The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-10-7 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 9'4//) Z- JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 \1-\L.- 2G::> S~-D. vrz, G. +l(}--=t TAX LOr: ................~~<;7~ SUBDIVISION: \Let' -r. Q. 'i S ~ rc;.""\ 4-0...J S~rO PHONE: '"1-4 +- \ 10 SO LOCATION OF PROPOSED WORK: ASSESSORS MAP: /7 () .~ \S-} I b ~ Ii- - 1)200 A\)() LOT: BLOCK: ~ ~ \<:.-=- N L- ~. "S '" !'J D'-{ \ L.' \ L- C..e '" -\ ..e. If' '" ~ t(.\ '~\" J. OWNER: ADDRESS: 'S~ 12 D CITY: STATE' uf.L ZIP: ~T~ AIYD\N~ t:=-CZ v t-J ' \ ?O\ctt DESCRIBE WORK: NEW ~[ REMODEL ( , ADDITION DEMOLISH OTHER CONST. CONTRACTOR /I EXPIRES \"2\'2_ C:e"'t'N\\J 15,,,,& CONTAACTOA'YNAME ' GENERA' '~\.I 5'~L-f:' "j PLUMBING: MECHANICAl' ELECTRICA' . ADDRESS 'F~\C2~c.., A. ,C:::;:f\ ~':::>I../ I PHONE 7-47:}-lb~U - OFFICE USE - LAND USE: \ \ \ \ CONSTR. TYPE: V AJ QUAD AREA: 6)Q1\,)( 0 FLOOD PLAIN' ZONING CODE: ~ /I OF BDRMS: /I OF SLOGS: OCCY GROUP: /I OF STORIES: WATER HEATER: # OF UNITS: kA HEAT SOURCE: RANGF' SECONDARY HEAT: SQUARE FOOTAGE: 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. REQUIRED INSPECTIONS o Temporary Electric o Rough MechanIcal - Prior to cover. o Final Pllimblng - When all plumbing work Is complete, o Site Inspection - To be made after excavation, but prior to setting forms. o Rough Electrical - Prior to cover. o Final Electrical - When all electrical work Is complete. C o Undersl,ab Plumbing/Electrical! Mechanical - Prior to cover. o Final Mechanical - When all mechanical Work Is complete. D Electrical Service - Must be approved to obtain permanent electrical power. l'v1"'Footlng - After tr.enches are ~ excavated. . : iXr.Flnal Building - When all c1requlred Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. ~Framlng- Prior to cover. i D'walllC'elllng InsJlatlon - Prior to cover. o Foundation - Aft'er forms are erected but prior to concrete placement. o Other o Underground Plumbing - Prior to filling trench. o Drywall - Prior to taping, MOBILE HOME INSPECTIONS o Underrloor Plumbing/Mechanical - PrIor to Insulation or decking. o Wood Stove - After Installation. o Post and Beam - Prior to floor Insulation or decking. o Blooklng and Set.Up - Whe[1 all blocking Is complete. O Insert - After flreplaoe approval and Installation of unit. o Floor Insulation - Prior to decking. o Plumbing Connections - When home has been connected to ' wa.ter and sewer. o Curbcut & Approaoh - After forms are erected but prior to placement of concrete. o Sanitary Sewer - Prior to flfllng trench. DE,ectd-oal Connectron - When blocking, set.up. and plul"Qblng Insp'ectlons have been approved and the' home Is connected to the~erVlce panel. o Sidewalk & Driveway - After exoavatlon Is oomplete, forms and sub-base materIal In place, o Storm Sewer - Prior to filling trench. o Water LIne - Prior to filling trench. , o Fence - When cOTPlete,d: .,"\ \ O Street Trees - When '~II required, trees are planted. ' . ;i.."!'.",'. .., .... o Flnal'~.,,~fter all required' ",', InspecttoDs are. approved and, porches,skldJng, decks, and venting have been Installed, o Rough Plumbing - Prior to cover. Lot faces Lot Type Interior Lot sq. ftg. Lot coverage Corner Topography Total ~elght Panhandle Cul-de-sac BUILDING PERMIT ITEM sa, FT. ;;. 'i':;\~.;\' Setbacks ' HSE GAR ACC' I I P.L. IN Is Iw IE Main X $/SO. FT. = VALUE /7.S-0 ~ ,:8, ~~a ~.<<.~' . S-3- (A) 1~_'11 SYSTEMS DEVELOPMENT CHARGE (SDC)~ -& ,,~'5 'R--' (B) \t.-- Ga~age Carport .MtJ)lt'Y ~ Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM .FIxtures , ,: ' Resldentlai Bath(S)':';r:J~.',,; Sanitary Sewer FT.: Water " FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge .. Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuahce State 'Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge SIdewalk ft Curbcut ft Demolition 7~~hb/G;v Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) " /Cn90 ~ ' FEE \ \ J/, Sf> 1-:: _2.+' j 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. ;, /, ji, Plan Check Fee: / . Date Paid: Receipt Number' - A.cel'~~jW_ ~~/7'I Plans Rev\.ewed By' - / DafJ ( , Systems Development Charge Is due on all undeveloped properties within the City limits w~ich are being Improved. ADDITIONAL COMMENTS _~CC?y</,~/'. L~~,~Jt;LZ{I7JT -1d.2/L--L A?~~ ~ /t{J.JL- J1~An-/ ;r-., / R-,=3~ CR/?AlZ /~ JIhf/~ /!:v5 I~~~ /A,) mb ~ m= ~;::- .A/~/JliJ I ,. ,,, ~//~ ~t5P.A..J2 i,'E,lIQ) ~~, 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, and the approved set of plans will remain Z~1=:~~ D~e , ~ VALIDATION: / 4 t::}9 2..- /d/7/Jd ( 1./-?1-cf, AMOUNT RECEIVED "JC-..) , ~- , . RECEIPT NUMBER DATE PAID RECEIVED BY AnACHM~NT B1 , JOB NO. '1t..f 11/ 2 , "'.,,'" ' CITY OF SPRINGFIELD SYSTEMS DEVELOPMl.,( CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ::>Ptt-.J D'< ~ €::.~E:..t-..l c.. LOCATION: '\'2..\"Z.. rC.N..\~~II\-L ""&-VP .' DEVELOPMENT TYPE: Lo~ -,~OD I "\lD"-\ \ 1t>~'2-~L-\ &..\ - \ \ 200 I BUILDING S.rZE: '-\. Y- (~. ~ LOTSIZ( SQ. Ft. 1. STORM DRAINAGE " " ?~ IMPERVIOUS SQ. FT.. 2. SANITARY SB{FR-Crn NO. OF I, PFU'S ' .. (See Reverse) , 3. TRANSPORTATION , X $0.209' PER SQ. FT. $ '\'2...?~ X $43.26 PER PFU $ NO OF UNITS X TRIP RATE X COST PER TRIP X X , ' X X. $436.19 X $436.19 $, $ $ SUBTOTAL (ADD ITEMS 1. 2, & 3) $ " X $436.19 4. SANITARY SFWER-MWMC NO. OF' PFU'S x $17.19 PER,PFU + $10' MWMC ADMIN.FEE $ (Use,PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ .' . ,TOTAL -MWMC S.oc' '$ SUBTOTAL (ADD ITEMS 1.2:3 &: 4) $ \ 2 '?.!::- 5. ADMINISTATIVE,FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ Qf02- v. ~~, ,-L~ ~~y Hornig, P.E. SDC Coordinator 'Date: '-.LLJ/7h./ ' ( ( ( TOTAL SDC $ 1'2~ B2 . SDC . FIXTURE UNIT -CALCULATION TABLE: Number of New Fixt., ~'i X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only NEI,additional fixtures) , NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub........... ........................................................... Drinking Fountain. ............. ............. ..... ..................... Floor Drain............. ..... ....................... ....................... Interceptors For Grease/Oil/Solids/Etc. ....:. .......... Interceptors For Sand/Aut? Wash/ftc.,................. 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: ,TAI</I ro.e'.s $/-"1):: ,) I ; , "'\ . I .f 1 ~ ( UNIT EQUIV ALENT 2 1 .' 2 3 6 2 6 6 1 '.t 3 2 1/Head 2 2 1 6 4 ..z TOT ALFIXTURE UNITS = FIXTURE UNITS 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 Credit for Parcel or land Only If Applicable Improvement (if after annexation date) ',''1. , , -< I ' ~ ;. . I I'. 'f '. 'fear Annexed 1985 1986 1987 1988 1989 1990 1991 1993 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 = $