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Home My WebLink AboutPermit Building 1994-7-18 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . TAX LOT:\lln ("y"')qCX). SUBDIVISION! _ fu"" l~_O~ ~~_!\0~HONE: t \'-\L\ .\d--{~ :::~~~~~ ~~~~, CITY:U\\1\ \ (\ 1 ,'orV . -. STATE: \0 X"zP1'\ DESCRIBE WORK:~f\'l\\ Q, ~Q~J..,t \ ~Q t\\c1 Q f\C'L NEW ~ REMODEL . ~ADDITION . .. DEM~ISH OTHER ZIP: 01'\, <'f) CONTRACT~'~ NAM~~.1 ADQRESS . . G EN ERA"'- 1...) '\.i..t j,( 1 Q .\1. . PLUMBING: ~)fC\Q \ P..~~OQ \ MECHANIC~"~W <(-~. . ELEcTRICA;\' 0.,\ _ OJ'~U (' j CON ST. CONTRACTOR' ~ \ lIq~ 5 \'\ ?{l ~ \. '\C\~ t ()~'l L\';) q a~. NE ~?,.~~ 5,A\~ QUAD AREA: ~ S,Q J · OF BLDGS: \ OCCY GROUP:, ~ '3 -\ ~ \ '( -' · OF STORIES' WATER HEATER: - OFFICE USE - LAND USE: \ \ \. \ · OF UNITS: \. , CONSTR. TYPE: 'IV IV HEAT SOURCE: W \-t f___ RANGE: EXPIRES lj.\~- q. \.t.{. 84Q.. FLOOD PLAIN' ZONING CODE: l,D\c..., . OF BDRMS' '- ~ SECONDARY HEAT:.. SQUARE FOOTAGE: ~\oC\3 To request an Inspection, you must call 726.3769. This Is a24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requeslad after 7:00 a.m. will be made the following work day. . ' . REQUIRED INSPECTIONS r'iI1 Rough M.echanlcal ...:. Prior 10 - ~ cover. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Eleclrlcal/ Mechanical - Prior 10 cover. ~ Footing - After trenches are L,LS. excavated. . D Masonry - Staellocatlon, bond beams, grouting. ~ Foundation - After forms Bre erected. but- prior to'concrete placemer'!t. o Underground PlumbIng - Prior to filling trench. ~ Underfloor Plumbing/Mechanical L1!.l _ Prior 10 Insulation or decking. rD Post and Beam - Prior to floor ~ Insulation or decking. (g] Floor Insulation - Prior to decking. IVl Sanitary Sewer - Prior to filling l...tC::I.ltrench. ~ Storm Sewer - Prior to filling trench. ..., . , " ~ Waler Line - Prior to filling LL:::>I.trench. r\::'I. Rough Plumbing - Prior .to,,', ~ cover. f'ViI Roug." .Eleclrlcal - Prior to ~ cover. ~ Eleclrlcal Service - Musl be approved to obtain permanent elactrlcal powar. D Fireplace - Prior 10 facing materlala and framing Insp. ~ Framing - Prior 10 cover. ~ Wail/Ceiling Insulation - Prior to cover. ~Drywall - Prior to taping. D Wood Stove - After 'nstallatlon. D Insert - After fIreplace approvl!Il and Inslallatlon of unit. 129 Curbcul & Approach - After forms are erected but prior to placement of concrete. 181 Sidewalk & Driveway - After excavation Is completo, forms and'sub.base material In place. D Fence - When completed. [] Street Trees - When all required trees are planted. ' . ...... ~ FInal Plumbing - When all - plumbing W9rk Is complet.e. r"l'l Final Electrical - When all Ip.. electrical work Is complete. @'Flnal Mechanical - When all mechanical work Is complete. r.::t1 Final Building - When all L..Z::t)-equlred Inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS D Blocking and Sel.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected 10 water and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to Ihe service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Instal/ed. Lot faces L~t~pe . 15:.. Interior Lot sq. ftg. Lot covarage Corner Topography _ Total hel~hl~ ~ BUILDING PERMIT ITEM II !)sr_~r FT. Main ~ ~lcO Panhandla Cul.de.sac x S/SQi:) 0l0. 14./0 , Garage Carporl .::r1~~. \' :1~, '\r:-l::t'}~'(-...~~~f1?(,f.:"" .,,". Setbacks. ,.. . .I'F~L HSE GAR ACe' IN . Is Iw I E I : &j[t .'a THE. PROPOSED WORK.tN THE. . . ."HISTOJ:\ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, thla application must be algned and approved by the Historical , Coordinator prior 10 permit Issuance. APPRov"n. . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thla permit Is gran led on the axpress condition that the said construction shall, In all respects, conform 10 the Ordinance adopted by the City. of Springfield, Including the Developmenl Code, regulating Iha construction and use of buildings, and may be suspended or revoked at any time I upon violation of any provisions of said ordinances. Plan Check Fee: "L'\f-\ J ./ Date Paid: \} ~ Receipt Numberu y Received By: ~ ~~~lLti Total Value Building Permit Fee Slate Surcharge Tolal Fee '1l~5'JO li'dJ 1-. vI. 1011+ ~ (A) Z!fJ[O!f 'J.- ' SYSTEMS DEVELOPMENT CHAR~~~ (B) c9.V: . f) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sawer FT. Water FT. Storm Sewer FT. Moblla Home FEE /i.oO.uJ 0,...... I {ouro 4.C:IJ + (3,00 (C) 172.~c) Plumbing Permll State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Venl Fan NO ~ Wood Stovellnsert/Flreplace Unit Dryer Venl Mechanical Permit Issuance Slate Surcharge Totar Permit .5Ot (D) MISCELLANEOUS PERMITS Mobile Home State issuance State surct'Jl'\ Sidewalk U ft Curbcut It Demolition S'flf Surch'R~ _ \).. \ l< g f.\ V \.Cl t\. u.u Total Mlscallaneous Permlls (E) 4.ro C1.CO .r~.OO l(o.SU /0.00 .f3~ ~ ~ '\-l)9:) f). \~C\4 - ~ Date Syslams Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~')o :tIn C'L ~O 0 u..."X1 ~~ ~~\" \CJ.a.D (~ ) ~cAN\QX \CHorf ~~ \ By slgnalure,l atale and agree, that I hava carefully examined Ihe compleled application and do hereby certify that all Informallon hereon Is Irua and correct, and I lurlher certify that any and all work performed shall be done In accordance with Iha Ordinances of the City of Springfield, and Ihe Laws of the State of Oregon perlalnlng to the work described haraln, and Ihal NO OCCUPANCY will be made of any structura without permission of the Building Safaty Division. I further certify thai only conlractors and employaes who ara In compliance wllh ORS 701.055 will be used on this proJect. I further agree 10 ensure that all required Inspecllons are requested allhe proper t1me~ Ihat each address Is readable . . from the streat, Ihat the permll card Is located at Ihe front of tha property, and the approved set of plan will remain 11tha. slle al.~1I times durl~ons ctlo . Ig ature~/;f!I Date. 7-1#-q./t . ... ( VALIDATION: jffflA r-:t1. RECEIPT NUMBE?j . . I""lit'l DATE PAID I ~1'6 ".. '. . ~. ~\ . . ~':';'7 j ".a.r1' ~ <"""""1i.. :~:~~;DR:~i;1\l~ 'tJllbCfP'- ,{ ..-.. ....., TOTAL AMOUNT DUE (exctudlptl..,elep{r~ ...... ' (A, B, C. 0, and E Combined) r,r Ilu.'1" .":'" <I"'.r" -:...... I...... I ._ - I . JUBNU. ' CITY OF ~INGFIELD SYSTEMS DEVELOP~T CHARGE ~l~ WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: #A-4,4 ~ r ..~ .I~. / /. LOCATION: ~~\ C-~ LJA. DEVELOPMENT TYPE' "') F /? .' BUILDING SIZE: ~.- I, S.rORM nRAINAGE I OT SIlJ: - SQ. Ft. IMPERVIOUS SQ. FT. ~/?r;, X $0.209 PER SQ. FT. $ "7SiC.1'7 2. SAMlIARY SJ:WFR-r.TTY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION /V X $43.26 PER PFU $ 71 O. '" If NO OF UNITS X TRIP RATE X COST PER TRIP J X U)/ X $436.19 $ .p:-40.5'~- X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 4. SAMlIARY SJ:WJ:R-MWM[ NO. OF PFU'S /7; x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 3/? 7' 2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3'1,' C) . . IQIAI -MWMr. snr. $ 2.lr-<J:.. ~4: SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ / rc.o. 92. 5. AnMINISTATTVJ: FFJ:~ BASE C~GE (Si1BTO /,\(ABOVE> X .05 ~~ ~/. %9 /;L~ Date: ~ary r ;g, P .EJ / SDC .Coo inator \../ '~ $ "l Y:O$ -,: - /.;2-- 9'7' IQIAI snc $ ;2.05"'ii.?? B2.SDC FIXTURE UNIT CALCULA TION TABLE: Number of New Fixtures X Unil Equivalent = Fixture Units (NOTE: For remodels, calculate only IA-JET addilional fixtures) . . ~ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Balhlub.... .......... ........................................................ Drinking Founlain....... .................... .......................... Floor Drain....... ....... ................ .................................. Inlerceplors For Grease/OiI/Solids/EIC................. Interceplors For Sand/Aulo Wash/Elc.................. Laundry Tub/Clolheswasher.................... ....... ........ Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receplor For Refrigerator/Waler Slation/Elc........ Receplor For Commercial Sink/Dishwasher/Etc.. Shower, Single Slall................................................. Shower, Gang.......................................................:... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:............ .... .............. ... ....... ...... ...... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation. ............ ................. .......... Toilet, Privale....................................................... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates. I Year Annexed 2. 2 1 2 3. 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 4 z.. 'Z. 2.. If /'i' Based on assessed value. If improvements occurred afler annexation dale in table, Rate per $1,000 Assessed Value 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) / / 2... 2. TOTAL FIXTURE UNITS = Year Annexed Rate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 = '31':.c. CJ 'J,.f {:. X $ /0. 07J-r:> (Rate X Assessed Value) X $ (Rate X Assessed Value) $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 = ---- CREDIT TOTAL = $ ~60