The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-11-19 .e RESIDENTIAL PERMIT APPLICATION I .. Inspections: 726.3769 Office: 726.3759 . LOT' \AIh' es t.A ~ u. i; ADDRESS: /17) 0", ~te.1 c '< ? Ii.. \A i q "-". OWNER' CITY' ()..J () /.,. .Ie DESCRII3E WORI'"' NEW _t-o REMODEL ADDITION \~\\1\0 \ ,\0\- N\ ~ C\ (J QUAD AREA: ---"'OF I3LDGS: OCCY GROUP: . OF STORIES: WATER HEATER: SPnlNGFIELD .. JOB NUMBER 97D~~ 225 Fifth Street Springfield. Oregon 97477 C::~ove.'l.../eAF '-I TAX LOT: m~-) SUI3DIVISION: -L./r A-JA()A p/IA5{(..zt:: BLOCK' 1...0 STATE: _D~ DEMOliSH OTHER PHON E: 7'13 - 5t:.!i..? CONTRACTOR'S NAME ADDRESS GENERAL:.~~S_ LA.€v..il...__U.1Lll.e.!~J..''-'<. PLUMBING: CRc. f- "lL H-4-~J3tttLJ-~ MECHANICAl' C -e o.Le, . II/.)-l L... ,.I", A1 ELECTRICAL: ll....rJr (" A- 1~L141Wl-e.<.. CONST. CONTRACTOR' ~~'-B~ ~q't?~~ - OFFICE~SE - LAND USE: \\G.U . OF UNITS: . ~ CONSTR. TYPE: \J N HEAT SOURCE: 1\'\'\\ (/ RANGE: ZIP: CCI:i....~....I 'I EXPIRES PHONE '3-Q:;,ft:.. 'd...... S5'3yy I-tl'i'l l\.>~.<.{t R.S.Q4- FLOOD PLAIN: ZONING CODE:U,DV . OF BDRMS: In' SECONDARY HEAT: SQUARE FOOTAGE: 2) I r:APl To request em Ins pee lion, you must call 726.3769, This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will bo made the snrne working day. Inspections requested after 7:00 a.m. will be mndc the following work day. o Underground Plumbing - Prior ~ Drywall :- PrIor to laplng. to filling trench. ~ ~ Underlloor Plumbing/Mechanical ~ _ Prior to Insulation or decking. 0 Wood Stove - After Installation. m Post nnd Beam - Prior to floor ~ Insul~tion or decking. o Temporary Electric o Silo Inspecllon - To be made after f~xcavatlon, but prior to setting forms. o Undclslab Plumbing/Electrical/ Mechanical - Prior to cover. ciFooting - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. 'm Foundation - After forms are ~ erected but prior to concrete placement. I. .. m Floor Insulation - Prior to ~ deckIng. d-1 SanilOlrY Sewer - Prior to filling 'f:-J trench. r:::::f1 Storm Sewer - Prior to filling L...P trench. '0 Water Line - Prior to filling trench. ~. Rough Plumbing - Prior to ~cover. REQUIRED INSPECTIONS b Rough Mechanical - Prior to ~ cover. . 'K7t Rouah Eleclrical - Prior to ~ cover. ~ Electrical Service - Must be . approved to obtain permanent electrIcal power. o Fireplace - Prior to facing materials and framing Insp. gFraming - Prior to cover. "'f;;:1i Wall/Ceiling Insulation - Prior to ~over. o Insert - After fireplace approval an(J Installation of unil. & Curbeut & Approach - AHer forms are erected but prior \0 placement of concrete. 'tlSidewalk & Driveway - Afler excavation is complete. forms and sub.base material In place. o Fence - When completed. ...r-:;( Slreet Trees - When all required ~ecs are planted. -c-Jf Final Plumbing - When all ~plUmbing work Is complete. -F><:] F'lnal Eleclrlcal - When all ~electrlcal work Is complete. ~ Final Mechnnlc'al - When all ~echanical work Is complete. ..c.::zl:-Final Duilding ~ When all ~ required Inspections have been apploved and building Is completed. o Other MOBILE HOME INSPECTIONS o Diocking 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. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot Type Lot sq. fig. Inlerior Lot coverage Corner Topography _ Totaf height &1. '" Panl1andlc Cul.de.sac . .S.9I~,cks_ .. P.Le- HSE GAil ACQ. N ...- . ..-..~;. ~ROPOSED WOFlK IN THE HISTORICAL DISTFlICT. OR ON THE HISTORICAL IlEGISTEIl? ____ ~._--_. W II yes, this applicalion must be signed and approved by tl1e Historical Coordinator prior to permit issuance. E BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. = VALUE ~ & .~D l~JfL t~~ '\'\L \L\,\D _~~ Main Garage Garport Total Value B.ulldlng Permit Foe State Surcharge Total Fcc (A) . \~~ . ,--.:J -cQ~~ \ 6.Z,Q.:\\.o SYSTEMS DEVELOPMENT CHA8GE (SDC) if=. # ?:72-~-;~ (B) .. . ... m"_"_ PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N'~-I:~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (e) MECHANICAL PERMIT Furnace Exhaust Hood cQ. N' 't Vent Fan Wood Stove/lnscrtlFlrcplace Unit Dryer Vent ~ Mechanical Permit Issuance S_tate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surchar~, Sidewalk ")U . ft .'J-l. 11 Curbcut ~ tt Demolition \;~~:~~:tts I TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D. and E Combined) FEE t\r:J() pO ~tl (') {)D lloCO 63.\.0..9_0 'q CD l.G, ,00 (0.00 ~f\P5- lD._OO -.1 "~CS ~.p:" . ~ A\)~D ,\~.jD ~po (E) ~.~~to~ I , APJ~ROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition Il1at the said construction shall, in all respects, conform to the Ordinance adopted by the Cily of Springfield. including the Developmenl Code, regulating the construction and use 01 buildin9s, and may be suspended or rcvoked at any time upon violation ~f ~~rfv., I~S\~~S of said ordinanccs. Plan Checl< Fee:~ ~ t~ Dale Palel: ., R~ceilJt Number:_n__ jl!oA~ D;rle - y Systems DeveloplT1ent Charge is due 'on all undeveloped properties witl1ln the City limits which are being improved. ADDITIONAL COMMENTS ~- \t-;~R~ .... Dll .-- "-.c_ __..... /. o ~0..0dQ1 \) r 2 - ----- l./ 11\. \ By slgnatme, I stale and agree, Ihat I have carefully examined the completed application and do hereby certify that all Informatlon hereon Is true and correct, and I further certify thai any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Slate of Oregon pertaining to the worl< dcscribed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I furll'lcr cerLify tllat only contractors and employees who arc In compliance with GRS 701.055 will be used on this project. 1 further agree to ensure that all required Inspections are requested al 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 al all limes during construction. '(Il Slgnalure /? .----. Dale If..-I'=r- ~- '7<- VAliDATION: \D(l' A 0 RECEIPT NUMBFR . .. '-'\ '-'trJ DATE PAID __1...1 . ICf .C{ ~__ AMOUNT REC~ ~C'f\ .~\__._.___ RECEIVED BY \:::::1:j{j"yV ___.._. _ . _B NO. Cf ~ I 7 () '5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: JAr-.t\ E.S LA 1<u.E:. LOCATION: ro-z.)"ot.l- N. Cl-D-IE.EL-EAi=- L.P. DEVELOPMENT TYPE: \"0(2.. - t-!.E:v-J \:)uPL-E.x. \ 16'?'2- 2. ":> i - 09Son BUILDING SIZE: LOT SiZE sQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. 'Z-:?<'j'2. X $0.203 PER SQ. FT. ~e?~i) 2. SANITARY SEWER-CITY NO. OF PFU'S ?:>2.. X $42.08 PER PFU 0?4-c.,?~ (See Reverse) ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP "2. X \.0" X $424.31 ~?,'O) '-- ../ $ X X $424.31 X 4. SANITARY SEWER-MWMC NO. OF PFU'S ?'2.. x $15.125 PER PFU + $10 MWMC ADM FEE $ L.\-qL./.~.~ (Use PFU Total From Item 2 Above) X $424.31 $ SUBTOTAL (ADD -c: '='9 $ "::>"7- TOTAL-MWMC SDC ~ ITEMS 1,2,3 & 4) $ '~\'2.1 ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~L~ \\ /n/'17 . - G Kip Burdick f I SDC Coordinator rl'S("?~ ~ 9'~ TOTAL SDC $ '2;J1- '07 - FIXTURE UNIT ,CALCU LA aN TABLE: Number of New Fixtures.t Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS Bathtub......... ...................................... ....................... Drinking Fountain..................................................... Roor Drain................................................................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Ootheswasher................................... Ootheswa~er - 3 Or More..................................... MobOe Home Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorjWater StationjEtc........ Receptor For Commercial Sink/Dishwasher fEte.. Shower, Single .Stall....... .............................. ....... ..... Shower, Gang.......................................................... Sink, Bar, CommerciaL.......................................... Urinal, Stall jWall.............. ................................... ...... Wash Basin/Lavatory, Single.................................. Water Ooset, Public Installation.....................,....... Water Ooset, Private............................................... Miscellaneous: L Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 'Z -L -z. '-t 4- TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 4- 4 4- 4- \G:, '?'Z.. Based on assessed value. If improvements occurred after annexation date in table, "'I Rate per $1,000 Assessed Value Year Annexed CREDIT CALCULATION TABLE: calculate credITs separates. I $3.21 3.13 3.08 2.96 2.B2 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 Rate per $ 1,000 Assessed Value S 2.24 1.93 1.57 1.1B 0.79 0.44 0.28 Credit for Parcel or Land Only If Applicable .~ ."2..\ X $ n .:z,c; (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Improvement [If after annexation date) = S ? <D.:! = = $ ":>'5b'1 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 . @ l!inl!m!!~!!~ . Job No. q~\~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:"- ~ffiQ [) (t~Q ). ~ 0 _ . PHONE: ~CY~\()Q2.... ADDRESS: \\I\S \~\L\i\(\ t '\ tr'(\~nQ_ STATE:~ZIP Gt\L\() \ LOCATION OF PROPOSED BUILDING SITE' '\ \ 0 r>. Street Address if KnDwn: '\c)'rl.. ~'\t't\- \..1\ . (' kCJ\ ),0 vi. Q C'\ 4 ~ -. U ~ Platt Name: G '\\\ \\t'\..\\(\ \\ Tax Lot Number: \ 'I ()~?\ \ l):\8"O ) 1. DEVELOPMENT TYP~ (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Sinl!le Family - Detached Single Family home Manufadured hDme not in a park NO OF UNITS X $400 PER UNIT = $ B. Sinl!le Family - Attached NO OF UNITS d X $370 PER UNIT = $~U C. Multi-Family Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufadured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ 'l\Ah ~ $95 $I)\t) 00 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) ~~~w~~ City of Springfield \\ / \CL ctS Date