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HomeMy WebLinkAboutPermit Building 1992-11-16SP}IINGFIELf) RESIDENTIAL PERMIT APPLICATION lrrspections: 7?6-3769 OIf ice: 720 3759 JoB NUMBER ?2/ 5E€ 225 Fifth Street Springlield, Oregon 97 477 LocArroN ot' PRoPosED WoRK: -2225---Z- 3f ASSESSoBS rvtae: / ? O 2^ j^e- --41 - rAx Lor ---94Ae LOT.tlLooK SUBDIVISION _L owNER: -d/zzr--{J-- /+- ADDnESS: I2--(<-1---o.,- .*1 Za --crrY; ZZ2e-e PHoNE: 115-< Z--23 ZIP: -Ae New E- nEMoDEL ADDtrtoN DEMoLISH orHEFl DESCn|BE Wr)RK: _ _ GENEBAL: --- PLUMBING: MECHANICAI. ELECTRICAL: EXPIRES PHON EADDNESS E4- da.-*.2z/a 2/1,/-/6- 7 3 6:&r-Z CONTNACTOFi 5; NAME CONST. CONTRACTOR # OUAD AREA: , OF BLDCS: -,- occY cf 1( )ul' a oF sTOt]lEli: WATER llEATt-l-l: - LAND USE: - E OF UNITS: CONSTR. TYI'I, HEAT SOURCE: RANGE: -- FLOOD PLAIN: ZONING CODE: E OF BDRMS: SECONDARY HEAT: - SOUARE FOOTAGE: - _ OFFICE USE - I Orywall - Prior to taping Wood Slove -- After installation lnserl - After flleplace approval and installation of unit. Curbcut & Approach - After fortns are erected but Prior to placement of concrete. Sidewalk & Driveway - After excavation is cornplete, forms and sub-b;tse material in Place. Slreet Trees - When all required trees are ltlarrted. Final Electrical - Whcn all electrical worl< is corttlrlete. Final Mechanical - Whr:n all mechanical work is corrrpletc. Final Building - When all required inspections have been approved and building is completed. To recluest arr inspectiorl, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. will be macte the sanre working ciay, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Tempor ary Electric Rough Meclranical - Prior to cover. Final Plumbing - When all plumbing work is complete. D( Site lnspection - To be made ;rfter ext;avalion, bttt Prior t<) setting lorms. Underslab Plunrbing/ Eleclrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond bearrrs, grouting. Foundalion - Aftcr forrns etre erectc(l l)Lrt Prior to concrcte placcntcttl. Underground Plumbing - Prior to lrlling trench. Underlloor Plurnbing/ Mechanical - [)rior to insulatiorr or clecking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to deck i ng. Sanilary Sewer - Prior to filling t ren (: ll. Storm Sewer - Prior to filling tren(;h. Water Lirre - Prior to filling trench. Rouqh Plumbing - Prior to covor. Rough Electri(;al - Prior to cover. Electrical Service - Must be' approved to obtain l)ermiinent electrlcal power. Fireplace - Prior to facing materlals and f raming lnsp. Framing - Prior to cover Wall/Ceiling tnsulalion - Prior to cover. Bo,nurM*rJ MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is corilplete. Plumbing Connections - Whert home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approvr:ri and the horne is connected to the servlce panel. Final - After all required inspectlons are approved and porches, skirting, decks, and venting have beerr installed. STATE: r E tl fl fl tl fl fJ E fl l-l Fence - When comPleted' r tl L] Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -- Corner .- Panhandle - Cul-de-sac Setbacks rHE PROPOSED WOFIK IN THE IJISTORICAL DISTRICT, OR ON TI-IE HISTORICAL RE,GISTER? --.-., .,,,_ - lf ycs, tlris application must be slgned an<-l approved by tlrc Historical Co()rdinator prior to pct'ttrit issttance. API]ROVED: P.L.HSE N S GAR ACC E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is grante(l on tlle express conditio|r llrat the said conslruction shall, in all resl;ects, conform to tlrc Ordinance adopted by the City of Springfield, including the Development Cocle, regulating the construction and use of buildings, and rnay be suspended or tevoked at any tirne upon violation of any provisions of said ordirrances' DatePlans Rcviewed [3Y Plan Check Fee: .- Date Paid Rcceipt Nunrbcr: Receivecl By: VALUE (A) X S/SQ. FT PERMIT SQ- FT, BUILDING II'EM lrrlain Garage Carport Total Value Building Permit Fee Statc Surcharge Total Fee Systems Develolltttr:trt Clrarlle is dtrc on llll tlrl(lovr-'loped properties witirirr thc City lirrrits whiclr are l-rr:irtg trrtlrroved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE 1539 N -4eP FT. FT. 54ZE .f,o. (c) 75 FT. % -;a-ry Plumbing Permit State Surcharge 'l-otal Charge WoorJ Stove/ lnsert/ Fireplace Unit Drycr Vcrrt MECHANICAL PERMIT (D) Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan No By signature, I state ancl agree, that I have caref tllly examined the completed application and do hereby ccrtify that all information hereon is true and correct' antl I f ttrtlrcr cerlify that any an<J all work pcrformed shall be done irr accordance with the Ordinances of the City of Springfield, anrl tlrc Laws of lhe State of Orctlrlrr llcrtainlng to thc wolk <lr:scribctl Irerein, and that NO OCCTiPANCY will be ttr;r<le of any structure without perrnissiotr of the Building Safety Division' I f urther certify that orrly contractors and enrployees who are ln compliance with ORS 701.055 will be used on this proiect. 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 natu on the site at all times during construction. o^t" ./,'/- /5 -2? MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -__=-- ft Curbcut -_=-- ft Dernolition Statc Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAID -,. - J -7 2\' AMOUNT FIECEIVEI) 82-gz/ /z*f-z RECEIVED BY - - TOTAL AMOUNT DUE (excluding electrical) (A, a, C, D, ancJ E Combined) {2,7J {'ln CITY OF SPRINGFIELD SYSTEHS DEVELOPI''IFNT CHARGE WORKSHEET NAME OR COMPANY: LOCATIOi{:/h 7zo- t,a?4 nrrrrrUCVLLUTTILI\I III'L: BUILDING SIZE: 1. STORM DRAINAGE Il'iPERVIoUS SQ.FT. v a^A 1a n-h h-rl )iv. i6 ( LK rru sQ. Ft s #7#a,try S -r4 J aJ S LOT SiZ 2 x $0.192 PER SQ. FT s'* /c^^ D^,,^-.^ c^- D,,^^sa a^^f5;^.:^-+^ i: A^+,,-''l T-^^-., n*^- ;^;:-t,-^,.-\\Jsc t\trYEl Jtr r Ul t\UllUl r \.UEl l lLrcllLJ lr r1LLUql 1lilPcl Y. nl tro' J.) Ultl.\llUYrlr,/ cAltT-rAnvJni\ I l^n I SEl'lER-C ITY N,A ltn nr nrttrcI\U. UT TTU J (See Reverse T 3. TRANSPORTATION o Deteri-ri ne Tota f nrt r / c \I rru J/ NO OF UNITS X TRIP RATE X COST PER TRIP x x 5401 .0s A x s40i .05 x s40t .05 (See A.ttachnrent C To Deternj ne Tri p P.a+-es) SUBT0TAL (ADD ITEI'IS i,2, & 3) , ANMTTI T'" . /'11/r'l I l! I TIVE FEES BASE CHARGE (SUBTOTAL AB0VE) X .os TOTAL - C ITY SDC S 5. CREDIT iF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: ToTAL-CITY SDC X (507r) = ADJUSTED CITY SDC 6. SANITARY SEI^lER_Mt,Il'{C NO. OF PFU'S $13.62 PER PFU + $10 l'4I,lMC ADMIN. FEE S (Use PFU Total From Item 2 Above) HI^JMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-Ml,lM C SDC S rt- s Z.gs- 1b $ (.-a^--l-,+ ttlLth, Ki p Burdick SDC Coordinator ()TOTAL SDC s*ffi fb E FIXTURE UNIT CALCUIA "ON TABLE: t'tumuer of New Fixtures ' For remodels, calculate only the NE[ additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES nit Equivalent = Fixture Units (NOTE: UNIT FIXTURE EQUIVALENT UNITS Bathtub....... Drinking Fountain.....- Floor Drain- I nterceptors For Grease/Oil/Solids/Etc""""""""' I nterceptors For Sand /Auto Wash/Etc"" " " " " "" " Laundry Tub/Clotheswasher....-.-..-- Clotheswasher - 3 Or More.-...--..-.......,i...'.""""""' Mobile Home Park Trap (1 Per Trailer)"""" R eceptor For RefrigeratorflVater Station/Etc" "" " Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stall.'...'--.--.. I Z Shower, Gang..........-..--...ISink, Bar, Commercial. Urinal, StallflVall.... Wash Basin/Lavatory, Single..-....... Water Closet, Public lnstallation. Water Closet, Private.. TOTAL FIXTURE UNITS lro CREDIT CALCUI-ATION TABLE: Based on assessed valUe. lf improvements occurred after annexation date in table, calculate credits separates. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ?- z I Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$ (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL = $N.A. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 't984 $2.83 2.76 2.71 2.60 2.46 2.33 1 985 1986 1987 1988 1 989 1990 1991 $2.1 6 '1.90 1.60 0.25 o.B7 0.50 0.16 RUNOFF COEFFTCIENTS FOR STORM DRAINAGE Residential... Commercial. 0.4 0.9 0.45lndustrial..... IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I Miscellaneous: x$ t Sl'lllNGFlf:L() RESIDENTIAL PERMIT APPLICATION lrrspeclions: 726-3769 Oltice: 720-3759 ASSESSORS MAP: JoB NUMBE R -?2 / 5og ?fr, LoCATIoN of'PRoPoSF-D WoRr(: - 22?--,{ --Z-LI- -_3 4, -- rAx Lor: -8r'-a-2 225 Fltth Street Springlleld, Oregorr 97477 LOT: ...-- --B K:SUBDIVISION _L *u, -13--L:12 z3 CITY:SrATE: -Ae ZlPi _ 2 Dos€tt /<o a2_/.. OWNlll-l:. 22e-e nOOneSS:. / New --y'= nEMoDEL ADDriloN DEMoLTSH orHER DESCnIBE WORK: -- ADDNESS EXPIRES PHONE PLUMBTNG: E4 -8,--/<C, &2:/2//23 CONTRACTOR'S NAME GENERAL ELECTRICAL: r--- MECI-IANICN L CONST. CONTRACTOR ,# OUND AREA: ocCY cill()tJl', ,t Of STOtrlE:;: _--- WATEn I{EAl-t-ll: ---- FLOOD PLAIN: ZONING CODE: I OF BDRMS: SECONDARY llfiAT - SOUARE FOOI^CE: .- LAND USE: -I OF UNITS: - . coNslrn. TYt,t_ HENT SOUFICE: RANGE: _ OFFICE USE _ Site lnspecllon - To be rnade :ilter exr:avatiorr, l>ul prior to senitlg lornrs. Underslab Pluntbing/ Electrical I Meclranical - Prior lo cover. Footing - After trenches are excavatecr. Masonry - Steel locatlon, bond bearrrs, Orouting. Foundalion - After forrns are crecle(l l)ut Prlor lo concrcle placcn rcrr t. Under-qround Plumbing - Prlor to lilling trench. Undcrlloor Plutlrblngl Mechanical - ['rior to lnsulation or decking. Posl and Beam - Prlor to ,loor insulation or clecl(lng. Floor lnsulallon - Prlor to decki ng. Sanllary Sewer - Prlor to lilllnO t ren (; ll. Slorm Sewer - Prlor to lilling trench. Water Line - Prlor to fllling trench. Rough Pltrnrblng - Prlor to cov(.'r. Rough Eldctrical - Prior to cover, Electrlcal Solvice - Musl be approved lo olrtain l)crrnanent electrlcal power. Flreplace - Prlor to faclng materlals anrl framing lnsp. Framing - Prior to cover, Wall/Ceiling lrrsulalion - Prior to cover. Drywall - Plior to tapinO Wood Slove -- Alter lnstallation. lnsert - After flreplace approval ., and lnslallatlon of unlt. Curbcut & Approach - After forrns are erected but prior lo placement ol concrele. Sidewalk & Orlveway - Aftcr excavation ls complete, lorms and sub-base materlal in place. Fenco - When completed Slrool Trees - When all requlred tre(rs arc J;lanted. Flnal Electrical - Wlrr:rr all clectrical worl( is conll)letc. Flnal Meclranical - Wlrcn ;rll mecllanlcal work ls c<-rilrpleto. Flnal Building - Wtrer.r ;rll requlred lnsp<.:ctions lrave been approved and building is completed. To reclucst an inspection, you rnusl call 726-3769. Thls ls a 24 now recordlng. All lnspectlons requested bcfore 7:00 a.m. will t)c macle the same working day. lnspecllons requested after 7:00 a.m. wllt be made the following work day. REOUIRED INSPECTIONS Temporary Eleclric Rough Mechiinlcal - Prlor to cover. Final Plumbing - Wlren all plurnblng worl< is cornplcte. tr ff. o, n o' 2&Z c.-,+zrail at MOBILE HOME INSPE TIONS Blocking and Sel-Up - When all l)locking ls coilrplete. Plumblng Connections - Wlrerr home has been connected lo water and sewL)r. Electrical Connection - When blocking, set-up, arrcl plurnbing inspectlons have been approvc'tl and the hornc is connectcd to the servlce panel. Final - After all recluired lnspectlons are approved an<J porches, skirting, decl(..;, an(t venlinO have l)cen insl;rlle(|. )//4 2 fl fr tl tl tl tl tl tl E E t:] tl rl E fl E E Etl L] IS I'HE PI.IOPOSED WOHI( IN THE IJISTORICAL DISTRICT, OR ON TI.IE }.IISTOFIICAL REGISTER? -.,-._lf ycs, lllis application musl bc slgned and al)provcd by tlrc Historlcal Coorclirr;rlor prior to pcrlnit issttance. APPROVED: LoI fa<;cs Lot sq. ltg. Lol covcr;rgc Ttrpograplty Total lrcight Lot Type - lnterior -- Corner _- Panhandle -_ Cul'de'sac- PL.HSE,GAR N S E Sctbacl<s BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is grante(J on tlle express condition that the said consiruction shall, in all rest)ects, conform to tlte Ordinance adopted by the City ol Springfield, inclutling the Developrnent Cotle, regulating the conslruction and use ol buildlngs, and trlay l.rc strspended or revoked at any titne upon violation o[ arry provisions of said ordinances' Plan Check Fee: -.---- DatePlans Rcvicwed [3Y Date Paid Fleceipt Numbcr:-. Received By: BUILDING PERMIT VALUE (A) ll'L.M Main Garagc C;rt:;rort lbtal Value Builcling Pcrnrit Fcc Sl;rtc Surcll;tr1;c Ttrtal Fee Systems Dcvclolrrrtr:tll Cll;rr1;c is dtre on ;rll trrrtlovclopcd propertics witlrirr tlrc City lirrrits wlriclr aro bcirtg itrt;rrovcd. SYSTEMS DEVELOPMENT C (B)^o^ff'fffis ADDITIONAL COMMENTS Tt/e 2- 5u,< /,r*+f,4* ?, 4 L*t /< '1- /, ? "5b -/o, SP" r+>trtt) ?6= ITEM Fixtures Residential Bath(s) Sanitary Sewer Watcr Slorm Sewer Mobilc Hotne FEE / sle 2"s /cr% $@Zs--uV-- (c) NO FT. FT. FT. 5Jr PLUMBING PERMIT Plumblng Permit Statc Surcharge Tr;tal Charg;c Wood Stovc/ lnsert/Fireplace Unit l)r'yr:r Vont (D) NoVorrt Fan Mcchanical Pertnit lssuance State Surcharge Tolal Pcrtnit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agrce, that I have carefully examined the completed applic:rtion and do hereby ccrtily that all lnformalion hereon is truc and corrcct, an<l I ltrt tlrr:r cerlily that any and all work perfortncd shall be done irr ac,cordance with thc Ordlnances of the Ci ty of Springlleld, ancl thc Laws of lhc Slalc of Orcl;orr llerlalnlng lo lhc worl< <lr:scrlbccl Irereln, and lhat NO OCCI.IPANCY will bc trta<le of any struclure without permission of the Buildlng Satcty Division. I further certify tlrat ortly conlractors and enrllloyees who are ln compliance with OFIS 701.055 will lre used on lhis project. I further agree to ensure that all required inspeclions are roquested at the proper time, that each address ls readable from the street, that tl.re permit card ls located at the front of the property, and the approved set of plans will rentain natu o^r" //-'/6 .22 o ngthe site at all tilnes duri construction. MISCELLANEOUS PERMITS Mobile Home State lssuance Statc Surcl'targe Sidewalk ---- lt Curbcut ---.-- lt Dcrn<.rliliott St;rtr: Strr<;ltargc -lot;rl Miscollilnco(ls Pcrmits (E) VALIDAI"ION: RECEIPT NUMBER DATE PN ID -,- a7 ?.?, / /--/G-:2.2--* TOTAL AMOUNT DUE (excluding electrical) (t\, B, C, D, and E Comblned) AMOUNT FIECEIVED RECEIVED BY --- , "f, SO. FT. X $/SO. FT.