HomeMy WebLinkAboutPermit Building 1994-2-7
. SPRINGFIELD .
RESIDENTIAL '~ nL1.^f\/ (]
f1ERMIT APPLICATION JOB NUMBER YOl[! U(t2Q.L
Inspections: 726.3769 "4 225 Fifth Street
Office: 726.375~ ~J' Springfield, Oregon 97477
LOCATION OF PROPOSED \(V~K;... l oBlo~ \:r{S~ ~'\c.C
ASSESSORS,klAP' IYi )d-Cnl,11 , (,l TAX LOT' C'O\W
LOT'\' BLOCK: I SUBDIVISION:
OWNER:.M\J\d ~"Ob d\-t~~)....~'U1llill nJ- PHONE: '\'111.- c _.Lo
ADD~ESr: . 4~4 \Y'i ~ .D.},) \\. fJh 0 ~ ,,,. ,( R -x:..,: ')1-\ - G2. rJ()
CITy:~')~l\ ~~rI~fooDl lj -'STAT~: J\)\O~ ZIP: 01'\4/19)
DESC,RI\E WORK: 0.)J\~ 0., ~ ffi i ~ >> 1 ) \. ~ \\ t\ \(\ 0 fl [\(L.>
NEW 1'" REMODEL ADDITION DECbLlSH OTH~R
/ CONST
CQNTRACTOR',S NAME_' ADDRE~S ./.... ~ CONTRACTOR A
GENERAL:~xn.v \n..~ f)(\q JuYe..P(')., <y \~,~0""/'
!J...,\ ~ g(.Q\ n 'iJ'
PLUMBING: Ll ',' /0'::l')?-..
MECHANICAl' ..J
ELECTRICA~: i\ \r11 A
QUAD AREA: 1\ R~--,
\
OCCY GROUP: ~.?-rt-fJ\
# OF STORIES: II '-t'\\Sr<Lf\t
WATER HEAT~R: -t( ./
# OF BLDGS:
..951P:5 I
;... OFFICE USE -
\ \ \ \
# OF UNITS: \
CONSTR. TYPE: V tJ,
HEAT SOURCE: f' f~
RANGE: y ~
LAND USE:
EXPIR~
A,S-I\
f)r:u;ot~
m!i~q/.p
cq.pp,,gip 01h/61-7(p
FLOOD PLAIN'
ZONING CODE:i f'P )
# OF BDRMS' ~
SECONDARY HEAT:.:Hf/
SQUARE FOOTAqE\ ~
!"A-' :: :... 'l/d J,
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.
~ Temporary Electric
p:;;;;Jl Site Inspection - To be made
~ after excavatton, but prior to
setting f.erms,
o Underslab PlumblngJElectrlcall
Mechanical - Prior to cover.
r<;7\ Footing - After trenches are
IL.:S excavated.
o Masonry - Steel location, bond
beams, grouting.
IZJ Foundation - After forms are
erected. but prior to concrete
placeme~t.
o Underground Plumbing - Prior
to filling trench,
~ Underfloor Plumblng/Mechanical
- Prior to Insulation or decking.
,
~ Post and Beam - PrIor to floor
~ Insulation or decking.
1':1 Floor Insulation - Prior to
l.L::l decking,
[Z] Sanitary' Sewer - PrIor to filling
trench.
~ Storm Sewer - Prior to filling'
trench. .
~ Water Line - Prior to.fllllng
I.L-l trench.
~ Rough Plumbing - Prior to
cover. r
REQUIRED INSPECTIONS
fVI Rough Mechanical - PrIor to
~ cove~ .
r::::::::7I Rough Electrical - Prior to
IAJ cover.
rvr Electrical Service - Must be
~ approved to obtain permanent
electrical power.
~ Fireplace - Prior to facing
J.L...::i materials and framing Insp.
o Framing - Prior to cover.
f':Lt Wall I Ceiling Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - After fireplace approval
and Installation of unit,
fV/I Curbcut & Approach - After
~ forms are erected but prior to
placement of concrete.
"R/l Sidewalk & Driveway - After
. ~ excavation is complete, forms
and 5:ub-base material in place.
o Fence - Whe,n completed. ,
o Street Trees - When 'all required
trees are planted.
'1Y1 Final Plumbing - When all
~ plumbIng work Is complet.e.
1"':/1 Final Electrical -. When all
}.L::::I electrical work Is complete.
1")('1' Final Mechanical - When all
~ mechanical work Is complete.
rs<1 Final Building - When all
~ required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking 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
Inspectlons are "approved and
porches; sklrtln'g, decks, and
venting have been Installed,
. \ C.THE PROPOSED WORK IN T'ME
Lot faces Lot Type Setbacks ) '.
-.2{ Interior I P,L, 'HSE'GAR'ACCI '--HISTORICAL DISTRICT, OR ON
Lot sq. ltg, IN I THE HISTORICAL REGISTER?
Lot coverage _ Corner If yes, this application must be signed
Topography lQ%, Is I and approved by the Historical
Panhandle Iw I Coordinator prior to permit Issuance.
Total height f/;s5 Cul-de.sac
to 5' ') IE I APPROVED'
Garage
IL\P)
~
,/!W;i73;
";?_9,7;:;
1/,,41
55 b, -PI
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
, ,"
SYSTEMS DEVElOPMENT CHARGE (SDCl :If>
. (B) ft.'2..<.j-Tl.~
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
~
--1!i2 "r; (') ,
Sanitary Sewer
FT,
FT,
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
192../50
Q,63
7.0"2./3
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
-(,.00
1./,50
_/5,6()
Furnace
Exhaust Hood
Vent Fan
N'
,.:;
Wood Stove/lnsert/Flreplace Unit
Dryer Vent .'
:? ,f'JO
Mechanical Permit
"P'.J
(' t:or.
zg,50
/IJ ,rf()
/,0.1 .5
'),q,13
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
f,?"{)
47~
It
It
1---2-.aJr'J
/6,3()
Curbcut
Demolition
J!\eAirCi f\~) .
I () '~<-1'
t~ ,5Lf'
~'2,/ q ,OR
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, confor.m 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 violation of any provl~loqs'~ said ordinances.
Plan Check Fee: ,~?1~ ' \ l)
Date Paid: _1- :J.I~
- '2. c::
Receipt Number'\..l Il4 -.J )
ReC~BY: C.l\ ( J'CL.-
, r J I?'^"v ~ '
Pla'i'fSReviewed By
J--~ 7 -"I 'f
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
~ '
\ 7: ,---:J/) C;-J II')
l! . f\ /l1}f: J Y11f2...;: I CI ( of)
~
Ac&.t,S ~~H\t;
~()J\(]
,,,---
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division..
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time; that each address is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at al times during constru
Signature
Date~/7 /q
I I
VALIDATION: I \ I J)
RECEIPT NUMBE~ J ,~5 \U J
DATE PAID rY } .C{~, /, _
AMOUNTRE~IV , :--)11~.~-~
RECEIVED B
- - -
~
.
o Y.'!}nl}!!!!!~!!!!
.
Job No. L:14tX1B
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME: ID ~"')\r\ "~~~\:\\iQ\)Dxt, PHONE: rv\f\-3h80
ADDRESS, 4flA4,- J'fu ~ !tJao ~STATE GJLZl' il1fJ8
LOCATION OF PROPOSED BUIL~CjSIJh ~- ~ \ tfu ~ "-
Street Address if Known: t~l()h \i')'\ :::,,~ _~ ~. 'l'i .J
Platt Name: O~ f'ill) r\Q ~ t\(}hkTax Lot Number: \~(Yr~\ \ C/)\tf)
\St--r
1. DEVELOPMENT TYPE (Check appropriale dwelling(s), SDC Calculations and dwelling type
definitions are on the back'>
A. Sinl!le Family - Detached
\ Single Family home
NO OF UNITS \
B. Sinl!le Familv - Attached
NO OF UNITS
C. Multi-Family Aoartment
NO OF UNITS
D, Manufactured Home Park
NO OF UNITS
WPRD SDC
Manufactured home not in a park
$ 4-{'(\ cD
X $400 PER UNIT =
X $370 PER UNIT =
$
X $277 PER UNIT =
$
X $280 PER UNIT =
$
$4CO~
$rb
$4fY)?1
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credil
approyal. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
~~~~~;~
City of Springfield
cJlr;/o/!
Date
.'
-"
.
. JOB NO. q";,oo,, f>
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: \)1\\1 \ t:> ~ \)€::e.e,y i--\-u L i, Ll fL"-
LOCATION: (~~t, <;( ~alZ.'S>y-n-\\P\.
DEVELOPMENT TYPE: !-;,e.. ~ t"J~1kl <:"'C-:!2-
\~o"20~\t- DOIOD
BU,ILDING SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
LOT SIZE
SQ. Ft.
"2-'71.--+
X $0.203 PER SQ. FT.
~S?1.,9i)
'-- ./
2. SANITARY SEWER-CITY
0s~o0
NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
'Zs
X $42.08 PER PFU
NO OF UNITS X TRIP RATE X COST PER TRIP
~
$
X t, 0 \
X $424.31
X $424.31
X $424.31
--'
X
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S '2.S x $15.125 PER PFU + $10 MWMC ADM FEE $ ~~'CI.1
(~se PFU Total From Item 2 Above)
MWMC CREDIT IF APPqCABLE (SEE REVERSE) $ <0 I ~
TOTAL-MWMC SDC 0'2.. I o~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '2."?s'-l ~
$
5. ADMINISTRATIVE FEES
Cl\l~
TOTAL SDC $ '2'4I'2."2-,j
BASE CHARGE (SUBTOTAL ABOVE) X .05
I~' ~L'.J._ t /zs /'1<4
V Kip Burdick ; , ,
SDC Coordinator
FIXTURE UNIT:CALCUueoN TABLE: Number of New Fixturesenit Equivalent = 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...... ,.....,..".."",.,..""""..",.,.".,.""",.,.."..
Inlerceptors For Grease/Oil/Sollds/Etc..,......"......
Interceptors For Sand/Aulo Wash/Etc..................
Laundry Tub/Ootheswasher.,....,...,.".."......I.:.:"..',. ,
Ootheswa~~er - 3. Or More............,..............:.......,..
Mobne Hdme Park Trap (1 Per Trailer)...........:,..,..
Receptor F9r Refrigerator JWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single ,Stall.......... ..................................,....
Shower, Gang........................,....., ,........,.............'..,.
Sink, Bar, CommerciaL............,....,.,..................,...,.
Urinal, StaIlJWaIL................................,.,.,..........,..,.
Wash BasinjLava!ory, Single,............................,....
Water Ooset. Public Installation............................,
Water Ooset, Private,..............,..............,.,....,.....,.,.
Miscellaneous:
. '
z...
'l-
, '
2
1
2
3
6
2
6
'.6
1
3
2
l/Head
2
2
1
6
4
\'1.
, !
-z.
I"
\
1.-
'5
'5
..,
, .
TOTAL FIXTURE UNITS
'2.5
=
Based on assessed value, If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
caJculale cred,its separates.
I
'.
=;]
Rate per $1,000 I
Assessed Value
$ 2.24
1.93
1.57 j
1.18
0.79
0.44
0.28
~ {01 \~
~
= $- (o..,I~
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
'0, 1983,
1984
'1985
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
Credit for Parcel or Land Only If Applicable
. Improvement (If after annexation date)
Year
Annexed
1986
1987
1988
1989
1990
"
1991'
1992
~,-z..' X $.?,D,"It
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.,............................:.:...:....::....::....:... 0.4
CommerciaL........................:..................:..:.... 0.9
IndustriaL........................................................ 0.45
GovernmentaL................................................ 0.5
r
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT