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HomeMy WebLinkAboutPermit Building 1994-5-31 V ./.. ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCA~ION OF PROPOSED WORK' \'i-~~ ASSESSORS MAP' \ '7 ().~~ 'l44 LOT' -e . / (, Cf4D13! ": BLOCK: JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: OsC\nO, SUBDIVISION: I i OviNE~' \ \\ \. '( Q ) \.A-< \l h L' \ _ ,.{, ,'PHONE: ,,:,\~f)\~(rl.' '" ~\IX'U---' f.\ CIT . )}. .l ~ C) ~ _ . '.' STATE:\} J ~ ~_ fl11't .J DESCRIBEWO~k..A\\t\s\l \ ~ \..~() ~~(~)\,,~~~ ~ NEW X REMODEL ADD~N ..; DEMOLISI:i 'OTHER \ * ~ CONST. _ CONTRA ~ S Nt-ME ,\ ADDRESS' CONTRACTOR # EXPIRES -ONE GENER~' '\~n.Q ~ 'lld')~ q ..Qq.Q4 tj4t).lo1/,5 PLUMBIW" IT 0.."""')\\0 ~ MECHANICAL' . ELECTRICA; .l~ \,\\\t) O~ . . '.\ .- QUAD AREA: \ Q ~l '] # OF BLDGS:_A OCCY GROUP: KCS-\-M \ 9 / # OF STORIES: WATER HEATER: f'A \ ff 'fS'A..~f} ZIP: (]? ff)01 '1 {.'I,. r') iAqS - OFFICE ~~ LAND USE: . \ \ ':::'LJ # OF UNITS' I . , CONSTR. TYPE: --V::.^ 7 HEAT SOURCE: 1=' f) RANGe. f'J' 044n7f1S FLOOD PLAIN: JJ" () ZONING CODE: . )K-- . OF BDRMS:- ~ SECONDARY HEAT: P' SQUARE FOOTAGE:~I~a 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 D Temporary Electric D Site Inspection - To be made after excavation, but prIor to setting forms. M Underslab Plumbing/ lectrlcal/ ~ Mechanical - Prior t over. . 'K/(Footlng - After trenches are ~ excavated. D Masonry - Steel location, bond . .beams, grouting. ft Foundation - After forms are erected but prior to concrete placement. ' , D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. ~ Sanitary Sewer - Prior to filling (trenCh. ~ Storm Sewer - Prior to filling Gtrench. ' ~ Water Line - Prior to filling (' trench. D Rough 'Plumblng - Prior to cover. D Rough Mechanical"':' Prior to cover. rR='~ D Electrical Service ~ Must be approved to obtai n permanent efectrlcaf power. D Fireplace - Prior to facIng materials and framing Insp. txiFra~I~~ D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. . Wi' Curbcut & Approach - After F forms are erected but prior to placement of concret,e. D Sidewalk & Driveway - After excavation Is complete. forms . and 'sub-base material In place. D Fence. - When completed. D iStreet Trees - When all required trees are, planted. ' D Final Plumbing - When all plumbing W9rk Is complete. ~ Final Electrical - When all ' ,electrlcaf work t;{~ D Final Mechanical ~ When all mechanical work Is complete. VJ Final Building -.When all required Inspections have been approved and b11.1.J\" fJ.f ) completed. qL-~ "-^^"'~'-" DO.ther MOBILE HOME INSPECTIONS locking and Set.Up - When all locking Is complete. umblng Connections - When home has been connected to water and sewer. ..1 ~ctrlcal Connection - When locking, set.up. and plumbing' Inspections have been approved ~nd the home Is connected to ~ the service panef., . , . ..', . Inal - Aiter all requl red Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot faces Lot sq. Itg. Lot coverage Topography Total height BUILDING PERMIT ITEM sa. FT. ...... . Main Garage ~~ Total Value Building 'Permit Fee State Surcharge Total Fee ! . , ,,~':":." , .. -'. , Lot 'TYpe Interior Corner Panhandle Cul.de.sac x $/SO. FT. . .",' ~ t.... :l .~" ':, l";.~ ';. (I,,~ ~ ~"n.t;'li:~"~' ~t"'~~~ ..~t:.:: .',:':'~f..:'.1J. \t,/,l.:.~ : ',:", ~~~ .;'';;:t;1}:. ',J" . \:~' ,PP.L. ,;.i I .: N Is Iw IE = VALUE ~()~ ..b tJ.-;<'L J . ~)mr.v J" -' r.. (\3,000.) . ~~.~@ \03. SYSTEMS DEVELOPMENT CHARGE (SDC) 1/9'1:;', fC, o PLUMBING PERMIT ITEM Fixtures Resld?ntlal Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home' Plumbing Permit State Surcharge Total Charge (B) N' FT. FT. FT. FEE d..~ <SS AS C " fl~~ .f-d,.{j5J -(,,~,'lS (C) 'If),1).C) . MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Dryer Vent Wood Stovellnsert/Flreplace Unit N' Mechanical Perml t Issuance State Surcharge Total Permit . (D) Mobile Home MISCELLANEOUS PERMITS .. .+3.\5 State Issuance State. .s.u.'c~ar~ Sidewalk V) II Curbcul 31.o II Demolition .\" RJ lQ~~ rQOOO ,,1:o).,Q:=) ~ jS~) ~ ~~~~~.: h:- '0 IM.03 - .. '\ IJJ)V Hl TOTAL AMOUNT DUE (excluding electrIca~ . (A, B, C, 0, and E Combined) . Setbacks. HSE GAR Accl I ;1 I I ". THE.PROPOSED WORK.IN:H'E~. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. APPROVED: . 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,constructlon and use of buildings, and may be suspended or revoked at any time upon violation of anl ~1~Jlll.. o!z'ald. ordinances. Plan Check Fee: --1 .u..=> Date 'Pald: Receipt Number: Received By: . , ,) .{ tJi'f\ prans .Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ( ci~T', ltJ ~\O I uAlLf\.tK., Cnt<b :,,_Pl Q \31o() ~ui).er6~ GJ\l'\ ~. By signature, I stale 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 described herein, and that NO OCCUPANCY will be made of any lstru~ture 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 during construction. .~gnature~~"l Jl~~ Date .5,. ~ I - CL4 ' \ VALIDATION: ~ RECEIPT NUM5R A.. DATE PAIf"l I.... ''''h../.lI, AMOUNT REC~ ~ r; rJ 8". / R" RECEIVED By( '7'\;'; ) - , - .". . ." . . 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 FAX (503) 726.3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of'Springfield Development Code, I understand aDd agree that yith the approval of the attached ~ermits,.?ne of the fo~oying maDufactured homes will be placed at _ \l\-s5 '1"\, \\u. P-\J-tl... Springfield, Oregon, City Job Number _ qb,:D'\?;- \ l\. Type I MaDufactured Home. A multi-sectional (double wide or Yider) uDit with an enclosed tloor area of not less than 1,000 square feet, that has a Dominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have aD exterior thermal eDvelope meeting performaDce standards yhich reduce heat loss to levels equivaleDt to the performaDce standards required of single family dwellings constructed under the State Specialty Codes. Ty~e II Manufactured Home. A unit of Dot less than 12 feet in width with aD eDclosed tloor area of Dot less thaD 500 square feet, that has a nominal roof pitch of 2 feet iD height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided yith the following information: - MaDufactured Home blocking - Yater line connection - Street tree standards - SaDitary seyer connection - Electrical conDection - Minimum requiremeDts for permaDent steps I also uDderstaDd that if I am installiDg a Type I Manufactured Home, the home shall be eDclosed at the perimeter with stone, brick or other. masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. J~~ -C- ~ SIgna ture ) ~,..lI\A .I 5'"~I-fJ Date . . . o y!i!I!!.!!!!~!!~ Job No. Q4DrySI SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: \ f'\\ ~ ~Q, "M PHONE: f\4 \D.:-~~W ADDRESS: ~t'\ \f\~~ _ J\ 4ILr& I ~ STATE:QLIP!Ilf1B LOCATION OF Ii'ROPOSED BUILDING SITE: ~. \L 1 Q\ (\ Street Address if Known: \4S S \ ~ C\ i.Y\I . Tax Lot NU~ber: \ f\ ()~~ [)?}tCY) Platt Name: 1. DEVELOPMENT TYPE (Check appropriate dwell ing(sl. SDC Calculations and dwelling type definitions are on the back,) A. Sinl!le Familv - Detached \ NO OF UNITS Manufactured home not in a park $~~ Single Family home \ X $400 PER UNIT _= B. Sinl!le Familv - Attached NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv ADartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ 4.00~ $ff $ 4DDlP 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! .hill_,. \_~J\OV Community Servi~es' Di~ City of Springfield , _~t) 181 131 Date JOB NO, '1-fO~3/ . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT C/lARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAHE OR COHPANY: g,d, /J LOCATION: /4.~.> -f"d ~ DEVELOPMENT TYPE: ~~ - / "'~~ LOT SiZE SQ. Ft. . BUILDING SIZE: 1, STORM DRAINAGE IMPERV 10US SQ. FT. ;Z ;VfO X $0.203 PER SQ. FT. ~-f5?"'~ -- ~ 2. SANITARY SEWER-CITY NO. OF PFU'S . (See R.everse) I? X $42.0B PER PFU ((" 'J S7. ;;, ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I x /,~/ X $424.31 X X $424.31 0.2 f. s-;) .......... ,/ S X X $424.31 s 4. SAN ITARY SEWER-MW/1C NO. OF PFU'S /11' x $15.125 PER PFU + $10 MWMC ADM FEE $:Z ~2.~5 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL s 39',~ TOTAL-MWMC SDC ~ ~ (ADD ITEMS 1,2,3 & 4) S 1??'3.77 5. ADMINISTRATIVE FEES ( (S,jAI/QE) X .05 . /( ~ ~. 5""-;2-S--'J7Z- coor~;natoU . ~ q~/7) '- /' TOTAL SDC $ I'1Tf.?C, FIXTURE UNIT,CALCU~lON TABLE: r~urnt>N 01 New Fixtures X Unit Equi\,;\lent = Fix1lJfC Units (N01E: For remodels. ('"lcuI3Ie only the ~ddi;ion:tlli\l11Il"') . . Nur.~G(fl OF l':~IT FIXTURE FIXTURE TyPE NEW F1XlUI1ES ECUI\'i.I.EIH UI.JIfS Bathtub.............................................. . Drinking Fount3in........................ ............................ Floor Dldin................ ............... ,... ................ ............. Interceptors For Grease/Oil/Sollds/E1C................. Inl~rceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clot heswa sher................................... aotheswa~her - 3 Or More..................................... MobUe Home Park Trap (1 Per Trailer).................. Recep!or f9r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single' Stall. ............. ...... ........ ..... ................ Shower, Gang........................................................... S!Dk, Bar, Commercia!............................................. , Urinal, Stall/Vyall....................................................... Wash Basin/Lavatory, SiDgle.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: 2.. ., 4 ~ .c 2. 3 G 2 6 6 1 3 2 l/Head 2 2 1 6 4 2.. 2 7, 2 l? TOTAL FIXTURE UNITS ~ /? CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. - -- 1 ~- -- Year Rate per $1,000 Year Rate per $ 1,000 Annexed Assessed Value Annexed Assessed Value I 1979 or before $3.21 1936 $ 2.24 \ 1980 3.13 1987 1.93 1981 3.08 1936 1.57 I 1982 2.96 1989 1.18 11 1983: 2.82 1900 0.79 1984 2.68 1991 0.44 '1985 2.51 1992 0.28 .1 .. ?.2 ) $ /2 ...2/ t) :5 ?-/'7 Credit for Parcel or Land Only If Applicable X ~ (Rate X Assessed Value) =~ Improvement (If alter annexation date) X S (Rate X Assessed Value) 39,/9 CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.......................... ............ ................ 0.4 Commercial...................................................... 0.9 Industrial................ ............ ...... .......... ............... 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT