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HomeMy WebLinkAboutPermit Building 1993-11-19 .,'..' '.-, ',h'./ . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 n LOCATION, OF PROPOSAq....,~~:;',? 9 J ASSESSORS MAP' \' \~ )j'ck~~\ <gl LOT: . SPRINGFIELD I JOB NUMBER <17"3'//&> '3' 225 Fifth Street Springfield, Oregon 97477 N, ((.oJe.Jt. (~Af' LiJ BLOCK' OWNER: l).,e.,.~<::. L..z:..iR...I.>....'L ADDRESS:' (J7), D'C (J Il. ie...f..,.... Q 0 CITY' I? "'1 ~ DESCRIBE WORK: NEW X D,J P I~_~ REMODEL ADDITION v STAT~' oR DEMOLISH OTHER TAX LOT: \ \ \Nj c.e..t:J~A-O~ P/kt...1l ~ SUBDIVISION: PHONE: 7<-/7"': ~bqL ," ZIP: Q7<-(OI CON ST. CONTRACTOR' De/J.R.~c... '( fO i.,x, '--- ~\cA~ CONTRACTOR'S NAME ADDRESS GENERA" ..~.o.vv.r '" LAI2v...iL /(7 S PLUMBING' ('\~Jll"" HA-((A,ri..tJ MECHANICAL: (:,po,e 1 "- flA-Uj"~ ELECTRICAL:-...l;fAd'ok. ~A(,("- C2,q4'L~ ~ EXPIRES S'$"3.c...( \n.s.aA PHONE /-/J-", "( "p..S("ti ~.s.q5 \\\\\)0 - OFFICE USE - QUAD AREA- LAND USE: \ \ ~() FLOOD PLAIN' . OF BLDGS: L . OF UNITS' ~ ZONING CODE: _\J\.\)~ OCCY GROUP: R~\- \S\. CONSTR. TYPE:~) . OF BDRMS: \ () . OF STORIES: ~ HEAT SOURCE: \o\:\. SECONDARY HEAT: .. SQUARE FOOTAGE:(~ \~ WATER HEATER: ? J RANG~' y.; 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 maele the following work day. ~ Temporary Electric D Site Inspection - To be made after excavation, but prior to setting (arms. D Under-slab Plumbingl Electricall Mechanical - Prior to cover. r-:::1l Footing - After trenches are ~ excavated. D Masonry - ~teel location, bond beams, groutIng. rd, Foundation _ After forms are l,Z:}erectcd but prior to concrete placement. D Underground Plumbing - Prior to filling trench. f":1f' Underlloor Plumbing I Mechanical ~_ Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ insulation or deckIng, k-A Floor Insulation - Prior to l.bJ. decking. IQ\ Sanitary Sewer - Prior to filling ~renctl. ~ Storm Sewer - Prior to filling Ll} trench. . i'v"1 Wator L1no - Prior to filling ~ trench. I'll Rough Plumbing - PrIor to """"f".. cover. REQUIRED INSPECTIONS Ul Rough Mechanical - Prior to ~ cover. ' ~ Rough Electrical - Prior to L.,A< cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framIng Insp. )Q Framing - Prior to cover. .K7"l Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. D Wood Stove - After InstallatIon. D Insert - After fireplace approval ,and installation of unit. ~ Curbcut & Approach - Aller ~ ferms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After I/.::t" excavation Is complete. forms and sub.base material in place. D Fence - When completed. o Street Trees - When all required trees arc planted. V1 Final Plumbing - When all ~ plumbing work is complete. ~ Final Electrical - When all ~electrical work is complete. WI Final Mechanical - When all ~mechanical work Is complete. 9Q Final Building - When all required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking is complete. D Plumbing Connections - When home has been connected to water and sewer. D Eleclrical Connection - When blocking, set-up, and plumbing inspectIons have been approved and the home is connected to the service panel. D Final - After all requi'red inspections are approved and porches, skirting, decks, and venting have been Installed. ) Lot faces, Lol Type , Selbacks I :L, IHSE 'GAR'AC~ I S I aE 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. Lot sq. ftg. Interior Lot coverage Corner Topography Tolal height Panhandle ffiJ Cul.de.sac W -- E BUILDING P,ERMIT SQ, FT. ~nlD <\~~ X50Sh~ \<\..\0 VALUE \~~~ _ \.o\\o~ ITEM Main Garage Carport. Total Value I.Q,~_~\Q ,rxa..n,';lS ~S\ 5~, \ \D Building Permit Fee . State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) ~ .tJ q?< (B) ~"21..'i5'7;, - PLUMBING PERMIT ITEM FEE Fixtures N&'lQ. ~~t\cf) , Residential Bath(s) Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit 0&0 ,cP 11o,oO --5~\o t;O State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood ~ C\'.CO , \~p.J Vent Fan N' Wood Stove/Insert/Fireplace Unit \O~ Dryer Vent &-.. Mechanical Permit c!J (I,OU Issuance I () .CX) State Surcharge _ \ .()S -37-1,0:::5 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home , State Issuance ./" State Surcharge' Sidewalk \:...0<::) Curbcul 3\.; It \q,(~ \~~ It Demolition ~\;~Z\'( ~ ~\)~D Total Miscellaneous p\~~ (E) ,TOTAL AM~.UNT DUE (excluding electrical)4rlSt9,5~ (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 stlall,in all respects, conform to the Ordinance adoplcd by the Cily of Springfield, including the Development Code, regulating the construction and use of buildings. and mOlY be suspended or revoked at any time upon violation of (In rovisi s of said ordinances. Plan Check Fee: \. " Date Paid: " Receipt Number: Received By: //h7-. ~ Plan~ed By . l~f~J Systems Development Charge is due 'on all undeveloped properties wittlin the City limits which are being improved. ADDITIONAL COMMENTS (" sA-\- \', \\ I ~~) "~~\J2&~~' \L\\ ocr, , , 0\\'\ \:\~\rtQ..)~Oq o'Tq OD- \ ~~'\~\ ~fJLu-cLYc\\l~.u~JU - ~ b\ +52- ~ \JL By signature, I stalc and agree, that I have carefu Iy 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 k herein, and that NO OCCUPANCY will be made of any 0 structure wilhoul 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. -0 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 f~ont of the property, and the approved set of plans will remain on the sile at all times during construction, Signalu're / ____ - If ((I '. Dale ~,_L:--'Cf - 13 VALIDATION: \ fY1!l (\ RECEIPT NUlf1ER" , 1..M1\.J DATE PAID I . I Cf ,y" ~ AMOUNT REC~ ...~ U~ ' S\ RECEIVED BY Cl)l Dr'A... \ " :. I' '.. <cZii::I;'?;I.,I', tl, ....>,.'.' ~fI !!..'!.i! I.!'.!!,l!!!!,!!~ \. :::~'l"'): l' ,,'~: -. I, .. Job No. q~~ 1.1.' SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~\\\\~ ~~~LUL.. PHONE: ,-aA3.5\oC\~ ADORES> W\'S ~'\\n:(\r ') Y\'('~QX\\). sTATe(;flLzlP ql)4t\( LOCATION OF PROPOSED BUILDING SITE: Street Address if Known: {oq 3 CO>\ loQ5 ill - (\1 C\\ '"\0 flQW -, \1 ~ Tax Lot Number: \"Dj ~~~\ '\ \ \\'C) Plat! Name: .G~\"f'Co j 1Y 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.> A. Sinl!le Familv - Detached Single Family home _ Manufactured home not in a park NO OF UNITS X $400 PER UNIT = $ B, Sinl!le Familv - Attached NO OF UNITS c!), X $370 PER UNIT = $ Il\~ r;:D C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D, Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ 'II4\) ~ $ e5 $V14\) ~ 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) \ffi,J\~~h Community Services ~i~ion City of Springfield \ \ / \ ~ I q~ Date .. _B NO. 't?l7lJ? CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: jA,,,\E.S lA RuE:.. LOCATION: Co"l '? zl. "''TS fJ, (iL-o",E.e L-E:At=- LP. DEVELOPMENT TYPE: \..0\2.. - t--ie:W \:)uPL-E:..)( \IO?'?'2..."?\ -11\00 NO OF UNITS X TRIP RATE X COST PER TRIP -z. X \.0 'I X $424.31 ~?'110:) '- -- $ X X $424.31 X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S ''3'2. x $15.125 PER PFU + $10 MWMC ADM FEE $ y.'1L-l-~~ (Use PFU Total From Item 2 Above) $ c.-: "'~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~ TOTAL-MWMC SDC ~ . SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '~\'?1 ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~ ,L~ \1/n/'1'?:J <J Kip Burdick " SDC Coordinator ~ "1~ TOTAL SDC $ .?'Z-~? - FIXTURE .UNIT ,CALCU LA"'T ABLE: Number of New Fixtures ~uivalent = 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/Oll/Sollds/Etc.,....,...,..,.., Interceptors For Sand/Auto Wash/Etc..."....,...,..., Laundry Tub /Ootheswasher, ....,.. ...,.., ".......,.....,.... Ootheswa~her . 3 Or More.."....."...,......,...........,.., Mobile Home Park Trap (1 Per Trailer)............,..... Receptor F9r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.Stall..,......,..............,....,....,........,...., Shower, Gang...,..........,................,...,....................... Sink, Bar, CommerciaL......,......,........,...,............... Urinal. StalljWall..,.........,.""....."..,....,...,..,......,...,',., Wash Basin/Lavatory, Single,......,..".....,..,.,.....,...., Water Ooset, Public Installation..,..,....,..."....,.....,.. Water Ooset, Private..,.....,..."...........,........,...."...... Miscellaneous: '1. 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 7. 'Z. I.\- 4- TOTAL FIXTURE UNITS 4 4 '-\- 4- \lD ?'z.. Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCUUl.TION TABLE: calculate credits separates. II Rate per $1,000 Assessed Value Year Annexed 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 '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 '3 .'2..\ X $ \I ,"2;.'7 S 'S ~.8 (Rate X Assessed Value) Improvement (rt 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