HomeMy WebLinkAboutPermit Building 1993-8-11
LOCATION OF rROrOSED WORI(: -,~~~
ASSESSORS MAP \ P,()~ n~ \ ~
LOT: ~Sa. . BLOCI(:
-OWNER:_~\qf'- ~0\-(\ ~r\ _/
ADDR~:l ~U\ {'51 U-Dt '
CI'a. , 11iu5Lr-=
- DESCRIBE WORK: .0..-0..0,-\::.0 ,'(=-\(\ N\ 1 ~ l V
NEW ~ REMODEL ~ (JADDITION _ DEMOLlS~
~. ...
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
.~
\\7:\l\~ ()J()\\x-\\ ~ ..' .
. ...~ f"Y-)~
. TAX LOT: !,/,,,,,_.' _ .
SUBDIVISION: ~( 0 (\?1..0 I'~ c:.,} \ <8t"
PHO~: L..\ ~., -l () \ 'd ~
~ )\\ I I~J-...) .\\ ) - .
STATE: ~l.~ d ~ ZIP: Of\~'A. \
\< a [\\. rt Q f\I\ Q
. '
SPIIINGFIELD
OTHER
ADDRESS
CON~RACTO f.,S NAME .' .
GENEnAL _ ::L\,.0\f~~~,j(-) . --
PLUMBING: ..~c:\:-\0'\ \' IL-____
.l ~\j y,t \l
,MECHANICAL. -- - .. -- - .. - . -
ELECTRICAL: lli::. ')
OUAD AREA:~~'f'''''[~ "
. OF [lLDG~:.. _\ ---
OCCY GROUP: B..1~\-1.\.-
. OF STORIES: -. -
'C
L.---'
WATER HEATER:
_ OFFICE USE -
\ \ \ \
. OF UNITS: !
CONSTR. TYPE:~)
.....-C
HEAT SOURCE: r c...-,
RANGF' <C.J
LAND USE:
.
5P 337
JOB NUMBER
~~,\ [):=;~
225 Filth Streel
Springfield, Oregon 97477
EXPIRES
~3
U'7.
"UF}.
./
PHONE
FLOOD PLAIN'
ZONING CODE: J \)Q )
. OF BoRMS' ~ ~
SECONDARY HEAT: -r1?..
SQUARE FOOTAGE: -1-Y..9 p,
'-
TO requesl an Inspection. you l11ust call 726-3769. This Is a 24 hour recording. All Inspections requested ber~rc 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.
.?mporarv Electric
r17l Slto Inspection - To be made
~ after cxciivation, hut prior 10
setting fOrl115.
o
Undcrshlb Plumbing I Electrlcall
Mechanical - Prior to cover.
~
o
Footing - Alte( trenches are
excavated. .
MasonrY - Steel location, bond
beams, grovting.
~
Foundation - After forms arc
erecled but prior to concrete
placemenl.
o
Underground Plumbing - Prior
to tilling trench.
~
~
Underlloor Plumbing/Mechanlcal
_ Prior 10 insulation or decking.
Post and Beam - Prior to floor
insulation.or decking. '.
~ Floor Insulation - Prior to.
~deCKing,
r;;z'1 Sanitary Sewer - Prior to tilling
~trench.
. F:21 stor~ Sewer - Prior to filling
~rench.
6twatcr Line - Prior to filling
trench.
cinOU.~h Plumbing - Prior to
pc:oy.:r.
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
/Fco9L2XD ~Qo..~
~Rough.Electrlcal - Prior to
~cover.
r.::::zf Electrical Service - Must be
~pproved to obtain permanent
electrical power.
[Kl Fireplace - Prior to facing
11;~p';~I~ Insp.
~Framing - Prior to cover.
~..Y1aI1/Ceiling Insulation - Prior to
cover.
~wal1 - prlo~ to tapIng.
o Wood Stove - Aft'er Installatlon.
o Insert - After fireplace approval
and Installation of unit.
\
-=L- '
[gJ ;;urbcut & Approach - Aller
. forms are erected but prior to
placement of concrete,
.-4-, ~,
tt:z::::t:i1ewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o FencD - When completed.
r7\l Streot Trees - When all required
IcbJ ImcS ;:lre planted.
-.r-It'=nal Plumbing - When all
\IZJ"""'piumblng work Is complete.
~tnal Electrical - When all
electrical work Is complete.
--rh "Inal Mechanical - When all
~mechanlcal work Is complete.
@Flnal Building - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Conn'ectIons - 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 - Aller all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
.AL- .
Lot facos Lot Type
,. Lot sq. flg. ,,<:?i:::>l:. ~lnterlor
,
Lot coverage ~ Corner
Topography ft'?'.? Panhandle
Total height $ Cul.de-sac
BUILDING PERMIT
sa. FT.
15\1:>
-4.W
I P.L. HSE GAR' AC.Z'
IN
Is ~
~ 7;;"'~ PG,.l,;;-
~~A:'.$ ~ ,.__u_,,'
"2P 2.0
X $/SO. FT. = VALUE
"t=)J q, ~ - ~J~I \
'f\.(U IRrud3
qll ffiq'
1~1!0
(A) 43.aJQO
SYSTEMS DEVELOPMENT CHARqj: (SDC) ~
(B) # ZOOt):.!
ITEM
Main
Garage
Carport
Total Value
Building Permit Foe
State Surcharge
Tolal Foe
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' c-J
Sanllary Sewor FT.
Waler FT.
Storm Sower FT.
Mobile Home
Plumbing Pormlt
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
~~
WOOd Slove/lnserl/Flreplace Unll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surc?arg",
Sldowalk l 00\ fl
Curbcul <?, () fl
Demolition
State Surchargo
FEE
l!oQcO
/ (CO ,cx:J
%?CO
ihR,co
LoOO
L. ,SU
Ceo
l5 .CXJ
'-~ CO
,,-3D, .S()
IT),CD
f.ffi
4C{,?15
CiD'?f)
\4.,~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclriCal)C:)Ltf"f)ft'\
(A, B, C. 0, and E Combined)
Setbacks
\
.
is THE PROPOSED WORK INrTH~
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, 1I1is application must be signed
and approved by the Historical
CO<,I(dinalor prior 10 pcrmil issuance.
APPROVED: _
BUILDING VALUE, PLAN CHECK
, AND BUILDING PERMIT
This permit is granleeJ on thu express conrJilion lhal the said
conslr'ucUon shall, in all respects, conform 'to Ihe Ordinance
adopted by ihe City' of Springfield. inclutJing the
Development Code. refjulaling the construdion and use of
buildings, and may be suspended or revoked at any time
upon violation of any l}\oViSions of s~ ordinances.
, Plan Check Feu: ril o'l,~ .
Dale Paid: ...CJ-'-~() :<1"5,.., J
Receipt Numbur:~ q S <l D
Recoived By: ( ~
~.."
~ -
ia<f/ReviCWe<lS"j,;':. ~~
8'yL-"93
Dale
Systems Dcvcloprncnl Charge is due' on all undeveloped
propcrlies wilhin lhe City limits which arc being improved.
ADDITIONAL COMMENTS,
t_ Ac4''-: ' \t 0 I a3n
\ 9\rtnQUVl1o ~ I~
,
-&ull~ ) \5WIJiii10J:)
By signature. I slale and agree. Ihall have carefully examined
tho. completed application and do hereby cCrllly thai all
l.nrOfmatlon hereon Is Irue and correcl, and I fur~hcr certify
that any and all work performed shall be done in accordance
wilh the Ordinancus of the City of Springfield, and the Law5
". of ,the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
struclure without permission. of the Building Safety Division.
I further cerlify lIlal only contractors and employees who
arc In compliance with ons 701.055 will be used on this
project.
I furlher awec 10 ensure that all required inspectio{1s arc
requested at the propcr lime, that each address is readable
from the street, that the permit card Is locatcd at the front
of the property, and the approved sel of plans will remain
on the site at a imes during construcllon....
r:;9nalure . > ~~
Date
VALIDATION: ~~;7\((.
RECEIPT NUMB.ER l( )
9.. \ L.q-::l .
DATE PAID _____ ~ __._
AMOUNT RE'i~IVEldJ.,;, . ~ r;) LJ"1._____
RECEIVED OY ~ [\ CA-/
l~""" "':""',' .,. r
r-'~ ...
.
.B NO. ~'3) 0 S3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: G L.. eN N
LOCATION: 71,90, GLI'rC--/f3..e.
DEVELOPMENT TYPE: L-P/L - iJE3-w
BUILDING SIZE:
1. STORM DRAINAGE
~TAI1:A
P1Z- ' I go 2- D 7- I "'2. -"2--6 ($ ()
$F'f!:.
LOT SiZE
SQ. Ft.
IMPERVIOUS SQ, FT.
z'-fO'b
~oc, '6_~,
X $0,203 PER SQ. FT, ~ ~O~ ~)
2. SANITARY SEWER-CITY
, NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
/<3
, X $42,08 PER PFU
(i?l~
NO OF UNITS X TRIP RATE X COST PER TRIP
X I, 01
X
X
4. SANITARV SEWER-MWMC
I
X $424,31
X $424.31
X $424.31
~Lha ~
........ .-/
$
$
NO. OF PFU'S I g x $15.125 PER PFU + $10 MWMC ADM FEE $ '2.~"Z. ~
(Use PFU Total From Item 2 Above)
$ ~.., ~
MWMC .CREDIT IF APPLICABLE (SEE REVERSE) OJ "
TOTAL-MWMC SDC ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ,I C( 0"1 '!f
5. ADMINISTRATIVE FEE~
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~JL..~7 /~7.-/13
~ Kip Burdick 'I
SOC Coordinator
G '1?~
'- /
Zl
TOTAL SDC $ 2000 -
FIXTURE:UNITCAlCUueoN TABLE: Numb~r of New Fixtures.nit Equivalent = Fixture Units (NOTE:
For remodels. calcul~ie only the NET additional fixtures) " .......
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub....................... ,.,... ... ,..... '.... .... ".......
Drinking Fountain.............. ....... ,.... ...,., ,... ........,. .......
Roor Drain...............................,........................,.......
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Clotheswasher................ ......... ..........
Clotheswa~er - 3 Or More....,..,.........:......,............
Mobne Hdme Park Trap (1 Per Trailer).....:...:,.......
Receptor F9r Refrigerator /Water Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single .StaIL.............. ....................... ...........
Shower, Gang....................................................,......
Sink, Bar, CommerciaL....................................,......
Urinal, Stall /WaiL....... ....................... .......................
Wash Basin/Lavatory, Single..................................
Water Closet. Public Installation....,........................
Water Closet, Private............................................,..
Miscellaneous:
I
2
1
2
3
6
2
6
"6
1
3
2
l/Head
2
2
1
6
4
I
I
".1<
,
z
2--
TOTAL FIXTURE UNITS
1-
7..
"2.
'2-
'2-
5i
1<:6
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCUU\.TION TABLE:
calculate credits separates,
I
~
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
"
Year
Annexed
L
1979 or before
1980
1981
1982
, . 1983
1984
'1985
$3,21
3.13
3.08
2,96
2,82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
S 2,24
1.93
1.57
l.lLJ
0,79
0,44
0,28
5 ID
2-
Croo.it for Parcel or Land Only If Applicable
Improvement [If after annexation date)
'j.1-1 X $ I" ,1.3-
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
~.., ,!,.
= $. ~....
=
, -
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residentlal,.......~.....................;..".......:............. 0.4
COmmercial....................,........,........................ 0.9
Industrial....,....,................................,................ 0.45
GovernmentaL.......,..,......,......,........................ 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT