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Home My WebLink AboutPermit Building 1995-7-17 OWNER___l2tuY _ --Y!J()R-J(...I Lb\urJ ADDRES~(\);J \ }(.\\l~ 5\o2!L _ CITY ~J ir\fl\<L I STATE:~h~ DESCRIBE WOR:'. ~U\f'tL~C\ThJL l' IS!o Nr\ 0 1\00 ..J NEW,X REMODEL_~ ADDITION D~OLlSH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK' /~/)2- r - - --- .n ASSESSORS MAP: I'?, LOT' " I . . ?F' ~ -10 iJ.. '3~Lf '----- ht!5?..,,:~SW 7JT7A ..-,~_ ~2-. ( , , t.{ BLOCK: JOB NUMBER 90'73rp 225 FI fth Street _ Sprlnglleld,.oregon 97477 TAX Lv" .::::::--,..'P<;~ ~ c..J:;" s-s.-"O, SUBDIVISION: (:4) ;:.d:d-, ' If j(,t/i!.; Cue..,} JJ AfJIT/() PHON'" ZIP: CC14{)5 - CONTRACTOR'S NAME ADDRESS gg~~~ACTOR .() 71/7 ~XPIRES VS--jt!'PHONE GENERAL:~5U_ ;JOt1t:S IN(:, PO(~o( <:(,22- {/J~~- r,f&JJJ./J PLUMBING: ('/{,Tr)~f/6R ~\qqLf S.to'Ci./O w'5,1\4U/ MECHANICALYAt7\N,l,!.,/t ../lfnl"'/?' . '1 _ 1d.2.3 ~1!44'S ELECTRICA" 't-;;/Xfi1!0 f'Lf.I'./7Z./ ("' " . '0 S 'Z~C\Sl-441~ - OFFICE USE - QUAD AREA: 4 tL':;>~ LAND USE: I~I FLOOD PLAIN: . OF BLDGS: , 'OF UNITS: I ZONING CODE: -.!:Dr2.- , OCCY GROUP' Mt-m CONSTR. TYPE: \IN . OF BDRMS: ~ . OF STORIES: 1-.- HEAT SOURCE: V~ SECONDARY ~EAT:-.d1. WATER HEATER: r; RANGE: e; SQUARE FOOTAGE: _'2y:?1. To requesl an In,spection, you must call 726-3769, TIlls Is a 24 hour recording, Alllnspecllons requested belore 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. ~TelT1POrnry Electric D Silo Inspection - To be mado after excavation, but prior to setting fohns. ~UnderSI~t~ectricall ~:-Mechanlca'l-=r'rror to cover. , ~ Footing - After trenches are ~excavated. o Masonry - Steel location, bond beams, groullng. k:::r Foundation - Atter forms are ~ erected but prior 10 concrete placement. o Underground Plumbing - Prior to flllln~ trencll, D Underlloor Plumbing/Mechanical . - Prior to Insulation or decking. D Post and 8oa~ - Prior to floor Insulation or decl~lng, 'f\:::/r Floor Insulation - Prior to ~ decking, l\ \ ~\~'I'v1' Sanitary Sewer - Prior to filling ~ trench. rvrStorm Sewor - Prior to filling ~trench. R/f Water Llno - Prior to fIlling ~ trench. K:ti Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to .AI cover. ~ c4tt. ,r,A ~ Rough Electrical - Prior to ~ cover. , ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp, ~ Fram.'ng - Prior to cover. ~WalllCelling Insulation - Prior to j..6J. ~over. ZDrywall - Prior to taping, D Wood Slovo - After Installation. D Insert - After fireplace approv81 and Installation of unit. I\7f Curbcut & Approach - After' ~ forms are erected bllt prior to placemont of concrete.. . ~Sidewalk & DrIveway - After y-.:"'excavatlon Is comp;clc, forms and sub.base material In place. D Fence - When completed. ~treet Trees - When al/ required ~trees are planted. .. . J":]IFlnal Plumbing - When all ~plumblng wqrl< Is complel,e. "'1::/1 Final Electrical - When al/ ~ electrical work Is complete. f'C11=lnal Mechanical - When all ~mechanlcal work Is complete. ~Inal Building - When all ~ required Inspections have been approved and building Is completed, DOthor 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 Electrical Connection - When blocking, set-up, and plumbing Inspecllons 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. Lot faces Lol Type., ....' --!&.. Inlerlor ~ Lot sq, fIg.' ~tP Lot coverage ~~ Topography -II-~ , Total helght,,~q'V?A'~~ r;:rj;) 0 BUILDING PERMIT SQ, FT; Corner~;' ' . Panhandle Cul.de.sac ITEM X $/SQ, FT, _ Main 2~.20 f- t::"/7 5"l6 '1a Garage Carpor.t P#~Alqne.l ::2~7-' ~aor: ;z ~!O Total Value Building Permit ,Fee Slale sUrcharg~ 31, 2..4 ~ 17.5'-1 Tolal Fee (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' 0 Sanllary Sewer FT, Water FT, Stor.m Sewer FT, Mobile Home Plumbing Permll Slate Surcharge' '9 .~, + ';).76 TOlal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO 7~...~ ./ Wood Slove/lnsertlFlreplace Unll Oryer Vent Mechanical Permit Issuance j."" + /./') State Surcharge P.. Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk a S ft Curbcut '<?- ft Oemolition Slate Surcharge Tolal Miscellaneous PermllS (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) " ,,' . , '_T~~ ~ROPOSED WORK IN THE 'HISTORICAL DISTRICT, OR ON ,'-- , ,:iHE HISTORICAL REGISTER? If yes, this applicallon musl be signed and approved by the Historical Coordinator prior to permit issuance. , " , . I P.L. ""..IN, Is Iw IE "Setbacks " HSE GARTiiC'C-1 " I' I I I 25" ID VALUE " /~~'l4' 7290 ?n2;,;~~ -~i, 7s;" c;"?/B :J.L} . '/';, SYSTEMS DEVELOPMENT CH~GE (SDC) J:2 . (B) ".11?J'?"!2. 1P 6515'2. FEE 1?2.. r"t:J /5:~1 '2a1-'i'l ~~ -1;5" c q .tTO / <S 6-0 ~ecl> "<.7~O - , /n~ 3.E)1 <:n.S/ ~_'7> 14.. so . ..~7.5'> 1-7'17" 1 n .5' APPROVED' , BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT " ,This permit is granted on the cxpre'ss condlllon that the said construction shall, In'alrrespects, conform to the Ordinance adopled by the Cliy' of Springfield, including the Development Code. regulating the cOl')itruction and use of buildings, and may be suspended or rcvoked at any time upon violation of any provisions of said ordinances, 43.2.. ~ '7 ---f':/5' ) Recelpl Number:__, / ;I (b g '2 Received: ~~ ~~-,.~ ' Z-~~ \ Plan Reviewed By . Plan Check Fee: Dale Paid: ~//5S' Dele Systems Development Charge Is due on all undevelopod properties withIn 1118 City limits which arc being Improved. ADDITIONAL COMMENTS -&W-.t A -f-"I :: i ;'6. thO. o~ hU'luIAl1 tJYl ,dId:." r:!{oO r)NY~ t71dJ.wrUJl. A1Jf17L'b aL.J~ h~ .~1.~n"'~ , 70 ,&&l~_M.r"~ ,By signature, I state and agree, thai I have carofully examined the completed application and do hereby certify that all Information hcreon 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 Stato of Orcgon pertainIng to the work described herein, and thai 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 agreo '10 ensuro that all required Inspections are requested at the proper tlme, that oach address Is readable from the street, that the permit card Is located at the front of the property, .md the approved set of plans will remain on the site at all limes dUri~ c47cllon. ~alure hUj ;f~ Dato VALIDATION: II V"7-:? RECEIPT NUMBR ~( 0 DATE PAin 'j- / '7~ AMOUNT RE~, (' ,..h? ~ oF? RECEIVED BY.... yj)t(l_ ') ./ . .', " ""'..... \~,... Willamalane ..~~ Park & Recreation District Job. No. qC::;(f1~(f .... SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: T)m 1vJn it. \/A)0ffYl PHONE: STATE: _ Otl-ZIP: fJ1416 ADDRESS: , LOCATION OF PROPOSED BUILDING SITE: Street Address: (IJ ~1L{ ?~ ~ Piat Name: J ~ ()?/1J1./ 'l/V Tax Lot Number: OtflflJ{) , 1. DEVELOPIY.IENT TYPE, (Check appropriate dwelling(s), SDC calculations and dwelling t ype definitions are on the back.) A. Sinale-Familv Det~ Single Family home Manufactured home not in a park X $1,000 per unit = $ IDDD, 00 , NO. OF UNITS 8, SinQle-Familv Attached, NO, OF UNITS X $924 per unit = $ C, Multi-Familv ADartmen~ ' NO. OF UNITS X $692 per unit = $ _ 0, ManufactlJrRrl HamR P;:)rk, NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ \ , DOt') f)() 2.: SDC CREDIT (if applicable) SDC-payer must furnish proof of LX" Willamalane Credit approval. See sac Credit Worksheet. $ /(/ 3., TOTAL WILLAMALANE NET SDC ASSESSED . (if SDC redUce, d fO,,~C~~it~1 ~: j_~ -j l1'-; qv:j Development serVi~ 5 Depcytment Date - , City of Springfield $ t ,600. {)O . .B NO. 9'5o"l~'" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: DON IH-Oe.Ic:.Il.-DSON LOCATION: (,,"6,4 'Fo2.~""T'''HA. V~O"2-0"Z..'1.."1.-- 0'=>400 DEVELOPMENT TYPE: L. D 12.. - I-J.E.W -S~~ BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 4-0()f"') X $0,209 PER SQ. FT. (, f,?c.,.~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See ,Reverse) "?"I X $43.26 PER PFU ~~~1'~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $436. 19 X $436.19 ~4-0S~ ----- ----- $ $ \ X I. 0 \ X $436.19 X 4. SANITARY SEWER-MWMC NO. OF PFU'S Q' x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ 0<"60 4..!. SUBTOTAL $ "ii~ I~ ~ TOTAL-MWMC SDC \l.. '7'I'2.~1 (ADD ITEMS 1,2,3 & 4)' $ :I;>'??s:2 MWMC,CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) ~ p, Lt.k.. , -~- Kip Burdick SDC Coordinator X .05 Date: ",/11.../45 , I TOTAL SDC ~ $ "'::>/"?"? .,..., ~~~~'7i~;.r~~~:~~',,--~:- - ~ ~ .' _ . . . . ."... ,'~ , . ,;0 ~'.' - ','." - "c."..... ",.,."W " FIXTURE U.N~!. ~A.-LCU LA TION T ~.BLE: Number of New Rxture~nit Equivalent :"'R,ctiir~ \J~it;i?"l:'!7~" (NOTE: For remodels, calculate only tl.A-T addItIonal fixtures). . ....... NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Orinking 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 (l'Per T[;iler)...':............... . Receptor For RefrigeratoriWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL................................................ Shower, Gang ............................................... .... :....... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall................................................ .:..... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation.. ....... ...... ......... ... ............. Toilet, Private........................ .... ........... ...........:.... Miscellaneous: 2- 2 1 2 3 6 2 6 6' 1 3 2 l/Head 2 2 1 6 4 4- 1.- a. '2. 4 '2 c; '5 <;' "20 TOTAL FIXTURE UNITS ~ 7:>9 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. i-.. Year' . Annexed I -=] Rate per $1,000 Assessed Value Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 J ;', 98, I:!. Credit' fOr p.arcel or Land Only If Applicable :;,4(., X $ '2'5 .4-i (Rate X Assessed Value) Improve'11e~t ,lif .after annexation date) X $ (Rate X Assessed Value) ~ CREDIT TOTAL ~ $ '~<61~ '", '.,