The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-10-29 ... RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Oil ice: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' /"78..5 LOT' . SPRINGFIELD S c" 11 7 BLOCK' OWNER' TA1\/in..l I\- L 1 vA..! ADDRESS:.. '3 '-I/tJ 7 C!.Lovej1..... O.A"-C' (' /2.p 5 t,..d!:. LL..... CITY: /2;{ ..-.- - STATE: o-/( IULfL4.~e 1'>"1(;J'-1 ".f- OLj) Nt-lAV DESCRIBE WORK: NEW -+--_ REMODEL ADDITION l..,.h 1-<.. DEMOLISH OTHER . 7"7 _ 53'/-- 0 \ 0,7 JOB NUMBER 1'3./ S fB rp 225 Fifth Slreet Springfield, Oregon 97477 5' Pt2 1/(/(. (/JE<-/) c: n.. TAX LOT: .:::;-~ SUBDIVISION:~J*I:: q ~ ffi ,1&2. PHONE: flc;,(, - 4l1lrl. ZIP' C{71.) ;).0 tt1AlVl-1..tA~tJ.. ....12..P;/ llo-lVl./i' CON ST. CONTRACTOR" ~a""'FL...plv1.l;;""" CONTRACTOR'S NAME ADDRESS GENERAl' 1~0A.L.JLE-'l- ~"';{ 0 ILfJVZ.y PLUMBING' e/P,k 1 ( /)~.RJl Rv' " MECHANICA" /JA-...:;) A-L,<,~"L 4) _ J<. 0' I Lf,;/J-- I ELECTRICAl' ~Y-\C'L"'" 1:\1A.~(l.q C",. i-.f4 ~ g 3'2..7)S"'" La NA t..p EXPIRES' PHONE tr7LJ9v(' {}",,'j<J rJ;; r-~ ?P 7 c:.~ "--f ,V.. c.. H $ ;- C'2......-.....t -.... e. tz..P S t.v..P I/, c,/L J QUAD AREA:~LzJ - OFFICE USE - LAND USE: \\~n FLOOD PLAIN: UJIU " OF BLDGS: ~ " OF UNITS: \ ZONING CODE: OCCY GROUP: 'R (<,,-\ M CONSTR. TYPE: VV " OF BDRMS' ~ " OF STORIES: F HEAT SOURCE: FE.,;, SECONDARY HEAT: WATER HEATER: ) RANGF' V SQUARE FOOTAGE: hI ~ To request an inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspcctlons 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 D Site Inspection - To be made after excavation, but prior to setting forms. O Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches a;e ~ excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are \Xl erected but prior to concr7~e(\V placemenl. C\().AV^'b o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical _ Prior to Insulation or decking. o Post find Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decki ng. o Sanitary Sewer.- p':'o to filling trencll. o Rough PlumbIng - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ~.R ough Elect~a~;: Prior to ~cover C\CvICi~ o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. o Wall/Ceiling 13..~n~r 10 cover. o Drywall - Prior to taping. D Wood Stove - After instrlllation. o Insert - After Clreplacc approval and Installation of un1t. o Curbcut & Approach - After forms are erected but prior to placement of concrclc. o Sidewalk & Driveway - Alter excavalion is complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - When all required tlees are planted. o Final Plumbing - When all plumbing work Is complete. r'9('"Flnal Electrical - When all ~electrical work Is complete. o...OJ\.aot:' o Final Mechanical - When all mechanical work Is complete. r5Zl Final Building - When all ~ required Inspections ha~e been approved and building is completed. qo... o Other MOBILE HOME INSPECTIONS l2d Blocking and Set,Up - When all blocking is complete. K7l Plumbing Connections - When I6..l. home has been connected to water and sewer. [);71 Electrical Connection - When ~ blocking, set.up, and plumbIng inspections have been approved and the home is connected to the service panel. f':li Final - Atter all required '-:7\lnspectlons are approved and porches, skIrting, decks, and venting have been Installed. . Setbacks "-HE PROPOSED WORK IN ;H~ Lot faces Lot Type HISTORICAL DISTRICT, OR ON " Lot sq. ltg. Interior p.L. HSE GAR ACC THE HISTORICAL REGISTER? Lot coverage Corner N II yes, this application must be signed Is and approved by the Historical Topography Panhandle Iw Coordinator prior to permit issuance. Total height Cul-do.sac IE APPROVED' I' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. - VALUE Main _ fjA) c:0kr-._,'._ 4C770 /1 /0 12e>S S~-1() Garage Carport , t;).~4J)() tJ;:~ <..~.L1~ LoS.{~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ I (B) ~1.=:t"'5Q. PLUMBING PERMIT tTEM J\\l'\ \\ I~ ~IWL Total Value (eat) d-l\J Building Permit Fee State Surcharge Total Fee (A) FEE Fixtures Residential Balh(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. \~CO Mobile Home Plumbing Permit ISpa . ')5 -'-5. 'IS State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' , Wood Stoveflnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge C?5 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home \IJ;,c;D Afl~c.J 5 . 'd.5 State Issuance State Surcharge Sidewalk fl Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical~1 o,rf.) (A, B. C, 0, and E Combined) I 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. " 4Y') . (f, ~ Ib~~/S.!' Receipt Number' IOS:-'l lib ReceiV~#~ Pla~eviewed By , Plan Check Fee: Date Paid: ~t/~ Systems DeveloplTlent Charge Is due 'on all undeveloped properties within the City limits which are being improved. " ADDITIONAL COMMENTS ~ M /I ,/ &va =- '5 <: CTi!YD . ,. "5>~~ h'..&?.c~~r , ~ --f'. A.~~() ~~ ~~.; \C\~,lp . 2(:,t0-\ J )J+:; ~ .. L...~,-/ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information Ilcrcon Is true and correct, and I further certHy 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 IIlal 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 of the propcrlY:'a~d'the approved set of flans will remain ~\the Si1e-....a~1I t~IdUd~g construct ~ \ -. ---- ' ."'-. ~/ , i nature ~_/'7/,..~r.... ~~~, ------------ [ ~ /" . - ... Date /17 - ~., 9 - q.'3 ~:~:I:~ON:MB~ I07!?!) DATE PAID J() ,PYi -Y ~ AMOUNT RE~IV A ~tll o:xn RECEIVED BY (/"f.).J '- '" . . JOB NO. 9~ I r; 8 b . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: IAN/H fA L I~"'J LOCATION: '2.01'- Surr,- R:o . DEVELOPMENT TYPE: LoR. - N/E.w tv1IJrNU, "'oME GA~ O,v...l BUILDING SIZE: ZB";'t,. 21"-2"2.. rr..'lC.'~O LOT S~ZF , , J703Z,?LJ?;, -'500 HoME; SQ. Ft. 1. STORM DRAINAGE . IMPERVIOUS SQ. FT, L..?"lO X $0.203 PER SQ. FT. ~'O'? \2) ........... ./' 2. SANITARY SEWER-CITY NO. OF PFU'S ll'> X $42.08 PER PFU (15'l..w~ (See Reverse) ............. .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ~ze 5~ ~. $ $ I X /,O{ X $424.31 X X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S IS x $15.125 PER PFU + $10 MWMC ADM FEE $ Z~'2..'Z.~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 5\ 83- TOTAL-MWMC SDC ~ '-- .-/ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 1'2,-,' 5..'!. _ 5. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 V'.",13 ,Q....'t.k- (0 /u./'1~ ~ Kip Burdick " SDC Coordinator cr- 9'?S~ ............. .-/ TOTAL SDC $ I C\ (" '? l.:! FIXTURE Li NIT ,CALCU LA -& TABLE: Numb~r of New Fixtures X. Equivalent = Fixture Units ~~OTE, . For remodels. calculate only the NET additional ftxlures) .. Bathtub...... ..,.. .,....... .,................................................ Drinking Fountain.,...................................... ,............ Roor Drain............................................................'... Interceptors For Grease/Oil/Sollds/Etc...,............. Interceptors For Sand/Auto Wash/Etc.........,...,..., LAundry Tub /Clotheswasher........,..... ,...,...... ........., Clotheswa~her - 3 Or More...........,......................... Mobile Home Park Trap (1 Per Trailer)..........,....,.. Receptor Fi>r Refrigerator jWater Station/Etc..,..... Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single.Stall..............,..,...,.........,......,.......... Shower, Gang....,...."......."....,................................., Sink, Bar, CommerciaL........................................... Urinal, StalljWall................................,.....,................ Wash Basin/L.avatory, Single.............................,..., Water Closet. Public Installation............................. Water Closet, Private.............,................................. Miscellaneous: FIXTURE TYPE Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 NUMBER OF NEW FIXTURES 2. l 2. '"L TOTAL FIXTURE UNITS UNIT EOUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 FIXTURE UNITS .. L\- 'Z '7- 2- P:, l~ Based on assessed value, 11 improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed CREDIT CALCULATION TABLE: calculate credns separates, I $3.21 3,13 3,08 2,96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 = B18"2. '3,'Z.1 X $'Z'?,Y'1 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Credit for Parcel or land Only If Applicable = =$'6182 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Improvement (If after annexation date) Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Residential........................................................ 0,4 Commercial...................................................... 0.9 I ndustrial........................................................... 0,45 GovernmentaL................................................ 0.5 . . . . @ ~i!I'!'!!,l!!!!,!!! Job No. Q31S8tc .... SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:J.o f\~[) )dUlfu PHONE: paS ffiu - . ADDRESS:'-- ~ID6) 0Jou~rri~j STATE:~IP!111li,o CJLQ.~ LOCATION OF PROPOSED BUJI,9\NG~E: A^-:-J.-..L f).--J) Street Address if Known: r\)( ) I '--X 'f]l 1') <rr X.. -. - Platt Name: Tax Lot Number:. / f}(Y5 a~~CiJ'Si) 1. DEVELOPMENT TYPE (Check appropriate dwell i ng(s), SDC Calculations and dwelling type definitions are on the back,) A. Sinllle Familv - Detached Single Family home NO OF UNITS / B. Sinllle Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC -L Manufactured home not in a park cfJ X $400 PER UNIT = $ 4t:(). X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ $4f)(J(V $Cf $4-0n.cO j 0 IJ q~!13 Date 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSE \o~~~~~ City of Springfield If SDC reduced for Credit) .' . . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726.3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree tha t wi th the approval of the a t tached~' t O~Of I t)1e Ao!l~.wi.DII manufactured homes will be placed at _ .".. '1/..Jrr) KL'( 1 II } Springfield, Oregon, City Job Number c ~ () .' ~ Type I Manufactured Home. A multi-sect~onal (double wide or wider) unit with an enclosed tloor area of not less than 1,000 square feet, that has a nominal roof pi tell of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family dwellings constructed under the State Specialty Codes. Type II Manufactured Hom~. A unit of not less than 12 feet in width with an enclosed tloor area of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: - Manufactured Home blocking - Yater line connection - Street tree standards - Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be enclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. /"~I ~~ L/ t '\----... \'. ~,~ " . , ,-""I~h-"...u ~ L.4?~' S;("gnatul'e---- -1 /o-.:J.9-9~ Date \