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Home My WebLink AboutPermit Building 1994-9-16 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' . OTHER . Cf4 \ DS3 JOB NUMBER 225 Fifth Street CONTRACT~'~ NAM~ E J ADDRESS. GENERA,.l..)~_L~ lQf\ f\\1. PLUMBIN; ~)fC\Qrt \ ):l\~OQ \ MECHANICM..fu...ut\Of\ T.f'tt-). . ELEcTRICA~ ~\ \ Q A f~o.M1\i ~....J CONST. CONTRACTOR' R \ 1IC\ c:=\ 5 \'\?rl . B\'\C\S t ()~'l~ q~~~~ l..{)~ .~\ \ lo q 'A"?1-ldrW ~ 4(i~.AI2g EXPIRES 1'").\'2., . q.\t\. ,,\:\Q.. 04 ~ S,Q J - OFFICE USE - QUAD AREA: LAND US". \ \ \ \ FLOOD PLAIN' . OF BLDGS' \ · OF UNITS; 00 ZONING CODE: ~\C..., OCCY GROUP'. ~ 3 -\ lv\ CONSTR. TYPE: . OF BDRMS: · OF STORIES' \ HEAT SOURCE: \ l')r\ SECONDARY HEAT: WATER HEATER' 9 -' RANGF' E-- SQUARE FOOTAGE: I~AC) 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 aftar 7:0p a.m. will be made the following work day. REQUIRED INSPECTIONS rvi R~ugh M.echanlcal ...:. Prior to LOt cover. ' o Temporary EI~Clrlc_ D Slle Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. ~ Footing - After Irenches are ~ excavated. . D Masonry - Steel 'location, bond ,beams, grouting. ~Found8t1on - After forms are erected. but. prior to'concrete placement. o Underground PlumbIng - Prior . to filling trench. ~ Underfloor Plumblng/Machanlcal ~ -.Prlor 10 Insulation or decking. ~ Posl and Beam - Prior 10 floor ~ Insulation or decking. [g] Floor Insulation - Prior to decking. IV1 Sanitary Sewer - Prior to filling L...O.l trench. ~ Storm Sewer - Prior to filling .trench.. . . ." , ... . ~ Water Llne:T Prior to f111~ng trench. . ~ . r'V'I Rough Plumbing - Prior 10 ~ cover. I'VI Rough. ElectrIcal - Prior to L.A.l cover. ~ Eleclrlcal Service - Musl be s"pproved to obtain permanent eleclrlcal power. D Flraplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~ Wall/Cefllng Insulation - Prior to cover. &Drywall - Prior to taping. D Wood Stove - After Inslallatlon. D Insert - After fireplace approvlll and Inslallation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation Is completo, forms and"sub.base material In place. o Fence - When completed. o Street Treee - When all required trees are pi an ted. ~ Final Plumbing - When all ." plumbing w9rk Is complet,e. r::::Tl Final Electrical - When all Ip.. electrical work Is complete. @'Flnal Mechanical - When all mechanical work Is complete. r.::11 Final BuildIng - When all L..Z:J"'7equlred Inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. o 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. D Final - After all required Inspections Bre approved and porches, skirting, decks, and venting have been Installed. ,.\, Lot faces Lot Type. X Interior Lot sq. ftg. Lot coveraga Topography Total halghl Corner Panhandle ~ Cul.de.sac BUILDING PERMIT ITEM ,,~T. Main -l.lW ~LcD X $/SQ~ &.0../ /4.10 Garage Carport Total Value Building Permit Fee Slate Surcharge Total Fee ~~I; ,\..;~.1~ '\!'-':":.:;f"J;:..~:~_;i!~T.", ':1\.:. ,~ ,"" ' , "'.' :;~.st'-".:.. 'a THEPROPOSED WORK.tN THE. . ...HISTOJ:\ICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes, this application must be signed and epproved by the Hlslorlcal . Coordinator prior to permit Issuance. ';.." : ,. Setbacks. h~L HSE GAR ACC. N' S Iw IE :~ (B) SYSTEMS DEVELOPMENT CHARGE (SDC) l.loS''i. ~3 1f4S'IO 1 je c.t.- 1-. ...". /041+ ~ (A) Z3J[ii!f'J-' PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewar FT. Mobile Home FEE i!.oO.CD Plumbing Permit Slate Surcharge Total Charge 0/\ /lOUCD +C1J + 8.00 (C) 172..~U MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/Insert/Fireplace Unll Dryer Venl Mechanical Permit Issuance State Surcharge Total Permit .501 (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk II Curbcut II Demollllon S~ Surch't'l\~ _ a _ . " )( ~ R'\ vn t\u.o Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) 4.ffi CI.CO r~.OO l(o.'SU 10.00 .f3~ ~ ~l)~ APPROVED: . . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the exprass condition thai the said construcllon shall,ln all respects, conform to the Ordinance adopted by the City. of Springfield, Including Ihe Development Code, regulating Ihe construcllon and use Of buildings, and may be suspended or revoked at any time , upon violation of any p'rovlslons of said ordinances. Plan Check Fea: _ . . ',~ . , ./ Dale Paid: ~ ~ Receipt Numbe~ y , Received By: ~ ~~lLti ,'). \~ ~ - ~ Date Systems Development Charga Is due on all undeveloped properlles within Ihe City limits which are being Improved. ADDITIONAL COMMENTS ~')!llffi e-X _ ~d 0 u"Xl ~lli . LA'\-\ '. \tJ.GD (~ ) '- ~N\QX \ q ton- J~ \ !lot.;, r/~. tJrW/~A-;r./f'-r "/"'_iT/L /d#~ ue.. lhf/f~{PI6nn 'f/T . ~ .Ar1?~ I By signature, I state and agrea, that I hava carefully examined Ihe completed application and do hereby cerllfy that all Information hareon Is true and correct, and I further certify that any and all work parformed shall be done In accordance with the Ordinances of the Clly of Springfield, and Ihe Laws oftha Slate of Oregon partalnlng 10 the work described herein, and Ihal NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I further cerllfy that only contraclors and employees who ara In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections are raquesled at tho propar lime; that each address Is raada~le from the street, Ihat Ihe permll card la located at the front of tha property, and Ihe approved~et of pi s will remain on the slla al ~ times ~~t~uc . ~nalur!.-~~CUA _ v~ Oat. '- c?~n0 '/ /' '7( VALIDATION: RECEIPT NUMBER 1f'7Z.6Co ~I:_.- ~ ~'/J~'Tf' '2 . ~.:2Q. ~ ...... DATE PAID AMOUNT RECEIVED RECEIVED BY JII". v' ATTACHMENT Bl . . fI NO. '1 -9/0S..3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: //~L ~,~. LOCATION: 3 ~ ~'? G-~ DEVELOPMENT TYPE' <t:D BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2./?4 - 2. SANTTARY SFWFR-CITY NO. OF PFU'S /1 (See Reverse) 3. TRANSPORT A TT ON. tOT SIZF SQ. Ft. X $0.209 PER SQ. FT. . (4S-"~~ X $43.26 PER PFU 'c-nl.~r~ . NO OF UNITS X TRIP RATE X COST PER TRIP I X /,01 X $436.19 X X $436.19 c~~O'>9 $ X X $436.19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ IC.1s,t, f 4. SAMlIARY SFWFR-MWMC NO. OF PFU'S /? x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ~/'/,-f.2.. (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) .$ ~ 4,,, 0 -. IQIAI -MWMr. snr. pi- .t.~ SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ l'lfoO.S-/ 5. ADMINISTATIVE FEES BASr~HARGE (SUBTOTAl ABOVE) X .05 ~~' ~L Date: 'J-7-97Z /' Ha. ~Drn;g, V. SO Coordinator L.~ ~ '_.~/ TOTAl SDC 0:z.0S'~ B2.SDC ~ ~TURE UNIT CALCUL.ON TABL~: Number of Ncw Fi~t.X U~il Equivalcnt = FixlUrc Units (NOTE: For rcmodcls, calculalc only Ihc Nfl addilional fixlurcsl NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub...... ...... ................................... ....................... Drinking Fountain....... ...................... ........................ Floor Drain.. ..... ................................. .... .................... Interccptors For Grcasc/OiIlSolids/Etc..............:.: Inlcrccplors For Sand/Aula Wash/Elc.................. Laundry Tub/Clothcswashcr.. ...... .......... ..... ..... ....... Clotheswashcr - 3 Or More..................................... Mobilc Homc Park Trap (1 Per Trailcr).................. Rcceptor For Rcfrigeralor/Watcr Station/Etc........ Receptor For Commcrcial Sink/Dishwashcr/Etc.. Shower, Singlc Slall..............................;.;................. Showcr, Gang.... .......................... ....;~.;...;................ Sink: Bar, Commcrcial, Rcsidcntial Kitchen........................ Urinal, Stall/Wall..:............................. ....... ................ Wash Basin/Lavatory, Single.................................. Toilet, Public Inslallation........................................ Toilet , Private....................................................... Miscellaneous: ,TANI "'...:s SlN.!- UNIT EQUIVALENT .:2. 2 1 2 3 6 2. 6 .6 1 3 2 1/Hcad 2 2 1 6 4 .2 I I 2.. ') TOTAL FIXTURE UNITS = FIXTURE UNITS 4- '2. < 2 ~ /"i' CREDIT CALCULATION TABLE: Based on assessed value. II improvements occurred after anncxation date in lable, calculate credits scparates. Year Annexcd Rale per $1,000 Assessed Value Year Rate per $1,000 l Annexcd Assessed Value 1985 $2.46 1986 2.14 1987 1.77 1988 1.37 1989 .0.97 . 1990 0.61 1991 0.44 1993 0.15 ..- -. 3,/f~ X $ /0. tr6c) = ?~. 60 (Rate X Assessed Valuc) ~ X $ = (Ratc X Assessed Valuc) CREDIT TOTAL = $ 34.(00 'I I I 1979 or before 1980 1981. 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Crcdit .for Parcel or Land Onl,)' If Applicable Improvement (if allcr annexalion date)