HomeMy WebLinkAboutPermit Building 1999-10-8 JOURNAL JOB NO.•
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: . -DES °E MA-a-cc A-N Mt Htc'. NUN\
LOCATION: 1 3L AC¶c_Sp ST aen- +tea i... SO ^L L LM
DEVELOPMENT TYPE: SE R1672- i - c-r otic 7
BUILDING SIZE: LOT SIZE ' /.1 SQ. Ft.
1. STORM DRAINAGE ,L%
IMPERVIOUS SQ. FT. X $0.232 PER SQ. FT. S
2. SANITARY SEWER-CITY
NO. OF PFU'S 20 X 548.27.PER PFU S 16S . (/0
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRW RATE X COST PER PM PEAK HOUR TRIP
N
/4 X 3 X $486.73 PER TRIP $
X _ X S486.73 PER TRIP S
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S ( X 2C11:76, PER FEU S Z x/2.7 G
B. IMPROVEMENT COST: ,
NO. OF FEU'S / . X 22.0S—PER FEU S 22•o
MWMC CREDIT IF APPLICABLE (SEE REVERSE) <S >
MWMC ADMINISTRATIVE FEE S 10.00
TOTAL-MWMC SDC S 27'4. 21
SUBTOTAL (ADD ITEMS 1,2,3 & 4) S /Z6(0. 2
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 S X2 . 6
Date: 10/ 1
SDC Coordinate TOTAL SDC $ /302..21_
ATTACH'A.WPD
FIXTURE UNIT CALCU TION TABLE: Number of New Fes X Unit Equivalent=I
(NOTE:For remodels,calculate only th additional fixtures)
NUMBER OF UNIT Fi L.
FIXTURE TYPE - NEW FIXTURES t EQUIVALENT UNITS '
Bathtub 0 2 44
Drinking Fountain --- I
Floor Drain -- - 2
Interceptors For Grease/Oil/Solids/Etc • 3
Interceptors For Sand/Auto Wash/Etc 6
' Laundry•Tub/Clotheswasher/Mop Sink • - a • 2' q
Clotheswasher-3 Or More 6
Mobile Home Park Trap(1 Per Trailer) — . 6
Receptor For Refrigerator/Water Station/Etc i . . 1
Receptor For Commercial Sink/Dishwasher/Etc 3
Shower, Single Stall i 2
Shower, Gang / 1/Head
Sink: Bar,Commercial,Residential Kitchen ) 2 2
Urinal. Stall/Wall • / 2
Wash Basin/Lavatory, Single 2. 1 2-
Toile:, Public Installation .— 6
Toilet.Private Z 4
Miscellaneous:
TOTAL FIXTURE UNITS = 20
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits separately.
Year Rare'per$1,000 Year Rate per$1,000
Annexed Assessed Value Annexed • Assessed Value
1979 or before $4.47 1989 2.18
1980 . 4.38 1990 1.75
1981 4.32 ' 1991 1.35
1982 4.20 1992 1.17
1983 4.03 1993 1.03
1984 3.88 1994 0.86
1985 3.68 1995 0.71
1986 3.38 1996 `0.57
1987 3.03 1997 0.39
1988 2.62 199$ 0.18
Credit for Parcel or Land Only If Applicable' / X $ =•
(Rate X Assess d Value) = �_
Improvement(if after annexation date) • �� X $ /
(Rate X Assessed Value)
CREDIT TOTAL =$ - :) -
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential 0.4
Commerical 0.9
Industrial • 0.5
Governmental 0.5
FIXUNIT.WPD IMPERVIOUS AREA=TOTAL LOT SIZE X RUNOFF COEFFICIENT
r
Cis •
RES!.DE.NTIAL -! ;•r SPgIN.2,7""
P EMI' APPLICATION JOB NUMBER (9737/
Inspections: 726.376 225 Fifth Street
Office: 7 6.3755Bo 1 to Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: V757 'Pj�rt(� IG5 R-Wvr-- tre e-. . `�`l t-l,`Y{i'1 e 101 X112 -I il-ill-i
CvW,. 150 P c cadet. lane. 3 p
ASSESSORS MAP: X70 2 2 Pl D TAX LOT. ,0090 --
LOT • BLOCK: 1.. SUBDIVISION: '
OWNER: JC. inneS A- �1�/.,I'l� P"\ - .\-iU,nv11,1 YYN PHON . -11-11-1- I(;(7 / .. .
ADDRESS: ,S(lrTK_ (i> atonve. Wiz. 687, LG ?3
CITY: -' - STATE: - ZIP:
DESCRIBE WORK: Si-The -1-Th r-e,s cv obit?-(v sic ') C
i7 tlii du,B9
NEW REMODEL - ADDITION - DEMOLISH OTHER S
CONST.
CONTRACTOR'S NAME ADDRESS - CONTRACTOR # EXPIRES is PHONE
GENERAL:C�✓aWLII CCPAS}YuCAlt7- a4 -7-1 Pc pen(E,.Rd. £ugcnc. 02 -7 44(o(e /,Sg- 609
PLUMBING:1\arOWO-44-PILLtvikalt'l(,t 2-3z Dibble.e. L
f ctevr o2enga"1- c0313ot % - -"- 'a ---NOq
20=3;3Pa.'.. . ` U el,: ., i
MECHANICAL:
ELECTRICAL: . .
ATTENTION:Oregon!BW requires yuL t OFFICE USE —
•
QUAD ARIWlow rules adopted by the Oregon Utiiir✓
LAND USE:_ FLOOD PLAIN:
Notification ventev. I Rust rules ak, L NOTICE•
M OF BLq �Janpan nrts_nrlirlthrnllgf't Oi1Fatp F'l4NITS: ZONING CODE:_
OCCY GR 7.You may obtain copies of the rules c: THIS PERMITSH/ pd( THE WORK
CONST TYPE:
caliinathecenter.ovate:thetellN�w:.. 45HORIZEDUNDERTHHI�cGPprFR TTISNOT
a• OF STOR n5'7138'te�i?± titillty NLHErAt`tfiOURCE: CONOMW I AI:
WATER HEATER: t,p,-1 iz,``cir ,''` C-:4JaANGE: COMMENCEDORI ABANDONED FOR
ANY 180 DAY PERARE.FOOTAGE:
To request an Inspection, you must call 7253700.This la a 24 hour recording. Ali Inspections re uested before 7:
4 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.
REQUIRED INSPECTIONS
Temporary Electric In Rough Mechanical — Prior to Final Plumbing — When all•---
I I cover. plumbing work Is complete.
Site Inspection — To be made- in Rough Electrical — Prior to rn Final Electrical When all
after excavation, but prior to I cover. I I electrical work is complete.
setting forms. P
i i Underslab Plumbing/Electrical/ ❑ Electrical Service — Must be Final Mechanical — When all
Mechanical — Prior to cover. ,approved to obtain permanent mechanical work Is complete.
electrical power. r.l;
I—i Footing — After trenches are ri Final Building When all
excavated. g
Cl Fireplace — Prior to facing required Inspections have been
materials and framing Insp. approved and building is
nMasonry — Steel location,.bond completed.
beams, grouting._ _ ... i i Framing — Prior to cover. ...
I� Foundation — After forms are
' I n Other
erected but prior to concrete (-1 Wall/Ceiling Insulation — Prior to
' I cover.
Underground Plumbing — Prior I I - �iu;
to filling trench. Drywall — Prior to taping.
MOBILE HOME. INSPECTIONS
flUnderfloor Plumbing/Mechanical ood Stove — After Installation. • •
—.Prior to insulation or decking. I r�I w
Post and Beam — Prior to floor l� 7 Blocking and Set•Up — When all
Insulation or decking. I 1 Insert — After fireplace approval blocking is complete.
and Installation of unit.
Floor Insulation — Prior to in Plumbing Connections — When '
king. n Curbcut & Approach — After home has been connected to
forms are erected but prior to water and sewer.-
.4 San tary Sewer — Prior to filling placement of concrete.
nch. in Electrical Connection — When
- In Sidewalk & Driveway — After blocking, set-up, and plumbing
Storm Sewer — Prior to filling . excavation Is complete, forms inspections have been approved
trench. and sub-base material In place. and the home is connected to
the service panel.
nWater Line — Prior to tilling I-1 Fence- When completed.
trench. - n Final — After all required;.•
Inspections are apprcived end
In Rough Plumbing — Prior to . n,Street.Trees — When all required porches, skirting, decks,and
cover. trees are planted. I. venting have been installed.
-
i Y , k�
dr ci3.it/g.9'M�ti�l��4s
r
Lot faces ° Lot Type . " Setbacks • ( IS THE PROPOSED WORK IN THE,,
Lots f 7 Interior �P.L[
HSE GAR ACCT 7'HISTORICAL DISTRICT, OAONL `
t THE HISTORICAL REGISTER?
N 4 Lot coverage Corner • I if yes,this application must be signed
Topography Panhandle }, 'S and approved by the Historical
- Coordinator prior to permit Issuance.
Total height Cul-de=sac
APPROVED:
BUILDING PERMIT " '' '' BUILDING QKLI E, LAN CHECK
ITEM SO. FT. X VSO. FT. = VALUE AND BUILDING PERMIT.
-'
This permit is granted on the express condition that the said
Main - — construction shall,In all respects,conform to the Ordinance
Garage _ adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
Carport buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Total Value
Receipt Number:
Building Permit Fee'
Received By:
State Surcharge
Total Fee (A) Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge is due on all undeveloped
(B) properties within the City limits which are being improved.
PLUMBING PERMIT ADDITIONAL COMMENTS
ITEM FEE
Fixtures
Residential Bath(s) -N°
Sanitary Sewer -- FT . -/ 67) Tt/
• Water . FT
Storm Sewer FT.
•
Moblle'Home -
Plumbing Permit / ®�
State Surcharge . - - y•
Total Charge . (C) 4/y00
MECHANICAL PERMIT
Furnace
Exhaust Hood By signature,I state and agree,that I have carefully examined
the completed application and db hereby certify that all
Vent Fan N° information hereon Is true and correct,and I further certify
Wood Stove./Insert/Fireplace Unit that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield,and the Laws
Dryer Vent 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.
Mechanical Permit I further certify that only contractors and employees who
Issuance are In compliance with ORS 701.055 will be used on this
project.
State Surcharge
Total Permit (D) I further agree to ensure that all required inspections are
requested at the proper,time,that each address is readable
MISCELLANEOUS PERMITS from the street, that the permit card Is located at the front
Mobile Home of the property, and the approved set of plans will remain
'`. on the site at all times during construction.
State Issuance CLZ
State Surcharge Slgnatur AL
•
Sidewalk ft Date Ib18 199
Curbcut ft
•
Demolition
State Surcharge - • . . _ VALIDATION: G
r 1362. 2z RECEIPT NUMBER o 5* y
Total Miscellaneous'rPerm)ts .. (E) DATE PAID / �¶/
•
AMOUNT RECEIVED]34,14
TOTAL AMOUNTDUE (excluding electrical) /3`/G, ZZ
: (A, B, C, D, and E Combined) .. RECEIVED BY ' •
d1
- , a"+ "` -SPRINGFIELD
FEESIDENTIAL � �, '
•. RESIgIT APPLICATION
nt ....,JOB NUMBER ... J.r'797•3 ?/
Inspections: 726-376 25 Fifth
Office: 7 6.3759 0 S •��" • 2 Street
1 �d�/ . Springfield, Oregon 97477;,_.,:,,,,
C OF PROPOSED WORK: -7S-1 6ket&ILS trriev S�Y�e e- . S I�l !'1 e Id 7112 i^l-I
ASSESSORS MAP: 110 S 2 2 n o aid`` l``„`' , I C
TAX LOT.. 0090
LOT. - - •- BLO!�CK_:" 11 ,, - - SUBDIVISION:
OWNER: JOJYeS A- WVA ill . Pn"�nc . -Psa∎Anu.Vy\ PHON• T Li Li- _y
ADDRESS: .S(.lrl•\C, 0 aho'JC wiz- 687- Z•G 1
CITY: STATE: ZIP:
DESCRIBE WORK: 4P phC -'a 5,-eiScr rb - t nv a.0,1
NEW REMODEL ADDITION DEMOLISH • OTHER
CONST.
CONTRACTOR'S NAME _ ADDRESS - CONTRACTOR r EXPIRES e PHONE
GENERAL:Cl�ankli .(I- CONS:ruc4lo„ e293r-Pt;,-pcwt RS. lust inc. o2 144 tole 6ss u7609
PLUMBING.isca`OWculL lu.t .l3lhQ 232. Dtbb(ca la Iu \cvle. o241140-3 - CC? (3ottts _ - LH4 -.I90q
MECHANICAL: \J. - - 24'-3'13'PB . .. 1 dill
ELECTRICAL: -
ATTENTION Oregon law requu'es yuL .. - OFFICE USE —
QUAD ARI .4Plowrules adopted by the Oregon i ;iir: •
Notification Center. Most rules a!4ANDIUSE:-_ FLOOD PLAIN:
# OFBLDReAR952P O1-Onlfl through OAFb: el(iitS: NOTICE: ZONING CODE:
occY GI 'You may obtain copies of the fuies L. . THIS PERMITSH
' calling the center.(:Nate:the telc�a"u'.' R. TYPE: € 'd� THE WORK
• OFSTOR n i Ai1FFi0RIZEDUNDE TII� pFR IT�SNOT
tlll'y P�iC lff41$tf§tSURCE: CONllDRP A7:
on—, .,r COMMENCEDOR� ABANDONED FOR.
WATER HEATER: C.. "' RANGE: ANY ISO DAYPEi ARE.FOOTAGE: .. .
To request an Inspection,you must call 7253700.This is c 24 hour recording. Al; Inspections requested before 7:00 am. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. -
REQUIRED INSPECTIONS
FTTemporary Electric 0 Rough Mechanical — Prior to n Final Plumbing — When all •
cover. plumbing work Is complete.
In I I Site Inspection — To be made -❑ Rough'Electrical — Prior to I�I Final Electrical — When all
' 1 after excavation, but prior to . cover. I I electrical work is complete.
setting forms. p
InUnderslab Plumbing/Electrical/ Electrical Service — Must be Final Mechanical — When all
Mechanical — Prior to cover. In Electrical
to obtain permanent mechanical work Is complete.
electrical power. r..: .
En Footing — After trenches are • f� Final Building When all
excavated. f'-i Fireplace — Prior to facing I ' required Inspections have been
' I materials and framing Insp. approved and building Is
n. Masonry — Steel location,.bond completed.
beams, grouting,, .: 1-"'I- Framing — Prior to cover. - ..
ni Foundation - After forms are �l n Other
erected but prior to concrete T�1 Wall/Ceiling Insulation - Prior to ..
l I covet "
nUnderground Plumbing - Prior Drywall - Prior to taping.
to filling trench. n P 9• MOBILE HOME. INSPECTIONS
Underfloor Plumbing/Mechanical r--•i Wood Stove — After Installation. •
.Prior to insulation ordecking. I J :,.
n Post and Beam — Prior to floor in Blocking and Set-insulation — When all
Insulation or decking. in Insert — After fireplace approval blocking Is complete.
and installation of unit.
Floor Insulation — Prior to n Plumbing Connections — When
king. n Curbcut & Approach — After home has been connected to
forms are erected but prior to water and sewer.- -
0 San ary Sewer — Prior to filling placement of concrete.
ch. ... f�l Sidewalk &-Drivewa in Electrical Connection — When
I I Driveway — After blocking, set-up, and plumbing
n Storm Sewer — Prior to filling . excavation Incomplete, forms
9 Inspections d th home Is been approved
trench. � � and sub-base material In place. and the home Is connected to '
the service panel.
inWater Water Line - Prior to filling Fence:- When completed.
trench. Final — After all required.
nl Inspections are approved.and. .
ORough Plumbing — Prior to . niStreet.Trees —When all required , porches, skirting, decks,and
cover. trees arefplanted. !. venting have been Installed,/;;:
•
I-
Lot faces °_ Lot type a ( .IS THE PROPOSED WORK tN THE .
• Lot sq..ffg' �. lrrterior 'PL. HSE [GAR .ACC.( HISTORICAL DISTRICT, OR ON":' `
THE HISTORICAL REGISTER. .,
Lot coverage '_ —'.Corner N •• If yes,this application must be signed
" and approved by the Historical •
• - Topography _ Panhandle k ,S:-'- - PP Y
Coordinator prior to permit issuance.
Total height . _ Cut•de:sac �"-
• ....!;44. { _.,t/ k .E ' APPROVED: '•• BUILDING PERMIT ""."'! BUILDIN(G 1lLI E, 'FLAN CHECK
:ITEM SO. FT. X S/SO. FT. e VALUE : AND BUILDING PERMIT.
This permit Is granted on the express condition that the said
• . Main I - - construction shall,in all respects,conform to the Ordinance
•
Garage adopted by the City of Springfield, including the
•
• Development Code, regulating the construction and use of
Carport buildings, and may be suspended or revoked at any time
•.
upon violation of any provisions of said ordinances.
Plan Check Fee:
• • Date Paid:
• Total Value . . .. •
.Receipt Number:
" Building'Permit'Fee. _
. - Received By: •
•, State Surcharge
..Total Feo (A) Plans'Reviewed By Date •
,
SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge is due on all undeveloped
properties within the City limits which-are being Improved.
(B)
. PLUMBING PERMIT . . . ADDITIONAL COMMENTS
ITEM
Fixtures . .
•
Residential Bath(s) • •N' -. • •
Sanitary Sewer FT. . / 5-0 90
Water FT.. . .
Storm Sewer FT .
Moblle -1ome• • •. • .
v •
. Plumbing Permit
y J .
' State Surcharge .
t� •
Total Charge . (C) /'��
MECHANICAL.PERMIT
I Furnace .
Exhaust Hood - i By signature,I state and agree,that I have carefully examined
the completed application and do hereby certify that all
Vent Fan N°
Information hereon Is true and correct,and I further certify
Wood Stove/InsertlFireplace Unit that any and all work performed shall be done in accordance
• with.the Ordinances of the City of Springfield,and the Laws
Dryer Vent ' „„ .;.; • 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.
•Mechanical Permit I further certify that only contractors and employees who
•
Issuance- are In compliance with ORS 701.055 will be used on this
project.
State Surcharge .
Total Permit (D) I further agree to ensure that all required Inspections are
• - . requested at the proper,time,that each address Is readable
MISCELLANEOUS PERMITS from the street,that the permit card is located at the front
Mobile Home . of the property, and the approved set of plans will remain
. on the site at all times during construction.
State Issuance - •
/�� � ^/
State Surcharge Signatu , �4 (:. ...«Ltkt..P
Sidewalk ft Date ' 'ID/8 ql
Curbcut ft '
Demolition. - '
•
. State Surcharge • . • VALIDATION: ` 8'1(/C_ �3G Z. 2L RECEIPT NUMBER J
• Totai'Miseellahe&is' rrriits ' ; (E) DATE PAID �D//�� 5•
'M ,s ' " .� ',,AMOUNT RECEIVE.,.. Z•TOTAL AMOUNT DUE (excluding electrical) 3 yG, Z :_ ' :' 4/%
(A B, C,^D and E Combined) . RECEIVED BY - '