Loading...
HomeMy WebLinkAboutPermit Building 1994-10-31 I..,.c:-..:.... rJ ~~!~::"1:,~~~ATION (' Office: 726-3759 ASSESSORS MAP' LO"!' . BLOCK' OWNER' ADDRESS: CITY' nA?U.<. 7;?e;///~ / F <a ? (!.,r;;u~)" 12,.;--( ; , ,L 7YC: ~/ STATE: . CffAll DESCRIBE W9flK:~ ~ NEW V REMODEL . ADDITION e. 94'-/29Z JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ,<)T TAX LO"!' SUBDIVISION: n F':) Z. c:9r.:> PHONE: .(,~'7 -c.~)S" 741' - 3 ofI.s:-S/9n-'f(2 5"S - .~~ ZIP: -.:L74CJ/ ,~A: '-.:::"'00.1) ~ (I;Y !/E-I.L-'J;F 0~1>.Y4-e:: - CONTRACTOR'S NAME GENERAl' 6vUA./C;e PLUMBING- RM J /lh~ MECHANICAL: OW..v~ ELECTRICAl' ?>Are.r ECcv , QUAD AREA: · OF BLDGS: OCCY GROUP: · OF STORIES: WATER HEATER: 4R 8fi. 1 /?~ I E. . DEMOLISH OTHER ADDRESS' CONS! CONTRACTOR . RANGE: . C\ '~.'\ ,,~~-",,~- " .-.", ~~~".- .-,'..,~.:::--- EXPIRES PHONE \,\" :.; ~ .-;l')-- . i\ '\~~ '/~\ ".- '"" - OFFICE USE - LAND USE: \ 'I m · OF UNITS: Z-( pjqJ' 0 16<<~rfr) CONSTR. TYPE: v-y . HEAT SOURCE: ":'fw' REQUIRED INSPECTIONS l'\7( R~U9h MOechanlcel ...: Prior to ~ cover. M Rou~hElectrlc8t - Prior to ~ cover. - . 'l-v( Underalll!!..t'lumDI~lectrl~alL:> I"V1 Electrical Service _ Must be ~Mech8nfc81 - t-'r1or to cover. ~ approved to obtain permanent electrical power. . ~ Footing - After trenches are ~excavated. :.. o Flreplece - Prior to facing materials and framing Insp. ~Framlng - Prlorto cover. i '!';71' Wafl/Celllng InsJlaUon - Prior to ~cover. " ~ Drywall - Prior to-taping. o Wood Stove - After Installation. o Insert - After fireplace epproval and Installation. of unit. ~ Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. ~ Sidewalk & Orlvewey - After ~excavatlon Is complete, forms and sub-base materlali.ln place, .'~:~\.::'\.: o Fence - When cO,mpleted. .:. : . ~;' '\ ~ Street Trees - When allre.qulred trees ere planted. . . FLOOo.PLAIN: ZONING CODE: .. OF S.DRMS: ftl/).II' I / ''c +- .' :..,' SECONDARY HEAT: SQU~~~/~b."'QrAq.E; q/~ib .;:. '". "0' ~ ~. Ii n"k.:.. 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 eame working dey, Inspections requested after 7:00 a.m. will be made the following work dey. K/f Final Plumbing - When all ~ plumbing work Is complet.e. rs;?t Final Electrical - Wohen all ~ electrical work Is complete. C I'\7l Flnel Mechanical - When all ~ mechanical work Is complete. IV! Final Building - When all ~requlred Inspections have been epproved and bUilding Is completed. o Other MOBILE HOME INSPECTIONS o Blocking end Set-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to . w,ater and sewer. o Electrical Connection - When blocking, set-up, and plu'llblng Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skIrting, decks, and ventIng have been Installed. o " o Tempc:>rary Electric D Site Inspeclton - To be mado after excavation, but prior to settIng forms. o Mesonry - Steel location, bond .beams, grouting. ~oundatJcin - Affer forms are ~ erected but prior to. concrete placement. o Underground Plumbing - Prior to filling trench. O Underfloor Plumbing/Mechanical - Prior 10 Insulation or decking. rJ o Post and Besm - Prior to floor Insulation or decking. .." '- ~ Floor Insuletlon - Prior to ~decklng. I'\:/r Sanitary Sewer - Prior to filling ~ trench. 191 Storm Sewer - Prior to filling ~ trench. .. J";;?t'Water Line - Prior to filling ~trench. . '. tv{ "j,,1gh Plumbl~g '-Prior t~ ~cover. ',.. , ....... ..~. , ..,' '," "(1''''' ~IS THE PROPOSED WORK.tN THE. ~ot TYP. , .:. '. : ~. Lot faces 2L Setbacks. ~ InterIor !P.L. HSE GAR ACe' I HISTORICAL DISTRICT, OR ON Lot SQ. ftg. IN 35' I .'.'THE HISTORICAL REGISTER? Corner If yes, this application must be signed Lot coverage Is I ~~~ and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuence.. Total ~elght a!. Cul-de.sac IE &)' I APPROVED: . BUILDING PERMIT ITEM C\~. ~aln _ fL X $/SQ. FT. ~ VALUE 5lo.?I.l 52loo~ Ga~age " Carport Total Value Building Permit Fee State Surcharge ~7 L tH) . '- /4:~ 'f 8.7p Total Fee (Al ,5 J'5.3ti? SYSTEMS DEVELOPMENT ~HARpE (SDC) . . (B) -l'~B.n>.S-r PLUMBING PERMIT ITEM FEE Fixtures . Resldenllal Bath(s) N' 2. X' I ~z..~ SanItary Sewer FT. FT. FT. / ./ . Water Storm Sewer Mobile Home Plumbing Permit State Surcharge 9./2.. + "i.~7 (C) /"7 t';, .,.9 TOlal Charge MECHANICAL PERMIT Furnace Exhaust Hood 9.60 0.~ Venl Fan N' 'L.. Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit /.-r;: ~ /0.80 -~ 2.a.- 2.... r'7" :J .". --- Issuahce .7S r .1S State :Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk", ~ curbc/ ~ oem~';;- ',. .~late.Surcharge .: ". . p~ Al!JVllJi.i.r'" . .. . .' - .- - \ .... 1"7'1 ~O ..., "..- -" " - '" ~ Tolal Mlscelianeous Permits. (E) 34~/l- TOTAL AMOUNT DUE (excluding electrical) CA, B, C. 0, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the seld 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 vloletlon of any provisions of said ordinances. Avi /M I Plan Check Fee: Date Paid: Receipt Number' Rec#~~ Plans Reviewed By . /Oh~.~4 7 Dat6 ' . Systems Development Charge Is due on all undeveloped properlles within the City limits wliich are being Improved. ADDITIONAL COMMENTS ~. r::AP~O ~+l" \~'tW~) 'i~1\ ~~ f\(\tO)'. \G\\d~n~) .. _P/rTtf L {J~;/k'~ i?1k;T.d~hdT/S ~k/A'..67I . Z>~d/77~,d ~ hM . , , , (,"1/;(I~N(T..,t. /f'''J~&JAI'k /,0;> ...(~() ~ ~H ~//A/o<::'". By signature, I state end agree, that I have carefully examined the completed eppllcation and do hereby certify that all Information hereon Is true and correct, and I further certify that any and ell work performed shall be done In accordance with the Ordinances of the City of Springfield, end the Lews of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struclure 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. 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, X. Slgnature~ ~ ~~. ~ r>--... DatD /0/?0fL VALIDATION: RECEIPT NUMBER /5"'2& '7 DATE PAlO /dl/j/ / r,ri, AMOUNT RECEIVED ,4:';1. 7 ,~ 4.461.72 RECEIVED BY _';'.?7~' . . ,. . .OB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMHERCIAL & RESIDENTIAL) . ATIACHMENT B1 '1 ofL/2. '7 2 NAME OR COMPANY: ;::/1~ T/1~ LOCATION: ,>'ir1/5""?79 ).tJ~ Sf. , DEVELOPHENT TYPE: l)~ 1 ~ U BUILDING SIZE: LOT SIZE SQ. 'Ft. 1. SIQRH nRA1NAGF. -:::::43% c.ot./I>/UD IHPERVIOUS SQ. FT. 1-5"3"5 X $0.209 PER SQ. FT. (~..{~ 2. SANTTARY SFWFR.rlTY NO. OF PFU' S . (SO" RO\'or<o) '-'- '''''' '- -- /'1 X 543.26 PER PFU f71?'0 3. TR!;!\I, PCiRT A_I i nl~ NO OF UNITS X TRIP RATE X COST PER TRIP DUPJ.c)( c-ppE ,2.;0 2 X 1.0/ X 5436.19 r'i'" n. <::..) X v c;: ..,....r .,0 :, _""r..)O. 1..1 s t, X ~43S. 1'9 s SUBTOTAL (/lDD ITEMS 1. 2. & 3) $ 2 c,;Of.,/F 4. 5AN1T!o.RY SF~!FR.M,.JMr NO. OF PFU'S /"t x 517.19 PER PFU.;. S10 M,.!HC .AD!-',IN.FEE S 3/"1,7'-2. (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ IFr.ol TnlAI . MWMr snr $(1 ? ~ . 4-? SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2 "13'Y.S".r 5. ~nMTNlsTAT1VF FF(S BASE rHARGE (SUBTOTAL~OVE) X .05 r<:. J / ~. /~. Date: /o-21-9''f1 /Har ornig, P.V SDC ordinator (j 3',19 MAl snr $ 2F1C:,.sl 82.SDC -.-...:.:..-...... .. . FIXTURE UNIT 'CALCUL~N TABLE: Numbcr of New FiXIU.X Unit Equivalcnt = Fixture Units (NOTE: For remodels, calculate only the tiEl additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE 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 Refrigerator/Water Station/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, Private. ......... ....... ..... ............. ....... ..... ........ Miscellaneous:. ITA"";' ~R'.s ,S,I,Nr UNIT EOUIVALENT 2. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 .< FIXTURE UNITS 4- -4 :z. x /"1 .2 .2 ::;( TOT AL FiXTUF,~ UNITS = calculate credits separates. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value II I I Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.05 2.92 2.73 Year Annexed 1985 1986 i987 1988 1989 i990 1991 1993 3,4(, X $ s-1-.0~O = (Rate X Assessed Value) X $ = (Rate X Assessed Value) Credit for Parcel or Land Only If Applicable Improvem"ent (if after annexation date}:>l' $ 2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 J / '? 1. 0/ ---- /Ioc.sp 5/1".05 ON ;,tAP .oAT//Yt;. CREDIT TOTAL = $ / lir,o/ To /9 ~o , I s ~ 0 fio ~ j!>OT/I .LA",/) ~' ){,,, s~.