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Home My WebLink AboutPermit Building 1995-1-12 RESIDENTIAL PERMIT APPLICATION Inspections: '726,3769 Office: 726,3759 (iJ-~ II~ 5'tA~ A1 '-7611 5. ~~ 9'7') G~i . LOCATION OF PROPOSED WORK' , .-0'15 '1 y~-')-~q ASSESSORS MAP' \ f) n ~ ~ Q.4'<~ " + LOT' OWNER: VI IlliI .... ADDRESS' '.B-If);J../? CITY' '1...ha/ 1!4.-lkZ CV'H4'1 .,. e.. DESCRIBE WORK' S",ld NEW ~ REMODEL CONTRACTOR'S NAM'E GENERAL: i;I4IArIUclq ke. PLUMBING: J2a.r.L" ~ ;:>~4 1_ / -, . MECHANICAl' ELECTRICAL: &v.<>,~ G.i- ~ T_~ r QUAD AREA: \ Qj\ ')0 . OF BLDGS: \ OCCY GROUP: R N- rv\ '~ , WATER HEATER' Y J BLOCK' IZd STAT"" C7 ~ , A/J!!L., P...JILJt , DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 PHONE: ZIP' 9 ?Y).9 ADDITION ADDRESS' (i-~?.).~ IF~~' /?...."" CONST, CONTRACTOR' ;?'" <;6';> ') / ~ GfDJ1. n RP)J\ES 1.~~5 7U-/r.zJ IJ ,~~C{<, tK-R-f.:J i'J- ~ .... PHONE "", "lmz. \ LI, -'15 ~#-.? 9'n, - OFFICE USE - LAND USE: --U-~ 0 . OF UNITS: ~ CONSTR. TYPE: -1l}J HEAT SOURCE:, W H PJ FLOOD PLAIN' ZONING CODE: W1 U . OF BDRMS: . ~4-- ?I SECONDARY HEAT: ~ (SQUAR!;. f:QQ.IAGEr<) I 0 1/ IJ 1."2,[)r'\, 0..12--) 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. . OF STORIES: o TemporarY Electric D Site Inspection - To be mado after excavation, but prIor to setting forms. O Underslab Plumbing/Electrical! Mechanical - Prior to cover. I I\7r Fooling - After trenches are ~ excavated. o Masonry - Steel locallon, bond ,beams, grouting. n Foundation - After forms are "'r:: erected-but prior to concrete placement. o Underground Plumbing - Prior to filling trench, f\/(Underfloor Plumblngl Mechanical ~ - Prior to Insulation or decking, Mrost and 8eam - Prior to floor T Insulation or decking. @:Floor Insulation - Prior to T decking, BSanltary Sewer - Prior to filling ( . trench. ~Storm Sewer - Prior to fillIng rench, . . Water Line -' Prior to filling trench.., . , '. ~ Rough Plumbing - Prior to ~over. RANG'" REQUIRED INSPECTIONS ~OU9h Mechanical ~ Prior to ( ......sover. [S([ Rough Electrical - Prior to ,cover. o Electrical Service - Must be approved to obtain permanent electrical power, o FIreplace - Prior to facing materIals and framing Insp. ~Fra;"lng - prior: to cover. Vt Wail/Ceiling Insulation - Prior to r cover. I ~DryWall - Prior to taping. o Wood Stove - After I~stallatlon, o Insert - After fireplace approval and Installation of unit. ~curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After F excavation Is com pi eta, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. rvr Final Plumbing - When all ~ plumbing w9rk Is complet,c. r;(1 Final Electrical - \N.hen all I electrical work Is complete. C K1 Final Mechanical - When all I mechanical work Is complete. r 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 plufTJblng Inspecllons have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed, L~t ~ype. ., \ ",.. ~el'b~~~~,"~\f~'" --2(lnterlor I' P.L, HSE GAR Corner I N - Panhandle I : _\,cul'de'S~C\""'1 E '... Lot faces Lot sq, ltg, Lot coverage Topography _ Total ~elght c:fl1:- BUILDING PERMIT ~ /5fJtp' 44. (') ITEM '-ti\~~ : ~ ~ain Ga~age Carport ACe' I I ,I '~S THEPROPOSED WORK IN THE, "'HISTORICAL DISTRICT, OR ON ' THE HISTORICAL REGISTER? II 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 thai 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. Plan Check Fee: ~~~ Date Paid: Total Value Receipt Number' Building Permit Fee ~.<6((J -+ 3,D}o Received By: State Surcharge Total Fee (A) 63~. \, Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) , $g4Sf.73 (B) PLUMBING PERMIT ITEM FEE Fixtures . Residential Bath(s) N'~" ~ I, Q,~(}cV Sanitary Sewer FT FT, Water Storm Sewer FT. Mobile Home Plumbing Permit '1.rf100 "~ 5. It:O 3qS,lcO State Surcharge -t~ Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Y.CV /r.!1. 00 Vent Fan N' .. " Wood Stovellnserl/Flreplace Unit Dryer Vent -if) ,00 Mechanical Permit ~ '),00 / (), 00 d,/ {~ G8-.-llo Issuahce -' 7..0", State :Surcharge ,......J /U Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk .uD- It Curbcul _':2.J....o \C\ .CO \S~ It Demolition ~\r\h(\Qo~ "'\t)ocJ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) '\4,S1P Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS t\UJUJIC)-lQg ~Jo)Ct11l111:l Q r ./ \ ~+T', \\ 100 ~\_,_~ \ cA-t(\1\.Q),{ fu-t!l J' \0\ \ fY_ ) "'~~Dr - l,~ l'Qj\n" -- By signature, I state and agree. that I have carefully examined the completed application and do hereby certify that all Informatlon hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinanc~s of the City 01 Springfield. and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permissIon of the Building Safety Division. I further certlfy 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, end the approved set of plans will remain o",the site at all times during construction. '\ Slgnatur.. f2., ';I/' h/~ 1\ ~ Date / - /2_- 9r , VALIDATION: "h:ln;;rM / RECEIPT NUMBER \ ~{.2rr"'1../' \CSW DATE PAID~ J-\~-Cl,C::) AMOUNT REC~D ::ftJ~~p:t ~4?).'2D RECEIVED By( -1)( ill . . @ !!..'!i!I.1!!!!~!~!!~ JObNO.~1 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME \,)\\\\0.1)'\ (lolI.u,., Y ADDRESS: fB1JCC 9rt'n~) ~. p~ PHONE: 12~.\~?":<) STATE: oo...ZIP~' LOCATION OF "'ROPOSED BUILDING SITE: t::lq , Street Address if KnowCl:~f)~ 0 +- (;)f) '-.J Platt Name: GJCU'01:iaJ[ , ~ln.t 1. DEVELOPMENT TYPE {Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.! ~o (1j.D12ill~ T~LmN"mbe' \'1D~,~ ~'e-fJJ(fB A. Simlle Familv - Detached Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT _= $ B, Sinl!le Familv - Attached NO OF UNITS L X $370 PER UNIT = , $ ?4{) .00 C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS , X $280 PER UNIT = $ WPRD SDC $2f{).cO $;;Y $?40. a:J 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) \ A N\) :ommunity Services r;... ,,( c......;^...,+;^I~ ~~gs Date j cl , ".- .' ,. ;.'_0'. ~/ JOB NO. 1<1-/(; 1i" )_c CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ATIACHMENT Bl NAME OR COMPANY: _ta~L/A;n C Aj.L~ Y LOCATION: 2757'/S9 5. c..L6Ps.~J..tMrF .J,."(JP DEVELOPMENT TYPE: lIe/V OuPJ.EJf BUILDING SIZE: ~OT SPF . , , SQ. Ft. ",I 1. STORM [)RAIN~ 2. 4,,/0 ' , (S~ IMPERVIOUS SQ. FT, X $0.209 PER SQ. FT. " 2, SANITARY SFWFR-CITY NO, OF PFU'S J 2. X $43,26 PER PFU .~~~) (See Reverse) 3. TRANSPORTAT1ON NO OF UNITS X TRIP RATE X COST PER TRIP ;;... X /. () I X $436,19 ~8'li"'/'/" ') ---- X X $436.19 $ X X $436.19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $.2 71~.3il 4. SAN1TARY SFWFR-MWMC NO. OF PFU'S ~~ x $17,19 PER PFU + $10 MWMC ADMIN.FEE $ ,<;&.(),,,? (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -?~.?''i" IQIAI -MWMC SOC $~9.~ ,SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 329;P. ?y -'5.: t<OM1NISTATlVF FFFS BASE CHARGE (:U~T~ ABOVE) X ,05 ' ~ dL-:.-. 'Date: //-/S--9~ ./ Mry ~~.':PU' ./ SO oordinator 0~' TOTAl SDC $ ~ 4s7.1 3 B2.SDC . .0 ' ... ,", _ .'._,..4...~.'._." .' , -. FIXTURE UN'IT 'cALCULATION TABLE: Number of New Fixtures X Unit Equivalent c, Fixture U'1its (NOTE: For remodels. calculate only the IiEI additional fixtures) , , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...... .,. .,. ...... .,. .... ,....... ......... ,..... ........... ,....,..,., Drinking Fountain.........,.... ............. ,...............,....,.... Floor Drain.............................................. ...,.........,..., Interceptors For Grease/Oil/Solid,s/Etc,................ Interceptors For Sand/Auto' Wash/Etc........,..;,:..... Laundry Tub/Clotheswasher :... ;..;. ;:-...., ...... ....... ...... ,. Clotheswasher. 3 Or More..................................... Mobile Home Park Trap 11 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.......................:......................... Shower, Gang............ .............................................. Sink: Bar, Commercial; Residential Kitchen,.....:................. Urinal, Stall/Wall. ::........................,........................... Wash Basin/Lavatory. Single..,............................... Toilet, Public Installation........................................ Toilet , Private......~....,...........,....,.......,........,........ Miscellaneous:' ,',' ;TANI ",p~ S/o'/c .2. 2 1 , 2, 3 ~ , ' 2 . 6 '6 1 3 2 1/Head 2 2 1 6 4 ..2. 4 '. 4 4 4- _/b ~2 ',', 2 ,,' 2 4 4- TOTAL FIXTURE UNITS C Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCUL~TION TABLE: calculate credits separates. \ Year Annexed Rate per $ 1,000 Assessed Value Year Annexed 1 979 .or before 1980 1981 1982 " '9!l3 1984' 1985 $3.46 3.38 3.32 3,21 3.06 2.92 2.73 . .. Credit' for Parcel or Land Only If Applicable ...., ,~ ,'. Improvement'(if alter annexation date) I , ~. \. .. , " ...... 1985 1986 1987 1988 1989 1990 1991 1993 II Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 '\ C 40. of? S.4(;' X $ II. ':fa" (Rate X Assessed Value) - X $ (Rate X Assessed Value) C CREDIT TOTAL c $ 10,-fJl' "