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Home My WebLink AboutPermit Building 1995-4-17 RESIDENTIAL PERMIT APPLICATION ,Inspections: 726,3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' 7 z.. ~ ,~ )(ASSESSORS MAP: / ~ l:) L '(LOT: -24- BLOCK: r'-L/rU ~~ 2. / OWNER,iHCS)lVl!'t' 5 P A. pp ADDRESS,0..In I? ~'l \\tj\ L -\ ~ CITY:~\ U\\~ Jlt[:<1 ~ STATE: (01\ n ~ DESCRIBE WORK: ~~ no}.. L S;:hJ'{\~ Ll ," ~ ~ 1:\\.r\ 0 f\~ NEW ~ REMODEL D ADDiTiON ~MOLISH OTHER 'It . :;P'3.'?>l JOB NUMBER 9~O,)s/ 225 Flflh Slreel Springfield, Oregon 97477 TAX LOT: C> 2. v" c"}-,::) SUBDIVISION: Mer I+/u <r' /Sr7"AClf) PHONE: 74 4- 2S' 1:....'7 ZIP: L{l4l R CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' t:..vt'LL/.o't?>'t-.s"" ~;v~#c. C7t:PU77l;'fC1'/>Uc; PLUMBING: C~/tC~SPL~~/..-..r6 I()ILo1..4 MECHANICAl' A"A;e~.n-LL...s c9~7gn ELECTRICA" /htv,-,k / /(/, ~ :~13 -7 ,) . ~ QUAD AREA: 4\<.~~ . OF BLDGS: , OCCY GROUP: ~ ?J+ N\ . OF STORIES:~ (j ~'tv~) WATER HEATER: f'./ ' - OFFICE USE - LAND USE: \ III \ 72.6-/.T2 :s- EXPIRES PHONE :s-;g/~/ /2. - 5"" -9.r- R,IS,<::{) ~3,rq.l\" 1~,a3,q~ ,)4I),m~ 3, ~.q(n i44,II(Q') FLOOD PLAIN: ZONING CODE: LD\l-- . OF BDRMS: :!'l SECONDARY HEAT:..f.P SQUARE FOOTAGE: d51oY) 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 a.m. will be made the following work day, fc7('Rough Mechanical - Prior to ~ cover,.e-~C6 r',If, ~ Site Inspection - To be mado ~ Rough Electrical _ PrIor to ~ after excavation, but prior to ~ cover. . setting forms, S&> It.. :s 'f~ P,_" ~ ~Undersl(g...PlumblrjgtElectricalJ r\?f Electrical Service _ Must be 1 ""'~Final Mechanical - When all )6.1. Mechanical - Prior to cover. '-~\approved to obtaIn permanent ~r;.l~chanlcar ,work Is complete, .. electrical power. '1.(" ~ Footing - Aller trenches are 'r\::/(Flnal Building _ When all excavated. ! . . 0 Fireplace - Prior to facing ~ requIred Inspections have been . . \ . , materials and framing Insp. approved and building is o Masonry - Steel location, bond'" completed, beams grouting, ' 'f;;7f . . ~Framlng - Prior to cover. ~ Foundation - After torms are ~ erected but prior to concrete placement. &mporary Electric o Underground Plumbing - Prior 10 filling lrench. , o Underlloor Plumbing/Mechanical - Prior to Insulation or deckIng. ~ Post and Beam - Prior to floor ~nsurBtlon or decking. 'rV'T' Floor Insulation - Prior to ~deckln9, ""iVf Sanitary Sewer - Prior to fltllng ~ trench. "rV'f Storm Sewer - Prior to filling ~trench. ts?rWatar Line - Prior 10 filling ~trench. ~ Rough Plumbing - pOrlor to ~ cover. . OF UNITS: CONSTR, TYPE: --':J 'tJ ~S V HEAT SOURCE: RANGF' REQUIRED INSPECTIONS l'v'1' Wall/C'el1lng Insulation - Prior 10 ~cover. ~ Drywall - Prior to laplng. o Wood Stove - Atter Installation. o Insert - Atter fireplace approval and Installation ot unIt. 'f;;?f Curbcut & Approach - After ~orms are erected but prior to placemont of concrete. lV'f Sidewalk & Driveway - Afler ~excavatlon Is com pie to, forms and sub-base material In place. o Fence - When completed. ~treGt Trees - When all required ~ree9 are planted. . ~Flnal Plumbing - When all ~ plumbing worl< Is complet,e. ~ Final Electrical - When all ~ electrical work Is complet~. DOthor 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 porchos, skirting, decks, and venting have been Installed, x Eo~iD =.~l~(~ 0. \() '. .5~ Lot faces ~ Lot TY. ./ _ InterIor Lot sq. ltg, Lot coverage Corner I' Topography _ TOlal height ,F1"C) C cd)' ) BUILDING PERMIT SQ, FT, /7ZD '100 Cui-dc-sac Panhandle ITEM Main Garage Carport Jrc..~ l.AuFi/JC5ttfD 44<x --<7.~tf> Total Value Building Permit Fee Stale Surcharge "\ 7;flo TOlal Fee (A) Setbacks I P.L I HSE 'GAR' ACC IN 1101 'Z.a' I S I I Zo' Iw Is'" I I ~-j 1& 7B 2.... /-/..,1 ()~f.., '1:J~ <<J 8~.a4, tj\o ,~~ SYSTEMS DEVELOPMENT CHARGE (SDC~ . (B) ~14-"2.1 PLUMBING PERMIT ITEM Fixtures Residential Balh(s) Nor-!) Sanitary Sewer FT. FT, FT, Water Storm Sewer Mobile Home Plumbing Permit Slale Surcharge t3~ Total Charge (C) MECHANI.cAL PERMIT , Furnace Exhaust Hood Vent Fan ,'.JO Wood St'ovelinsert/Flreplace Unit Dryer Vent MechanIcal Perml t Issuance Slate Surcharge 'i '3-~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk 'v/L/ It Curbcul .~2- ft Demollllon Slale Surcharge FEE ljo()fXJ /lnO/XJ . i;J,'9;6 /1J. .go Lo,CD 4-.~ In 0() IS.CO -2> ,00 ,'1t,~ \ (j, .1-0 . 0l.12 4f) '2.. lp - fC( , :j{) l1,~n Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlca~f).. ,51 (A, B, C, 0, and' E' Combined) . f~: . _;:~ .'~: . 1 IS THE PROPOSED WORK IN THE. . "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II 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 the express condition lhalthe said construction shall, In all respects, conform to the Ordinance adopted by lhe City.ol Springfield, Including the Development Code, regulating the construct/on and use of buildings, and may be suspended or revoked at any time upon violation of any provIsions of saId ordinances. Plan Check Fee: '3/0.70 _3a0s- Receipt Numbcr: /~~~ Receive y: ~~ . PI s~~ #:tfr Date Paid: Systems Development Charge Is due on all undeveloped properlles wllhln ti,e City IImlls which are being Improved, ADDITIONAL COMMENTS \ x\ +- -r: dJ U5lP 0 \~f\nO~ \t\"1oJ: \ql Or~ //Ar1l1 , . .J", _ k By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify thai 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 Stato of Oregon pertaining to tho work'descrlbed 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 compliance wllh ORS 701,055 will be used on lhls project. I further agree to ensuro that all re~ulred Inspections are requested at the proper time, that each address Is readable from the street. that the pcrmlt card Is located at the Ironl of the property, and the approved set of plans will remain on the site at all times during construction, Slgnatur,,<-~f~ Date 3- 2..../- "7"'-- VAliDATION: 1 (') n 0 RECEIPT NUM~I'R l.q'-\ '-"\ DATE PAID '-1' \ 1, y~ AMOUNT REC~IV}D } 5.t) 2.., "52- RECEIVED BY (7\ ([)lA..J . . ~ f'\' . .. ...... Wi llama lane '-t'l1' Park & Recreation District Job No. Qt:{)9l)1 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM~ ~tlffiD ~ ~C\~0 " AooR"" (11n_Qtq~ ~liw t I PHONE: r-M-.c9.~ l\..icLsTATE:~ZIP~' \ . . , LOCATION OF PROPOSED BUILDING SITE: "'\ -Street Address if Known: -. ~ (.., Ln ('UP ) Plan Nam~ 1)mi <L NJb Tax Lot Number: J~6Qf)!J. ~ \ ()()./cd) 1. DEVELOPMENT TYPE (Check appropriate dwellirigCsl. SDC Calculations and dwelling type definitions are on the back.l . . . A. Sinl!le Familv - Detached l Single Family home NO OF UNITS ( B. Sinl!le Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC X $400 PER UNIT j:,. . X $370 PER UNIT = '$ X $~77 PER UNIT = $ X $280 PER UNIT = $ 2. SDC CREDIT (If applicable> SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. ' . $ 4l1').W $'g $1Dn,oO 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~\~ ~ 1 \ l-./ES . n~t~ . . NO. 9?O~? I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: \'1-\-0 !vi. A? ?....l"? LOCATION: r'Z.4~ G.LAc..IEo~ \'00'2..0'2.'2-\ -0'2.(.,00 DEVELOPMENT TYPE: LV!?-- J-...\EoW ~t'-1?- BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE SQ. Ft, IMPERVIOUS SQ, FT, "l.A.Cor X $0.209 PER SQ. FT, 0IS(.) 2, SANITARY SEWER-CITY NO, OF PFU'S (See .Reverse) \9 X $43,26 PER PFU ~~\~) 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X I ' 0 \ X $436,19 X X $436,19 c;- 44<>".>~) '-- .-/' $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S \9 x $17,19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) X $436,19 $ $ ??lP {,J TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 14<..0 ~ ----------- \0 $ "2.04-0- MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~l:3-.~ Date:'?27..''7S (j Ki P Burdi ck TOTAL SDC SDC Coordinator C\C'2.~ '-- .-/ $ "2.\4~ '.1' FIXTURE UN.IT ~~l~Ul~N T ,:\BlE: Number of New FixtU. Unit Equivalent =. Fixture Units (NOTE: For remodels~ calculate only ~ addItIonal ftxtures) NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS . ~ "" " 2 1 2 3 .6 -2 6 6 1 3 2 lIHead 2 2 1 6 4 1. Bathtub,..,..,".., ,...."..."....."",.".., -""......"., -...,.,...,.... Drinking Fountain. ................... ........................ ........- 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 Traile;)..........,....,.. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc., Shower, Single Stall....................,.....,.,.................,.. Shower, Gang,.........,..."",..", '" ,.."..".,...,.,......,;.".... Sink: Bar, Commercial, Residential Kitchen..............:,........ Urinal, Stall/W all......",...""."""""."",.,..".,.,..,.,.:.,.., Wash Basin/Lavatory,: Single....;,.......,... ....,.... ......." Toilet, Public Installation.,...........,..,......................., Toilet , Private,...............,.......,......,...,..".....",.,:.,.. Miscellaneous: \' 2. ,'., \ '2. 'Z. "!> ?> '2- 8, TOTAL FIXTURE UNITS = 19 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred alter annexation date in table, calculate credits separates. r Year Annexed Rate per $1,000 Assessed Value Year Annexed 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 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.(il- after annexation date) . ?.4<O X $ '2-1. '511, (Rate X Assessed Value) X $ = (Rate X Assessed Value) ,4(.0 Credit for Parcel or Land Only If Applicable CREDIT TOTAL = $ 74c.,~ '.' ..