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Home My WebLink AboutPermit Building 1994-11-26 ~ , RESIDENTIAL . PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: . SPRINGFIELD :s~ As 5P '3.40 JOB NUMBER OJYD4~Sf 225 Fifth Street Springfield, Oregon 97477 (' lIv..l.if' I p A-f ~ TAX LOT: r \~(Y ) SUBDIVISION: /'ht:l""a,d'<lJ "P/.-}<UlI:11 BLOCK: OWNER' ADDRESS: CITY: r """,9 /l, ~ -J.,tA- ~ tAlL lliC, UG-'hv:l"AZ ~ U~\P~~ ~d. STAT'" nP-.. DESCRIBE JlORK' NEW J REMODEL hJ .u.-r p. '7' ADDITION DEMOliSH PHONF' ~ 4'3 - S,l..,q ') ZIP: CflUO I o.~HER GONST. CONTRACTOR' EXPIRES PHONE q,"Di ~~9-94 1/1J1~ ~0~fBJ B~ I()S. . .cr?JqJ/~ ~ 3-S-LfS {~ CONTRACTOR'S NAME GENERAL: ~"",,"QLV f..~. Q", ".,,, PLUMBING: \ 0\} \~~~f\ MECHANICAl' em ~ Q l\ 'i\r\ y\ ...J .... ELECTRICAi.J::~..t1l Qct ~U:ill~.Jr ) QUAD AREA: \ R f\ )lU . OF BLDGS: \ OCCY GROUP: ~?rt tJ\ '\ . OF STORIES: cJ..... t- WATER HEATER: ADDRESS ~ .J.v~o.J( ~d l;A Ac1 ';'" OFFICE USE - \tQlJ . OF UNITS: !). I CONSTR. TYPE: - V I\J (01+ LAND USE: HEAT SOURCE: S RANGE: FLOOD PLAIN' ZONING GODE: Mf\~ . OF BDRMS: -Lr- , SECONDARY HEAT: .b _ SQUARE FOOTAGE:~ To request an Inspection. you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. wlli be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric o Site Inspection - To be made after excavation, but prior to settfng forms. o Underslab Plumbing/Electrical/ Mechanical - PrIor to cover. ~FOOting - After trenches are l2Sl ~xcavated. D Masonry - Steel location, bond beams, grouting. I 'x1 t"oundation - After forms are ~rected but prior to concrete placement. o Underground Plumbing - Prior to flillng trench. rc::f' Underlloor Plumbing/Mechanical ~ -' Prior to Insulation or decking. rvr Post and Beam - Prior to floor ~ Insulatlon or decking. fVt Floor Insulation - Prior to ~ decking. . IVf Sanitary Sewer - Prior to filling (\ trench. rYT Storm Sewer - Prior to filling ~ trench. . rxi Water Line - Prior to flillng F trench. . r,L, Rough Plumbing - Prior to: N cover. . REQUIRED INSPECTIONS , m Rough Mechanical - Prior to ~cove~ . ~ Rough Electrical - Prior to ~ cover. ~ Electrical Service - Must be AJ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. --04 Wail/Ceiling Insulation - Prior to ~ cover. -fjJ. Drywall - Prior to taping. o Wood Stove - After l~stallatlon. o Insert - After fireplace approval , and installation of unit. ~.. Curbcut & Approach - After .. forms are erected but prior to placement of concrete. :f:1 Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place. D Fence - Whe.n completed. ~ f7\l Street Trees - When 'all required ~ trees are planted. 'fill Final Plumbing - When all r plumbing work Is complet.e. d Final Electrical - When all .~ electrical. work is complete. 'IZl Final Mechanical - When all r mechanical work Is complete. ~ 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 Plumbing Connections - When home has been connected to water and sewer. . o Electrical Connection - When blocking, set.up, and plumbing Inspectlons have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and , porches, skirting, decks, a'nd venting have been. Installed. . Lot faces Lot Type . Setbacks (IS. PROPOS~D WORK IN THE Lot sq. fig. X Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT. OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Panhandle Is I and approved by the Historical Topography Iw I Coordinator prior to permit Issuance. Total heigh~{_~ 1 Cul.de.sac IE I APPROVED: BUILDING PERMIT c9\~(T. X $/SQ',FT. .~ J1lJ;f1/ 41\&- ~ I()\\a.~ ITEM Main Garage Carport J/JJJ.,Of\\!) ~J-~ ,4\: q I 5A2\. \ \ I) SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) 1/31.-,&']...7:1 . Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Flxtu res Residential Bath(s) N'dX~ .3,!) n (j.J , Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit State Su rcharge 0Q () CD -11neJ ..:33 Co. Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood q,co I to .00 Vent Fan N' 4 Wood Stovellnsert/Flreplace Unit I f).DO Dryer Vent Mechanical Permit d1.00 /0.00 j. .3. S. 3R~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk LOS fI Curbcut .s3lo. It \C\ f \0 \5~) Demolition ~g(1 . on 4\)~ Total MlscellaneO~lts (E) TOTAL AMOUNT DUE~exclUdlng electrical) ~c:::;SS~ (A, B, C. 0, 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 Gity 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' Date Paid: ~A/ ~" PD. C-r~ Receipt Number' Recelved.By: ~ Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \ d<-\-T: ~~( ') ~nO( L~ \C\.~nB t\~U\ 'f)~ClY-<~IiQlLmD \ \)\<\''0 \ 11 I f , 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 Ordlnanc~s of the City of Springfield, and the Laws 0/ 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 wlil be used on this project. i i i , I \. '" I , I ! , I 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 ~ _ R... '2./ ~ Date V~c.( -., <../ VAliDATION: RECEIPT NUMBER /2 r-g? DATE PAir #-~.~C/ ~~.F6 ~'.--:;-.s; ~ ~ - - , AMOUNT RECEIVED RECEIVED BY . .- o ~iUl!!!!!!~.!!~ JObNO.~~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~QD ~\c(Q t ~ Q_ . PHONE: ,-0f\~-D\cf=\0 ADDRESS: \\ '\ ~\. \\ '\1\~'~ r 1 rl~(\Q~ STATE: tC).(? ZIP: Q140 I LOCATION OF li'ROPOSED B,l).lLDING SITE: '\ f\ I (\ ~. ,,~.-\ ^ l7">. Street Address if Known: .' \,'.\ S ~ fi.- 'I ,J\ - \..5..I'l W.1. \.Jl..,UJ ~ Platt Name: C-\ll\r\.f\Mf1 1[, Tax Lot Number: J0()~<9A 3\ U3 (YJ -/ 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 Manufactured hDme nDt in a park X $400 PER UNIT F $ B. Sinl!le Familv - Attached NO OF UNITS d X $370 PER UNIT = $. ')400 ..... C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufadured HDme Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ ')4{) ,00 $RI $ ')40 ,W 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) \ililry'~~~~ City of Springfield L\ /Q.~l~= Date of: . .JOB NOo 'l~o'f'6'L .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) I NAME OR COMPANY: :rAM ES 'B. LA -RuE- LOCATION:.72e:, .f 72-7 AI. ('uVE:UEA-t=- UCli' DEVELOPMENT TYPE: LD fi?- - N E:.v-J [JUPi-EX 17i"~'1.-'1.-?i -i/1-00 BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ?-'?"1?- X $0.203 PER SQ. FT. r;-- ~ 65 '5.i:; '-- .-/ 2. SANITARY SEWER-CITY NO. OF PFU'S 32 X $42.08 PER PFU 0?'-f0~ (See Reverse) ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4. SANITARY SEWER-MWMC NO. OF PFU'S '3>2. x $15.125 PER PFU + $10 MWMC ADM FEE $ 4C('-I.~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ S5 ".2- TOTAL-MWMC SDC ~ '-- .-/ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '71'Z.(,,~~ X $424.31 (' B5(;,i}..) .......... ~ $ $ 2. X I.'" X $424.31 X X $424.31 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 I::::!-. '7S..-. L'~ '-f /2-0 h'f : -(5 Kip Burdick SDC Coordinator (("' !'5(.,o"'J:) ......... ----- . f/"l TOTAL SDC i 3:2-82 - FIXTURE'UNIT,CALCULA.N TABLE: Number of New Fixtures.t Equivalent = Fixture Units (NOT~: For remodels. calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS " <..J. 2 1 2 3 6 2 6 6 t 3 2 t /Head 2 2 1 6 4 .f 1.. Bathtub................................................. .................... Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher................................... Clotheswa~her - 3 Or More..................................... Mobne Hdme Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator fWater Station/Elc........ Receplor For Commercial Sink/Dishwasher/Etc.. Shower, Single.Stall................................................. Shower, Gang. ....... ..... ................................... ........... Sink, Bar, CommerciaL........................................... Urinal, StallfWaIL..................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet. Private............................................... Miscellaneous: '7- <4- <.f 4- '-/- lto '7.. TOTAL FIXTURE UNITS '3J'7- CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credtts separates. 1 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 Credit for Parcel or Land Only If Applicable :;.'J- i X $ f '7 , 3 S 5:; (jj (Rate X Assessed Value) Improvement Cd after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 550.:!- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL............................. :..::........ .:......... 0.4 CommerciaL.................................................... 0.9 I ndustrial............................... ........... ......... ........ D.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT