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HomeMy WebLinkAboutPermit Building 1994-8-26 . . RESIDENTIAL PERMIT APPLICATION ~ \95~O JOB NUMBER Inspections: 726,3769 Office: 726,3759 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSrD~!lf 5")4 nlJ kJ"" It'" ASSESSORS MAP: \ f')U;:) ~~ eJY 10 - , TAX LOT: ()'J,kCO (PID) SUBDIVISION: MJ.", Ip P (c..-(- LOT: BLOCI<' OWNER' (~""I1V\ L([)-h"rc, Gn",f-, ADDRF"1",'7h1 {::r"r <:<<61 Jr CITY: A I h~ J STATE: DESCRIBE WORK' CoY\.5"h-ucr f\\ ew 5 r D NEW 'I. REMODEL ADDITION DEMOLISH PHON~' 47'1 -f,(22. ()~a{)n 'v' ZIP: -.!jJ '32., OTHER CONST. CONTRACTOR' ~ 9,03~ CONTRACTOR'S NAME GENERAL: G- leAV'\ ~Ilr-l PLUMBING' \1)"'1 RL.dar '-' MECHANICAL' ~'" ~rll'l C, ELECTRICAl' I\A l' W, ADDRESS EXPIR~ PHONE '2;8''1':> Qto?'folZ2- lo',)&~ (rJ' rt,4'S tJ8:t ,G!; I - OFF~CE USIt - LAND USE: V-~'F""~ \ \ l \ . OF UNITS: \ CONSTR. TYPE: J.L.f\J HEAT SOURCE: t==S y~ \\: \\)U) K~~ ~ V QUAD AREA: FLOOD PLAIN' ZONING CODE:~"f' -' ""2.., SECONDARY HEAT:- Q5 SQUARE FOOTAGE: I. {M:J- · OF SLOGS' OCCY GROUP: . OF STORIES: . OF BDRMS: WATER HEATER' RANGF' To request an Inspection, you must call 726,3769, This Is a 24 hour recordln9, All Inspections requested before 7:00 a,m, will be made the same working day. Inspections requested after 7:00 a.m. will be made the followIng work day. REQUIRED INSPECTIONS o Temporary Electric ~ Rough Mechanical - Prior to ~ cover. . ~lIo Inspection - To be made ~OU9h Electrical _ Prior to L-..fT";tter excavation, but prior to ~ ~-over. settlngfv~kl SdtocC6 o Unde,slab Plumbln~'~ctrICal/ ?Elactrlca, Servlca - Must be Mechanical - Prior to cover. approved to obtain permanent ~ electrical power. ootlng - After trenches are t excavated. 0 I f Flrep ace - Prior to acing materials and framing Insp. o Masonry - Steel location, bond beams, grouting, 'r-7C/oundatlon - After forms are rr==r ~rected but prior to concrete placement. ~Inal Plumbing - When all ( - plumbing W9rk Is complete, ~Inal Electrical - \l\C.hen all ( electrical work Is complete, ~ ~Inal Mechanical - When all T mechanical work Is complete. ~Inal Building - Whan all ~equlred Inspections have been approved and building Is completed. ~Fra~lng - Prior to cover, ~Wall/Celllng Insulation - Prior to r cover. ~Drywall - Prior to taping, o Wood StOVD - After Installation. DOthor o Undarground Plumbing - Prior to filling trench, ~Undarlloor Plumblngl Machanlca' tp - Prior to Insulation or decking. dyost and Beam - Prior to floor T1nSUlatlOn or decking. c7(.Floor Insulation - PrIor to ( decking, ~ Sanitary Sewer - Prior to filling }L-J trench. MOBILE HOME INSPECTIONS o Blocking and Sot.Up - When all blocking Is complete. O Insert - After fireplace approval and InstallatIon of unit. f8curbcut & Approach - After forms are erected bllt prior to placement of concrete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set,up, and plu"lblng Inspections have been approved and the home Is connected to the servIce panel. pf:ldawalk & Driveway - After excavation Is complete. forms and sub-base material In place. 'F;Z!..Storm Sawar - Prior to filling r trench. m Water Llna - Prior to filling r trench. rlRoUgh Plumbing - Prior to ~over. o Fence - When completed. o Final - Alter all required Inspectlons are approved and porches, skirting, decks, and venting have been Installed. o Street Trees - When all required trees Bre planted. LOI Typa '. .'-':: ;.;., .:..,. . r"':~ .y;.:.. ,.j'~} , " ".;;: -: fl.ij:, - .~S THE PROPOSED WORK tN THE_ , ' ", ~, , Lot faces Setbacks . Lot sq, ftg, K Interior I.P.L, HSE GAR Acc'l HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must ba slgnad Is I and approved by the Historical Topography JL Panhandle Iw I Coordinator prior to permit issuance. Total h,eight Cul,de,sac IE I APPROVED: BUILDING PERMIT SQ, FT, wn~ 493 X $/SQ, FT, = VALUE ~(J.~ 1)/ ~qt 11_ID,,~ ITEM Main Garage Carport Total Value 1'15(0.3 .s 1I7 .00 1'i5',~"" ",or .3 Q 10,3lp Building Parmil Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) 1.z0ffl.Ol (B) PLUMBING PERMIT ITEM FEE Fix~ures ~ Resldenllal Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT. Moblie Home / (d),oD Plumbing Permit /w,w ~WJ /rJ8 .~O l2,W 4,50 it; ,LV Stat~. Surcharge Total Charga (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent ~ ' {;() Mechanical Permit /q. 50 ( 0 'c:c: '~J ~(,07 lssuahce State'Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Homa State Issuance State Surchar~ Sidewalk ~~j ft Curbcut -l.....:t- ft Jlo~ ~ Demolilion I~t~~ar\ku~ L\-U f.-U Tolal Mlscelianeous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said 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 violation of any provisions of said ordinances. Plan Check Fea: ~ Date Paid: V Receipt Number~~A r\a~e~edffit~ / \-1\'t, \ _ _ u...tl- Plans Reviewed By I Rfl1- Cf1 Date Systems Development Charga Is due on all undevelopad properties within the City limits which ara being Improved, ADDITIONAL COMMENTS \ ~-r I : ~\lolo~ (clN\o~J'Y't~() : '\q[ <;s - cttbO.l'L ~\ri rLL~ l ~-tt\. \ \ OV01'1))).gzJ, ~ W~_'\^ . By signature, I state and agree, that I have carefully examlnad the completad application and do heraby 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 Ordinanc~s of the City of Springfield, and the Laws of tha 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 ara 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 t e property, and the approved set of plans will remain o the sit~e: d~ constr::.tion. natut / #,/ ~ ,. Data VALIDATION: I RECEIPT NUMBER \44--1 DATE PAID ~.~\;'q Lf) RECEIVED BY \ . ATTACHMENT Bl .JOB NO. q'f/ZoO CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) N#1E OR COMPANY: G~/(~ ~, LOCATION: 5'>'1 r0a./ /.4- DEVELOPMENT TYPE: <;F /) BUILDING SIZE: 1. . STORM DRAINAGE 'IMPERVIOUS SO, FT. 1.aT SIZE SO, Ft, '2.1.92 X $0,209 PER SO, FT, $ -111.0:3 2, SAMlIARY SFWFR-(TTY NO. OF PFU'S ' /'f (See Reverse) 3, TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP X $43,26 PER PFU ..' $118,(,,"8 J X 1.0 I X $436,19 '$ '9-10.:>>", X X X $436,19 X $436,19 $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) ,~jt:;,~.f'..z1Q... 4, SAMlIARY SFWFR-MWMC NO. OF PFU'S 1'7 x $17,19 PER PFU + $10 MWMC ADMIN,FEE $ 3/'1.#2. (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 29. r r , '-~ . . IQIAI -MWMC sac $ 2.'ir9'.1'3 SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ /9rir."r 5, AnMTNTsTATTVF FFFS B~ ~GE (SUB O~ABOVE) X .05 ~ri ). Date: ~Hary 0 ni9. P,E: / SDC Co dinator $ 91.7'i" "i ,~}~' Y'~ IQIAf snr. $ Z 0 ~ 1. 0 1 B2,SDC ' FIXTURE 'UNIT CALCUL40N TABLE: Number of New Fixt. X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the MEI 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, StalltWall:,:,...;....."..,.."..""""".. .......,.......,.., Wash BasinlLavatory, Single"""".."..""""..,..,...." Toilet, Public Installation..".",...."""""",....".."..", Toilet, Private..,.,.."....", "'.",....""",..,'...."..""",,, Miscellaneous: ~ TANI ",p~ ~"'J.- I / I 2. :z.. 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 2.. 'Z -z. ~ '2- 5i' II> CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after ~nnexation date in table, calculate credits separates, 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 O~y If Applicable Improvement (if after annexation date) Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 ?~c.. X $ 1.C."'1 (Rate X Assessed Value) X $ (Rate X Assessed Value) = = Rate per $1,000 Assessed Value '1 $2.46 2,14. 1,77 1,37 0,97 0,61 0,44 0.15 J 29.'11 ------ CREDIT TOTAL = $ :2- q . f'l . . o lL'!i!I.!I!!~!~!!1l; JObNO.~ ADDRESS: SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: --Glof\ n \{6~ -. f") toCl ~lJ\il'l\n~tl\ M) LOCATION OF IiROPOSED BUILDING WE: d1.. /.r rJA A Street Address if Known: ...r:;~ L{ flJfl)u I 11/ ~ ~ Tax Lot Number: ( f) O~!). (){j) ():ifo clJ . PHONE: q'fl.!ol/J..'JJ STATE:~ZIP !l13j/ Platt Name: {()JLtdo Jv 1. DEVElOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.! A. Sinl1le Familv - Detached Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT _= $ B. Sinl1le Familv - Attached NOOF UNITS I X $370 PER UNIT = $ .J'1(), CO C. Multi-Familv Aoartment NOOF UNITS X $277 PER UNIT = $ D, Manufactured Home Park NOOF UNITS X $280 PER UNIT = $ 3. $ .Q?L), as $# ~1o. ~ WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. ~t(\ ) I ~)J) Community Services at _~... _~ c_.:_~:,",l...j ~ ,61lo 1C\'\ Date