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Home My WebLink AboutPermit Building 1993-9-8 '13, .~,- ~ ~ ...~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD e,e. . JOB NUMBER .2::;3./e::>iiP~ 225 Fifth Sl,eet Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: ?,.c;;-z:> /7~'3-~-/~ - /' BLOCt<. -?~ ~ A-v-L TAX' ~OT:.-/> e:P~ SUBDIVISION:' 5;~, .(--4:b ""cJO-~~ ASSESSORS MAP' LOT: , CITY: DESCRIBE WORK: NEW _-,/)(.. REMODEL ADDITION :=;-- STAT~' A?./'? _ , C;;-r,~ ~ DEMOLISH OTHER CON ST. CONTRACTOR' CONTRACTOR'S NAME'. ADDRESS GENERAL: ~~fi-......~__-, PLUMBING' MECHANICA" ELECTRICAL:~~~.e7C; ~~" QUAD AREA: _-L~ \A/___ . OF BLDGS: __J OCCY GROUP: _'4< -~ f-M . OF STORIES: "). WATER HEATER: - OFFICE USE - LAND USE: '" I I \/iv' PHONF' -:?2~ ~./ ,.,./.5'"" . OF uNITS: CONST", TYPE: HEAT SOURCE: ~'~:~..#~ RANGE: ZIP' 4?7Y?? EXPIRES PHONE FLOOD PLAIN: _ ZONING CODE: L-Dl? :?, . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: ::J.~.:l.1 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 reque5tc:1 after 7:00 a.m. will be made the following work day. ~ TiJmporary Electric o Site Inspection - To be made after excavation, but prior to sClting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. ~Footing - After trenc.hos are excavated. . : ' o Masonry - Steel locatton, bond beams, grouting. ~Foundntion - After forms arc ~ erccled hut prior to concrute placement. REQUIRED INSPECTIONS r\?f Rough Mechanical - Prior to .lA\. cover. ~ cUt. Fop. ~ROU9hElcctrical - P;ior to' ~ver. ~ Electrical Service - Must be A..-'\...J..approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Ftnming - Prior to cover. ~ Wall/Ceiling Insulatio." -. ~rior to ~ovc~ . o Underground Plumbing - Prior ~ Drywall - Prior to tapir~. to filling trench. J,.6l 1C;'(underlloOl'f"'Plumbing~~, " " ~_ Prior to.~n__:.....1"15'"'n OroccKing. 0 Wood Stove - After rn~tn.latlon. r:;<rpost and Beam - Prior to floor' ./ :..sulation or decking. r\:7l" Floor Insulation - Prior to. ~decking. l:><?1' Sanitary Sewer - Prior 10 fi~lil1g ~trencil. . f"\:IrStorm Sewer - Prior 10 filling ~trenGh. . 'J\7l Water Line - Prior 10 filling J.-!~ trench. ~ " . 'r\t'r Rounh plumbi~'9...- Pri~r to .y~ovcr. . ........ o Inserl - AHar fircplaC0 apP:-o.",31 a,nd Installation of unit. fC'7I'" Curbcut & Approach - AHer ~form~ ah~ erected but prier to placClllcnt of :::or-crt::ff:. ~ SidewalK & Drivew.llY -. AI!er ~ exc,avatic"\O is conlplele, iO:ITI~ ap,j sl!b-~ase materl.1; in lJiacc. fi Fence - When complryt'J:L ~,;)s\r.e! r'ees -, When all ,equlred tmes are ~lantcd. ~Final Plumbing - When all plumbing work Is complete, ~Flnal Eleclrlcal - When all p.L electrical work is complete. K:;1 Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all ~required inspections have been appro....ed and building is completed. OOth., MOBILE HOME INSPECTIONS o Bloc\o:ing anu Sel.Up - When all blocking is complutc. LI Plumbing Connectiolls - \^,lht1'n - t~l)me has been connected to w~~er and sewer. o Electrical Conne'clion - When -- hlocking, set-up, and plumbing inspectlon~ Ilave been approved and the nome is connected to the service panel. o Final - After all requir~d inspeclit....ns arc approved and porches, skirting, decks, and ventIng have been installed. Lot faces ~ Lot'Sq, ftg. ~ i ' Lot coverage ~ Topog,aphy ~ Total height ::;1g '};,.I BUILDING PERMIT ITEM SQ,' FT: Main /~ ~/ Garage Carport Total Value ~ Building Permit Fee State Surcharge Total Fcc 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 Vent Fan . Lot Type _ Interior ~ Corner _ Panhandle K CU\-de-sac X $/SQ, FT. -1?h.-2e? 1-1";/0 (A) (B) N' ~ FT, FT. FT. (C) Dryer Vent Wood Stovc/lnsert/Flreplace Unit N' ::< Mechardcal Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surchar~e Sidewalk ~9 ft 3~ft I' Curbcut Demolition State Surcharge Total Mlscell?neous Permits (E) Setbacks HSE GARIACcl /2 'IS THE PROPOSED WORK IN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? -...- I PL. IN Is Iw IE If i'es, this application must be signed and approved by the Historical Coordinator prior to permit issuance. i , ---- --.... -------"1 ~'i--,$D, VALUE ~~"':'..r.<.<:! ~~T.;/6 FEE -m .,-0 CJ.~J ~13 ~ero . ~_ SiD q(J-O . ' /5.00 -:? .0-0 3-7.-;0 j /") .6(/ I~'b 4.-9 ;31!!> ? 7, .3S"" '/~.s-o.. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Z{C--./? f?> q,?~~ . 4/5.~ . - 7$ 2l:). 435-.15 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ 1/ 2-Z? So"'; APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , Tnis permit is granted on the express condition thaI the said constr....!ction zhall, in all respects. conform 10 the Ordinance atio"I:led by the Cily of Springfield, including the Develupment'Code, rcoulating the construction and use of buildings, and -may be suspended or rovoked at any Hmo upon violation of any provisions of said ordinances. Pian Check Fee:.~ Dale Paid: -23:!Z7 Receipt Number' "7e,/~ Received By: _~-:;: ~ - e ~~~. ~/S-h3 /'[;o1'e Systems Development Charge is due' on all undeveloped properties within the City limits which are being improved. AD.%TION~L COMMENTS ~v~..-A' .::::::::.- ' ~ r-- Q:~;:) --.A---1:.-1 ~~fll) (J.~d& ).,A dt A-I laP/'" By signature, I state and agree, that I have carefully examined the completed applicatl.on and do h~rebY certify that all lnformation hereon Is true and correct, and I further certify thaI any and all work porformed shalf be done in accordance with the Ord!nafices of the City of SpringHcld. 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 o,f the Building Sarety Division. I furltler certify that only GorTIractors and employees wh'o are in compliance with GRS 701.055 will be used' on this project. DatE" VAUDATICN: n:::CEIPT ~JUMBER ICJ(''J}S Dl,.E PAIr> Y~7.) AMOUNT HECEIVED - ~JJ'; ~ '7 '7 HECEIVEO BY __ _A __ t - /' .' . .OB NO. q?/OOZ " CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ,UPTovvN CONST, LOCATION: (;,'So RAVNEr< Ave: DEVELOPMENT TYPE: I.-01Z- - New ~r:-IE'- 171J37"?1<f - 00'1/0 BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT S (ZE SQ. Ft. '2.' ...,. q X $0.203 PER SQ. FT. ~L{-3~~ ........... .-/ 2. SANITARY SEWER-CITY NO. OF PFU'S 'Z-? X $42.08 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X 1.0/ X $424.31 X X $424.31 X X $424.31 4. SANITARY SEWER-MWMC ~'f~7'8?) '-- .-/ G41-8 ~ '-- ---- . $ $ - NO. OF PFU'S '2-?x $15.125 PER PFU + $10 MWMC ADM FEE $ ~57 ~j7 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ C, / '!!: TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '2-11-6 ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 /td~ 13..-.-...t:L'..k.. 7/1'1/13> (J Kip Burdick ' SDC Coordinator ~, 0(", If1::) '- .-/ cD2- TOTAL SDC $ 22-?7- '.. FIXTURE UNIT ,CALCU~N TABLE: Number of New Fixture.nit Equivalent = Fixture Units (NOTE:', For remodels, calculate only the NET additional fixlures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..,.."...,..,....,...",."",.",.,..,..,.,.,.".,.,..".,',..".., , Drinking Fountain..,.,.,.,.,."..".,.",.."""".,.,.."..""".,' Floor Drain,..,.""......,....".,.......,..".,.,.,....,....",.".,',.,' Interceptors For Grease/Oil/Sollds/EIC................. Interceptors For Sand/Auto Wash/Etc,................. Laundry Tub /Ootheswasher............,..........,.." ,.. .... Ootheswa~her - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).......,.......... Receptor FiJr RefrigeratorjWater Station/Etc......., Receptor For CommercIal Sink/Dishwasher /Etc.. Shower, Single .StaIL......., ,..,.. ,....,... ....... ....... ........, Shower, Gang..........,................................,.......,...,.. Sink, Bar, CommerciaL..............................."........... Urinal, StalljWaIL........................,........."................. Wash Basin/Lavatory, Single.................................. Water Ooset, Public Installation............................. Water Ooset, Private...............,...,.........,....,....."..... Miscellaneous: 7- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 1 I 2; '30 TOTAL FIXTURE UNITS ..,. '2. "2- ~ 1'2.- '27;, CREDIT CALCUIJl.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. 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 $ 2,24 1.93 1.57 1'18~ 0.79 0,44 0.28 (.,/ qz. 1986 1987 1988 1989 1990 1991 1992 .. Credit for Parcel or Land Only If Applicable .Improvement [rr after annexation date) 3.oz,l X $ /'1.'2-,/ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ &,/"1; = RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResldentiaL.................................",.................: 0.4 CommerciaL..,..........,.................................,.... 0.9 IndustriaL........................,..........,.................... 0,45 GovernmentaL,.....,....,..................,...,........".... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT