HomeMy WebLinkAboutPermit Building 1994-4-27
ASSESSORS MAP:
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LOT: V
~ ~fV2~n
ADDRESS: -z....a-o c,eeS-rmCilV>r
CITY; S8-/J .////S 0I5/5j'Jv
, J
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
OWNER:
DESCRI BE WORK:
'/Zis /ObJr:-.!f-
NEW _':L.
REMODEL
SPRINGFIELD
BLOCK:
Oil- I"
STAT 1= ,
CIf
JOB NUMBER 94/J4:./fB
--,. .
225 Fifth Street
Springfield, Oregon 97477
- ,
TAX LOT: ~ -Vir; C151t[)
SUBDIVISION: C..ft5i'4PE. J:1/o~ L
, PHONE:
(')(05' ) ~)13-'(//;:;-
ZIP: _'13L./-o I
3 t3'7~1'Y7 -' L (jerlrf-
ADDITION
DEMOLISH
OTHER
CONTRACTOR'S NAME
D/?N/I/ IS
CONST.
, ADDRESS, CON~~.CJPB # 7~,7s,'
I1?INIV~ 7 . g7'1) /1!1J15-rorv 2A,(P?;f!lliJ7~/~I-y)?~
PHONE
Q.;tj-30{g -y
,
GENERAl'
PLUMBING:
MEC~ANICAL: .:y\ "'\ ~ ) "
ELECTRICAL~{1 LLQLt. L'{~ ffi f{\Q V
OLJAD AREA: L\T~bS ';;... OFFICE UjE -
LAND USI=' l.l L '. FLOOD PLAIN:
# OF BLDGS: ~~~-\-~\ # OF UNITS: ~f0 ZONING CODE: (U~ -"
OCCY GROUP: CONSTR. TYPE: # OF BDAMS'''~ . P
# OF STORIES: ( HEAT SOURCE: l0/-f SECONDARY HEAT: ~ ~
WATER HEATER: y./ RANGE: V 'SQUARE FOOTAGE: I (/)8<;>)
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.
~ Tempo'.'y Elecl,;c
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
:4,,' FOOting' - After trenches are
~ excavated. '
~ Masonry - Steel location, bond
bear:ns, grouting.
Foundation- After fo'rms are
, erected' but, prior to concrete
placement:
o Underground Plumbing - Prior
to filling trench.
\
D Underlloor Plumbing/Mechanical
-,Prior to Insulation or decking.
d, Post and Beam - Prior to floor
~insulation or decking. ....
d Floor Insulation:...... Prior to
J2S....l decki ng,
'S...L.. san;tary Sewer - Prior to fillin'g
J6J trench.
.~ Storm sewe; - Prior to filling
" trench. , '
"-.r~4water'dne - Prior to filling
~ trench.
M-, Rough PIU~bing -'- Prior to
~ cover.
"j%QUIRED INSPECTIONS
n. ~ough Mechanical - Prior to
.cove~ ,
\L Rough 'Electrical - Prior to
~ cover.
JElectrical Service - Must be
~~pproved to obtain permanent
electrical power. ' .
o Fireplace '"7 Prior to facing
materials and framing Insp.
~Framing - Prior to cover.
~'. Wall/deiling Insulation - Prior to
cover.
Drywall - Prior to taping.
o Wood Stove - After i~stallat'ion.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach...,.. After
, forms are erected but prior to
placement of concrete.
dSidewalk & Driveway - After
~~xcavation Is complete, forms
. arid sub-base material in place.
o Fence-"":" When completed.
.",j SI'.el T,.es - When.1I ,equlied
~rees are planted. '
M Final Plumbing - When all
~ plumbing work Is complete.
~ Final Electrical -When all
~ electrical work is complete,
A-I'Final Mechanical - When all
~ech.n,c., wo<k Is ccmplete.
'~inal Building - When all
required inspections have been
'. pproved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
j :>
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.
D Final - After all required
inspections are approved and
porches, skirtln'g, decks, and
venting have been installed,
Setbacks
I P.L HSE GAR ACC
IN
Is
Iw
IE
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.
,40 ,0-0
7S llo~ Date Paid: ~/i1/~~
~fo/.C() Receipt Number' ) 2/,,4
1~,g5 \ ~~~ ~
~ . ~a!. ~e\;ewed 8y (tU
SYSTEMS DEVELOPMENT CHARGE (SDC) tl3
, (B) I;~,~
Lot faces
L~t sq. fig.
L~~e >
~ ' Interior
Corner
Lot coverage
Topography '1
Total height C - R
, ~ /Jfl" )
Panhandle
Cul.de.sac
'-
BUILDING PERMIT:
::,: ~ah,"
Garage \(if)
X J!lQ.:Pl;) = 11!~U,. I _
~)lO ~ , ({lO r-
ltt, \0 (Qr5f'
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
10(-)/))
Residential Bath{s)
NOc1
Sanitary Sewer
FT.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
. - cD
/fOfl d)
10~ :aJ
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
4.f)D
q,OO
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
3PJ
Mechanical Permit
1f15'~
( . ~..,r
af) ,.,- ..
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surchar~
Sidewalk $.. )
Curbcut P5
ft
\f\.9)
1?"f
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) OJ( oQj. '(i5
(A, B, C, 0, and E Combined)
i
J' ""c-~J5;,_;;A
l l~ 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
Plan Check Fee:
~jlBctf
Date
Systems Development Charge is due on ,all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
.'5'~6.A-S '7'~ 7ti:; 4Lu~ 9'0111-
,4+T: 4;000 (;'ooroxi ~
IJIJ.n n ~ 'lC1 I () I I
o .uD~\ GlXl1 ('0 rei') ,
,- ", /J'
~~\{~r~~hib
./
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, an he approved set of plans will remain
on he site II tlm s during construction,
gnatur./!:-! ~--:
P- L ...-/
.y'l7-?~
~:~:::::M"XR . <I~, .. '~- ~2m-
DATE PAID '\ /lfJJ(~ ,-
AMOUNT RE~E, I ;-~) ~ ['fl, l:::>
RECEIVED BY r f)rYl ~
\../ v-
I
/
\"1
~,.. Willamala~~ '"
'(;(T Park & Recreation Distcict
~i
Job No.
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME: \ ~OO \_~\) f52r . PHONE: q4ft\~~
ADDRESS: ,tl'~~'0j)ol\t~m\-))~;{1 'i tlS STATE: CA ZIP C &-'D'
q ~. .-. Gb\~)()
LOCATION OF JllROPOSED BUILDIN~ SI~E~ ~ " "-",
Street Address if Known: f}() t uJ \. "l~Jl'-O J .~ 1~ '
PI all Name: ~wlo> i~JlraxlotNumber: ~ f)OA~?J613- ~ OSIW
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back'>
A. Sim~'1e Family - Detached
- \ Single Family home
. . I ~ ~
~ i :{ .
i.: Manufactured home not in a park 4\\\ ,ciJ
X $400 PERUNIT _= $. \\\) -,
,NO OF UNITS
l
B. Simzle Family - Attached
~
NO OF UNITS
X $370 PER UNIT =
'$
C. Multi-Family Aoartment
NO OF UNITS
X $277 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
WPRD SDC
$ 4()O,/D
$ Rf '
AI'\') aJ
$\;U. I
2~ SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approyal. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
'Jm~~~i~
City of sprin~~~~V .
4 /~OL___
Date .
...-,..' '.
J?68 NO. '1~o ~ (8
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: RON Rol!>E:./i:.. rS
LOCATION: 70/(, CA-1VIe.l-LIA /1t;2 ?'5'?~ - f~ o5tco
DEVELOPMENT TYPE: L..VP!. - /Jew $F/i?..
BUILDING SIZE:
1. STORM DRAINAGE
LOT SIZE
SQ, Ft.
IMPERVIOUS SQ. FT.
Z?'?'2.-
X $0.203 PER SQ. FT. 0-77 i!;)
2. SANITARY SEWER-CITY"
NO. OF PFU'S
(See Reverse)
I ~ ,
X $42.08 PER PFU
~6701?)
"---- ". ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/
X ! . ~ I X $424.31
X X $424,31
Gu~
$ -
X
X $424.31
$
4. SANITARY SEWER-MWMC
NO. OF PFU'S ( ~ x $15.125 PER PFU + $10 MWMC ADM FEE $ 2~'2.- ~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ /2 ~ ,
TOTAL-MWMC sac ~"" ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Iq31-~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
0.~ ~L~ t../-II~ /1t/-
. ~~ Kip Burdick 'I I
SDC Coordinator
c%~
TOTAL SDC $ 2.02-" ~
-=luivalent = Fixture Units (NOTE:
FIXTUREUNIT,CALCULATH... . TABLE: Numb~(of New Fixtures XUI
For remodels. calcul!lte only the NET additional fixtures)
NUMBER QF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
FIXTURE TYpE
2
1
2
3
G
2
6
6
, 1
3
2
1jHead
2
2
1
G
4
'2-
Bathtub,----,.."..""",..".. ",--,," ",..""..,..,""""" "..'" "..
Drinking Fountain"w"--",,, ", ,',' ,,',"" ," "",,--,,""" ,,','
Roor Drain,.--, ...'w..,:" ,..' ,.." ".'".'. ,."",.,.," ,.".",..,""
Interceptors For GreasejOiljSolldsjEtc.,--,--_...,"',.
Interceptors For Sand/Auto Wash/Etc.--..--..."".".
Laundry Tub /Clotheswasher..,..........,.. .,....,...,... ,..,.
C1otheswa~er - 3 Or More...,...,.............,.....,--..----.
Mobile Hdme Park Trap (1 Per Trailer),.......,.........
Receptor Fgr Refrigerator fWater Station/Etc"...,.,
Receptor For Commercial Sink/Dishwasher /Etc,.
Shower, Single' StaIL....-.-... ,...., ..,...., .....,....,. ,..',.'".
Shower, Gang.. .......... ,.- ,.... ..-.....'... ,. -.-..-. -.,' ,.',.' ',_."..
Sink, Bar, CommerciaL.......,.,..... ,. .....-..-.'" ,. ,.'" .'" ,.
Urinal. Stall fW all. .... ,...........-...-.... -..,.,..".'.... --".,.,.,.,.
Wash Basin/Lavatory, Single,._..,...,......,...,....,...--'"
Water Closet, Public Installation,..,-.,.,."...,....,',..,...
Water Closet, Private, ..".."",..,' ,... ..,...' ,.." ,..' ,.."....,'
Miscellaneous:
{
"}...
y
TOT'!:L FIXTURE UNITS
L{-
'2-
-z...-
-z,
~
It
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
Rate per $1,000
Assessed Value
S 2,24
1.93
1.57
.I
1.18 \
0.79 \
0,44
0.28
/1- ~:!-
~ s I~fj.i
1979 or before
1980
1981
1982
1983
1984
1985
$3,21
3,13
3,08
2,96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
Credit for Parcel or Land Only If Applicable ?, '2,.1 X S, cf, ()
(Rate X Assessed Value)
Improvement Crt after annexation date) X S
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
R esid entiaL.,...,..........,............., ,,' ,......., ,. ,--'" " 0.4
CommerciaL......,.,.......,., ..,., .,.',,"'" ....,., ..""".. 0 ,9
I nd ustrial. ..,......., ..,.........," ,., ,., .,.'",',' ,.."..",...," 0.45
Governmental.. ..." .,..". ",.."""",""",..,""',.,"'" 0 ,5
IMPERVIOUS AREA == TOTAL LOT SIZE X RUNOFF COEFFICIENT