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Home My WebLink AboutPermit Building 1995-6-2 ASSESSORS MAP: (; OWN ER: 'liiYl ' f\UrlrftS ADDRESS:' j{ (C( (( I IJmfrYttL ... . 0fftcL . DESCRIBE WORK~ ~. r, fa~!1ifLt.J-; NEW -1( RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 111 LOT: CITY: REMODEL BLOCK: STATE: ' (};L- ADDITION DEMOLISH OTH ER :: ; ;OB NUMBER 46lJ61q 225 Fifth Street Springfield, Oregon 97477 , , :I;JllU . . , TAX LOT: ,'ll~Of SUBDIVISION: ,!1iJJ~ pt{lll/ rf7 -- Clif 137 PHONE: ZIP: 47'1:17 ADDRESS AICff io.mtJntL' . 'CON ST. CONTRA~TOR If -qM~1~1J CONTRACTOR'S ,NAME .. f ' '_ __ GENERAL: ,17m l\Jof-ft; PLUMB1N'~:-.-.1JILn_ 1i1JtJifu' fltJ./1'LIjl)z/j MECHANICAL: !I7///f/;;fLoJJ;); , J ELECTRICAL: Itf-flf1/f1 t<<II'Jn f./ EXPIRES QUAD AREA: JilN{)J ~ OFFICE USE - " LAND USE: ill { FLOOD PLAIN:_ If OF BLDGS: I If OF UNITS: / ZONING CODE: UJt2-. f~ ~.vfYL ' . VN /f] OCCY GROUP:. CONSTR. TYPE: If OF BDRMS: If OF STORIES: / HEAT,SOURCE: 'PE- SECONDARY HEAT: "r t;:; ;? I ~() . WATER HEATER: j RANGE: SQUARE FOOTAG E: '-- 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 requeste.d after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS m Temporary :Elect~lc " , '". o Site Inspection - To be made after excavation, but prior to setting forms, o Underslab Plumbing/Electrical! Mechanical - Prior to cover. I'V"'( Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. _ 1'v1 t-oundatlon - After forms are ~erected but prior to 'concrete placement. o Underground Plumbing - Prior to filling trench. I 'v"f' Rou~h Mechanical.;....' Prlor.t? ~cove~', ' . , d Rough Electrical - P;lor to ~cover. , , ~ Electrical Service - Must be ~pproved to obtain permanent .' . electrical power. " "t:J Fireplace - Prior to facing materials and framing Insp. ~Framlng - Prior to c.over. 'f\7f Wail/Ceiling InsulatIon .:.- Prior to ~ cover. ' , , ~ Drywall - Prior to ta'~lng. 1'V1", Underflo~:bln~chanlc~' ~ -, Prior. latlon or decking. D Wood Stovo - After Instal/atlon, ... r)<J' Post and Beam - Prior to floor , ,Insulation or decking. rg Floor Insulation..... Prior to ~decklng. - 'Igj Sanitary Sewer - P.rlor to flll/ng ~trench. I 'v1' Storm Sewer - Prior to flll/ng ~ trench. 1)(1' Water Line - Prior to filling ~ trench. r><r Rough p"umbing - P.rlor to " -cover. D Insert - After fireplace approval and installation of unit. 1':><:( Curbcut & Approach - After /' ,forms are ere9ted but prl,or,to placement of concrete. , . ~ Sidewalk & Driveway - After ~excavatlon Is compiete, forms and sub.base material in place, o Fence - When completed. f2l Street Trees - When all required I:;;U trees are planted,. " I"C/1" Final Plumoing' - When all ~'plumblng work Is complete. 15<1 Final Electrical - When aI/ , ,electrical work is complete, r\7f Final Mechanical - When all ~ mechanical work Is complete, r\/r Final Building - When all ~ required Inspections have been approved and building is completed, DOt her :;:; (...4.~fv.vd'We C 1if:J Ac.e. Qo!e6/ I MOBILE HOME INSPECTIONS D Blocking and Set. Up - When all blocking Is complete. , o PJumblng Connections - When home has been connected to water and sevyer. o Electrical Conneciion - When blocking, set-up, and plumbl.ng Inspections have been approved and the home is connected to the service panel. o Final - After all required Ins'pections are approved and porches, skirting, decks, and venting have been Instal/ed. Lot faces ! ,61-.- Lot sq. fig. Lot coverage Topography L 2, 96': Total height )"1., ; (ilhJ) ~-, BUILDING PERMIT ITEM SQ, FT. J//J (ffJ " ,; , t)? (). Lot Ty Interior Corner Panhandle / Cul-de-sac Setbacks ' 'HSE'GARIACC' J1 /zl /2. I ~ I '..;.- I P.l. N S Iw IE Main Garage Carport Total Value x $~,.ro lq. \0 " Building Permit Fee State Surcharge --:2!.)T +- /2,1, I Total Fee (A) VALUE fqqM. rj r;lJ)~ a1/A61,~ , .f:276,:J -. [..L.. 4'1 (p "3 to ~/,/r" SYSTEMS DEVELOPMENT CHARGE (SDC) ,?? 5"~S (B) PLUMBING PERMIT ITEM Fixtures Residential, Bath(s) Sanitary S~v;er Water' ,-- Storm Sewer Mobile Home NO :2. FT. FT, FT. Plumbing Permit State Surcharge ~t?O-r -ff?~ Total Charge (C) FEE ~.~ /2 f50 /72~ MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Dryer Vent Wood Stove/Insert/Fireplace Unit NO '3 Mechanical Permit Issuance State Surcharge /. /3 +- .~,g. Total Permit (D) MISCELL.ANEOUS PERMITS Mobile ,Hom~ State Issuance State Surcharge Sidewalk, 91.4 It 2;Jft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B,'C, 0, and E Combined) 0.&0 4-,S'O 9.e-o .'1!,O :22-.5""0, /o.f.)a I. SI ::5~31 22!(P _/ ~ 1"0 '2f?I~'? ~I "".'." ;;: " :' ;:~;"'.~!s,r',~ :; , \ \ 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 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 Provlsion~pald ordinances. Plan Check Fee: W. ".7J J/y0,q~ -, ./ Receipt Number' 0 ll~ 0 / Aecelv~-M ~~ Plan~~ewed By Date Paid: b#/iS / 'Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 11-1-'/: # c51tJ,/!(J ,~ JNz 1/', IA ~I /r-rl . " 'I 'I '!JJVT11t1L /!ULf...-A J . ''*. ~ - . /()d1:J~ tfL /It Lf.{ uJf/ .( ~ PA7H ~ ~ ~_~/,7 /~ ~,~, ~ ~~~ /1IQ~~ ~"'~ J/47/t ~~qH~ ~?E;J ,~ /Jf~4C! pJ~f. . / By signature, !'state and agree, that I have carefully examined the' compreted'apprlcatlon 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 (rom the street, that the permit card Is"ocatod at the iront of the property, and the approved set of plans will rem~ln on the site at~urlng c~ructlon. ~tur~"'-- ?- . Date*~<.._:/_ ces VALIDATION: I?~~ r ~"2..e;}~ AMOUNT RECEIVED ??,Y~~/ RECEIVED BY 0~ '-!'5 - , RECEIPT NUMBER DATE PAID '"!"",!" ., ~?.... Willamalane '-tq Pa,k & Rec'eatio~ District > > Job No. qhJG1q SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: l~ ADDRESS: V Cf ~ ) fJ t11 0 nti PHONE: <JLJ1-q~G1 STATE: ~fl:--ZIP tnlf77 '. LqCATION OF ~ROPOSED BUILDING SITE:tI '.. . Street Address ~f Known~ t1 K 1 ( 'l-IJVVl tL~ Platt Name: 11 6 Q. ?1?J J. J Tax lot Number: 'r/lJ)L/ u..ao I 1. DEVELOPMENT TYPE (Check appropriate dwellitigCs). SDC Calculations and dwelling type definitions are on the back.} , ,',' A. Sine-Ie Family - Detached l Single Fan:tily home NO OF UNITS l . . B. Sine-Ie Family - Attached NO OF UNITS C. Multi-Family Aoartment . NO OF UNITS D. Manufactured Home Par~ NO OF UNITS WPRD SDC Manufactured home not in a park $ '.,rh~ ,of) X $400 PER UNIT _=~ .' X $370 PER UNIT = . $ X $?-77 PER UNIT = $ X $280 PER UNIT = $ H' $ l(a~.O() 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approyal. See SDC Credit Worksheet. , . $ $. ~(),.tJO 3. TOTAL WPRD NET SDC ASSESSED (I( SDC reduced (or Credit> ~~ 61 t n;ltp I ~. ~ r . <: . hi.. """"f""t"".,.,.h, ('\r\"rr-r t..r"f("."n ~B NO. 9'5os,9 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: \\ Iv\. t-.l6 L \E:. LOCATION: \"( ~ I CA(2...(2..IA6-f:: 'PLA-c:..E:.. DEVELOPMENT TYPE: Lo R -l-J~w. c:;.F12- t l O~ "l---'??-l - t l '7.-0 t BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. 'Z.-cr"l.--O X $0.209 PER SQ. FT. ~1"9 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) , S X $43.26 PER PFU (77\l"0 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4. SANITARY SEWER-MWMC NO. OF PFU'S /Y x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) X $436.19 G446~ '------ ~ $ $ \ xl. 0 , X $436.19 X X $436.19 $ ? 19 4-'Z- TOTAL-MWMC SDC $ N..4, ~t~4-0 ............ -- $ Z. \ 4-~ C\.2 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~cl...~ Date: ?/~/~S (j Ki P Burdi ck 'I ( TOTAL SOC SOC Coordinator ~Ol~ ~ ----- $ Z-Zl?G:. ;8 FIXTURE UNIT CALCULATION TABLE: Number of New Fixturer ., Unit Equivalent =' Fixture Units ... . . .... (NOTE: For remddds;dilculate only tt I additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub............................................................ .......... Orin king Fountain....................................... .... .......... Floor Drain..................,................................. ............ Interceptors For Grease/Oil/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc........ ..... ..... laundry T ub/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: 8ar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall.. .............. ..... ..... .... ......... ........ ........ Wash Basin/lavatory, Single......... .,...... ................. Toiler. Public Installation...................................._.. Toilet, Private... ........... ......... ..................... ..... ....... Miscellaneous: 2- z.. 2-- TOTAL FIXTURE UNITS UNIT EQUIV ALENT 2 1 2 3 6 2 6 6 ' ' 1 3 2 1/Head 2 2 1 6 4 FIXTURE ,. UNITS /if '2- 7- ----2.-- <:? I~ CREDIT CALCULATION TABLE: 8ased 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 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 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Credit for parcel or land Only If Applicable lmproveme~t (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL $ N.,4 .