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Home My WebLink AboutPermit Building 1995-2-21 " -L -":'::'-:'" . . SPRINGFIELD RESIDENTIAL PERMIT APPLICATION <750/05 ~- LOCATION OF PROPOSED WORK' 4~1?\ iI/'ll '5f.red ASSESSORS MAP: \~c:n \ ~' , ,- /~ JOB NUMBER Inspections: 726.3769 Office: 726.3759 225 Fifth St'reet Springfield, Oregon 97477 2~ TAX LOT' ()3~OO SUBDIVISION: c...51ee/ 17P'acJ fiI~6< '.15 LOT' BLOCK' OWNER: 'l'NJaL~ 4-KlJDy ADDRESS: 1/ t? / IOOd C -r. (!eQEu r' (i()tJ1J,t:' '"(.;;f...Q(1' "'- DESCRIBE WORK: p/aLt>_Ii;~-r M daau/'cu:-lrH'e.d ..;i/CJh?f7 ,0;7'h 4..LLt."";l(ed_qC{~ e.. NEW Y REMODEL' ' ADDITION DEMOLISH' ~~AG7GrZ.-cd hen e.. PHONE: -3....4 2 - 72.2. '1 f{\ Co. t D\J..~ 6L/(/J1/ t!. or<-. v ,'C( 7t.1:2 L/ CITY: STATE: ZIP: CONST, ADDRESS CONTRACTOR' EXPIRES PHONE /SI'1 ~VI/fnq Oro;;)~4D 12..:18,gS 6g9-/.5Y9 / .J I I CONTRACTOR'S NAME " GENERAL: /.111 mf' 110111('7,<' PLUMBING: I MECHANICA' ' ELECTRICAL:fl'innc-.s EL1::c:rR./c.. Pi/) l'LA:rU.dJ I. z,:#(2 7::~ 71a~ U?7-1.3~;I - OFFICE USE - IloD :~:S~:IT;~PE: t) N ~s QUAD ARE~' ~\<.t~ . OF BLDGS' \ OCCY GROUP: R~ * ~ /~ OF STORIES: \ .../') WATER HEATER: _7../ I I LAND USE: FLOOD PLAIN' ZONING CODE: ~ -~ SECONDARY HEAT: (?J SQUARE FOOTAGE: ~~ . OF BDRMS: HEAT SOURCE: o RANGF' 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. ... .. REQUIRED INSPECTIONS o Temporary Electric o Rough Mechanical - Prior to cover. ~OU9h Electrical -,fn'% ;oM\/l cover, ~(~., o Electrical Service - Must be approved to obtaIn permanent electrical power. D Final Plumbing - When all plumbing work Is completo. . , ~Slte Inspection - To be made after excavation, but prior to v.gl~.t'~s~ D u;;;;';r~~~Umblng/Electrlcall Mechanical - Prior to cover. ~otlng - After trenches are l.!::1 ~:~avated. ~nal Elcctrlcal~ y.~~~;~ rrnJt electrICaq01~cuiLfU' _ D Final Mochanlcal - When all mechanical work Is complote. ~nal Building - When all required Inspections have been approved an~~~I~I~ ~S11"1 J ~ comp'eted'4L.L1~/~ r ' [Xl Othor I/ou> O~PA-~v tlN(1'.t, pRorra:.rf '3 -q/~) IS ~.Pl 5'.ll, o Fireplace - Prior to facing materials and framIng Insp. o Masonry - Steel locatIon, bond .beams, grouting. ~UndatlOn - After forms are erected but prior to concrete placement. ~mln~LM~raU~ D Wall/C.elling Insulation - Prior to cover. D Underground Plumbing - Prior to filling Irench, D Drywall - Prior 10 taping, MOBILE HOME INSPECTIONS D UnderUoor Plumbing/Mechanical - Prior to Insulation or decking. D Wo~d Stove - After Installation. I WBlocklng and Set.Up - When all I. blocking Is complete. ) r:I P1umblng Connections - When L.L.J"home has been connected to water and sewer. D Post and Beam - Prior to floor Insulation or decking. D Insert- After fireplace approvel and Installation of unit. o Floor Insulation - PrIor to decking. Il/Curbcut & Approach - After ~ forms are erected but prior to placement of concreto. C1rsanltary Sewer - Prior 10 tilling trench. [t:r~rectrlcal Connection - When , blocking, set,up, and plumbing Inspections have been approved and the home Is connected to the service panel. [2(Sidewalk & Driveway - After excavation Is completo, forms and sub.base material In place. BStorm Sewer - Prior to filling trench. D Fence - When completed. .r-vWater Line - Prior to filling ~ trench. ~OU9h Plumbing - Prior to cover. Q1lnal - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. o Str~8t Trees - When all required trees are planted. Lot faces Lot sq, ftg, Lot coverage Topography TOlal height 1-, BUILI?ING PERMIT ITEM SQ, FT Main Garage 4?,r, ~ Carport ,EM J ,?me... /Jf. /I, Tolal Value Building Permit Fee Slate Surcharge Total Fcc Lot ~y. V'lnterlor Corner Panhandle Cul'de,sac X $/SQ, FT, (A) .;~ ..:."; :~,:h \,~;:4i 'IS THE PROPOSED WORK IN THE" 'hHISTOl;\lCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Hlslorlcal Coordinator prior to permit issuance. Setbacks I PL I HSE GAR ACC I IN 1/0 I Is' I /fb I Iw I { S I I ~-LJ VALUE , <::;"'1"2,2- .f '2. -f;L ---ftJ1J7J m B,~s /19,35 SYSTEMS DEVELOPMENT CHARGE (SDC1.,. (B) $ 22"''' - PLUMBING PERMIT ITEM Fixtures , . Residential Bath(s) Sanitary Sewer;.:;;"~ "". FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge N' (C) MECHANICAL PERMIT Furnace. II /J 7Ft", Exhaust Hood Vent Fan Wood StovellnsertlFlreplace Unit N' Dryer Vent ~ Mecha!li<;al Permit " \ Issuance' State Surcharge Total Permit ~/zJ, ,75+ ,4S- (D) Moblle Home MISCELLANEOUS PERMITS State Issuance State Surcharge Sidewalk ~O ft Curbcut '70 ft SemQlitJ.on ~ State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and' E' Combined) FEE A$ pO AS~ ~Spo 1r:,~ ~ 00 )0, ~[.CO ~~ L:C; 0 I \J, A':J,lJO /:1.0 , _2.0?!! \ r'E.,po ~ooO <t::).dS 22- tJ 0 /4 ,if) :6 ' lC; X7'.;(DL. APPROVED' BUILDING VALUE, PLAN CHECK-' AND BUILDING PERMIT This permllls granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by Ihe Cily,of Springfield, Including the Development Code, regulating the constructIon and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. 71. 2> ~ /~r0r Receipt Number: /t'D/42. Received By: ~ ~ ~~ Plans Plevlewed By- Plan Check Fee: Dale Paid: ~2>-;4~ Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS /JI #~..! .t/ ~./I"E 1:;/) '7,.ro I' ~+t'Q.J'r j "'~\O\O It Q)~ r};::) ') \ 9'\+-1', \ '- 4 ; 31'f) (! 0 ~ (J() b IdJ %~/fP' f7a-;:,0n.'/7 /~ , -q;?I/A76Y) ~ By signature, I slale and agree, that I have carefully examined the completed application and do hereby certify that all In(ormatlon hereon Is true and correct, and J further certify that any and all work performed shall be done In accordance wl\h the Ordinances of Ihe 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 that only contractors and employees who are In compliance wl\h 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 located at the front of the property, and the approved set of plans will remain" on the site at all times during construction. ~Slgnal~re \ _)(; tA Jq ~~ / Date c?-,;(/-9,<) , ' VALIDATION: I ~~ RECEIPT NC1'-,1]Ij - / ~ DATE PAID r-L I ,l{'). ,.J AMOUNT REC~I 'R _. ~ .Va);-'). 0 L- RECEIVED B~ ) v , . o !!.':{ill~'.!!.\!!t'.I!~ ......,;; . , /obNo. q~D\C5 SYSTEMS DEVELOPMENT CHARGE WO/l.KSHEET (\+~~ ~\ihl\ ~ PHONE: Q49_.1liL- -na~L &f1l11b) r k- STA'" [g. ,"p ~ NAME: lqCATION OF ~ROPOSED BUll9\.~TE: L.n. .\.- , Street Address if Known: _ ~ l\)l~ ~ MO Q ^ Platt Name: JJMJ1 ill ri. Tax lot Number: I <lD'2..DS\... ~ () 6? D? \V 1. DEVElOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the bad<.l A. Sim:rle Familv - Detached Single Family home NO OF UNITS I B. Sim:rle Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC I Manufactured home not in a park $4tf) 1 X $400 PER UNIT .=" . X $370 PER UNIT = '$ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 400 pJ $ff $4[i)XJ 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 CreditJ ~o~~~~_D ...... r"..." _.....r- _I..J c!) I rO ( /1S Date . 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 FAX (503) 726,3689 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree tha t wi th the approval of the attached permi ts, one of the fol101d ng manufacturer! homes ,;ill be placed at _ <\-::::A.S -:T,)q.. SPy"gfield, Oregon, City Job Number q<:;,()\Oc:;, f). ~ Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclos~d tloor area of not less than 1,000 square feet, that has a nominal roof pit~h of 3 feet in height for each 12 feet in width, that h~s no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family d-"ellings constructed \ffi<i:- .k: g:"'H:, ~);,:d,!,?,!y Gases. , CU-~~ Type II Manuf.actured Home. A unit of not less than 12 feet in width with an enclosed tloor area of not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in width and that has no bare metal siding or roofing. I further state, by my signature below, that I have been provided with the following information: Manufactured Home blocking - ~ater line conne~tion - Street tree standards Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps I also understand that if I am installing a Type I Manufactured Home, the home shall be mlclosed at the perimeter with stone, brick or other masonry materials, and "ith no more than 12 inches of the enclosing material exposed above grade. ,)[ib )), IJALW ::;;-ri/-96 Date r'~ , ~\. --. i '... " , . ~ ATTACHMENT Bl _,NO. ~5o IOS \.: n ;~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) " NAME OR COMPANY: [)o\.'('W"I'" / r<:u6~ , I"ICWI-\P\ LOCATION' 1f545 'C V L\ St'k'.E=.E:\ l-ff JI: 13 DEVELOPMENT TYPE: BUILDING SIZE: 1. ~TORM ORAINAGE IMPERVIOUS SQ. FT. 1-. (), f<... I'iGW 5. F. R. I,OT S17(:" SQ. Ft, 3 0\ Z-- / , X $0.209 PER SQ. FT. ($ u,ZC! ~ ) 2. SBtllIARY SFWFR-r.ITY NO. OF PFU'S ' (See Reverse) \B X $43,26 PER PFU " (~ -nR c:.&. ) 3. TRANSPORTATION NO OF UNITS,X TRIP RATE X COST PER TRIP X 1.0\ X $436.19 X X X $436.19 X $436.19 ($ '140 Zi:. J $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4.SMlIARY SFWFR-HWMl: NO. OF PFU'S I~ x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ '319 ~ (Use PFU Total From item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 0 IQIAI -MWHr. SOr. ($ 3 I Q ~ ) SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ~ol("B ~ 5. ~TNTSTATTVF FFFS BASE CHARGE (SUBTOTAl ABOVE) X .05 ($ 108 'll- J , , , -..-. .I ...:tt"11"1'";j' . '-' .. " . ~J.... ~.....'-'~ ......:.___.J. Date: ~GS. Cj ''1CU- I ~9-~ M~ALL/.sT&2.- TOTAl Sac. oJ, 5. -z.,ZIG.- B2,SDC . , ~"l FIXTURE UNIT CALCU.ION TABLE: Number of New Filtes X Unit Equivalent = Fixture ~~iIS \ (NOTE: For remodels, calculale only the NEI addilional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE UNIT EQUIVALENT BSlhlub"."""..,.,.".,..,.,.."".,.,.."..."..,.,......". ,....... ,.... Drinking Fountain"..... ,.,.""",.".,....,.......,........., ,...". Floor Dr ain",..",.,.....,.,., ,..,..............,....,.............'...." Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/AulO Wash/Etc.................. Laundry T ub/Clotheswasher .... ......... ..... ........ ......... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water ~tation/Etc........ Receptor For Commercial'Sink/Dishwasher/Etc.. Shower, Single Stall..........,..............,....................... Shower, Gang,.. ....,..........,..,. ............,....,......... ........ Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:.......,.".,....................................... Wash Basin/lavatory, Single.................................. Toilet, Public Installation...".....,....,...........,............ Toilet , Privale................."...............................,.... Miscellaneous:' ITANI ",..'s $.IN):' 2. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 .2 z.. 2- TOTAL FIXTURE UNITS = FIXTURE UNITS '-\ '2. z 'z.. fl \~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Rate per $1,000 -,I Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Vear Annexed Rate per $1,000 Assessed Value Vear 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 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ ': ~:j ,ij \, ,:,1 'J o