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Home My WebLink AboutPermit Building 1994-7-29 . RESIDENTIAL. PERMIT APPLICATION H_~ Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: / ~/J Z. ASSESSORS MAP: LOT' OWNER: ~//"'/7S"h:,./ /'5i7f> / , 17ed1c ADORE"'" CITY' DESCRIBE WORK: ~A#~ NEW ~ REMODEL .ADDITION CONTRACTOR'S NAME GENERAL: j.<Ah' /???].) PLUMBING: MECHANICA' . ELECTRICAl' QUAD AREA: ~~S~ \ ' to\ \ . OF BLDGS' OCCY GROUP: . OF SlORIES: WATER HEATER' c:; q I g V A-L.&n;-,/-J. O"? 2~ ~ ", BLOCI" /0~VY~ / .....L . 'S'/ . STATE' .~ . JOB NUMBER Q4G)'ZB ;$ 5" 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' L5> 2- _~ c::r.? PHONE: 7~~ -/).7 ~ '7 ZIP: 9?+77 . DEMOliSH. . ~ OTHER roc- .A'I'X/{ln.-ee (~A~~~ REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. r\Tl Rough Electrlcal - Prior to L..,lLI cover. rvt Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover," o Drywall - Prl,or to taping. o Wood Stove ~ After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms Bfe erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and"sub.base materlalln place. o F~n~e - When ~omPleted. o :Street Trees - When all required trees are .planted. . ., EXPIRES PHONE T~-7'1'/.".=> '. ADDRESS .~~ . 'CONST. CONTRACTOR' C7"i'-ft:> /~;A-?" ~ FLOOD PLAIN: ZONING CODE: --LOr2./ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: 4{){) - OFFICE USE - \I~() LAND .USE: · OF UNITS' CONSTR. TYPE: VN To request an Inspecllon, 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, o Temporary Electric D Site Inspection -- To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. rn Footing - Alter trenches are excavated. . , o Masonry - Steel location, bond ,beams. grouting. I rl1 Foundation':'" After forms are l erected but prIor to'concrete placement. o Underground Plumbing - Prior to filling trench. , o Underlloor Plumblng/Machanlcal -.Prlor 10 Insulallon or decking. o Post and Beam - PrIor to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanilary Sawer - Prior to filling trench. rVI Storm Sewer - Prior to filling LpJ trench. o Water Line - Prior to filling trench. . o Rough Plumbing' - Prior to cover. HEAT SOURCE: RANG~' o Final Plumbing - When all plumbing work Is complete. . . rV1 Final Electrical - When all ~ electrical work is complete. o Final Mechanical - When all mechanical work Is complete. rp Final Building - When all required Inspections have been approved and building I. completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o PlumbIng Connectlon~ - 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 Inspections are approved and porches, skirting, decks, and ventlng.have been Installe~. Lot faces Lot sq. fig. Lot coverage Topography Total height , '. Lot Type Interior Corner Panhandle Cul-de.sac ".;.,>;,' ',::' .':;. " \ -1;l ;j"'i'-;,'I.'..r.1; ~ ~ -'fol'rl}~ ;~l'J. ::'~~.~ \ :~/, ; ': - :.'. ":"'" ; (:-1,;1,1" ,.,,,- :, ..( 'THEPROPOSED WORK. IN THE. .-'.HISTORICAL DISTRICT, OR ON THE HISroRICAL REGISTER? II yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. I'P.L. IN Setbacks . HSE GAR Acc'l S W E BUILDING PERMIT ITEM SO. FT. X S/SO. FT. ~ VALUE Main Garage ~ Carport Total Val ue Building Permit Fee State Surcharge Total Fee -L,4."'" 1,'t~",,, (A) " 5i:. tf 0 S~40. ~ ' 5f.. ~ ~el, o<:~ .,,...,, I. e. \. C:l3.. SYSTEMS DEVELOPMENT CHARGI~ (SDC) . (B) 1ls'il~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge NO FT. . FT. FT. Furnace MECHANICAL PERMIT (C) Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Perml t Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk ~t I' Curbcut 30../fl Demolition .r----- State Surcharge Total Miscellaneous Permits (E) FEE \X' Q5 ~O/( y(~ I / ~~.Q TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) . . fj - I ~1A- APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT .Thls per.mlt Is granted on,the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by' the City. 01 Sprlnglleld, '.Includlng the Development Code, regUlating the construction arid use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, <({/.> 73 "7-//-54- 13$ 51' #~ Plan Check Fee: Date Paid: Receipt Number' Received By: ~\1:, . Plans~vlewed By " ~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS s.~'f-I\\V\4.~ da<.c:.\-\1\tc:. j:>~ cr- ~~ \i- ts.. 1l:lSt..c.U~"~ \ By signature, I state and agree, that I have carefully examined the completed application and do hereby certlry Ihat 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 Sprlnglleld, and the Laws of the. State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made or any structure without permission of the Building Safety Division. I rurther 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 thai all required Inspections are requested at the proper time; ~hat each address Is readable from the streel, that the permit card Is located at the front of the property, and \h~pproved set of plans will remain on t ~II times urlnrE~tlOn. . gnatu '/ .... . / -. VALIDATION: A 1 0 RECEIPT NUMBEf' \E. \ / DATE PAID.!:)' L~ __ A.MOUNT RE~IV ~':'l.-;-,'"O.c r;>,~C1 (b RECEIVED B M ) --. - - ~_u_ / . ---- I ,/ . ATTACHMENT B1 ~OB NO. r of 07) 3S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) N#I~ OR COMPANY: ~ O~~ LOCATION: s-r., '? J::;. /..,.-;.., DEVELOPMENT TYPE: 4'~... ~ /rP"./ (.-('.I ($-1 /{{ .) -- / J r / BUILDING SIZE: 100 q I t(;Gx2o)/)/q,I lOT SI7~' . I 1. SIDRM nRAINAGE SQ. Ft.' IMPERVIOUS SQ. FT. 1.20 X $0.209 PER SQ. FT. S /so.-?'lJ 2. SAHlIARY S~WFR-r.rTY NO. OF PFU'S IAf)/)'L X $43.26 PER PFU S d (See Reverse) ; 3. ]]ANSpnRTm.oo. NO OF UNITS X TRIP RATE X COST PER TRIP X ..- X $436.19 S Ni MA /.... -. X $436.19 S /" X X $436.19 S SUBTOTAL (ADD ITEMS 1.2. & 3) S /so.-?If 4. SAHlIARY S~WFR-MWMr. NO. OF PF~'S ~ x $17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From/Item 2 Above) S MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAl -MWMC SDC SUBTOTAl (ADO ITEMS 1.2.3 & 4) ~ S (7j ; S /S'o.-flf 5. ADMrNISTATTV~ ~FFS BASE CHARGE (SUBT~ ABOVE) X .05 ~ ~~ Date: ~-;2./-~ ~ Ha~\Hofnig. P. . SDC'1toordinator S 1.S;Z TOTAl SDC S / S'? o-rJ B2.SDC . ."..-- -"" . --...", FIXTURE UNIT CALCULA tTrlN TABLE: Number of New Fixtur~ Unit Equivalent = Fixture Units '-. (NOTE: For remodels, calculate only the tiEl additional fixtures) 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.. ................................. Clothes washer . 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, Single.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous: UNIT EOUIVALENT I 2 1 2 3 6 2 6 6 1 . 3 2 1IHead 2 2 1 6 4 TOTAL FIXTURE UNITS = FIXTURE UNITS Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. r Rate per $1,000 Assessed Value Year Annexed I 1979 or before .1980. 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) '. Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = = Rate per $1,000 Assessed Value $2.46 '2.14 1.77 1.37 0.97 0.61 0.44 0.15 J CREDIT TOTAL = $