Loading...
HomeMy WebLinkAboutPermit Building 1995-2-7 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOT' (#?#~) 5~6 ~ . 2 ?t:J/ - ~ Ci.1v..t~,/.iMtr: fA1:J JOB NUMBER 9f/t.~ 6 . OWNER: t,,/IIIt~_- (1LII....,_ .; ADDRESS' 8.3 7.2. 2 E'..._, R.. ~ CITY' <;'_..t:/./ , DESCRIBE WORK' flu, /r/ NEW \L REMODEL CONTRACTOR'S NAME GENERAL: f'Y((l7 gui/c/,__ Jir/ PLUMBING: 0" uj"r P!,~_'".. /' MECHANICAl' ELECTRICAL: Va ve 'e ~7:;-u ... QUAD AREA: -' RlU (, ) - / OCCY GROUP: K:)r,tv\ 2- 7, . OF BLDGS' . OF STORIES: WATER HEATER: IY STATE:' & I? ,I/IU../ J')uJ!,.. Jt' PHONE: ZIP: --2:2..Y ~ s::- ADDRESS' CONST. CONTRACTOR' REQUIRED INSPECTIONS rW~U9h MechanIcal ~ PrIor to T ~over. ~OU9h. Electrical - Prior to T cover. ~Iectrlcal Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facIng materials and framing Insp. ~ Framing - Prlorto cover. ~all/Celllng Insulation - Prior to ( cover." IfDDryWall - Prior to taping, b Wood Stove - After Installation. D Insert - After fireplace approvlll and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. , ~Sldewalk & Driveway - After excavation Is complete. forms and sub-base material In place. D Fence - When completed. D Street Trees - When all required trees are planted. EXPII}J'..S ) O('VL<) 0( . d. fJ cts PHONE ) 2. (:-/r:L. ? ~f?ft-r..:J.K.1- , ADDITION DEMOLISH OTHER ~J..~LEJ:L!" R~ ~ ry2L./ , fl{,\D \to ," ,', v ~'~11 ... f, ,'. , " .~ - \\ .r">'~''(-J?Y~ - OFFICE USE - \~20 · OF UNITS: ?- CONSTR. TYPE:-'1[rV HEAT SOURCE: W+-\ F./ LAND USE: RANGE: FLOOD PLAIN' ZONING CODE: ~ . OF BDRMS: (\-\:...~, ,. SECONDARY HEAT:-P1 SQr;.~~~GnE~~ /' , 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. ~, <::. ' D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. ~otlng - After trenches are cavaled. Mesonry - Steel locallon, bond beams, grouting. 1:Found8t10n - After forms are erected but- prior to concrete placement. D Underground Plumbing - Prior to filling trench, ~ndernoor Plumbing/Mechanical - Prior to Insulation or deckIng. ost and Beam - Prior to floor Insulation or decking. rWFloor Insulation - Prior to { decking, ~anltary Sewer - Prior to filling -Tn trench. [A'Storm Sewer - PrIor to filling r trench. ~aler Line - Prior to filling trench. ough Plumbing - Prior to cover. . ~ ~ Final Plumbing - When all 7 _ plumbing w9rk Is complet.e. ~ Final Electrical - vv.hen all r electrical work Is complete. ~ bZ'l Final Mechanical - When all r mechanIcal work Is complete. 'Final BUilding - When all required Inspections have been approved and building is completed. DOthor MOBILE HOME INSPECTIONS D Blocking and Sot.Up - WheCl all blocking Is complete. D Plumbing Connections - When home has been connected to . water and sewer. D Electrical Connection - When blocking, set.up, and plun;lblng Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skirtIng, decks, and venting have been Installed. .,t. ,. ',' Lot 'faces " , LOI-~ype.' K Interior Corner Lot sq, ltg, Lot coverage Topography _ Total ~elght ~ Panhandle HSE GAR' ACc'I I I I .., <,." .,: \ - -'I~ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ; ..~.'. ., I:.,. I PL, IN Is Iw I"', " '"' . E - Cul,de,sac \ L '\,." ,"" ", BUILDING PERMIT SQ, FT, ~J') I () 440 ITEM X $/SQ, FT, ..51p. 2/) l4,/D t>.1aln Ga(age Carport Total Value Building Permit Fee Slate Surcharge -t ~ Total Fee (A) VALUE ..It~ } L~ .415 .18~2S ~Kb. S~<? \ l (B) SYSTEMS DEVELOPMENT CHARGE (SDC) $ -:r"/Sf/,13 PLUMBING PERMIT ITEM ',- Fixtures > ResIdential Bath(s) N'~ 9.. Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home PlumbIng Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical PermIt Issuahce State:Surcharge -t 3% Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge SIdewalk ~ It Curbcut :31.2 ft Demolition J1r:t^h~e 0 1 j l Qll) Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D, and E Combined) FEE c32Jl{!) ~W.aJ c95. (nO 2A'S,lLO q,co J ::l .00 J CD' n. ~').oo / (),OU J, /(o 301. lJ.o \C\~ \co~O /\ f,' i:;; \V.a 44t.=,r)~ .: '~", t:.:,.l:';~~;-i.&.:~~'.. '. THE PROPOSED WORK IN THE_ "'HISTORICAL DISTRICT, OR ON ' THE HISTORICAL REGISTER? If yes. this appllcallon must be signed and approved by the Historical . Coordinator prior to permit Issuance. Setbacks .' ...,~ APPROVEP' This permit is granted on the express condillon that 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 tlme upon violation of any provisions of saId ordinances. Plan Check Fee' Date Paid: ~Jj_\Y Receipt Number:f'li~ Received By: ~ \ Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits whIch ar~ being Improved. ADDITIONAL COMMENTS (' 1 \..h.Wlto J ~ 0 U YJ.Jl,t.; 4lIll , \ A-\-T '. \ \~()O ~.oN) \. -~ \'fftoJ[ \0..\09) . '- ') J ~u (, rYn (\Q.t\.~ ..., By signature, I stale and agree, that I have carefully 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 herein, and that NO OCCUPANCY will be made of any structure without 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. 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, and the approved set of plans will remain on the site at all times during construction. Signature [) ...:-z;? /J....&: - ..7 Date ., - '/ - 5',--- VALIDATION: r ) RECEIPT NUMBER (Lotl'"f<> DATE PAin, ,.C) ,1 .US , AMOUNT RECEI,VEO r~'\.\~ r::t.J RECEIVED BY H\\r'C\. .J ~ , '" ) , .,...... " ..1 ,'.', ~,: , ' , , ' , . , ~ . . . ",". . ~ . .' '.. . . ~.. :.'~' .... . '. JOB NO'-'~/t; '?~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ATIACHMENT B1 NAME OR COMPANY: _ta~L./Ah'1 C Aj..L.~ V LOCATION: 2 ;r,-y" S- 5. C.",dU,s:~J...BA-F ,)..ot:JP DEVELOPMENT TYPE: !I~/V OUPhE,X " ,'. BUILDING SIZE: 1. ~TORM OR4INAGE IMPERVIOUS SQ. FT. lOT SPF . ' 5Q. Ft. 2.4-10 , X $0,209 PER SO: FT. (S~ 2. SANTTARY SFWFR-CTTY NO. OF PFU'S ' (See Reverse) 3, TRANSPORTATI0tl ,NO OF UNITS X TRIP RATE X COST PER TRIP '3 2. , X $43.26 PER PFU .~ ~'1,';) _...-/ ;L X /. ~ / X $436, 19 ~8'F,/,/~ ') ------ X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1. 2, & 3) $..2 '? 7 $'.38 4, SANITARY SFWFR-MWMC NO, OF PFU'S ?.2. x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ f>,,~.t:J? (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~~,-jI'ii MAl -MWMC SOG 1~9. ~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3299.?'Y 5, ~OMIN1STATIVF FFFS 0~' BASE CHARGE (:U~Tr: ABOVE) X ,05 ~ ~k 'Date: //-/s--9~ / M ry crrnig, PU. SO oordi nator MAl sOC $ '5 4s"- 1 3 B2.SDC ' ;",..,..L:.."':' " .' ,e' - " FIXTURE UN'IT 'c~ALCULA TION TABLE: Numbcr of Ncw Fixtur~ Unit Equivalcnt =, Fixturc Units (NOTE: For rcmodcls, calculate only the N.E.I additional fixturesl NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub....................,...........".".."...,',..,....,.."....,..... . Drinking Fountain. ......................,...., .... ,..,........,....... Floor Drain. ...............................................,............... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto' Wash/Etc...........;,;..... Laundry Tub/Clotheswasher:.;: ;;:::-.,~. ...... .......... ,...... Clotheswasher. 3 Or More..................................... Mobile Home Park Trap (1 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, Sin9Ie.................................. Toilet, Public Installation........................................ Toilet, Private......,........... ..........,.............,.,.......... Miscellaneous:' .': ,\ iTA'" rcP~ ShYK J. 2 2 4 4- TOTAL FIXTURE UNITS UNIT EQUIVALENT "', 2 1 '2, 3 ~ , ' 2 , 6 '6 1 3 2 l/Head 2 2 1 6 4 .2. FIXTURE UNITS 4 4 4 4- _/b ~2 ,,' = If improvements occurred after annexation date in table, CREDIT CALCUL~TION TABLE: Based on assessed value. calculate credits separatcs. , \ I Rate per $ 1,000 Assessed Value Ycar Anncxed Rate pcr $1,000 Assessed Value Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 1979 or before 1980 1981 1982 " '9~3 19B4' 1985 $3.46 3.38 3.32 3,21 3.06 2.92 2,73 " $ 2.46 , 2,14 1.77 1.37 0,97 0.61 0.44 0.15 " Credit' for P~rcel or Land Only If Applicable s.~c. X $ /1. 10" (Rate X Assesscd Value) - X $ (Rate X Assessed Value) l~provelT\ent'(if after annexation date} = = 40. ?h'- J. '. ,. CREDIT TOTAL = $ 10. 1'l? '. ....: .. . ~,... Willamalane '-(,g Park & Recreatio~ District " . JObNO.~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET " NAME: \ l)\\\ to, N\ (\('\ l\ on 1) -" 0- ADDRESS: f61)?CC 9~~) ~~ Pet PHONE: 12b.I~? ~ STATE: 9tL.ZIP~' LOCATION OF j;lROPOSED BUILDING SITE: Street Address if Known: c&Jlo ~ ..... ct2laS f\() 01()\ '\0 .r1 o..a...ts ' Tax Lot Number: 'flD3QfL4.\.-:J'fX~fJD/IJ02fJD , ' (P1o) Platt Name: GJC\ffirJflJ[ , ~Ln:t, 1'. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. SinlJle Familv - Detached Single Family home NO OF UNITS B. Sinl!le Familv - Attached NO OF UNITS L C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NOOFUNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT ,p, , $ I . X $370 PER UNIT = , $!}j/).OO 1 X $277 PER UNIT = $ X $280 PER UNIT = $ $ 2ft) .CXJ $,Y' Mf"l'CO $.171).. 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit! :~m~~ !l, 1 I q~ Date ;,1 " " "I