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Home My WebLink AboutPermit Building 1994-3-9 ",-- . 4t. :: ". . ' Ri:SIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 - SPRINGFIELD 6L.4.c~~ LOCATION, OF PROPOSlf91'ORK. ~h / ASSESSORS MAP' v0(}.n31 I ~k~'J3~~A'#~,/)!> - "?Y_ ~ ADDR~"'" -"76""3 /Y"E' ??S-' ~,. 7'7"- ~ C;~7:::> ' " STATE: / DESCRIBE WORK' L:;;.~7 ~~ /9C" ~ LOT, L/ OWNER. CITY. NEW Jt' REMODEL CONTRACTOR'S NAME GENERAL: ~~,~"'/..,: PLUMBING. not?&::. S MECHANICA' ,-7?p{;r::<,. . ELECTRICAl. ~ /j~'Z:> QUAD AREA: L\-'\Z::b . OF BLDGS: ,\ OCCY GROUp. \~:rt!\/\ J... 6~, . OF STORIES, WATER HEATER: BLOCK' "7 5PZ.70 . JOB NUMBER 9~6 '7 225 Fifth Street Springfield, Oregon 97477 TAXLOT:~) , ~ l~ SUBDIVISION: /,c~A2:>Z: ~y~ _ - PHONF' '7 ~-c:::s~ Y'" .c;..:;/ -<, IA?/ fii~/ I- ' , , ADDITION DEMOLISH OTHER ZIP: q";>Y':>B ~.,,!:L'~ ~ /""., "'" /,":>",/~..,/~ ADDRESS CONST. CONTRACTOR' PHONE REQUIRED INSPECTIONS ..l8] Rough Mechanical - Prior to cover. ~ Rough Electrical - Prior to cover. ~ Electrical Service - Must be approved to obtain permanent electrical power, o Fireplace - Prior to facing materials and framing Insp. 181 Framing. - Prior to cover. I?:SJ Wail/Ceiling Insulation - Prior to cover. ' ~ Drywall - Prior to taping, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. ~ Curbcul & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After , excavation Is complete, forms and s.ub-base material In place. o Fence - Whe.n completed. o Street Trees - When 'all required trees are plan.ted. EXPIRES ~A' :~nl [ n ~/)~'1 () 15)l45 C~-9~ '7~-6/7';1 ;::;"J~,qq A. . \4 C\4 \\.\{).q~ - OFFICE U~E - LAND USE: \.\ \ \ FLOOD PLAIN: # OF UNITS" \ '. J ZONING CODE: WP- CO NSTR, TYPE: V N . OF BDRMS. ....::? HEAT SOURCE,"-;~(A/'/~r#~ECONDARY HEAT, , Hf/ RANG~' SQUARE FOOTAGqLff}- - To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/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. ~ Final Plumbing - When all plumbing work Is complete. ~ Final Electrical - When all electrical work is complete. , o Temporary Electric ~ Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing ---After trenches are excavated. o Masonry - Steel 'Iocatlon, bond bear:ns, grouting. ~ Foundation - After forms are ~ erected'but,'prlor to concrete placeme~t. o Underground Plumbing - Prior to filling trench. ' ~ Underfloor Plumbing/Mechanical - Prior to Insulation or decking. ~ Post and Beam - PrIor to floor ~ InsulatIon or decking. F::71 Floor Insulation - Prior to ~ decking, ~ Sanitary Sewer - Prior to filling trench. ~Storm Sewer - Prior to filling l6J trench. ~ Water L1n~ - Prior to filling. trench. \ ~ Rough Plumbing - Prior to cover. ~ Final Mechanical - When all mechanical work Is complete. ~ Final Building - When all required Inspections have been approved end building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing 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 home Is connected to the service panel. o Final - After all required Inspections are approved and porches, sklrtln'9, decks, and venting have been Installed. Lot faces Lot sq. 'ftg. Lot Type. x" Interior Lot coverage Corner Topography _ I Total height .ii:5 ( ~C;/) BUILDING PERMIT ITEM SO. FT. Panhandle Cul,de,sac X $/so. FT. Main :::TSjis:~ ~-;u:> ~. ~ lSY~ ~~9..5"- /t!?~ Garage jiii/rC#. Car~.....,t.I- Total Value Building Permit Fee State Surcharge Total Fee (A) ~ THE PROPOSED WORK IN ;HE ..... '...HISTORICAL 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 ACC I PL. IN Is Iw IE VALUE IZZ _~ 72 . ~~-~ ~S,~- APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,ln all respects, conform to the Ordinance adopted by the City 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 provisions of saId ordinances. Plan Check Fee, ~ '9. ? / ....a-.Date Paid: 12~ ~'"7- ~ J::J2~.:>~ . II-'ll ~ i .. - - Receipt Number:~ C;n/.Z5 '.// Received 'By: /" ~~ .-/ 25. 3t . ".7 ~ .f"MA ;?~ S '52... {; L Plans l'levlewed By SYSTEMS DEVELOPMENT CHARGE (SDC).w. (6) ~"2'-\14~ PLUMBING PERMIT ITEM Fixtures Residential 6ath(s) N' 3 Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 4- Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical PermIt Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk qz, 36 It ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) FEE --1!l. 2 .50 iq2.~O &j.b?> 71)2. . 13 _C.b C> ~. W- /2--0 C> J.5li) ,?t} 0 ,~D ~'Ef) /eJ,OO A.1)~ .55a-5 ~ 23.>lO /S.l{o 3 '1,2-CJ TOTAL AMOUNT DUE (excluding electrical) J,~L\D~ (A, B, c. D, and E Combined) / -2- 7--91 Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS - - \ ~.:>..:-r'. ~l) Y \() \-.;clnrj!(.: DQto ~'. \C\!dJ , - ~lnJ)l\\6o ~iru.tIYWr ) By signature, I state and agree, that I have carefulJy.examlned the completed application and do hereby certify that all information hereon Is true and correct, and I further cer!ify .~ that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Law; 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. J 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 10 t at the front of the property. and the approved set 0 ns will remain on the site at all tl~}lr g constr lori. Slgnaturp (A/1/) Datp VALIDATION, ( t5 Dr- , RECEIPT NUM6~. - /...;. nrF-... c:::::; DATE PAIr' \.)' L( 7 q.. AMOUNT R~J> ~/}4() .5R RECEIVED(~ [) ~ = '" . e .8 NO. "f,?/qo"1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: mll<'€:' 13U'tkll<f:;NSi-llP LOCATION: t"ISCof c.;..1..^C-1E..~ f '60-z..0~ 1\ - 07.../00 DEVELOPMENT TYPE: L..Df2- .. IJE:IN ,~~ BUILDING SIZE: I. STORM DRAIN4G~ IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. '2- 'l ? '3> X $0.203 PER SQ. FT. ~?<t'Bt>:) ~ 2. SANITARY SEWER-CITY NO. OF PFU'S .(See Reverse) 3. TRANSPORTATION "2..'''\ , X $42.08 PER PFU ~ NO OF UNITS X TRIP RATE X COST PER TRIP X \.0 \ X X 4. SANITARY SEWER-MWMC NO. OF PFU'S '7.,.<1 x $15.125 PER PFU + $10 MWMC ADM FEE $ ?T?"~ (Use PFU Total From Item 2 Above) X $424.31 ~ti) ~ ") -........;, .,.../ 50 X $424.31 X $424.31 $ - MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ Go, ,=' TOTAL-MWMC SO(~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ '21.9<'\~ 5. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 k"--:R ,L~ \ II 14'-+ , '--cJ Kip Burdick SDC Coordinator ~11~c2) ........... .-/' 1\ TOTAL SDC $'2. <-\ \ '-l - FIXTURE'UNIT:CALCU~N TABLE: Number of New Fixture~lt Equivalent = Fixture Units'(NOT~ For remodels, calculate only the NET additional fIXtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub... ...................."..,.......,.............".....,.........,... Drinking Fountain...... ,...,...,....,..",..........,...,.,..."...... Floor Drain..............................,...".,......... ,......,.......'. Interceptors For Grease/Oil/Sollds/Etc.......,......... Interceptors For Sand/Auto Wash/Etc................:. Laundry Tub /Ootheswasher...................,............... Ootheswa~er - 3 Or More......................,............:. MoMe Home Park Trap (1 Per Trailer).,.......:......'. Receptor Fi>r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc:. Shower, Single.Stall....,..................,.......................:. Shower, Gang........................,..:........................,..... Sink, Bar, CommerciaL....................,.....,.......,........ Urinal, StallfWall...............,..,.................................... Wash Basin/Lavatory, Single.............,..................,. Water Ooset, Public Installation............................. Water Ooset, Private.......................,.....".....,....,...:. Miscellaneous: -z. 2 1 2 3 6 2 6 ,6 1 3 2 l/Head 2 2 1 6 4 " \ <+ ~ TOTAL FIXTURE UNITS <+ 1.. 1.. <}. \'2- -z'-l Based on assessed value. If improvements occurred after annexation date in table, 1 CREDIT CALCUlATION TABLE: calculate credits separates. II I Rate per $1,000 Assessed Value Year Annexed Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.0B 2.96 2.82 2.68 2.51 1986 1987 1998 1989 1990 1991 1992 Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Gr.edit for Parcel or land Only If Applicable ~,7.-\ X $ '2.0 ,"II GoI ':!: (Rate X Assessed Value) Improvement (If after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ c'ol\~ 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 0/ . >t\, · ~;~ !!..\tinl.!m!!~!!!! . Job No. q3JqtJ1. NAME~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET X\\ ~ Yo, b\() f\Y{)<<l~J f) PHONE: ~D\~- - , -;WI r. - C\ \A \ f\ \ n~ l~), 1 STATE: QXGIP q1476 - - \- ADDRESS: LOCATION OF PROPOSED BU\LD~f=i(SITE: Street Address if Known: \ 07") n\ ~ \r\fllOfJ PI.. N,~ m I1'l\r\o \jt~ l~ N"m"', --lro21\?,\ \ () A.rrfJ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back,) A. Sim!le Familv - Detached -.L Single Family home _ Manufactured home not in a park NO OF UNITS X $400 PER UNIT = $4{'f)~ B. Sinl1le Familv - Attached NO OF UNITS X $370 PER UNIT = $ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ $ 4-tfJ ~ ()1 $ ()() $4Cf), WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. \;l ~P'D NU s;:s O"DC 'M""d fu, ~"'I q Community Services vis on I Date City of Spri ngfield /.sJ=!: