signed rtnd opproved 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 tile construction and use of buildings, and mrl.Y be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: ;2.."7'7. S-~ 2-/7-7'Z "7 S- +0 ~~ Date Paid: Receipt Number' Received By: 4~~~ ) IV/~ ? '( \l'ato - Systems. DevctoplllCllt Ctlargc is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \ s:4-+ T: L'7 5!]/'1 lc~ 11 0 ~, . (7)-b .,: \l\ LeO Clu\ J\1J1,1 rLjL;> " _~TIL1 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 ttle Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and th~t NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employe,es who are in compliance with OAS 701.055 will be used on this project. l further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the 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 t~mrYring construction. Signaturp t( .x - or Date .J- -J" -'1 3- VALIDATION: .... ') . .OB NO. Cf"J,/')I~'f ' \1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: CO -z.. y 4viVI €.. '? LOCATION: 0~~? C:""l-Ac.-,r-"'- DEVELOPMENT TYPE: Lp~ - Ale-IN SrK- I ~ 0 '2- 0 '7-'2- -z.. - <-I (p (7 0 BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. ''').-0 ? G X $0.192 PER SQ. FT. C;-3qD~) -- -- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 7"? X $39,78 PER PFU ~~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X _f , o-ll 5 X $401. 05 X X $401,05 ((4-1J '3 ~) --- $ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 110'6 ~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 (( ~~~) -- -- TOTAL-ClTY SDC $11"f'-f 3.!:!, 5. SANITARY SEWER-MWMC "2.<- NO. OF PFU'S "Z-? x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ '?Z-'?- (Use PFU Total From Item 2 Above) ~' , ~rL...L U Kip Burdick SDC Coordinator "2.-/'}....'2./'i3 / 133 ~ _ TOTAL-MWMC SDC~I~~ ...... ~ TOTAL SDC $ '7-0(p7~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CAlCULA~ TABLE: Number of New Fixtures X eEqUivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................,..................., ....,....... .....,.. ,. ........' Drinking Fountain..,................,., ,........,....,.,..,.."..,.... Floor Drain, .... ,..., ..............' ,..........,........." ,..',.....".. ,. Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc,.,..,....,....,.. Laundry Tub /Clotheswasher.....,."..",..,......,..,.., ..", Clotheswasher - 3 Or More,..,.........,.................,..,.. Mobile Home Park Trap (1 Per Trailer).....,..........., Receptor For RefrigeratorfWater Station/Etc......., Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL.............,....,..,..,......"""'."..,.., Shower. Gang"..................,.....,..,.........."...,.,.,..".." Sink, Bar. CommerciaL.......,....,..,...,.,.,....,..,.,..""" Urinal, StallfWaIL....................,..,....,..,......,.....,..,.." Wash Basin/Lavatory, Single.......,.....,.,..",..,..".."" Water Closet, Public Installation............................. Water Closet, Private.....,.....,....,........,.."",.""",.."" Miscellaneous: '1.. 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 ( / /" 'z" '~ TOTAL FIXTURE UNITS ..J "2.- .z / -z. '? /'),.. 'Z~ CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table. caiculate credits separates, Rate per $1,000 Assessed Value Year Rate per $1,000 Annexed Assessed Value 1979 or before $2.83 1980 2,76 II 1981 2,71 1982 2,60 1983 2.46 1,984 2,33 Year Annexed 1985 1986 1987 1988 1989 1990 1991 '- = <fq 73: Credn for Parcel or Land Only If Applicable Improvement (if alter annexation date) z . ~~ X $ (1,57 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ <f'i~ = RUNOFF COEFFICIENTS FOR STORM DRAINJ,\GE Residential. ........... ............ ......, ..... ...................' 0.4 CommerciaL.................................................... 0,9 Industrial..... ............ ............ ............ ...... ...........' 0.45 GovernmentaL......,...... .......... .................. ....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT $2,16 1.90 1.60 0,25 0,87 0.50 0,16 ~