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Home My WebLink AboutPermit Building 1995-3-14 {" A3 NO. .Cf5o?o1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ATIACHMENT B1 " NAME OR COi1PANY: 1</VEf?- 15e.ND MNGS IlJc- LOCATION: </'1 qq. .r::-~ K. S Y T!-f I A / 9: <J '2- 0 4 tJ 0 -- f~ t1 ?-1 ~ (J I DEVELOPMENT" TYPE: LDf2... ~ Ii E:-W SFt:..: BUILDING SIZE: COTSIZF SO. F t. 1. STORM ORA lli8GE IMPERVIOUS SQ. FT. " , " '. . X'$O.209 PER SQ. FT. 0'Z."\ "'i:) , ~b\-z... 2. SANlIARY SFWFR-ClIY NO. OF PFU'S I ~ (See Reverse) ,x $43.26 PER,PFU ~/~b~ '-- ----------- ,3. TRANSPORTATION .NO OF UNITS X TRIP RA~E X COST PER TRIP / X /. c; I X $436.19 C:4-0 5;; ............... ~ x ' X $436.19 $ X X $436,1~ $ SUBTOTAL (ADD ITEMS 1. 2. & 3) $ \ <6l.{- 8 "1 <t 4. SAtllIARY SFWFR-MWM( NO. OF PFU'S ,{ ~l ' x $17.19 PER PFU +$10 MWMC ADMIN.FEE (Use ,PFU Total From Item 2 Above) " '," ' MWMC CREDIT IF APPLICABLE (SEE REVERSE) , ' TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS '1. 2 .3& 4) $ 3\ '1~ $ /'3 8i (.$ ~OS~ ) $'2-ISL.\-=!;,'= 5. ADMU[lSIATIVEFEES' BASE CHARGE (SUBTOTAL 'ABOVE) X .05 ~ Dl-'~ -------- ------ ~~L.k. I.Y HVIII~".:l.P.L SOC Coordinator Date: ~/(4- /1s I IDIAI SOC '$ 7:2- ,=>-z, oj. B2.SDC ~ '., \ FIXTURE UNIT C~LCULA T""f\! T ABLE:Number of New Fixtur~ (NOTE: For rembdCls;cafculate only tll, .I additional fixtures) . NUMBER OF FIXTURE TYPE ' NEW FIXTURES Bathtub. .... ..... ........................................ ......... ........... Drinking Fountain............................................ ......... Floor Drain. ..................................... ...... ,............ ....... Interceptors For GreasefOii/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, StaiIIWall:.,..... ......................,........ .......... .'...... Wash Basir/lavatorY, Single......... ..... ..... .... ........... Toilet, Public Installation......... .................:...... ....~.. Toilet, Private.... ............. ...... ......... ....... ........... .,.-.. Miscellaneous: 1- , ~..:.~.' '. ~, ,:'; "2..' . '2-- TOTAL FIXTURE UNITS \<1> CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credi~s separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 198.5 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 -I Improvement (if after annexation date) ~ .4h X $ 4. 0 (Rate X Assessed Value) X $ (Rate X Assessed Value) /3.si Credit for Parcel or land Only If Applicable CREDIT TOTAL =$i~f!! : ~~, ,..... ~ f'\? .... .. ~~ Willamalane '(,-W Pa,k & Rec'eat;o~ D;st,;ct Job No.4t:JfP>>q SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:-B,Wi 'ltntt 1:M1!"'~. ADDRESS: lJ4qq Yb~u#tiCL/ V PHONE:t}qj." g~~~ STATE: bIZ- ZIP t(141~ , ' LqCATION OF PROPOSED BUILDING S~: . '.0 .., Street Address if Known: L/4Cfti 'J1JY'?UJru 0- J Platt Name: ~B6~p ~ Tax Lot Number: " It IJ'loL/OOI2MJX) 1. DEVELOPMENT TYPE (Check appropriate dwellirig(s>. SDC Calculations and dwellingtype definitions are on the back.) " A. Sim!le Familv - Detached Single Family home NO OF UNITS ( B. Sim!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 _'=,. $ " l/lJ~. <<J . X $370 PER UNIT = '$ X $~77 PER UNIT = $ " 'X $280 PER UNIT = " $ " "$ U ~(J . ()O 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See soC Credit Worksheet. " 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) $ $ L/tJ{j. ~O hlAb-~ ~ I 13 / tlG'" Date rf'\mmllnitv Spr"irp.; ni,,(,!inn ~~ ~999 PA2S~77/IA /~-/5!2...c:> 9'~, ~/{/w ~Cno /~..s ~& AC!Jx 593 ~cc Su.; CCL-L . ~.. "--="--1 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: /2- ::.- -- LOT: OWNER: ADDRESS: CITY: DESCRIBE WORK: NEW X REMODEL .:5/'.e?~ c~ CONTRACTOR'S NAME h{/~ (h;:;7~ s}- SPRINGFIELD BLOCK: UbC STATE: aL, ~~f' ~ ADDITION DEMOl::ISH _ OTHER I II I , ,,- ~ '. ?./~~. JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOTe~~~~ SUBDIVISION: ,{fJ/S/fc1;:? A:C s.mr~5 PHONE: 9S'1/-8332- ZIP: ? >L./2G ADDRESS P9 ~ /~~,,~S ~C. p~/h--1' ~~Wtf #~/~ ' ( .2f-L.- ~77et' t ( CONST, CONTRACTOR # 7~3.5-2- rXffl\~ l[)~S ; ,- J\3S\ EXP~ES PHONE /~~.> ~r:Y 33 ?- 1!1(Q;S m-\~IrJ.- l(/~~tlo~7f:~ ) I r GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: GJ3/ U 5 , QUAD AREA: ?) 'ht?~/ I ~~ ( f # OF SLOGS: OCCY GROUP' # OF STORIES: WATER HEATER: 'I ~.; :. - OFFICE USE - I , , , ( CONSTR, TYPE: V'" HEAT SOURCE: Yi52~~ (., ... LAND USE: # OF UNITS: RANGE: _ FLOOD PLAIN: ZONING CODE: /,,- D ~ ~ # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: - zcq{.\.. /' To request an inspection, you must call 726.3769. TIlis is a 24 hour recording. 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. rn Temporary Electric o Site Inspe~tion - To be made after excavation, but prior to sett-ing forms. o Underslab Plumbingl Electricall Mechanical - Prior to cover. nil Footing - After trenches are 4 excavated, D Masonry - Steel location, bond beams, grouting, IVl Foundation - After forms are l-fJ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. IlYl Underlloor PlumbinglMechanical ~ - Prior to insulation or decking. [SA: Post and Beam - Prior to .floor f. insulation or de<:;king, ',' r\71 Floor Insulation"':" Prior.to '. r decking, . ._.. !\n Sanitary Sewer - Prior to filling '-I trench. rvl Storm Sewer - Prior to filling ~ trench. r1l:1 Water Li.ne - Prior to filling ~ trench. . rXi Rough Plumbing - Prior to LP cover. ' ) REQUIRED INSPECTIONS rYl Rough Mechanical - Prior to ~ cover, 1\11 Rough Electrical - Prior to '--fC cover. f\fJ Electrical Service - Must be ~ approved to obtaIn permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. qJ Framing - Prior to cover" [\It Wall/Ceiling Insulation'- Prior to I cover, Lfl Drywall - Prior to taPln~, D Wood Stovo - After installation. D Insert - After fireplace approval and installation of unit. 'tj Curbcut & Approach - After (orms are erected but'prior to placement of concrete, rYl Sidewalk & Driveway - After ~ excavation is complete, forms and sub-base material in place, D Fence - When comp.le.ted. D Street Trees - When all required trees are planted., . IVl Final Plumbing - When all ----r'- plumbing work is complete. ---"--- rVl Final Electrical - When all ~ electrical work is complete. fVl Final Mechanical - When all-- ~ mechanical work is complete. M Final Building - When all ~ required inspections have been approved and building is completed. D 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 are approved and porches, skirting, decks, and venting have been installed, Lot faces -H- lsl~ 3.~, Corner Lot sq. ftg. Lot Type v' Interior Lot coverage Topography Total height Iii' ( (h') BUILDING PERMIT Panhandle Cul-de-sac ITEM SQ, FT. /~/ r/'-, ~Yo / X $/SQ, FT. = VALUE _56~<-' Ji?7~~ '- ," /?I.~ '. _;;,~- Main Garage Carport Total Value Building Permit Fee State Surcharge ~c,~o + 'S ~ Total Fee (A) Setbacks I P.L. I HSE GAR I ACC i 'I N I IR 1 I I S 1L.l ~ I I I I W Is 1 I I_ I ~nn__) s I I I" ",~ . 7'V7$? ='~~ . ~va.m ~3.~ _~~l..t.{'-I SYSTEMS DEVELOPMENT CHARGE (SDC) , . , (B).ij; '2.:z.~ 2.0 oJ -$ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO cl Sanitary Sewer FT. Water FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge 6.0,) ~ ?:.~ Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vellt Fan NO 1::. Wood Stove/lnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge .8~ ~ 3> ~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk -10"1 ~L{ ft ft Curbcut Demolition State Surcharge Total Miscellaneous Permi,ts (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE \bO~ l <'00 ~ \ ~ eQ J-.1Q. ~ l..\. ~ ~.~ ~~ t ~.5.Q oe> lO- \ .43 ~1.~~ \, .t.t5 l5. \0 ~.l.\ .~S ~LtB.bb "':, ,-~:,-, ;;' -i_ ~. ~ ,S THE PROPOSED WORK IN THE 'HISTORICAL DISTRICT, 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 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 Fee: -:::?--;J/. 70 ?.....~..q~ , - --- Receipt Number- ~_?~G ~~BY ;;:j'~ '~~ . Ploo~wed 8y- :J;-ilt5 Date Paid: Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL Cg.MMENTS-' ~~~~,C~~ - - -.-. 1 ~ f- f" . fJ>4.fMO. ~o (~t.) 4uvatJ-t M dILb fqltfL ~,dlWI11L - f ~tLL By signature, I state and agree, that I have carefully exam'ined 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 proj ec t. I - 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 at all times during constr ion, Signature ~ ~~/~~ It. Date VALIDATION: RECEIPT NUMBER /h?:...::.' ~ DATE PAID tf-//-?:5 AMOUNT RECEIVED. ~ ~~ J..t.~ .b~ RECEIVED BY ~~~-------:-- /~ F