HomeMy WebLinkAboutPermit Building 1994-9-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
.
SPRINGFIELD
~J':' ~,
LOCATION OF PROPOSED WORK: 6? ~ t;
ASSESSORS MAP:.J f)~ ~
LOT'
OWNER' FR.JJ-NK Tlet.lTT~
:~:,~\'-\.L\ \g
NEW
CONTR
PLUMBING:
MECHANICAl'
ELECTRICAl'
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
~
# OF STORIES:
WATER HEATER:
BLOC....
f\AoJ\ ~
STATE:
- OFFICE USE -
~1I\
LAND USE:
# OF UNITS'
CONSTR, TYPE: --.Y ^ J
HEAT SOURCF'
RANGE:
,
JOB NUMBER~~
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
f:f r?icD
PHONE: %~ 'Ql ~a-~
7'11- 3'155 -
...
V ZIP:!1'W~
EXPIRES
PHONE
J~'11,. .'~
-V~
FLOOD PLAIN'
ZONING CODE:
# OF BDRMS:
SECONDARY HEAT'
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour 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.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
O Undersla.rplu~bln~Electrlcal/
Mechanl~O cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - PrIor
to filling trench.
~ Undertlo~MeChanlcal
_ Prior to m::OUlallOn or decking.
r":?l Post and Beam - Prior to floor
l,L:::f Insulation or decking.
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fQ1 Floor Insulation - Prior to
~decklng,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. "
o Water Line - Prior to filling
trench.
FVI Rough Plumbing - Prior to
~ cover.
REQUIRED INSPECTIONS
I\2f Rough Mechanical - Prior to
)L-.l cover.
~ Rough Electrical - Prior to
~ cover.
N1 Electrical Service - Must be
~ approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framIng Insp.
~
Framing - Prior to cover.
~ Wail/Ceiling Insulation - Prior to
L.f-l cover.
JZl Drywall - Prior to taping'.
o Wood Stove - After I~stallatlon.
o Insert - After fireplace approval
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete. forms
and sub-base material in place.
o Fence - When completed.
o Street Trees - When all required"
trees are planted.
f"Q'\ Final Plumbing - When all
t,.LJ plumbing work Is complete,
[)(] Final ElectrIcal - When all
, electrical work Is complete.
I'\7l Final Mechanical - When all
~L.:::::I mechanical work Is complete.
f"'Xf Final BUilding - When all
~ required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Selbacks
! P.L. I HSE GAR I ACC I
I N I
I S I
Iw 1
~--~
Lot faces
Lot Type ~
Lot sq. ltg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de-sac
BUILDING PERMIT
ITEM SQ. FT, X $/SQ, FT. = VALUE
Main
Garage
Carport
(~,...~ -f!?7....
?-f( fO
1,4~
Total Value
'1 'b.$'O
, 7.FJ1
, If,) tP,3'?
SYSTEMS DEVELOPMENT CHARGE (SDC)
f 2("S'~/O
Building Permit Fee
State Surcharge
z.. '16v- t.O'
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures .1) SI'J-"O
Residential Bath(s) N'
Sanllary Sewer FT,
Water FT.
Storm Sewer FT,
Mobile Home
Plumbing Permit '5t)'.f)O
State Surcharge k5()J- 2,50 1I,t)O
'1:
Total Charge (C) .-5 ,60
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N' 2- h,O/)
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
3.M
Mechanical Perml t
,ll411tP .
l,S;fJfJ
'" ,I) /)
/,'W_
:2tD.~O
Issuance
State Surcharge
,11J+-. '15
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
Curbcul
It
Demolition
Slate Surcharge
LNV;=.STI6'ATlltv FfE
Lf () ,C) 0
'I () ,(~ ()
Total Miscellaneous Permits (E)
I ;OTAL AMOUNT DUE (excluding electrical)
~A, B, C, 0, and E Combined)
47' /,(,7
ltPTHE PROPOSED WOR~ IN THE
.... HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by Ihe Historical
Coordinator prior to permit Issuance.
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APPROVEP'
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BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granled on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by Ihe Clly 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.
'''" CO", "" ~Ji1A
Date Paid:
Receipt Number:-r:==/. J ~
Received Bo'" s::l.Jfi r ~ )
:1~
Plans Reviewed By
7-/t-91.f
Date
Systems Development Charge Is due on all undeveloped
properties within the Clly limits which are being Improved,
ADDITIONAL COMMENTS
_Si3'Y-7~A-?C 1!!/~7"'d~ -.g'~AffT
/S A'l'5-?g/~
/J1hf..h ('tf'1~:wr /A71fL.
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon 15 true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordlnanc~s 01 the City 01 Springfield. and the Laws
01 the Stale of Oregon pertaining to the work described
herein, and Ihat NO OCCUPANCY will be made 01 any
structure wllhout permission olthe Building Salety Division.
I further cerllfy that only cont",ctors and emplOyees,who
are In compliance with ORS 701,055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper lime, that each address Is readable
from the slreet, thai the pormll card Is localed at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
~gnatur~ ~^-~{'
Date 5/L,4 /';'~
VALIDATION:
/d.7/7~
'7//?,,/f',j'
1 ~5' /; c;; ~.
'~
RECEIPT NUMBER
DATE PAIr'
AMOUNT RECElv"n,
RECEIVED BY
q ~092 7-
CITY O~RINGFIELD SYSTEMS DEVELOtENT C!lARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NANE OR C0l1PANY: ;RANt TR(,)TTER
LOCATJON:...k...;t~ Co ~/N~TRf=:Er
DEVELOPNENT TYPE: GAKM-E. ~"W~S/"N,
BUilDING SIZE: --
lOT SiZE
SQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ~ FT. ri AOb ~ X $0.203 PER SQ. FT. ~~d)
J Y ----
2. SANITARY SEWER-CITY API>/TI'''#''l L
NO. OF PFU'S (.. /(P.tJ.. .. ~S;(,~
X 542.08 PER PFU
(See R.everse) "-- .-/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X ~X 5424.31
~
/ X
X 5424.31
~,yf)
y --
S
X $424.31
s
4. SANITARY SEWER-/1WMC
NO. OF PFU'S to x S15.125 PER PFU + S10 MWMC ADM FEE S /00, '?S-
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) s /(')('), r~-
TOTAl-MWMC SDC ~
'-.......' ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) S ZS".2.-I'i'"
5. ADMINISTRATIVE FEES
BAS~ c~ (Syy'OT~BOVE) X .05
~ ,;7l~ -:t-~ -'1fL
~ ~~C~~~~;~~~
rC0
TOTAL SDC ~ ;z.c'S":/t')
r
FIXTURE UNIT CALL,;U U\ IIUN I AljLt=: r~\JmL'cr 01 r-Icw Fi,l\JI~$ X l'1ll1 tqul\';"\'I>' = r"'",,, u,u" ,..- .-.
for rem, odt'l$. c..,lcul~lt'C ~nly the ~"'lddiiiOIl;jl fh.11Ifl':')
. I~L".'.G(1l OFA L':-:il' FIXTURE
FIXTURE TYPE I':EI'I F1X1UIi~ I:CLfl\',\lErJT U:.iIfS
Balhlub...........................,...,....,.., ' ,.,.,.........,..,...'"..,
Drinking Founlain......................... ......................
Floor Drain.,.............,.. ....,...., ,.. ,.,.., .,...... ...... ........ "...
'nlcrceplo~ For Grcasc/Oil/Solids/Etc.................
Inlerccpto~ For Sand/Auto Wash/Erc..................
La undry Tub /Clolheswasher.......,........,..... .............
Clotheswa~her . 3 Or More.....................................
Mobne Home Park Trap (1 Per Trailer)..................
Recep!or F9r RerrigeralorjWaler Slalion/Elc........
Receptor For Commercial Sink/Dishwasher/Elc..
Shower, Single.Stall.,...............................................
Shower, Gang..........................................................
Sink, Bar, CommerciaL....................................:......
. Urinal, Stall/Wall.......................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Inslallation.............................
Water Closet, Prr.'ate...............................................
Miscellaneous:
I
2.
3
G
2
I
6
6
1
3
2
l/Head
2
2
1 .
6
4
..L
, .'
TOTJ..L FIXTURE UNITS
=
c.
CREDIT CALCULATION TABLE:
calculate cre:i~s separates.
I
Based on assessed value. If improvements occurre-:! after annexalion date in table,
1,
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
~
1979 or before
1980
1931
1932
1983
1934
'1935
$3.21
3.13
3.08
2.95
2.82
2.63
2.51
t936
1987
1938
1989
1900
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
..
Credit for Parcel or Land Only If Applicable
Improvement Crt after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
= At... . U wrt4
O">'1.~:~p-,.~
= of A 01 _ tt..:~
= $ lOt), 7-~
'.
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid ent ial............... ........ ...... ........ ..... .............. 0.4
Commercial...................................................... 0.9
I nd ustrial......, ......... ...... ....... .................. ............ 0.45
Governmental................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT