The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-6-23 v6i'8 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . . 95""~~ JOB NUMBER 225 Fifth Slreel Springfield, Oregon 97477 ~0~ TAX LO"!' ~/'9~ SUBDIVISION:,~~~/=/...._ /5L7-S., 1"'390 LOCATION OF PROPOSED WORK: /JlS 'e73"6'2~:<'~ ASSESSORS MAP' /~ L:2- LOT: BLOCK: ,J"U/V ;gP/~4 5 74'/ r ~7'~~ 4{~~ OWNER: PHON,", 7-:2b-~~ ? 6t',.,;> Y6~ YY~8 -'77.7""'7 ? 57 ADDRE'"'' e:r<. :?"....c-~5 i A?,H~9 CITY: STAT'" . ZIP: ~--~~- DESCRIBE WORK: NEW k REMODEL ADDITION DEMOLISH OTHER CONST. CONTRACTOR' CONTRACTOR'S NAME GENERAl' ~~ . I . PLUMBING: MECHANICAl' ELECTRICAL' ADDRESS EXPIRES PHONE - OFFICE USE - G ~ '-;(1/ ~04-rn '}..... / l~ lRl I CONSTR. TYPE: V N HEAT SOURCE: 8'h- 7'. b()? RANGE: --f, QUAD AREA: · OF BLDGS: OCCY GROUP: . OF STORIES: LAND USE: FLOOD PLAIN' ZONING CODE:-.l.~ . OF BDRMS: " fV · OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: A113. 0 + WATER HEATER: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requesled 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 [Z] Temporary Electric IZl Rough Mechanical - Prior to cover. [Z] Final Plumbing - When all plumbing work Is complete. . . [X] Site Inspection - To be made after excavation, but prior to setting forms. [i!] Rough Electrical - Prior to cover. [L) Final Electrical - When all electrical work Is complete. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. rn Final Mechanical - When all mechanical work 15 complete. ~ Electrical Service - Must be approved to obtain permanent electrical power. CKl Footing - After trenches are excavated. ru! Final Building - When all l...,..4J required Inspections have been approved and building Is . completed. o Fireplace - Prior to facing materials and framing Insp. D Masonry - Steel location, bond beams, groutl ng. lZJ Framing - Prior to cover. IZI Othor 0C~7-4~- /.A(' ~,c....~,G.iy'~~ -. [KJ Foundation - After forms are erected but prior to concrete placement. 1XI Wail/Ceiling Insulation - Prior to cover. o Underground Plumbing - Prior to filling trench. W Drywall - Prior to taping. MOBILE HOME INSPECTIONS ClI Underfloor Plumbing/Mechanical - Prior to Insulation or decking. -: o Wood Stovo - After Installation. rNl Post and Beam - Prior to floor L.4J Insulation or decking. o Blocking and Set.Up - When all blocking Is complete. o Insert - After fireplace approv~1 and Installetlon of unit. ~ Floor Insulation..... Prior to deckl ng. o PJumb.ng Connecllons - When home has been connected to water and sewer. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sanitary Sewer - Prior to filling trench. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home 15 connected to the service panel. o Sidewalk & Driveway - After excavation Is compiote. forms and sub-base material In place. D Storm Sewer - Prior to filling trench. o Water Line - Prior to tilling trench. o Fence - When completed. o Final - After all required Inspections are approved and porChes, skirting, decks, and venting have been Installed. rV1 Rough P!umblng - Prior to LAJ cover. . ~ Slreet Trees - When all required trees are planted. . /)l4 . ::..: ::~..,;''fPl'~'(;{~~;' - Lot faces ~ Setbacks IS THE PROPOSED WORK tN THE. Lot sq. ftg. 1"~ I P.L. HSE GAR ACC' I HISTORICAL DISTRICT, OR ON _ Interior IN I THE HISTORICAL REGISTER? Lot coverage ~ j( Corner ~'? If yes, this application must be signed I~? Panhandle Is I ~ I and a p proved by the Historical Topography ?tJiD~.- ~ I I Coordinator prior to permit Issuance. Total height Cul.de.sac . W a ') - E ~, 39'1 I APPROVED: "- BUILDING PERMIT ITEM sa. FT. X $/SO. FT. = 'J;c.~2> /y./" " VALUE /2-,_ sre>.z~ /P.l?t!:ht!l2... Main 2/$0"2. Yc 7~."y Garage Carport Tolal Value (~f"'L'~ *' Building Permit Fee 7"~ B~j{;;' State Surcharge r~ /~/5' TOlal Fee (A) 5'o/~ ~ SYSTEMS DEVELOPMENT CHARG~E (SD-fldIs /f6:Z-~(B) #- .,- PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' t.f Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home FEE /~.s~ Plumbing Permit /~-~ 1'-S y.~~ r'7 ..,. ?~ :;:?L)7.9/ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace ?, . .-:> Y.5c. /2.. -=> /" s:' ..- 3.- Exhaust Hood Vent Fan N' t.j Wood Stove/lnsertctFlr"eplace urJ.i,V Dryer Vent Mechanical Permit t.Jt!) .9!> /t9. - ""."5' -- -;z:;.~ ?:f / . 2z. ~37? Issuance State Surcharge Total Permit (D) MISCELL.~NEOUS PERMITS Mobile .Home Slate Issuance State Surcharge Sidewalk II Curbcut II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ?e~'?r: r~ . 1~'7.~r BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the exprEl5S condition thai the said construction shall, in all respects, conform to Ihe Ordinance adopted by the City of Springfield, Including the Development Code. regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of saId ordinances. Plan Check Fee: ~2$.'2-.r;;- ~-7C;;~q~ Receipt Number' /7/?b ~ecelv y: c~~~. ~9 . 'n~::A!-"'~ / .-r.....,..._-/> , _~)'" nevlewedtS'l - " Date Paid: ?-~.'":> Date Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. ADDITIONAL COMMENTS .4r/: fP (P/ao. bd - U J1J1j X ti/tfhL, d 11i}: if cr Cf.6 f II.. ""M ..J " ~II .""M /. , ~~ By signature, I stato and agree, that I have carefully examined the completed application and do hereby certlly 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 rrom the street, that the permit card Is located at the front of the property roved et of plans will remain on the site t all ti aurin onstructlon. Signature .-. ~ DatP~ -2~~ VALIDATION: RECEIPT NUMBER /799'0::;;. DATE PAIr> 6, 2'7-"'7S M";'OUNT RECEIVEf"I /66'}i';~ V RECEIVED BY _ ~~W>.?_ _ . . , , @ !!y'iR'!m!!g!!~ Job No. C(l;;7JSQ ~ SYSTEMS DEVELOPMENT CHARGE W~RKSHEff NAME: \ \~ ~~a'j I/JJJ. ADDRESS: ,LH 1y V 1J,t, PHONE: 18l(P-{) 1?J1 STATE: n!?-ZIP 6f1~f1 " - . lq<:ATION OF PROPOSED BUilDING SIJE;, . . Street Address if Known: \~OI 0 Y I YU. Platt Name: I R D'h 0 ~ 1AJ Tax lot Number: o (Clot) 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.l . . A. Sinl!le Family - Detached NO OF UNITS Manufactured home not in a park $~UIJ(J .()d Single Family home X $400 PER UNIT _=.. " B. Sinl!le Family - Attached . NO OF UNITS X $370 PER UNIT = '$ C. Multi-Family Aoartment . NO OF UNITS X $777 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ ~~$~~ 2. SDC CREDIT (If applicablel SDC-payer must furnish proof ofWPRD Cfedit approval. See SDC Credit Worksheet.' $ 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit! $ -.l/JJIL (JU li I '0 I qf)' n~IP . .OB NO. <=;'5c '?"?lS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: -3'> 14 C\.\ <:B~ (, c;,...s LOCATION: l"?"fo VII-JE:.. l<:1:o"?o'2-'2-0 - 0'''00 DEVELOPMENT TYPE: LDI1-- "-I~W St:=e.. BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ALA. ~ X $0.209 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 1.J.. A X $43.26 PER PFU G-b) '-- ..-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X I. 0 I X $436.19 X X $436.19 X X $436.19 G M-oG~) ----- --- $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S NA. x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ IJ. A . TOTAL-MWMC SDC G~-$ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ I~ 440~ $ -e 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~.# 13......~~. . ~ Date: t,/zz./qc, . IJ K;p Burd;cK t I 'TOTAL SOl;, SDC Coord;nator r;- ~)22-o~ \Z.... -- ff> l.J.).M?=!; 4~,2-~~ FIXTURE UNIT. C~!-CULA ~N TABLE: Numbcr of Ncw Fixtur. Unit Equivalcnt =. Fixturc Units (NOTE: For rcmodcls. calculatc only t.EI additional fixturcs) . . NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...... ........................... ............... ........ .............. Drinking Fountain..................................................... Floor Drain....................................-..................o........ Intcrccptors For Grcasc/OiI/Solids/Etc................. Interccptors .For Sand/Auto Wash/Etc.................. Laundry Tub/Clothcswashcr................................... Clothcswashcr - 3 Or More..................................... . .' -, Mobilc Homc Park Trap (1 Per Trailcr)............:..~.. Receptor For RefrigeratoriWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang........................... ..... ... ................:~..... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StalliWall......;............. ...... .... ....... ............~...... Wash Basin/Lavatory, S,ingle.................................. Toilet, Public Installation........................................ Toilet . Private..................................................:.... Miscellaneous: . . <." . .0 2 1 2 3 6 ':.:' "2 6 .;:: 6 1 . ~~ .~. 3 . I.. ~ ,., "0 .", 'J \ 2 1/Head 2 2 1 6 4 , '. TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 - - - Year . , Ratc pcr $1,000 I Annexed Assessed Value 1, 1985 $2.46 1986 2.14 1987 1.77 1988 1.37 1989 0.97 1990 .,. . 0.61 1991 0.44 1993 0.15 Year' Annexed Rate pcr $1,000 Assessed Value L Credit for Parcel or Land Only if Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = ; " '; Improveme!lt (if after annexation date) CREDIT TOTAL = $ , . ~ . . .' .", ~ .. . .. ,..I...., " :