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Home My WebLink AboutPermit Building 1995-9-7 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP: /76) 2. LOT' . ~~Q) BLOCK: .~ 9.50/'/c:; JOB NUMBER 225 Fiflh Street Springfield, Oregon 97477 TAX LOT: 6) 0 /_"'! " SUBDIVISION: OWNER: _~-t. '7'7D_/~ ADDRESS:' ~7 r-:'~">r )A.)~".-c .'CITY: -.{.l'..c:?~ , r STATE: ~ PHONE: /~bc.. ~4' /.,.. 2.4.cS- , - &;- ~ 37' 2. - tJ <J J'C ZIP: 97471% DESCRIBE WORI,: 6~ A6;C NEW .---- REMODEL ADDITION DEMOLiSH ADDRESS CONST, CONTRACTOR' PHONE CONTRACTOR'S NAME GENERAL:_C2WA~_ PLUMBING: MECHANICAl' ELECTRICAL: L;' .A? ~.... .r- ( QUAD AREA: U:f2,FG' : " I Ii'\. '. 9F,BLDGS: OCCY GROUP: . OF STORIES: _ WATER HEATER: - OFFICE USE ....; Cihfr() I - '" F'V" '.... CONSTR, TYPE: " /\; ._J " LAND USE: . . OF UNtTS: HEAT SOURCE: OTHER EXPI R ES ~ ~...- y " FLOOD PLAIN' ~f L-DI2.. '_.': ZONING CODe " . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: " To roquest an Inspection, you must call 726.3769, Tllis is a 24 hour recording, AfI inspections requested belore 7:00 a,m, will be m~de the same working dny. Inspections requested after 7:00 a.m. will be made the following work day. o Tcmpornry Electric o Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab PlumblngfElectrical1 Mechanical - Prior to cover. ~FOOtlng - After trenches are jAJ..~xcavated. o Masonry - Steel location, bond beams, groullng. rvrFoundatlon - After forms are ~erected but prior to concrete placement. o Underground Plumbing - PrIor 10 fllllnQ trench. o Underlloor Plumblngl Mechanical - PrIor to insulatlon or decking. o Post and Bea~ - Prior 10 floor Insulallon or decking. o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to' fillIng trench. o Storm Sewer - Prior 10 tilling trench. o '., Water lIno - Prior 10 filling trench. o Rough PJu~n~ll1g.._ Prl~r 'to cove~ _ '- RANGE' "--. REQUIRED INSPECTIONS o Rough Mochanlcal ..;.. Prior to cover. ,\: ", K7r Rough Electr~cal - Prior to ~ cover. , o Eleotrlcal Service - Must be . approved to obtain permanent electrical power. o FIreplace - Prior to facing materials and framing Insp. J2?f Fram.lng - Prior to Cover. o Wail/Ceiling Insuletlon - Prior to cover. ~ Drywall - Prior to tapIng. o Wood Stovo' - After Ins.tallatlon. o Insert - After fireplace approvel and Installation 01 unit, o Curbcut & Approach - After rorms are erected but prior to placemont of concrete. o Sidewalk & DrIveway - After excavation Is com pie to, forms and sub.base materIal In place. o Fence - When completed. o Street Trees - Whe~_i!U required trees are planted. .:..----=-:.:..... __~ " o FlnahPlumbing - When all plumbing work is complete, '1'V'r Final Electrical - When all ~electrlcal work Is complete. , o Final Meohanloal - When all mechanIcal work Is complete. 'R7l' Final Building - When all ~equlred Inspections have been approved and building is completed. 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 Finel - Aller all required Inspections are approved and porches, skirting, decks, and venting have been Installed. ,.,'.' Lot faces Lol Type . Setb,cks : .THE PROPOSED WORK IN THE LOI sq, fig, Interior I PL. IHSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, Ihls application must be signed Topography Panhandle Is I and approved by tho Historical Iw I Coordinator prior to permit Issuance, Total height Cul-de-sac IE I APPROVED' BUILDING PERMIT ITEM SQ, FT, X $JSQ, FT, a VALUE Main Garage Carport 5"'G;;'~ 1~"t:J " ."?'~ ~ Tolal Value Building Permit Fee Stale Surcharge 3,"/3 + Z pr.. Total Fee (A) 6f!l:> FD ~,1-C; '7 ?; ,'f'1 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ---'/ \'- Sanitary Sewer FT, .- ," ~ Water FT, < . r / FT, ~ s-z>:, .:...-. 25".8"0 Storm Sewer Mobile Home Plumbing Permit State Surcharge If-r T' 7-' Total Charge (C) z"'- :2.7b-O MECHANICAL PERMIT Furnaco Exhaust Hood ,.- / Vent Fan N' Dryer Vent Wood StovellnsertlFlreplace Unit Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk / It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcal) ~~ (A, B, C, 0, and E Combined) - / bo. '1 '7 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopled by the Cily olSpringrteld, including the Development Code. regulating the cOr)$truction and use of buildings, and may bo suspended or revoked al any time upon violation of any provisions of said ordinances, Plan Check Fcc: 44. $ 3 __d_6,L? h 1 , r Receipt Number: /7t:-. Z c:.. Rece~ ."(J~ ~ ~~~. Plan~ Reviewed By Date Paid: ~i,;1F 7 5,ite Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS ~A;.(~ et.&:;7;l7raA--L /~/r Ie::; A='~~ . By signature, I state and agree, that I have carefully examIned the completed application and do hereby certify 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 Ordinances of the City of Springfield, and the Laws of the Stato 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 with GRS 701.055 will be used on this project. I f~rther agree lo ensure that all required Inspections are requested at the proper time, that each address Is readable from the street, Ihalthe permit card Is located at the front of the property. and the approved set of plans will remain on the site at all times durlng constructIon. ~gnaturp~~" \~,. .'(, ~ -2!:J -5'-.J . . Dato VALIDATION: I 79Di:-, ':'/2r!F AMOUNT RECEIVED 493 .~/ ~ RECEIPT NUMBER DATE PAID .' RECEIVED BY . .OB NO. i'7'I9('/(b CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET ' (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 15erf-.ut':- r~~ LOCATION: S~ 7 S //flh'u 'S T. DEVELOPMENT TYPE: BUILDING SIZE: LOT SIZE SQ.FL 1. STORM DRAINAGE IMPERVIOUS SQ. FT. n'to X $0.209 PER SQ. FT.' 'C~'14-10 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) X $43.26 PER PFU G ) ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $436.19 G ~ ----------- X X $436.19 $ . X X $436.19 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S x $17.19 PER PFU +$10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ ~ $ 2n4 ';. .. , SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES TOTAL SD~ G/~?l.. ) . -...... ...-/ $ 3>n~;: BASE CHARGE (SUBTOTAL ABOVE) .~\ - is~ .L'.k.. d Kip Burdick SDC Coordinator X .05 Date: ~/'Z-,,/qC; FIXTURE UNIT .GALCULAliPN TABLE: Number 01 New Fixtur. Unit Equivalent =, Fixture Units (NOTE: For remodels,'calculate only t-.rr additional fixtures) . , NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 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 Trailer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single Stall.....,........,..... ..... ..... ................... Shower, Gang............................. ...... ......................... Sink: Bar, Commercial. Residential Kitchen..............,.......... Urinal, StallfWall..............'" ..., ,..,..... ......,..........,........ Wash Basin(Lavatory; Single.....',...".....,................ Toilet. Public Installation....".........,....,................... Toilet . Private..........""",........,....,.,.......,.............., Miscellaneous: ........: ,'I, 2 1 2 3 6 2 6 6 1 3 2 lfHead 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1 ,000 Assessed Value 1 1979 or belore 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 Improvemtlrt (if: after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit for Parcel or Land Only II Applicable CREDIT TOTAL = $ '\.. I:. I ....... . ",' '. .......-. .;