HomeMy WebLinkAboutPermit Building 1994-3-30
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ASSESSORS MAP' /?-z:::S~<?-4
LOT:.mP~~-?!!p BLOCK' /~'7CEC. .::;L
OWNER:~~c-?' W~~ ~~~.b>Y
ADDRESS" Pc::>.. 23"~x -;?~? '
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DESCRIBE WORk. X'\\[\ f\ I. L I...~O . c\: (' K)J0YiYt)
NEW X RE~O~EL'~' "- AD\;jON ' DEMOLISH . " O\HER
.'
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"-
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
CITY'
~ . . .
.,
SPRINGFIELD
Cc~v<::..J~
. .
STAT'"
..o~_
..,
.~
JOB NUMBER q/.,Q :?2~
I
225 Fifth Street
Springfield, Oregon 97477
,
~.
TAX LOT' <V/~
SUBDIVISION:
-...., .....
PHON'"
&7 '/2-77<9'
ZiP:
"77'7:72...-
CONST.
C9IN;iRAfTOR · EXPIRES
1(J~~jr:l n . ~~ .'Jr{S
i 05101;''7
CONTRACTOR'S NAME ADDRESS
... "'- .'.,
GENERAL: ~n.",",;,~~
PLUMBING: . ~~c.:::: .;,' .
MECHANICAl'
ELECTHICA" ~= C~,
QUAD AREA: \Qi\Jl.0
. OF BLDGS: A
OCCY GROUP: ?-.?,-=rtv\
. OF STORIES: )
WATER HEATER: --i. .I
O()\cO~
;.... OFFICE USE -
\\ ~()
. OF UNIT"" I
CONSTR. TYPE: \) f\-J
HEAT SOURCE: ~r...
o
LAND USE:
RANGF'
PHONE
4ld~ 50s
\~.\ln44 '"141 CIlC/i
FLOOD PLAIN:
ZONING CODE:...lD~
-~
SECONDARY HEAT: g
SQUARE FOOTAGE: Itfi lo
. OF BDRMS:
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 req~ested after 7:00 a.m. will be made the followIng work day.
I
D Temporary Er~ctric
o Site Inspection - To be made
after excavation, but prior to
settlr,,!g forms.
N Underslab PIUmblng/~~~~~al/)
! Mechanical - Prior t :/'
rt7(. Footing - After trenches are
~ excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected. but. prior to concrete
placeme,!t.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulatfon or decking.
o Post and Beam - Prior to floor
Insulation or deckIng.
o Floor Insulation - Prior to
decking.
'J';Zi Sanitary Sewer - Prior to filling
r trench.
~~Storm sewe; - Prior to filling
lLJ trench.
!"JrWater Line - Prior to filling
~ trench.
o ROU9h Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover. .
~Rough Electrical - Prior to
~cover. C\fL\.~,
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Drywall - Prior to tapIng.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcu! & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
, excavation Is complete, forms
and s.ub-base material In place.
o Fence - When completed.
n76'Street Trees';" When 'all required
~ trees are planted.
o Final Plumbing - When all
plumbing work Is complete.
1;:i:fFlnal Electrical -. When all
/"",electrlcal work is complete.
o Final Mechanical - When all
mechanical work Is complete.
'Final Building - When all
reqUired Inspections have been
approved and building IS
completed.
o Other
MOBILE HOME INSPECTIONS
MSlocking and Set.Up -,w~en all
jblocklng Is complete.
~PIUmbing Connections - When
home has been connected to
'water.and sewer.
. '
? Electrical Connection - When
blocking, set-up, and plumbing
inspections have been'approved
and the home Is connected to
the service panel.
~Final - After all required
'nspectlons are apJ:!.roved and
porches. sklrtln9, decks, and
venting have been Installed,
lot Type. ~ THE PROPOSED WORK IN T:E .. ;~
Lot faces Setbacks
I P.L I HSE I GAR I ACC I "HISTORICAl DISTRICT, OR ON
lot sq. Itg. Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle I Coordinator prior to permit Issuance.
Total height -=-- Cul-de-sac W"
E I APPROVED:
BUILDING PERMIT
ITEM SO. FT.
: )/f- ~;-):1rrCpF ~~~:.;' BUilDING VALUE, PLAN CHECK
X $/so. FT, VALUE AND BUILDING PERMIT
'2 t'I /~
~
>
Main
---
"f,,,';"~~~ 3:2.. >
Carport .:?Z!!>'8-
ij7'.6P
~~'
,'>y. \ ~
~o5-1 03
SYSTEMS DEVELOPMENT CHA~GE (SDC) ~
(B) \9<",-\-"!!.-
Total Value
Building Permit Fee
State Surcharg'e
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N"
Sanitary Sewer
FT/drI)'
FT '7/r,{"}"
n),!JDO'
&co
55.GO
5~OO
Water
Storm Sewer
Mobile Home
Plumbing Permit
\\,,590
'PJ ,r[;J
\ f\ () , Q.:j
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
.Exh~u~t ':ioed
Vent Fan
N"
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
.f:.J
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
IDS.cD
c-J () <<>
,-"5.C~
State Issuance
State Surch~e
Sidewalk ~)
Curbcut (7)
It
ft
Demolition
~tt~rr\ZZL $ -!!Jrft .5 00
Tota\ ~Iscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) ~,~3P>.9 \
(A, B, C, D, and E Combined)
ThiS permit Is grante.d on the express condition that the said
constructlon shall, in all respe9ts"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.
Y''?? b 3"
-:?-/-:S'-9 '7'"
Receipt Number' //9'?"7
Received By: //~~
~~":.-. .
Plan Check Fee'
Date Paid:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the ~ity Ilmlts \yhlch c:re b~lng Improved.
ADDITIONAL COMMENTS
t 1\ + \~ =t 't ;:)U
\~r\Q}{ ~ Y\To )'. \ C1'lq
'-- ~ 1 tlQ Y hrn1, \'0 f\~
lr:kit1\~ 0 \.OJ_om-})lroJ)
\ \)~=t,''0 ,konfW_ot0_>
By signature, I state an-d agree, that 1 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 Ordlnanc~s of the City of Springfield, and the ~aws
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 Ihe property, and the approved set of plans will remain
;:~g:::u~~e~\;~;ii~;;ztion.
Date 3/ Jo/iq
r
VALIDATION:
RECEIPT NUMBER
/21(5"
:> (Jo/7'1
A rJ?-J>Lq \
J~
DATE PAIr>
AMOUNT RECEIVED
RECEIVED BY
.,
..
SPR.IELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726'3753
FAX (503) 726,3689
MANUFACTURED HOME SET..UP AGREEMENT
As required by the City of S~ringfield Development ciod~~ I understand and agree
tha t wi th the approval of the a t t,ached~mi ts,' one of the foll<?wr,ing ,
manufactured homes "ill be placed at a,P'f, (\(\ O(\.S1.~}1I0 ,(j((\ K\.O~
Springfield, Oregon, City Job Number __ "-\(\-<,~ . '
~ Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed tloor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in
width, that has no bare metal siding or roofing, and that has been
certified by the manufacturer to have an exter:ior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings constructed under the State Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width
with an enclosed tloor area of not'less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no, bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
Manufactured Home blocking
.. Water line connection
- Street tree standards
San~. tary sewer connee t ion
- Electrical connection
- MiniMum requirements for permanent steps
I also understand that if I am installiug a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other. masonry materials,
and with no 1:10.e than 12 inches of the euclosing material exposed above grade.
,,~~~
Date
.
.
~,~ Willamalan~
'tg' Park & Recreation District
.
lob No. qqD~lp
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:j~ ~ W ~~~1__.s:n r\ t_\
ADDRESS< ~D< ~ N\'I ~lfvu. ~
LOCA TfON OF PROPOSED BUtlS-P'NG SITE: ' .:J
Street Address if Known: Cy~l~f! ('\ ~' of) rlJUf) ':..- rp 1\ 0 _ ?
Platt Name: \ 1\~ J Tax Lot Number: f1()~1} It) ('A/cO
PHONE: ~'ll2fL
STATE: OC ZIP qr}4-1 (l
1. DEVELOPMENT TYPE (Check appropriale dwelling(s), SDC Calculations and dwelling Iype
definitions are On the back,)
A. Sinllle Family - Detached
Single Family home
I
Manufactured home not in a park
$~
NO OF UNITS
X $400 PER UNIT =
B, Sinllle 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
l
L1 r-J\ cD
$~J ).
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approyal. See SDC Credit Worksheet.
$Q)
$ 4rD,oiJ
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credil)
Ii)
p) /!J) q4
Date \"
.
.
aOB NO., 9 c.to :,2 Co
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: "ToE. ~ INf:.t-JDY SP,,",PY
LOCATION: "27:7S-, CLE:.P-.t<c"\lE-_ LI>.t-.\E.
\ l 0::,2-, I-z.. - '-\ \ 00
DEVELOPMENT TYPE: Lo!<.- I--..\I":.,^-I MA>-lLl,'\..\-OMP
+-\OM1C CAl'-fol'-"- P,W.
BUILDING SIZE: 'Z1,,<t~'2-'Z-" I~ IZ-?"'O LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
7.0 '? 7..
X $0.203 PER SQ, FT.
("'" y \ c;, <?~
'---- ~'
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
\<6
X $42.08 PER PFU
~''''''~
~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1',0\
X $424.31
X S424.3I
X $424,31
(""'L-\ ~ '6 s~
"--. ,../"
$
$
X
X
4. $ANITARY SEWER-MWMC
'Z.5
NO. OF PFU'S I ~ x $15.125 PER PFU + $10 MWMC ADM FEE $ Z-f>'2. -
(Use PFU Total From Item 2 Above)
$ 1??6
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC ~
'- -------
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 1'0, \ 'L-'!:.
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~~~L(~_ ?/I~/'ic.t
' ~- Kip Burdick
SDC Coordinator
~
TOTAL SDC $ \'1r.,4'~
FIXTURE UNIT,CALCU~ON TABLE: Num'ber ot New FiX1Ure.nit Equivalent ~ FiX1ure Units (NO~E;'
For remodels. calculate only the NET additional fiX1ures)
NUf.',GEf1 OF UNIT !'IXTUf1E
FIXTURE TYPE NEW FIXTUf1ES EOUIVALloNT UNITS
Bathtub,........... ............. ....,........
Drinking Fountain........ ............. ..........,..,..
Roor Drain....,.. ..................... ......,.....
Interceptors For Grease/Oil/Sollds/Etc...........
Interceptors For Sand/Auto Wash/Etc, ..,.............
Laundry Tub /C1olheswasher..""",......".......",..",...
C1otheswa~her - 3 Or More.....................................
Mobile Hdme Park Trap (1 Per Trailer),..........:......
Receptor F9r Refrigerator fWater Stalion/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single 'Stall,.............., ".,..,.",.,.,.,....,.,...'.....
Shower, Gang............,......,.,...... ,., ..' "',...,',......,'..',..,
Sink, Bar, CommerciaL..............,............,................
Urinal, Slall fWall....................,.,."",.",.'...."".."..""".
Wash Basin/Lavalory, Single............ .....................
Waler Closet, Public Installation...................
Water Closet, Private..,..........,.. .......................
Miscellaneous:
L-
2
1
2
3
G
2
6
6
1
3
2
I/Head
2
2
1
6
4
z
Z-
TOTAL FIXTURE UNITS
<f
L--
"'-
'Z-
e,
\~
Based on assessed value, If improvements occurred after annexalion date in lable,
CREDIT CALCULATION TABLE:
caJculale credits separates,
I'
I
I
!
l
II
'Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
S 2,24
1.93
1.57
1.18
O'7U
0.44
0,28 I
\'? "?B
1986
1987
1988
1939
1990
1991
1992
1 979 or before
1980
1981
1982
1983
1984
1985
Credit for Parcel or Land Only If Applicable
~.L...\ X $ 4.2-":>
(Rale X Assessed Value)
X S
(Rate X Assessed Value)
CREDIT TOTAL
= $
\~~
Improvement (If after annexalion date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.......,.. ,..............,...... _",.......,........... 0.4
Commercia!................,........,...,.."",....,..".., ...., 0,9
I nd uslrial.....,....., ,......,......"...,..,""",........,..,.".. 0,45
Governmental...................,..".." .........."....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT