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Home My WebLink AboutPermit Building 1995-1-26 OWNER:-. ~ TV I g~~.~y ADDRESS;{){)() ~tJJ7f CITY:'-~ lWD (~Q1) STATE: (!A- DESCRIBEp'ORK>~.~do Ko.ri.~J) ~~Y10f\l'9-J NEW V REMODEL' -(j ADDITION (\, DEMOLISH OTHER RESIDENTIAL , PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: CONTRACTOR'S NAME GENERAL: ~~~~)/ ..;; /J)~ .A/ L./L,J.A_h'S SPRINGFIELD CA.#1€?-L/A BLOCK: ..J. 7'5t)-t) S-, JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: ~ O::m~ SUBDIVISION: ~~c$ J<~LL P80NE: ~Cb 5L\3 ~ \l~ ZIP: q~~\ ADDRESS ?/?' / N7;;, .IYt CONST. CONTRACTOR # "" C~bY2 l~?{)lLo PHONE /~7-B'-f?s' /;2-//-7'- 9~#-3o' 7 to. \(J'qs loR<6, ,q\~\ PLUMBING: t MECHANICAl. ELECTRICAL: //,.tn::..A-- ~ ~ ~;rlP'14.x:... .B~l~ QUAD AREA: ~S6 # OF BLDGS: . \ ,. OCCY GROUP: ~ tv\ , G # OF STORIES' WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ . \ '-- CONSTR. TYPE: \J A.J - i=2~) 'E # OF UNITS: HEAT SOURCE: R~NGE: EXPIRES 3.S,C\to t\-'\. \\t~ FLOOD PLAIN: ZONING CODE: LDP >c~ # OF BDRMS: SECONDARY HEAT: F' P SQUARE FOOTAGE: 1U!J5.. ~ 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, w*~~mporary Electric rc::vslte Inspection - To be made ~after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. 'IS2r Footing - After trenches are (~ excavated. o Masonry - Steel location, bond beams, grouting. , P Foundation - After forms are erected'but prior to 'concrete placement. o Underground Plumbing - Prior . to filling trench. ~ Underlloor Plumbingl Mechanical T - Prior to Insulation or decking. I\7t Post and Beam - Prior to floor '("= Insulation or decking. 'I'ZLFloor Insulation - Prior to ( decking. rv1 Sanitary Sewer - Prior to filling ~ trench. 1\?1 Storm Sewer - Prior to filling f trench. M Water Line - Prior to filling {'trench. , m Rough Plu'TIbing - Prlor't~ ~ cover. . REQUIRED INSPECTIONS j.:; R~U9h Mechanical ....:. ~rlor to tp cover. ' M Rough Electrical - Prior to T cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. fI(l Wall/Ceiling Insulation - Prior to / cover. , ~ Drywall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. f)2L Curbcut & Approach -' After . { forms are erected but prior. to, placement of concrete. ' ~Sidewalk & Driveway - After ( excavation Is compiete, forms and sub,base material in place, o Fence - When compieted. D Street Trees - When all ~equlred trees are planted., ' M Final Plumbing - When all ~ plumbing w~:lrl{ Is complete. r-;(J Final Electrical - When all ~ electrical work is complete. rt?l Final Mechanical - When all P mechanical work Is complete, ~/ ~ Final Building - When all F required Inspections have been approved and building is . completed. , D Other 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 Inspections have been approved and the home 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 Lot TyJ. ~Interior Lot sq, ftg. Lot coverage Corner Topography Total height \ '1 ' ( 4Lt) BUILDING PERMIT Panhandle Cul-de.sac ITEM ",,:. Setbacks P.L. HSE GAR ACC N Is Iw I I E I, SQ, FT. 1t9Fl1 , 4~\5 X $/SQ, FT. = VALUEOZ ,.:5LP.20 (66,1~ \4, \0" l c3loll) Main Garage Carport Total Value Building Permit Fee State Surcharge ...t ~O , Total Fee (A) 151~ ~\. 6f?r/f5!) ~ ~q.BB - , SYSTEMS DEVELOPMENT CHARGE (SDC) (B)' P ~ $.9'1- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO ~ Sanitary Sewer FT. Water FT. Storm Sewer' FT. Mobile Home Plumbing Permit State Surcharge -\-30)0 Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit ~ Issuance State Surcharge -\- ~O(O Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 00 ft Curbcut ~~ ft Demolition S\fi~a~ \ )~~. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and' E' Combined) FEE \lQb.uJ \ \ 00 ,dJ \A.,~ \ \d fD 4 ,C({) 'lo,DU d . C;C) \ ~ ,00 ,1 () ,00 ( . Q.O rOLo .610 '" ~&~ 1~.W ( nO c;O & LP,'} ({Ol IS THE PROPOSED WORK tN 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 ordinances, Plan Check Fee: ~ ,~A*_ ( Date Paid: Receipt Number: Received By: J)m\,~ \ \~ Plans Reviewed By , - ~~-C\~ Date Systems Development Charge Is due on all u'nde'velop'ed properties within the City limits which are being improved. ADDITIONAL COMMENTS )'~(G46f ~t ') c/wUU-<t .bl~Ctrr:d CV~ . sA+ T,' \~,D~L} (~~ \YloO \'J1AJa~do &:clat,la~ By signature, I stale and agree, that I have carefUlly examined the completed application and do hereby certl fy 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, a the approved set of plans will remain on the site a I ti es dur' g construction. Slgnatur ,7' ~ / Date' /- ...26 -- / s VALIDATION: n r) RECEIPT NUMBER \ l17D'1. '6 DATE PAID /-/)/o .~~ AMOUNT RE~PI SQ() 6 . a <1 RECEIVED s\ ~JO _ ~ _ ATTACHMENT 81 ~"~)B NO. 9 5-~ 0 s '7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NN-1E OR COMPANY: %nt;('~ LOCATION: t023 G;-,J'~ DEVELOPMENT TYPE: Cj"c L> BUILDING SIZE: 1. STORM nRAINAGE IMPERVIOUS SQ. FT. tOT SIZ( SQ. Ft. /f'l~ X $0.209 PER SQ. FT. ~/~'0 2. SANITARY SEWFR-CITY NO. OF -PFW5 . (See Reverse) 16 X $43.26 PER PFU zY? i!V 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ( X I. 0 I X $436. 19 X X $436.19 X X $436.19 $~~.! 9 $ $ SUBTOTAL (ADD ITEMS 1. 2. & 3) $ / C:- 3/' ?o 4. SANITARY SFWFR-MWMC NO. OF PFU'S IF x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 3/9,-12 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ S.2,/~ ,-' - TOTAl -MWMC s.oc ~ ~ 7. .2~ SUBTOTAL (ADD ITEMS 1. 2 . 3 & 4) $ /?ti 9,6 -r 5. 8QMINTSTATIVE FFFS B~~GE (SUBTOYl\LABOVE) X .05 ~ )/ c-t--z. . Date: / Mary']~orriig. P.E~ SDC C'dordinator Ctj?, ~j) j-,2.S-9? TOTAL SOC UCjf'J. U 82 . SDC . FIXTURE UNIT CAlGUllON TABLE: Number of New Fixtures X Unit Equivalent == Fixture Units (NOTE: For remodels, calculate only the tiEL ljdditional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE UNIT EOUIV ALENT 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/Wall..:..:~....::....................... .........:......... Wash Basin/Lavatory, Single........... ......... ......... ..... Toilet, Public Installation.................;......... ~............ Toilet, Private..... ........ ..... ......................:.............. Miscellaneous:, ' ',TAl'll TCR'.s $.I'</K .z. 2 1 ' 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ z. 2 TOTAL FIXTURE UNITS == FIXTURE UNITS 4- "I'. 2 2... 2.. ~ /f 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 Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 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 ,.- ,. _a_. _'. , S..z,/'l' Cre-dit fo~ Parcel or land Only If Applicable, 5.-fLr.-X $ /5',0(10 = (Rate X Assessed Value) X $ = (Rate X Assessed Value) Improvement (if after ann'exation date) -- CREDIT TOTAL = $ 5.2,/6"