The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-3-4 ,';' . .-' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 LOT' SPRINGFIELD BLOCK' OWNER: J:- c< R(/t -::..- ~, ADDRF""" / $- f-:':-~~,:-:.~ 1- :fi;Eilt CITY' Ec/(ul/ . s ,,::>3'10 JOB NUMBER CN,09~4 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' Sf)!!h-ll (j (jffi.lQ) (;-0 licit... jOh({/( ff Pt'.J- rI- J'-I? . - PHON~ Ins ~ wI'>~J.cr ~ 0(( , STAT~' DESCRIBE WORt<' NEW J /111..11 {)voltx , REMODEL ADDITION ELECTRICAl' DEMOLISH QTHER ZIP' CJ?'t'tJ I ADDRESS CON ST. CONTRACTOR' EXPIRES PHONE 1-11-15 3 'l.?-S-\f'l2- IlJ.'SLt't' ')4ldiCB} 3'Syt 1)LJ4.1I ffi ~~ ~4'l.;2., QUAD AREA: \\li\J\0 - OFFICE USC5" LAND USE: \. \ QJ' FLOOD PLAIN' . OF BLDGS: \>( ;\,. JJ\ . OF UNITS' cV ZONING CODE: ,l~ l)u OCCY GROUP: CONSTR. T,YPE: \JV . OF BDRMS: fJ . OF STORIES: cG HEAT SOURCE: 11A-\ SECONDARY HEAT: c;f' WATER HEATER: f./ RANG~' ~ SQUARE FOOTAGE:6Jl1ff-P) CONTRACTOR'S NAME GENERAl' CTu..It/tI g, Lt</(I/( PLUMBING: (;-. 1f(J.llkht<//l (JIUlntitr MECHANICAL: I.r. t!{.(.t5lt"'/,MJ fJ/u/J,f.: IIlw,lt ... II{'(!III~<," :I11(, 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. o Temporary Electric o Site Inspection - To be made after excavatlon, but prior to setting forms. O Underslab Plumbing/Electrical! Mechanical - Prior to cover. ~'Footing - After trenches are IpY excavated. o Masonry - Steel location, bond beams, grouting. rI1 Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. If\71 Underlleor Plumbingl Mechanical ( - Prior to Ins~.latlon or decking. ~ Pest and.~eam - Prior to floor P-- insulation or decking. Qj Floor Insulation - Prior to o decking, , 0..sanitary Sewer - Prior to filting r trench. ~Storm Sewer - Prior to filling trench. . . , \, ~Watcr Line ~ prlor'to'fII11ng ~rench. '. \ rr--7'i'ROUgh Plumbing - Prior to ~ ~over. REQUIRED INSPECTIONS M Rough Mechanical - Prior to ~ cove~ . rT7f Rough Electrical - Prior to T cover. fElectrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facIng materials and framing Insp. ~Framlng - Prior to cover, dWell/Ceiling Insulation - Prior to T cover. ~.DrYWall - Prior to taping. o Wood Stove - After I~stallat.lon. o Insert - After fireplace approval and Installation of unit. Pcurbcut & Approach - After forms are erected but prior to placement of concrete, t:7f Sidewalk & Driveway - After ~ excavation is complete, forms and sub.base material In place. o Fence - When completed. rn Street Trees - When all required trees are planted. It:;t( Final Plumbing - When all ( plumbing work Is complet.e. m Final Electrical - When all ( /1 electrical work Is complete. '0 Final Mechanical - When all (-- mechanical work Is complete. ~Inal Building - When all required InspectIons have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blockln9 and Set' Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer. D 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, I Lot faces Lot Type . ~Interlor I P,L. IN Is Iw IE Setbacks HSE GAR Accl I I I I Lot sq. ftg. Lot coverage Corner Topography _ Total height ~ (~~,.\ "- BUILDING PERMIT ~j10 4'fJQ.. Panhandle Cul.de.sac X $/SQ. FT. .!5/dD 14.10 ~ IQ Q~~ uo,lo ITEM Main Garage Carport /f) COIQ<1 to ~ j, <1 .C\\ 5~?l,\(o SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) !p.,,1... 'r2. '!J Total Val ue Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE FIxtures N 0:9. 'i [l ~ 9{JDP) Residential Bath(s) Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit ( ~OP-! - cO / (0, \ 3?10 .CO State Surcharge Totai Charge (C) MECHANICAL PERMIT Furnace q,co I/J ,CO Exhaust Hood 6l N' -+ Vent Fan Wood Stovellnsert/Flreplace Unit Dryer Vent ~ (0, DO Mechanical Permit A I) .00 10.00 L,~'5 3A, &') Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk Z~ ft Curbcut _, ft &I.~ 1 3 ,ILl Demolition d<<J ~ 4D ,cO tal :iscellaneous Permits 1\ - (E) TOTAL AMOUNT DUE (eXCIUd~9 electrical) 41ri:::),S,as (A, B, C, 0, and E Combined) <....I.E PROPOSED WORK IN T~E ...... HISTORICAL DISTRICT, OR ON THE HISlORICAL 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 t'he Ordinance adopted by the City of'Sprlngfleld, 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: Date Paid: 1fi ' Receipt Numbe,! :oJ iL/ rLvn ffiroK- / l1{ Plans Reviewed By I J{)3,qr Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \ cl+\~ _ \l ~lOV _ \ ~~f\Q).L U~ ~ \0.\00 D..l" D\:\lt1O-. ~OO Q'"'nOL l Vrtit\ I 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 on the site at all times durIng constructIon. Signature a. /.>_ 1 o,L Dat~~~ t..( -q\f. VALIDATION: ~ce&J RECEIPT NUM,BED 0-:- "." ~\ DATE PAID C ).4.,<1.4, AMOUNT REC~ED ,',,-~R ,as RECEIVED BY \. :J\ t~ ~ .~.".. . .OB NO. '.L'-I-02-Z--l:.. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: JAMES -B. LARuE lOCATION:01( I, h13 M. Cuv€uEAc- U/Jr DEVELOPMENT TYPE: LDIL - New [JUPI-f.X /) 8""'00 110'?/./7.-?i - ""'~_IJ' BUILDING SIZE: LOT SiZf .SQ. Ft. 1. ~TORM DRAINAGE IMPERVIOUS SQ. FT. 1- '?'1 '2- X $0.203 PER SQ. FT. C''-/~S?~ ......... ..--/ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) y2.. , X $42.08 PER PFU ~<ffo ~) '- ....-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP '2-. X (.0/ X $424.31 X X $424.31 0S0~ ~ $ X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S '3>2- x $15.125 PER PFU + $10 MWMC ADM FEE $ ,-/'(<1 ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ S5 t.~ TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 71-ZG7~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ic:J ~6i~ Z/Z3/Q<!- SDC Coordinator /' :~?\ (~ 15~~ 8'1 TOTAL SDC $ '32-13'2- FIXTURE UNIT ,CALCU LA TA-.1 TABLE: Number of New Fixtures X ~quivalent = Fixture Units !NOTE: For remodels, calculate only the NET ~Z~nal fixtures) ,., ~, . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS <../- 4- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 -+ Bathtub..,.........,. ..................."...,...."...............,.......,. Drinking Fountain........".................,...,....,................ Roor Drain....,..........,...........,.....,......,....................,.. Interceptors For Grease/Oil/Sollds/Etc......."...".., Interceptors For Sand/Auto Wash/Etc........."....,.. laundry Tub /Clotheswasher,.......,....."...,......",...," Clotheswa~er - 3 Or More......."....."...",..".,...."... MobITe Hdme Park Trap (1 Per Trailer)........."....... Receptor Filr RefrigeratorjWater Station/Etc......" Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single .StaIL.... ,.....,..., ,. ....... ..., ,.. ...,.. ..., ,.... Shower, Gang.................,................,............,......,..., Sink, Bar, COmmercia1.."...,.............,..."....,........,..., Urinal, StalljWall..................,....,...,....:.,...".......,....... Wash Basin/lavatory, Single.........."...."......,......... Water Closet, Public Installation.....,............".....,... Water Closet, Private....,..............,......................,..., Miscellaneous: L. '2.. I.} '7.. ,4- ...,. It-, TOTAL FIXTURE UNITS 32- CREDIT CALCULATION TABLE: calculate credns separates, I I Based on assessed value, If improvements occurred after annexation date in table, . I ,I Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3,13 3.08 2.96 2,82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 S 2.24 1.93 1.57 1.18 0,79 0,44 0.28 -- --. --" - Credn for Parcel or land Only If Applicable '3, '2-1 X $ { 7 , ? 5 (Rate X Assessed Value) Improvement (If after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL 55 foq = .- "Cf = $_5":> - RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL....,.............;,........,..".........,., ,........ 0.4 CommerciaL.................,..,..,....,..........,...",...,. 0.9 I nd ustriaL ,........, ....,......,..".,..,......... ...,....... ...... 0.45 GovernmentaL.........."...."..,..,.........;,..........,... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT --- . . f\' ~fllJ..I!i!'.i!m!!t\!!~ Job No. Y4(1914' . NAME~ ~ ffi Q~ IlflC) \ , SYSTEMS DEVELOPMENT CHARGE WORKSHEET P UQ..... U) Cp PHONE: Jr3-~l.oq~ STATE: OCZIP gI4{)1 ADDRESS: PlattName:h?()~r\o '11___ . ..:- 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back'> A. Sinl!le Familv - Detached Single Family home NO OF UNITS B. Sinl!le Familv - Attached NO OF UNITS A C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS Manufactured home not in a park X $400 PER UNIT = $ X $370 PER UNIT = $ !L4() ,e[) X $277 PER UNIT = $ X $280 PER UNIT = $ '\ 1 N) . )\ ~ I CommunityServlces Divis~n City of Springfield $ f)4(). CO f?1 $ $1.4D,OU ~,O:J~'~_}_1i - Dale WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)