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HomeMy WebLinkAboutPermit Building 1996-3-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 SPRINGFIELD LOCATION OF PROPOSED WORK: . ,on II () Z ?;;0 17?; ASSESSORS MAP: ~ OWNER:~...' \)(\ \~t~f\~ ADDRE&\'~ ) .~\ ~tjf\~ CITY: '- '\l.\\ \ UJJJ ~~\~ " -, - { DESCRIBE WORK: ~ .~" \{ \l k:\\.c,-o. f\~ Q .i LOT: NEW V REMODEL BLOCK: STATE: w ADDITION DEMOLISH OTHER JOB NUMBER C\t(Dlroct , '225 Fifth Street Springfield, Oregon 97477 TAX LOT:, ()~ SUBDIVISION: ~JJj\~MD' \(Nil ~D5 ~A-~" \o\).I~ , PHONE: ~ "::) -0 ZIP: C\3'\O\ CONTRACT~,"SS N NAAIV~E " ADDRESS GENERAL~q~.~_\f\..\\)rt) , PLUMBING: ~'"'\C\. ~t~ .. --'\ MECHANICAL~~ f\. Q\~\,\\\(\\\)fY\ ELECTRICAL: ~~~ \.~~D:\a'("' CON ST. \~~t;~~R # a~lll/ .~~ VL-\r~~ ~~l~q5 \00 \\j.(f; w~~. \t\3\ \?-.\\.q(n =14~ ~.~.C\\..o '~~\\r5 " - OFFICE USE - '\:, QUAD AREA:' l\ ~"f> l\\ , LAND USE: FLOOD PLAIN: # OF BLDGS: \ # OF UNITS: \" , ZONING CODE: \Dr OCCY GROUP~~ ~ CONSTR. TYPE: VtJ # OF BDRMS: ~ n _ # OF STORIES: , HEAT SOURCE: \ctl SECONDARY HEAT: ~v ~ t:.. h2- '1 ' I WATER HEATER: RANGE: _ 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, ~ Temporary Electric M Site Inspection - To be made ~ after excavaliqn, but prior to setting forms, D Underslab Plumbing/ Electrical/ Mechanical"';' Prior to cover. rvJ Fo'otlng - After trenches are L.,L:::l excavated, " D Masonry - Steel location, bond beams, grouting. ' r\7'l Foundation - After forms are ~ erected but prior to concrete placement. , D Underground Plumbing - Prior to filling trench, rvr Underlloor Plumbing/Mechanical T - Prior to Insulation or decking. rYl Post and Beam' - P, rior to floor r insulation or decking. m Floor Insulation - Prior to ~ decking, IV! Sanitary Sewer - Prior to filling t...pJ. trench. . I'vl Storm Sewer - Prior to filling LpoJ trench. r"Y1 Water Line - Prior to filling LL::J trench. ~ Rough Plumbi,ng ,- Prio;r. to ~ cover. , ~ REQUIRED INSPECTIONS IY1 Rough Mechanical -' Prior to LAJ cover. , r'Vi Rough Electrical - Prior to L..p1 cover. rvI Electrical Service - Must 'be , Lf=:1 approved to obtain permanent electrical power. D Fireplace - Prior to facing , materials and framing Insp. [fJ Fra~ing - Prior to c~ver. r)(J Wall/Ceiling Insulatior:J - Prior to rcover. ' CfJ. Drywall - Prior to taping. D Wood Stovo - After instal/at/on. m Insert - After fireplace approvlll r and installation of unit. I Xl Curbcut & Approach ~ After (forms are erected but prior to placement of concrete, rY1 Sidewalk & Driveway - After F excavation is complete, forms and sub-base material in' place. o Fence - When co~p~eted. D Street Trees '- When al/ required trees are planted. '" m Final' Plumbing -- When all t.p plumbing work is complete. rYI Final Electrical - When all ~ electrical work is complete, m Final Mechanical - When all ~ mechanical work Is complete. rYl Final Building - When all ~ required Inspections have been approved and building is' completed. D O;her 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 Inspe<;:tionshave been approved and tlie f10me 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 ':1\ Lot sq. ftg. 1-\ ll-\'l Lot coverage Sb'2, Lot Type V Interior Corner Topography Total heightr: \6: '~\ 44', " B;UILDJNG PERMIT Panhandle Cul.de-sac " ;';-' ::", ,"- I P.L. IN Is Iw IE Setbacks' 'HSE'GAR'ACCI I I I I 1,S l.S '-ITEM sa. FT. X~~1OT. VALUE Main \ ?rD. \\dQ Garage 4tC1 \~ ,\D " ~o (;r I Carport Total Value Building Permit Fee State Surcharge l \j,bS -t \u,\ Total Fee (1\) 1C\ \ \CB' ~ 73. ~ ~<;. 8~ .l.\O~ .81-{ SYSTEMS DEVELOPMENT CHARG~ (SDC) rf!> , (B) {I 2. fil '.1 PLUMBING PERMIT ITEM Plumbing Permit State Surcharge 8.ct? + L\,. <<60 Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO ~ Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical. Permit Issuance State ,Surcharge \.'-, '3. + .l:SCo Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Su~charge Sidewalk 50 ~B ft ft Curbcut Demolition ~?~ ~t<> .c::1lj:El-,-,.,.. >>oj t> \ IA.'^- . t1-.~~ b~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE \ CoO,~ \60.SQ \ ~, So \1~.a,g 4.~ Cs,.td2 V;. 02 '~.~ d.-B. SO \C) ~~ :J. ~ ~a.12 \1.~ \l...\-~ \ (0 1. ~ ~t-t~, ~s. ~ J..\ \. SS ~ \ C:. '1 ;\~~', \t) ..:3 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. H~ 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 Developmen't 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: Date Paid: Receipt Number: Received By: PI3~~ed 'gy- s/ ~llls I Dcl'te Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. A~IT~NAL ~OMMENT, S , '_'~~ \:Jrn:\_ \\_0 '\'\"\-~ \_A'\ V. \CS[90 \~ ~<L: \~\rl) 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 str'ucture 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)rhat'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, the approved set of plans will remain , on the site all ti es ~uri . nstruction. \L ~_ ~tu __, ,-",- Date VALIDATION: ~ nC/I RECEIPT NUMBER" f v 0 11'\k7 DATE PAID . ~ tQ~ ~ ~Q AMOUNT RECEt'E.p I. ~ S" <1:\ 1 S -~,- RECEIVED BY -tl\\I)(}. ),., ... "1J"T '1 ~ Y.'LiU~crnt~!g!!;~ > > Job No. g.$1~1 SYSTEMS DEVELOPMENT CHARGE \VORKSHEET NAME:~ ~ ... PHONE: <(fb %,4;~ \d)-fl( ADDRESS: 2.r{) ~ ~\t~ATE:Ot ZIP $S4D[. ,- " lqCATION OF filROPOSED BUI~DING SI~ \. \\ ~ :-' Street Address if Known: \ rl' ~ \ ~DJ'{\~ ~ platt Name: ~~~\Z\\{\\\ Tax Lot Number: tl()Th~.:\ D~OC} 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling type definitions are on the back.) , " ' ' , A. Singie Familv - Detached \ ' Single Fa~i1y home , NO OF UNITS , B. Sin21e Familv - Attached \ NO OF UNITS C. Multi-Familv Aoartment . NO OF UNITS D. ManufactUred Home Park NO OF UNITS WPRD SDC Manufactured home not in a park '.. AW\ 00 X $400 PER UNIT _=., , $ "~ J. _. e' X $370 PER UNIT = "$ X$~77 PER UNIT = $ X $280 PER UNIT = $ 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 (or Credit) . $ 4f'{)~ .,J . KJ $ , . It N'\ (f) $~). ?J I ()~ I ~ \0 ' n;lfP ,..OB NO. Q6ot/:,54 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: <f(df..! ~1313,e.-r5 LOCATION: /~z.. ~ C!t-m/E.u-/4 DEVELOPMENT TYPE: LOI< - tJew SF-I< BUILDING SIZE: 1. STORM DRAINAGE /707. ??~? - 05009 LOT SIZE SQ. Ft . IMPERVIOUS SQ. FT. Z':SO<6 ~$ S"L/1"\ X $O~209 PER SQ. FT. ~~~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) f<6 X $43.26 PER PFU (778 ~ 3. TRANSPORTATION . NO OF UNITS X TRIP RATE X COST PER TRIP X X $436.19 (( 440 5i) '-- ~ $ ,.- $ I X / . () I X $436.19 X X $436;19 4. SANITARY SEWER-MWMC NO. OF PFU'S, (cg x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3 19 ~ TOTAL-MWMC SDC $ 52.. ~ ((;~'7V!') ~ --- $ 20 10 '-'4 SUBTOTAL (ADD ITEMS 1,2,3 & 4) , 5. ADMINISTRATIVE FEES, '. BASE CHARGE (SUBTOTAL ABOVE) X .05 eff~"--'~ Date: 5/17 /qt;, U Kip Burdick 'TOTAL SDC SDC Coordinator <C /DO~~ $ "'21"" .. .~ ..- . . . i=IXTURElJ~IT~,G/:\LCULA T''""'N TABLE: Number of New Fixtures X Unit Equivalent =, Fixture Units (NOTE: For remodels, caic:ulate only tht. , J additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE 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 Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. ,Shower, Single Stall.............. ............ ..... .................. Shower, Gang ................................................... ~~..... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/WaIL........ .....,..........,.... ......... ...... ....;..... Wash Basin/Lavatory" Single, ,..,....... ,.... ................. Toilet, Public Installation.. ,.., ....,....',.,. ,...... ........ '-" Toilet, Private...............,...."", ,.. ,...,..""".....,.,...... Miscellaneous: UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 ,3 / 2 1/Head I 2 2 ,2- 1 6 '1- 4 TOTAL FIXTUHE UNITS FIXTURE " UNITS -z.. '2- '2.- 'J... "2- ~ l~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Credit for P;;lrcel or land Only If Applicable '5 'Z- / !- Improvement (if after annexation date) '...."t, - 3.4-<e. X $ /5.0'6 (Rate X Assessed Value) X $ (Rate X Assessed Value) - = $ ~..., t.! CREDIT TOTAL ::> L.-