The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-4-26 :;- '1~Ca RESIDENTIAL PERMIT APPLICATION ... . Inspections: 726.3769 Office: 726.3759 LOT' OWNER: ADDRESS: CITY: DESCRIBE WORt'". NEW 1/ REMODEL ADDITION CONTRACTOR'S NAME GENERAL:~" .~.~(}, R..LU PLUMBING: .!j'.Q- hla PYa lrvA ~ > MECHANICAL: 1::-\"1 \..lrlOPc..h^_.J ELECTRICAL: -blc" A ('.)( gdJ,.A..................... SPRINGFIELD . S a/VV\ ~ 4:... JOB NUMBER qL-l DLf'XC; 225 Fifth Street Springfield, Oregon 97477 /IJ. fU -"'.in^" v I.n f ~n TAX LOT: \ \ ~'rY) SUBDIVISION: .kI-vrA~a cf~ __ '"?h'<.O.i:n BLOGt'". STATE: DEMOliSH OTHER PHONE: ~4:l,-S-L.-,q~ ()Q ZIP: qjI,J t> , ADDRESS II,'::' h;:)~'),/: I"..K '0.0 CONST. CONTRACTOR' EXPIRES PHONE #c:,S:,'i?Lf \ III \q~ . Wh~!!fJ!lfJ ~rf\6C) ITJ~c:;.q4 ( .., ~L5 ,?rS'c{s'~ \\{\\h) - OFFICE USE - QUAD AREA: LAND USE: .\ \ ~ () . OF BLDGS: -1 . OF UNITS' /-l- OCCY GROUP: ~+ 'tv\ ~ ~/ CONSTR. TYPE: . . OF STORIES: HEAT SOURCE: \,::) WATER HEATER: RANG"" r~ FLOOD PLAIN: ZONING CODE: ill)L In SECONDARY HEAT:-~ SQUARE FOOTAGE:&rfH . OF BDRMS: 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, Inspectlons requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be made after excavatIon, but prior to setting forms. o Underslab Plumbing/Electrlcall Mechanical - Prior to cover. Iif1 Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. lVl Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~ Under'loor Plumbln~/Mechanlcal - Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulation or decking. r cf\71 Floor Insulation - Prlor'to ~ decking. M Sanitary Sewer - Prlor to fII~lng P trench. ~ Storm Sewer - Prior to filling ~ trench. . M Water Line - Prior to Oiling ~ trench. ...:-,L; Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS . f.;?1' Rough MechanIcal - Prior to ~ cover. . ~RoU9h Electrical - Prior to )4J cover. M Electrical Service.;... Must be AJ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials an~ framing Insp. ;KJ Framing - Prior to cover. '1':7"f Wail/Ceiling Insulation - Prior to ~ cover. )5<;1 Drywall - Prior to taping. o Wood Stove - After l~stallat'lon. o Insert - After fireplace approval and Installation of unit. Vl Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. j<;z"j Sidewalk & Driveway - After ~ excavation Is complete, forms and 5;ub-base material In place. o Fence - When completed. f'Tl Street Trees - When 'all required ~ trees are planted. . ~ Final Plumbing - When all plumbing work Is complet,e. ~ Final Electrical - When all electrical work Is complete. M final Mechanical - When all ~ ;eChanlcal work Is complete. M :!nal Building - When all required 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. D Final - After all required Inspections are approved and porches, sklrtln.i1. decks, and venting have been. Installed. Lot faces . Lot Type .X "Interior , ( IS. 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. I PL. IN Is Iw IE Setbacks , , , I HSE GAR ACG I I I I Lot sq. ftg. Lot coverage Corner Topography Total height ~ AV) BUILDING PERMIT ~:::" ~~i ~\B-~ Panhandle Cul.de.sac Carport Total Val ue \aRE~LQ qq7"\ .a.S MO\\- rA.~..0 \p Building Permit Fee State Surcharge Total Fee, (A) SYSTEMS DEVELOPMENT CHARGE (SDC) tb , (B) I> ~'Z.'Il'Z.~ PLUMBING PERMIT ITEM FEE Fixtures ..3.9l ).W Residential Bath(s) N~)('~ Sanitary Sewer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit ~()sV UO.~ 03(0' State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace q.CD IAPO Exhaust Hood ~ Vent Fan N' Wood StovellnsertlFireplace Unit Dryer Vent (0,00 Mechanical Permit \0.1'7.00 IO,CO ~S Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk loS It J4'~ Curbcut 33 It Demolition s\~e\ SurchargA If ~ 4.'i. cU ~N r\ \\ \ 'L . 0--, nJ. Total ~I~cellaneous Per I~ (E) _. TOTAL AMOUNT DUE (eX;;Uding electrical) ~SS.\LJ (A, B, c, D, and E Combined) , , " 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 provisions of said ordinances. ~ .fiQ P~"W : i Plan Gheck Fee: Date Paid: I I i I Receipt Number. Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the Glty limits which are being Improved. ADDITIONAL COMMENTS l~+-T: ~ \1 \'?IS( ') lU\'t\ MJ[, lJey : Q ')' \ ex \ r:6 \)\11 f\~()(} (1 X 0 lL/ ~~-,1trrl1"-T1nJ " ,011-1 \ I . 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 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 allpnes during construction. Slgnaturo'/ _ IS. '2--<----- Date ..............(1- 2 C - "f<f VALIDATION: /2 s/aS/ DATE PAID yL ~-? 0/" AMOUNT RECEIVE~ (~C~~ _ \(j /4.::;;.AoJJ ;-- v' - '// .,. RECEIPT NUMBER , I RECEIVED BY . . .~- o y!i!I,!,-:!!!!~!!!! )obNo. q~q SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~'\'{\pJ'\ \ _ 0110 PHONE: ('14.3-alcC1 D-J ADDRESS: 1 \ 'IS ~Q..; .)\ /~ r ))' ~\ nr STATE: G-RzIP 9g4{)^' -.. - . - ~ ~ LOCATION OF Ii'ROPOSED BUILI;lI,N,.G..,SITE: (\tI....A Street Address if KnDwn: fl,")U\ ~~ ~.4 \ \ _" . \ '.~f\D9-) \ 0 tl. Platt Namb((\JiJ.rl..rLJL Tax Lot Number: _ I f)D--~~~C\ \ \ 1. DEVELOPMENT TYPI; (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. SimIle Familv - Attached NO OF UNITS 0) C. Multi-Familv Aoartment Manufactured home not in a park X $400 PER UNIT _= $ . X $370 PER UNIT = . $ IJ4n.oO NO OF UNITS X $277 PER UNIT = $ D. Manufadured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ 141) PO $0' $ rr\-'O .CO L\ / ~~P\+ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit apprDval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) Date . .JOB NO. 'l'-/-O I.{- ~ 't CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: .JAMES -B. LA RuE LOCATION: 7?>t:f ~ 74/ AI. CLfVf:~ LtJor DEVELOPMENT TYPE: LPfZ.- - NE.W l/UPt....EX 17 0 ?--z-."Z-~ i - i I 'J-DD BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. k-?q'2, X $0.203 PER SQ. FT. ~ '-f5S?~ ........... ........-- 2. SANITARY SEWER-CITY NO. OF PFU'S 3"2.- X $42.08 PER PFU c(7?:>tffo ~ (See Reverse) '-- .---/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 X $424.31 ~ BS"'~ ') ......... ...-/ $ $ 2_ X 1.01 X $424.31 X 4. SANITARY SEWER-MWMC NO. OF PFU'S '~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) $ 55 (,3.- TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ? /'2..& 5~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ '13.,^"" Lc..L t.f (~ I 'N. U Kip Burdick . I SDC Coordinator ~ ~~ ($ I '5&-C- ) ~ f'/'1 TOTAL SDC $ 37-8'2 - , FIXTU RE UNIT ,CALCU LA Tie TABLE: Number of New Fixtures X U."qUivalent = Fixture Units (NOTE: For remodels. calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS <-I- 2 1 2 3 6 2 6 6 .1 3 2 1/Head 2 2 1 6 4 .f L. Bathtub............ .............. ................................ Drinking Fountain........ ............................. Roor Drain................................................................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. laund ry Tub /C1otheswasher................ ........... ........ C1otheSWa~her - 3 Or More..................................... MobITe Home Park Trap (1 Per Trailer).................. Receptor F!Jr RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single' Stall..... ............. ................... ............ Shower, Gang........................ ................................... Sink, Bar, Commercial............................................. Urinal, StallfWall....................................................... Wash Basin/lavatory, Single.................................. Wafer Closet. Public Installation............................. Water Closet. Private............................................... Miscellaneous: 'z.. 4 .' <j- '-f Ib .z. '-I- TOTAL FIXTURE UNITS 3'2- CREDIT CALCULATION TABLE: calculate credits separafes. I Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value II ~ 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 '3. -J...' X $ 1'7, 3 S 55 10<1 (Rate X Assessed Value) Improvement ('If after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 5<; "3- 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