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Home My WebLink AboutPermit Building 1994-9-22 RESIDENTIAL.~ SPRINGFIELD .. PERMIT APPLICATION JOB NUMBER qcy' /2c 5'" . j Inspections: 726.3769 ,.~ 225 Fifth Street Office: 726.3759 ~-'/ '. Springfield, Oregon LOCATION OF PROPOSED WORK: .JJJY? L0.U>t fiJ/ ~rlYl P' f' r ~~ 0 ASSESSORS MAP' . 11 . () '3 .2 J . '$ - / l7(1 , ,. . TAX LOT: 7300 LOT: (3'-4! BLOCK' ~ SUBDIVISIO~: ~..p OWNER: ,.c1~wy · UttnI'S"0. 1hrtf4JJ Y~Sa/fHtNrQb~1%;;) 134S-CC031t!2.6 -1J54) ADDRESS: 3-:r3"1 IWJu _ l(;~bO /#rXP'J Spf(d (J-t(1-r) J CITY: ~ oR. 9710/ STATF" 6e ZIP:~J DESCRIBE WORK: ./-t;u",e mtNed ('vnyu 3575 f57u1t,!rJ.Vfy/ -10 W.R.sI-ClYVUlil: ;j;k i new~OYj ~. REMODEL ADDI"~ DEt'4QlJ:'}H ~R,~lu.s S()ff/-€- 1'fA/lIt71JJ ~ ~r/Nct~&>~ ~/R'~ /~~ -' CON ST. CON! HAtJ'UH "-"'I<IOIC '" t AD~RESS 11.., ,... L---CONTRACTOR . GENERA" ~II 1ath1ft{t,j I ' ,5t;(J' J -\l7"";;V")' rilAI~ } PLUMBING' MECHANICA' . ELECTRICAl' QUAD AREA:...~0 \ OCCY GROUP' K.::> · OF BLDGS' . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ · OF UNITS' \ CONSTR. TYPE: \J)J v HEAT SOURCE: RANG~' ,.. " EXPIRES PHONE 7Zf>-(X'~4 FLOOD PLAIN' ~ ZONING CODE: J.j\4. . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: .R'.request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested be/ore 7:00 a.m. will be made the same working day. Inspections requested after 7:00 8.m. will be made the following work day. o Temporary Electric o SlIe Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleclrlcal/ Mechanical - Prior to cover. rt1 Footing - Atter trenches are ~ excavated. o Masonry - Steel location. bond .beams, grouting. ~ Foundallon - After forms sre erected but prior to concrete placement. O Underground Plumbing - Prior , to filling trench. o Underlloor Plumblng/Mechanlcal - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. rv1 Sanitary Sewer - Prior to filling L-f' trench. rVl Storm Sewer - Prior to filling ~ trench. r'iZI Water Line - Prior to filling T trench. . rYl Rough Plumbing, - Prior to ~ cover. REQUIRED INSPECTIONS o Roug~ Mechanical - Prior to cover. . 1\71 Rough Electrical - Prior to L4-J cover. rif1 Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materlsls and framing Insp. ~ Framing - Prior to cover. o Wail/Ceiling Insulallon - Prior to cover. I I+J Drywall'- Prior to taping. o Wood Stovo - After J~stallatlon. o Insert - After fireplace approval snd Installation 'of unit. rv'l Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. , o Fence - When comp!eted. o Street Trees - When all required trees are planted. .. m Final Plumbing - When all ., plumbing w~:)fk Is complet.e. rvr Final Electrical - w.hen all ( electrical work Is complete. ~ o Final Mechanical - When all mechanical work Is complete. rvI Final Building - When all ~ required Inspections have been approved and building I. completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to . water and sewer. o Electrical Connecllon - When blocking, set.up, and plu"lblng Inspecllons 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 ventlng have been Installed. " :of: .~ ..~ ., ",';' :,: .,' '_; : ~"'; i~.~~&.:~}' till THE PROPOSED WORK IN THE, , ' , Lot ~y_ ,. , Lot faces Setbacks, p.L. HSE GAR ACe' I HISTORICAL DISTRICT, OR ON Lot sq. Itg. Interior I THE HISTORICAL REGISTER? Lot coverage Corner N If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw. I Coordinator prior to permit Issuance. Total I1I'lght Cul.de,sac IE . I APPROVED' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE ;:?~~ ~,,~ S,~So\-'1,Li3 ---15,()~ .!l6::l.~ Main Garage Carport Tolal Value Bul/dlng Parmi 1 Fee Stale Surcharge Total Fee (A) " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~'1"/, 7 f ,r PLUMBING PERMIT ITEM Flx~ures S Resldenllal Balh(s) N' Sanitary Sewer FT. Water FT. Slorm Sewer FT. ..11 Mobile Home Plumbing Permit '3..'tS.+~~ Stat~. Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit lssuahce State'Surcharge Total Permit (D) M!SCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk LClli L,,) It It Curbcut Demolition State Surcharge l Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleC~Cal) (A, B, C, D, and E Combined) ,.,-...1 \ , , FEE 5"0. (,a.L. &S, S2.- _JS, l;&i.. , (O.~ ~\.~ {7S" ~'O!oL \\.~ ~b.~ .l.~q~~c, . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permll Is granted on the express condition thai the said construction shall, In all respects, conform to the Ordinance adopted by the City of Sprlng'fleld, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: /~?- "'; ~ 8-n ,,1!If17" / '7'7~ ~~~ ~ ,,// Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS .t ))~J 12-.-. :,,:. L, AU jlt/ o. 56c?~ rr(A'>:r~T /( ~/./..j,.Pe,) . ' )lti2!tt'f'~kA-C.- A1t5tf4iv"7 /$V~ , , tht.J 'F1,u4 t"r~~ Lh,'7d, , I . ~C /~~:~--~'$f ~ A1'.fl~. 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 slreet, that the permit card Is located at the front of the property, and the approved set of plans will remain :~g:::u:~ti.;:r41~~ Date ,5'/;,,/9'1/ _, :k~&;JIt..l:hntv?t:'- /~)dt~ J?-/7- 94 VALIDATION: RECEIPT NUMBER DATE PAIT' AMOUNT RECEIVEP RECEIVED BY /-I~/.I) .:j/:z. 2-/5'.:f' ~b~~,~S; , &~" ,0' -..--.---...... .... .." . ATTACHMENT B1 . NO. 91/.2. ~9 . . CITY OF SPRINGFIELD SYSTEMS' DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /~ 6,f~ 5~ (~ ik.~:;.:..) ti ,(/;. LOCATION: /22 -;:f to. 0-1~ DEVELOPMENT TYpr' 5,c~ (~ ~ j,. Sj ~ ) BUILDING SIZE: WIt-/.. Rw~f) /"A~A?e MruLOT SlZI~' SQ, Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. /",2.~ 2. SANTTARY SFWFR-CTTY NO. OF PFU'S' /8 (See Reverse) 3. TRANSPORTATION X $0.209 PER SQ. FT. ~3 '7', ~3) X $43.26 PER PFU '. 'p13'0 NO OF UNITS X TRIP RATE X COST PER TRIP ) X /.0/ X $436.19 cr-4103 X X X $436,19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2'. & 3) $ Is-r?r;,s- 4. SANITARY SFWFR-HWMG NO. OF PFU'S n x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ S/?', ~2 (Use PFU Total From Item 2 Above) MWHC CREDIT IF APPLICABLE (SEE REVERSE) $ tP .. . IQIAI -HWMC SOC y-?/9. +~ SUBTOTAl (ADD ITEMS 1.2,3 & 4) $ / Y"1ii.ol 5, AnMTNTSTATTVF FFFS BASE CHARGE (S(ZOTAl ABOVE) X .05 -K )!..~ Date: / Hart Hornig. FE. soCJ Coordi natOf $ 'lX. ,?O j'-/3-Y~ IQIAI snr. $ 1'1"1/. 'l;t' B2 . SOC . FIXTURE UNIT CALCU.N TABLE: Number of New Fillx Unit Equivalent c Fixture Units (NOTE: For remodels. calculate only the liEI additional fixtures) .. NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 4 ..2. 2 1 2 3 6 2 6 6 1 3 2 lIHead 2 2 1 6 4 .1. Bathtub.,."......... .........,...,....,.....................,............... Orinking Fountain.,. ...........,...,....,..,......,...,...,....,..,.." Floor Drain....,..,.................. ,.....,..,..,..., ,...........,..",.., Inte/ceptors For Grease/Oil/Solids/Etc,.... ............ Interceptors For Sand/Auto Wash/Etc..........,....,.. laundry Tub/Clotheswasher...,....... ....... ............,.." Clotheswasher - 3 Or More..................................... Mobile Home Park Tlap 11 Per TraUer)................., Receptor For Ref/ige/ator/Water St'ation/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: ,TANI TOR'.s ~NI:' 2. / / '2... '2. 2 51' .2 'J '? TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits separates. r Based on assessed value, If improvements occurred after annexation date in table, Rate per $ 1,000 Assessed Value Year Annexed Year Annexed Rate per $ 1 ,000 Assessed Value $3.46 3.38 3,32 3.21 3,06 2,92 2.73 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 1979 or before 1980. 1981 1982 1983 1984 1985. '1985 1986 1987 1988 1989 1990 1991 1993 Credit. for Parcel or land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ , = Improvement (if after snnexation date) = SYSTEMS DEVELOPMENT CHARGE WORKSHEET l~nrdL PHONE: ?flli.lYQ~ I . Ju7 - J rj)~ STATC~,cl1kJL ([){J~ .. .. ) Tax Lot Number: I '1)3~ 11~ . ~,~ Willamalane '(;Q' Park & Recreation District NAME: ADDRESS: I . Job No. g4\W- LOCATION OF I1ROPOSED B41YilNG SITE: Street Address if Known: I H!d2l1) . Platt Na e: 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.! A. Sinl!le Familv - Detached \ Single Family home . NO OF UNITS B. Sinl!le Familv - Attached NO OF UNITS C. Multi-Familv 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 = . $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4DO ,()J $D $ 4(')0 .W 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~;~~!,f) o! ,:w- '-# r:.......! c~..:......,.(';......l"'"