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HomeMy WebLinkAboutPermit Building 1994-1-18 ..,. RESIDENTIAL PERMIT APPLICATION . SPRINGFIELD Inspections: 726,3769 qlfice: 726,3759 LOCATION OF PROPOSED WORK: Of't I ~/I..2____ ASSESSORS MAP' \ '\ \) ~ 34-'2 '2. \ OWNER~......Rb:t: ~~. ADDRESS ~3 0.~ ~ CITY' ~~ I .DESCRIBE WORK:~A.,,~~^l ,AlLJji ~ NEW V REMODEL LOT: L.{..I ADDITION BLOCK' - STATE: DMdI I DEMOLISH OTHER . ~3lR\() JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 TAX LOT: (X")<2it0 SUBDIVISION:QQ1 t^ R.~ PHONE j4S--Lf3~ ZIP:~7'-fC> I . CONST. CONTRACTOR' CONTRACTOR'S NAME. ADDRESS GENERAL: _~'t-~ PLUMBING: _~_~" M,{l 'MECHANICAL: ~f'.L.U +~ ELECTRICAL:~~.L r;b ;4- i307t, t:)5'(p'il' 2- ~nqc. - OFFICE USE - EXPIRES 5""-'1 '1 ~-q 't 2-'/'-1 10 -Q'1 PHONE 545"'-<.f3tf7 ("8'g.-(Q3/ 7lf&. - 710 77 lD~ -b /2-J OUAD AREA: \RNW LANe USE: \\\\,- FLOOD PLAIN:_ . OF BLDGS: ) 1/ OF UNITS: \ -- ZONING CODE: L'O~ OCCY GROUP: ~3-\' t'f\ CONSTR. TYPE:~N . OF BDRMS: -3 . OF STORIES: l HEAT SOURCE: ~Q, SECONDARY HEAT: ~~ WATER HEATER: G RANGF' F... SQUARE FOOTAGE:_ 2_~ 1 \:) TO request an inspection. you musi caii 720.37G9. ":"':li5 Is a 24 hou:' rcc:::rd::-=g. A!! l!1s:=oe'=ti.:.~s refltJp.5ted bp.fore 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. wl:l rye rr:2de the fol1o......lng wo..k day. o Tempor':lfY Electric D Site Inspection - To be made after excavation. but prior to s~tting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~Footing - After trenches are ~ excavated. :. ' o Masonry - Steel rocatlon, bond beams, grouting. l':A"Foundation - After forms are ~ erecteej but prior to concrete placement. rI L1ndnr9round Plumbinfl - Prior L-J to filling trench. REQUIRED INSPECT!ONS ;;;:;;?T Rough Mechanical - Prior to ~ cover. f':7f Rough' Electrical - Pri,Jr ~o ~ cover. ~ Electrical Service - Must be ~approved to obtain perm3;1ent electrical power. ~Fireplace - Prior to facing ~m<iterlals and framing Insp. ~ Framing - Prior to cover. rY1 Wall/Ceiling I"sulatio'" - Prior to ~cover. K71' "",:""....,11 _ Prinr tl" tonl'~."" ~ .....:/..... "._"~ c:.l. ..' ~.'.. t'V'T Underf100~lumb~cchanic3!:> ' ~ _ Prior to Insulation Or Ut:(,.;l\lIlg, 0 Wood Stove - After installaHon. r\A' Post and Beam - PrIor to floor ~inslllation or decking. 'C71 Floor Insulation - Prior to ~.decking. ~ Sanitary Sewer - Prior to filling ~ trench. 1'....-;1( Storm Sewer - pdor to fil:ing ~ trench. , f\:/t"Water Line - Prior to filling ~ trench. I~ Rough Plumbing - Prior to ~ cover. . o 1!1:'iert - AHl}r fireplace apploval and Installation of ul1lt. 1Q""f Curbcul & Approach -- After ~f{'!ms arc c~ectecl bUl prior to p!,-icement of concrete. ~ S !.J€walk & Driveway - After ;r-~ e'.(~avation i~ compldv, brms ar"ld sue.base material ir. place. o Fence - \Nnen compt('~elj. J7l)Slrect Tre(=~ - Vinen,all required Q;Y tJees are rhcntE:d. . ~ Fin,al Plumbing - Wh~n .:Ill plumbing work IS complet.e. l'C'7f Fin~ll Electrical - When all ~ elp.ctrlcal work is complete. ~Final Mechanical - When all I6J mechanical work is complete. f'V"I"Final Building - When all ~ required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set-Up - When all - blocking is complete. o Plumbing Connections - When home has been connected to water and sewe.r.. L-J Electrical Connection - When - blocki('lg, set-up, 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, skirting, decks, and venting have been Installed. Lot Type . Se t bac ks Interior I PL. I HSE GAR I ACC I ~ Corner IN ISl' I If' I . I s 1.(1 - Panhandle " Cul.de,sac W ~1' (,5" I --j E 4~'1 \~. I I ~S:S/Lj. ~ 2.4-.(,'1 5/t:>,# SYSTEMS DEVELOPMENT CHARGE (SDC)~ , (6) ~h.,q21Z Lot faces ~ Lot sq. fig. I z.1 ~z.- ..." "/.- Lot coverage "1-,,,1 v Topography nl..-f- Total height ~ ~ BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. Main z" <{ q 51 ;tl %,2-0 14,(0 Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ::;z.., Sanitary Sewer FT. Water FT. Storm Sewer FT. ~.'iObnc Ho:r.o ~S'~\=\(\~ Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 6 Wood StovellnsertlFireplace Unit Dryer Vent ~M' /.JLl~ f w/ff i ~ ~ Mechanical Permit Issuance State Surcharae Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk '2-1/ It Cu,bcut ~D fI Demolition State Surcharge t: f'>,{"E> , ( ~~OO) Total Miscellaneous Permits (E) VALUE ((".IN _".&~ FEE JCf2,$O , \~.m :2'/ 1. SO I 0, ~f> -:2I1,e& -<P~O -4.50 J5.C>O ~.~ Rt!rO 3k> .5"'0 ..).0. "0 _/L~~ 4,~~~3 -$./.' 5 -/..4.5"0 -5~ TOTAL AMOUNT DUE (excluding e!ectrical) ~1A~..s2, 1fS (A, 6, C, D, and E Combined) ..... '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 perm:! issuance. APPROVED. BUILDING VALUE, PLAN CHECK , AND BUILDING PERMIT This permit is granted on tho express condUion thai the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, rlJ~Julating 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 Fcc: ---3.J.O..1 '1. 1d-.-3-<t3 Receipt Number \ \ CYo3 l\N\e.. Date Paid: J~pj P Systems Development Charge is due' on all undeveloped properdes within the City limits which arc being improved. I ADDITIONAL COMMENTS, \A.>r,.. 3\ '2.S<J 1A.(\f\q~H \~(\~ Wfn.I 1 i .. ~ By signalure, I state and awee, that I h~vc carefully examIned the completed applicatlon and do hereby certify that all information hereon is "true and correct, and I furth'or certify that ani and all work performed shall be done in accordance with the Ordinances or 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 cQntractors and employees who are In compliance with ORS 701.055 will be used on this project. I furlher agree to ensure that all rCQuired inspcclio(1s arc requested atlhe proper time, that each address is readable from the street, that the permit card Is located at the ~ront of the property, and the approved set 9f plans will remain on the site at all t~es durin const uction. Signature ~ If v Date-.l?--~ - q3 '-.J DATE PAID AMOUNT RECEIVED RECEIVED OY ~_ , ".l3-'t'i- . a, . 't~ l!..'!i!I.!!!!!!~!!! ..- Job No. lUllI~ 931810 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: Ell i son & Pl a tz PHONE: 345-4347 ADDRESS: 23 Oa kwa.v Center, Euqene STATE: OR ZIP 97401 LOCATION OF PROPOSED BUILDING SITE: Street Address if Known: 991 Fairway Place Plan Name: Oaktree Tax Lot Number: 1 ;,7,03342200843 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. ~im1le Familv - Detached 1 Single Family home _ Manufactured home not in a park NO OF UNITS 1 X $400 PER UNIT = $ 400.00 B. Sim11e Familv - Attached NO OF UNITS X $370 PER UNIT = $ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ 400,00 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) $ .0- $ 400.00 \ J--;~flt . .- . .JOB NO. q? I cg 10 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: EU-17DN F! fL.Pr'~ ~/o.JST. Cc, LOCATION: 'HI FAItz..WA-Y f1l.Ac...E. /lo??<-(Z7.- ~ OO"!.'-f~ DEVELOPMENT TYPE: L..DfZ. - AlE'^' '7Ftz.. BUILDING SIZE: LOT SIZE SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT. "?B9! X $0.203 PER SQ. FT. ~,qIQj) '-- ---- 2. SANITARY SEWER-CITY NO. OF PFU'S -Zt5 X $42.08 PER PFU (/o?1.-c~ (See Reverse) '--- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /,ell X $424.31 X X $424.31 (41-6e;V $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S -z.'5 x $15.125 PER PFU + $10 MWMC ADM FEE $ '~f>8;'!:c (Use PFU Total From Item 2 Above) X $424.31 $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ JJ, A . TOTAL-MWMC SDC ~ ......... ,/ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ~~,~9~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~' ",'tS",-^-,L'&... 11../'1/'1? ~\p Burdick . SD1 Coordinator G\?'2..~i) '- .-/ (5 TOTAL SDC $ '2'19'7.. - FIXTURE UNIT ,CALCU LA .N TABLE: Number of New Fixtures .t Equivalent = Fixture Units "(NOTt: For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...........,............,..,.,.....,.".,.,...,....,.,....,........., . . Drinking Fountain........,..................,..,...,..............,... Roor Drain..,............."....,...,.,..,.,. .,......,........,..,.,...... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc..............,... LAundry Tub /Ootheswasher........,.............. ...........' Ootheswa~her - 3 Or More...........,..............,........., Mobile Hdme Park Trap (1 Per Trailer).......,.......... Receptor FiJr RefrigeratorfWater Station/Etc......., Receptor For Commercial Sink/Dishwasher /Etc,. Shower, Single .StalL....,....,..... .......... .....,.. ....... ,.. ..... Shower, Gang...........................,.................,............. Sink, Bar, COmmerciaL......,....,.,..,.............,............. Urinal, StallfWall.........................,..,.,.,...................... Wash Basin/LAvatory. Single.........,........................ Water Ooset, Public Installation............................. Water Ooset, Private,.................."........"...,....,....... Miscellaneous: CREDIT CALCUlJl.TlON TABLE: calculate credits separates, '\ Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 2. 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 t 6 4 .., I z.. i '2- 1.- ( ~ ? ? J'l.. TOTAL FIXTURE UNITS '25 Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value - .. Year Rate per $1,000 Annexed Assessed Value 1986 S 2.24 1987 1.93 1988 1.57 1989 1.18 1990 0,79 1991 0.44 1992 0.28 - - X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) N.1i , CREDIT TOTAL = $ $3,21 3,13 3.08 2.96 2.82 2.68 2.51 Credit for Parcel or Land Qnly If Applicable Improvement [If after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.....................................,.................. 0.4 commerciaL......................,.............................. 0.9 Industrial.....................................,..................... 0.45 Governmental..........................,........................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT