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HomeMy WebLinkAboutMiscellaneous System Development Code Charge 1992-1-24 . . JOB NO. CJaooc;p, CITY OF SPRINGFIELD SYSTEMS DE~ELOPMENT CHARGE WORKSHEET I (COMMERCIAL & RESIDENTIAL) / 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) \./' -=I<. . 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 . . Qc9{i1je;{ JOB NUMBER 225 Fifth Street , 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 ~. '". '. I "" 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!."'~ . " '.' -1 . . ~ '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. ' , , 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 \ :' , . 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. , 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 . -. . '. - " 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