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HomeMy WebLinkAboutPermit Building 1994-7-1 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOT: OWNER' (...,.. I.e." V"\ ADDRESS" 7 ~'1 CITY' A \ ~M 'j lA:o -br.:;, 1-"\ ru(s-\- ( A'Jn -,t-rvc..+ DESCRIBE WORK' NEW X. REMODEL ADDITION -. SPRINGFIELD BLOCK' STATE: _!J./-C- l\jGo-J sFDJ DEMOLISH OTHER . JOB NUMBER~41/ "7/8 225 Filth Slreel Sp,lngfleld. Oregon 97477 TAX LOT: ~C P:161 SUBDIVISION: ()",k"\", I... P (".-4, , PHONE' zIP,07"32\ CONST, ~~TRACTOR . ~~I)~ CONTRACTOR'S NAME ADDRESS GENERAL: ('l" \ev-V\ 1G~(Gt C,,,<+ PLUM'BING: (f't'\-tvac....t-vrs R.u".,bIJ5 MECHANICA" M""r<.G" [ I ~ ELECTRICAl' t\A o.~,J LJ QUAD AREA: \ \{ \\")\ J . OF BLDGS: \ OCCY GROUP: ~ "?r\- N\ \ f/ . OF STORIES: WATER HEATER' lZtm PHONE Qld1J.d2Z. ~~fl-{O " "'" Lofl3\(1} , - OFFICE USE - LAND USE: \\1. \ · OF UNITS' \v ftJ CONSTR. TYPE: HEAT SOURCE: Ei.z:q' ---r A RANGF' E.... \:}.. &34~ "Y\ l';rD lo.\q.l.{S 13t.1017( FLOOD PLAIN' ZONING CODE: \J. \1P- ~' . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: /(,,;, 9 L To request an Inspecllon. you musl call 726-3769, This Is a 24 hou, ,ecordlng, All Inspections requested before 7:00 e,m, will be made the same working day, Inspections requested atter 7:00 a.m. will be made the following work day. D Temporary Electric rYr"Slto Inspection - To be made ~ after excavation, but prior to J seltlng forms, ('5E;.T /f!;.At::-1< D Underslab Plumbing/Electrical I Mechanical - Prior to cover. T5<J Footing - After trenches are . "iJ"cavated. D Masonry - Sleel location, bond beems. grouting, ~ Foundation - After forms are J6.J. erected but prior to concrete placement. D Underground Plumbing - Prior to filling I,ench, 1VI" Underfloor Plumbing/Mechanical ~ Prior to Insulation or decking. 1C"7f'" Post and 8eam - Prior to floor ~ Insulation or decking. t\7f Floor Insulation - Prior to ~decklng, 'r\::7r SenUery Sewer - Prior 10 filling ~ trench. . 1\71 Storm Sewer - Prior to filling ~trench. 1'\71 Water Line - P,lo, 10 filling ~ trench. K71 Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS 1'9f Rough Mechanical - Prior to ~cover. ~ Rough Electrical - Prior to ~cover. f':7f Electrical Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. JV'f Wail/Ceiling Insulallon - Prior 10 ~cover. J2f O'ywall - Prior to taping, D Wood Stovo - After Installation. D Insert - After fireplace approvl!ll and Installation of unit. K71" Curbcut & Approach - Afte, ~forms are erected but prior to placement of concrete. rv(Sldewalk & Driveway - After ~excavatlon Is complete, forms and sub-base material In place. . ~Fence - When'completed. l\71 Street Trees - When all ~equlred ~trees are planted. . . 'R7f' Final Plumbing - When ell ~ plumbing work Is completo. , , "'C7f Final Eleclrlcol - When all ~electrlcal work Is complete. ~ Final Mochanlcal - Whon all ...J.Atmechanlcal work Is complete. i'7I Final Building - When all ~requlred Inspections have been app,oved end building Is completed, DOlher MOBILE HOME INSPECTIONS D Blocking ~nd Set-Up - When all blocking Is complete. D Plumbing Connections - When home has been connected 10 water and sewer,' D Electrical Connection - When blocking, set-up. and plumbing Inspections have beon approved and the home Is connected to t~e service panel. D FInal - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. 77,fL&.?;J(C- ~t, 7,(J7D ~ /i,,:s.r 3"Je.-~/-<JJ /I''"'~ ?{1~ Fp SYSTEMS DEVELOPMENT CHARGE (SD~ (B) /f1~. Lot faces LOI'sq, fig, Lot coverage Topography _ Totel height dL BUILDING PERMIT ITEM SO, FT, /2. ?.4 - ,- 4'23 Main Ga,agc Carport Total Valuc Building Pc,mlt Fee Slate Surcharge Total Fco PLUMBING PERMIT ITEM Fixtures Rasldcntlal Beth(s) Senlta,y Sewe' Waler Storm Sewer Mobllo Home Plumbing Pe'mlt Sleto Su'chergo Tolal Cherge , MECHANICAL PERMIT Furnaco Exhaual Hood Vent Fan Setbacks I PL. HSE GAR ACC IN Is Iw IE Lot ~ype. -X.. Interior Corner Penhandle Cul-do.sac x $/SO, FT, ~ .r:;,"- ?-P, ...L.4/0 VALUE 7)57b.~O ", :li~.~ (A) FEE N' ? -L/"-/J,C7'D FT. FT, FT, (C) ~: ':to I /7Z e: NO 2. /' ~O (/? , 4,5'0 ~,tJ-O Wood Stove/lnserllFlreplece Unit D,yo, Vent Mechanical Perml t Issuance Stale Surcharge Tolal Pormlt ,1,~ :5 ~ if6 I1M() (D) )<7/$'0. /D/10 .7'.f, ....'" -31. I'J 7 MISCELLANEOUS PERMITS Mobile Home State' Issuance Stalo Surcha'go Sidewalk 4-tJ fI Cu,bcul If'; fI Demollllon /r~ ~() /2- 7P Slate Su,cha'go p1iA.u A{,"i1BU !'l6.J1 r .< - / ,q ~, '/ TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding clect,lcal) .?~C;99-'''' (A, B, C, 0, and E Combined) . .: ~.' ,.~;'~.\.,;;..::{; 1 '~S THE PROPOSED WORK IN THE 'HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? II yes, Ihls application musS bo signed and approved by Ihe Hlstorlcel C.oordlnalor prior to permll Issuance. " APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the e~press condlllon thai the said construction shall, In all respects. conform to the Ordinance adopted by lhe Clly, 01 Sprlnglleld, Including the Development Code. regulating the construction and use of buildings, and may be suspended or revokod al any time upon violation 01 any provisions of said ordinances. ) . .....,,1 r. $"0 (-srltu~ /$C .-.~S S'~- Plan Check Fce: . /7"/ J. ~, , " -: ':'/-.]. 6//e~r - , Receipt Numbcr:_/?.14:L ~/T- Rocelved By: ~~ <- j.9~ > %~ ";/3t'.~.L Plans~vlewod By - f D-;'16~ Dete Peld: Systems Development Charge Is due on all undeveloped properlles wllhln thc City IImlls which are being Improved, ADDITIONAL COMMENTS \<A"'\-T: B.I I~ Lsa\\l\O.J?C',\O'l6 .~ f' tJ ~'dOa OlD.t:P) /~.t 5~' ~~,@"T.#~ By signature, I state and agree, Ihall have carofully examined Iho complelad eppllcallon and do hereby ce'lIfy thai all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the O,dlnances ollhe City 01 Sprlnglleld. and the Lews 01 tho Slalo 01 Oregon perlalnlng 10 tho work desc,lbed horeln, and Ihal NO OCCUPANCY will bo made of any structure without permission of the Building Safety Division. I further certHy Ihat only conlractors and employees who aro In compliance with ORS 701,055 will bo used on thla project. I lurther agree to ensure that all rOQulred Inspections arc requested at the proper time, that each address Is readable f,om Iho slreal. Ihat the permit card Is localed althe Iront of the property, and the approved sel of plans will remain on the silo at all ~ during constru~ Slgnalure >- ~ /'rV / 7- 21 -CiY Date VALIDATION: RECEIPT NUMBER t ~ 73 cy '7-/ -'1,-1 AMOUNT RECEIVED Zq //J q, ~ /" - ~ RECEIVED BY ~ DATE PAin . . 91-09/7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE . WORKSHEET (COMMERCIAL & RESIDENTIAL) NA~lE OR COMPANY: LOCATION:,/,,> rrL ):' ~ tJ~ DEVELOPMENT TYPE: ~~~ BUILDING SIZE: LOT SiZE ~ SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ, FT, ;2./5- r X $0.203 PER SQ, FT. ~13;r.(f';J '- -' 2, SANITARY SEWER-CITY NO. OF PFU'S .:. (See R,everse) If X S42,08 PER PFU ~;ts 7.~ '-- ./ 3. TRANSPORTATIOII NO OF UNITS X TRIP RATE X COST PER TRIP I X j,ttJ/ X S424,31 X X X $424.31 X S424.31 ((' ~.2ti". ~ '- -- S S 4. SANITARY SEWER-MWMC NO, OF PFU'S J ~ X S15,125 PER PFU + SID MWMC ADM FEE S 2. If'.2,2.S''" (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S .2. yt, f' 3 TOTAL-MWMC SDC ~s1.. ~, . <......... .-/ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S 11<>, 8,2.~ 5. ADMINISTRATIVE FEES (' , BAS~. C~GE (SYJTOT~ ABOVE) X .05 ~~ /f~ r:. -~'1- '7~ / 'M~''; m1} ) sbt C~~~dinck6r <("" 9:S. 9"7> '-. -- TOTAL SDC S 197'2.;2..0 For lcmodt'!$, c",1IcuIJ:C onlY IIH': ~ .Hh.Jhll"I,1I """I\.':.} FIX'TURE TYPE . fIL'I,~::Efl OF 1':":1l' fiXTURE NEW nXlUre I:CL'I\'i.LE/H UI~II S 2 " 1- ~ 3 G J 2 2- G 6 1 3 2 I/Head I 2 '2 2 2 1 '2. 6 2- 4 ~ Bathlub................,........""" ,.""'....,..,,.. Drinking Foul1l~il1............",...."..."..,..,..",......,..,...., Floor Drain,................,.., ......, ,..,........ ....'" ,....,...." ...., Inlercepto~ For Grease/Oil/So1ids/EIC................, Inlercepto~ For Sand/l,uIO Wash/Elc........,.,.....,. laundry T ub/aotheswasher,. ,....".." ,.....,.,.........,.., aOlhe5Wa~er . 3 Or More.......,.........,.....,...........,. Mobne H6me Park Trap (1 Per Traner).................. Recep!or F9r Refrigerator /Waler Slation/Elc......,. Receptor For Commercial Sink/Dishwasher/Elc,. Shower, Single'Slall,...................,.....,.,..,..,..,........... Shower. Gang...............".......,.............,....,.,..:....,.... S!nk, Bar, CommerciaL.......,...........................:...... . Urinal, Stall/Wall...............""..,................................. Wash Basin/Lavalory. Single.................................. Water aose~ Public Installation............................. Waler aoset, Prr.'ale.......".............,........................ Miscellaneous: TOT;'.L FIXTURE UNITS = /8'" CREDIT CALCULATION TABLE: calculate cre-dhs separates, I Based on assessed value. If imp~ovements occurred after annexation date in lable, Year Annexed Rate per S 1,000 Assesse-j Value Year Annexed Rate per S 1,003 Assessed Value 'r I ! 1979 or before 1980 1981 1982 1983 1984 '1985 S3,21 3,13 3,03 2.96 2,82 2,63 2.51 1985 1937 1938 1989 1993 1931 1932 S 2.24 1.93 1.57 1,18 0.79 0.44 0,28 .. Credh for Parcel or Land Only If Applicable 3.;;'; X S ;g;; '" 9 (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = ..2 ;r: ,}'f~ --- . Improvement ('If after annexation date) = = s.2r,F3 .. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residenlial........................................................ 0.4 - CommerciaL....................................:.............. 0,9 Ind uslrial.............. ........., ,....,.., ..,.,........ ............. 0.45 GovernmenlaL...................,.....,........."........... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT /" . fi ~i!I.f!!.!!!!~.!!!; . Job No. CMrAl<6 SYSTEMS DEVELOPMENT CHARGE \ ) WORKSHEET ~~ ~0W~ PHONE:gu{I.\nlZL ADDRESS ['M'- ~ ~&~T^" &L,p 4~?,'LI LOCATION OF JilROPOSED BUILDIN..5SITE: r(\. '1'..1 ~ \ _ Street Address if Known: 't\ \~ ~ \,\0.. \JLJ Platt Name: ~ Tax Lot Number: \'\[)"5~ 01JJca)Cflo) I NAME: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Sinl!le Family - Detached Single Family home NO OF UNITS B, Sinl!le Family - Attached NO OF UNITS l C. Multi-Family Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT _= $ X $370 PER UNIT = , $31rJ.CO X $277 PER UNIT = $ X $280 PER UNIT = $ $ ~P{J.aJ ${2f $~/)n(XJ 2. SDC CREDIT (If 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! ~~~~ D,,~I \ /Ct City of Springfield .