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Home My WebLink AboutPermit System Development Code Charge 1993-11-19 . o 1!!i!I.!!!!!!~!!! C. . ,.. Job No. q~\'\D\ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~~~ ~~ '\l ~ \ Q ADDRESS: W\S ~~'( ) i ~ PHONE: ,"~,\p.,-~\<A~ STATE:tL ZIP CV\4tl~ LOCATION OF PROPOSED BUILDING SITE: I ~ Street Address if KnDwn: fj~ \ 0 --\- f\ ~ l;\ f\ . ~$i)n. ~ r\ 0 ('\ ~ '-V-\ Platt Name: (1((\ \{\ r\ f\ . \L Tax Lot Number: \ '1 tJ2-l~~ Y ffi'\\'O J . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). 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 ~ 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 = $f)4()~ X $277 PER UNIT = $ X $280 PER UNIT = $ WPRD SDC $rv\$~ $0' $1\4-fl 0U 2. SDC CREDIT (If applicable) SDC-payer must furnish proDf Df WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~j.~~~~ CDmmunity Services D~~n City of Spri ngfield \;\/ lq /~ Date RESIDENTIAL PERMIT APPLICATION ~ 1,lnspeCtions: 726.3769 ..~ Office: 726.3759 , ~)) , , ,1',LOCATlON OF PROPOStlf\Wf\f!~ 72...~ d- 7Z.c... ~ ~. '\' \\J,'J~(i\~ i ASSESSOR.. MAP. - ~ ---. ~ :LOT' 2. ~LOCK' II. i I,OWNER' I' I!ADDRESS: 117 S , ? ',CITY: b. \A i q "-" III! . . \AIh.es LA~u. e' 0", ~te./ c'l(: 'DESCRII3E WORK: NEW X ()..J () I~ .K REMODEL ADDITION QUAD AREA: \\<\\1..0 . OF BLDGS: -' :1 OCCY GROUP: ~~ \v\ 'I . OF STORIES:_~ WATER HEATER: P J ,... ) SPIlINGFIELD " i. ~ 9300 Y JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 .1 . , C::::~ov-e."LleAF L-I . r nL\-n ) _._.._.__. TAX LOT ._ SUI3DIVISION: r:..~A..JA()A p/IA5{(..zt: AJ. 1...0 STATE: __,.-") ~ DEMOliSH OTHER PHONE: 7'13 - 5,(9':L I 'CONTRACTOR'S NAME ADDRESS GENERAL: .~~S LA.€v..IJ....__1J1S...tl.e..4/<.'<...l< PLUMBING: 6E-6f-" <r. H-4-Lkr::rINI-~ MECHANICAL: C-e-o~. II/->-( c...""-<lAl . , .. ELECTRICAL: ~J,..l<.,_d:_",~L141Wl-e.< , , CON ST. CONTRACTOR' ~--&6~ f)C\A-9 :--~ - OFFICE USE - \\IdD N OF UNITS' d.,) CONSTR. TYPE: ~JV HEAT SOURCE: u.)\-\ 0- LAND USE. RANGF' ZIP: en 'f 0 EXPIRES PHONE r.. i'l '3'-1.5:ft:.<'d-..... S5''37Y I-j \\)-':).<=\.'1- ?- . -;::) -cf\- FLOOD PLAIN' ZONING CODE: . illL . OF BDRMS' --co SECONDARY HEAT' SQUARE FOOTAGE:~~ '! To rOQuest tln inspection, you must call 726.3769. Tills Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the snrne workIng day, Ins peel Ions requested arter 7:00 a.m. wilt be matlc the following work day. I o Tcmpormy Electric o Sile Inspection - To be made, afler excavation, but prior 10 ' selling forms. , . o Undcl'slab Plumbing/Electrical' Mechanical - Prior to cover. ' ~ootl119 - Arter trenches arc excavated. o Masonry - ~tecl location, bond beams, grouting. , ~Foundation - Arter forms arc " erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. .) :,l' ~ Underlloor Plumbing/Mechanical - Prior 10 Insulation or decking. 1'i1 Post nnd Beam - Prior to floor Tlnsulation or decking. ~ [2l Floor Insulation - Prior to 1----1 decking. l':l1 Sanilmy Sewer - Pri~r to filli~g rtrcnch. . ~Slorm Sewer - Prior to fIIUng rench. . I , d1 Waler Line - Prior to filling I /trench. ~OU9h Plumbing - Prior to I --j ....over. .: I. i i II' I / ~ REQUIRED INSPECTIONS BROugh Mechanical - Prior to cover. ~OU9h Electrical - Prior 10 ( 'lJover. ~Elcctrical Service - Must be approved to obtain permanent electrical power. M Fireplace - Prior to facing r,materlals and framing Insp. ~ramlng - Prior to cover. ~ Wa~I/Cclling Insulation - Prior to ~ovcr. ~ryw'llI - Prior to lnpintj. o Wood Stove - Arter Ins tall a lion. o Inserl - After fireplace approval nnd installation of unit. ~Curbcul & Approach - Alter ~rlfls are erected but prior \0 placement of concreto. ~idewalk & Driveway - After xcavatlon Is complete, forms a d sub.base material In place. o Fence - When completed. .m Slreel Trees - When all required '~ecs arc planted. btl Final Plumbing - When all ~ plumbing work Is complete. ~ Final Eleclrlcal - When all ~ electrical work Is complete. rl Final Mechanical - When all ~mechanical work Is complete. ~ Final Building - When all ~Qulred Inspecllons have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Sei.Up - When all blocking is complete. . ' o Plumbing Connections - When\ /" home has been connected to - water and sewer. (, , o Eleclrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and Ihe home is connecled 10 the service panel. o Final ~-AHer all required " Inspeet1oiis~ approved and . porches, sklrllng.~ecks, and venting have been Installed. ----- , . J Lot races Lol Typo , -Jlnlerior Corner Scllncks I' ..m . . ... ... ""-"-r' ~ HSE GA~ .AC<=;. N Lot sq. fig. Lot c~verage ""--aE PROPOSED WOr-tK IN THE HISTORICAL DISTr-tICT. 'OR ON THE HISTORICAL REGISTEJ1? ___ If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Topography 1\(\/ Total height C?f:..J- (':l.S'] BUILDING PERMIT & \~. G' ~'rl- Panhandle ~._-_. W Cul.de-sac --~_.- ITEM X $/SQ. FT. VALUE -5lo.2D .. l~a..~1 \6.. __ \D - Ilo:~~ Main Garage Carport Total Value I~~~~ ...~~q\ Q.~~J \JJ Building Permit Fcc State Surcharge Total Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) ~ ./S?l.B-;~ (Bl .........._._..... PLUMBING PERMIT ITEM FEE Fixtures ...3tJ{) .00 Residential Balh(s) N'~+~ Sanitary Sower FT. !/ Water FT. Storm Sewer FT. Mobile Home Plumbing Permit \.. q/;)O,?O I t.o .00 ~,-;; ex,' State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace _qoo l~.OO Exhaust Hood ~ 4- Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent ~ Lo- .G.U Mechanical Permit 02_~ \IQ.L l.,U GJS-u3S Issuance State Surcharge Total Permit (Dl MISCELLANEOUS PERMITS Moblle Home I State Issuance State Surcharge Sidewalk I 05 It Curbcut 8Lo II ';:"C\ .fj~ _\.~~D Demolition ~Sta~({u~0l~' dJ -'i'DQ:_ ,; tal Mlscallaneous r Its (El ... ,n_.....' ,..... TOTAL AMOUNT DUE (~XCIUding eleclriCnl)~~_~ (A, B. C, D, and E Combined) APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permi! is granted on the express condition that the said construction shall, in all respects, conform to lhe Ordinance adopted by the City of Springfield, including the Development Code, regulating ttle construction and use 01 buildings, and may be suspended or revoked at any time upon violntion of any provi~ns of said ordinances. Plan Chacl< Fe~ \ '*' ~ ~ Date Paid: ___________ _ ., R~ceipl Number. Y: .~*~ Plan Systems Development Charge Is due 'on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~QJL.\. XY\o~. \C\ \.c5 ~:IL~_~Cl\.~9~ __m... -; \' H \.,~ \CiL. ~td 0 u Li \'Ht......J ~~l-l-.-- -\--- -- ---- By signature, I state and agree, Ihat 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 wilh the Ordinances of the City of Springfield, and the Laws of the Slate of Oregon pertaining to the work described herein, and lhal NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I further certify Ihat 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 properly, and the approved set of plans will remain on the slle at all times during construction. Slgnalurn /'I - 11. 7 /. /': Dalo II.... 1"( - q J VAliDATION: \ t'Yi./1 f) RECEIPT NUMPJR . v-nt:--- DATE PAID ..L___.~Lf.... ~.. AMOUNT REC~.I. '-- )rl.,[)\.. n ._~\ RECEIVED LWC:::1'V.I'I(\../ __._. . ,,-_B NO. _ '1?17 j) i- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: JA/"\ E.S LA Rut. LOCATION:f2$ ~ Tl.1e N. C!-DvE.E LeA1=- L.P. DEVELOPMENT TYPE: \...0\2- - ~E.W Dl.'PLE.)( \\0"'::>"2-2.."';> i - Q9'-/-OO BUILDING SIZE: LOT SIZE SQ. Ft. l. STORM DRAINAGI;. IMPERVIOUS SQ. FT. 'Z':?"1'2- X $0.203 PER SQ. FT. (('4-€>? '?i) ~- 2. SANITARY SEWER-CITY NO. OF PFU'S '?2.. X $42.08 PER PFU ~ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP -z. X \.0" X $424.31 X X $424.31 (fhl '0 $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S '?'2.. x $15.125 PER PFU + $10 MWMC ADM FEE $ 4-'1Y-~~ (Use PFU Total From Item 2 Above) X $424.31 $ SUBTOTAL _.- b9 $ ?"?- TOTAL-MWMC SDC ~ '- .-/ (ADD ITEMS 1,2,3 & 4) $ '?\'2-1 ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ D ,L.k..... \\ In /'17 \j Kip Burd i ck " SDC Coordinator CI?G?~ 9'? TOTAL SDC $ '2:71..- ~,.? - FIXTURE UNIT ,CALCU LA '-jj, TABLE: Number of New Fixtures ~qUivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fIXtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub........... .............. ............................................. Drinking Fountain....................................... .............. Roor Drain.........................................:...................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Dotheswasher.... .... ........... ................ Dotheswa!iher - 3 Or More..................................... Mobne Hdme Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.Stal!................................................. Shower, Gang........................................................... Sink, Bar, Commercia!............................................. Urinal, StalljWall....................................................... Wash Basin/Lavatory, Single.................................. Water Doset, Public Installation.....................,....... Water Closet, Private............................................... Miscellaneous: '1. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 7_ '2. y. 4- TOTAL FIXTURE UNITS 4: 4 L\- 4- \\0 -::'1.. Based on assessed value. If improvements occurred after annexation date in table, II CREDIT CALCULATION TABLE: ""1~1'. ,,"'"' w",rn'~'. 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 Rate per $1,000 Assessed Value S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Credit for Parcel or Land Only If Applicable '3. -z.. \ X $ l...." .~ '7 S ? .oGl (Rate X Assessed Value) Improvement fd after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ '?? ~ 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