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Home My WebLink AboutPermit Building 1992-1-6 .' / RESIDENTIAL . PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: J'7n;J.., LOT: hI"? . SPRINGFIELD . 9//47t~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 C3 A-7c:))/4/ F TAX LOT: t:i$ /0 OL) 0 SUBDIVISION: .d~J.4..V4 ~-t= It: BLOCt<. OWNER~1 /1./UU ADDRe"". :?7~:f."i' / /~~ CITY:'-t:'b~J1l' ./:1./ ...... STAT~' 4,( DESCRIBE WORt<. /kIflh.A/, rIJ/..o/LIt.M..# . / r / NEW L REMODEL ADDITION DEMOLISH CONTRACTOR'S NAME GENERAl' (J //J-ru!/t/ PLUMBING' MECHANICAL: /O/AJ-)(J!/S._ ELECTRICAl' OTHER PHONE: 77f/-J7.tL 1 ZIP: ~7~5? ADDRESS CONST. CONTRACTOR' PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND USE: ;/2D FLOOD PLAIN: - . OF BLDGS: / . OF UNITe:. Z. ZONING CODE: /l.{hR OCCY GROUP: .Q~ / ),{,I CONSTR. TYPE: -sl-N . OF BDRMS: 3+~ . OF STORIES: 2- HEAT SOURCE: w.ll SECONDARY HEAT: WATER HEATER' E RANGE: ,c;, SQUARE FOOTAGE: ?glJ1:-- To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/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. ~ Temporary Electric ~ Site Inspection - To be made ~ atter excavation, but prior to setting forms. ~S O Underslab Plumbing/Electrical I Mechanical - Prior to cover. ..I;8;j Footing - After trenches are excavated. D Masonry - Steel rocatlon, bond beams, groutIng. N1" Foundation - After forms are ~ erected but prior to concrete placement. K:71' Underground Plumbing - PrIor J..C'ol to filling trench. ~ Underfloor,mUmbi.ng}Mechanical ~ - Prior to "fnsulation or decking. K:?'1 Post and Beam - PrIor to floor ~ Insulation or decking. l':71 Floor Insulation - Prior to ~decking. ""R7'f Sanitary Sewer - Prior to filling ~trench. ~ Storm Sewer - PrIor to filling ~ trench. 1";:71 Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. "'r':7I Rough Electrical - Prior to ~ cover. ~ Electrical Service - Must be ~approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framIng Insp. fl Framing - Prior to cover. ~Wall/Celling Insulation - Prlor to cover. ~ Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installatlon of unIt. ~ Curbcut & Approach - After forms are erected but prIor to placement of concrete. fV"I Sidewalk & Driveway - After ~excavatlon Is complete, forms and sub-base material In place. D Fence - When completed. o Street Trees"": When all required trees are planted. lYf Final Plumbing - When all ~plumblng work Is complele. {} ~ Final Electrical - When all ~electrical work Is complete. lVT Final Mechanical - When all ~ mechanical work Is complete. IVr 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. Lot faces ---.E.. 13lJ Lot sq. Itg. Lot coverage ~ Topography Total height ~ ~ BUILDING PERMIT ITEM sa. FT. Main 24'14 <11M) Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee Lot Type. Setbacks . THE PROPOSED WORK IN THE I P.L. HSE GAR ACe I HISTORICAL DISTRICT, OR ON Interior IN I THE HISTORICAL REGISTER? Corner If yes, this application must be signed Is 5' I and a p proved by the Historical Panhandle Iw /17' I Coordinator prior to permit issuance. /Cul-de.sac IE IS'I 3tJ' I APPROVED: , X $/sa. FT. (7; 7() ---LQ /0 VALUE 52bz&.f<O t.f~C. 00 (A) /.tz.. <. s /2.. j(J !t317J' '2-/.qq 4W/,71 SYSTEMS DEVELOPMENT CHARGE (SDC) e.~ . ''?D~'? ~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge ~ MECHANICAL PERMIT Furnace Exhaust Hood 2- Vent Fan (B) FEE N' :1 +- 2. ~2/)t'O FT. FT. FT. (C) ,~,~ /6t!1() ~fD N' o ,.~ /~ ,tff/ Wood Stove/lnsert/Flreplace Unit Dryer Vent 2- Mechanical Permit Issuance State Surcharge Total Permit ~.bO Mobile Home MISCELLANEOUS PERMITS (D) ~2,~ / n. ~(7 , 1.,,5 -#-'5' State Issuance 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. Plan Check Fee: 2~ g . Sf /7-/7'-7/ Receipt Number' 'l:' S, .:;' <)' Recel:~ A"~ Pltfr~ZY::~ Date Paid: t~h2- Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS YA'L~&' _~ L#.flr,lJ /a.~ , 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 further 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 GRS 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 on the site at all (,!mes d nstruction. State Surcharge Signature Datev~ e:or..., - Sidewalk 35 It /() ,25 ~ ~'L Curbcut 3D It /4.$0 , Demolition State Surcharge Total Miscellaneous Permits (E) 2Q,7-S 3q3~fl TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) VALIDATION: ~iI~~ /~~ .9<.. AMOUNT RECElv~n "3 7 :;'~. ~ / RECEIVED BY ./"2.c- - ~~ RECEIPT NUMBER DATE PAIl' ... , " ,. .' JOB NO. 91\'-\'1'1 CITY O~PRINGFIELD SYSTEMS DEVELOftENT CHARGE WORKSHEET I (COMMERCIAL & RESIDENTIAL) ,.' NAME OR COMPANY: 12:1 c...\-H\ ~D ~ SI4-\ l2-CY eo OM I-E.e... LOCATION: '1'flf ~""'(p OA~V....LE: - \, O~"l-"2...">:::>\ - I o COr> DEVELOPMENT TYPE: Mn12...- NE:.W 'DUPI-E..-.,( e>u::>...... OW BUILDING SIZE: ?L..-'< c..-l- '2'-l,l"?o LOT SIZE SQ. F t. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'L...-,(oe, X $0.186 PER SQ. FT. ~ Sl'-+~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S ~~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) $ I"l.'?"?'-o 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP -z.,. X \.00<;' X $388.61 $ '1'ic I I~ X X $388.61 $ $ $ 'ZSt.."I"'~ X X $388.61 (See Attachment C To Determine Trip Rates) I SUBTOTAL (ADD ITEMS 1,2, & 3) 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ I '2. (", +.::: TOTAL-CITY SDC S '2.1..".:>(..02. 5. SANITARY SEWER-MWMC NO. OF PFU'S ":>"2- x S13.25 PER PFU + S10 MWMC ADMIN. FEE S '-I"?'-+~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) v - _ ~LJ.... .~ Kip Burdick SDC Coordinator 17../7-1 /e, l , $ '2-c..~ TOTAL-MWMC SDC $ Y.D1~ TOTAL SDC $ ~oro?2-2.. FIXTURE UNIT CALCU~N TABLE: Number of New Fixtures .1il Equivalent = Fixture Units (NO~E:.. For remodels, calculate only the NET additional fixtures)" NUMBE~ OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub........ ................... ............ ............................... Drinking Fountain............ .....................................:... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL................................;............... Shower, Gang.......................................................... . Sink, Bar, CommerciaL............................................ Urinal, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: 7- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 1.- '2.. 1f- ~ TOTAL FIXTURE UNITS = --I' '"' 4- -+ 16 '?'J.. Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: jCUlate cred::~;:rates. 1979 or before 1980 1981 1982 1983 1984 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 I Assessed Value $2.66 2.64 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 Credit for Parcel or Land Only If Applicable Improvement (ff after annexation date) '2. .(,(, X S 10 . Dc., 7--(" ~ (Rate X Assessed Value) X S = (Rate X Assessed Value) CREDIT TOTAL = S 2,..(,. ~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL....... ........................ ........................ 0.4 Commercial...................................................... 0.9 IndustriaL.......................................................... 0.45 GovernmentaL.................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT