HomeMy WebLinkAboutPermit Building 1993-8-11
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RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726,3769
Office: 726,3759
.
SPRINGFIELD
~,.,
Pku
LOCATION OF PROPOSED WORK: _S 7 </-=1- Ll';uUN~
I
ASSESSORS MAP'
LOT:
~I
7
.
J08 NUM8=R
93/02~
225 Fifth Street
SI"ingfield, Oregan 97477
TAX LOT:
(jaL7..Jlfu~
SUBDIVISION:
BLOCK'
OWNER: lR..fJ1M/'I'- 't- (:>.I.-r &J
ADDRESS:)J~ Ga.1>~~
C'TY: _~' . I STATE:
DESCRIBE WORK: ~~..l1/"'~--
, '
CONTRACTOR'S NA.ME - ,'/\ /1.1 ADDRESS .
GENERAL _~JJ-~ - 2~ ~~k
PLUMB'NG:_~~~~-- -.k,~
MECHANICAL:_~~ ~
ELECTRICAL _~/ fJ..l;lf!A 11,ALL-
/ /
QUAD AREA: I RJU u )
. OF BL[)(;S: _ ,I -.~-..
OCCY GROUP: ~~^t\
. OF STORIES: i_.
WATER HEATER: -c$>~-
NEW
v
REMODEL
ADDITION
n~d_
DEMOLISH
OTHER
PHml~,: _31/t;'- L/3_" 7
ZIP'
an 'to I
CONST,
CON TRACTOR"
5D3I
- Or-FICE USE -
/fU
. OF UNITS: \
CONSTR, TYPE: ~AvI
HEAT SOURCE:~y4,
RANGE:
LAND USE:
EXPIRES
G "'13
PHONE
J'IS'-'i3Q 7
fa8J -B/93)
7tfG--7l:.77
~-br.21
FLOOD PLAIN:
ZONING CODE: ~
. OF BDRMS' .{l-,
SECONDARY HEAT: - ~T:
SQUARE FOOTAGE: W,J,rL
. .
To request an inspection, you must call 726.3769. This is a 24 hour recordirg. Alllnspectlons reque~j~p.d before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. wit! be made the following work day.
~ Temporary Electric
D Site Inspection - To h~ made
after excavation, but prior to
setting fomis.
o Un'dcrslab PlumbingJ Electrical/
Mechanical - Prior to,cover.
~Footing - After trenches are
~ excavated. '
o Masonry - Steel location, bond
beams, grouting, '
rY"l/Foundation - After forms are
P erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
~ Underfloor Plumbing/Mechanical
~ _ Prior to insulation or decking.
c:zProst and Beam __ Prior to floor
I insulation or decki09.
r:::;zp'Floor I,"!sulation - Prior to
( decking.
rzliSanitary Sewer - Prior to filling
L.\ trench.
m Storm Sewer - Prior to filling
r trench.
t:Pi' Water Line - Pri"or to filling
\ trench. '
[ZlIRough Plumbing '-. Prior to
f cov:~r, .'
~ ...... ." ,
REQUIRED INSPECTIONS
m Rough Mechanical - Prior ~o
I cover'dr q~
~ROU9h Electrical - Prior to
~~ ~over.
~ Final Plumbing - \f./hen all
rlUmblng work is complet,e.
~ Final Electrical - When all
~ electrIcal work is complete.
ri71"1lectrical Service _ Must be CA' Final M~chanical - When all
~ ~pproved to obtain permanent ~echanlcal work Is complete.
electrlcfi~e~ 0/ .
~ &\J\ ' Final Building - When all
o Fireplace - Prior to faoing ~reqUlred inspections have been
materials and framing Insp. approved and building is
completed.
~raming - Prior to cover.
m Wall/Ceiling Insulation - Prior to
( cover.
~DrYWall - Prior to taping,
D Wood Stove - After Installation.
o Inserl - After fireplace approval
and installation of unit.
~curbcUI & Approach - After
rCA inS are erected but prior to
placement of concret~.
~idewalk & Driveway - After
-<cavalion is complete. forms
and sub-base maierl;'.ll in ;:,Jar.e.
II F~ncc - When comp:e:tcd.
r~ St,"cCI Trees ,.V-Jhe:1 an f~QlIirecl
UJ [Ii;!:'!5 arc plcnted.
.
o Other
MOBILE HOME INSPECTIONS
o Blockintl and Set.Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Conl1ection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connectec to
the service panel.
CJ Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
~
.
" Iq THE PROPOSED WORK IN THE
.. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this app.llcation must be signed
and approved by the Historical
Coordinator prior to permit issuance.
,
:>
-.7_ .
Lot faces LOI Type Setbacks
Lot sq, ltg, ~' 1 Interior I PL. I HSE+ GAR I ACC I
Lot coverage ~z4o Corner IN &
Topography Ij;{ Panhandle Is ~/
!w I
/{, , I
Total height Cul.de.sac LE I ~~J
BUILDING PERMIT
SQ, FT,
115/
Ylu.
X $/SQ, FT,
)l..,w
/4'./0
VALUE
q~,IjO{"
(,1/2.
ITEM
Main
Garage
Carport
IDs' /1..ZL
~.y~-5~'l:j~6j. S'l...
:<:2 ..:;J 3 .l.:. t. -;
'1fAf.S3 ~&, 'If'
SYSTEMS DEVELOPMENT CHARGE (SDC) H5
(B) Hzz'?&/-~
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N' ,.!)
Sanitary Sewer FT.
Water FT,
Storm Sewer FT,
Mobile Home
J1p() cO
Plumbing Permit
State Surcharge
Total Charge
lio() , oU
A.CO
J &A ,oJ
I o ,cD
4.50
Y.CO
\5 ,co
"S,OO
rO. ,00
\ ~q ,5:)
\ () ,co
f,q~
~!.45
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
~n f\ \ \ no)
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk ~ It
Curbcut :3~ ft
,
dln.PD
\4 ,eo
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
~
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit i3 grantee! on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by tile City of Spri~~flcld, including the
Development Code, reuulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
P!an Shack Fee:
:?_~'L11- ~ 2'3
.:1-1'1 13.. 7-rh-~;:3
Date Paid:
Receipt Numbor:_7."-:?8
y{~~~ ..'--
ReViewed :y(~c:::.
Date
Systems Developmenl Char.go is due' on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
,-W-# /
-011J1hCJidf J-01~
I
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
i.nformatlon 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 wilt be made of any
structure without permission of the Buildirig:Safety Division.
I further certi fy that only contractors and employees who
arc In compliance with ORS 701.055 win. be used on this
project.
I further agree to ensure thaI all roq!:'ired inspectio(ls arc'
requested at the proper tlme,.that epcli.address is readable
from the street, that the permit card is located at the front
ot the property, and the approved- set of plans will. remain
on tho site a~timeni:;? co.nstr~ction,
Slgnaturo I. ,~~
Datp
7-)<{-'f1
VALIDATION:
990"/
DATE PAID g~~9~
AMOUNT RECEIVEf'I 'l., \4~ ,'.::),-\
'~~
..v .r
.
RECEIPT NUMBER
RECEiVED BY
.
,r
..
.B NO. q"'J/02."2-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: eU-ISDN d PLAt'l; COIJS-r.
LOCATION: 't7'-+ FAIfZ..WAY P'LA~
DEVELOPMENT TYPE: L.P~ - Nf!;W sP/i?..
LOt 7-7- OA~ ice.fEf:
BUILDING SIZE:
LOT SHE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
1."" \
X $0.203 PER SQ. FT.
~ <oo~ ~
........... ~
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
/q
X $42.08 PER PFU
( (qq~
NO OF UNITS X TRIP RATE X COST PER TRIP
. J
X /.01
X $424.31
X $424.31
X $424.31
('f2.fj~)
$
X
X
$
4. 5ANITARY SEWER-MWMC
NO. OF PFU'S Jq x $15.125 PER PFU + $10 MWMC ADM FEE $ 'Zcn~
(Use PFU Total From Item 2 Above)
SUBTOTAL (ADD
$ N.A.
TOTAL-MWMC SDC 0<n ~
ITEMS 1,2,3 & 4) $ '2.\ '2.B ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~~L~ II2-Z/Cj3
U Kip Burdick '
SDC Coordinator
GIO("~
.......... .-/
.r 'f~
TOTAL SDC $ '22'?"'l -
.
FIXTURE UNIT ,CALCU u80N TABLE: Numbcr of New Fixtures.nit Equivalcnt = Fixture Units (NO;~: "-
For remodels, calculate only the NET additional fixtures)
NUI,mEn OF
NEW FIXTUnES
UNIT FIXTURE
EOUIVALENT UNITS
FIXTURE TYPE
I
2
1
2
3
6
2
6
6,
1
3
2
,/Head
2
2
1
6
4
:z.
Bathtub.. .....,.....".....,.."".,.,..,',.".,",....,"',... n'"
Drinking Fountain.",."".",."."""..""".,."",. n"".'"."
Roor Drain...,.., .....,..,..",....""."""...."...".......".....,"
Interceptors For Grease/OiI/Sollds/Etc..............,.,
Interceptors For Sand/Auto Wash/Etc..................
Ulundry Tub/Dotheswasher,.................................. '
Dotheswa~er - 3 Or More...,................................,
Mobne H6me Park Trap (1 Per Trailer).................,
Receptor Fi>r RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single ,Stall..............,.. ,....,......,.... ,......,.. .....
Shower. Gang.................,...,....,..........,.............':.....
Sink, Bar, CommerciaL.........,..,....,..,....,..,.......,.....,
Urinal, StalljWall........,..........,....,......"..,..,....,.."..,....
Wash Basin/Ulvatory. Single..................................
Water Doset. Public Installation.............................
Water Dose!, Private,...,.....,..,....,....,..,..,....,.........",
Miscellaneous:
J
I
'Z
'Z.
I
'Z
'2.-
~
~
'?
TOTAL FIXTURE UNITS
=
19
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates.
II
~
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
'1985
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
$3,21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
S 2.24
1,93
1,57
1.18
0,79
0.44
0.28
hTlprovement [rt after annexation date)
x $
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $ JJ, A- '
Q:edit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residential........:...........;...........,.:,:.......::.........; 0.4
COmmercial................................,..............,...... 0.9
IndustriaL.................................,.............,........ 0,45
GovernmentaL...............,.........".............,....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT