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Home My WebLink AboutPermit Building 1994-10-25 RESIDENTIAL PERMIT APPLICATION JOB NUMBER 'q4t{()~L~ Inspections: 726-3769 225 Fifth Street' Office: 726.3759 Springfield, Oregon 97477 LOCATION OF PROP~j.!tD WORK' J'15. r fL. ~~ r ASSESSORS MAP: J~lr)~~' ' 'TAX LOT: 'i1O \ \ ~ LOT, '5r 9, - - BLOCK, , SUBDIVISION, rrfrr\G ~i.. VY- I . ", \ J -h'4 ~~' I~ '~ . f\n/)~~ O~NER\00.~~'\ C~~~~~J \J-,_/ , PHONE: nr""1\'r1) 0\-- ADDRI=~~' - ~,-3 Lon'7 ,lj'...Jl).L7 .OJp, V~ n f),[trl.J CITY ~ ~J!N,. _ ,STATE'-1W Ol1~ ZIP DESC~'B" WORK, '-~.\);~.~ ~ AP rnJ 1 P Ro l'\ Lli QJLav NEW \LJ REMODEL ADDITION " DEt1:,USH OTHER I ' CONTRACTWI\S NAME GENERAL: l VJ.. u{\1} f-; PLUMBING: MECHANICAI\.,\\\L\ :\~~{\ OOJJ,; 0' ELECTRICAL: QUAD AREA:~RJ\)IW # OF BLDGS' -' U3~ D, ' -r~ OCCY GROUP: # OF STORIES: WATER HEATER: ADDRESS' CONST. CONTRACTOR # ClW8 EXPIRES PHONE " - OFFICE US~ - \ \ , ::=S~:'T;~PE V tJ I;iEAT SOURCE: '\=' ~ ..... fJ I LAND USE: RANGE: r ~ .;: ': FLOOD PLAIN: ZONING CODE: ~ # OF BDRMS: - ~ SECONDARY HEA; l-\'fJ SQUARE FOOTAGE: -f).JjpS- To request an Inspection, you must call 726-3769. This Is a24 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. REQUIRED INSPECTIONS ~\ ' ~ Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrica,l/ Mechanical - Prior to cover. , I~ Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting, 1.xJ Foundation - After forms are ~erected but prior to concrete placement. I'v1 Rough Mechanical - Prior to ~ cover. K7f Rough Electrical - Prior to )L':S. cover. ' ~ Electrical Service - Must be . ~approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. . ~ Framing - Prior to cover., f'vI1 Wail/Ceiling Insulation - Prior to ~cover. o Underground Plumbing - Prior 1\71 Dr,YWall- prl,or to taping. to filling trench. ~ ~ Underfloot. Plumbln~ec..b.anlcaD ~ - Prior to inSUlation or decking. D Wood Stove - After Installation. ~. Post and Beam - Prior to floor ~ Insulation or decking. D Insert - After fireplace approval ~ ~~~~~~~UlatlOn _ P,'o, to ~:~:::::~:,~~:n~~ / D~~~s are erected but prior to \ 1'-/I"Sanitary Sewer - Prior to filling placement of concrete. \ J..6l trench. ( /,1 \ 0 Sidewalk & Driveway - After IVf Storm Sewer - Prior to filling excavation Is complete, forms ~ trench. '~~ and sub-base mat~,~:I~I1_Place. ------- . - lV1 Water Line - Prior to filling 0 Fe_n~e - When completed, ~ trenCh., ' .- ______ - . _ _ ~ . fV1 RciU9h"Plumbln.9'....;. '~rlor- to~/------ ~treet Trees ~ Y".hen ~II required ~ cover, '" ~rees are plan~ed. v ' , ,------- ," fl'i\7( Final Plumbing - When ~il ~Plumblng w9rk Is complete. IV( Final Electrical ,..- When all ? electrical work Is complete. IV( Final Mechanical - When all ~ mechanical work Is complete. J\7I Final Building - When all ~ required Inspections have been approved and building Is completed. D O,ther MOBILE HOME INSPECTIONS D 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, skirting, decks, and venting have been Installed. Lot faces ~ ~ot sq. ftg. 1~ Lot coverage '~ Topography L2~ Total height \C\' (,9)) BUILDING PERMIT ITEM Main SO. FT. 1~' Garage Carport Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Resldel)tlal Bath(s) Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Lot Type ~ Interior Setbacks ' d, ':" ' ":., ,\ , ,,~. i' ~~, ,.1.:0",", !tit. . . ').....:1 'IPi~'i"i~.;)- ~ 1,~t~~:'j1111',,;1}Jl~'_i , \ '. .,: .' ~ .', ,,,' ' "-\,"",~ r.' ..~~/~~~ ~,~: " ,',,! .h~L. HSE GAR Accl IN W Is '2~ 'V' Iw I.~ IE ,/;2.,./2-, '( ."~" Corner Panhandle Cul.de.sac X $/SO. FT, .. VALLJ.rrl n \-9o.P0 C\9 '0\(7, , \4. (0., 0\ q fO I (B) FEE NO z ./ ceo ('J() [t1;21'A :;I?}5'.2 r , 2-; ,7~ 3'~AtPW'*: I ~. 0" (A) ./j '71?t9 7 j .. '. SYSTEMS DEVELOPMENT CHARGE (SDC) $.235., ,:15 1i!1.v...b:,.'...;-'~ ~ ~/AJ, ,4-.f!yO State Surcharge ~ po Total Charge (C) /72?rO MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO ~ ~60 4f:P qtxJ .. Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit 3?'" 3?p rtVlMtJ, (D) '/./ 50 /O.~ /,13 /_~ .- - '"2.d.._~1 -. . MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) 3uY~~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) I., j THE PROPOSED WORK tN THE.' " qHISTORICAL 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 Rrovisions of said ordinances. Plan Check Fea ~ ~.~ ;r J Date Paid: 5~ .q Receipt Number:, . ~Lo \,,' Received By: e') CL}=^,-) Pla~~ -#{1f Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \_~C\.X1\ \ ': \L\C\L\ CD ,'to (~_~ t L_ J - ~~/~~/7/~~ap(<. L- 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 thefrope 4t.-~ the approved set of plans will remain on the e at all times~rg construction. !"slgnat - ~ / )-f ~ /0/ ? ',/lft( . - ; , Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY / 5'2 / /" ~ S2.. ~'9 ~ .~ "'/ -3'; ..:>~. t:. '5' , .. I ,AUACHMENT Bl ~? JOB NO. 91'OG,39 .. , -. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET , (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: A~ 5Z;;~ LOCATION: /~S-/ ~1. ~~ DEVELOPMENT TYPE: 5r /J BUILDING SIZE: LOT SP( SQ. Ft. 1. STORM ORA IN~ IMPERVIOUS SQ. FT. 3 2 8" ? $" 6 X $ 0 . 209 PER SQ. FT. $ ~~ 1, Yo 2. ~ANTTARY ~FWFR-r.TTY NO. OF PFU'S . (See Reverse) ,3. TRANSPORT.ATION NO OF UNITS X TRIP RATE X COST PER TRIP /'1" X $43.26 PER PFU , ,- $ , 11 F. f;F ,x X X X $436.19 X $436.19 'I $ 1--IcJ. S" S- $ X $436.19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 1 90Ct7,s.3 4. SANITARY SFWER-MWMC NO. OF PFU'S / ?' . x $17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From Item 2 NJove) MWMC CREDIT IF APPLICABLE (SEE REVERSE) P' TOTAL -t-lWMC SQC , SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ 31 '1, ., 2 $ ~ M/9.1l~, ...... --- $ 2Z2.-S-.9S.... 5. AOMTNlSTATIVE FEES. BASE 9!AAGE, (~UYOT ~7' '~r<- /" M~rnig, P.E. SDC Coordinator ' $ 111.Jo Date: /0 - 21- 9'1' TOTAl SD..C. $ ::z 3 "3 7.2; B2 . SDC . ; ~'- ' i=IXTUR~,_ltNIT CALCULJl TION TABLE: Number of New Fix' (NOTE: For remodels, calculate onl\ ; l::lfI additional fixturesl NUMBER OF FIXTURE TYPE NEW FIXTURES "s X Unit Equivalent = Fixture Units J. .z 2. TOTAL FIXTURE UNITS UNIT EOUIV ALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ~ ", FIXTURE UNITS '. 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.. Showeri' Single 'Stall:........... .,..:..... ........ ..................... Shower, Gang.. .......... ....,;'.... .'.'..:...... .:; .'......................... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:.................................................... Wash Basin/Lavatory, Single.... ....... .......... ............. Toilet, Public Installation.......................... .............. Toilet, Private................ ....................................... Miscellaneous: ,"J.AIY/ TCR'.s S/"'.J:: /... 4 ~ ~ 'i = -J..7 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 Cred~t f~i, Parcel or land Only If Applicable Imp~o_ve~~n~ (if after annexation date) Year Annexed 1985 1986 1987 1988 1989 1990 1991 ,1993 0..11 M#A:-r. ,oATIF /.'17'1'"" 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 = fJ = r- CREDIT TOTAL = $ rJ I