The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-4-5 "RESi'oENTIAL PERMIT APPLICATION Inspections: 726.3769 Olfice: 726-3759 . SPRINGFIELD LOCATION OF PROPOSED.WORK: i'L I ~ Qi J / NAL:r ASSESSORS MAP' #tP:>-ZA:- q" LOT' sr. BLOCK' 1 OWNER _MR~ 1}(fl.C; - I AP. (.<.y LANS fJf:t<y ADDRESS: ?() 3fDfi ,'J-lAOOW5 DR. CITY: ---SE.f.hp cfL STATE: -.-O.fl- DESCRIBE WORK' &.h/~ 0/" :;?d? f 4y~ ,../ DEMOLISH :'??~ /7.- _ _ /.",-/~,e?~rh--"v_ NEW REMODEL ADDITION OTHER . JOB NUMBER L::: /-' ~~.4~_ 225 Fifth Street Springfield, Oregon 97477 TAX LOT:_/68.- SUBDIVISION' PHONE: 'f'-[7 - XO 2-lf ZIP: '11' L{1' '7 CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' GEr-oRCrI: REYAJoUJS <;{ftS! n./uRSro 1\JP"1- 73'10 \ . PLUMBING: CU$Tt"\ M PL (/#f./M G- MECHANICA' . , I//...OH/II E SOf\l" I ELECTRICAL' QUAD AREA:.d \-<..\\1.0 l ~3 . OF STORIES: - J . OF BLDGS' OCCY GROUP: WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS' VIl! EXPIRES v/z. I PHONE r{q/ -3~o7 FLOOD PLAIN: . f'J'J / ZONING CODE: ~ . OF BDRMS: SECONDARY HEAT: ~o CONSTR. TYPE: HEAT SOURCE: n~ ~ RANGF- SQUARE FOOTAGE: 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 cxcav<1tion, but prior to setting forms. o Underslab Plumblng/Electricall Mechanical - Prior to cover. f':7f Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. rgf Foundation - After forms are ~erected but prIor to concrete placement. o Underground Plumbing - Prior to filling trench. K7f Underfloov1'lumbi~echanical ~ _ Prior to j'risulatlon or decking. 'Fi2'1 Post and Beam - Prior to floor ~nsulation or decking. 'K:;:7t Floor Insulation - Prlor to ~decklng. o Sanitary Sewer - Prior to filling trench. 1V1 Storm Sewer - Prior to filling ~ trench. o Water Line - Prior to fl!l1ng trench. 'f'::7I Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to cover. 1V1 Rough Electrical - Prior to ~cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. I"::/f Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected bJt prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub.base material in place. o Fenco - When completed. o Strool Trees - When all required trees are plant~d. rv1 Final Plumbing - When all ~ plumbing work Is complete. T"V1" Final Electrical - When all ~ electrical work Is complete. ~ Final Mechanical - When all ~ mechanical work Is cOll.lfi'.e.,te. . 'K:7'I Final Building - When all ~ required Inspections have been approved and building is completed. . I \ DOthcr 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. 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 . lot sQ_ Itg_ Interior Lot coverage Corner Topography Total height Panhandle .13" 't . ~ Cul-de-sac BUILDING PERMIT ITEM sa. FT. x $/SO. FT. Main Gar~ge Carport * , . ~~ . /60 Total Value Building Permit Fe~ State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures ~ Residential Bath(s) N' Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' I Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge' Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) .THE PROPOSED WORK IN TH'~ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks P.L. HSE GAR I ACe N S Iw IE VALUE FEE ::;:/). a::J J.50 ?, //;"0 ~-u. /500 J 000 .7S'" :;LS.7S" _!':/~S7S APPROVED: 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 01 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. Plan Check Fee: _//~.<< '3 Date Paid: Receipt Number' AIL!93 o/1;6at~ 7~~ L7~::;C> 9., _5"3 !7q f~ SYSTEMS DEVELOPMENT CHARGE (SDC):j#> , (B) 1~2~ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS #r~/ 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 Safely Division. I further certify thai 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 properly, and the approved set of plans will remain on the site at al mes durln tion. , ~gn Date VALIDATION: YJo// DATE PAID r _S -:93" AMOUNT RECEIVED ----.L~- ;?~ ~7"""- .;jT/ RECEIPT NUMBER RECEIVED BY ,I '.. .- . .. .JOB NO. 3',?o2.e.L CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Lft1l..p- "( LITA}s."B-C 1<. Y LOCATION: /'2-I)s Q." "-'''H_T ST. DEVELOPMENT TYPE: LPR- - A-Pl>t TION BUILDING SIZE: 3-H-UJ /;JGL-Uf>€..S .EMre.S LOT SIZE 170~-Z-{o--l-1 ../02.00 SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 0K'O 2. SANITARY SEWER~CITY NO. OF PFU'S 7 (See Reverse) 3. JRANSPORTATION X $0.192 PER SQ. FT. C /~O 5t,-:; ----------- X $39.78 PER PFU c;. 7 'if o/r..~ --- -- NO OF UNITS X TRIP RATE X COST PER TRIP X X $401. 05 X $401. 05 X $401. 05 G.- ') X --- ---- X $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ '-10'1 O~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G "2-0'l~ -- -- TOTAL -C ITY SOC $- '-/1. 1 '!2- 5. SANITARY SEWER-MWMC NO. OF PFU'S ^,. A . x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) - L ~ JLJc- O Kip Burdick SDC Coordinator 0/1; L TOTAL-MWMC SDC~ ---~ --- -- TOTAL SDC $, Lf2-'i '1-1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULATla TABLE: Number of New Fixtures X u.quivalent = Fixture Units (NOT!;': 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/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigera!or {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.................................... Miscellaneous: I 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 2 + TOTAL FIXTURE UNiTS -, CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in tabie, calculate credits ~eparates. . Year Annexed 1979 or before 1980 , 1981 ..1982 1983 1984 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 ~ Improvement (if after annexation date) X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.... ..._............ ............_...............-..... 0.4 CommerciaL.....................-...........................-. 0.9 IndustriaL. ...... ........ ...... ......... ......... ..-............... 0.45 Governmental. .................... ........................ ...... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT