HomeMy WebLinkAboutPermit Building 1992-02-14RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRINGFIELE,
2gsT,5 DG
JOB NUMBER ?<ac=l8
225 Fifth Street
Spri ngfield, Oregon 97 477
oL. 77
TAX LO]I
I
ASSESSORS MAP:
E , ffie-*,7ttt +BI]OCK:LOT:
OWNER Dett? EtaooO^gt:etW PHONE:7 L/6-)J rf
ADDRESS:t V)'/ gr.
CITY:9pru G fr&q ol,STATE:dt,ztP Tzctz
a
DESCRIBE WORK:
Nzw t/ REMoDEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
CONST.
i"iJf;flW. 4iKqz:'d')',vs-De,u,o Be"
.ADDRESS
t<c*pJt:ErLGENERAL:
PLUMBING
t
MECHANICAL:t1 I VtZ tedaA.i 7rr7 - 7tfi5
ELECTRICAL:A /€aZ I 'o .lfi+r- lA.tr tt , 2o@r€ 2o'276c -1
OUAD A
# OF BLDGS
OCCY GFIOUP:
* OF STORIES:
LAND USE:fCE E_
FLOOD PLAIN
OFFI
t I'lt
WATER HEATER:RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
* OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:rG<T fte
ZONING CODE:
# OF BDRMS
To request an inspection, you must call 726-3769. This is a24hour 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.
REOUIRED INSPECTIONS
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
i-il t"-porary ElectricY-).xxSite lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover,
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and framing Insp.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover,
lnsert - After fireplace approval
and installation of unit.
Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
lV[ finat Buildins - When all
flrequired inspections have been
approved and building is
completed.
X
x.
xx
x
X
X
X
X
E
Ky"?Il:iffi
Vl Post and Beam - Prior to floorJAJ insulation or decking.
]V Floor lnsulation - Prior to
zl decking.
EI iffH1 sewer - Prior to rilling
,EXS,.Sewer - Prior to filling
VI water Line - Prior to filling[Atrench.
V[ Rough Plumbing - Prior toAt coret
(OrVwall - Prior to taping.
FVI Wood Stove - After installation).> / o/.dt+<t+rxo Fd.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, ald plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
l.TsiOe*alk & Driveway - AfterJ4*".rrtion is compiete, forms
and sub-base material in place.
SUBDIVISIONTffi
17 -oz -tf )4- batQ
I
E
r
n fence - When completed.
,--].( i z I ptreet Trees - When all required
\!/trees are Planted.
, THE 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
,132n
rL_47
k-
Lot Type
-
lnterior
-
Corner
-
Panhandle
! "u,-*.-r^.
P.L.HSE GAR ACC
N q'
S
/0'/b
E t4',
Setbacks@
Lot coverage
Topography
Total height
Lot faces
Lot sq. ftg.
/q./o
/t'o,/o
338!a(A)
l7 {o
f{f
X $/SQ. FT.
v?.7a
= VALUE
<//7A6 -.
Rr' ?-'/ct
Total Value
Building Permit Fee
State Surcharge
Total Fee
62?7A.,b
12,90
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
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.
?z?7
iewed By "4"{^,
v,
Plan Check Fee:2a?-3a
Date Paid
Receipt Number:
Recei
SYSTEMS DEVELOPMENT CHARGE (SDC)#
(B){ tq:r te
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
/6o.@
FT. Ii
FT./{
/6b!"
FT.
(c)
9@
PLUMBING PERMIT
@_Noz
DITION M ENTSc
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
? Ao
/5.oo
37,so
/o,oo
/ ,89
(D)
4POae
3,oo
h,??
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANTCAL PERMIT
Fu rn ace
Exhaust Hood
No<
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther 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 OFIS 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
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
Signature
l->o-?>
<:-
Date
on the site I times duri ruction
MISCELLANEOUS PERMITS
curbcut 421t
Demolition t crO' €
State Surcharge
Total Miscellaneous Permits (E)
ft
3o/3
Sidewalk ?3."s
Mobile Home
State lssuance
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)?43,as
s 7y'3
a7
z-t4 -7LDATE PAID
AMOUNT RECEIVED
FTECEIVED BY
VALIDATION:
RECEIPT NUMBER
Plumbing Permit
State Surcharge
Total Charge
t
9zoB953
COVENA}TT
and being
record ovners o o t described proPertY locat ed in the
City of Springfield, in the County of Lane' State of Oregon:
Lots 13 and L4 of Rep1at of Hayden Lo as Platted and Recorded in File 73, Slide
522, Lane County, Oregon PIat Records, Lane County, Oregon.
In consideration for the issuance of a Building Permit issued by the City of
Springfield r*rhich allovs the owners to construct r,rithout adherence to certain
"LtU."t requirements of the Springfield Development Code pertaining to the
common property line of lots described above, the record ovners do hereby make
the follovilg corenant (for the good and safety of the public, in compliance
vith the building regulations of the City of Springfield), covering the above
described real property, specifying that this covenant sha1l constitute a
limitation to run "itf, tf,e land and shall be binding on all persons claiming
under them, and that the covenant shall be for the benefit of present and
future ovners of said real property.
Be it hereafter knovn and agreed that the tvo lots described above must
hereafter be sold together vithout separation of the lots or portions thereof
as a single unit of land.
, the undersigned have caused this instrument to be executedIN VITNESS VHEREOF
this l(74 day of 7e72.
Ztzt't 7
0vner
STATE OF OREGON)
)ss
County of Lane )
0n this 14 r-,r day
before me, a Notary Pub1ic,
1E!1FiIr. 14',?3fl05REC
iillFEE: " i4, 9IflOSPFUND
5.00
10.00
of Ferr=DqZ . personally appeared
the vithin named -'i>qr;Cc\i\ {J r r,., A[A-r.r!tF.Z
and acknovledged the foregoing to be their voluntary act and deed.
VITNESS my hand and seal this day and y ear last vritten above.
Notary Pu c or0 regon
Commission Expires:-l-/ r q l'l,Zt
203G
My
\':/c)
.-;r'
o\tff{Z1r), p I't , D,;r,.( y'laruelL
-***.1..,r'. ,..:.J.!
r)
s?08953
State of Oregon,
County of Lane-ss.
I the Countv Clerk. in and for the said
[.r.w-,-J" irereby certify that the within
i*i*#"n, was received for record at
14 {3 q? ?i 12
Ree' 1745R
Lane CountY OFFICIAL Records'
Lane CountY Clerk
2By,
(
(
s'rifE 6f dfrE66lf
COUNTY OT I.ANE l s3
This is to certlly that tbe loregoiag document hae beea by ae eorpared
with the originai, and that it is a correct transcript thcrelrom' and ol the
whole of sai<l original as the samo appeara on lile or oI record tra thir
o{fice and in my ollicial care and custody,
IN WTTNESfi $IHEREOF.I have hereunto set mY hand and allixed the
Cierk in aad lor Iaoe County, State otSeal oI the Couoty
?::w"
It
Doputy
,N3>
I
\
t ANT
ST AL
COUNIY
*
JoB N0. az_A_g_R!5^_
CITY OF J/RINGFIELD SYSTEMS DEVELOPI*NT CHARGE
WORKSHEET,,
(col,ltlERcIAL & RESIDENTIAL)
NA}IE OR COMPANY:De=v t 6*r il ri_R-
?-"+6 |az-\9 Sr.\1D2- ln 3+ - oobt tq ooGr .T
LOCATION:
DEVELOPMENT TYPE:UD C-- xlew
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
(See Reverse For Ru
b
noff Coefficients I
sIz
x $0.186 PER SQ. FT.
f Actual Imperv. Area Is
.Ft
"-9'trz
Unknown
2. SANITARY SEWER-CITY
NO. OF PFU'S ?-o
(See Reverse To Determine
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X
X $38.55 PER PFU
PFU'S)Tota
COST PER TRIP
$388.61
$388.51
s 111'z
<ss bnD --I x \.oo9 x
x_x
(Use PFU Total From Item 2 Above)
MI.IMC CREDIT IF APPLICABLE (SEE REVERSE)
Kip Burdick
SDC Coordinator
ITEMS 1,2, & 3)s lGbbe
., .:.
$
s
s
7q
TOTAL-HWMC SDC SZbSc:
IffitacnmenTl c ro Determi ne rriR_!l!:: ), ^^^SUBToTAL (ADD
4 ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X .os
TOTAL-ClTY SDC 5 l-1t 5g
5. SANITARY SEI.IER-HI.'MC
N0. 0F PFU'S Zo x 513.25 PER PFU + $10 Mt.lI'IC AOMIN- FEE s 215'3
b3o
TOTAL SDC $ la 5\ELULL. z/s/or-
FIXTURE UNIT CALCUL.6 ION TABLE: ruumOer of New Fixtures'^.lnit Equivalerrt = Fixture Units (NOTE
For remodels, calculate onty the NEI dddiiional fixtures)
NUMBEF OF UNIT FIXTURE
FIXTURE TYPE NEW FITTURES EQUIVALENT UNITS
Bathtub.......
Drinking Fountain......
Floor Drain..
lnterceptors For Grease/OI/Solids/Etc-................
I nterceptors For Sand/Auto Wash/Etc.-.-..............
Laundry
Clotheswasher - 3 Or More.-.........
Mobile Home Park Trap (1 Per Trailer).-......
R eceptor For R ef ri g eratorTllVater Station/Et c.......-
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower, Single Stall............-
Sink, Bar, Commercial.........--.-......
U rinal, Stall7YVall....
Wash Basin/Lavatory, Single...-....-.
Water Closet, Public lnstallation..
Water Closet, Private........
2 2
't
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
"t
/-
/Head
4/,+
2
a
Miscellaneous:
TOTAL FDCTURE UNITS Zo
CREDIT CALCULAION TABLE: Based on assessed rralue. lf lmprwements occuned after annoation date in table.
calctdate credits
Credit for Parcel or tand Only lf Applicable
lmprovement (if after annexation date)
2, vs x$l'|.8t bq LN
(Rate X Assessed Value)x$
(Bate X Assessed Value)
CREDIT TOTAL - S
L
Year
Annexed
Rate per $1,0(n
Assessed Value
Year
Annexed
Rate per 51,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
s2.66
L&
2.53
2.41
2.19
2.04
1985
1986
1987
1988
1989
1990
$1.69
1.35
1.15
0.92
0.59
0.23
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential..
Commercial..-....-..-......-.
lndustrial.-....--.....
0.4
0.9
0.45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
z
rya>t