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Home My WebLink AboutPermit Building 1993-11-19 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 , SPIlINGFIELD " LOCATION OF PROPOSE?j WORK: h '8' 0 ~ ~ 'g L ASSESSORS MAP: _ , ~ f1..~ a ~t--_--.: if LOT: OWNER' ,'\.llo,./h,e., LALu C; ADDRESS: /17 c> 0"" ~tt( ~ ~ .-;;:> CITY: b "'; q "-" ()J Olf' ,)(:' DESCR1E3E WORK' NEW -'f.-. REMODEL ADDITION QUAD AREA: \lK\\ ~\ ~ . OF BLDGS: \ OCCY GROUP: ~"?:--\.N\ . OF STORIES: N. WATER HEATER: f' ) . JOB NUMBER 9::',/;>06 225 Filth Street Springfield, Oregon 97477 ~(o,,-e."L Ie" F L-t TAX LOT: m CDf'() SUBDIVISION:./.k A.,JA()A P/IAs({.z:t;: BLOCK' ;(0 'STATE: _.....")((. DEMOLISH OTHER PHONE: 7'13 - 5Ci.? _ CONTRACTOR'S NAME ADDRESS GENERAL: _~""'""'-S_ LA.e'-'l.Il...__L!lLlJ.e.4AL~f< PLUMBING: beot." q -H1J..U~Ji!tb-.) MECHANICAL' C-e-o'~' 114( L","';"'A.J ELECTRICAL: ~-,,--(,_ A- Ih:"'~WI-e,< CONST. CONTRACTOR' Rv?Rt~s 8-9.1-'2.~ - OFFICE ~ - LAND USE: \\~( ) . OF UNITS: '~ -, CONSTR. TYPE: ~~) HEAT S~URCE: 110\" 9 RANGE: ZIP: C{7'-f 0 EXPIRES PHONE '3 '-Q;ft., ',1....: :S~']'f.::::{ 1-/ (. i'l m.csC\4 ~ ,'::). ~~ '--' FLOOD PLAIN' ZONING CODE: U~ 0-. . OF BDRMS: I 'f), SECONDARY HEAT: SQUARE FOOTAGE: -eQJ A?'> '..' request ,nn Inspection, you must call .'26-3769. This Is a 24 hour recording. All inspections requested before 7:00 a.m. will be ~'.~nt,adc the Silrne working day, Inspections requested after 7:00 a.m. will bo mmlc the rollowlng work day. ~ , . ' I ..... .!. '" rn Temporary Elcclrlc o Site Inspecllon - To be made after r!xcavation, but prior to selling (orms, o Undcl'slab PlumblnglElectrical1 Mechanical - Prior to cover. ~oollllg - After trenches are L:::::....J\.cxcavated. o Masonry - Steel location, bond beams, groutIng. rJ...Foundation - After forms are '~ereclcd but prior 10 concrete placement. o Underground Plumbing - Prior to filling trench. " ~ Undertloor PlumblnglMechanlcal J.6.1. _ Prior to Insulation or decking. ' B Post nnd Beam - Prior to floor lnsulC1lion or decking. , ~oor Insulation - Prior to ....-t:-J d~Cking~ -d-, Sanit,ary Sewer - Prior 10 filling .J..Z=ft?en c 11. ~ C:torm Sewer - Prior to filling ~ench. . ~ Waler Line - Prior to filling ~ench. ~ Rough Plumbing - Prior to ~ver. REQUIRED INSPECTIONS ~ nough Mechanical - Prior to ~ cover. runough Electrical - Prior to ~ cover. M Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facIng malerlals and framing Insp. o Framing - Prior to cover. "'tV'1 WalllCeiling Insulation - Prior to ~ cover. t~::hrywnll :..... Prior to taping. o Wood Slove - After InSIClllalion. o Insert - After fireplace approval and installallon of unit. ~'\Curbcut & Approach - Alter ~forms are erected but prior to placement of concrele. KI Sidewalk & Driveway - Afler r excavation Is complele, forms and sub.base material in place. o Fence - When com pie led. ,.d, Streel Trees _ When all required ~ Irees are planted. .-h nlnal Plumbing _ When all ~IUrnblng work Is complete. M Final Electrical - When all ~ electrical work Is complete. r?1 Final Mechanical - When all ~ mechanical work Is complete. IWl Final Ouilding - When all 9 required Inspections have been approved and building Is compleled. o Other MOBILE HOME INSPECTIONS o Blocking and Sei,Up - When all blocking is complete. , -. o Plumbing Conneclions - When home has been connected to waler and sewer. o Electrical Connection - When blocking, set,up, and plumbing inspecllons have been approvod 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 (aces Lot sQ. ltg, Lot coverage Topography ~ Total height ~ BUILDING PERMIT ITEM SO. FT. CWIO <\~ Main Garage Carport Total Value B.ul/ding Permit Fcc State Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge . Seto lcks '.- .. .----- Lot Type ..x. Interior ,---. PROPOSED WOnK IN THE HISTORICAL DISTFHCT, OR ON THE HISTORICAL 11EGISTEI1? ___ II yes, this applicallon must be :iigned and approved by the Historic~! Coordinator prior to permit issuance. J:h.. HSE GA'3- ACQ_ N ----- Corner Panhandle 2-______ w Cul.de.sac InE________] I 'APPROVED: X $/SO. FT. VALUE 0\ 0 d,n ~Id.~\ \ 'L\.\O LQ\O~~ (A) FEE ~ N~-\& ~cu \a&~~~ ~1:>~bS ,,-a~,g\ _~~"\\o SYSTEMS DEVELOPMENT CHARGE (SDC) ~ t ~Z.B ~ 'l]:. (B).., m,_"___"'_ FT. FT, FT. Furnace MECHANICAL PERMIT (C) c ~~D,a:5 \ \0 (X) 33100J Exhaust Hood Vent Fan N' ~<& -C\ .DD f'\ OU \d. Dryer Vent Wood Stovc/lnsertlFlreplace Unit &- ------00 --~-- . Mechanical Permit Issuance Stale Surcharge Total Permit (D) _1\7\ 0-0 ~._.~__L:.~_~ IQS~ i - :-,c, ~6 ___.~ MISCELLANEOUS PERMITS Mobile Home 'e State Issuance / State Surchar~ . SidewalK '\ U ft Curbcut .r:J,.\(J It Demolition JC5.m ~5~O_ 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 adopled by the City of Springfield, including the Development Code. regulating the construction and use 01 buildinus, and may be suspended or revoked at any time upon violation ~ ~jOVi~nS of said ordinances. Plan Checl< Fee9,\ ---\\ '{\.~ Dato Paid: " R~ceilJt Nlll1lber:.*_.__ eccivcd By: " _ m ...ffiW () ) Lh P ns '{cviewcd Oy ~ .\U~q(6 Dale Systems Development Ctlarge is duo.on all undeveloped properties wilhin Ille City limits which aro being improved. ADDITIONAL COMMENTS ~ ' _\ .+-T,. \'\~6~O ~6o '\ '\'6\d , t_ l~ . "- ~~~0&- ~fuum,0 ~~t,"",," ..,,,,,"~E!r*. the completed application and do hereby certify that all 0 information hereon Is true and correct, an(J I further cortlfy C' that any and all work performed shall be done in nccordancc . with the Ordinances of the ClIy of Sprlnglleld, and the Laws ~ of the State of Oregon pertaining to the work described t herein, and that NO OCCUPANCY will be made of any 7 structure witl~out permission of the Building Safety DiViSjOn.~? I further certify that only contractors and employees who ~ arc In compliance Witll ORS 701.055 wIll be used on thiSj) , I ) prOIOc. - I further agruc to ensure that all required inspections are requested at tlle proper time, that each address is readable from the street, that the permit card Is located at the front of ~he property, and the approved set of plans will remain on the site at all times during construction. 2.1. Signature P c..----- f( -/,f-"'/ ~ x Date ~~~UrChargA \ }\\\..\\ ~r: j To. I Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclric"l) ~5l~ (A, B. C, O. and E Combined) ~:~::T;::~nR i~ \~~'1 DATE PAID --I-Us..: " "-_ AMOUNT nEfEI)/E~ T' ~. ~--- RECEIVED 8V'l_J.~ ____, ~\ ),CO , I#oB NO. <=t? I 7 j) ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: JAI\I\ E.S LA RuE:. LOCATION: "80 J, "g-z.- N. CLo-lEE LEAl=- LP DEVELOPMENT TYPE: \.. P\Z.. - f-i E:W DuPLE:..\( \16'?"2-2.'?i -9(000 BUILDING SIZE: LOT S [7F SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT, 'Z'?"1'2- X $0,203 PER SQ, FT. ~€>??~ '- .--/ 2. SANITARY SEWER-CITY NO. OF PFU'S -:l;,2.. X $42.08 PER PFU ~ (See Reverse) 3. TRANSPORT A T ION NO OF UNITS X TRIP RATE X COST PER TRIP x X $424.31 ~ $ -z. X \.0" X $424.31 X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S ?"2. x $15.125 PER PFU + $10 MWMC ADM FEE $ 4"14-~~ (Use PFU Total From Item 2 Above) SUBTOTAL (ADD _.- 109 $ "??- TOTAL-MWMC SDC ~ ITEMS 1,2,3 & 4) $ '-::, 1-z.1 ~ MWMC CREDIT IF APPLICA8LE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~Lc.-L 11/11/4'?:J (j Ki p Burdick f I SDC Coordinator ~ "I"? TOTAL SDC $ ''1;?1.- ~'7;, - FIXTURE UNIT.CALCULA.... TABLE: Number of New Fixtures #qUiValent = Fixture Units (NOTE: For remodels, calculate only the NET :JIInal ftxtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS '1.. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 Bathtub... ,... ......,................................... ..,.................. Drinking Fountain........................,....... .......... .... .,..... Floor Drain...... ."........,....,...........,......,......... .......,...'. Interceptors For Grease/Oil/Sollds/Etc.......,...,..... Interceptors For Sand/Auto Wash/Etc,....,..."..,..., Laundry Tub /Ootheswasher.".... ..... .,.......".......,.... Ootheswa~her - 3 Or More,..,.............."................, MobUe Hdme 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 Ooset. Public Installation."..,...,.........,...,..... Water Ooset, Private.,....,........................................ Miscellaneous: 7_ ~ y. 4- TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, I Year Annexed Rate per $1.000 Assessed Value Year Annexed 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'50,,4 Credit for Parcel or Land Only If Applicable '~.--z..\ X $ n,~S (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ '?'5"-'1 = = Improvement Cd after annexation date) 4 4 '-I- 4- \G:, '?7- Rate per $1.000 Assessed Value $ 2,24 1.93 1.57 1.18 0.79 0.44 0.28 RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.......................,...............,......"...... 0.4 Commercial,.......,.....".....,....,................,',.,.."., 0.9 Industria!...,..........,..,..,....... ,......",....,................ 0.45 Governmenta!..................,..,..................,...,...... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT , o Y!ill"I.!!!!!!~!!~ , Job No. q~\\IILlo SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~~ ~Q...~u.JL- PHONE: 3;~-~\oC\.Q J ADDRESS: \\'\~ '- ~&\~\.t'LI G"'C~X\\L STATE:OCZIP CV)\f1\ ~ LOCATION OF PROPOSED BUILDING SITE: Street Address if Known: \.of\~ \ n~ ;_~. ~~roQ~ ~_~ Platt Name:G~\\f\ r\n. )1' _ Tax Lot Number: \ f\()?)~\ rA\cf'() 1. .DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definitions are on the back'> A, Sim!le Familv - Detached Single Family home NO OF UNITS B, SinQle Familv - Attached NO OF UNITS ~ 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 = $ '14f)~ X $277 PER UNIT = $ X $280 PER UNIT = $ WPRD SDC $!HO.CO 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) $ 0 ' $~ \\S\f\ ) ~\~ Community Services Div~l\ ' City of Springfield \ '\ \ / \ C\ / C\0; Date