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Home My WebLink AboutPermit Building 1994-5-10 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 SPRINGFIELD LOCATION OF PROPOSED WORK' ASSESSORS MAP: \(ooLl Kc:.JNho..; >>a,.Jt!. /7- o~-t:Y.., - <..j7- LOT: 1... BLOCK' OWNER: Hoo\lpn CV...J ~+n....c+ 'oj (0 ADDRESS:' 7. o. 2.--",- 77.'--/ J CITY:~' c f>..J 1"_ d STAT'" cJ YL- DESCRIBE WORK' NEW I Al"iA) <"Jei. F",,.,,.,;L J-k,.,Jl. , I ADDITION DEMOLISH REMODEL 9THER . <,p V'\C!, JOB NUMBER q L/ 0 4?)J , 225 Filth Street Springfield, Oregon.9,7477 5n~Q . Of2... TAX LOT: dJ / t)O ~ SUBDIVISION: _o/LliAU"~W,J ~ PHONE: 345- 31/"1 ZIP: q7 'IClI CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl:~"'.a.. (',..lDUJl2ltlC+,,;"'; 70. go)!.. 731(1 E.~:I:-'~ 5:'10'1/ PLUMBING: (' n..J+rc,c.:lg il.- <; 7.J....-..~~,1 /~'ltJ z.p-qr.J-/ - ' q:~ 2:3<") MECHANICA" bFE FtELTf2,(A.J ELECTRICA" E Q(jU ElPd-/t. ~, .. Sq; JJ I 'i!:fJ. "Ijf/I)-AS OUAD AREA' cD~ . OF BLDGS' \ OCCY GROUP: ":R2., ~ fill . OF STORIES: \ WATER HEATER: <; - OFFICE USE - LAND USE: I \ I l . ~F UNITS:_I \1/1) ~B .. 7he- '7 CONSTR, T.YPE: HEAT SOURCE: RANG'" EXPiRES PHONE . 7/9<{ 3YS- nJ5. ~, \l~'-Js-oc:;7S 9.q~, 341-.s~ :~"-\ .""{'ih<; FLOOD PLAIN' ZONiNG CODE: WE..-) '2, . OF BDRMS: SECONDARY HEAT: ~JA- SOUARE FOOTAGE: ~q0 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. ~porary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. ~tJng - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. ~UndatiOn - After forms are erected but prior to concrete placement. D Underground Plumbing - PrIor to filling trench. ~de~flO(Si' Plumbl~echani~ - Prior to Ifl::>Uli:HII.)li ...... ............."ng. ~ and Beam - Prior to floor Insulation or decking. ~r Insulation - Prior to decking. ~tary sewe; - Prior to filling trench. ~rm Sewer - Prior to filling trench. . ~ Line - Prior to filling trench. 0fU9h Plumbing - Prior to cover. REQUIRED INSPECTIONS - L!:::J Kough Mechanical - P~lor to cover. ~9h Electrical - prior'to' cover. ~trlcal Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~fn9 - Prior to cover. ~Ceiling InsulaUon ~, Prior to cover. g-DryWall - Prior to taping. o Wood Stove - After I~stallatlon. D Insert - After fIreplace approval and Installation of unit. ~rbcut & Approach - After torms are erected but prior to placement of concrete: ~ewalk & Driveway - Atter excavation Is complete, forms and sub-base material in place. D Fence - When completed. ~treet Trees - Whe~n all. required ~rees are planted. ~. '~al Plumbing - When all plumbing work Is complet.e. ~I Electrical - When all electrIcal work is complete. ~nal Mechanical - When all mechanical work Is complete. ~ Building - When all requIred Inspections have been approved and building Is completed. D?ther MOBILE HOME INSPECTIONS . D Blocking and Set,Up - When all blockIng Is complete. D 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. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Lot Type . Setbacks <_*E PROPOSED WORK IN THE ~ Interior I PL. HSE GAR Accl TORICAL DISTRICT, OR ON IN 1<(.' I THE HISTORICAL REGISTER? Corner If yes, this application must be signed Is If I and approved by the Historical Panhandle 37 I Coordinator prIor to permit issuance. Cul,de,sac W E 2~ I APPROVED' Lot faces ~ Lot sq. ltg, ~ Lot coverage .22'% Topography 4.:Z~ Total height ~ rILl.' ) \ BUILDING PERMIT ITEM sa, FT, X $/50, FT. <,(,.::J. I LI'O VALUE <;~\ ca.;;} 4737 Main C1U) 3~L Garage Carport c,<;?,(,,~ ",,</D6-'tJ q: 3D + /f;/-a 33f.<btJ SYSTEMS DEVELOPMENT CHARGE (SDC) /f'7.S8, Total Val ue Building Permit Fee State Surcharge 3?- *'JP1IN Total Fee (A) (B) PLUMBING PERMIT ITEM FEE FIxtures Residential Bath(s) N" I 9/,2-0 Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~ ~~ -I- d5"(O iA) 99, r-O Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood d.. F to , ~ .0,4) Vent Fan N' 2 Wood Stove/Insert/Fireplace Unit Dryer Vent <"cro Mechanical Permit p1 /IW . /5,00 '/D.OO 7- .7S ?,'- :;-0 Issuance State Surcharge],O). ~S 'MS.M4U. . Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 1/ It 2.4 It 26,"'> /3 ,GO Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) /J(pJ,6?J BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,ln all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisIons of said ordinances. Plan Check Fee: ~Q).S-6 '-11'"1 /t"L-f ) -;).. I c::;q ()~ Date Paid: ReceIpt Number' Received B : ~~ Plans eviewed By/ - s-/6-'/Jd '/ ';-ate f Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS S~G _( ~N.I17Ec ttEu: ~~.T IS .A1.tf!tiU1- l d\+-T' a n;:::{) \9\\{\H[Jn1fo~<~JJ)iI_O ,\0{n() Of\l (..('10121 ( ,,"~J ftAAY-' ts1 e~f~'1 /Qol/.i oSc. ((Jktl"l;; \ GI{ - .Qe:t...($M~ ~/n/'J4 By signature, I state and agree, that I have carefully examined the completed application and do hereby certlly 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 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 inspecttons are requested at the proper time, that each address Is readable from the 3treet, that the permit card Is Iccated at the front of the property, and the approve s will remain on the site ~t1mes during ~natur{" 3e". Dato 5--/.... -?~ VALIDATION: I { I (J'2-., RECEIPT NUMBER _ _ \_)(Jl / DATE PAIr> .f). $ ).C\~r AMOUNT FjEC~~D 2),t01,B3 RECEIVED BvCJllf"AJ . .OB NO. 9'/~3 / CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: l6c-J/ec ~ c:''#S T/? Ire 7/o.N t;, LOCATION: /C,O -1 M//V.8oU/ l),f"/p'E 5""R//yt~/E.LD DEVELOPMENT TYPE: 5~J.) BUILDING SIZE: I. STORM DRAINAGE IMPERV IOUS SQ, FT. ) 7 ? 3 LOT SIZE SQ. Ft. X $0.203 PER SQ, FT. 061,?~ ........... ,..-/ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) /1 X $42.08 PER PFU (1G2.?~ '--- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 1 X /,01 X $424,31 X $424.31 X $424.31 (;-2 g.s?> ............ ---- $ $ X X 4. SANITARY SEWER-MWMC NO, OF PFU'S /1 x $15.125 PER PFU + $10 MWMC ADM FEE $/7::. 3~ (Use PFU Total From Item 2 Above) SUBTOTAL (ADD $ 31,'>0 TOTAL-MWMC SDC ~ IT EMS I, 2 ,3 & 4) $ J"5 9 ? , f C" MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEE~ BASBCHARGE (SUBjO'TA', L ABOVE) X .05 ~ ~-1-,~ /' $Kip Burdi'Q</ SDC Coordinator (6f,~2) ~ TOTAL SDC $ J.f r:. r. '? 'if FIXTURE UNIT,CALCUL..aON TABLE: Numb~r of New Fixtures.nit Equivalent = Fixture Units (NOTE: For remodels, calculate only the ~dditional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub."........... ........................... ............................ Drinking Fountain..............,.........................,............ Floor Drain.....,...,.........."....,.....,.......,.......,...........,.., Interceptors For Grease/Oil/Sollds/Etc.............,.., Interceptors For Sand/Auto Wash/Etc.......,.......... Laundry Tub /Clotheswasher........,..,....,.,..".....,...... Clotheswa~er - 3 Or More,.........................,....,...., Mobne Hdme Park Trap (1 Per Trailer)....,............. Receptor F(>r RefrigeratorjWater Station/Etc..,..... Receptor For Commercial Sink/Dishwasher/Etc., Shower. Single'Stall,....................,.,..,......,.........,...., Shower, Gang..........,...."..........,... ..................,........ Sink, Bar. COmmercial.........."..,..,..,...........,.."."..." Urinal. StalljWall,............,..........,..,.,....,....,......,.,....., Wash Basin/Lavatory, Single,..,..........,................... Water Closet, Public Installation....,...........,.........,.. Water Closet, Private..,.................,...,..,..,',....,......,.. Miscellaneous: / 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 .-J / I / TOTAL FIXTURE UNITS -z.. a- '2. / .t. /; Based on assessed value, If improvements occurred alter annexation date in table, Rate per $1,000 Assessed Value Year Annexed $3.21 3,13 3.08 2,96 2,82 2,68 2,51 1986 1987 1988 1989 1990 1991 1992 Credit for Parcel or Land Only If Applicable 3_~ / X $ 'J'"1:> 0 ? /. 5 0 (Rate X Assessed Value) Improvement (d after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ ~!-.J () Rate per $1,000 Assessed Value $ 2,24 1.93 1,57 1.18 0.79 0.44 0,28 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