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Home My WebLink AboutPermit Building 1994-5-3 LOCATION OF PROPOS~ ~ORK' t.j~ 5f~ ASSESSORS MAP' I 'rf.. )~ ~ '-I c:::;::,(...eA?' W'~ 1?~~, PHONE:~~-S--S-.<'O /~S" L~e-~~/~>/~/~ (~~ . "5~L.2:>_ . STATF'.&'~ . ./ /':i-:~.#-~ /.F q- 1:"'"." RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: OWNER: ADORES'" CITY: ~ DESCRIBE WORK' NEW /JI REMODEL . SPRINGFIELD lf~ '- 'A&~~ . BLOCK' 5? 7?~- ADDITION OTHER DEMOLISH ...., $P'in.,. . .:0.y& s/3'2 , JOB NUMBER 225 Fifth Street Springfield. Oregon 97,477 TAX LOT: rA~cCf) SUBDIVISION: /";v'~""~~; ZIP: .r:?? 9'/8 * CONST, CONTRACTOR' CONTRACTOR'S NAME ADDRESS GE['iERAL: .::j..{:~U~E ~//-=-. 3 .:::)~/-:. PLU'MBING: 2'L"::::~E MECHANICAL:6A~ . ELECTRICAL: ~~:"" ,QUAD AREA: ,~g' ...J \ OCCY GROUP: \2" ~ \- tv\. \ 'y../ . OF BLDGS: . OF STORIES: WATER HEATER: EXPIRES ,(022-=! 5"?'f-77" 7.:?,6'"-;55'""~ t1:0\~' I.L.{ 45 ~. 'lWJ Pl'y~4r\ ,~)J4 .q~ 4ffi- 7/ jA rl?J{)[p~ Lo.Io'Cft 'oRf). /3/n2.. - OFFICE USE - , LAND USE: \ \ \ \ . OF UNITS' \ CONSTR, TYPE: J",I t\l HEAT SOURCE: &~ r4 ~ V '. RANGE: PHONE FLOOD PLAIN: ZONING CODE:! \~ . OF BDRMS' ~ SECONDARY HEAT: c;j' SQUARE FOOTAGE: -L6 3~ 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 D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover, ~ Footing - After trenches are ~ excavated. D Masonry - Steel locatlon, bond beams, grouting. - . ~ Foundation - After forms are . erected but prior to concrete placeme~t. o Underground Plumbing - Prior to filling trench, M Underflo,r,E;lumbtn~chanlcV ~ - Prior ~sulatlo~~aecKlng. rc;;;r Post and Beam - Prior to floor ~nsulatlon or decking. r\:71 Floor Insulation 1..... Prior to JC:>.l.deckln~ " ~Sanitary Sewer - Prior to filling ~rench. " \,; r;'<i;'( Storm Sewer - Prior to filling '~~ench. " Vl Water Line - Prior to filling ~ trench. rV1 Rough Plumbing..., Prior to ~over. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~cover. ~ Rough Electrical - ~rlor to ~over. f);:'! Electrical Service - Must be ~approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. it"! Wail/Ceiling Insulation - Prior to ~cover. ~ryWall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and installation of unit. c7f' Curbcut & Approach - After ~orms are erected but prior to placement of concrete. l\:"A Sidewalk & Driveway - After . ~xcavation is complete, forms and sub-base material In place. D Fence - When completed, ~reet Trees - When "all required ~ees are planted. "': ' ~ Final Plumbing - When alt ~plumbing work is complete. ~ Final Electrical - When all ~electrical work is complete. ..--- M Final Mechanical - When all ~mechanical work Is complete, CS(tFinal Building - When all " M9quired Inspections have been approved and building is completed. DOther 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 service panel. o Final - After all required inspections are app'roved and porches, skirting, decks, and venting have been Installed. Lot faces ....s..- Lot Type . Setb"cks ('THE PROPOSED WORK IN THE X Interior I P,L, , GAR'ACCI HISTORICAL DISTRICT, OR ON Lot sq. ftg, ~ HSE IN THE HISTORICAL REGISTER? Lot coverage :2f&?, Corner 3f) If yes. this application must be signed ~ Is Z'<:) and approved by the Historical Topography Panhandle Iw Coordinator prior to permit issuance. Jk ,/0 Ie> Total height Cul-de.sac (45' ') IE (p APPROVED: , BUILDING PERMIT ITEM sa. FT, X $/SO. FT. VALUE ~."2P 62i?~:a:~ Icj./6 '~~n..se' Main 1116 . l/lfK Garage Carport tt::~.c.t3--;' <?~ co -, - _/7 ()tJ 357. d() SYSTEMS DEVELOPMENT CHARGE (SDC) L<190,2.4- Total Val ue Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' 2.. //hI") ,CIe> Sanitary Sewer FT. FT., Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge eOb ~90 Total Charge (C) MECHANICAL PERMIT th 'PO 4f5'a 9.rlJ Furnace Exhaust Hood Vent Fan N' .7 Wood Stovellnsert/Flreplace Unit Dryer Vent ~Z ()O Mechanical PerlT!lt 2""2FtJ / (!) c-o ).13 :;: =1 "J Issuance State Surcharge Total PermIt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ It Curbcut lx) It /9.Q'O -L,4.JO Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) 2cP! 2. .1,7 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the saId constructlon 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. .., 2/. _,b Plan Check Fee' .... tlJ./ - 9!.1- Receipt Number' /2/t!!!:"O Re~2:~- Plans...Reviewed By Date Paid: 's-h/7'o::? '" ,'I ~te I Systems Development.Charge Is due on all undeveloped properties within the City limits whjc~,.are being improved. ADDITIONAL COMMENTS .....;;;../~,.. 0;;=---7) ~~ (~11nt~Ql f),NQun OD '\ c:t\+ T: \ '3. rJ~l )_ \.cA.~f\Q}{ l~tn'_ \C\')~ , I ~~~ H.&r ,."tf122/.AH7 /( RM II By signature, I state and agree, that I have carefully examined the completed application and do hereby certtfy 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 requ1red inspections, are.. requested at the proper tlme~ that each address is readable from the street, that the permit card Is located at the front of the proper , nd the aPliJoved set of plans will remain o.n the site t tlmn dl rg construction. . X!gnature I v / ~.(.. Date j - ~;;ja- " VALIDATION: RECEIPT NUMBER I? ,\5'.J DATE PAIl"' ':'),,(3/7'-1 AMOUNT RECEIVED -,2.:'7~'2.. ,'?-'" RECEIVED BY d~. ..- . o ~i!I~!!!!!~!!~ . , , \ Job No. q4ffi3~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: Glin l D-Q ~QP_) ,PHONE: f\A(()-~$c() ADDRESS: \~Q~ 0\0 n 11 ~ 9..~8.n STATE: ~IP qf)4.0~ -, LOCATION OF (OlROPOSED BUILFING~T!;... d>Z ^ ) Street Address if Known: q.9Jw .) 1 ) (H m 1 rt A.. N',q IJ 1".e.erV T~ L~ No"""'" 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back,) A. Sim,le Familv - Detached t Single Family home NO OF UNITS ( B. Sim:!le Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park $4\)()~ X $400 PER UNIT? . X $370 PER UNIT = .$ X $277 PER UNIT = $ X $280 PER UNIT = $ $4rD~ $0 $1{){)~ 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) ~~)\ Community Services Divisi n City of Springfield 5/0 /q4 Date . . JOB NO. f{ -f 0 -f":3 .z. -1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: fr.?1'1I WACrNE.<: LOCATION: 43':?o ,fA / #1/A M r r /' DEVELOPMENT TYPE: eV./ ~,r. L.I. BUILDING SIZE: LOT SIZE - SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ,2 3;ZZ X $0_203 PER SQ. FT. 0'7'/, 5V 2. SANITARY SEWER-CITY NO. OF PFU'S /Y X $42,08 PER PFU ~ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $424.31 X $424.31 ~-1-2?S?> '-- .,/ $ $ I X 1.01 X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S I 'if x $15.125 PER PFU + $10 MWMC ADM FEE $ Z82,2~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 19,19- TOTAL-MWMC SDC ~ '---- ..-/' SUBTOTAL (ADO ITEMS 1,2,3 & 4) $ /?;C;:s-, 1- '1 5. ADMINISTRATIVE FEES BASE CH~YSUBTO)~Ab.E) X .05 #~ /f~ 7f-.5-'J?~ - --I . . /' Kip Bufdick / ./ SDG...Cc,ordinator / (1f.0 TOTAL SDC $ /19 O. 2~ ~ , " FIXTURE UNIT ,GALGU LA. N TABLE: Numb~r of New Fixtures .it 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........,.."'...,.""..""'" '" ,,"'" ,,' """"."",.'... Interceptors For Grease/Oil/Sollds/Etc..,......,..,.... Interceptors For Sand/Auto Wash/Etc...........,....,. Laundry Tub /Ootheswasher...""....",.. ,.... .,....... ,., ,. Ootheswa~er - 3 Or More.................,..,................ Mobne Hdme Park Trap (1 Per Trailer)................., Receptor F\Jr RefrigeratorjWater Station/Etc,..,.... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single .StalL.... ,.... ,..... ,.,.,....,.......".........,., ,. Shower, Gang,...........,...,...,....,...., ,...,....,....,....."....,. Sink, Bar, COmmerciaL.....,......,.."...".....,......."....... Urinal, SlalljWall.....................,.....,..,',..,',.,.....,..,",.,' Wash Basin/Lavatory, Single..",....,...."...",..".,',.... Water Ooset, Public Installation.............,...,........... Water Ooset. Private..........,..."".""............,."...,..,. Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 j / / z 2. TOTAL FIXTURE UNITS = 2. :2 "2. '2. '7- '6 /1 Based on assessed value, If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credns separates, I Rate per $1.000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3,21 3.13 3.08 2,96 2,82 2.68 2,51 1986 1987 1988 1989 1990 1991 1992 Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0,44 0,28 --------. --------- CrednforParcelorLandOnlylfApplicable 3.21 X $ /3 :;tSO 41-,/4- (Rate X Assessed Value) Improvement Crt after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 44, f+ .' RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..., ..,. ................................ ,. .............. 0.4 CommerciaL...............,......,.....,......,..............,., 0,9 I nd ustrial......... ........... ......,.., ... ...... ,........ ..,........ 0,45 GovernmentaL. .......,..... ...,.., ... ,..,....... ,.............. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT