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Home My WebLink AboutPermit Building 1993-4-2 OWNER: ~A"'M'J( ~~hrv ~O ADDRESS:' ";} II." (,., t P.fU :",..."..J CITY: ((..I A CJIAr-O RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: I LOT DESCRIBE WORi<' NEW y REMODEL ADDITION . SPRINGFIELD . JOB NUMBER C130.Q Q~ BLOCK' !!:.Rc1.~ ~ STAT'" o~ 225 Fiflh Street Springfield, Oregon 97477 TAX LOT: ()Od.dLf. SUBDIVISION: ~- PQJ\~ PHONE: --'nQ<. V>f)1'G. 3 ZI p:q J L.fO I CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE o ' r: 4; 51 ., GENERAL:~cI\ DV'~~~.I~::l/l~/n 7-!'f~ 7.u..d'l/J~{)1 ':J?"7rA ''7'''' lo'?,~'UJ1J PLUMBING:~I..,;VP...ev~f:;.VlC, &.. ,Oss?, ~~ CiiYfl' "'(,..J::.Q(...,c.. ~hjc2. ,2...'-1::1 B7t-.<; MECHANiCAL: YY\1l1\11A/\J'J P.1,a.. '-1/.:91 ~ S...(.,5~ ... .:;lc;"")'lll I~J.J2,JtJ:<. 747 .74'f'..; ELECTRIGAL: ~o'ZtJ.(' ~CjqJ/P Cb'cf'KQ.."uI. ~ C;'l./n::J **<,~, qJM{<JC,. h{{t..d{o..- S,F.R. DEMOLISH OTHER QUAD AREA: _ 112 LAND USE: 111\ FLOOD PLAIN" . OF BLDGS: I # OF UNITS' \ ZONING CODE: OCCY GROUP:~-<' k-fl/\ CONSTR, TYPE: ~/ /J # OF BDRMS' 3 I HE",\T SOURCE: 9c I-/,P SECONDARY HEAT: - # OF STORIES: , WATER HEATER: 7 RANG'" ? SQUARE FOOTAGE: It:ion - OFFICE USE - To request an Inspectlon, 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. ~ Temporary Electric D Sile Inspection - To be made alter excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. rv1 Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. rv1' Foundation - After forms are ~erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. M Underlloo~~haniC.y ~ _ Prior to ',I,;,...,o.;lon or dt:cKlng. 1Q1 Post and Beam - Prior to (Ioor ~nsulation or decking. ~ Floor Insulation - Prior to ~decking. ~ Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling ~ trench. K:A" Water Line - Prior to filling ~ trench. 'i'Vfn("l'oh Plumb!"lj - Pdol to ~ cover. REQUIRED INSPECTIONS "rV1 Rough Mech.mical - Prior to ~cover. 'l":7I' Rough Electrical - Prior to ~ cover. 'f":7l' Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. lV1 Wall/Ceiling Insulation - Prior to ~over. ~DrYWall - prior to !<lpin$_ o Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. ~ Curbcut & Approach - Alter ~ foriTIs are erecteel but ('\fior to placement of concretrJ. ~ Sidewalk & Driveway - After ~xcavation is complete, forms and sub.base material 10 place. o Fence - \^Jhen completed. ~~":':O! T":,,,"..-::- vyhon 011 r"qu:,~d CYtrL<..:S nrt. pI..,,,....:,,), . ..'-';','- --.~- ~ Final Plumbing - When all plumbing work Is cornplet,c. K71" Final Electrical - When all ~electrlcal work Is complete. ~ Final Mechanical - When all ~mechanlcal work Is complete. 'fV(Final Building - When all. ~reQulrcd inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sol-Up - When all blocking is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connce"lion - 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 Brc approved and porches. sklrllno. r!flr:k" ~.._1 Vl;i''lilng I......f.! heen :/1 " .1'.J. ;~'" ..~."-"""..,,.'"'-"- -. I. I Lot faces ..s- Lot Type . Setbacks "..~rHE PROPOSED WORK IN THE Lot sq, Itg. W _ Interior I P.L. HSEIGAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage ~ ~orner If yes, this application must be signed Topography / 2, ~ Is /~ I and approved by the Historical Panhandle /5 Coordinator prior to permit issuance. Total height ~ Cul-de.sac W -- E I/~ II:; APPROVED: BUILDING PERMIT ITEM X $/SQ, FT, ~ SI.., ,::In II-I.I() Main SQ, FT, II-j(,.,D 4L.JO Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ?- Sanitary Sewer FT, Water FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ?, Wood Stovellnsert/Flreplace UnIt Dryer Vent Mechanical Permit Issuance State Surcharge Tola' Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /74 fl 2+ Curbcut fl Demolition State Surcharge 1.......... ," TOTAL t.. lA, " VALUE ~'J. nc,:::!'C fo';).()4O" FEE ..A;;O 00 gpo J0fh po ,?"t?o 4,$0 &j,OO ~,o-o 22.50 / tJ. 00 /./3 .2-=5.~3 ~!O /3~O 25;35.tO 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 the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ::l.("'DD() ~kl.9~ oJ.. ,-r;:;, L/- ~~ Plan Check Fce: Date Paid: Receipt Number: -~~V- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS -tv. tll..0cJU( .5J e A i,.-r $/C,Ll9^ rkv,/\AgA, \ ct 'ld. 8171iJ By signature, I state and agree. that I have carefully examined the completed aprlication 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 the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that 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 ORS 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 tram the street, that the permit card is located at the front of the property. and the approved set of plans will rCI1l:lin on the site a~~m~S!rlng con~tructlon. . ~gnaturo 7~ a~f!e.n Date {/ ~ ;;:2 - 9:( VALIDATION: . qq7 RECEIPT NUMBER ':J _ Lf'2-C[3 6' ';.r-'- '. r :'-(jvcL, ~t;..~T ) 'cAiO~ '.I..'\T:" ~"~'. 7 LOCATION: /2. if " ,. ..JOB NO, q-5l> 2- B CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) .JM!l- 1!>r2.AN~N f-kM€:. DU1WU> E./c IJAM1L-IolJ ~r /703'7"1'2,.."2.. - 002Z-o./- NAME OR COMPANY: DEVELOPMENT TYPE: L-PI!.. - N8</ SrR- BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'Z.'i If 2. SANITARY SEWER-CITY NO. OF PFU'S !'b (See Reverse) 3. TRANS PORT A TI ON LOT SIZE SQ. Ft. X $0,192 PER SQ. FT. c: 4-t,A 0;;; ---- - X $39.7B PER PFU G7/t,O:!..) --- - NO OF UNITS X TRIP RATE X COST PER TRIP , X I.o-be, X $401.05 c: t-/030?) --- -- X X $401.05 $ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ {F5'O'?'!:- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ 7q/~ ') --------- TOTAL-CITY SDC $ /(.(,,1)>!:- 5. SANITARY SEWER-MWMC NO. OF PFU'S / ~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 'l5S '!:. (Use PFU Total From Item 2 Abov~) ~ ~~~k SDC Coordinator ?p;!r~ $ L/- 3 !!. TOTAL-MWMC SDC~'~~ ~ - TOTAL SDC $ 1'67:/"2 MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULATA TABLE: Number of New Fixtures X .qUivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS I 2 <-{- 1 2 3 6 2 2- 6 6 1 3 2 l/Head 2 Z. 2 1 "2- 6 4 ~ Bathlub,..,., ............,.............. ,...,... ,.....,......... ...... ....... Drinking Fountain,....,.. ,......,....... ,.......,..,."""..,..,..,.. Floor Drain., ,.. ......,....... .......,..... ,....' ,..".,.'", ,....,...,., ,. Interceptors For Grease/Oil/Solids/Etc,.........,....., Interceptors For Sand/Auto Wash/Elc,................. Laund ry Tub /Clotheswasher.."..........,.."..,...."..,..,. Clotheswasher - 3 Or More..""............................... Mobile Home Park Trap (1 Per Trailer).......,..,......, Receptor For Refrigerator /Water Station/Etc..,...., Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall",..:.........,.",......."......,...."..,.". Shower, Gang....,..............",....,...,........,.,.,.,...,..,.".. Sink, Bar, CommerciaL,......,.....,.,.,."..,..",.,."",..,.., Urinal, Stall/Wall"........,.,.......,....,.,.""",..,.,.,.",..,..,., Wash Basin/Lavatory, Single",...""""".,..,.,.."..",.. Water Closet, Public Inslallation.............,....",....:,.. Water Closet, Private,..,..,.,.""",.."""""""""""""" Miscellaneous: '2.- I 2.. 7- TOTAL FIXTURE UNITS = {~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, 3alculate credits separates. ~" I I Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value I' 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) z .'n X $ t5 .<1'6 <f; '?!- (Rate X Assessed Value) X $ (Rate X Assessed Value) "I ./":l.~ CREDIT TOTAL = $ 17 Credn for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...,.. ........, ...... ...... ............. ,.... ,. ...".. 0.4 Commercial....................................,.,............... 0,9 I ndustrial............. .,.... ...... ............ .......... ,.....".... 0,45 GovernmentaL..........,....................,....,.....",.... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT