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Home My WebLink AboutPermit Building 1993-11-19 RESIDENTIAL PERMIT APPLICATION . Inspections: 726,3769 011 ice: 726.3759 LOT' OWNER: ,'\A~e'c' LAt... e:- 117 S 0"" (<.(tt c. v.- ADDRESS: -:;::> CITY: --1i \.I '" . "--"" . - DESCRIBE WORK' OJ 9/f> ~)<::' NEW.J-~ REMODEL ADDITION QUAD AREA\\<~\\.0 . OF BLDGS: , OCCY GROUP' \~(;\ N\ , ---y . OF STORIES: ' d .,' > WATER HEATER: L.--' SPIlINGFIELD " . JOB NUMBER 93'/./.:::> ') 225 Filth Slreet Springfield, Oregon 97477 ~C::o"'-e.'l../e/'JF '-I TAX LOT' n3Vl nO SUODIVISION: J.~ A".}A-t)A P//A'5€:..o:: BLOCK' ;(0 STATE: /J~ PHONE: 7<13 - I(!id.- CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR ., GENERAL:,_~~---"s_ LA.e"'Il....__L!.lLlLe...41-1'-~ ~~__tL-!~ ~ PLUMBfNG: b€c.f. '\ IL f4'-k.t::r#.If.~ f37[ltRS MECHANICAL: c~ 0 ,t..C,. II A-r C.., ..14 -J ELECTRICAL: _jlA-rJ_ 1,_ .+ JIL1MIi'I'e.~ DEMOqlSH ',' OTHER ZIP: Cl7'-f 0 I EXPIRES .s~'3~ 1-/ tn .5 .CJ4- PHONE I. i'i '3'-Q;.f(.~'~ 8g1:?~' ~ - OFFICE USE - LAND USE: ' \ \-~ . OF UNITS: ~ CONSTR. TYPE: ~l HEAT SOURCE: \ l') t-\ Y. RANG~' :3 '0'C{~ J. FLOOD PLAIN: ZONING CODE: \"\\ \ )~ to SECONDARY HEAT: /;1 SQUARE FOOTAGdl ~ . OF BDRMS: To rOQuest em Inspection, you must call "26.3759. This Is a 24 hour recording. All Inspections requested boraro 7:00 a.m. will be made the Slime working day. Inspections requested aller 7:00 a.m. will be made lhe following work day. o Temporary Electric o Site Inspection - To be made after excavalion, but prior 10 setting forms. o Undel'slab PlumblngJElectricalJ Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. 'F=:Zf Foundation - AHer rorms arc LfJ"CrectccJ but prior to concretc placemcnt. o Underground Plumbing - Prior to filling trench. J Undcrlloor PlumblngJMechanlcal l...lt _ Prior to Insulation or decking. ;, ~ Post and Beam - Prior to floor ~nsulLillon or decking. ~ Floor Insulation - Prior to ~dCCkillg. .0, Sanllmy Sewer - Prior to filling ~rcnch. i::1f Storm Sewer - Prior to filling J,L::J't?ench. ~alor Llno - Prior 10 filling trench. I. -:- ri1 Rough Plumbing - Prior to ~er. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. . M Rough Electrical - Prior to ~ cover. ~Electrical Service - Must be ~~pproved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~allJCeiling Insulation - Prior to .1.L--J cover. ~rYWall ~ Prior to taping. o Wood Stove - After Inslall3tion. o Insert - Atter ftrcplncc approval nnd Installation of unit. ~ Curbcul & Approach - Afler ~orrns are erected but prior 10 placement of concrete. r--i <::Idewalk & Driveway - Afler c:::z:r-;;xcavalion is ~omplete, forms and sub-base material in place. o Fence - When completed. ffil Street Trees - When all required k:e,Ll..(rees are planted. bf Final Plumbing - When all ~ plumbing work Is complele, K74 Final Eleclrlcal - When all ~ electrical work Is complete. I -{7ii FlnDI MechDnlcal - When all ~ mechanical work Is complete. ~ Final Ouilding - When all J,.bJ required Inspections have boen approved and building is completed. DO'hor MOBILE HOME INSPECTIONS o Blocking and Soi,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 boen approved and the home. Is connected 10 the service panel. o Final - After all roqulred Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot \pees ~ :::'''.l,~~;:Q. (to. "'l;;;=. ' ~--, ~ "..~' , Lot.coverage_~, 'NWI'~~,~~' .~~- Lot Type, ---r-rr-' Interior "I! LL).hli' ....:........:._- ~ncr h~~' Panl1andlc Topography ~ Cul.do-sac Total height !"... ITEM Main Garage I Carport Total Value B,ulldlng Parmi t Fee Slate Surcharge Tolal Fee . N .... P.L. HSE GAR ACC _~_.___n ," "ill~,~ '-U~.E PROPOSED WOnK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL IlEGISTEJ>l? __...,_, H yes, this application must be signed and approved by the Hlstoricnl Coordinator prior \0 pcrmil issuance. Selbacks ....-.....----...---. ...L- _ __ YY-____ E ----------. (A) 1~C\A..\o --- ~, ~5\ ~--~\"" BUILDING PERMIT c.O\~~~' ~s.~f) l VA~\ ~<\'\~ \<\. \'D ~~':S SYSTEMS DEVELOPMENT CHARGE (SDC) $ tf?2-i?"t~ (B)___ ______,__ PLUMBING PERMIT ITEM Fixtures ~- Residential Bath(s) Sanl~ary Sower FT, FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood c9., N' 4- Vent Fan Wood Stove! Insert/Fireplace Unit Dryer Vent ~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk sS, It ~$) Curbcut fl Demolition FEE ~)~ t:J.:dD~ jl~OU ~lo ,CD q0J l~,CU ~----co- J,p. aY) ,OU IDpo 3k~ .J~f)D _~S_~D APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that tile said construction 511<111, 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 violntion of any~rov~on5 of said ordinances. Plan Check FeL~\ \\R.J...f'\-- Date Palet: '. R~ceipt Number' Received By: _ .____ Pians-~~ ,~~) Systems Development Charge is due 'on all undeveloped properties within the City limits which arc being improved. ADDITIONAL COMMENTS ~ - , - -- . 'S'iJ~__ ~ '\ \ 07{) ~--~,\$~nj \l.\~__~ ^ ~J~~lJ'.\ Q _> ~~\ By signatum, I state and agree, that I have carefully examined lhe completed applicatlon and do hereby certify that all Information hereon is true and correct, an(J I furl her certHy Ihat any anti all work performed shall be done in accordance with the Ordinances of the City of Springfield, and Ihe Laws of the State of Oreuon pertaining to the worl( descrIbed herein, ancl thaI NO OCCUPANCY will be made of any structure wiUlOut permission of the Building Safely Division. I further certify Illat 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 atlhe proper time, that each address is readable from the street, that the permit card Is located at the front of the property, ilnd the approved set of plans will remain on the sile at all times during construction, Slgnalure d!.---- JS_ 7/. ,,:::::7 ( (- (cf ~ "'0 Date J)\()r\~g( >h~ _ ~ ).cXJ_ Tot:1 Miscellaneoul}ermi Is (E) TOTAL AMOUNT DUE (excluding elcclrical) ~asS::A (A, B, C, 0, and E Combined) VALIDATION: \ ~ A A RECEIPT NUMBER -~\'\\ DATE PAID -JUY, ~ --- AMOUNT RECrl ~.:-5~dS. SLt RECEIVED BY ~O _ ______ . .OB NO. '1?17D7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: "JArv'\ E.S LA 1<u.E:. LOCATION: c;,,'-l J (",(., N, CLDVE.E LeAl=- L-P. DEVELOPMENT TYPE: L9\Z. - t-lE:w DUPL-t..x. \io'?'2.2..?i -0"1:00 BUILDING SIZE: LOT SIZE SQ, Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT, 'Z,?q'2- X $0.203 PER SQ. FT. ~~??~ '-- .-/ 2. SANITARY SEWER-CITY NO. OF PFU'S -:2;,2- X $42.08 PER PFU C?'?~ .\L.\-c,,/ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP -z. X \.0 i X $424.31 X X $424.31 ~t:>?I'O~ ............ ...-/ $ X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S ~2 x $15.125 PER PFU + $10 MWMC AOM FEE $ Y.q4~~ (Use PFU Total From Item 2 Above) SUBTOTAL (ADD _,- b9 $ "?'?- TOTAL-MWMC SDC ~ ~ ITEMS 1. 2 , 3 & 4) $ '? \ 'l-'" S'? , MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V. ,~L~ \1/11/4'?J \l Kip Burdick " SDC Coordinator ~ Irs(.,?~ ~. 9'~ TOTAL SDC $ '2;72- ~'7;, - FIXTURE UNIT,CALCULA.N TABLE: Number of New Fixtures.t Equivalent = Fixture Units (NOTE: For remodels, calcul1ne only the NET additional fIXtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...". .,...........,.".................,...,....... ,.. ..........,.... Drinking Fountain........,..."..................... .... ........... .,. Roor Drain. ...,....... ,........,..............,.......... ........ ......,.. Interceptors For Grease/Oil/Sollds/Etc..",..."......, Interceplors For Sand/Auto Wash/Etc...."..........., laundry Tub /Clotheswasher........ ..,... ".., ..........,..... Clotheswa~her ' 3 Or More..............."..,.......,......... Mobile Hdme Park Trap (1 Per Trailer)....,............, Receptor F9r Refrigerator {Water Station/Etc....".. Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single' Stall.." .., ,.....,.. ...,., ,..." ....., ..."......".. Shower, Gang.............,............"...,......."...".....'....,.. Sink, Bar, Commercial......,........,."..."....,....,......,.... Urinal, Stall{Wall....."....,.....,...,...,...,...,....,......"......., Wash Basin/lavatory, Single.........,.."....".....,...".., Water Closet, Public Installation......"..........,...,...... Water Closet, Private.........................."...,....."...".., Miscellaneous: '1.. 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 7_ 'Z -+ 4- TOTAL FIXTURE UNITS = 1.\ 4 4- ~ tG-o '?L- Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. II Rate per $1,000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 1981 L:~~ 1984 '1985 $3,21 3.13 3,OB 2.96 2,82 2,68 2.51 1986 1987 1988 1989 1990 1991 1992 '? '5<O~ '3."Z-\ X $ n ,~S (Rate X Assessed Value) X $_ (Rate X Assessed Value) CREDIT TOTAL Credit for Parcel or Land Only If Applicable = Improvement (If after annexation'date) = $ '?? ,,'1 Rate per $1,000 Assessed Value 1 $ 2.24 1.93 L57 1,18 0.79 0.44 0.28 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 . o }!i!IJ!!!!!!~!!!!' '. Job No. q?-\\ ~(,fl SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~~ ~ ~. \>,J. \ C PHONE: 9A~. 5\DC\'~ ADDRESS:\\~S \ ~~'\\.~C\'C ) J~nLSTATE:~ZIP ~\~\\\. LOCATION OF PROPOSED BUILDING SITE: (\\, ~ 1\ Street ~ddress if Known: ~ ()\\t\,""\ \ 0 'I \() '--~. D...\1 '\ 0\ \ ~ ~ ~ ~'-' Platt Name:G.m. N\ ~Cl ~ Tax Lot Number: \\\.c\(.2,Q.~ ~ ~f'f() 1. DEVElOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definitions are on the back.} A. Sin!!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 WPRD SDC Manufactured home not in a park X $400 PER UNIT = $ X $370 PER UNIT = $ .11{)0 X $277 PER UNIT = $ X $280 PER UNIT = $ $.!J4{).CO $ (2f '\ $ f")4t) .CJJ 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) ~) Community Services Divis'IQ City of Springfield q I ~ q lit:) Date