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Home My WebLink AboutPermit Building 1993-3-4 (2) RESIDENTIAL . PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: /'7t'J ~ ASSESSORS MAP' LOT' SPRINGFIELD 4 +J.. ~ Pt.j3IA.-(.. ~S 2/ ~,?c, ])Ef1t1~ JOB NUMBER 9'2- / 4- 'ltJ 225 Fifth Street Springfield, Oregon 97477 BLOCK' TAX LOT: SUBDIVISION: ~Z/r7J :t;2.. 72.. f) JI.~ fJh I '" .. Ct?i^ 1''''-+4..'__ ""'- Ct, OWNER' S1~v<'''t ADDRESS: CITY: s:....<.re ~l-<- STATF' t'tI'~ PHONF' qr/4 4~~70 2-. ZIP: tf7 'II? S- DESCRIBE WORK: }.jet-.; . :') '-IF: ,#J?,;/~W.c5 NEW ~ REMODEL ADDITION DEMOLISH ~1/1~~ V/.4f)(J ~ , ./ OTHER CONTRACTOR'S NAME GENERAl' Cft--t-V( VI PLUMBING: ,Oev_(., '-. MECHANICA" S-{..., (/<.{ t.t ELECTRICAl' CONST. ADDRESS CONTRACTOR # o I-J-rJ 11/r r'" <. 2272 ~,., '",14., ~ ""'- P/k~ ~/"'" "- }') )./olDh,'.....1 OUAD AREA:_I J( JIJI./ I # OF BLDGS: OCCY GROUP:,.Q ~ -t.J1L1 -z... C:. # OF STORIES' WATER HEATER: . -, ?. 2.7? (..",./", f-c" ,......... - OFFICE USE - /JJJ J CONSTR. TYPE: ~ HEAT SOURCE: _Ac, E LAND USE: # OF UNITS: RANGE: _ EXPIRES PHONE 4 <0/;''1-707.. Cf, FLOOD PLAIN' ZONING CODE: L1>.<1 -::2.. # OF BDRMS: SECONDARY HEAT' SQUARE FOOTAGE: }S',2..t:D 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 o Site Inspection - To be made after excavation. but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms arc erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o o Drywall - Prior to taping. D Wood Stove - After installation. D Insert - After fire pi ace approval ---J and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of conclcte. o SidlJwalk & Driveway - After excavation is complete, forms and sub.base material in place. o Fence - When completed. o Street Trce$ - When allrequired trees are plant(~d. o Final Plumbing - When all plumbing work Is complel,e. o Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical work is complete. o 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. D~ Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. o Final - After ail required inspections are approved and porches, skirting, decks, and ventIng have been installed. -' Lot faces ~ Lot Type tit Setbacks I::'. PROPOSED WORK IN THE I P.L. , HSE'GAR'ACCI HISTORICAL DISTRICT, OR ON Lot sQ. fig. ~9.rl Interior I THE HISTORICAL REGISTER? L220 ~ N 5 !; Lot coverage Corner I If yes, this applIcation must be signed Topography ~ PanhaQ.dle S /9- /"} and approved by the Historical Iw 10 /01 I Coordinator prior to permit issuance. Total height :22- Cul-de-sac IE I I APPROVEf" BUILDING PERMIT ITEM sa. FT. X $/sa. FT. .50f.-O .L,4/0 Main 9.~~ .;::Jq('L Garage Carport IVttv ,4. F6 /. "AJ~ Building Permit Fee '?'!>{ - 2. $Cp /fpff" - I;).,I~ Total Value State Surcharge Total Fee (A) VALUE ':::;?/.,.n~ J251$ 05/52- ~5co ":?'7~ "1~7S (B) SYSTEMS DEVELOPMENT CHARGE (SDC) 72.57 PLUMBING PERMIT ITEM " . Fixtures .. Residential Bath(s) N' Sanitary Sewer FT. FT. dO I" Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit FEE (/~~ Dryer Vent ~o c.~b' Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge ND ~1ti7 Sidewalk fI ~ ... Curbcut fI J-u '" ~-,- If Demolition State Surcharge lrIJil ~1Au A'mCtU , Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 4pJ-f 4i!.="" 2/JO,~ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantEd on the express condition that the said construction shall, in ~II 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. . .$ ~,r r,/ / ~I - .A'dfI. 7-1 Plan Check Fee: 2./~, - "U>U>,'" - -rc;, Date Paid: Receipt Number' 3-~-"~ Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS P/r'TfI- 1. w/ ,,<1-/9A \.A.M.} I s 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 Ordinanc~s 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 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 located at the front at the property, and the approved set of plans will remain ,In the site at all times during construction. , ^gnature~, /f) .&r ~ Oat'" VALIDATION: RECEIPT NUMBER 7?'~5 S - 4' -93 2/)/) .()~ ~t#1- DATE PAin AMOUNT RECEIVED RECEIVEO BY #. ., . . JOB NO. '1<.,'-1-'10 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: S,I":\IE-N t-!OPKIIJ. 50 LOCATION: .J:f;(;~U~ <=j.-'tf-S,. DEVELOPMENT TYPE: LDIZ., ~E:.W SFP-. 170"?7??"21 - '-1"2-00 -- BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT S IZF SQ. Ft. 1"01.-- ~ 'P I P/"fi(INcC "r-, .><. ?~ ,X $0.192 PER SQ. FT. \S~ )~7- /2. -- --- &11, 2. SANITARY SEWER-CITY NO. OF PFU'S \, (See Reverse) X $39.78 PER PFU ~ --- --- 3. TRANSPORlATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.00S X $401.05 ~O">;,O~) --- ---- X X X $401.05 $ X $401.05 $ -\-.,-- . / '22- SUBTOTAL (ADD ITEMS 1,2, & 3) $ lG-I"\ - 1/'-t'8- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 3:'15" c( ~") 57 '!:i. -- --- TOTAL-CITY SDC $ ~ (~~"~ 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ \~~%~ (Use PFU Total From Item 2 Above) , \~~L~ \j Kip Burdick SDC Coordinator 1\ k /11.- ( ( $ Z. 4 "t2.. i;I: - '7" ~ 13 TOTAL-MWMC SDC~o?~ f: TOTAL SDC $ "'\i..4"~;p::)/oOz. /t7TKL ])iff ~2. ,5"7 MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE U~nT CALCULA . TABLE: Number of New Fi~ure: X .qUivalent = Fixture Units (N~~~': ,- For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.......... ............ .... ........... ................................. Drinking Fountain..... ................................................ Floor Drain................................................................ Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry 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......................,........,............... \./'iscellaneous: 1979 or before 1980 1981 1982 1983 1984 , \ TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 '2. 7 l '-+ , \ If improvements occurred after annexation date in table, - - -- - - --" Rate per $1,000 Assessed Value $2.16 1.90 1.60 0.25 0.87 0.50 0.16 '"l-q-f~ ~ Rate per $1,000 Assessed Value Year Annexed CREDIT CALCULATION TABLE: Based on assessed value. \calCUlate cred~ts..:'.e~I'a.~~s.:..___ Year Annexed I .1 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 "7..'b?:> X $ 10,Y. (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) = = $ 2.q <l-3> RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential........................................................ 0.4 Commercial...................................................... 0,9 I nd ustrial......................................,.................... 0.45 Governmental..........,......,..........,......".....,....,... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT