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