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Home My WebLink AboutPermit Building 1995-1-27 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 '. LOCATION OF PROPOSED WORK: (8 -()< ASSESSORS MAP' LOT' $?' I . SPRINGFIELD - '7.2 <;- BLOCK: ~. ~"''^ ~LYP +\- S/JLwL.//c.. OWNER: ADDRE"'" '2 J ~ X CITY' q ,.......... P_A --'L # STAT'" Of:. DESCRIBE WORK: !VQ.<......-' j)u..o J-R..1c 96U s:; -if- Ci) ~&.. 2~2. e,d- NEW X REMODEL CONTRACTOR'S NAME GENERAL:-.::J:;. U7 7"2<1..,,, PLUMBING' MECHANICAl' ELECTRICAL\. ~ \. ~ ~Y... ~M QUAD AREA: . OF BLDGS: \Q~)Q \ ~O\-M ',. OCCY GROUP: . OF STORIES:_' WATER HEATER: f/ ADDITION DEMOLISH OTHER y d-t:9 j (No . JOB NUMBER 9r/?~y 225 Fifth Slreet Sprlnglleld, Oregon 97477 " .7 PHONE: AtfY- SI/o 7 ?L.l2-3tJ7/ ZIP: 9'/<7(')? H-v-.... CN/:.. CONST, ADDRESS n I, 10NTRACTOR . -Z 2.4 5-0<Jan:!{ ~r',[lif \<6G,~~\ REQUIRED INSPECTIONS lS;?T Rough Mechanical - Prior to ~cover. 1'\71 Rough Electrical - Prior to ~cover. r9T Electrical Service - Must be ~pproved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. (gJ Framing - Prior to cover. ~ Wail/Ceiling Insulallon - Prior to ~ cover. C8:I:.. Drywall - Prior 10 taping. o Wood Stovo - After Installation. o Insert - After fireplace approvlIl and Installation of unit. [8l Curbcut & Approach - After forms are erected but prior to placemont of concrete. ~ Sidewalk & Driveway - Aller ~xcavatlon Is complete, forms and sub.base material In place. o Fence - When completed. ~treet Trees - When all required ~trecs are planted. EXPIRES i\."').<:j~ PHONE 7'16 -00 J'?KQ{o '1 '\:b.lA7 (0 3r:ib':11 - OFFICE USf..,,- LAND USF' \ \~ u ~ - . OF UNITS: CONSTR, TYPE: 0 HEAT SOUIlCE: k~~ RANGE: _ y,../ '. FLOOD PLAIN: ZONING CODE: ~ A fIf?-- . OF BDRMS: rO + ~J SECONDARY HEAT: A:::J SQUARE FOOr'tJ/iPJ!-f:;, \ 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, Inspections requested aCter 7:00 a.m. wIll be made the following work day. ~ ~mporary Electric "8 ~!,te Inspoctlon - To be mado after excavation, but prior to setting forms. D Underslab PlumbIng/Electrical/ Mechanical - Prior to cover. ~ Footing - Aft.r trenches are I.L:::::l. excavated. o Masonry - Steel location, bond beams, grouting. R'71 Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. lC7'1" Underfl~umblnnJ:Mechanlcal ~ - Prior to ,IT;,,u'dlt;';; o~ decking. I':?t Post and Beam - Prior to floor ~Insulatlon or decking. vr Floor Insulation - Prior to .I""'-< decking. "fVT Sanitary Sower - Prior to filling ~rcnch. f'\.7f Storm Sewer - Prior to filling ~ trench. 1'\:/r Waler Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to ~ cover. It7I Final Plumbing - When all ~ plumbing w9rl< Is complet,e. ~ Final Eleclrlcal - When all electrical work is complete. ~ Final Mochanlcal - When all ~ mechanical work Is complete. ~ Final Building - When all required Inspections have been approved and building is comploted. DOthor MOBILE HOME INSPECTIONS ... . \ . . o Blocking and Set. Up ..:.. Wh,en all blocking Is complete. , .', . o Plumbing Connections ~- When home has been connected 10 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 are approved and porches, skirting, decks, and. venting have been Installed. \ .~. ., ~ . Lot faces -S- Lot ~yp. Lot sq. fig. r;Ld.S Interior I P.L. Lot co'erage me :i:: Corner IN Topography < 2-1. Panhandle Is Total height lQ." CUI-d,e.sac Iw (!) 1') IE BUILDING PERMIT ITEM sa. FT. x $/so. FT. VALUE ""., . ':!': ~~i::'i~ \1;:~~)' "IS THE PROPOSED WORK IN THE. h'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks. HSE GAR. Acc'1 This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by Ihe 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 Fee: "3'OS< ~ S-- J .L ~LP c::o _ Date Paid: --'L.-/~-7 c,r //? ~7=-, & i:5 ~(>-C Receipt Number: /~&~ - -.;'7.S'. RecelveV'J.: /7~. - .~ /~~Ju ~_. Pliut!\. Reviewed Bf . SYSTEMS DEVELOPMENT CHARGE (SDC) /35"?1'2'? I~ 5 I it) I Main ,-q<o ?'2~ //.??~y 7?/VC/. B :> Garage -5"""6. :;>e> I y'/t::> " Carport Total Val ue Building Permit Fee State Surcharge z..3' f-S-r liP 7 Total Fee (A) (B) PLUMBING PERMIT ITEM I APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT //;~5 , liale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS FEE ~.P~ ~ _ ~ ~_.J, ...... 3?-OOO ~nQ) &t~U L- ~ -\- "\ " \I \ ':J '2f) ~N\q\f rtt\O )', \o'\oB Fixtures Residential Bath(s) N' Z,X 2- Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge 1f.?.'O of 9,'" 0 -2-):60 ~f5.~o Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood. 2- 4- 9. t:>-O /2~~ Vent Fan N' Wood StovellnserllFlreplace Unit Dryer Vent 2 r:; ,00 Mechanical Perml t 27-~ /n.CO 2J~ "2.9/'- Issuance State Surcharge /.3 S' -f . g I Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ;70 fI 4s- -.;'s-S"'O / 7,2.0 Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) . ~2. ,70 TOTAL AMOUNT DUE (excluding electrical) 15'2f;.~~ (A, B, C, D, and E Combined) ,. I ~ I ,,' -.- ~~ JitlP?wpAL //J/jI~/F C!:... ~ar///~~ By signature, I state 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 Ordinances 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 lans will remain on th.e site at all times dur.lng constru/n~ /~ ~gnature ?j).z...-~ ~ Date J /1-7/95 / / VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVEt' RECEIVED BY _ /c" IZtP //2 ?/7'J ~q'z '7 ~f(; ~ , ~ . . fi !!)!i!I,e,I!!~!~!!~ Job No. a4/1&1 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: J( . ~1l f\ ~~(\ X ott ADDRESS: /1\\0.9.. 6.,\'f\o\l o\t.-,I ~rO_STATE:~IP 0'14D2... LOCATION OF JilROPOSED BUILDING SITE: ~ I()", \r J ~ \. . Street Address if Known: $C) ~ \ *' ~ ~'J W..u.~.1lH..AJL.- PHONE: ~~.~7 Platt Name: G.(.nnCt~ Tax Lot Number: \ Il {)?-,!J. ~~ \ 08'\06 . 1. .DEVELOPMENT TYPE (Check appropriate dwellingls)' SDC Calculations and dwelling type definitions are on the back,) A. Sinl!le Familv - Detached Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT _= $ B. Sinl!le Familv - Attached NO OF UNITS & X $370 PER UNIT = . $ '74tJ?V C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SOC $.!]j() ,CO $ff $ '140.0U 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SOC ASSESSED (If SDC reduced for Creditl ~~~~~@ I / '2--7 I5'J Date .B NO. 9-1/7(, ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . ATTACHMENT B1 NAME OR COMPANY: R. j). P ~ LOCATION: 'if 2/ i iT23 () ~ DEVELOPMENT TYPF' ~I } . BUILDING SIZE: I OT SPF" SQ. Ft. 1. STORM nRAI N~ IMPERVIOUS SQ. FT. /91' "{. 2. ~ANTTARY SFWFR-rTTY NO. OF PFU'S . 3c. (See Reverse) 3. TRANSPClRTATIClN X $0.209 PER SQ. FT. ~Ob' r~ X $43.26 PER PFU . "F5t.30 NO OF UNITS X TRIP RATE X COST PER TRIP :z. X . /. 0 I X $436. 19 X X X 5436.19 X 5436.19 ,vIT/./O) S s SUBTOTAL (ADD ITEMS 1.2, & 3) S 2'i'4S".3'? 4. SbHlIARY SFWFR-MWMr NO. OF PFU'S 3'- x $17.19 PER PFU + $10 HWMC ADMIN.FEE S C.2 'i? ~f! (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) S (,0. C, < . . -. . IQIA1-MWMr ~ s\....5""~~.%.0 SUBTOTAl (ADD !TEl'S 1.2,3 & 4) s :5"'/3.C. 0 5. 8nMTNTSTATIVF FFFS GE (SUBTOTAL-ABOVE) X .05 #.. ~ - Date: 1- 'f7- "/s- / Mary rnig, P.E.~ SDC C ordinator ~/7-0.~ InT".! SQ( S "5 sF1.z'l? B2 , SDC . . . FIXTURE UNIT CALCULta-ION TABLE: Number of New Fixtures X Unit Equivalent c Fixture Units (NOTE: For remodels, calculate only the Nfl additional fixlUlesl 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......... ......... ................. Clothes washer - 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 BasinlLavatory. Single.................................. Toilet. Public Installation........................................ Toilet, Private....................................................... Miscellaneous: ,TANITOP'.< s"Nr 2 t. .? ;.. 4 4 TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 lIHead 2 2 1 6 4 .2 = FIXTURE UNITS 4 4 4- 4 '1- It) 5~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. 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 3.06 2.92 2.73 -. = Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 .'3 -1 ~ X $ / t. $"2 " (Rate X Assessed Value) X $ (Rate X Assessed Value) Credi~ for Parcel or Land Only If Applicable Improvement (if after annexation date) = = Rate per $1.000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 &(). , 2. CREDIT TOTAL = $ bO.(" z. ,