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Home My WebLink AboutPermit Building 1991-09-03SP'tINGFIELE, RESIDENTIAL PERMIT APPLICATION lns pections: 726-3769 Office: 726-3759 JOB NUMBER 7/.{ /f 225 Fifth Street Spri ngf ield, Oregon 97 477 LOCATION OF PROPOSED WORK n ASSESSORS MAP:/v26-=u^2'TAX LOT:474o LOT:BLOCK:SUBDIVISION OWNER PHON E:m ADDRESS: CITY:{,zr.n STATE:o/7-ZIP:a2/^? DESCRIBE WORK: NEW .X REMODEL ADDITION DEMOLISH OTHER CONTRACTOFI'S NAME ADDRESS CONST. CONTRACTOR #EXPIRES PHONE GENERAL: PLUMBING MECHANICAL: ELECTRICAL: _ OFFICE USE - QUAD AREA: * OF BLDGS: lpdrw LAND USE:FLOOD PLAIN * OF UNITS:ZONING CODE: OCCY GROUP: # OF STORIES 1v CONSTR. TYPE # OF BDRMS HEAT SOURCE:SECONDARY HEAT: SQUARE FOOTAGE:WATER HEATER:RANGE:t/D To request an inspection, you must call 726-3769. This is a24hour recording. AII 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. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. [X I rta-ing - Prior to cover. Foundalion - After forms are erected.but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. I--l Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. 940 Ne q DtnzzYe,e / tf tI r E E E E E l--l Water Line - Prior to filling - trench. l-l Rough Plumbing - Prior toU cover. E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type \,\/ - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED VALUE q//a.* fa.::-o ./6 X $/SQ. FT, 2.r3 (A) F=, f7 /2 Total Value Building Permit Fee State Su rcharge Total Fee BUILDING PERMIT ITEM SQ. FT Main Garage Carport 4e 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 Spri ngfield, 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 ree: 74-77 a-7-7/ iewed Date 20*?{ v:Recei Date Paid: Receipt Number: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 79. /Z Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS €ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. N0 FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERM!T Fu rnace Exhaust Hood 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 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain on the site at all times during construction Date Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition 27yr#)')")8'-n P+ra fler4/Affifzry- Total Miscellaneous Permits (E) v/4r.2 //6a 7*? 3DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) IZZ,lA CITY 'f -,PRINGFIELD SYSTEHS DEy l' :NT CHARGE *'t tot-,.+.-:. WORKSHEET NAME OR COMPANY:Fe-q,qct+ F (:,eEeQ- LOCAT iON:83t" l'-t . *Gsr (1 cz,">r'Z\ - oa-l oo DTVELOPHENT TYPE LO? CA-EPOC-I BUiLDING SIZE:Lo' I zc: / OT SIZ sQ. Ft. I. STORH DRAINAGE $ ?.-+gIMPERVIoUS SQ. tT. (See Reverse For Ru 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse oo noff Coe icients I x $0.186 PER SQ. FT.f Actual Imperv. Are a Is Unknown) To Determine Tota X $38.55 PER PFU PFU'S) sG 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x/*x $388.61 s+ x x $388.61 $ x x s388.61 $ (See Attachment C To Determine Trip Rates) SUBToTAL (ADD ITEHS 1,2, & 3)'te 4 ADHINISTRATIVE FEES BASE CHARGE (SUBToTAL AB0VE) X .os s TOTAL-CITY SDC s -lg'3 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC s *t /x 5. SANITARY SEI,'ER.HI.IMC N0. 0F PFU'S O x $13.25 PER PFU + $10 Hl.lHC ADHIN. FEE (Use PFU Total From Item 2 Above) HI.JHC CREDIT IF APPLICABLE (SEE REVERSE) s.+ S N/A TOTAL-HI.'MC SDC s4- K sDc x -1Lb- p Burdick Coordi nator TOTAL SDC S lBIL FIXTURE UNIT CALCUI-AT._ N- ABLE: Number of New Fixtures X ,_ .ivalent = Fixture Units (NorE For remodels, calculate only the Nfl additional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITSFIXTURE TYPE Drinking Fountain.............. Bathtub.......2 1 2 3 6 2 6 6 1 3 2 1 2 2 'l 6 4 Floor Drain. I nterceptors For Grease/Oil/Solids/Etc............... I nterceptors For Sand/Auto Wash/Etc................. l.-aundry Tub/Clotheswasher...... Clotheswasher - 3 Or More.. Mobile Home Park Trap (1 Per Trailer)................. Receptor For RefrigeratorAVater Station/Etc....... Receptor For Commercial Sink/Dishwasher/Etc. Shower, Single Stall. Shower, Gang. Sink, Bar, Commercial.................... Urinal, StallflVall.... Wash Basin/l-avatory, Single.... Water Closet, Public lnstallation. Water Closet, Private....... Miscellaneous: /Head TOTAL HTTURE UNITS C REDIT CALCUI-ATION TABLE: calculate credits separates. Year Annexed 1973 :. beicr': 1980 1981 1 982 1 983 1984 Year Annexed 1986 1967 1988 1989 19SO (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL = g Based on assessed value. lf improvements occurred after annexation date in taole. Rate per $1,000 Assessed Value s2.55 2.U 2.53 2.4'l 2.19 2.O4 Rate per S1,000 Assessed Value ",.ii 1.15 0.92 0.59 0.23 Credit for Parcel or l-and Only lf Applicable lmprovement (if after annexation date) RUNOFF COEFFICIENTS FOH STORM DRAINAGE Hesidential....... . Commercial..... . lndustrial............ Governmental.... na--.-...-...-- L.t ............. 0 I ............. 0.45 ...........-. 0.5 ItvIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT a1 x s_ IJ