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Home My WebLink AboutPermit Building 1994-8-9 RESIDENTIAL PERMIT APPLICATION .. Inspections: '726-3769 Office: 726.3759 LOCATION OF PROPO~ ~O.{l!$i..!\-J ~ ASSESSORS MAP' 1'dJ;,I D ~\ LOT' .s BLOCK' OWNER' J''k.k .e. ~ L~"'1.sTLrN ADDRESS' ,~'9o 71/ ,6 4ST<ON L4'V'c CITY' S?r6 STAT'" 8.e... DESCRIBE WORI<' A/.c:w NEW / REMODEL ADDITION C"".vJ T~vc..T7oN OTHER s"c.o DEMOLISH .. JOB NUMBER 91/ ()'l~ 225 Fifth Street Springfield I'lrP.non 97477 SUBDIVISION' Woou,J' , PHON'" 7'/7 - o/~o ZIP' 9?'1" 78 CON ST. CONTRACTOR # '-:;YO(t;. ~\~4 EXPIRES ("'I ~~~ . 2hA-~ 7..f/7-%o 21ld R 1tJ "Z\-ffi. \ \41 () CONTRACTOR'S NAME ADDRESS GENERA" ,/'1-<../:: Z J:::'LC/"1.ST;€,-rv PLUMBING' CUSTD/VJ ~Lt.//ttd/tYG MECHANICAl' ,eot.,,c S #E';T/rVG :,' 4-d?_ L)#v,Ef /LEc/i12../L ELECTRICAL: QUAD AREA: :?>R~0..,- # OF BLDGS' \ OCCY GROUP: ~"'?:, -\- t-J\ \ (") # OF STORIES: WATER HEATER: . 1,<q12 - OFFICE USE - \ \ \ \ \ VI\J HEAT SOURCE: ~ f-l o LAND USE: # OF UNITS: CONSTR, TYPF' RANG'" \\.\'2-,.91- ~2_ FLOOD PLAIN' ("'r? ' ZONING CODE: \ J ./ . OF BDRMS' ~ .. SECONDARY HEAT:- ~y SQUARE FOOTAGE: \~1..a- 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 same working day. Inspectlons requested after 7:00 8.m. will be made the following work day. [tJ Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. m Footing - After trenches are ~ excavated, rl1'1 Masonry - Steel location, bond ~ ,beams, grouting, ~ 'Foundatlon - After forms are ( erected.but prior to concrete placement. o Underground Plumbing - Prior to filling trench. f\1l Underfloor Plumbing/Mechanical L-f-' - Prior to Insulation or decking. r\71 Post and Beam - Prior to floor '--f'd Insulation or decking. I'll Floor Insulation - Prior to T decking. [Sl] Sanitary Sewer - Prior to filling I trench. r'lI Storm Sewer - Prior to filling T trench. r\7l Water Line - Prior to filling ~ trench. [YJ Rough Plumbing - Prior to --j cover. REQUIRED INSPECTIONS m Rough Mechanical -..:. Prior to ~ cover. IV'1 Rough Electrical - Prior to ~ cover. rr, Electrlcsl ServIce - Must be ~ approved to obtain permanent electrical power. . f3rj ~i!6=-""" - Prior to facing /' sterlsls and framing Insp. CfJ Fra~lng - prior: to cover. I'iTI Wail/Ceiling Ins~latlon - Prior to 7 cover. ~ ,DryWall - Pr',or to taping" ~a ~tovo - ~fter Installation. mlnsert - Aller fireplace approvel 7""" and Installation of unit. rirI Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. rlZI SIdewalk & Drlve'way - After I excavation Is complete, forms and sub-base material In place. o Fence - When completed. rtl Street Trees - When all requl red I trees are planted. m Final Plumbing - When all 'i"<' plumbing work Is complete. I'll Final ElectrIcal - When all ~ electrical work Is complete. m Final Mechanical - When all ~ mechanical work Is complete. r'J(] Final Building - When all ~ required Inspections have been approved and building Is completed. o Other 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 Final - After all required Inspections arc approved and porches, skirting, decks, and venting have been Installed. r Lot faces .,.- Lot Type )( Interior ~ Lot sq, flg. L?t coverage Corner Topography _ _ Panhandle Total height $1' _ Cul.de,sac C1~f'I~t BUILDING PERMIT so. FT, /4-SD , ~" ::'{;' ,.~',~ :1': ,;:~.,,~ '" ..,f.... "." I'P.L, IN Is Iw IE X $/SO. FT. ,= VALUE 2>0 ~C;D " ~ 22>7 ITEM Main Garage Carport Total Value :~u!ldltig Pe!mit Fee State Surcharge ~"t~w.b'" (A) Total Fee ~rO~s.f - cjj ~9'{ - , 1'\. 't9 Ii 0;..:.. LlU..l:.'1. (B) SYSTEMS DEVELOPMENT CHARGE (SDC) $~1l9.5? PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' ~ Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home FEE I("'O.~ l~.~ o~ State Surcharge 1"'51t\a...~", '\..'22. Total Charge (C) --\-:.'1 ..0 MECHANICAL PERMIT Plumbing Permit Furnaco Exhaust Hood Vent Fan N' ~ Wood Stove/lnsertl Fireplace Unit Dryer Vent \ Mechanical Permit Issuance State Surcharge 3"t~ (D) Total Permit MISCELLANEOUS PERMITS Mobile Home State issuance Slate Surcharge (,f'.,C; Sidewalk .lD\ fl Curbcut ~ fl Demollllon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) r;, . S:Q ~.50 9.~ \':.,00 ~Qe ~l.SQ au It). - I,a- \ . ~1I>- -5~...~ ~.'Q.. l ~ '1.!L ~'1.~ W~~ .:;,. r.:r,'J ~.2..i 'i~:~',~/~ ,f..: . Setbacks, HSE GAR ACC' '~HEPROPOSED WORK.IN THE.. . ....HISTOI;lICAL DISTRtCT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construcllon shall, In all respects, conform to the Ordinance adopted by the City, of Springfield, Includ.lng 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. Plan Check Fee: 2-.1"::' /0 _-?/fr/'JI- ~;;:~,.. ~ ~Rq pian\;..Revlewed By 'Date Date Paid: Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS - 4352.. [.1bl5J ) LJ()1O '): 1411J~ ~ k~~(Ji.Il'&'c::. ~\n>>C_~\1IJ:>\ \:,a:-u-~t- ~~ '~qlcyQ\Lc)'~ By slgnature,l slate 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 Ordlnanc~s of the City of Springfield, and the Laws of the State 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 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 ~mes during cons~tloy- ') ;(gnature ( /~ L. g. . - J I / DateJ /5/77 VALIDATION: RECEIPT NUMBER /lf2'?t!:> ~.q."'9 cr AMOUNT RECEIVED ~ ~ 1~. Q::l ./7 4~' , ~1v - DATE PAID RECEIVED BY 7____- ' .,..... ""- .", . . ...........- ..<.,. . ~l . " . .'.. ',' ..I . ATTACHMENT Bl . JOB NO. 'l-! /078' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIOENTIAL) NAME OR COMPANY: ~ I' ~ / LOCATION: 1-35"'1 ~ 1hA', . jJ.,/ DEVELOPMENT TYPE: ,C; F-!) BUILDING SIZE: lOT SIZf SQ. Ft. 1. STIJRM ORAINAGE IMPERVIOUS SQ, FT. 2. SAHlIARY SFWFR-rTTY NO. OF PFU'S ;8 (See Reverse) ~c, PI X $0,209 PER SQ. FT, $ S".2.0-0 X $43.26 PER PFU $ r 1?"ti 3. IRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP I X I.c)/ X $436.19 $ -1-1"0.$"'- X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ / "f61. 23 4, SAHlIARY SFWFR-MWMC NO. OF PFU'S / ~ x $17,19 PER PFU + $10 MWMC ADMIN.FEE $ J/r,~2. (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ /<".0" , TOTAl -MWMC SDC S '3 o'9-..U, SUBTOTAL (ADD ITEMS 1.2.3 & 4) S 2.0 85'S? 5. ADMTNTST~VF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~" ffi~/: Date: 7-"z,tJ-9-f2 ~Hary or ig. P.E SDC Co dinator $ Jo-ji,.2'ii TOTAl SDC S 2/81. ~7 B2,SDC . .;........ ...~ -". .~- --" .. . . ./ . \, ", " FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the W additional fixturesl 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: I z. 2. TOTAL FIXTURE UNITS UNIT EOUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 = FIXTURE UNITS ,Z, 2 '2 2. "2. l? ;'8 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, II 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 3.06 2,92 2.73 Credit for Parcel or Land Only If Applicable Improvement (if alter annexation date) -" Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $2.46 . 2,14 1.77 1.37 0,97 0.61 0.44 0.15 5.-1lC. X $ 4.~s 2.. (Rate X Assessed Value) X $ (Rate X Assessed Valuel = = 1,';-, 0 ~ ~ CREDIT TOTAL = $ / S. "G . ~ @ Y)!m'!m~!i,\!!~ Job No. q~\m~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM~~!'Y ~ ~\O f(\~o 1- f\) PHONE: ~C).D\c{) ADDRES~ ~~Df\{\ '~~f\~ STATE: loo ZJP i1J1]g LOCATION OF "'ROPOSED BUI}-!2.V~SJ".sl1"E: "\ n_~' Street Address if Known: ~~ \ !'f\ t ). \ '10m n\. I It'1...J Platt Name\kb \\ x Lot Number. l <600D~ CK4)~(plo) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.! A. SinQle Familv - Detached \ Single Family home NO OF UNITS Manufactured home not in a park $ 4t'OiP . ( X $400 PER UNIT .= B. Single Familv - Attached NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $4DO.Cb $cJ' $4NJ.lZJ 2. SDC CREDIT lIf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. ~\ 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~;~)~~,1~~ City of Springfield I I Date