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Home My WebLink AboutPermit Building 1993-11-19 ? ,'" .- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: OWNER: ,~lh-e,<;"" LAt.",,:- ADDRESS: //75 D", ,l<,te.1 <:. ~ CITY' g=' \4 i "- '"'-" DESCRIBE WORK: OJ p I~ -~, NEW -X. REMODEL ADDITION BLOCK' SPRINGFIELD ',. .. JOB NUMBER ~/?o~ .. 225 Flflh Slreet Springfield, Oregon 97477 I ,clov-t.'t.rep,F '-f , TAX LOT' rx o?1T) SUBDIVISION: c"~A.JA()A fJllA':;t{.zz: ;(0 STATE: _D"" DEMOLISH OTHER PHONE: ?cJ3 - It..:i2.- ZIP: Cno..fClI CONTRACTOR'S NAME ADDRESS GENERAL: .~"-"<.., LAR.",,'il 'JllLt2e<1.A.<..1<.. R,J) C::Rof." V ~UA-#A- ~ MECHANICAl' c:~~~. II~( L..."'.....J ELECTRICA" J/A-rl_ (, ~ J-ILiM..,,-e..(. CON ST. CONTRACTOR # EXPIRES PHONE l..J~ e.---<> S531'--f 1-/ (. i'l '3...Ck../€...,.:J...... P14PJS l\) ~,.qt Rq4l)'~ 8':::;,C{<-" PLUMBING' QUAD AREA: \ ~~\0 # OF BLDGS: - \ OCCY GROUP: ~~ # OF STORIES' '\ WATER HEATER: _'1" ./ - OFFICE USE - -\\A.() # OF UNITS: ~ CONSTR. TYPE: ..sJ.b...) HEAT SOURCE\,l) \-\ V LAND USE: RANGF' - FLOOD PLAIN' ZONING CODE: ~~ La' # OF BDRMS' SECONDARY HEAT: ~\rA~ 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. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made . alter excavation, but prior to setting forms. O Undel'slab Plumbing/Electrical! Mechanical - Prior to cover. dFOOlill9 - After Irenches are ~ ~xcavated. o Masonry - Steel location, bond beams, groutIng. ~ Foundation - After forms are .... erected but prior 10 concrete placement. o Underground Plumbing - Prior 10 filling trench. ~ Underfloor Plumbing/Mechanical _ Prior to Insulation or decking. i' [;;7f Post and Beam - Prior to floor ~ Insulation or dec~ing. d Floor Insulation - Prior to ~ decking. ~Sanilary Sewer - Prior to filling trench. '~Slorm Sewer - Prior to filling trench. .. ~ Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to cove~ , \. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to cover. r\,,- Rough Electrical - Prior to ~ cove~ dEleelrical Service - Must be ~~pproVCd to obtain permanent electrical power. - o Fireplace - Prior to facIng materials and framing Insp. -ESt Framing - Prior to cover. c::::rWall/Ceiling Insulation - Prior to ~ cover. ~ Drywall :.... Prior to laping', o Wood Slove - After Inslallalion. o Insert - After fireplace approval nnd Installation of unit. ~ Curbeut & Approach - Aher forms are erected but prior \0 placement of concrete. 0/{ Sidewalk & Driveway - After excavation is complete. forms and sub.base material in place. o Fence - When completed. rn Street Trees - When all required T trees are planted. )Rr Final Plumbing - When all ........r plumbIng work Is complete. \ l"::tt Final Electrical - When all ~Iectrlcal work Is complete. ~--T1 Final Mechanical - When all ~mechanical work Is complete. mFln.1 Building - When .11 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 Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home Is connected to the service panel. o Final - After ell required Inspections are approved and porches, skirting, decks, and ventIng have been Installed. Lot faces Lot Type "" .1f.... Interior Selbacks l-~-;::- -HS~- GAR A~~ IN Is . PROPOSED WORK IN ~HE ~ HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lot sq. fig, Lot coverage Corner Topography Total height Panhandle ~ (<\f) " Cul.de.~ac W E , " BUILDING PERMIT ITEM SQ. FT. c1\~\o df\f2-. X $/SQ, FT. = VALUE 5\0 ~[) Vl52}LC\\ \'\ _\\J ~\.o'SS Main Garage Carport Ji~~\P ~.~ ~:S \ \.p SYSTEMS DEVELOPMENT CHARGE (SDC) fils , ~-:H? "l~ (B) _:.?.-k~ - Total Value B.uildlng Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures ~1)CU Residential Bath(s) N,A-\-A. Sanitary Sewer FT, Water FT, Storm Sewer FT. Mobile Home Plumbing Permit ,-~f\~ HD~ ~lo~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace C\)::q \A.cO Exhaust Hood ~& Vent Fan N' Wood Stove/Insert/Fireplace Unit \O~ Dryer Vent ~ Mechanical Permit d) f) .00 I () .00 I.:~S ~"u Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance :, State Surcha~~e Sidewalk l J! L- Curbcut ~ It \C\ :~C) \ ~,'T(~ fI Demolition St~e Surcharge t.,,?\C\ ~_ (\~~{'~ 4U,CU Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~~8..o~\ APPROVED' , BUILDING VALUE, PLAN CHECK, AND BUILDING PERMIT This permit is granted on the express condition ttlat 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 viol<ltlon of any provisions of said ordinances. Plan Check FeeWIJ Y-"'-h \"-- Dale Paid: \ , '. Receipt Number' 4'j~J Plan Systems Development Charge Is due 'on all undeveloped properties wiUiin Ihe City limits which are being improved. ADDITIONAL COMMENTS .~ \\ 'Ion. . . ',\'Q~ ~,,: \l.\~n~ ,~~\)~(\ Q ,S\ t\Q1l.."YlQ r ) f,\ ,-"f\, \ By sIgnature, I state and agree, that I have carefully examined the com pie led application and do hereby certify that all Information hereon Is true and correct, and I further certIfy that any anti all work performed shall be done in accordance with the Ordinances of the City of Sprlngfleld, and the Laws of the State of Oregon pertaInIng to the work described herein, and that NO OCCUPANCY will be made of any structure wi ttlOU t permission of the Building Safety Division. I further certify that only contractors and employees who, are in compliance with GRS 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 slreet, that the permit card Is located at the fro~t of the property, and the approved set of plans will remain on the site at all times during construction. /1. L. / Signatur,... ~ ~ / ( - ('1 - "f J Dale VALIDATION: Jgn 1\ c:.. RECEIPT NUMBER \ ' V\'-,-...-/ DATE PAID -I-L/9 ' ~ + AMOUNT REg IV DnriO\O .\ RECEIV~D B J (')f')." ) , " I ) ;;" "t\, ;- ~;~ ~i!I!!.!!!!~.!!~ '. Job No. .9:3..J!Jro SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:~n\\\CL\ ~ ~~. PHONE: <-~~-8()~ ADDRESS, \\'\ ::" \::1, I\\\ ; 1\'( '\ C 'Y',~ fill . STATE, DL.-Z1P q '\'\("'\ LOCATION OF PROPOSED BUILDING SITE: ..1 . "'" ;J f\ Street Address if Known: ~~ "'\ \o'\\'h f\ . 01C)\ J'OXllill.D '~J Platt Name: hm.N\N.f\ :,'R Tax Lot Number: \~()\\~~. r,^O~f'() 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), sac Calculations and dwelling type definitions are on the back'> A. Sinele Familv - Detached Single Family home _ Manufactured home not in a park NO OF UNITS X $400 PER UNIT = $ B, Simzle Familv - Attached NO OF UNITS ~ X $370 PER UNIT = $j4D~ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D, Manufadured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $')4f)~ $kY $ ~'{) pO 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 sac reduced for Credit) ~;,:~"f: City of Springfield I \ / \ q / CL~ Date ., t~ '_OB NO. '1?17 D S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: :JAr'" E.S LA RuE:. LOCATION: "G:>B~ (P70 N, CLo.,'E.ELEAf- Lp. DEVELOPMENT TYPE: \...9\2. - t-.\e::W "QUPLE::.)( \ 10'"':>'2. 2.? i - Ofa'?o.o BUILDING SIZE: LOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. '2":74"2- X $0.203 PER SQ. FT, 0Ze'S '?i) ------ 2. SANITARY SEWER-CITY NO. OF PFU'S '7::>2- X $42.08 PER PFU C~;A~?~ (See Reverse) 3, TRANSPORTA TI ON NO OF UNITS X TRIP RATE X COST PER TRIP X X 4. SANITARY SEWER-MWMC NO. OF PFU'S '?'2- x $15.125 PER PFU + $10 MWMC ADM FEE $ 4-"I4"'~ (Use PFU Total From Item 2 Above) _._ 1>9 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ??- TOTAL-MWMC SDC ~ '- .../ SUBTOTAL (ADD ITEMS 1,2,3 & 4)' $ "?\'2-1 ,:>'7 X $424.31 0?"0 $ -z. X \.0" X $424,31 X $424.31 $ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~L~ \l/11/4~ (j Kip Burdick " SDC Coordinator ~I?("?~ .......... .-/' 9'? TOTAL SDC $ '~1.- '0'7;, - 1\ FIXTURE UNIT ,CA~~U LA .'T ABLE: Number of New Fixtures .uivalent ~ Fixture Units (!'I<?TE: For remodels, calculate only the NET additional fixtures) , . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..,. ..,.... ..., ..........................,."......... ,...........,... Drinking Fountain...........,.....,.... ,........,...,...,............, Floor Drain...,..... .... ...,.......,... ................. ,....',...,... ,..., Interceptors For Grease/0iI/S0Ilds/Etc....,...,...,..., Interceptors For Sand/Auto Wash/Etc......."...,.".. Laundry Tub /Ootheswasher........ ,... ....... ..." ,........,. Ootheswa~er . 3 Or More.".."....,.........,.....,...,..... Mob"e Home Park Trap (1 Per Trailer)"....,........... Receptor Fgr RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single.Stall....,...",......".........,........"....".,.. Shower, Gang.......,.....,.."............. ............,............... Sink, Bar, COmmercia1....",....,..,..................,.........,' Urinal, StalljWall.,..."....,............,..........,...........,....". Wash Basin/Lavatory, Single......................,....,...,.. Water Ooset, Public Installation..................,..,....... Water Ooset, Private..........................................,..,' Miscellaneous: ?. 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 '7- -z y. 4- TOTAL FIXTURE UNITS = ?7.. 4 4 4- 4- tG:. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred alter annexation date in table, calculate credhs separates. 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 l I 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 .~ ."?- \ X $ \...., ,:>;,"7 S "S "'..:!. (Rate X Assessed Value) Improvement Cd 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