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HomeMy WebLinkAboutPermit Building 1994-1-26 ..'1, ...,l.....:~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 SPRINGFIELD sp ~6"l- JOB NUMBER 9~ov2/ 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WO'RK: 5(? .!-)' (';78- .;- I o'7n~ Ltt:~ aBd-C ::IFJ7-c?2- 7?" - /JY _ 00 v.(:;J~'7 ASSESSORS MAP: -- 7 . a '/. . TAX LOT' SUBDIVISIO~pJilG7';v}'" . )..!/f./C/0 LOT: /0. OWNER' ~jJ &~fAij . ADDR~~~'.;?&& c/(g)r~~ fll? CITy:SJl ~ ~ {/~( ~7J:~5 / ~/fCJ . ADDRESS gg~f~ACTOR #t2tf'~E;:PIRES / ;;-?f PHONE 7'17-~~ '7(- 1U/? '"' .... .n- ,., .4 . ' IJ i qA ~H-tl- ]. )(, ? /////V/&I/24 87f/T' VJ/v4YG')f/IPd". .. "'./ ~ J' ,- \ " 17/v~Vl, .'. "',8?O/to Lo'lO.Q'1' (0% ./Q'11 B~2'~ Q.S.Df-'M4\\lrn .......... " -. DESCRi"BE W0RK: y. NE~.~~ REMODEL CONTRACTOR'S NAME rf'J"EJ//lIi( /,F/.,v//"S GENERAL: PLUMBING: ~ MECHANICAL: BLOCK: STATE: 0/; , .~-~.. ~).LMfUJ? ADDITION DEMOLISH OTHER )J;4P~ rJ-/lAJ/J?/J?~/f" ELECTRICAL' QUAD AREA: ~GF: I " A3rJJ\ ~) T/ It OF BLDGS: OCCY GROUP: It OF STORIES: WATER HEATER: "~ OFFICE USE .;.... LAND USE: -w a CJ # OF UNITS:' ~ CONSTR. TYPE: j,Lf\) HEAT SOURCE: \.D\-\ V . RANGE: PHON~' ZIP: tj',? tJo J FLOOD PLAIN: . ZONING CODE: LJ)t2- '4. It OF BDRMS: SECONDARY HEAT: . SQUARE FOOTAGE:~ It>: 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. D Temporary Electric ~Site Inspection - To be made ,lAI ~fter excavation, but prior to ) setting forms. o Underslab Plumbing! Electrical! . Mechanical - Prior to cover. ,. 1\../1 Footing - After trenches are I6J excavated. ~-" " ,Masonry .,... Steel location, bond ':learns, grouti ng. ~1' Foundation- After fOrms are ~erected but prior to concrete placement. KX Underground Plumbing - Prior ~o filling trench. ~.' , Underfloor. Plumbing! Mechanical ~.,.... Prior to insulation or decking. d Post and Beam ~ Prior to Heor ~sulation or decking. _ /. I')<:...L Floor Insulation - Prior to ~ecklng. ~sanitary Sewer - Prior to, fill'ing . ~nch. rVStorm Sewer - Prior to filling lL..J'1}e n c h. , ~' Water Line - Prior to filling _ V~ench. ,..... /,"'ROU9h Plumbing - Prior to ~ cove~ ' REQUIRED INSPECTIONS 01 Rough Mechanical - Prior to ~ver. ~ Rough Electrical - Prior to ~cover. " rl Electrical Service - Must be ~ approved to obtain permanent electrical power. ' DC Fireplace - Prior to facing _ , rnaterlalsand framing Insp. ~raming - Prior to cover. 'Ql.' '. Wall/Ceiling Insulation - Prior to ~ cover. . ~rYWall -- Prior to taping. D Wood Stove - After i~stallation.' ...Ql Sidewalk & Driveway - After ~xcavatlon is complete, forms and sub,base material in place. o Fence"':":' When completed. " J5] Street Trees - When all required trees are planted. ~ I=~al Plumbing - When all plumbing work is complete. VI Final Electrical -When all ~ electrical work is complete. ..{7l Final Mechanical - When all ~ mechanical work is complete, f7i Final Building - When aU ~ required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete. - 0 Plumbing Connections - When home has been connected to water and sewer. " D Elect~ical 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,ski rtl ng, decks, a"nd venting have been installed, l. ... Lot faces Lot Type Setbacks Lot sq. ftg. . Interior I P.L. HSE 'GAR'ACCI Lot coverage L Corner IN I Is Topography Panhandle Total height & J '" Cul.de-sac Iw IE BUILDING PERMIT {~iAT. X $/SQ.,W = jX,AWnV1 WD a o. D _d D'10'] JaIL A4.i" ,~.. ITEM Main Garage Carport , [14~/,0J.4 -~6\O,'5 ,I, %-.321.1 ~( ) ,r51 SYSTEMS DEVELOPMENT CHARGE (SDC) ffb . (B) 1'30/7'1- Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE . Fixtures Nd'+~ ~~n Residential Bath(s) Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit 6f[j{}5 ~3-loV State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood & q.CO Vent Fan NO 4 \~CO Wood Stovellnsert/Fireplace Unit (olD Dryer Vent ~ Mechanical Permit d').oO Issuance 1(),cO State Surcharge '7.35 Total Permit (D) 8f).~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surch~e Sidewalk k:Jq ft Curbcut 42- ft 5).86 If o.2L) Demolition ~surCharge \.J(\~ f\ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) 4-5-1.ZW (A, B, C, D, and E Combined) .'-' 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. 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 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 ~ances. Plan Check Fee: t!f)//,~, ~~ Date Paid: /jJI/q4 //z, s4' '~/Y:Z-v\. Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS uka ~t-\ :' \~)\m \ .1, \\f\OJ'{ l)):r~o~,: \L\.fB el1RJJDlr1Q)~ r=)r4.l0hL~lrL ~(f)l1))~t'.-d)~ \-'~(\~m \ 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 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 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 t apl=l v f lans will remain on the site at all tion. :~:::ONN~M,?~P, ']WJf)~. DATE PAID . -_.,1::.& b-Cj4--- AMOUNT REC. ~V.~ J ' ~=AQ RECEIVED BY 'F:f'\\fj~ " QCJ po ., JOB NO. '1,-/00'2..,,/ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: RoN BBefZ- -r s LOCATION: 3/7 '5. t:, 7 t!J -1 to 70 c::, B ~ u €:.l6e L-L DEVELOPMENT TYPE: !-D!Z - N€:-W [)UPt-f:;.x /7 () ?- 3~ t...( if ~ C>08'6 7 BUILDING SIZE: LOT SIZE SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT. '?;; 0 Cf t.-- X $0.203 PER SQ. FT. ~b~7~ '-.. ~ . 2. SANITARY SEWER-CITY NO. OF PFU'S 30 X $42.08 PER PFU 0'cf~~ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4. SANITARY SEWER-MWMC NO. OF PFU'S 3f::, x $15.125 PER PFU + $10 MWMC ADM FEE $ 5Stf 50 (Use PFU Total From Item 2 Above) $ r"/" <l MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ TOTAL -MWMC SDC ~o '2- li'9 SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ :''50'2- ~ X $424.31 68?7~ "'-- ~ $ - $ 2- X I.t:> I X $424.31 X X $424.31 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~K~L~k /Jif/tff Kip Burdick ( SDC Coordinator ~7s/i) "- ----' ~( TOTAL SDC $ 3'='77 - FIXTURE UNIT,CALCULA. IN TABLE: Number of New Fixtures; For remodels. calculflte only the NET additional fixtures) it Equivalent = Fixture Units CNOTE~ FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EOUIVALENT UNITS 2- t../- 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 Sl Bathtub..... ... ,.............,...,."....".".,..,.,......,....,.,.,.....,.. Drinking Fountain.... ........., ............,.,......, ..:........., ..,. Floor Drain,.............. ......,...............".....,..,....,......,.... Interceptors For Grease/Oil/Sollds/Etc.....,........... Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub / CI othesVfasher................................... C1oth~swa~er - 3 Or More...:...:............................. , Mobile HdmePark Trap (1 Per Trailer).................. . Receptor F9r Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single .Stall..................... ...... ....... .......... ..... Shower, Gang.....:,.........................., ,................ .c..... Sink, Bar, CommerciaL........... ...c.. ......... ... ...... ....... Urinal, Stall jWall................ ..................... ,... ...... ..:..... Wash Basin/Lavatory. Single.................................. Water Closet, Public Installation............................. . Water Closet, Private................................,...........,.. Miscellaneous: t/- . ?;. . 'If + L/- I./- It::. TOTAL FIXTURE UNITS 3~ CREDIT CALCUU\TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed 1979 or before 1980 198.1 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Year Annexed Hate per $1,000 Assessed Value $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Improvement [If after annexation date) "3,1,-/ X $ /~" I S I ~~ (Rate X Assessed Value) X $ (Rate X Assessed Value) g CREDIT TOTAL' = $ 5/ ~ Credit for Parcel or land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential. ...... ............ ........... ..... .......... ........... 0.4 Commercial...................................................... 0.9 I nd ustrial................ ............... ......... ... ...... ........... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT i,'); oW" . . a, .. ~ey!i!l!m!!~!!! q.. L1\AnC Job No. \LJ L.:- . , SYSTEMS DEVELOPMENT CHARGE WORKSHEET ~ ~)terts ADDRESS:M~e~~\)~J, STATE:CA ZIP C~3'-.61 SF\{\' lUJ:S (9%5\ ~m LOCATION OF PROPOSED BUILDING SITE: \ ~ fD..\ \ " .... Street Address if Known: ~\'l~DLo'l~f'\ lQ'lD(n\ ~l.i~~ PlattNanie:~rot~t1:kTaXLotNumber:. \'\D~l::w\~ NAME: PHONE: 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back,) A. Simlle Familv - Detached Single Family home NO OF UNITS B. SinQle Familv - Attached c9 NO OF UNITS C. Multi-Familv Aoartment Manufactured home not in a,park X $400 PER UNIT = $ X $370 PER UNIT = $ f't().cD NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $14n~ $ C!f '. $ f{4{)r;D / ()~It2J Q1. \ 2. SDC CREDIT (If applicable) SDC-payer must furnish.proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) \ iliClx J~~nop ) Community Services Divis on\ City of Springfield Date