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HomeMy WebLinkAboutPermit Building 1995-1-10 OWNER' r9N9\1 {)P-re..Y-~h ADDR~';'" 00 Jtloi 74;;;1 CITY: 1.L-{~~ DESCRIBE WORK' ~,ar~OJVCt 61:: NEW){ REMODEL ADDITION RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' CONTRACTOR'S NAME W1 Cl \r\ ( J I ... .. SPRINGFIELD - BLOCK' STATE: Oll_ \Y\~,~. DEMOLISH OTHER . JOB NUMBER '?1/~~F) 225 Fifth Street Springfield, Oregon 97477 PHONE:_4')l'~ - 7scrCf ZIP: q ~'F-IO?--.. Y1ctAll.ClL \J CONST, CONTRACTOR' EXPIRES P"'''"'E 171./0 OO}~ /?A ('"Yt41IJ~eJj)gq-/9Icr) , / 1 GENERAL: ADDRESS ffi+ 'nOM e.~ PLUMBING' MECHANICAl' ELECTRICAl' QUAD AREA' ~~ . OF BLDGS: ~ OCCY GROUP: R ~~ M . OF STORIES: \ WATER HEATER: c:r.--' - OFFICE USE - \ \ C;;() # OF UNIT'" t CONSTR. TYPE: -1L.^) ~<; c:;:. LAND USE: HEAT SOURCE: RANGF' ~ FLOOD PLAIN: ZONING CODE: ~, .~ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: \ P,O~ r/ 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. o Temporary Electric REQUIRED INSPECTIONS o Rough Mechanical -:. Prior to cover. . o Site Inspection - To be made ~ Rough Electrical _ Prior to after excavation, but prior to ~ cover. (i(t-".n..n fl-- setting f~S. _\\....~ ___~ ~nderslab Plumbln Elect;~D Electrical Service _ Must be ~ ~eChanlcal - PrIor t"" ...........,. approved to obtain permanent electrical power, ~ I Y1 ....ootlng - Atter trenches Bre ~ excavated. o Ma.,onry - Steel location, bond ,beams, grouting. /' , , 1'\t1 t"oundatlon - After forms are 'T""'\. erected-but prior to concrete placement. o Underground Plumbing - PrIor to filling trench, o Underlloor Plumbing/Mechanical -,Prior to Insulation or decking, o Post and Beam - Prior to floor Insulation or decking. O Floor Insulation - Prior to decking, ~anltary Sewer - Prior to filling ~rench. ~ Storm Sewer - Prior to filling ~ trench. ,.-,.( Waler Line - Prior io ,filling l2:SI trench. o Rough Plumbing - Prior to cover. .' o Fireplace - Prior 10 facing materials and framing Insp. ~Fra~lng - P~~ o Wall/C'elllng In~latlOn - Prior to cover. o Drywall - Prior to taping, o Wood Stove - A,fler Installation. o Insert - After fireplace approval and Installation qf unit, ~urbcut & Approach - After ~ h;rms are erectec;1 but prior to placement of concrete. o'l Sidewalk & Driveway - After ?-<. excavation Is complete, forms and sub-base material In place. I o Fence - When ~omPleted: o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w~:Hk Is complet.c. rc;IFlnal Electrical - \Nhen all ip~lectrlcal~k Is complete,' o Final Mech.~~ mechanical work Is complete. M Final Building _ When all ~ required Inspections have been approved and building Is completed, ~ !XI Olher /-lOLl) (JOccupS}",c>, PL!2M/T W/Yn4 P.eo.7& r (3-9>$) IS Ac.c.e,Prep. MOBILE HOME INSPECTIONS ~Iocklng end Set,Up - Whep all ~ blocking Is complete, ' fYt"Plumblng Connections - When ~ home has been connected to . water and sewer. 1"'><:1 I:.leclrical Connection - When ~ blocking, sel-up, and plurob1ng Inspecllons have been approved and the home Is connected to the servIce panel. ~ ~al - After all required '---...X"~~pectlons are approved and porches, skirting, decks, and ventlng have been Installed. Lot facos Lot ~yp" .x Interior Lot sq, ftg, Lot coverage Corner Topography Total ~elght Panhandle Cul,de'sac \~, .\1 'Jll. BUILDING ,PERMIT ITEM SQ, FT, X $/SQ, FT, ~ '%. ~;.\ , , ",':',' . .,' '.1 ::: ,~~ ::'. \~::~ i' _;; THE,PROPOSED WORK IN THE, '. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Setbacks, HSE GAR ACC' I PL, IN Is ,W \-_\~ -:- - E' ~ain VALUE q5/~5'50 )<4, /0 "/2./9> 2..... Ga(age gc;,q Carport ;=11" ) Total Value S.ul/ding Permit Fee State Surcharge -+ 3% Total Fee (A) /e~ / 3 ?i!.2 ~o 101.50 B2{) 11~'p',) SYSTEMS DEVELOPMENT CHARGE (SDChr-, , (B) O?~:~3 ~ PLUMBING PERMIT tTEM Fixtures , Residential Bath(s) N' Sanitary Sewer FT Water FT, Storm Sewer FT, ~, Mobile Home '" Plumbing Permit State Surcharge " Total Charge (e) MECHANICAL PERMIT FurnacQ Exhaust Hood Vent Fan N' , Wood Stovellnsert/Flreplace Unit Dryer Vent 'Me'chani'cal Permit .. l~su~hce . . ',; State :Surcharge' Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slate Surch';j'ge Sidewalk ~11L ft r'lJ ') It ~~,:.:",,~O Curbcut State Surcharge FEE c!J.5.00 ~'S~ A.s.OO ']0 .00 , ((J.OO RI.CO I2f /0'5.00 &(J.CO 0.dS \~.'~ \1, L C::) -, If yes, this appllcallon must be signed and approved by the Hlslorlcal . ,Coordinator prior to permit Issuance. (. "~, \ -,-\'~ .'''' APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condlllon that the said construction shall, In 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 lime upon violation of any provisions of said ordinances, ?,.7.73 /1'/3/~ , , , Receipt Number' /c:; 31 if Received By: -<~~ ~\.'? c.c,\AU\4.'~ - P:~ Rev~ed B~ Plan Check Fee: Dale Paid: *h~~ Systems Development Charge Is due on all undeveloped properlles within the City IImlls which are being Improved, ADDITIONAL COMMENTS \~+ T: fPJ:t)-f4)~C';() , \ cAt\f\oJ(;. t\ \1'\.... ~ By signature, I state and agree, Ihatl have carefully examined the completed application and do hereby cerllfy 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 Ordinanc~s 01 the City of Springfield, and the Laws of the Stale 01 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 that only contractors and employees who are In compliance with ORS 701,055 will be used on Ihls 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 permll card Is localed at the front of the property, and the approved set of plans will remain on Ihe slle at all times during constru~y" , Argnature,~l~) d, 'f-/~ , Date llln}q~ I I VALIDATION: RECEIPT NUMBER /5" ItPO DATE PAIr> I/I"O~ AMOUNT RECEIVED act 01 rl. .I 0 {(J RECEIVED BY ~~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclriCal)c9;)G\~ldt ' (A, B, C, 0, and E Combined) . ATTACHMENT.Sl . JOB NO. '1 ~/C; Po CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE \~ORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION: 4,4-0 ;;j /~ Lvy ~-,.J. ~ r1. nu-_n/ A'..o-''''') ~~ , , u-I' 'I"" LOT SI7~' SQ. Ft, DEVELOPMENT TYPE: BUILDING SIZE: 1. SIQRt1 ORA T NAG[ IMPERVIOUS SQ. FT. 2 '6/'1 2. ~ANTTARY SFWFR-rTTY NO. OF PFU'S /7 (See Reverse) 3, TRANSPORT.ATTON X $0,209 PER SQ. FT. ~3~.~ X $43,26 PER PFU ' ~ a. , ~ '- --- NO OF UNITS X TRIP RATE X COST PER TRIP I X /.0/ X $436,19 X X $436.19 ~()'0 $ X X $436.19 $ SUBTOTAL (ADD ITEMS 1. 2, & 3) $ / "g" () ~.1 7 4. SANTTARY S~W~R-MWMC , NO. OF PFU'S I 'if x $17.19 PER PFU + $10 HWMC ADMIN,FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) IQIA! -MWMr. snr SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ Jlr.~2 $ d f5/~f~ $ :2-1 z. r. "I 5. bnMTNTsTATTV~ FFFS ~~GE /}TOT~OVEl X .05 ~ ~ - Date: /-9-9s ./ Mar\vlfo nig. P.IE. ) /' SDC'be'ordinator~ c006,:s!) TOTAl SOC $;?~.33_9., B2 , SDC . FIXTURE UNIT CALCU~ TION TABLE: Number of New F*es X Unil Equivalent = Fixlure Unil5 (NOTE: For remodels, calculate o.e Nfl addilional fix lures) .. . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Balhlub""".""""."."""".""""""""""""""",..",..", , Drinking Founlain.,....", .......",...."......, ..'..'",..,.. '...", Floor Drain,.,.."......."".""",.",.,.,.""",."."""."."""" Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/AulO Wash/Etc.................. Laundry Tub/Clotheswasher ,..'", '.. ".,.,., ,."."", ,...... Clotheswasher - 3 Or More...........,......................... Mobile Home Park Trap (1 Per Trailer)....,............. Receptor For Refrigerator/Water Station/Elc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall..."...,...,.,....,......,."......"....,...... Shower, Gang...,..,., ....., ,.",.,..... ,. ,.,.'."....,..,......'."... Sink: Bar, Commercial, Residential Kitchen,....................... Urinal, Stall/Wall.,:...,."..."..,....,.,."..,..".... ,...."...".,.. Wash BasinlLavatorv, Single..........,....................... Toilet, Public Installation....,...,..,...,..,....,.."............ Toilet, Private.........,..,..",.."".,.,.....,."...... ,....', '..,. Miscellaneous:, ,TJ.NI TOPS $.I"',," :2. / I -:2. ;J... TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 .l. = 4 z.. :z. 2. ~ J)?' CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separales. Year Annexed Rate per $1.000 Assessed Value Year Annexed 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 c--- ./ X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parc,el or Land Only If Applicable Improvement (if after annexation date) = = CREDIT TOTAL Rate per $1,000 Assessed Value $2.46 2.14 1,77 1.37 0.97 0,61 0.44 0.15 --" = $ 6 /