HomeMy WebLinkAboutMiscellaneous System Development Code Charge 1992-1-24
. . JOB NO. CJaooc;p,
CITY OF SPRINGFIELD SYSTEMS DE~ELOPMENT CHARGE
WORKSHEET I
(COMMERCIAL & RESIDENTIAL)
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NAME OR COMPANY: LOG-HAVE-tV //?f;L_L
LOCATION: /qq7 N'/("~ IA-VISH
17D~ 2-7'~ - 07/00
DEVELOPMENT TYPE: LDR - 'S-rOR.A&E: S-rF<uc...-rURE
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT. I~Co X $0.186 PER SQ. FT. ~'''?c..'-/-~
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
\<-1 -{. \'-1-
LOT SIZE
SQ. Ft.
2~ SANITARY SEWER-CITY
NO. OF PFU'S X 538.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
s;
NO OF UNITS X TRIP RATE X COST PER TRIP
x.
X
X $388.61
X $388.61
"
$
$
x X $3B8.61 $
'(See Attachment C To Determine Trip Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3) $ ~(., ~ '
4. ADMINISTRATIVE FEES
'BASE CHARGE (SUBTOTAL ABOVE) X .05
$ ,I 82;:
TOTAL-CiTY SDC S ~B~
5. SANITARY SEWER-MWMC
NO. OF PFU'S
x 513.25 PER PFU + 510 MWMC AD~IN. FEE S
(Use PFU Total From Item 2 Above)
'MWMC CREDIT IF APPLICABLE (SEE REVERSE)
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F-v . _' -L...L
U Kip Burdick
SDC Coordinator
1-2A-"1'2-
$
TOTAL-MWMC SDC $ ~
TOTAL SDC $ ~B ~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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Qc9{i1je;{
JOB NUMBER
225 Fifth Street
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LOCATION OF PROPf~D~~K: /0 q
ASSESSORS MAP I I U :::J:..J' 7 l~
~ BLOCK.-5
OWN~.. ~~~c ,A1M~ . fM PHONE:loKX-L{(ft.."'5
ADDRESS:_ ___ To,VY1j / .... rsrn Q _ _ 2 '
CITY: J.. ')~' .' c1 STATE: ( )lQ ~ZIP: ct'f'=1O~
DESCRII'RK' \\..lWYnq~fL,:rl11lD(\~ ~1lr.A
NEW REMODEL ADDITlONO DEMOLISH OTHER ' ,
"'l\
LOT:
CONTRACT~~ N~M,,\O. ./11
GENERA' . (()1/ )Tl.fLK-/
PLUMBING:
MECHANICAl'
ELECTRICAl'
OUAD AREA: j /QJl)11 )
. OF BLDGS: I
OCCY GROUP' N\
. OF STORIES:
WATER HEATER:
ADDRESS
CONST.
CONTRACTOR .
PHONE
- OFFICE USE -
LAND USE: -11 ~()
. OF UNITS:
VN'
EXPIRES
FLOOD PLAIN: I r, . '1 "I
ZONING CODE:~!c..J
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:
/f08
CONSTR. TYPE:
HEAT SOURCE:
RANG~'
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested bef9re 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.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrlc;all
Mechanical - Prior to cover.
1':71' Footing - After trenches are
~xcavated.
D
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
D
Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post and Beam - Prior to floor
insulation or decking.
D Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtai n permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.-
~-
o Drywall - Pri.or to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
o Fence - When completed..
o Street Trees -'When 'all 'required
trees are planted.
D
Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work is complete.
~ Final Building - When all
~ required Inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When alt
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
D Final - After all required
inspections are approved and
. porches, skirting, decks, and
venting have been installed.
Lot coverage
Lot Type. Setb,cks
I P.L. , GAR'ACCI
Interior HSE
X- Corner N I
I
Panhandle S
Cul.de.sac W I
E I
.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot faces
Lot sq. ftg.
Topography
Total height
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Carport
I LPPJ
/4 to .,Q3LPX'cC
This permit is granted on the express condition 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 time
upon violation of any provisions of said ordinances.
?5.0:3
Plan Check Fee:
Main
Garage
Date Paid:
Total Val ue
Building Permit Fee
.~~LSO
/ .9~
Receipt Number'
Total Fee
(A)
Receive By.
rti Revie'8:t.aJVL-.
/ /~II1-L
-T-'tscf.e
State Surcharge
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
>> z.l!> of:+)
(B) 7P ':?8 -
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N"
Sanitary Sewer
FT.
Storm Sewer
FT.
FT.
Water
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N"
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certi fy 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 Ordjnanc~s of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY wiil 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 this
project.
Exhaust Hood
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
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
:~g:::u:~e (rild/~ri(1;(7;;;n/
Date / - /-7 - V'r-;zJ
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
j/Ua) ~EW~
'2503
VALIDATION:
RECEIPT NUMBER
Total Miscellaneous Permits (E)
DATE PAID
2
3(,? 7/
5-<;;2-
;O"?.,_7~
4P~
\.
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
j./J3.71-
AMOUNT RECEIVED
RECEIVED BY
INFO.ATION NOTICE TO PROPERTY .NERS
ABOUT CONSTRUCTION RESPONSIBILITIES
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NOTE:'. This info~mation Notice to Property Owners About Construction Responsibilities
1'\ '. . .'( wjls ~!lveloped-by~the Cor~truction Contractors Board in accordance with ORS 701.055(5),
i /: ,passed by the-19B9 Oregon Legislature.
", ~,:." . .l!."'~ .
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'i! you\.ar~/Jc;ting as you! oWn ~o~tiactor to construct a new home or make a substantial improvement to an
existing structure, you can prevent many problems by being aware of the following responsibilities and areas
of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction or improvement 'of a'resiaential structure,' you will: in most instances, be ruled to be an
"employer" and the people you hire will be "employees". As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at
the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390,
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224. '
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Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434,
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages.
You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call
the Internal Revenue Service at 2"21-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
'I \ :'
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Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements that may be brought to your attention through inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc-
tures, fire, or work that must be re-done.
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Time to Supervise Emplovees: Make sure you have sufficient time to supervise yo'ur employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work
of rough.in and finish trades, and to notify building officials at the appropriate limes so they can perform
the required inspections. .' ' . I . -. . '. -
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If you have additional questions, write to:
Construction Contractors Board
700 Summer SI. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244J 10/24/B9