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Home My WebLink AboutPermit Building 1994-6-6 RESIDENTIAL PERMIT APPLICATION " Inspections: 726,3769 Office: 72603759 LOCATION OF PROPOSED WORK' -F;I~_ ASSESSORS MAP' LOT' , ,11. SPRINGFIELD CjOD OWNER: ADDRESS: CITY' S OUe:-,et:'" 1t'..,1J0 Su..i LJ.e,,y- ~ t4~1 ho.doQ... S, t'6 '" 'I k <lP' CONTRACTOR'S NAME ADDRESSe GENERA" SOl/f%{2E:1 GIJ BLQ).S PLUMBING: c,u.d-o ~ pLu ~I.: MECHANICAL: ---'='-" H. E r. D I.A C1'\ IP'T L t-+ MDrr,--s.. oJ DESCRIBE WORK: NEW X REMODEL 3M ADDITION ELECTRICA" QUAD AREA' \R~tJ . OF BLDGS' \ ~?1TN\ I q OCCY GROUP: . OF STORIES' WATER HEATER: STATE: tJa.. , q.q (1cfl 0 !J ~.4- +!. DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: .1:l\.iL. CONST, CONTRACTOR' '1nLf71 ){tqi1'-f ~tl4 4- ()lfl,'X' PHONE:_7Cf<+ DC/liD ZIP: -1J EXPIRES Jo/9cf 5/ to/" " (q.tlrp.~ PHONE 7<f'fof I to /.f8S- / /If I,. 3<f-S;" J'l 74-7 0& II - OFFICE USE - \~ \ \ LAND USE: . OF UNITS' \ CONSTR, TYPE: \I ~' HEA,T SOURCE: ~ G RANGe, G. /9 ../ FLOOD PLAIN: ZONING CODE: U)~ . OF BDRMS' --3 SECONDARY HEAT:-.f..{-J SQUARE FOOTAG E' i),::J II , ,- 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 after 7:00 a.m. will be made the followIng work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab PlumblngfElectrical/ Mechanical - Prior to cover. ~Footing - After trenches are ~xcavated. D Masonry - Steel location, bond beams, grouting. ~Foundation - After forms are L2Sll~rected but prior to concrete placement. D Underground Plumbing - Prlor to filling trench, 'f;::7( UnderlloCl(.!'lumbitilll,~chaniclJll ~- Prior to InSUlation or oecKlng. ~ Post and Beam - Prior to floor ~ Insulation or decking. ~ Floor inSUlatio'n '- priol~ to ~ decking, I'Q1' Sanitary Sewer - Prior to fllll~g ~trench, F::71 Storm Sewer - Prior to filling ~ trench. " 01 Water Line - Prior to filling ~ trench. IV1 Rough Plumbing - Prior to ~cover. REQUIRED INSPECTIONS -R:71' Rough ,Mechanlca,!.:- Prior to 9 cover. .,.-A,,-. C-l.>M. dAs'r~ K71'Rough Electricat - Prior to ~ cover. 1'<;;7'( Electrical Service - Must be ~~pproved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~raming - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, D Wood Stove - After l~stallat"lon. D Insert - After fireplace approval and Installation of unit. I'V'1' Curbcu( & Approach - After ~forms are erected but prior to placell!ent of concrete. c-A'Sldewalk & Driveway - After "~excavatlon Is complete, forms and 5:ub-base material in place. D Fence - ~hen completed. cxi.,r ~. D Street Trees - When "all required trees are planted. " ". r-:;;:;r Final Plumbing - When all ~plumblng work Is complete, r;;:;7! Final Electrical - When all ~electrical work is complete. 'IVT Final Mechanical - When all ~mechanlcal work Is complete. '1'71 Final Building - When all ~equlred inspections have been , approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and SetoUp - When all blocking Is complete, D Plumbing Connections - When home has been connected to water and sewer. " " o Electrical Connection - When blocking, setoup, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, sklrtln"9, decks, and venting have been"lnstalled. I' ~' Lot Type' Q , Lot faces E- Setbacks . THE PROPOSED WORK IN THE Lot sQ, ftg, 8117 Interior I P,L. HSE GAR ACC HISTORICAL DISTRICT, OR ON /If 0 n% IN 4::> THE HISTORICAL.REGISTER? Lot coverage Corner If yes, this application must be signed Topography lli-r Panhandle Is /0,3 and approved by the Historical Iw ItJ.4. Coordinator prIor to permit issuance. Total height J....ts,' ~ Cul-de.sac (?JS' ) IE 51.4 APPROVED: I I ! BUILDING PERMIT ITEM SQ, FT, i5q7 117 1'4 x $/SQ, FT. - VALUE ~ p,q 'llil \Z(TIJ 8/1051 Main Garage Carport l' I ,~ i , q'gAC6 4-~f). 6<) , - 2(~ 7 P.. ~~ t'AJ./ ~ '7/0 (A) .4(,., .~" SYSTEMS DEVELOPMENT CHARGE (SDC) , (B) 1,2211.-11' Total Value Bulidlng Permit Fee' State Surcharge Total Fee MECHANICAL PERMIT GM. F/~ Furnace ~t77f) 4000 ~.e.D 4-,6'<D , "? b70 s,~ 2.~~ / f") ,dlO 1.-,0 .:7/,,, ~,..,.r.v, , . ~,b (D) , ,-".':'~ Exhaust Hood Vent Fan N' .2. Wood Stove/lnseeePlace ~~ Dryer Vent C:~ Ud-t"'- ; tI~ Mechanical Perml t Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 45 It '- '2- It ...Lc_1,r /3,'30 Curbcut Demolition State Surcharge Total Mlscelianeous Permits (E) .<'FJ.~S 2fl~ 7,P TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, 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 Jtr~ns of said ordinances. Plan Check Fee: QI , f:3:) Date Paid: fS. I (). 94 Receipt Number:_' ' I &tcl.U R~{N)J Plan's- RevIewed By' ~.4/9'd 'I Dlte ( Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. By signature, I state and agree, that I have carefully examined the completed appllcatlon 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 Ordlnanc~s 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 set of plans wIll remain on the site at all ~s during constructlon. Slgnaturo, ><:" 6- ')~~....,..::- Date c,-tf -'7'c:;.t; V VALIDATION: ~\ RECEIPT NUMBER \~ DATE PAID ~O .\0 l..V _ AMO~~T RECEI'(Ei .r--.;:!5 ~RI LS , RECEIVED BY ~ _ fL-/ . o y!i!I,!!!!!!~!!~ . Job No. Cf4Dfo10 SYSTEMS DEVELOPMENT CHARGE WORKSHEET PHONE: ~44.oqllil- ~~ STATE:~ZIP~f) LOCATION OF ~ROPOSED BYJtDI~G SjTIt:.... . i\\ Ii'\.. A ' Street Address if Known: y(')() , '4( ltJ\ 1 t '1("1l t<.. l \'u U 'CL.,. __ PlanName:~O/J""" Tax Lot Number: \t\03?A~ ADDRESS: ~ \ 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.l A. Single Familv - Detached \ Single Family home NO OF UNITS l B. Single Familv - Anached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufadured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park $ 4f)().ol> , X $400 PER UNIT F, . X $370 PER UNIT = , $ X $277 PER UNIT = $ X $280 PER UNIT = $ $4D'D,OO $11 '00 $ 4{Y.). 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) .,.. ) ~ \Q /q1 Date ~ . . CITY OF SPRINGFIELD SYSTEMS DEVELOP~lENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) q 4()(, :f 0 NAME OR COMPANY: 5~ il.5~ LOCATION: ?~~ ~~ J?k DEVELOPMENT TYPE: ~tc~ BUILDING SIZE: - .LOT SIZE -- SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. '34'1,5 X $0.203 PER SQ. FT. C;t~2. ?j) 2. SANITARY SEWER-CITY NO. OF PFU'S /'7 X $42.08 PER PFU 0~-~~ (See R,everse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 {'" 42rs?> '-- ~ S S / X ;'01 X $424.31 X _ X $424.31 . 4. SANITARY SEWER-MWI1C NO. OF PFU'S /<i? x $15.125 PER PFU + $10 MWMC ADM FEE S ,z'i?2.?S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABle: (SEE REVERSE) S rtf' TOTAl-MWMC SDC ~:V SUBTOTAL (ADD ITEMS 1,2,3 & 4) S 2/ ,rz 5. VE FEES SUBT7!B' .05 oord;nator ~ rs::OO-f~ '- ...-/ TOTAL SDC S 22~9,-fT r FIXTURE UNIT.CALCU~TIO~ T0BLE: 1~lJl1lt'rr 01 Ncwfi\lI11c'> X Unit [(;uiv;llcnt = Fi\1l"C unllsv",vrr:,-, for IcmodC'ls. C:llcul~Jle only Ihc .!:ilIiiiiIi."dd';I<,n;llll\ll11l':') . ' ... I~L".WEIl OF L';,r1' FIXTUf1E FIXTUf1E TYPE NEW f1XlUnE:> I:CUI\';.LEI4T UI-JI IS Bathtub.............,..,.."......"..... .........,."..........,.... Drinking Founl:!in..,.........."..,....,., ........,....',..,.,...'... Floor Drain,..,... ,..,."."",.."""',.,",.,..,',...,.,,.,"""""'" Inlerceptors for Grease/Oil/Solltls/fIC,................ Interceptors For Sand//,uto Wasil/fie,............,.... Laundry Tub /CI ot h e swa sher.............,..........,..,."",. Clotheswal\~er - 3 Or Morc....o........,.......,......,........ Mobne Home Park Trap (I Per Trailer)..,..........o.... Recep!or F9r Refrigerator/Waler Station/fIe........ Receptor For Commercial Sink/Dishwasher/Elc.. Shower. Single'Slall....o.............,....................,..o...... Shower, Gang......o.....o..o..,......,..o:o.."..c..............:..... S!nk. Bar, Commercia!.........,.......,..".......,............... . Urinal, Slallf\\'all......".............,....,..,..,...,....,........,.... Wash Basin/Lavatory. Single.....o......,..o....o..o..,:...... Water Closet. Public Installation..,........o.............,... Water Closet. Prr..ate,..,................,.........,..........,..". Miscellaneous: / " 2. I 3 6 2 G 6 1 3 2 l/Head 2 2 1 6 4 2 ~ J J 2 2 :J. '2 ] 'X TOT;.L FIXTURE UNITS = /T . CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation dale in lable. calculate credhs separntes. $3.21 3.13 3,08 2.96 2,82 2,63 2,51 1936 1937 1933 1989 1990 1991 1992 :If!j)--- X s / - (Rale X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL $ 2,24 1.93 1.57 1.18 0079 0044 0,28 II t i I ! I Ye<!r Annexed II 1979 or before 1930 1931 1932 l 1983 1934 '1985 Rate per SI.OOO Assessed Value Year Annexed Rale per $1.000 Assessed Value .. Credit for Parcel or Land Only If Applicable = rf Improvement [if after annexation date) = = s (/ I '0 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resident ia!........ ........ 0............ ........... '..........0.... 0,4 Commercial...............,....o....o...............o..........,. 0,9 Ind ustrial... ...... ....................." ,.... ..'...,..".. '...0.... 0.45 Governmental..o..,...........,....o.................,..,....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT