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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 -----4--