HomeMy WebLinkAboutPermit Building 1993-8-11
"4 225 Filth Slreet
~"', Springfield, Oregon 97477
~ \'CJ. e.u D \:In.i\ ') 9..-
TAX LOT nAgOr)
SUBDIVISION: 000f\7-loffilQ~l \ 1t
OWNER: bLL\'\.r'\. ~ i\D .~ . PHON{'_C\~ ::..Lo \ ~Q.
ADDR':..1S1:JJ net \=""~t) t)J\ 1 t.*-1 i..').\lJ - .
CI\rV' W tI\-n t ~ .' STATE: lJ)\ (i ')(b" ZIP: q.f\ ~ ~ \
DESCRIBE WORK: ,C;' V\C\ \...0 ,KC\ ffi1 ~ t V \(0 [\\ N Q f\l\ Q
NEW \L) REMODEL ~ADDiT10N DEMOLlS~ OTHER
.-
r
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
.
LOCATION OF PROPOSfjl...W9-eI'i- .~/\ ,,"-
ASSESSORS MAP' \'rX )~m \ d _ .
LOT_\~
CONTRACTO~S NAME .
GENER'AL: \ \"'\I'\~, .
PLUMBING: _ ,1 L0 -:~~rr, ~)
,MECHANICAL:~ . \J.....
ELECTRICAL: \J... "'\-\\ )_Y \ 0 (\~ ~
OUAD A,Rf':A ~~?:Sr; ,
. OF BLDGS: _ \
OCCY GROUP: ~~~-
. OF STORIES:-'-~
WATER HEATER: :.-~,-' ~ .
BLOCK'
ADDRESS
.
"'jP--:z,37
,
P)
- OFFICE USE -
LAND USE: \ \ \ ,
. OF UNITS: ( _
CONSTR. TYPE: W.
HEAT SOURCE: ~E....
RANGS.._ S
JOB NUMBER
q~\D5~
)
i
~
EXPIRES PHONE
?a~
'LJ!) I ct.'
'1J!) l _
~47
FLOOD PLAIN:
ZONING CODE: \ \)t(> )
~~
SECONDARY HEAT: ~.p e
SQUARE FOOTAGE: s:Q.J ::.J.h
. OF BDRMS'
To request an inspection, you must call 726-3769. This is a 24 hour recording, An inspections requested before 7:00 a.m. will be
made the same 'working day. Inspections requested ~fter 7:00 a,m. wi!! be made the following work day.
o Temporary Electric
lKl Site Inspection - To be made
after excavation, but prior to
setting forms. .
o
Undcrslab Plumbing/ Electrical/
Mechanical - Prior to cover.
rv1 Footing - After trenches are
~ excavated. .
o MasonrY - Steel-location, bond
beams, groutina.
~Foundntion - After forms arc
erectctJ I)ut prior to concrete
placement.
o
Underground Plumbing - Prior
to tilling trench.
rv1 Underlloor Plumbing/Mechanical
~ _ Prior to insulation or decking.
rxl Post and !3ea~ - Prlor'to floor'
~ insulation or decking.
fV71 Floor Insulation ~ Prior to,
If==J decking. .
~
9?J
Sanitary Sewer - Prior .10 filling
trench.
Storm Sewer - Prior to !illing
trench.
rs<:l Wator Line.;...... Prior to filling
~ trench.
~Rough Plumbing - Prior to
~cov(:r.
REQUIRED INSPECT!ONS
rQ ROU9h.l ~echa~lc~ t),prio'r to
~OV~ ZJ..(Q Cl' 0 cf'l j\..
. .
,~ Rough. t:.ICCtrlCClI - Prior to
~co."er.
C7'l Electrical Service - Must be
~ approved to obtain pcrma""lent
el......trir.::I! nower. ~ . 1,... ~
\. . ~
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to COVl"lr.
r~ Wall/Ceiling Insulation - Prior to
~ cover.
CXI Drywall - Prio.r to ta'ping.
o Wood Stove - After installation.
o Insert - After fireplace: approval
an,j Installation of ur.it
rvf Curbcut & Approach - After
~fCfms are er~cled but prior to
p!acemcnt of concrete.
1\It Sido?walk & Driveway - After
~ excavation is complete, f0rms
and sub-base materia: in place.
D
F.."ncc - When compl('t(~d.
@
Street Trees - Wtlcn f.11 required
tlEl~S arc planted: t'
~
Final Plumbing - When all
plumbing work is cqmelete.
I'Vl Final Electrical - \\lhen all
~ electrical VJork is complete.
fJ1 Final Mechanical - When all
~ mechanical work is complete.
-
r;;:-Y Final Building - When all
~equired Inspections have been
approved and building is
completed.
OOth.r
, I'
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 ig connected to
the service panel.
D Final - After an required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces
.
LOI Typo
X' Interior
Corner
N
Is
-
.
.....
Se t bac 1<5
HSE GAR Accl
I
I
IS THE PROPOSED WORK IN THE
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by thc' Historical
Coordinator prior to permit issuance,
Lot sq, Itg.
P.L.
Lot coverage
Topography
Total height
Panhandle
Cul.de.soc
""
E
BUILDING PERMIT
ITEM
SQ, FT.
\\\n
4\0
x B~.b6~1Q~
\4.\'[3 ~ ~
-I
Mal;)
Garage
Carport
JQlggc:;
4/'.2,rf~~
(A) ~~
SYSTEMS DEVELOPMENT CHARGE (SDC~
, (B) 1J~'?Ot..j-
Total Val ue
Building Permit Fee
State Surcharge
To tal Fee
PLUMBING PERMIT
ITEM
APPROVED'
BUILDING VALUE, PLAN CH,ECK
. AND BUiLDING PERMIT
This permit is grailtceJ on tll0 'express condition Ihat the said
constn..l(;Uon shall, in all/espects, conform ':0 the Ordinance
adopted by (he 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: ..&~. ' ?-,~ .
Dale Paid: !.lJ.H) .~~
Receipt Number:, Il' C\ 'fS~~
Received y: 'f1\\ D~
~~
P an Reviewed ~
_~~~h J.
7'D;I1e
Systems. Developmcni Charge is <lue'on all undeveloped
properties within Ihe City limits wnich are being improved,
ADDITIONAL COMMENTS
Fixtures
Residontial Bath(s) N' ~IJ,
Sanitary Se....Jer FT.
\Na~er FT.
Storm Sewer FT.
Mobile Home
FEE
~ Jl\J-~OOViL ~.d.u.caJLLJ
-- t ~ ~t:J :tLQ,MfJ
~Q)~Jnto3' JYlj;~~
Plumbing Permit
ILf~ ,50
~,f.p3
c9m,~ ~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
La.cD
4.50
!l~
J~CD
, ?>oO
Furnace
Exhaust Hood
,~
Vent Fan
N'
Wood StoveJlnsertlFlreplace Unit
Dryp.r Vent e
\'
MeChanical Permit
.3f! .50
I (.J CO
'I r,",~
'! ,<---L.J
'\q .26
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk I o~ It
Curbcul ::l. ( ) II
I~',
I ',~
, .
Demolition
State Surcharge
Total Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding ClectrjCal)a::J~ .c:f\I'
(A, B, C, D, and E Combined)
.&tJ:L1
By signature, I state and agree. that I have carefully examined
the,completed ap'plication and do hereby certify that all
i.nformation hereon is true and correct, and I fur~her certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the S!atc of Oregon pertaining to the work described
herein, and that NO OCCUPANCY ,will be made of any
structure without permission of the Building Safely Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further a~ree to ensure tha~ all required inspectioC1s arc
requested at the proper time, that each address is readable
from the street, that the p,ermlt 'card Is located at the front
of the property, and the approved set of plans will remain
X:~g:::u:~~U)7ti~
Dat'"
VALIDATION: ()/
RECEIPT NUMBER '--'\0...
DATE PAID ~ . \ \. '~ ' -
RECEIVED BY f'\~
~
~"'~~~II
p-~l~'.\~r t .
~
.
.OB NO. 9?JID 52
"
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY:
&t..,;:."-lfo-J ~Tltf?-A
LOCATION: 71.T1 Gl.-PrC-(C:.e pe, /'bD2-tJ7.-I7..--0}'1tJO
DEVELOPMENT TYPE: L-PJ< - NEw f.f/Z
BUILDING SIZE: LOT SIZE sQ. Ft.
l. STORM DRAINAGE
IMPERVIOUS SQ, FT, 11 '5, x $0,203 PER SQ, FT, ~ 3<1.J~
~
2, SANITARY SEWER-CITY
NO. OF PFU'S 2.;- X $42.08 PER PFU ~&:'7~~
(See Reverse) ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
C;:-t./-2B ~l)
"-- .-/
$
I
/.0/ X $424,31
X $424.31
X $424,31
~
X
X
X
$
4. $ANITARY SEWER-MWMC
NO. OF PFU'S 230 x $15.125 PER PFU + $10 MWMC ADM FEE $ ??I U
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 52'!,.
TOTAL-MWMC SDC ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) 1; ~o.,.,4
5. ADMINISTRATIVE FEE~
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~LJe.- 7/z~/tf3
. () K;p Burd;ck ' {
SOC Coord;nator
( ItJ~ :7
<fc
TOTAL SDC $ 21..0';'--
FIXTURE o fUr ,CALCU LA AN TABLE: Number of New Fixtures .it Equivalent = Fixture Units (NOT!:: "
For remodels. calcul3te only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub, .....................................................................
Drinking Fountain....................................................,
Floor Drain..,.............................................................
Interceptors For Grease/Oil/Sollds/Etc...........,....,
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Ootheswasher............ ..........., ,........"
Ootheswa~~er - 3 Or More.,..............."......,.......,..:
MobUe Hdme Park Trap (1 Per Trailer).................., .
Receptor F(>r Refrigerator ;Water Station/Etc.....,..
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single .StaIL.................... ...,........,..., .........
Shower, Gang.............. ........,...,.."... ...,....... ,.....'.-.....
Sink, Bar, CommerciaL.........,..............,.................
Urinal, StallfWaIL............... ..............,...... ......... ........
Wash Basin/LavatOry, Single......................,...........
Water Ooset, Public Installation.............................
Water Ooset, Private........,.............,.......................,
Miscellaneous:
/. .
/
?
7:1
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
t
3
2
l/Head
2
2
1
6
4
z
z
'2.
"2-
?
/2
=
Z~
CREDIT CALCUU\.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates,
L
Year
Annexed
1979 or before
1980
1981
1982
1,983.
1'984
'1985
Rate per $1,000
Assessed Value
Year
Annexed
$3,21
3,13
3,08
2.96
2,82
2,68
2.51
1986
1987
1968
1989
1990
1991
1992
,
3.7-1 X LJ~.7.-;
(Rate X Assessed Value)'
X $
(Rate X Assessed Value)
CREDIT TOTAL
Cred.it for p~rcel or land Only If Applicable
--.
,Improvement (If after annexation date)
Rate per $1,000
Assessed Value
S 2,24
1,93
1,57
1.18
0,79 J
0,44
0,28
= 5'2. !!.
=
= $ '5 2.. !!-
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Resldentlal..,m..:..........,;..,..,................,...~........ 0,4
CommerciaL.......,...........,..................,.........,.. 0,9
Industrial...............,.................,............,............, 0,45
Govemmental..........,........".............,.............,.. 0,5
IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT