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HomeMy WebLinkAboutPermit Building 1994-5-6 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 . SPRINGFIELD ASSESSORS MAP: LOT' -\'1''3'1 LOCATION OF PROPOSED WORt<' 10. t; \ n-o~-3s-34- \)<l"S" 5i. BLOCK' ' OWNER' c"~V'\tt Ma.,,~e TvD'Je,< . . , , . ADDRESS" 1~:lL) \ Cololo\e S-\.oY\.~ CITY: A o'h ...' (' "'" . DESCRIBE WORK' 5\"" \c.. I NEW -X- REMODEL ADDITION STATE: C"" \~~ .... 3111( . ~ z..o5" 'F",,,,,,', \'\1 I DEMOLISH OTHER JOB NUMBER t?) U 0 l{:Jh 225 Fifth Street Springfield, Oregon 97477 TAX LOT: '< ~rl{) SUBDIVISION: Md(,,,,,..:.C \..L\\<:, $",,'0. PHONE: ~O~- 4,,)5-7.;)4:l. ZIP:.5..5:.fl 0 ~ CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE GENERAL: Jw........c \) \\\,..d'"..... Co",~. l\'lc S 4.J~ <,+ S~\~ '# ~g'tl 7in1:L<+: 7;){,,- 9ole4- PLUMBING:ltlcj~"C."'-""'\ ~\~-\,,-.> -W4 c.l..o.-vl\.~ ,'i"Jc~c- !1.~,)_ l:J~344-J.02J. MECHANICAL:rI\CA"'~\''''\\'' D',\ ~ \\"'~"r - 411.L,E,:>t' S<?+\~ ~n l,q,f13Bj147- 1~ ELECTRICAL~'u, ~~ -fkAv\~ ('1v.i 4.13d.1,Md(,~:'.~c",~) ~A~ ~I);~~ 1I.\2=lCl\- '3% -3'14.;:). '"'- OFFICE USE - QUAD AREA: 4Q.~ LAND USE: \\ \ \ FLOOD PLAIN' \ r .' \ U"JIL , OF BLDGS: "OF UNITS' ZONING CODE: OCCY GROUP: \=<"6-\ V\ CdNSTR: i'vP~' V tV' , OF BDRMS' bl- , OF STORIES: )), HEAT SOURC0 yf~ SECONDARY HEAT: ~p y/ I' SQUARE FOOTAGE:c9.W~ WATER HEATER: RANGE: To request an Inspection, you must call 726-3769, This Is a 24 hour recording, All Inspections requested before 7:00 ~,m, will be' made the same workIng day. Inspections requested after 7:00 a.m. will be made the following work day. ~ ~TempOrary Electri~ ~ Site Inspection - To be made ~ after excavation, !?"yt pri9r to setting forms, ?I!ll '- o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. rt::r Footing - After trenches are ~ excavated, o Masonry - Steel location, bond beams, groutl ng. r\'YFoundatlon - After forms are /:rected'but- prior to concrete placemer:t. o Underground Plumbing - Prior to filling trench, 'K/('Underfloor Plumbing/Mechanical ~- Prior to Insulation or decking, f\/rpost and Beam - Prior to floor ~Insulatlon or decking, "r'v'( Floor Insulation - Prior to ~ decking, ' b1 Sanitary Sewer - Prior to filling F trench. NSlorm Sewer - Prior to filling, 7Ll'trench: . 1'5?1 Water Line - Prior to filling ( trench, . r'V! Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~ough Mechanical - Prior to ~over. ~,CU. r.!'., ~ Rough Electrical"": Prior to ~cover, I"\/rElectrlcal Service - Must be ~approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp, ~ Framing - Prior to cover, r;;;:;rWall/Celllng Insulation - Prior to ~ cover. ' ~ Drywall - Prior to t~Plng, o Wood Stove - Afte~ I~s~allatllon. o 'Insert - After fireplace approval and Installation of unit, 'fV"(Curbcut & Approach - After r-~orms are erected but prior to placement of concrete. '. ~Idewalk & Driveway - After xcavatlon Is compiete, forms and s.ub-base material In place. o Fence - When completed, ~ Street Trees - When "all required c:;:::; trees are planted. ...' rv1" Final Plumbing - When all ~ plumbing work Is complet.e. ~Flnal Electrical - When all pelectrlcal work Is complete. l5?1 Final Mechanical - When all ~ mechanical work Is complete. !'VtFlnal Building - When all ~requlred Inspections hav~ been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Sel'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 Lot Type ,. Setbacks {.THE PROPOSED WORK IN THE Lot sq, ltg, .x Interior I PL. I HSE GAR I ACC I -"HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Hlslorlcal Topography Panhandle Iw I Coordinator prIor to permit Issuance. Total height ~ Cul.de:sac . ~' IE I APPROVED' BUILDING PERMIT': ITEM SQ, FT. X I c:, "i< r h/(.,,::A. $/SQ, FT, = , c:.. {,., "'l> I Lt III Main Garage Carport IA~~"",:2:t;eA 'L<l?D IL.f'O Total Value Building Permit Fee State Surcharge, Total Fee (A) VALUE !R9. gc., ':l (~.S I..=L -::>.,Cil-f5? , '9.9 ?,JL{ 4<; ~ a'-c , ?/"s 1-C:1,6S BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that lhe said construction shall, In all respects, conform to lhe Ordinance adopted by the City of Sprlngflel,d, 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: ~'i<I.:.!:'~ ?'};;z,llt)1.{ I) ILl"} Date Paid: Receipt Number: Recelved)lJ Da. /f"/~ . Plan.r:l'\evlewed By '~~/5'<f (B) SYSTEMS DEVELOPMENT CHARGE (SDC) 217,0,(,5, , Syslems' Development Charge Is due on all undeveloped properties wlt~ln the City limits which are being Improved, PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' "2 Sanitary Sewer FT, Water FT, Slorm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' '1 Wood Stove/lnSe~lrePlace U~ Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ It . Curbcut 2.? It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) FEE /~6-a ~.60 /~f?~ . c., a () 1-S0 9.afJ /, <:; ,tHO . ? cl'-D <'7 ptJ /,Q.&4 /,Z)'O 4"7,:18 /r.c.90 /4,or 2'A '7?.. 7J ADDITIONAL COMMENTS \",\\4 "- r!){ )} J ()n ,c:A{\~H/~;oh,~ 1(:1 4~ \l~~_ h !l\D-kk.. ~ ~ ri Q U ~Jl b /~~ ,SJI'AM?E ~ ~~/T~.J;_ 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 cert!fy that only contractors 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 time; that each address is readable from the street, that the permit card Is localed at the front \ of the pro~:~ and the approved set of plans will remain ~:::u:~:;,rl:fll times ~It :~tlon, Date (0 N\e.... ~4-- , .. '- VALIDATION: /~' .A /l RECEIPT NUMBER Ii frr-,. I DATE PAID ,c::;, ((1' 4 AMOUNT RECEI~trJ ~ ~ ,'73- t517S, ~) RECEIVED BY c-J) ( ~ . .OB NO. ,9.{()~..,<t; CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: GENE ; J/IARt~E ljOyffft: ~.2S1 [)AISV C;T~e$r LOCATION: 17.0..z.-3':'--34/Proo Lor.#3f I1)F!l/dEN.?/ff~LL.s .r1l~[)IP'I.5/<rI. DEVELOPMENT TYPE: /'IE/tl S//V6,t.F rAA7d. Y PE90c,<tC-€ BUILDING SIZE: - I. .sTORM DRAINAGF, IMPERVIOUS SQ. FT. ;z.cm.z 2. SANITARY SEWER-CITY NO, OF PFU'S /q (See Reverse) 3, TRANSPORTATION LOT SIZE - SQ. Ft. X $0.203 PER SQ, FT, ~t10'J"?J '-- .-/' X $42,08 PER PFU ~'1 j~ S' '?) '- --- NO OF UNITS X TRIP RATE X COST PER TRIP I X /..01 X $424,31 X X $424.31 (4~F,>;:; '-- ---- $ X 4. SANITARY SEWER-MWM( NO. OF PFU'S Iq x $15.125 PER PFU + $10 MWMC ADM FEE $ }!.f":f,p)5 (Use PFU Total From Item 2 Above) X $424,31 $ SUBTOTAL (ADD $ (;,'1,:;-2- TOTAL-MWMC SOC ~ ITEMS 1,2,3 & 4) $ ZOc, 'f,2f MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES SU~) , .OS urdick U oordinator -f!-f- ?7Z ~O)IJV TOTAL SOC $ 2/70,05- ..~...- FIXTURE UNIT ,CALCU ~N TABLE: Number of New Fixtures .it Equivalent = Fixture Unils (NOTE: For remodels. calculate only lhe NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub......,.... ................. Drinking Fountain......., ......,.......... Roor Drain,....................,.........., ,..,..,............,..,....... Interceptors For Grease/OiI/Solids/EIC................. Interceplors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher.......""....,......".....".... Ootheswaliher . 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer)....,............. Receptor Fgr Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Singl e' Stall......,..............."..............., ,...,.... Shower, Gang....... .............,..,..,..'...... ........,... ....,...,.. Sink, Bar, CommerciaL.....,..,........""...,..,....".....".. Urinal, Stall/Wall...."......................."".,......,..,...,..".. Wash Basin/Lavatory, Single......................,........... Water Ooset, Public Installation....................,......., Water Ooset, Private,..,....."",...",..,.......,..,.,...,..".., Miscellaneous: .' 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 " / / -\'1, :2. TOTAL FIXTURE UNITS 2. '2 "2., '2.. '3 'il Jq Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculale credits separates, r-- Rate per $1,0001 Assessed Value 1 S 2,24 I 1.93 1.57 1.18 0,79 0,44 0.28 Rate per $1,000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3,21 3,13 3.08 2,96 2,82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 ~<21 Credit for Parcel or Land Only If Applicable .9.-",'c t X $ ;2.0./0-0 (Rate X Assessed Value) Improvement (If after annexation date) X $ , (Rate X Assessed Value) CREDIT TOTAL = c;, f',s 2 = = $ 6 1~ >2. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.....,..,.. ...........:...,:,..,....:...,.... ........... 0.4 CommerciaL.........,.....,:...,'......"".."........."..,.., 0.9 I nd uslriaL........,..... ....... ............""'....',..",, ..,.... 0.45 GovernmentaL,...................,...........,........"...... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT