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Home My WebLink AboutPermit Building 1993-10-8 .-/ ""' ... .- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' " LOT: ,,' ~ SPRINGFIELD BLOCK: OWNER: ADDRESS' CITY' / ~o/' 1,>>:?,%c696" ~'/B"7~ 0~~= ''57~ , ?~C:C,4/}'? ~- STATE: &'""/"? < DESCRIBE WORK' ~''3/~(/C:7 a?C~X ,~, ' NEW -4:=-. REMODEL ADDITION DEMOLISH OTHER - MID JOB NUMBER 9::5'/Y~ 225 Fifth Street Springlield, Oregon 97477 ~- TAX LOT: ~Rr"",~ ~~C;-.f~ >>;z> ~ SUBDIVISION: PHONE: '?S";> -~ ZIP: .:::779'/8 L ...........; 1% , EXPI RES I/~- , CONTRACTOR'S NAME ADDRESS GENERAL:/F"~ftii/~~~r, 5.-",,_ PLUMBING: _ COhJST.' CONTRACTOR' ;nz:< r.I/ I' . " MECHANICA' . ELECTRICA' . QUAD AREA: ~~~ {\~ ( , Q ~.t" rv\ F\d:; ., (J . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER: - OFFICE if{EO LAND USE: \ \ ~ ']..l. . OF U~ITS: L/.', . CONSTR. TYPE: V IV.- HEAT SOURCE: Rl I-+- RANG~' tF./ . PHONE /'C/ ;;>-0-5'~ FLOOD PLAIN: J .ZONING CODE: ~J \ ) ru- , , .' '__~ / I ~ ~F [j~~MS: f'_",,\ + r-/.. SECONDARY HEAT: _ , SQUA~E FOOTAGE: r:JY30 To request an inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections reguested before 7:00 a.m. will be made the same working day, Inspectlons requested after 7:00 a.m. will bl.: made the following work day. o Temporary Electric D Site Inspection - To be made alter excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. !;!J Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. rn Underlloor Plumbing/Mechanical _ Prior to insulation or decking. o Post and Beam - PrIor to floor insulation or decl<ing. wi F'loor Insulation - Prior to !,.L-J decking. o Sanitmy Sewer - Prior to filling trench. rI71 Storm Sewer - Prior to filling lA.J trencll. ' o Water Line - PrIor to filling trench. . , '7l Rough Plumbing - Prior to ~ cover. , REQUIRED INSPECTIONS r7l Rough Mechanical - Prior to ~ cove~ . [1{] Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain pcrnuirient electrical power. . o Fireplace - Prior to facing materials and traming Insp. o Framing - Prior to cover. , [Z] Wall I Ceiling Insulation - Prior to cover. ~ Drywall - Prior t<;> taping.' D Wood Stove - After installation. o Insert - After (Ireplace approval arid installation of unit. o Curbcut & Approach - After fc.rms are erected but prior to rl<1ccmcnt of concrc18. o Sidewalk & Driveway - After excavation is complete, IQrms an~1 sub-base rnatcria~ in place. o Fence - When compictC'd. o Slroel Trees - Wl)en .<lU, i~quiied trees are planted.. _ <5.:.,-0.: , . 80 Final Plumbing - When all plumbing work is complet.c. [E] Final Electrical - When all electrical work is complete. CIl Final Mechanical - When all mechani.cal work Is complete. [#j Final Building - When all required Inspections have been approved and building is completed. DOlher MOBILE HOME INSPECTIONS o 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 at! required inspectIons are approved and porches, skirting, decks, and venting have been Installed. Lot faces -?- - lot Type lot sq, ltg, _ Interior Lot coverage Topography W . / Total height Corner -:;P Panhandle _ Cul-de-sac BUILDING PERMIT ~ rSA. <3. Setbacks IHSE GAR'ACCI /y' /y I f~" I ~~J I I PL IN S W IE 7J!:J' I ~ $/SO. rb = . VAl~'1) . .olo. -,. 13\-JUY~' l'1,IU -~;ttt. L1Q 14~LR S2~ 2.~. 'Y'l s..~62't SYSTEMS DEVELOPMENT CHARGE (SDC) 1/3 (B) 1/ "?'? 11 ?] MO~;.;O~~~ -f~~-f~ ~~py ~~ - 4f'I7< ac:> -;;zbt:;. . ~ J -:?.3C:> 2_22~ ;;e> ITEM Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' '2X A6&? FT. ;> S',6 I FT. >;")t:> r Sanitary Sewer Water Storm Sewer FT. Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood '2 N' G- Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge 1~L.LA?Y..4?..#..4cF' , . Total Miscellaneous Permits (E) TOTAL AMOUNT DUEi(eXCludlng electrical) (A, B, C, D, and E Combined) FEE ::3::4:7. <Joe> --I ~ "'l5 /..;-:- .- 7' ~c> /.B. - b.&<S --q~ ~ /0.- , /.6~ -'i-l.f-~~::;- 7'Y":?, -- ~:1z.~6 tHE PROPOSED WORK IN tHE ~ "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " 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 ttle express condition that the said construction shall, in all respects, conform to the Ordinance . (adopted by the 9ity 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~o I '~n~Of s id ordinances. Pian Check Fcc _ -- .. , ~\' \( - Date Paid' . I . I Rece'pt Numbel ~~f)&. ) Received By. ~ lliV ~~!~:; ~ '/-' . ~~~. r, Systems Development Charge is due 'on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~ -..----.... ~. ,.+T; U(\ ,\( ,) ~ ~ ' .t\ f\ Q fJ \ ~+ n~I,~B loC) . ,""" By signature, I ~tate 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 tile 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 tllat only contractors an~ employees who are in compliance with ORS 701.055 will be used on this project. I I further agree to ensure that all required inspections are requested allhe proper time, that each address is readable from the slreet, that the permit card is located at the front of the property, and the approved set ot plans will remain on the site ~t a~i~es during construction. SignatulP ;;<.L/z-&-? P ~ "'" Datn VALIDATION: D V) n RECEIPT NUMBER " \' Q(; I DATE PAID \b,f) -y ;> /1 AMOUNT REccrD 4- G\,2.) \ . ~\ LP RECEIVED BY.:J\~ > - iji' .. .- . .- - _ JOB NO. .q?; /'/ 'f g CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: .a , L.P-/l.OY R. 1V1/t-t.t..E:."'lE. t:..oE.HNl , LOCATION: "5"?o~ ~ '5310 UorA 5-r. "1'$" OF 17 0 -z. ??? I ~ ?~t>D 4 ~ , DEVELOPMENT TYPE: MOIL..- MEW l)uPt-E;x BUILDING SIZE: LOT S lZE SQ, Ft. " 1.. STORM DRAINAGE IMPERVIOUS SQ, FT. "'It-f? 0 X $0.203 PER SQ, FT. ~ 'f'f,?"Z-J:; '- --- 2, SANITARY SEWER-CITY NO. OF PFU'S '?'2- X $42,08 PER PFU ~) (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424,31 ~5r:.7/;) .......... .-/ $ '2- X I. D/ X $424,31 X 4. SANITARY SEWER-MWMC NO. OF PFU' S ~:z.. x $15.125 PER PFU + $10 MWMC ADM FEE $ '-f ~'-I- ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~I I~ TOTAL-MWMC SDC ~~~ ............. ...,...;::: SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '?1'5q ~ X $424.31 $ - 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ '13, 'j':'tL Ib/tI /17 , -U, Ki P Burdick I , SDC Coordinator ([7?7 "3::) '- .-/ TOTAL SDC ~ ~'? ,_,7.2- . --. .. -, --.. . ~ "-', . .- -. ,,,~,, ".' .~::~:;t:.:---~ --.--.. --- ;""! .>' . '.' . FIXTURE UNIT,CALCU LA ~ TABLE: Number 01 New Fixtures at Equivalent = Fixture Units (N~ ..... For remodels, calculate only the NET.tional fIXtures) . ' , -, . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 'f t.f. 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 o.f- Bathtub.........................,......... ..". .,... ...,'... ..... ..,.,.."... Drinking Fountain......,..,.,.,.......,...,...,.,.,...,.....,.,.,..,., Floor Drain.. ,..................,...,...,.,.,.............,................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc....:............., Laundry Tub /Dotheswasher........, ,::"...::. ,.... ,..,....;; Dotheswa~er ,3 Or More..................................... Mobile Hdme' Park Trap (1 PerTrailer).....:............ Receptor Fgr RelrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single'Stall..................................,.............. Shower, Gang..............................,... ....,.............,...... Sink, Bar, Commercia!...............................,.....,.,..... Urinal, StallfWall................................................,...... Wash Basin/lavatory, Single.....................,.........,.. Water Dose~ Public Installation,............................ Water Doset, Private.............................................., Miscellaneous: -z. . "2..' 'f '1.. t.I- If /&" TOTAL FIXTURE UNITS = ~"2- CREDIT CALCUlATION TABLE: calculate credits separates, '1- -- Based on assessed value. II improvements occurred alter annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value I 1979 or belore 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 S 2.24 1.93 1.57 1,18 0,79 0,44 0.28 J Credit for. Parcel or Land Only If Applicable Improvement (If after annexation date) 3.zl X $ "f,7/ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = 3/']. - = = $ 3/!1. , '. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential...,...........,.........,....,;:....,..,.,;,....,...... 0.4 CommerciaL....,..,......,.......................:,...,......., 0.9 Industria!..........................,........,.....,.,............... 0.45 Governmental......".:,...........,.,.........,.........,...,.. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -::::l'r.r,....~..._~,~.~r~.'7""'..",...,.,~'--,;. "'.' ...- _.' .. -c." "'." '., - '. . ...., ...,.~,..." '.' .;. '- t~ y!inl!m!~~!!~ - 9'$/7'98 b '4"'" I~' '~ )0 No. "\.,-, SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:~(\ l-m()J\i'~(L~~ PHONE: ILJJ-Oc::..{;,~ ADDRESS: <;(Ry.gC) 2J.&.Llh~ ~&, STATE:-ili ZIP qJLn~ , ~. LOCATION OF PROPOSED BUILDING SITE: . . , Street Address if Known: -:::.,:: "; ~ 't C:-,.::I '7 ~ ~ AJJ J;L. S'~~g~' ~,C> Platt Name: L-Pr AI Tax Lot Number: ./??? 5~=:? . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back,} A, Sinl!le Familv - Detached Single Family home NO OF UNITS B. Sinl!le Familv - Attached . NO OF UNIT~ '). C. Multi-Familv Aoartment NO OF UNITS D, Manufactured Home Park NO OF UNITS WPRD SDC _ Manufactured home not in a park X $400 PER UNIT = $ X $370 PER UNIT = $ 1LfOCo X $277 PER UNIT = $ X $280 PER UNIT = $ $ 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) $ $ ~ () o<i \lm J eJ Community Services Divisi n City of Springfield \n /_9J / CL~ Date-