The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-3-4 LOCATION OF PROPq~ A,ORK:'7()('i JP-N. ASSESSORS MAP: -IJ.l )M~ 3\ <ld-. .. .--- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: -e SPRINGFIELD L Lc)J-<t r.2. If?../>" F BLOCK' OWNER' .jA",,^-e...-S: ~. I Ae.'-\.~ /(7.5 O~ 0;J(C~ I! 0 ADDRF"'" C,)t:. -- ~ I CITY' )J<<'-0 DESCRIBE WORK' NEW )(', REMODEL ADDITION STATF' (\.12.. [),J Pi.. ~ y:: DEMOLISH OTHER '5 P '3 Yo !'B NUMBER~~ 225 Fifth Street Springfield. Oregon 97477 LrP "\ TAX LOT: -11::JCf'J {, A "".-..1 ,,>,,4- j)/-(:"J>r~' t... SUBDIVISION: PHONF. S'-t]-S'6ct':J.. ZIP: C,7<./O CONTRACTOR'S NAME ADDRESS j,~. ':' ~ f.1. L~" ~ (., ~ If.,l!,. (L,(J.. 11'..o....v hiY'--v3. :......... - \ C, tf~L-&- r-f rtAl 1-I:4<.J c. ~ d-('7 ~ ...... ~ oS.. A- CON ST. CONTRACTOR' S'S3yl../ ad~ ~Lr --) EXPIRES PHONE /6~~.Zl. i'?;!1J;~'" ,~,S.4t.-. "'b1t:llIC5 GENERAl' PLUMBING: MECHANICA' . ELECTRICA' ' QUAD AREA: \ Q\\J\0 . OF BLDGS: I OCCY GROUP: ~~~ ~_ . OF STORIES: of) WATER HEATER: ~~ - OFFICE US~- LAND USE: \ \!If ) . OF UNITS: ~ & ., CONSTR. TYPE: V /V HEAT SOURCE: [) ')i:I- F~ RANGF' FLOOD PLAIN' " J" ZONING CODElli..J::--.; . OF BDRMS: ...l..o SECONDARY HEAT: SQUARE FOOTAGE:cQ..L~) 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 excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. "f:;tl.Footing - After trenches are I excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. r;zCUnderfloor Plumbing/Mechanical r - Prior to Insulation or decking. ~ Post and Beam - Prior to floor ( Insulation or decking. 'f:Z"f Floor Insulation - Prior to F decking. IVrSanitary Sewer - Prior to filling (trench. I\2TStorm Sewer - Prior to filling I trench. . ~Water Line - Prior to filling ,. trench. . '5z1' Rough Plumbing - Prior to rcever. REQUIRED INSPECTIONS .....171 Rough Mechanical - Prior to ~ cover. "=71' Rough Electrical - Prior to ~cover. t::::7f Electrical Service - Must be ~pproved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. @..Framfng - Prior to cover. ---c7l Wail/Ceiling Insulation - Prior to ..L.L::::f-tover. ~ryWall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. ....r/I. Curbcut & Approach - After ~orms are erected but prior to placement of concrete. r-I Sidewalk & Driveway - After t:;LJ excavation Is complete, forms and sub.base material In place. D Fence - When completed. _rt'r7i Street Trees - When all required ~es are planted. ~Inal Plumbing - When all plumbing work Is complete. ~ el"al Electrical - When all J,Z::r"';ie'ctrlcal work Is complete. ~Inal Mechanical - When all ~ mechanical work Is complete. ftlnal 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 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 Inspectlons are approved and porches, skirting, decks, and venting have been Installed. c , lot Jyp. .IS THE PROPOSED WORK IN THE '~ Lot faces Setbacks X:: Interior I PL. ACC I '-.... HISTORICAL DISTRICT, OR ON Lot sq. fig, HSE GAR IN I THE HISlORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the His torleal Topography _ Panhandle Iw. I Coordinator prior to permit issuance. Total height c:2J..:: Cul.de.sac IE I '48' APPROVED: BUILDING PERMIT .& SOt;' \ ~.I)~ -+- . :::l;~) = if/J~q / j:!L!() ( 0~~ ITEM Main Garage Carport I ' ' Total Val ue I @0,4\( 495-/}S (-94~11 0.25. llo Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHA~GE (SD~~ i? (B) 3'2-n. - PLUMBING PERMIT ITEM FEE Fixtures N'c9X:c1 ~d( J!U Residential Bath(s) Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit \'1!JU.W State Surcharge /{O,CO ,,~djo CO Total Charge (C) MECHANICAL PERMIT Furnace q,ucJ Exhaust Hood c9.. Vent Fan, N' 4- //J . CO Wood Stovellnsert/Flreplace Unit Dryer Vent d. ( 0 t;XJ Mechanical Permit ",'Y). CO \ ';' ((JCU Issuance ) ;-. ~::s State Surcharge Total Permit (D) 3~,35 MISCELLANEOUS PERMITS Mobile Home State Issuance state. ~urc~rge Sidewalk It Curbcut ~ ft Demolition \G\ IJ ~ 3.lcr) :\T)l()f\a~ 4t) S-D Tota: Miscellaneous per~~ (E) TOTAL AMOUNT DUE (excluding electrical) 4f)~ ~ D (A, B, C, D, and E Combined) 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 o( said ordInances. ReceIpt Num cJ./l~ q4 \- - Date Systems Development Charge Is.due on all undeveloped properties within the City limits which are being improved. , ADDITIONAL COMMENTS I ~ II 0 v: '[Into ,; \C\ lQ~ ~J1r~~~o " - ~W fl_j"-- WlluJJ fjC) ll1tJ11 <-,- , \~1OQ \ Llllu bkti(\ l [)bs <$ i +-- ~? , ~qr1 i(~OD C(lriJ~ M1 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. Slgnaturp {J-- ~ - ?;/ Datp ~;, ~ '-( ~ "'t L( VALIDATION: ~~ RECEIPT f'lUMBF" n ~ . - '" DATE PAID I "-"" ~' \' ,_ AMOUNT REC~VE <h{) 1 ,'75 RECEIVED BY \ L'J , / .~ . J.O. 9t.fo 2-1-7- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: YANlES -B. LA1(UE.. I LOCATION:/OI ti 7()3 ^I, CLfVf:~ UOP J..., 077'2- '2-? j - (, '1-00 DEVELOPMENT TYPE: LD iZ- - N E.iN DUPLE.:!.. BUILDING SIZE: LOT St7F SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT. .. 1- ?q 2- X $0.203 PER SQ. FT. ~e,5?~ -...... -------- 2, SANITARY SEWER-CITY NO, OF PFU'S 31- X $42,08 PER PFU ~Lflo ~ (See Reverse) '-- ~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $424.31 X $424.31 ~BS0~ ) '-- ..-/ $ $ 2- X I.bl X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S 32- x $15.125 PER PFU + $10 MWMC ADM FEE $ 41<-/ ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 55 "3..- TOTAL-MWMC SDC ~ '-- ../ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ''? I 'L& :>.~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 _ V' _~cL'J:... '2.-/z3/Qt..j 'u Kip Burdick " SDC Coordinator (/6(P~ TOTAL SDC $ 3 '2-8'2 8'1 FIXTURE UNIT ,CALCU '-ION TABLE: Number of New Fixtu.unit Equivalent = Fixture Units (t<."OTEc, For remodels, calculate only the 1J!I!'additional fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS <..J- 2 1 2 3 6 2 6 6 1 3 2 I/Hcad 2 2 1 6 4 .f Bathtub.. ,.... ......... .....,..,..,....,.,....,...,',.,.,.,......,.... .,..,.. Drinking Fountain,.....,...."........"..".".......,...........,... Floor Drain.,..... ..............,.........,.,.,.............. .,..."....... Interceptors For Grease/Oil/Sollds/Etc......,....".." Interceptors For Sand/AUlo Wash/Etc..........,...,... laundry Tub /Clotheswasher,......., .......... ...., ,..."" ." "aotheswa~her - 3 Or More.........",....,....."".........., Mobfle Hdme Park Trap (1 Per Trailer),................. Receptor FiJr Refrigerator fWater Station/Etc....,.., Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single'Stall.....,.....,.......,....,............,.....,..... Shower, Gang......,......,....,.....,......,.......,...,........"..... Sink, Bar, COmmercial...,.......,..............".............,... Urinal, StallfWall.........,....,.,..,......"...,......",...,..,...,... Wash Basin/lavatory, Single....,.,........,........,.....,... Water Closet, Public Installation...,...."......,....."..... Water Closet, Private.............................,.....,....,...." Miscellaneous: '7.- 7.- t4- --z. 4- 4- Lf (fa TOTAL FIXTURE UNITS ?fl.. CREDIT CALCULATION TABLE: iCUlate cr~rrs ;~:s:. Based on assessed value, If improvements occurred after annexation date in table, Rate per $1,00011 Assessed Value 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 2.24 1.93 1.57 1.18 0,79 0.44 0.28 Cr~~ for Parcel or land Only If Applicable 3. -]...1 X $ {..." 07 S 5:; (.,'1 (Rate X Assessed Value) Improvement Cd after annexation date) X $ = (Rale X Assessed Value) = $ 5r "..:L CREDIT TOTAL ? RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential...........,..,..,..,..............,..,...,..,.,....,.., 0,4 Commercial................,......,............,..."..........., 0,9 I ndustrial.........., ,.........,.. ,...................., ,... ......... 0.45 Govemmental...."........................,................,... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT - . f\. ' .. ~t"~ Willamalane '(,g Park & Recreation District . Job No. ~A/A NAME:" \n ffi Q ,CL ADDRESS: ---1LfJ ~ l SYSTEMS DEVELOPMENT CHARGE WORKSHEET a JJ.dL-; PHONE: ~3-t1cA ~ , i'~) f.J STATE: (QeZIP f/!J1DJ LOCATION OF PROPOSED BUILDING SIT~ ('II j f J Street Address if Known: 7 n I "+ ' I()~ J\ . l '/(1 ] P , Q DJL aw .~_ 1),,1 ' PlattName:61\71nnri~ 7L TaxLotNumber:.1.f}()?J[)~()n 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definitions are on the back.l A. Sinl1le Familv - Detached Single Family home NO OF UNITS B. Sinl1le Familv - Attached c9 NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D, Manufadured Home Park NO OF UNITS WPRD SDC _ Manufadured home not in a park X $400 PER UNIT = $ X $370 PER UNIT = $ 74f) .cD X $277 PER UNIT = $ X $280 PER UNIT = $ $ I)<J{} d) $C2f $ 14(}CO 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) ~()\ Community Services Divisi City of Springfield '. -1;, Il 4_",.' <11- Date "