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HomeMy WebLinkAboutPermit Building 1994-3-4 ,. -. ~ "RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' 7<7<' SPRINGFIELD BLOCK' OWNER' ~A\.v\~S 6. L.A-I2u. ,E !(7f: Oe612fcle 12{) CONTRACTOR'S NAME :\A~ 8.LAf>\AlL r:.., fI""tCL A--rf A..0 ~J';"""I1, ~" C] MECHANICA" C, flA((A-rfA-AJ Il\J"'-~''-1.,~ ELECTRICAL: /14':''-, ~ .J.-)-f4---~c.d... d:VJr_ ADDRESS' n,IO .t:-- I e.,..." ..P CITY' DESCRIBE WORt<'. NEW X A.J ~0 REMODEL GENERAl' PLUMBING: QUAD AREA \ Q '\ l[0 . OF BLDGS: OCCY GROUP: ~ ~-1- JJ\.. . OF STORIES: ~ V WATER HEATER' STAT':' 612... .- SF' ~"Io JOB NUMBER q40~Q3 225 Fifth Street Springfield, Oregon 97477 {).j {J I <<:. -.,.c ADDITION DEMOLISH QTHER t.,P :sjJ.eIl'/Cj~tle'~ de.. TAX LOL~-=<J..-r:J SUBDIVISION: (:, R,A".) IO.~ fi;!4;~ 11. . PHON':' ':?'IJ -sr;9~ ADDRESS CONST. CONTRACTOR' -(ss~\{ 6b4m ~qL\~~ '=-- ZIP: C(7-101 PHONE ] ,/1- {, (?:.-~ n~, 3SCf4 '~ EXPIRES /-/('1':> \ n ,SCl4-. FLOOD PLAIN' ZONING CODE: M ()lC..J \ tJ SECONDARY HEAT: -'r;;:f SQUARE FOOTAGE: 6H~ . 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. Inspectlons requested after 7:00 a.m. will be made the followIng work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. O Underslab Plumbing/Electrical/ Mechanical - Prior to cover. Wooting - After trenches are ~excavated. D Masonry - Steel location, bond beams, grouting. f Foundation - After forms are . erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. m Underlleor Plumbing/Mechanical r - Prior to Insulation or decking. 'i.;6i Post and Beam - Prior to floor ( Insulation or decking. ~ Floor Insulation - PrIor to t /' deckIng. I . r:;tY Sanitary Sewer - Prlor'to filling \ trench. J"""'A'Storm Se~er - Prior to ~lIl1ng {trenCh, . . ;zywater Line - Prior to filling trench. . '["/ij Rough Plumbing - Prior to (' cov~~. - OFFIC~ u~ - LAND USE: \ \ ~. ( ) . OF UNITS: II , CONSTR, T.YPE: ---.1lAJ HEAT SOURCE: \ I.JH. ~~ RANG':' REQUIRED INSPECTIONS \r"'t1 Rough Mechanical - Prior to ~ cove~ . .g Rough Electrical - PrIor to' cover. ? Electrical Service - Must be approved to obtain permanent electrical power. . C-' Fireplace - Prior to facing ,..;-.J materials and framing Insp. ~ Framing - Prior to cover. '~wall/Celling Insulation - Prior to ~ cover. P Drywall - Prior to taping. o Wood Stove - After l~stallat'lon. o Insert - After fireplace approval '. and Installation of unit. ~ Curbcut & Approach - After P forms are erected but prior to . placement of concrete. ~ Sidewalk & Driveway - After ( excavation Is complete, forms and sub.base material In place. D Fence - When completed. en Street Trees - When all required ~ trees are planted. r::i? Final Plumbing - When all ( plumbing work Is complete, ~ Final Electrical - When all r electrical work Is complete. ~ Final Mechanical - When all ( mechanical work Is complete. p Final Building - When all required inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plu~bing 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. o Final - After all required Inspections are approved and porches, skirting, decks, and ventIng have been Installed. . .' ,. Lot faces Lot Type Setbacks l.....,I.E PROPOSED WORK IN THE ..... Lot sq. ftg. X Interior I PL. HSE GAR Accl HISTORICAL DISTRICT, OR ON I THE HISTORICAL REGISTER,'? Lot coverage Corner N If yes, this application must be signed S I and approved by the HistorIcal Topography Panhandle Iw I Coordinator prior to permit issuance. Total height ~ Cul-<;je-sac. IE \I I fi-'6 ' APPROVED' BUILDING PERMIT ::1: SQ. FT. X $/S~:!h ~ 0 .~~,IO~ Garage Carport Total Value t~''4 ,. '... c: .,CU ~,~,ILo Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHAR~E (SDC) th , 91 R'? (B) 3'Z-~z..- PLUMBING PERMIT ITEM FEE FIxtures N,IJ'i. Q PrJO,W Residential Bath(s) Sanitary Sewer FT, Water FT. Storm Sewer FT. Mobile Home Plumbing Permit (~()% ((0. r_\ 33lD,c() State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace q.CD I A .00 Exhaust Hood cO N' ~ Vent Fan Wood Stovellnsert/Flreplace Unit I 0 .CO U6 (Jf) , /C).O{j 1.,-~5 3 b.oS Dryer Vent c9-, MechanIcal Permit I Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State surchf1~ Sidewalk It Curbcut ~ It Demolition {J\ ,0.~ -' c~,l cO ~~S~h0r_~ Total Mlscellaneous~ts (E) TOTAL AMOUNT DUE (excluding electrical) ~~~ (A, B, C, D, and E Combined) I 4f) ,cD 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. Plan Check Fee: Da;e Paid: - ~C7J.' ~) Receipt Number:_t~ ~\B\)J i1i\~~ ~ Plans Reviewed ~y..' .. / A J~3 qf Date ,Systems Development.Charge.l~ due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS '".... ~ ~{-\ j ,.U.'JUU~ _ \ -s-A:nrlQX ~ mQ.) \G\~ , \' ~\rioo Qtr&.r ) r.Q 0 ~ t\Dlrio \ ~!llt\ \ I\l-n\.)x~ l']1~-LJlari ~)QO.tO \d.~ (lX+~~J&~ Ot:Cl-fL(lC-y By signature, I state and agree, that I have carefully exallned 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 on the site at all times during construction. SlgnaturY ~ _ . ,/$ _/ J-, Date K \-{ Q. 4 o VALIDATION: . \ l ~ ' RECEIPT NUMBEf . ..~~ __.. ':_ DATE PAID _ 0_'.. c::1. _;.. " _ AMOUNTR~l~_ ="1 ~~ , ~ RECEIVED BY ~ ./ ,~}~ '-. .'" . .OB NO. qL/-o1-Z~ CITY OF SPRINGFIELO SYSTEMS OEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: TAMes -B. LA1CuE- - - LOCATION: 057i ",6'1 AI. (!LIVf:Uf3.A:J;:. Lt>oP DEVELOPMENT TYPE: LPje. - New [)tJPLf.X 0'3300 /7o'?'1-7.-? j - fIn 2[') BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE .SQ. Ft. t-,?q?..- X $0.203 PER SQ. FT. CLf55~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 3'2.. , X $42.08 PER PFU ~?<f0 ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4. SANITARY SEWER-MWM~' NO. OF PFU'S ~z.. x $15.125 PER PFU + $10 MWMC ADM FEE $ LfC(~'~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 55 G~ TOTAL-MWM~ SDC ~ ~.J,-,,- /1 SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '~I--z..&:>.~ X $424.31 ~%i}..) ~,--B .-/ $ $ '2_ X 1.01 X $424.31 X X $424.31 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~b1 2/1-~.h1 SDC Coordinator ~ / '5 (.;~J:) '- ../ 8CJ TOTAL SDC $ 31-13'2 - FIXTU RE UNIT ,CALCU LA T.... TABLE: Numb~r of New Fixtures X ~EQuivalent = Fixture Units (NOTE: For remodels, calculate only the NET a-':onal fixtures) . ... . NUMBER OF UNIT FIXTURE . FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS Bathtub.........,... .....,...............,..,....."...,.......,...,..,..".. Drinking Fountain..,.......,......."......,...,...,.......'...'...... Roor Drain...,..,. .....,....,.......,.......,...,........,.. ...."..,..... Interceptors For Grease/Oil/Sollds/Etc..,.....,..,..... Interceptors For Sand/Auto Wash/Etc,.........,..,.... laundry Tub /Clotheswasher.....,..., ,....,.., ....,...,... ,.., Clotheswa~her - 3 Or More...,.."...,...,..."......,......... Mob"e Home Park Trap (1 Per Trailer)..,.......,....... Receptor F9r RefrigeratorjWater Station/Etc"..,... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single .Stall.......,....., ,. .,..... ..................."..... Shower, Gang...............,.."...,..............,.................... Sink, Bar, CommerciaL,...,.......,.........,.........,......... Urinal, StalljWall.....",..................,."..".......,......,....., Wash Basin/lavatory, Single..,......,......."...,........... Water Closet, Public Installation......"....,..............., Water Closet, Private...............,..,.......,...........,......,. Miscellaneous: L. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 "7- "Z. J.. <-I- TOTAL FIXTURE UNITS .f 4- <l-- '-f (0 3'2.- Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.1B 0,79 0.44 0.28 Credtt for Parcel or Land Only 11 Applicable '3......., X $ , I , 3 S 55 (.,<1 (Rate X Assessed Value) Improvement (If after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ S6 &3... CREDIT CALCULATION TABLE: calculate credtts separates. I I Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 Year Annexed Rate per $1,000 Assessed Value $3.21 3,13 3.08 2.96 2.82 2,68 2,51 1986 1987 1988 1989 1990 1991 1992 RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL,......,..........."..,........,........,........... 0.4 CommerciaL..........,..,.............,....................... 0.9 IndustriaL..,........",......,..,...,..,...,.............,...".. 0,45 Governmental....,...,.......,.,...................,.........,.. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ./ . f\' ' . ~q yy'i!I.!!!!!!~!,I"~ . Job No. C\4 ~Q~ NAME: SYSTEMS DEVELOPMENT CHARGE ~ J . WORKSHEET ~ ruOJ\ ~ ~ 1LQ j PHONE: ~~ ,~\ta \\0<:J ~j'~~ I Yl)~ STATE:~ZIP q74D( ADDRESS: LOCATION OF PROPOSED/3UILDING SI~E: rV n (\ \ \ Street Address if Known: \ o~f) -t \()~\ .J\ . \.:....\ l\l ') <Lr'l 0 [) Platt Name: G(Of\n rill .J- Tax Lot Number: \t\ f\'\ 'd.. Q4Q 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back'> A. SinQle Familv - Detached Single Family home _ Manufactured home not in a park NO OF UNITS X $400 PER UNIT = $ 6, SinQle Familv - Attached NO OF UNITS c9. X $370 PER UNIT = $ '740 ~ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ Jt4D ,CO $0' $~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~"!,~~~ City of Springfield . :~4 ~1~ Date