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Home My WebLink AboutPermit Building 1993-3-9 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' ~P..93>f:J~J'/~ }~2.. ~2-/~"2- BLOCK: ~ ASSESSORS MAP: '7 LOT' OWNER' J?o.aEtV '\ ADDRESS: CITY' sP Z,1C .,- s.'1~ . 9:~CJI ~S JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: 4<S~ d4t~ rt'l.... .<.L 7-r" ~ t!/tL ~ ~ ..":-- \-\tJ'fY\Q,C)PHONE: l4-1 ~ X1fY1 ~1--4 0 rl ' " REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~cover. 1v1" Rough Electrical - p;ior to ~cover. ~ Electrical Service - Must be J6lapprovcd to obtain permanent electrical power. o Fireplace - Prior to facIng materials and framIng Insp. ~ Framing - Prior to cover. lQf Wall/Ceiling Insulation'- Prior to ~cover. ~ Drywall - Prior to taping. o Wood Slove - After installation. o Insert - After fireplace approval and Installation of unit. K7l' Curbcut & Approach - After ~ forms arc erected but prior to p!acemcnt of concrete. K7f Sidewalk & Driveway - After ~ excavation is complete, forms and sub-base material in place. o Fence - When completed. ~Slreel.Trccs -. When all required (Y'trees me planted. ZIP: ~1 DESCRIBE WORK: /V',.~ SIA;"k. - 41-'h 1.:1 M-YY?C'- NEW V REMODEL ' ',' ADDITION DEMOLISH OTHER STAT~' CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE CENERAL:--LIJ1.y-.7imMi--&_j71.l ('t."rB/.-i//;? ,:)~~V-; (p 'ID~ 747:?7tJ ,I PLUMBING: /l&dld .I L!f": _ 'p 3' p,lp4~S \().S,C!Q. , r=:t{,.Lj'~ MECHANICAl' r A-1.#~7/"e..rI 8C*4(j ,-::S W\q~~)7/2-F ELECTRICAl' i?lli~ .,R,!~J/~/Lr 0)/......301 4-.ffi.9~Y',;U3S3 ~~ - OFF\E USE - ,. OUAD AREA: LAND USE: ~ ~ \ FLOOD PLAIN: . OF BLDGS: \ ' . OF UNITS' \/rJ ZONING CODE: tJ )\L-/ OCCY GROUP:~~ fV.\ CONSTR. TYPE: . OF BDRMS' .~ I r:f ____ SECONDARY HEAT:_0 - . OF STORIES: HEAT SOURCE: WATER HEATER: _1' .-/ RANGE: 0 SQUARE FOOTAGE: r9 ,~ 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. wilt be made the following work day. ~Flnal Plumbing - When all ~Iumblng worl< Is complete. r ~TempOrary Elcctrl.c K71 Site Inspection - To be made ~ after excavation, but prior to sottlng forms, SO,t.S o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are ~ excavated. o MasoAry - Steel location, bond beams, grouting. 'K/1' Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. "K:7f Underlloor€fumbinql11echanic~ ~ _ Prior to Insulation or deCKing. ~ Post and Beam - Prior to floor ~ Insulation or decking. "K7f" Floor Insulation - Prior to ~ decking, ~ Sanitary Sewer - Prior to filling ~trench. I'Yf Storm Sewer - Prior to filling ~trench. ~Water Line - Prior to tilling ~renCh. ~ Rough Plumbing - Prior to ~cover. K71 Final Electrical - When all ~ electrical work Is complete. ~ Final Mechanical - When all )OJ mechanical work is complete. I'V'I Final Building - When all ~ required inspectIons have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all 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 Final - After all required inspections are approved and porches, skirting, decks, 3nd venting have been installed. Lot faces ...l::.l.... Lot Type. Setbacks . THE PROPOSED WOP.K IN THE Lot sQ, ltg, 7aw I P,L, HSE GAR ACC I HISTORICAL DISTRICT, OR ON '''I- Interior IN I THE HISTORICAL REGISTER? Lot coverage ~74>D Corner I~' e' if yes, this application must be signed Is I Topography ~, and approved by the Historical Panhandle Total height ~' Iw S'~ ' -,. I " Coordinator prior to permit issuance. Cul.de.sac IE /0' I APPROVED: BUILDING PERMIT BUILDING VALUE, PLAN CHECK ITEM SQ, FT. X $/SQ, FT, - VALUE AND BUILDING PERMIT Main I$~~' , 7~1J IO~ /o5ZC? . Garage Jd/O ,_. . Carport //4381 ~.7S -, J4 ---.Z3 . 49(),09 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) f20c;S~ Total Val ue Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ?, FT, FT, FT, ~.~ ~ Sanitary Sewer Water i,l' :.~ :~ Storm Sewer < "'. Mobile Home '-" Plumbing Permit State Surcharge 8.00 '/~.co Total Charge (C) MECHANICAL PERMIT _060 4.50 3{}"O Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/Insert/Fireplace Unit Dryer Vent ~ . tn:> Mechanical Permit ?? ~tO / t'? . t:X> J .I~ 3'3.~3 Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /75 34- It ~?-~ /5/a Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B, C, D, and E Combined) '71~.'7!J This permit is gran led on the express. condition that the said construction shall, in all respects. conform to the Ordinance adopled 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: ~<" 3~ 2 -/7-7' J Receipt Number' 7C; '39 Received;.:.a ~ ~~~ - Plans Reviewed By<'" Date Paid: ~-5-"r Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. \ ADDITIONAL COMMENTS ~+\'. \1) 5f{U d~l\Q:C ,In.to J: \ G\ U(j (OA1J1tJ~d. (L, ---1?A?1U. By signature, I state and agree, that I have carefully examined the compieted application and do hereby cerlify that all information hereon Is true and correct, and I further certify that any and all work performed shall ,?e done in accordance with the Ordinanct:s of the City of Springfield. and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of eny structure without permission of the Building Safety Division. I furl her certify that only contractors and employees who are in compliance with GRS 701.055 wIll be used on this project. ,', I 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 witl remain on the site atJyme~ng construction, Signature V" I ~ Date .:2 -/~ -"l'3 VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY 4t 172.,1~ :3 J.3k<-:>) aqc;;-O PI'il rn J t JOB NO. Q,?oI8S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 'Bnl?E3.'" - CnZy !-I-ON1e::.'::;) LOCATION: &:, f? q ? &LAO eR... / <,( 0 ?-- 0 ?-- 'Z- 7-- - '-I- S 00 DEVELOPMENT TYPE: LDIZ. - /JEW ~rJ<... BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ?;,? '-1-'1 X $0.192 PER SQ, FT. LOT SIZE SQ. Ft. C; &<f? ~ -- --- 2. SANITARY SEWER-CITY NO. OF PFU' S I g X $39.78 PER PFU (See Reverse) (;;((" 0:1:) --- --- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 1 X 1.00S X $401.05 c: l/o3O~ --- -- X X $401.05 $ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ nt.."2~ 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G <;/?,~ ') --------- TOTAL-CITY SDC $ 18So-z..:;- 5. SANITARY SEWER-MWMC NO. OF PFU'S 1<6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ -z..S5~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ...fq ?!:. TOTAL-MWMC SDC~S ~ -------C;'" TOTAL SDC $ -z.055 - V" . ~J:.. 'Z-,h?('f" 6 Kip Burdick SDC Coordinator ,~ I: FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNiTS Bathtub,.................. ......................., ..... ........... ,.......... Drinking Fountain. .......,..... ...... ,....,..,.....,.""..".., ,.,.., Floor Drain,.,.., ,.., ....,........ ,........,.'".... ,.,."....,......,..,.. Interceptors For GreasejOiljSolidsjEtc.....,........... 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. CommerciaL............."......,.",.."",."..""" Urinal, StalljWaIL..........,......,..."..,..."",..,..,."..,..,..." Wash Basin/Lavatory, Single...............,..,............... Wafer Closet, Public Installation,.................,..,......, Water Closet. Private,..,......""..",."..,..""""""...."" Miscellaneous: Z- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 y / :2 "2.. TOTAL FiXTURE UNiTS ..,. 2- z. z s tZ Based on assessed value, If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: Icalculate credits separa!es, Year Annexed I Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $2,83 2,76 2,71 2,60 2.46 2,33 1985 1986 1987 1988 1989 1990 1991 1979 or before 1980 1981 1982 1983 1984 Credit for Parcel or Land Only If Applicable 'Z.'5'? X $_1/,57_ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL tf-q 7:: Improvement (If after annexation date) = = $ +17~, 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 $2,16 1.90 1.60 0.25 0.87 0,50 0,16 -