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Home My WebLink AboutPermit Building 1995-6-13 { - RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: EIJ{J)ClJ!..J _ ( I1J. q if' CONTRACTOR'S NAME " GENERAL:~, ~i:dit' PLUMBING: Toe. 'F"'t2iVJI'J/l /1 v fI1t11..5h (I,~ ')duL ;(i-rl~ MECHANICAL: ELECTRICAL: QUAD AREA: 2-$\$\() /I OF BLDGS: \ OCCY GROUP: ~Q-\ }.X /I OF STORIES: ' \ G WATER HEATER: ~~ ..,.. BLOCK: STATE: n,-L f'(){'fu~ 6 ~\r\OIV'<L ADDiTION ' ' DEMOLISH' OTHER 3-878, l-- .", . -JO~ ';~~'~ER '9~052 Z 225 Fifth Stree't Springfield. Oregon 97477 ~; TAX L~<- ~\'LOO(rID) SUB 0 I V I S ION: (A..i1Jfu./JrL !tUJL_ , j;r, '- , " PHONE: 7t;r; ~.J,/II ZIP: f7v'1'7. ADDRESS' , 3; s- ? 'I A/;k-k/'4'Lc!J~ CONST. CONTRACTOR /I 1"f"'18tf PHONE ?Ci (- 0/ J) - OFFICE USE - LAND USI=' \ \ \ \ /I OF UNITS: I CONSTR. TYPE:- \I~ \ HEAT SOURCE: ~ t.) p--" F,lANGE: EXPIRES ''Y11.t tf.t. J \ .. .. \ .- .-.... .' FLOOD PLAIN: ZONING CODE: tfJR /I OF BDRMS: ~ ' SECONDARY HEAT: ~ SQUARE:FOOTAGE:c{) IO? .1;;;.....- . To request an Inspection, you must call 7.26-3769. Tills Is a 24 hour recoh9lng. Alllnspecllons requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m',wllf'be made the following work day. REQUIRED IN,SPECTIONS . " ' l..' fY7I Rough Mechljnlcal - Prior to . ~ cover. / ' o Temporary Electric' D Site Inspection - To be made after excavation. but prior to setting forms, o Underslab Plumbingl Electrical! Mechanical - Prior to cover. 't'x1 Footing - After trenches are ~ excavated. '0 Masonry - Steel location, bond beams, grouting, 'l9f Foundation - After forms are ~erected but. prior to concrete placement. D Underground Plumbing - Prior to filling trench. l'V1 UnderllooITlumbli)a.l1'V1echanlc..a. ~ -,Prior to.insulatTori,,5t-ul::a;Kfr1g. .. I'X"I Post and Beam - Prior to floor, ~Insulatlon or decking.,. 'Rf' Floor IlJsulatlon ..4. Prior to ~ecklng. - .~ Sanitary Sewer - Prior to filling J/'.J trench. rQ Storm Sewer - Prior to filling ~ trench. ~, I\:7T Water Line - Prlor'to flillng ~ trench. M Rough P\u,mbing-:- Prior to ~ cover. ' , " .. " " '" 'K7( Rough 'Electrical - Prior to ~cover. -- -" 1><1 Electrical Servlc~ - M~s.tbe . ,approved to obtain permanent electrical power. ' o Fireplace - Prior to facing materials and framing Insp. !:SZlFramlng - Prior to cover. M' Wail/Ceiling Insulation - Prior to ~cove~ . t2l Drywall - Prior to tap~~g. , , o WoodStovo - After Installation, o .Insert - After fireplace approval and Installation of unit. rv1 Curbcut & App;"oach - After . ~forms are erected but prior-to placement of concrete, ~ Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material In place, , D Fence, - When completed. ' ~" Z. Street Trees - Wh,en ,all' re~ul;ed ~ trees are planted. ' , ,., ~ Final Plu'mbing - When all ~ plumbing.. w9rl< Is complete. M Final Electrical - When all ~ electrica(worl< Is complete. ~(Final Mechanical - When all ~ mechanl~,al work Is complete. I"V'1 Final Building - When all ~requlred Inspections have been , approved':and building Is completed. D Other ~ 1 "10. . MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete. , D Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection '-.l,^Jhen blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required ins'pectlons are approved and porches, skirting, decks, and venting have been Installed, , Lot faces ~ Lot sq, fig. 7~3o Lot coverage ~9 % Topography L2...~ Tqtal,!:1el~!"t" lB,~< '. .' "d . '(__C\1'~ BUILDING PERMIT ITEM SO. FT. Lot Ty V Interior Corner Panhandle, Cul-de-sac .,','.' Setbacks ' ::' ' :': ;;1;<rd~~( , .~- 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. I P.L. HSE GAR ACC IN I~ Is ,51 Iw II IE /2 X $/so, FT. .~~o 4,1'0 Main /6"7'?' .5'2~ Garage Carport Total Value Bui/ding Permit Fee 2-0' II"') 72 State Surcharge 2/, -r ~. Total Fee (A) VALUE ~~ " 7#f.<B>O 2rR!B 5 4- M. O<::J , 3 ~,J 2.- 457. 92- SYSTEMS DEVELOPMENT CHARGE (SDC) f13 (B) -i '224~~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO :2.. Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit S S.... ..::2.60~ ...d.~ , . tate urcllarge D r c..r-. Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO 3 Wood Stove/lnsert/Flreplace Unl! Dryer Vent Mechanical Permit Issuance State Surcharge /?,,8+- /17 Total Permit (D) MISCELL.{-\NEOUS PERMITS Mobile ,Home State Issuance State Surcharge Sidewalk '70 3& ft fI Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE -L6n.thJ J 2.,~O /72,gCJ ~~ 4.S"O /2..~ ,<~ 2..5,5"0 /19,0'0 2. ," S .3'?Ff":S"" 2D.S-O /$~O 35,'10 2!1.~7 ~ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the expr~s 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. Z7.5(P(J #2//5U- r I" Receipt Number: /70(; 2 Received By: /~ , '- - _ -~Ain.-t_ Pia sReviewedB'y Plan Check Fee: Date Paid: ,~~) Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS t~T: LM2.() ~'l ~ WLbstd.L , iJi //' 1'1"111 Am/ -~~ fUrq- ~/r /J' AL~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alJ 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 the approved set of plans will remain on the site s during construction. -,- c:;d Slgnat Dat€' VALIDATION: RECEIPT NUMBER DATE PAID 177~4 ~//3hr - l~L ': ~',.ao ' '. . .; '"., .' . A~" ~ ...,.. . ~.... ., AMOUNT RECEIVED RECEIVED BY , , I " p f~ ; ."! ~ ~?... Willa...al~ne 'tg Ps,k & Roomstion D;st<ict ;,1 Job No. qm52-u SYSTEMS DEVELOPMENT CHARGE W9RKSHEET NAME: ~.~ f~ ('(lJ\~~ I " ADDRESS: '\ 'C:/L {\~cW\ I ~ PHONt\4 ( . t\ \' STATE:~ ZIP ({~ ( I. lqCATION OF ~ROPOSED BUI~DING SITE: Street Address if Known: t"'\ lo q Platt Name: ~(lfiL . '~ 0l\\~QL Tax lot Number: \lO~S9J \ \ffDpfo /~ ..... , , 1. DEVELOPMENT TYPE (Check appropriate dwellirig(s>. SDC Calculations and dwelling type definitions are on the back.) " ' ,,' , ' ", ' 'I.. A Sim!le Familv - Detached L ';~[.."~lI1< Single Family home NO OF UNITS l B. Sinele Familv - Attached \ NO OF UNITS C. Multi-Familv' Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS , WPRD SDC '!1' . ,";"j-f" Manufactured home not in a park X $400 PER UNIT _=.,' $" fF{).<<?' . X $370 PER UNIT = '$ X $777 PER UNIT = $ X $280 PER UNIT = $ 2. SDC CREDIT (I( applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. " . L\ID CO ,,' $ . ,::;0' $ $4f)D. DO 3. TOTAL WPRD NET SDC ASSESSED (I( SDC reduced {or Credit} ~~,(~, h IJ 3 1<J.r n~tp B NO. 960622- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ,NAME OR COMPANY: "'1/M CDW/1f<.tJS LOCATION: /7(PC} CA1:t?:1i?~/AGE PLACE:. DEVELOPMENT TYPE: LD ~ - NE:-IA/ 'SFI? /7 () '?"2-5 '2-/ - /1 Z-66 BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. 'l-e,& I X $0.209 PER SQ. FT. C'7\l~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) Iz? X $43.26 PER PFU ~ - ~ ($ IIB~ ) "----- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X I.DI X $436.19 x X $436.19 ' X $436.19 c~~ $ $ X 4. SANITARY SEWER-MWMC NO. OF PFU"S \ S x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) , MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ "?\ 9. 4-2. TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ /V.A. E\9~ $ '2-1 :?(p~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V' ~L~ Date: ~/21/qS ~ Kip Burdick {{ TOTALSDC SDC Coordinator C;-IOCo~ ~ --' $ 'Z2A~ 4~ Z~i~~~:~~::t~'~~:;2i~2GLAT'r')NTABLE: Number of New Fixtur~ (NOTE: For i~mdd~i'd\;aic~i~t~: oelly th ..:I additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES 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 PerTrailerl.....'............. Receptor For Refrigeratortwater Station/Etc........ Receptor For Commercial Sink/Dishwasher/EtcH Shower, Single StalL.... ...... ......... ............ ...... ........... Shower, Gang ................................................... :~..... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall.......................................... .... .......... Wash Basin/Lav~tory, Single. ................ ................. Toilet, Public Installation.............. ...... ....... ..... ....-.. Toilet, Private............. ......... ..........,................. ~.,.: Miscellaneous: Z- 'I ", &1 z 'Z.- TOTAL FIXTURE UNITS Unit Equivalent =' Fixture Units UNIT EQUIVALENT 2 1 2 3 6 . :2 6 6 1 3 2 1/Head 2 2 1 6 '1 FIXTURE " UNITS 4 7- "2.. 7.. <3 18 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 Credit for Parcel or land Only If Applicable Improv~ment (if ,after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 CREDIT TOTAL $ N.A.