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Home My WebLink AboutPermit Building 1993-7-7 (2) Jj-. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' . BLOCK: OWNER: . Ab,p 7#. ....l<Ut~/ f ':Zl.~5~~ ADDRESS: ---80.'> (!:h Vn-, PI ~ CITY: ...'r;;' t:).2h'f ~ p/ &;7 >t' STATE: r)AP DESCRIBE WORK: /?1F1-uu~(],ny~.Q"b NEW -- REMODEL ADDITION ~n-~ . JOB NUMBER g'2{)q~ 225 Filth Street Springfield, Oregon 97477 SUBDIVISION' PHONE: _/21, - ~ 9;;> 3 ZIP' q?~:;:> DEMOLISH OTHER ;?;.:r ~LAcS/??~1r- CONTRACTOR'S NAME ADDRESS GENERAL: 6'.et'5'__LLJ~-__... .::rn:z~d,A/A{ N v CON ST. CONTRACTOR' ~~J\ </.::~77 PHONE 72~-z.I"{ PLUMBING' K h MECHANtCAI ' ELECTRICAl' ?,4,rP'.N' ~..c,.,.... ,...,/ OUAD AREA: dQ..U l) . OF BLDGS: () OCCY GROUP: ~~.-i- M . OF STORIES' ' - \ . WATER HEATER: _~ -' - OFFICE USE - LAND USE: \ \c::::,O . OF UNITS: I CO~STR, TYPE: V tJ F'C HEAT SOURCE: RANGE' y-" EXPIRES FLOOD PLAIN: ZONING CODE: L\)~ c9, . OF BDRMS: SECONDARY HEAT: SOUARE 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 a~ter 7:00 a.m. will be made the following work day. o Temporary Electric o SlIe Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. . o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumblng/Mechanfcal - Prior to Insulation or decking. o Post and Beam - Prior to floor Ins~lallon or decking, . , , o Floor Insulation':"'" Prior to decking. o Sanllary Sewer - Prior to tilling trench. o Storm Sewer - Prior to tilling trench. o Water Line ~ Prior to filling trench. ~. . -~ .0 Ro'ugh.~lumbfng -"':P-riofto. cover. REQUIRED INSPECTIONS o Rough_ Mechanical - Prior to cover. . o 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. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After I~sta"atlon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms arc erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete. torms and sub.base material in place. o Fence - When completed. o Street Trees - When all requIred trees are planted. o Final Plumbing - When all plumbing w9rk Is complete. D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work is complete. o Final Building - When ail required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS r<v(Blocklng and Set, Up - When ail 't'-"-blocking Is complete, ~ Plumbing Connections - When ~home has been connected to water and sewer. ~ Electrical Connection - When ~Iocklng, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. rt71 Final - After all required ~ Inspections are approved and porches, skirting, decks, and venting have been installed. , I, LOI faces Lot sq. fig, Lot coverage Topography Total height BUILDING PERMIT ITEM sa. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fce ". '. \.. "." I PL. IN Is Iw IE .,~ --'I., .1';". . " IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. ", Lot Type _ Interior ..)!; Cor~er Panhandle Cul:de,sac. X $ISO. FT. (A) = VALUE ,,~f)Id1) " Setbacks HSE GAR Accl - I , '1 APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permit /5 granted on the express condition t the said construction shall, in all respects, conform to e Ordinance adopted by the City of Springfield ncludlng the Development Code, regulating the co ruction and use of buildings, and may be su ende r revoked at any time upon violation of any previ of said ordinances. Date Paid: /Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGS iSDC) (B) ~l D .~O PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer FT. Water Storm Sewer Mobile Homc Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' FT, FT. (C) Dryer Vent WOOd Stove/lnsert/Flreplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit Mobile.Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk ,,(ZJ fl Curbcut 05 fl Demolition' State Surcharge FEE Ib,CO . r) '=) -' 5.1)5 1m .co c0f), co ~C),~ Systems Developmcnt Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~?ftt I 0.) UJL(JJL) r~T: ~n...~n f!~nt;s l~~)J\ . L\\ \ u~t) tl(7 j \ f\ 0 I f'-t-Qf{) Ii\J'U ()y'" _ Lf\() 0 ('1\ 8\'1 m {Vl J \ / By signature, 1 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 certlly that any and all work performed shall be done in accordance with the Ordlnanc~s of the City of Springfield, and the Laws of the State of Oregon pcrtalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permiSSion of the Building Safety Division. 1 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 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 property, and the approved set of plans will remain on the site at aJ9ime~Urlng construction. Signature ~ ~ ~ ~ Datp tY'7- 7- 9.-3 /' VALIDATION: 9'~ '7 ., DATE PAID l-.?:9~~......_ AMOUNT RECEIVED ~ _ _ ,- ~?~-=--;~~_ 3. t..? RECEIVED BY ~~/ RECEIPT NUMBER Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) L'.?q~ f1(') (A, B, C, 0, and E Combined) '--' . .B NO. Q3oQ-z.S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: :foI-lN d f?nSfiVlA~y' NofZ.,1-! LOCATION: 1(, f?&. f(>A-IIJt3tJW DI<. 17tJ3'274-7- - 0/ DOt../- DEVELOPMENT TYPE: Lp;e. -- /'/JA^,U, 4D1l/fFE- 'Rf:.p/.--A(...f!;fY1E1-.lT I-/uME:. CM-P'f..-r J?~vew.ctY BUILDING SIZE: I!>...o.f(), 7.-())(7.-t> . If{" rq LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 12."'1- 2. SANITARY SEWER-CITY NO. OF PFU'S 7 (See Reverse) 3. TRANSPORTATION X $0.192 PER SQ, FT. C;; '12- ~;; -- -- X $39.78 PER PFU C; 7.-7 S '-I;; - -- NO OF UNITS X TRIP RATE X COST PER TRIP x X $401. 05 ((N.A.) --- -- x X $401.05 $ x X $401.05 $ ( & 3) t t::"D '_b SUBTOTAL ADD ITEMS 1,2, ~ ~~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~ -- TOTAL-CITY SDC $ 5'-ffo ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S /J.A. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ (Use PFU Total From Item 2 Above) ~ ,~ ~Lvb o Kip Burdick SDC Coordinator 1 /7-/,,; $ ~ TOTAL-MWMC SDC~ ~ ...... --- TOTAL SDC $ 5'fb ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNrr CALCULATla TABLE: Number of New Fixtures X .qUivalent = Fixture Units (NOT!:: ~ For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE 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 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 I TOTAL FIXTURE UNITS = 7... tf 7 Based on assessed value, If improvements occurred after annexation date in table, -- -- ._ _'_'_ 'r - I Rate per $1,000 Year Rate per $1,000 Assessed Value Annexed Assessed Value $2.83 1985 $2.16 2,76 1986 1.90 2,71 1987 1.60 2.60 1988 0,25 2.46 1989 0,87 2,33 1990 0.50 1991 0.16 CREDIT CALCULATION TABLE: calculate credits separates, 1\ Year 'Annexed 1979 or before 1980 1981 1982 1983 1984 Cred~ for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINA,GE ResidentiaL....... ......., .......... ............ ...... ........... 0.4 Commercial...................,..,..,............................ 0.9 IndustriaL..,..,....".. ,.... ,...............,.. ..... ............... 0.45 Governmental.....,.....,...,.............,........,............ 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT