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HomeMy WebLinkAboutPermit Building 1994-8-31 0uc;;,e .g~o~s, ADDRE';": (t,)0 ~/Nt'C c.T ce~ Swuc " RESIDENTIAL PERMIT APPLICATION Inspections: '726.3769 Office: 726.3759 LOT: OWNER' CITY' DESCRIBE WORt<. /I.J~' NEW ';c' REMODEL . BLOCt<' (3Vrk.4.. O€I..K..'L- STAT~' ' c:e 6/"-'-FL.tE. ~r"'-~r/L"Y' "DEMOLISH OTHER ,/. , ./ / -" .. "'C.-- "ADDITION . JOB NUMBER 9'1--/0/L 225 Fifth Street Sprlngflefd, Oregon 97477 ) TAX LOT: CP-..{(J.) SUBDtVISION' tf3/6/iOP ~S771"-tS PHONF' f5~-833'C... ZIP: 9>7"2. b , CONST, ,CONTRACTOR . 7'cr 3.5" ~ 8(.. yJ>S- CONTRA~R'S NAME ADDRESS' /l II ~)!?"p/.....<O.. ,c.r GEN.ERAI Nt<R..IID~Abn.~5 rL?€~-0$'LL.o-<t. PLUMBIN'" N/'1tUIlAft./ p?-li(r.Jrf?,. ce€S~ '.' . 7'.;20 > A/ ,7 Tn. , MECHANICAL: _/5,Aei~ k..LA"73. a~. , '4/lC '~'" . 5 '133 .I-Hv'r9r ELECTRICAl' ./7~' n;.L<<ct!! ~C oaa~':;'. eJAP' , ,?ij -c; ~ EXPIRES , /"/7"/.9r' PHONE ~cl'33~ R75, <7'237 3~o/ - L'r"o:' / /7'/-a7'9~ QUAD AREA: ,--~R.'S.,(~ ./ - OFFICE USE - LAND USE: \\ \ '\ FLOOD PLAIN: . OF BLDGS: \ · OF UNIT!'" \ ZONING CODE: l12I.L" OCCY GROUP: \>\?J-\- N\ CONSTR. TYPE: VN ~ OF BDRMS' :3 . OF STORIES: \ HEAT SOURCE: -, F7= SECONDARY HEAT: r::;r-- WATER HEATER: E RANGE: E. SQUARE FOOTAGE: {\'11 To request an Inspection, you must call 726,3769, This Is a 24 hour recording, All Inspections requested before 7:00 a,m, will be made the same working day, Inspections requested after 7:00 a.m, will be made the following work day, . REQUIRED INSPECTIONS [$I Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to coyer. rvl Footing - After trenches arc ~ excavated. . D Masonry - Steel location, bond .beams. grouting. flZl Foundation - After forms are L...f-I erected' but prior to 'concrete placement. ' D Underground Plumbing - Prior to filling trench. [K] Underfloor Plumbing/Mechanical I -Prior to Insulation or decking, m Post and Beam - Prior to floor ,InsulatiOn or decking, . . ,........... t nJl Floor Insulation - Prior, to L...f=1 decking. . ..._,,, , " \ R1 Sanitary Sewer - Prior 10 filling I trench. f"ll Storm Sewer - Prior to filling I trench. ClI Waler Line - Prior to filling T trench, rR!.RoU9h Plumbing - Prior to T .cover. rYl Rough Mechanical -.:. Prior to ~ cover. rvl Rough ElectrIcal - Prior' to ~ cover. . f'll Electrlca' Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. !;zi Framing - Prior to cove:, , m Wail/Ceiling Insulatlon.- Prior to ~ cover, SXJ Drywall - prl.or 10 taping. , D Wood Stove - After Installation. D Insert - After fireplace approval " and Installation of unit. rvl Curbcut & Approach - After ~ forms afe erected but prlo~ to placement of concrete. ~ ' Sidewalk & Driveway - Aller' excC!-vatlon Is complete, forms and sub-base material In place. D F~n~e. - When ~O~Pleted. m Street Trees - When ~1I required ""\ trees are plante~. . . / m Final Plumbing - When all T plumbing wc;>rk Is complet.e. ~ r\fl Final ElectrIcal - When all ~ electrical work Is complete. m Final Mechanical - When all ~ mechanical work Is complete. ntJ Final Building - When all LP required Inspections have been approved and bUilding Is completed. D Other 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 Inspections have been approved and the home Is connected to the~servlce panel. D Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot sq, ltg, Lot coverage Topography Total height lLLf \. ( ,fl(i, ) BUILDING--PERMIT ITEM SQ, FT, Main Garage /2~S- 5"1'~ Carport Total Val ue Building Permit Fee State Surcharge PLUMBING PERMIT ITEM L~t'~ype'., _ Interior _ Corner x Panhandle Cul.de'sac ,;,., .:, .'0 .... "., -'.' .'.'.r).... ...'~...,:., . ").' , '.r.< '11'.,' i. .~'.i . . ~ )"l':"! P ....., . :':h: \r:',:; . 0 ':." :~'." ;;";'.:iJ1,"'>,!." ,.(tl THE,PROPOSED WO~KIN THE. '...HISTOI;lICAL DISTRICT, OR ON THE HISlORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. "h~L, "'1 .. , N' Is Setbacks. I I I 'I HSE GAR ACC' I ',,;n. <. W. E X S/SQ, FT, = VALUE, (B), FIxtures Residential Bath(s) N' !).. Sanitary Sewer FT. ' Water FT, Storm Sewer FT. Mobile Home 77f?:,/j 7 ~G7. ~ 'l8. ,s~ ~~J\c.t.....1.I. 11."""- Total Fee (A) _~c..,:u. SYSTEMS DEVELOPMENT CHARGE (SDC) :i . ~'-=~=- j 23G.S;~ FEE 7'0' Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan '6"% MWi>. (C) N' ~ Wood Stove/Insert/Fireplace Unit Dryer Vent l Mechanical Permit Issuance State Surcharge Total Permit ,,~ 1I\d...... (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk' It Curbcut ;)...~ It Demolition .-. . - - ,.:, ..,..... .......,....."..}:fo'";'J . f 1, <: \;s)., .:r.<>.i), \: ~~.s>Q... " ~5t.,1 72Z{;, \bO~ l (,E). Y.2.. 'O~ ""'. '-\. :=.- +? n.. eo. Y-2- ". . ~,~ Ql;.J " ~.Q.2... \t:t,~ \().9l2. .~ .~ ::0. \ '?:..3.s:l. \ ~-,"\. ~ \31.s.Q Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) -<:,\(j~.~ (A, B, C, D, and E Combined) '11"=1.! 3 APPROVEP' ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition 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 time upon violation of any provisions of said ordinances. Plan Check Fee: .2. ~&.~r Date Paid: r'13/5'~ Receipt Number' f ,eo!.. 3:E3 It" Received By:' ~I\ \ ~(Y)~ ~ '" piaM Reviewed By ~!i4 Systems Development Charge Is due on all undeveloped properties within the City limits which arc being Improved, ADDITIONAL COMMENTS I clr\1\o}[) Cm-Q): IY (d) ," ~+-r " C 4,CYXJ ,_0 1J:t') , 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 Ordlnanc~s 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 dur ng constr Ion. Signature Date d5/3{/97 VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIV~n, RECEIVED BY c ~9,YC!f:;> g- 3~~ V ~;}..,}J. ? 'St:>?./3 ,4~ ' v . , . - C "'7'. .t.- ..,., , fI\' ' ~-e y!i!I~!!!:!!l!;!!~ Job No. C{4'\N \ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:~~O~("~\~) ADDRESS: \Q~D l1i'~ 0119 \Ct PHONE: C\~\ ~130 STATE:~IP Q142Jp LOCATION OF ~ROPOSED B>l'I;P.!~.PJE: r-! __ J l^ '- '\ " Street Address i~ Known: ~ ~ 't\ -\-{)\ 'i::---. ~Tlll0--J . , ' P1'ttN'm~~ r..WN,mber. \~D~()9-qcP 1. DEVELOPMENT TYPE (Check appropriate dwellingls). SDC Calculations and dwelling type definitions are on the back.! Manufactured home not in a park $ 'iD),cO X $400 PER UNIT _= . X $370 PER UNIT = , $ X $277 PER UNIT = $ X $280 PER UNIT = $ $400 .OJ $ 0 a) $ 4(1). WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. / / Date ~f, 1"'\1 1f"'\\..11l ILI1 I UJ. . ' , JOB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMI CHARGE 1'1/0; / WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f,:-,rO< IS e......I .JI ~ LOCATION' 4178' )b~ 5/ . 1 DEVELOPMENT TYPE: S;'i) BUILDING SIZE: 1. STORM ORAINAGE IMPERVIOUS SQ. FT. '3 4'6"3 2. SANlIARY SFWFR-CTTY NO. OF PFU'S l't (See Reverse) 3. TRANSPORTATTOtl LOT SIZE ~ SQ. Ft. X $0.209 PER SQ. FT. $ 1 2 7. 75 X $43.26 PER PFU $ ;c r 6>'_, d' NO OF UNITS X TRIP RATE X COST PER TRIP X I,M X $436.19 $ #0.5j- X X X $436.19 X $436.19 $ .$ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. SAMllARY SFWFR-MWMG NO. OF PFU'S /'8 x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 3/'1.~< (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ /?- IT'f , IQIAI -MWMr SOr. $ ." s.s-i SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 22.~.2., r (.. 5. ~OMTNTSTATTVF FFFS i{/JS ,CHARG~ rTOTAL ABOVE) X .05 . ~ Date: 1-;~- '79 / Ma Ifornig, PJ.E. SDC Coordinat6r $ 112." of TOTAl SDC $ 23r..s:'1t/) B2.SDC . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit ~qulvalent = t'lx\ure unlt~ ""'IIIIIIl (NOTE: For remodels; calculate only ~ additional fixtures) . ., ',', NUMBER OF ,~UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS z. J 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 Bathtub................... ..... ,..,..,.,...........,.,.. ..:.............. ,... ' !?rinking 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).................. Acceptor For RefrigeratorN"ater 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:' ~ ~ } :z. 2- ~ ?' ;z ...L'Y TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits' separates. Rate per $l,OO~ Assessed Value 1 $2.46 ' 2.14 1.77. 1.37 0.97 0.61 0.44 0.15 'I Year Annexed Rate per $1,000 Assessed Value Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1979 or before 1980 1981 1982 1983 1984 1985' , 3,-1~ X $ 4. tn-D (Rate X Assessed Value) X $ (Rate X Assessed Value) /f,,?,,9 ------ Credit for Parcel or land Only If Applicable = = Improvement (if after annexation date) CREDIT TOTAL = $ /3,?f "