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Home My WebLink AboutPermit Building 1993-11-19 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 SpnlNGFIELD ....1. ~tlW JJ, ~ , " , I JOB NUMBER '::7 3'/)..:s:;> 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED ~I" t.. l(~ & t... q 7 ASSESSORS MAP' " . \ 0' ?-}d~~~ -r;O C LoJf- "2. I <<:......f' LP '- \ \rrr ) r: rt.LJvJ .!lOA LOT: OWNER: ~" If? s '" (\., t A{? LA r; O<r~/hc-'-< e r,) ADDRESS: CITY' TlJr1"_~1>_ ^' , f I-e> .~ DESCRIBE WORK' NEW l REMODEL ADDITION BLOCI" STATE: ()f2 TAX LOT: SUBDIVISION: .rC- DEMOLISH OTHER PHONE: '11../3- <:~z. ZIP' 4''7'-+0 I CONTRACTOR'S NAME ~ IV\.e. '" c'Edf."r MECHANICAL: {P.r.L,,_ . ELECTRICAL: _/lA Jr". Lr CON ST. ADDRESS CONTRACTOR' LAR..v.6 1\7 S (),.If,I2;ckj"'vi~'~ c,<:. ;;ar'-! ~~,,,,,"~' 't:.,'vi4~ J-f AI,( ^ HA..j EXPIRES I~/I- 9!1 tn. S. eft\: PHONE <' i.J - f,(H, GENERAL: PLUMBING: ,.... <,f~""e." ~q4~~ QUAD AREA: \ \<.. \\)\ 1) . OF BLDGS: ~ OCCY GROUP: Q ,~~ \J\ ~ l..-- . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ ~ (') . OF UNITS: :r CONSTR. TYPE: ---'Sl^ ) HEAT SOURCE: \ 1') M v RANGE: ,:~" .q* (14.4-Jlb5 FLOOD PLAIN' ZONING CODE: ~~(\u . OF BDRMS: 'Lp SECONDARY HEA~: 0 ,;:). SQUARE FOOTAGE:cIJltrtrJ 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. Il"!spectlons requested after 7:00 a.m. will be made the followIng work day. o Temporary Electric D Slto Inspoction - To be made alter excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - PrIor to filling trench. ~ Underlloor Plumbing/Mechanical ~ _ Prior to Insulation or decking. ." J::.J Post and Beam - Prior to floor ~insulation or decking. ~ Floor Insulation - Prior to ~deCklng. ~ Sanitary Sewer - Prior to filling ~ trench. ~ Storm Scwer'- Prior to filling ~rench. 'Rl Water Line - Prior to filling ~ench.. . 1":11 Rough Plumbing - Prior to ~over. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior 10 .16J cover. ':gi Rough Electrical - 'Prior to cover. ~ Electrical Service - Musl be ~pproved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. S Framing - Prior to cover. 'd1 Wail/Ceiling Insulation - Prior to I,l::I cover. ~DrYWall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. ~ Curbcut & Approach - After ~lorms are erected but prior \0 placement of concrete. .-/, Sidewalk & Driveway - After ~cxcavation is complete, forms and sub-base material in place. o Fence - When completed. r:z:n Street Trees - When all required t:.4-J Irees are planted. ,-'rfl Final Plumbing - When all ~ plumbing work Is complete. _~ Final Electrical - When all ~ electrical work is complete. 'l1l Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all ~quired inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blockIng Is complete. o Plumbing 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 l~~:~erlor- Setbacks P,L. HSE GAR ACC I lot sq. fig. Lot coverage Corner N Panhandle ~- Topograph~ ,fin? Total height Ci..L ~c:;) BUILDING, PERMIT SQ. FT, X $/SQ, FT, = VALUE rO 1'7JJ2 ~Lo,~[) Wc9.iB I 41\<9. \<\.\0 lol~S5 I Cul.de-sac w E ITEM Main Garage Carport \ ~K, C1i\ lo Z\C\1;. ~ -&-\.q, \ (A) 0~~ ,Ilp SYSTEMS DEVELOPMENr CHARGE (SDC) ~ '(B) ~~;~~ ~ Total Value Building Permit Fee State Surcharge. Total Fee PLUMBING PERMIT ITEM FEE Fixtures N'~ ~fYD Residential Bath(s) Sanllary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge \. 'bll)~ /{(!),OO ,3.3 {D.cP Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood 'd Cf.CO Vent Fan N' 4- Ic9,DO Wood Stove/Insert/Fireplace Unit Lo.OO Dryer Vent ~ Mechanical Permit a;A~ Issuance State Surcharge /,3~ Total Permit (D) ..:5A 35 MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ fl Curbcut ~ ft Demolition cQl.t:L J~.40 ~e Surcharge 4-\..) ,ciJ . Tota~S:~t~:u~~:IlS (E) TOTAL AMOUNT DUE (excluding electrical) ~J~<Z) (A, B, C. D, and E Combined) 1& PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL 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 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 provisl01~of said ordinances. Plan Clleck Fee:\J\i .f _~\\il t ~ Date Paid: "\ " Receipt Number: Received By: Plans~ -IL/(l/ls Systems Duvploprnent Charge is due 'on all undeveloped properlies within"the City limits which are being improved. ADDITIONAL COMMENTS \ ~-*\: .\/L,-\~)- .\~Jjrtg'A IL((~ '" J)tJ\ 'DS\,c\9.. S\('\~lln..\.0 \ ~i1'1 \ \ 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 b~ne in accordance with the Ordinances of the City of Springf~, and the Laws of thu Slate of Oregon pertainIng to the work described herein, and that NO OCCUPANCY will be made of any structure wi ttlOu t permission of the Building Safety Division. I further ecrU fy Ihat only contractors and employees who arc in complia.nce with ORS 701.055 will be used on this proiccl. 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 limes during construction. Signalure L -)( -c: / ~ Date ll-/9 -~ S VALIDATION: ((Yk-1 ( RECEIPT NUMBj'ry - VII DATE PAID LL' /Gf . ~ ~ ~ AMOUNT RECEI~~~()I )~ RECEIVED BY {l'Y:.l) , ~ .. 't~ ~in1!m~!l!!!~ .. Job No. Cf3\ fl.D.'d--.. SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~ \,{\\l 1\ ~p ~. 51 -! PHONE: Jt.3. ~qQ-J ADDRESS: ~ V\~ \ \J.L~l.tt '\ Y.D"6 ru STATE:~ ZIP C\rrol LOCATION OF PROPOSED BUILDING SIT.E: Street Address if Known: '\ () R ~ "" \ntl\ ~ f\ J ~ N \0 r1 n [) 0 Platt Name: bm N\ r\ i\J1L- Tax Lot Number: I 'l-(\~ 'd.2\P \ \ca:J 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definitions are on the back.> A. Sim11e Familv - Detached Single Family home _ Manufactured home not in a park NO OF UNITS X $400 PER UNIT = $ B, Sim!le Familv - Attached NO OF UNITS d X $370 PER UNIT = $ '14(,)~ C. Multi.Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $~(\~ $ (l1' t~\tJ9U 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) h~~~!~J o:t\ ,1C1 ,q?, City of Springfield .. ..B NO. ~?17D2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: JA,"'" E-S LA 1<tAE:. LOCATION: <:'B'?P, (",'07 t\J. CLovE-E LeA1=- L.f', DEVELOPMENT TYPE: \.. D \Z- - t--.\ E:W DuPLE-X. \ 10":>'2. 2--::' i -, ~ooo BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAG( IMPERVIOUS SQ. FT, '2~q"2- X $0.203 PER SQ, FT, ~'O? ?~) '-- ..-/' ' 2. SANITARY SEWER-CITY NO, OF PFU'S (See Reverse) 3. TRANSPORTATION ?:::>2.. X $42.08 PER PFU ~4~?~ '- .-/ NO OF UNITS X TRIP RATE X COST PER TRIP '"Z x \.0" X $424,31 ~?, 'O~ '-- ..-/' $ X X $424.31 X 4. SANITARY SEWER-MWMC NO. OF PFU'S ?'2. x $15.125 PER PFU + $10 MWMC ADM FEE $ Y-'14-~~ (Use PFU Total From Item 2 Above) X $424.31 $ SUBTOTAL (ADD -,::0 (o9 $ ~-;>- TOTAL-MWMC SDC 0?5';~ ITEMS 1,2,3 & 4) $ ?\'2., '::>? MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V/~L~ \\/n/47 \J Kip Burdick f f SOC Coordinator ~I?~?V "1'~ TOTAL SDC $ '7;;>1- 'i:Y7;, - FIXTURE UNIT ,CALCU U\ ..ABLE: Numb~r of New Axtures ..ivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fIXtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub."..,....... ........,..........................-.. ......... -.......-. Drinking Fountain"...........,....,., -.....,......,... ,...-.."...". Floor Drain....,........ ...,............... -......... -............ ,......., Interceptors For Grease/Oil/Sollds/Etc..",..."......, Interceptors For Sand/Auto Wash/Etc,.....,.......".. Laundry Tub /aotheswasher,...... ....,..., ,.."...,.......... aotheswa~her - 3 Or More.......".....,.......,............., Mobne Hdme Park Trap (1 Per Traner)....,..",........ Receptor F!>r Refrigerator jWater Station/Etc...,.... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single' Stall.. ,...,........, .....,.. ..........,....,..,..,.., Shower, Gang.....,..."...,..........................,....."........., Sink, Bar, CommerciaL".."....,..,...,...,.....,.......,......, Urinal, StalljWall..."........,..."...,...,......,....,......"...,.... Wash Basin/Lavatory, Single.....,...,..,.....,....",....,.., Water aoset, Public Installation............,................ Water aoset, Private......",............,...,.....,..."...,....,. Miscellaneous: ?. 2 1 2 3 6 2 6 6 t 3 2 l/Head 2 2 1 6 4 1..\ 7_ 4 ~ L\- L\- Y: L\- \G-, TOTAL FIXTURE UNITS "?L.. = Based on assessed value, If improvements occurred after annexation date in table, CREDIT CALCUUmON TABLE: calculate credits separates. If I J Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 l 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 1986 1987 1988 1989 ' 1990 1991 1992 S 2.24 1.93 1.57 1.18 0.79 0,44 0,28 Credit for Parcel or Land Only If Applicable '3 ,'7..1 X $ t I ,~S S "S <O~ (Rate X Assessed Value) Improvement (If after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ '?'? ",9 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