HomeMy WebLinkAboutPermit Building 1994-7-1
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOT:
OWNER' (...,.. I.e." V"\
ADDRESS" 7 ~'1
CITY' A \ ~M 'j
lA:o -br.:;,
1-"\ ru(s-\-
( A'Jn -,t-rvc..+
DESCRIBE WORK'
NEW X. REMODEL
ADDITION
-.
SPRINGFIELD
BLOCK'
STATE: _!J./-C-
l\jGo-J
sFDJ
DEMOLISH
OTHER
.
JOB NUMBER~41/ "7/8
225 Filth Slreel
Sp,lngfleld. Oregon 97477
TAX LOT: ~C P:161
SUBDIVISION: ()",k"\", I... P (".-4, ,
PHONE'
zIP,07"32\
CONST,
~~TRACTOR .
~~I)~
CONTRACTOR'S NAME ADDRESS
GENERAL: ('l" \ev-V\ 1G~(Gt C,,,<+
PLUM'BING: (f't'\-tvac....t-vrs R.u".,bIJ5
MECHANICA" M""r<.G" [ I ~
ELECTRICAl' t\A o.~,J LJ
QUAD AREA: \ \{ \\")\ J
. OF BLDGS: \
OCCY GROUP: ~ "?r\- N\
\
f/
. OF STORIES:
WATER HEATER'
lZtm
PHONE
Qld1J.d2Z.
~~fl-{O
" "'" Lofl3\(1} ,
- OFFICE USE -
LAND USE: \\1. \
· OF UNITS' \v ftJ
CONSTR. TYPE:
HEAT SOURCE: Ei.z:q' ---r A
RANGF' E....
\:}.. &34~ "Y\ l';rD
lo.\q.l.{S 13t.1017(
FLOOD PLAIN'
ZONING CODE: \J. \1P-
~'
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: /(,,;, 9 L
To request an Inspecllon. you musl call 726-3769, This Is a 24 hou, ,ecordlng, All Inspections requested before 7:00 e,m, will be
made the same working day, Inspections requested atter 7:00 a.m. will be made the following work day.
D Temporary Electric
rYr"Slto Inspection - To be made
~ after excavation, but prior to J
seltlng forms, ('5E;.T /f!;.At::-1<
D Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
T5<J Footing - After trenches are
. "iJ"cavated.
D Masonry - Sleel location, bond
beems. grouting,
~ Foundation - After forms are
J6.J. erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling I,ench,
1VI" Underfloor Plumbing/Mechanical
~ Prior to Insulation or decking.
1C"7f'" Post and 8eam - Prior to floor
~ Insulation or decking.
t\7f Floor Insulation - Prior to
~decklng,
'r\::7r SenUery Sewer - Prior 10 filling
~ trench. .
1\71 Storm Sewer - Prior to filling
~trench.
1'\71 Water Line - P,lo, 10 filling
~ trench.
K71 Rough Plumbing - Prior to
~ cover.
REQUIRED INSPECTIONS
1'9f Rough Mechanical - Prior to
~cover.
~ Rough Electrical - Prior to
~cover.
f':7f Electrical Service - Must be
~ approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
JV'f Wail/Ceiling Insulallon - Prior 10
~cover.
J2f O'ywall - Prior to taping,
D Wood Stovo - After Installation.
D Insert - After fireplace approvl!ll
and Installation of unit.
K71" Curbcut & Approach - Afte,
~forms are erected but prior to
placement of concrete.
rv(Sldewalk & Driveway - After
~excavatlon Is complete, forms
and sub-base material In place.
. ~Fence - When'completed.
l\71 Street Trees - When all ~equlred
~trees are planted. .
.
'R7f' Final Plumbing - When ell
~ plumbing work Is completo.
, ,
"'C7f Final Eleclrlcol - When all
~electrlcal work Is complete.
~ Final Mochanlcal - Whon all
...J.Atmechanlcal work Is complete.
i'7I Final Building - When all
~requlred Inspections have been
app,oved end building Is
completed,
DOlher
MOBILE HOME INSPECTIONS
D Blocking ~nd Set-Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected 10
water and sewer,'
D Electrical Connection - When
blocking, set-up. and plumbing
Inspections have beon approved
and the home Is connected to
t~e service panel.
D FInal - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
77,fL&.?;J(C-
~t, 7,(J7D
~ /i,,:s.r
3"Je.-~/-<JJ /I''"'~
?{1~ Fp
SYSTEMS DEVELOPMENT CHARGE (SD~
(B) /f1~.
Lot faces
LOI'sq, fig,
Lot coverage
Topography _
Totel height dL
BUILDING PERMIT
ITEM SO, FT,
/2. ?.4
- ,-
4'23
Main
Ga,agc
Carport
Total Valuc
Building Pc,mlt Fee
Slate Surcharge
Total Fco
PLUMBING PERMIT
ITEM
Fixtures
Rasldcntlal Beth(s)
Senlta,y Sewe'
Waler
Storm Sewer
Mobllo Home
Plumbing Pe'mlt
Sleto Su'chergo
Tolal Cherge ,
MECHANICAL PERMIT
Furnaco
Exhaual Hood
Vent Fan
Setbacks
I PL. HSE GAR ACC
IN
Is
Iw
IE
Lot ~ype.
-X.. Interior
Corner
Penhandle
Cul-do.sac
x $/SO, FT, ~
.r:;,"- ?-P,
...L.4/0
VALUE
7)57b.~O
", :li~.~
(A)
FEE
N'
?
-L/"-/J,C7'D
FT.
FT,
FT,
(C)
~: ':to
I
/7Z e:
NO
2.
/' ~O
(/? ,
4,5'0
~,tJ-O
Wood Stove/lnserllFlreplece Unit
D,yo, Vent
Mechanical Perml t
Issuance
Stale Surcharge
Tolal Pormlt
,1,~
:5 ~ if6 I1M()
(D)
)<7/$'0.
/D/10
.7'.f,
....'"
-31. I'J 7
MISCELLANEOUS PERMITS
Mobile Home
State' Issuance
Stalo Surcha'go
Sidewalk 4-tJ fI
Cu,bcul If'; fI
Demollllon
/r~ ~()
/2- 7P
Slate Su,cha'go
p1iA.u A{,"i1BU !'l6.J1 r .< - / ,q ~, '/
TOlal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding clect,lcal) .?~C;99-''''
(A, B, C, 0, and E Combined)
. .: ~.' ,.~;'~.\.,;;..::{;
1
'~S THE PROPOSED WORK IN THE
'HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
II yes, Ihls application musS bo signed
and approved by Ihe Hlstorlcel
C.oordlnalor prior to permll Issuance.
"
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the e~press condlllon thai the said
construction shall, In all respects. conform to the Ordinance
adopted by lhe Clly, 01 Sprlnglleld, Including the
Development Code. regulating the construction and use of
buildings, and may be suspended or revokod al any time
upon violation 01 any provisions of said ordinances. )
. .....,,1 r. $"0 (-srltu~ /$C .-.~S S'~-
Plan Check Fce: . /7"/ J. ~, ,
" -: ':'/-.]. 6//e~r
- ,
Receipt Numbcr:_/?.14:L ~/T-
Rocelved By: ~~ <- j.9~ >
%~ ";/3t'.~.L
Plans~vlewod By - f D-;'16~
Dete Peld:
Systems Development Charge Is due on all undeveloped
properlles wllhln thc City IImlls which are being Improved,
ADDITIONAL COMMENTS
\<A"'\-T: B.I I~
Lsa\\l\O.J?C',\O'l6
.~ f' tJ ~'dOa OlD.t:P)
/~.t
5~' ~~,@"T.#~
By signature, I state and agree, Ihall have carofully examined
Iho complelad eppllcallon and do hereby ce'lIfy thai all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the O,dlnances ollhe City 01 Sprlnglleld. and the Lews
01 tho Slalo 01 Oregon perlalnlng 10 tho work desc,lbed
horeln, and Ihal NO OCCUPANCY will bo made of any
structure without permission of the Building Safety Division.
I further certHy Ihat only conlractors and employees who
aro In compliance with ORS 701,055 will bo used on thla
project.
I lurther agree to ensure that all rOQulred Inspections arc
requested at the proper time, that each address Is readable
f,om Iho slreal. Ihat the permit card Is localed althe Iront
of the property, and the approved sel of plans will remain
on the silo at all ~ during constru~
Slgnalure >- ~ /'rV /
7- 21 -CiY
Date
VALIDATION:
RECEIPT NUMBER t ~ 73 cy
'7-/ -'1,-1
AMOUNT RECEIVED Zq //J q, ~
/" - ~
RECEIVED BY ~
DATE PAin
. . 91-09/7
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE .
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NA~lE OR COMPANY:
LOCATION:,/,,>
rrL ):' ~
tJ~
DEVELOPMENT TYPE: ~~~
BUILDING SIZE:
LOT SiZE ~
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ, FT,
;2./5- r
X $0.203 PER SQ, FT.
~13;r.(f';J
'- -'
2, SANITARY SEWER-CITY
NO. OF PFU'S
.:. (See R,everse)
If
X S42,08 PER PFU
~;ts 7.~
'-- ./
3. TRANSPORTATIOII
NO OF UNITS X TRIP RATE X COST PER TRIP
I X j,ttJ/ X S424,31
X
X
X $424.31
X S424.31
((' ~.2ti". ~
'- --
S
S
4. SANITARY SEWER-MWMC
NO, OF PFU'S J ~ X S15,125 PER PFU + SID MWMC ADM FEE S 2. If'.2,2.S''"
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) S .2. yt, f' 3
TOTAL-MWMC SDC ~s1.. ~,
. <......... .-/
SUBTOTAL (ADD ITEMS 1,2,3 & 4) S 11<>, 8,2.~
5. ADMINISTRATIVE FEES
('
, BAS~. C~GE (SYJTOT~ ABOVE) X .05
~~ /f~ r:. -~'1- '7~
/ 'M~''; m1} )
sbt C~~~dinck6r
<("" 9:S. 9"7>
'-. --
TOTAL SDC S 197'2.;2..0
For lcmodt'!$, c",1IcuIJ:C onlY IIH': ~ .Hh.Jhll"I,1I """I\.':.}
FIX'TURE TYPE
.
fIL'I,~::Efl OF 1':":1l' fiXTURE
NEW nXlUre I:CL'I\'i.LE/H UI~II S
2 " 1-
~
3
G
J 2 2-
G
6
1
3
2
I/Head
I 2 '2
2
2 1 '2.
6
2- 4 ~
Bathlub................,........""" ,.""'....,..,,..
Drinking Foul1l~il1............",...."..."..,..,..",......,..,....,
Floor Drain,................,.., ......, ,..,........ ....'" ,....,...." ....,
Inlercepto~ For Grease/Oil/So1ids/EIC................,
Inlercepto~ For Sand/l,uIO Wash/Elc........,.,.....,.
laundry T ub/aotheswasher,. ,....".." ,.....,.,.........,..,
aOlhe5Wa~er . 3 Or More.......,.........,.....,...........,.
Mobne H6me Park Trap (1 Per Traner)..................
Recep!or F9r Refrigerator /Waler Slation/Elc......,.
Receptor For Commercial Sink/Dishwasher/Elc,.
Shower, Single'Slall,...................,.....,.,..,..,..,...........
Shower. Gang...............".......,.............,....,.,..:....,....
S!nk, Bar, CommerciaL.......,...........................:......
. Urinal, Stall/Wall...............""..,.................................
Wash Basin/Lavalory. Single..................................
Water aose~ Public Installation.............................
Waler aoset, Prr.'ale.......".............,........................
Miscellaneous:
TOT;'.L FIXTURE UNITS
=
/8'"
CREDIT CALCULATION TABLE:
calculate cre-dhs separates,
I
Based on assessed value. If imp~ovements occurred after annexation date in lable,
Year
Annexed
Rate per S 1,000
Assesse-j Value
Year
Annexed
Rate per S 1,003
Assessed Value
'r
I
!
1979 or before
1980
1981
1982
1983
1984
'1985
S3,21
3,13
3,03
2.96
2,82
2,63
2.51
1985
1937
1938
1989
1993
1931
1932
S 2.24
1.93
1.57
1,18
0.79
0.44
0,28
..
Credh for Parcel or Land Only If Applicable
3.;;'; X S ;g;; '" 9
(Rate X Assessed Value)
X S
(Rate X Assessed Value)
CREDIT TOTAL
=
..2 ;r: ,}'f~
---
. Improvement ('If after annexation date)
=
= s.2r,F3
..
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residenlial........................................................ 0.4 -
CommerciaL....................................:.............. 0,9
Ind uslrial.............. ........., ,....,.., ..,.,........ ............. 0.45
GovernmenlaL...................,.....,........."........... 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
/"
.
fi ~i!I.f!!.!!!!~.!!!;
.
Job No. CMrAl<6
SYSTEMS DEVELOPMENT CHARGE
\ ) WORKSHEET
~~ ~0W~ PHONE:gu{I.\nlZL
ADDRESS ['M'- ~ ~&~T^" &L,p 4~?,'LI
LOCATION OF JilROPOSED BUILDIN..5SITE: r(\. '1'..1 ~ \ _
Street Address if Known: 't\ \~ ~ \,\0.. \JLJ
Platt Name: ~ Tax Lot Number: \'\[)"5~ 01JJca)Cflo) I
NAME:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Sinl!le Family - Detached
Single Family home
NO OF UNITS
B, Sinl!le Family - Attached
NO OF UNITS l
C. Multi-Family Aoartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
WPRD SDC
Manufactured home not in a park
X $400 PER UNIT _=
$
X $370 PER UNIT =
, $31rJ.CO
X $277 PER UNIT =
$
X $280 PER UNIT =
$
$ ~P{J.aJ
${2f
$~/)n(XJ
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3, TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit!
~~~~ D,,~I \ /Ct
City of Springfield .