HomeMy WebLinkAboutPermit Building 1994-10-31
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rJ ~~!~::"1:,~~~ATION
(' Office: 726-3759
ASSESSORS MAP'
LO"!'
.
BLOCK'
OWNER'
ADDRESS:
CITY'
nA?U.<. 7;?e;///~ /
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<a ? (!.,r;;u~)" 12,.;--(
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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
\,\" :.; ~
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i\
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".- '""
- 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
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.. _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~.