The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-06-17RiSIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION C)F PROPOS D ASSESSORS; MAP: PrlIn.GFIELO 2fi, JOB NUMBER 225 Fitth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION L \ Y PHOI{ E: CITY: - ADDR OWN STATE:ztP.. NEW -- REMODEL ADDITION DEMOLISH OTHER DESCATBE wr6nx: .S NAME ADDRESS EXPIBES PHONEg) MECHANICAL: ELECTRICA PLUMBING: - G EN ERAL: CONTR CONST. CONTRACTOR # SOUARE FOOTAG t T_ WATER HE/,TER:RANGF-: Y OF BDRIr'1S: # OF STORIES _ OFFICE U LAND USE: ZONING CODE: FLOOD PLAIN SECONDARY HEAT: + OF UNITS: t\t CONSTR. TYPE: HEAT SOURCE: OIJAD AREA: , OF BLDGS OCCY GROI-J To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested hefore 7:00 a.r,n. will be made the s;rme working day, inspections requested after 7:00 a.m. will be made the iollowing work day. REQUIRED INSPECTIONS Temporary Electric w W Rough Mechanical - Prior to cover.a Final Plumbing - Wlrerr all plumbing work is complete. Site lrrspection - To be made af ter r-.xcavation, but prior to setting forms. Rough Electrical - Prior to .A Final Electrical - When all electrical work is complete.cover. W Under slab Plumbing/ Electrical/ Mechrnical - Prior to cover.Electrical Service - lVlust be approveci to obtain permanent electrlcal power. w Final Mechanical - When all mechanical work is complete. Foolirrg - After trenches are excavated.Fireplace - Prlor to facing materials and framing lnsp. W) Final Building - When all required inspections have been approved and building is completecl.Masonry - Steel location, bond beam;, grouting.w w Framing - Prior to cover, w OtherFounrlation - After forms art.r erecte d t)ut prior to concrete placernent.Wall/Ceiling lnsulalion - Prior to cover Underground Plumbing - Prior to fillrng trench.[7 DrVwall - Prior to tapinq. MOBILE HOME INSPECTIONS LJnder lloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decl(ing.tnsert - After lireplace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to deckittg.()urbcut & Approach - After lorrrrs are erected but Prior to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling t ren c ll.[--'-l Electrical Connection - WhenU blocking, set-up, and plumbing Slorm Sewer - Prior to filling trenctt. Sidewalk & DrivewaY - After excavation is complete, forms and sub-base material in Place. inspections have been apProved and the home is connected to the service panel. Water Line - Prior to lilling trenctr. i---l Fence - When comnleted. Final - After all required inspections are approved and porches, sl<irting, ciecks, and venting have been installerl.Rouglt Plumbing - Prior to fi Streel Irees - VVhen all required tree:t arc Planted.tr c c)ve r. LOT: --- BLOCK: I E tl tf fl[] E fl Lot {aces Lot Type ,l lnterior -- Corner - Panhandle Cul-de-sac Set ks IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL BEGISTEI]? - lf yes, this application must be signed and aPProvccl bY thc Historical Coordinator prior to permit lssuance' APPROVED: Lot sq. fts. @ Lot coverase 7@ ropographv 2b rotar heisht //-:€ "lzztrtra HSE RGP.L. N J ACC / E evi BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditio construction shall, in all respects, conform to ted by the CitY of SPringfield, in ment Code, regtrlating the construction a ay be suspended or revoked at any time _6_-rze= DateP n tirat the said thc Ordinance cludrng theadopncl use ofDevelop s of said ordinances.any Date Paid Receipt Numbe Recei buildings, and m, upon violation of Plan Check Fee: BUTLDING PERMIT SO. FT. ,5 la (A) X $/SO. FT 822 /ffi->z ITEM Main Garage Carport Total Value auilding Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the Ci ty lirnits which are being; improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) /a?fa ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 (c) FT. FT. FT. d7? /-? -zr-fip ?.- PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge 2 MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan Wood Stove/ lnsert/ Fi replace Unit Dryer Vent 2r5(D) ,/e 4Mechanical Permit lssuance State Surcharge Total Permit fiir.-Aa By signature, I state ancl agree, that I have caref ulll examined the completed application and do hereby certify that all information hereon is true and correct' and I f urther certify that any and ail 'rvork performed shall be done in accordance with the Ordinances of lhe City of Spring(ield, and the Laws of the State of Oregon pertaining to tlle work described herein, and that NO OCCUPANCY will be m;rde of any structure without permi:;sion of the Buildirrg Safety Division' I f urther certify that only contractors and ernployees who are in compliance with ORS 701.055 will bc used on this project. I further agree to ensure that all required inspt-lctiorls are requested at the proper time, thal each address rs readable from the street, that thc permit card is located rlt the front of the property, and the approved set of plans will renlain Signature ? Date on the site at I times du ing truction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -. ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) 'l-L(t E VALI DATION 4o4sRECEIPT NUMBER DATE PAID AMOUNT FII()EtVED - RE,CEIVED B\'----TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 642GA .dz v { ryfifi /-t? roB No . ?bo-77 b CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (coMt'IERcIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION. 45C N . 38U FL /-/oz-7tt7- /oooo DEVELoPMENT TYPE ' Le& - Aoo t rtoN lS tlz(ucwoes E*ve)t OT SIZ F sQ. Ft 1. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.192 PER SQ. FT SANITARY SEWER-CITY NO. OF PFU'S 7 X $39.78 PER PFU (See Reverse) BUILDING SIZE: 2 3. TRANSPO RTAT I ON NO OF UNITS X TRIP RATE X COST PER TRIP x _ x $401.05 x x $40i.05 $ 4 X x $401 .0s $ SUBT0TAL (ADD ITEMS 1,2, & 3)$ "sq9 ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 TOTAL-C ITY SDC o$ 5. SANITARY SEWER-MWMC N0.0F PFU'S x $13.62 PER PFU + $10 MtllMC ADMIN' FEE $ (Use PFU Total From Item 2 Above) Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE) LL TOTAL-MWMC SDC Kip Burd ck 6o /D53 z'78'ty SDC Goordinator I ? TOTAL SDC FI*TURE urur cALcur-ATrurN TABLE: ruumner of New Fixrures x rr. , Equivatent = Fixture Units (NorE:- For remodels, calculate only the NEJ additional fixtures) lNUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 2 1 2 3 b 2 6 6 1 3 2 1/Head 2 2 1 6 4 e- Bathtub. Drinking Fountain--..-. Floor Drain.. I nterceptors For G rease/Oil /Solid s/Etc',"""""""' . lnterceptors For Sand/Auto Wash/Etc""""""":": Laund ry Tub/Clotheswasher" " "" Clotheswasher - 3 Or More..""""' Mobile Home Park Trap (1 Per Trailer) Receptor For R ef rigeratorAVater Station/Etc"" " " Receptor For Commercial Sink/Dishwasher/Etc" Shower, Single Stall----........' Shower, Gang..;--.---- Sink, Bar, Commerciail Urinal, StallflVall.... Wash Basin/Lavatory, Single-.""" '--E-Water Closet, Public lnstallation"" Water Closet, Private..--- Miscellaneous: TOTAL FIXTURE UNITS cREDlr CALCUI.AT|ON TABLE: Based on assessed value. lf improvements occurred after annexation date in table' calculate credits Credit for Parcel or l-and Only lf Applicable x$ (Rate X Assessed Value) lmprovement (if after annexation date)x$ (Rate X Assessed Value) CREDIT TOTAL = $- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ' ", ' . , I Residential.. Commercial lndustrial..... .............. 0.45 Governmental--..--..-..-.-.. """""""' 0'5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 0.4 0.9 - Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 '1.90 1.60 o.25 0.87- 0.50 0.16 I I 1