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Home My WebLink AboutPermit Building 1995-6-21 RESIDENTIAL PERMIT APPLICATION .. Inspections: 726.3769 Office: 726.3759 SPRINGFIELD LOCATION OF PROPOSED WORij;.,-C:G~ C/;? ASSESSORS MAP: \ <?,() d cat I ~~ C. 0/ --. ""/ 47fC;'LZ>/ DESC~IBE' WORK: ~)~r?'//"~ NEW REMODEL ADDITION LOT: ?C5 OWNER:---:>Pf? ,1(hL~t:.. Y.eV ADDRES'" CITY' BLOCK' ~q /7''' /7?.?~;;? ~ , STATE: . '?:? JOB NUMBER . ~'f"C::>f"61!: 225 Fifth Stre'et .... Springfield. Oregon 97477 , .' , . No<:iX) TAX LOT: SUBDIVISION: ~TiV#/~ It c:, -~~-? PHONF' ??"/'~2:</ ZIP: ~./v~ ~r;~~/-~ 9THER ~~~'- CONST. .CONTRACTOR .' CONTRACTOR'S NAME 2)pp~SS' ~____./ t:..""''"~;:> GENERAL:' fr~~/~ ,~':::;;C_"7"''''/,- ~gs PLUMBING: ~r,-,:~ ,. r:t~F..1~- MECHANICAL: ~~t<>';.:e:;. ;" [. ELECTRICA' . ~. . . , QUAD AREA: 4l2.~ . OF BLDGS: \ .~ \ OCCY GROUP: f~ ~ tv\ \. OF STORIES: 2- (-,. WATER HEATER: .: ~ = - OFFICE USE - III \ \. . V'A / CONSTR. TYPE: IV HEAT: SOURCE: ~ /':At-L. RANGE: --f. ' LAND USF' . OF UNITS: EXpiRES PHONE ? '<V~'_ ?V?~ '3 ':::>"3/ d= 9:Yy-S""'U> FLOOD PLAIN' ZONING CODE: ~ . OF BDRMS: K4 SECONDARY,'/fAT: roo "_ SOUARE POU'A~ ~.3Z .-- ! ~'\~ . c".''"'i,.-''.; . -- _. __ 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 8.m. will be made the following work day. REQUIRED INSPECTIONS D Temp~ra~ .Electrlc f":7( Site Inspection - To be made ~fter excavation, but 81lor to setting forms. '519'1[...... '15?f UnderstD1f'PlumJJlDgt Electrlcall ~ Mech8n'c~rlor to cover. -c-.;r'Footlng - After trenches are ~excavated. D Masonry - Steel location, bond .beams, grouting. ~Found8t1on - After forms are ~~rected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumblngl Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. "f;;;7"fFloor !nsulatlon ..... Pu.or to ~decklng. ~LA--;:9 a""e? r"Q('Sanltary ~ewer - Prior to filling Ip. trench. r'\7f Storm Sewer - Prior to filling ~ trench. ~Water Line - Prior to filling ~ trench. ~Rough Plumbing - Prior to ~cover. ~ Rough Mechanical '- Prior ,to _ / _ ~ Final Plumbing - When all ~.cover. c:14~ r,~ tzarD Q.If(, plumbing worl< Is complete. ".', '.rA. . . '-'''. ~ Rough Electrical - Prior to ~cover. c><f Electrical Servlc~ - Must .be opproved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to co~er. I"v1 Wail/Ceiling Insulation' - Prior to ~ cover. . . ~DryWall - Prior to t~~i'ng.. o Wood Stovo - After Installation. o Insert - After fireplace approv~r and Installation of unit. f"S7"f Curbcut & Approach ~ After ~ forms are erected but prior to placement of concrete. ~Sldewalk & Driveway - After l.,lY-~xcavatlon Is complete. forms a(ld sub.base material In place. o Fen~e - When compieted. .- . ATlBtreet Trees - Wh~n a;I'r!?8Ulred ~trees are planted: . . . .' . ..(4 r ,fVl Final Electrical - When all ~ electrical work is complete. ~ fY1 Final Mechanical - When all ~meChanlcar work Is complete. j / "--' !Y'rFlnal Building - When all /" ~ requIred Inspections have bee:" approved and building is . completed. _r OOlhcr' , , ,I J I r f /' I MOBilE HOME INSPECTIONS , o Blocking and Set-Up - When all blocking Is co'mplete. o PJumblng Connections - When home has been connected to water and sewer. : . o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and'the rlOme Is connected to the servIce panel.. .,' I _,' ~ h , ., , o Final - After all required Inspections are approved and porches, skirting, decks, and \:entlng have been installed. / ~ BUILDING PERMIT ITEM ,SO. FT. X $/SO. FT. _ ~<.e:> 1'/./(;> Main 2274 ~57/. Garage Carport ~1l~~ /4/ 0IfitX. '/~?2 '3:2. <f3 '37,1'7. Total Value Building Permit Fee Stato Surcharge 3/,7f -f- /7,0 7 . ... . ... '. Total:cPee (A) "-'.":: J.,:~ ~'~j~:~I'lN7~\" ~PROPOSED WORK IN THE. . .....HISTOI;1ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks . HSE GAR I()~ ( ti 27~'" 5 ACe' I I I I I .: APPROVED' VALUE ..- BUILDING VAlUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the expre<>s condition that the said construction shall, In all respects. cor,,!form to the Ordinance adopted by the City .01 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time I upon violation of any provisions of said ordInances. ~~.75::>'!... Plan Check Fee: 39Y: 06 4/3,aYJ ~ /&;-":',,- Date Paid' ~7/-9S- -)7~C1Q , /~~'K~."t~ . ';;-- 5".0" Receipt Number: /~~ / ~D:&r . Rec~elv~d B' ~~r;. ?~ /' i!J,,' 35' ~/A"'-<-- . ~~. Pla- Reviewed Bylt. - . 12S"/6/. ::2~ , " ~,~'?.z.... r SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) #- 277"\4:1 PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO , ::2., Sanitary Sewer FT. Water FT. Storm Sewer FT. , __M~~lc Home -............,j. \. ~.-,J I Plumbing Permit Statu Surcharge 'J,e:. 3 +- 't).7fJ ..... Total Charge (C) MECHANICAL PERMIT Furnace '""'-...- , I E>.haust Hood Vent Fan NO ~. 3 Wd~d .St~~ellns~ePlace u..ni> Dryer Vent ~q~; WNJ..F.I', Mechanical PermIt Issuance State Surcharge ~ ..3J + III Total Permit , (0) MISCELL.~NEOUS PERMITS Mobile ,Homo State Issuance State Surcharge Sidewalk ~ It Curbcut 38 (t Demolilion i .. I \ Slate Surcharge ])f.A:v A1cv/<?1c.J ~" TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding "'ectilcal) (A, B, C, D, and E Combined) ..... FEE .m.[:> /S~( ;2c; 7-9'/ : ;;,~ 4;5"1' /2J;o L5~ .'." 1,$'0 -4'1.4'0 . , It!) .lH '2.,J~ ~7~ .-~ /C..'-O /.{.5'0 /9.02- 50."12- .;35 e,<f...se . S~/'lf I Da}6 . Systems Development Charge Is due on all undeveloped properties within ihe City limits which are being Improved. " ADDITIONAL COMMENTS ;7jfl7-# j ~H~Dl,\Ao.. ~rUllX1~L_ . ',Ac:4\'.M &tciC) \,~~\'\\\ ~ t)h ~.." \ ql8 ~nJ\.. (l.ffiG1fCQ _11 y~ \~~ '\ ~~"\ .'S!p~//hU,_/h?/h/r /ff _~}) / l i , By sIgnature, I.state 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 St~to of Oregon pertaining to tho work described herein, and that NO OCCUPANCY will be made of any structure without permissIon of the Building Safety Division, I further certify that only contractors and employees. who are In compll,mce with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper t1me~ that each address Is readable from the street, that the permit card Is located at the front of the propertyla j the appr ved set of plans will remain on the site at all I riles d4i construction. ~ure .ilwkJ; _ . - ., III !tJlYft'." DateJ"":.,,J... 'f1.) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY 17922-- !t;-z.J --~? dJ::!;;8 -- . . .,. '.' . . .~ NO. Q504-fp,, CITY OF SPRINGFIELD .SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 'PA-r t/ ::JOa:..L VN 5NJ/ rH LOCATION: tJB41- !-lOLLY Sf. /~o')...o~ll- 0(0600 DEVELOPMENT TYPE: LOK- - NEoIA/ '5FR BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. Z<o7~ X $0.209 PER SQ. FT. ~~<;4J~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) '2.? X $43.26 PER PFU ~O'6I~ '-...... .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X '.0 I X X $436.19 X $436.19 X $436.19 G44rJS;; '-.... .-/ $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S '2.5 x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ - $ 4-?qt5 TOTAL-MWMC SDC $ Sf? "14- ~ --- ---- $ Z~I~ MWMC .CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES TOTAL SDC (I~'~V $ 2-5t;"I44 BASE CHARGE (SUBTOTAL ABOVE) k::'- ~Lvl. . (\ Kip Burdic~ SDC Coordinator X .05 Date: ? I\t., /q? '. ..".'.: ....' FIXTURE u~IT <?f\lCUlA TJM[\I "i6f3lE: Number of New Fixtureenit .valent = Fixture Units (NOTE: For remodels~;calcuJate only theW!: a.onal flxtures) NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ? 2 1 2 3 6 2 6 6 1 3. 2 l/Head 2 2 1 6 4 r... Bathtub........,.........,..............,.....,............... -....., ..,..... Orin king Fountain. ............................. ._n... .--- - ....--_. -.. Floor Drain... ............................................................. Interceptors For Grease/Oil/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc................... laundry Tub/Clotheswasher... ............................:,:... Clotheswasher - 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, ,S[ngle....,'............................. Toilet, Public Installation........................................ Toilet, Private...................................................,... Miscellaneous: ... '.1. . 2. 2. ~ ~ [Z TOTAL FIXTURE UNITS z'? CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred alter annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value L 1979 or before 19BO 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2,92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 .. Improvement (if after annexation date) ? .4-(" X $ 24.'2-L- (Rate X Assessed Value) X $ (Rate X Assessed Value) p':?q~ Credit tor P!!rcel.or land Only If Applicable = CREDIT TOTAL = $ B'? '0:: II . .. .. "'!~ '1 fi !!.'!iltlJ<,1!!~!l!,!!,~ .. SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM8jtt-br ~~ ~ ADDRESS: (.' '. " Job No. C~~LP PHONE:"l.4\. ~~\ STATE: ..:-.-- . LqcATION OF PROPOSED BUILDINs:i SITE;U . . ~_ Street Address ~f Known: ~IL. \_ 00\ ~ l ~ ~ (l ~ P/~tt Name:&.l~ ~\\s, t\J~ Tax Lot Number. )~,\\1Jl~\ \ '. . ZIP , D\o~() 1. DEVELOPMENT TYPE (Check appropriate dwellirig(sJ. SDC calculations and dwelling type definitions are on the back.) . .' '. . . A. Sinele Familv - Detached \ . Single Family home . NO OF UNITS \ Manufactured home not in a park $ .A-tl).CO '. X $400 PER UNIT .r. B. Sinele Familv - Attached .. \ NO OF UNITS X $370 PER UNIT = C. Multi-Familv Aoartment. NO OF UNITS X $777 PER UNIT = D. ManufactUred Home Park NO OF UNITS X $280 PER UNIT = WPRD SDC 2. SDC CREDIT (If applicable> SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. . . 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced (or Creditl \i~~ .' U r..........rooo..n;...' <:'I''''-,:,......l" ni, .('~n I I n~IP '$ $ $ .. $ 4nfl ,CD '.. K '. (C) $ .AN\C() $ '-\-W.