HomeMy WebLinkAboutPermit Building 1993-07-02RESIDENTIAL
PERIIIIIT APPL!
SPFr ,^,GF P3
CAI'ON
lnspections: 726.3769
0ffice:726-3759
JoB NUMBE n ?He:'-'
225 Fitth Street
Springtield, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS IVlAP TAX LOT:
LOT:BLOCK SUB
To request an inspection, you must call 726-3769. This is a24hour recording' All inspections requested before
nr.de the sarne wo!.king day, inspectrons requesteci after 7:00 a.m. will be made the following work day'
REQUIRED INSPECTIONS
[--l remnorarY Electric
Site lnspection - To be made
after exc;tvation, but Prior to
setting forms.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
bearns, grouting.
f7 Electricat Service - tt'lust be
)ALgpotored to obtain Perrnanent
electrical Power.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Fireplace - Prior to facrng
materials and lraming :nsP.
7:00 a.m. will be
Final Plumbing - When all
plumbing worl< is comPlete.
Final Electrical - When all
electrical work is comPlete.
Final Mechanical - \Jhen all
mechanical work is comPlete.
Electrical Conneclion - When
blocking, set-uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
4""i,f3"?XL; Ir cir to rro('r Ll
Final Building - When all
requlred inspections ha.ve been
approved and building is
cornpleted.
Xrtutni"g - Prior to cover'
Olher
Wall/Ceiling Insulation - Prior to
Korvwatl - Prior to taPino
MOBILE HOME INSPECTIONS
Wood Stove - After iilsta'lation
lnsert - After flrePlace aPproval
anC installation of unit.
Biocking and Set'UP - When all
blocking is cornPlete.
Plumbing Connerctions - When
home has been cr:nnected to
water and sewer.
tr'
X
B
E
Exg
Foundalion - After forms are
erected but orior to concr(rte
plac e trtcn t.
Unclerground Plumbing -- Prior
to fiiling trench.
nrb
,x
B
x.
tr
X
tr
l_i
U nderlloor
- frr ior to rg.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to f illirrg
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to fillittg
trench.
X Curbcul & APProach -'Aiterforms are erected bui'l)ririr to
placernent of concreto.
lr.7 Si.l"*otk & DrivewaY - .r'rter
,14\ .-.rcavation is contplete, fo.rns
arrd sub-base matei'iat irl place.
fL fon"" - When comP:rlted
Street Trees - V'Jh'en .ril required
tr,)cs are PlantoC.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been irrstalled.
PHONE:
7tPSTATE:
O\r'JNER
ADDRESS:
CITY:
DESCRiBE WOHK:
PHONEEXPIRESADDRESSNAME
lvlFCHANl
PLUMBING:--
ELECTRI
GENERAL:
CONTR
CONST.
CONTRACTOR'd
)RANGE:
# OF BDRMS
WATER HE"ATER
OUAD AREA
- OFFICE
HEAT SOURCE:
CONSTR. TYPE:
Y OF UNITS:
LAND USE:
SECONDARY HEAT:
SOUARE FOOTAGE:
FLOOD PLAIN:
ZONING CODE* OF BLDGS: -
OCCY GROUP:
I OF STORIES:
B Rough Plumbing - Prior to
covcr.
[]
/ 7a7-2.2-7t
??a-
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
IS THE PROPOSED \'VOHK IN THE
HlsToHlcAL DISTRICI OR ON
THE HISTORICAL REGiSTER?
--.-
lf yes, this application must be signed
anrJ approveci by the H istorical
Coordinator prior to permit issuance.
AF'i)ROVED
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
&7
2G2o
z_4o27'
Lot Type
lnte rior
-
Corner
-
Panhandle
-
Cui-de-sac
P.L.GARHSE
N
/8J
b!
E
,!b
VALUE
24?/
ZA/42?Z&e_@rc _6ra;Uz-
(A)-5? 4Lb
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
r
s/288,fr*?
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Z/Z-
172
BUILDI}IG VALUE, PLAN CHECK
AI'JD BUILDING PERMIT
This permit is.qranted ori tlre express cgndition that the said
constr(rction sl-rall, in all respects, confcrm to ihe Ordinance
adopteii by l.ne City of Springfield, irrcluding the
Develcpmcnt Code, requlating the construction and use of
buiidings, ;rnd may be suspended or revoked at any time
upon violation of any provisions of said ordinances.327-%
Recei ved
eviewed B
z/r//zL/ Cr6teP
Receipt Number: ?lA-B
Plan Check Fee
Date Paid _azt*_
sYSr E M s D EV E Lo P *
=
*t'"1 n o^fi l?i?)#Systems Development CharEe is due'on all undeveloped
properties within tlre City linrits wirich are being improved.
ITEM
Fixtures
Residential Eath(;)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
F:EE
N'ZIL
-Jb133?.?
arcr
FT.
FT.
FT.
(c)
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
DDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood L
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent L ,/&
o4 004./,
3e,Z(D)
Vent Fan
Q.oo
JZ9e_
Mechanical Permit
lssuance
State Surcharge
Total Permit
-la,?-:_tE
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certily
that any and all work pcrfarmed shall be dorie in accordance
with the Crdinances of the City of Springfield, and the Laws
of the State cf Oregon pcrtaining to the r,vork ciescribed
herein, and that NO OCCUPAI{CY will be madc of any
structure wrtfrout permission of the Building Safety Division.
I f urther certity that only corltractors anC ernplcyees who
are in compliance with ORS 701.O55 v;ili be used on this
pr-oiect.
I iurther agl'ee to ensuro that all required inspectio.ns are
requested at the propcr tirrre, that each address is readable
from the street, that ihe permit card is locatcd at the front
of the profrerty, anrl the approved set ot olans will remain
//
Date
g ()onstruction
-aL6
tne site at.rll tirnes duri n
gnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewaik 6? tt
curbcut A O n
Demolition
State Surcharge
5o
i4,88Total Miscellaneous Permits
2r=s
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combirred)4/+:%
VALIDAfICN:
RECEIPT NIJM
DATE P,N.ID
AMOUI":T i:iECE
BER -:-L\
nECE.ll,r'-D {l'/
,<
No .n-
----.-t..-.---
?"/
cITy 0F
',RTNGFTELD
sysrEMS DE,EL,,MENT ,,riirT*WORKSHEET
(C0MMERCIAL & RESTDENTTAL)
NAME 0R COI"IPANY {n EtB La <o€
LOCATION:00 boo6
DEVELOPNENT TYPE : /l1o e- ^ ,t/z,t t Durtr-/
BUILDING SiZE
1. STORM DRAINAGE
OT SIZ sQ. Fr.
?
IMPERVIOUS SQ. FT.zvq-2-x $0.192 PER SQ. FT
SANITARY SEI,JER_CITY
No. oF PFU' s Vz X $39.78 PER PFU
(See Reverse)
J RANSPORTAT I ON
NO OF UNITS X TRIP RATE X COST PER TRIP
2 x l, oo5 X $401.0s
X x s40 1 .05 S
x $40 i .05
suBToTAL (ADD irEMS 1,2, & 3) $ 25a872
4 ADMINiS TIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X -os
TOTAL-CITY SDC S Zbb5 z5
5. SANITARY SEWER-MWMC
NO. OF PFU'S ?z $13.62 PER PFU + $IO MhlMC ADMIN. FEE s4+5ry
(Use PFU Totai From Item 2 Above
tq
Mt,lMC CREDTT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
K p Burdick
S
qz2b
SDC Coordinator
77 3
TOTAL SDC S Z-N?*79
F
)
FIXTURE UNIT CALCULAI-/N TABLE: NUMbET Oi NEW FIXIUTESX
-
ECIUIVA\ENI = F'IX.U(EUNIS (NOT-:
For remodels, calculate onty ttre lrlEJ additional fixtures)
NUMtsER oF uNir FlxruRE
NEW FIXTURES EQUIVALENT UNITS
FIXTURE TYPE
7
Drinking Fountain"--"
2
1
2
.)
D
2
6
6
1
J
2
1/
2
2
.l
6
4
--4-
---q-
IL
=?z
LL
7.
Clotheswasher - 3 Or More""".""'
U"trl" Home Park Trap (1 Per Trailer)""'-
Receptor For RefrigeratorAVater StationTttc"'-""
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall-..-."'-"""
Sink, Bar, Commercial
Urinal, StallflVall.. --
Wash Basin/Lavatory, Single" """""
Water Closet, Public lnstallatiorr"""'
Water Closet, Private.--..
lr4iscellaneous
CREDIT CALCULATION TABLE
calculate credits seParates-
Based on assessed value
L
TOTAL FIXTURE UNITS
x $ q.'2-5?2c
Head
lf improvements occurred after annexation date in table'
t1
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL = $
2.93
ZL,L
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Governmental...........---.. ""-""""" 0'5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per S1,000
Assessed Value
1 985
1 986
1 987
1 9BB
1989
1 990
1 991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
'1979 or before
1980
1981
1 982
1983
1984
$2.83
2.76
2.71
2.60
2.46
qla
4
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