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Home My WebLink AboutPermit Building 1993-10-21 (2) ., RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726-3759 LOCATION OF PROPOSED WORK' . SPRINGf'IELD ~ t;" 4324 Forsythia Springfield LOT' 22 190')0':,21 ASSESSORS MAP' BLOCi'"' OWNE~ Jess R and Betty MBrooks ADDRESS- P, O. Box 116 CITY- SDrin!'!field, OESCRIBE WORK- NEW X REMODEL Re"idence CONTRACTOR'S NAME Jess Brooks GENERA' - PLUMBING' , , Fridlund Plumbing Marshal's Dave's Electric MECHANICA' ' ELECTRICA" ADDITION STATF' Ore!'!on DEMOLISH - OTHER ADDRESS P,O, Box 116 CONST, CONTRACTOR' 8537 51835 25790 77472 spnd, Spnd Spnd Spnd - OFFICE USE - QUAD AREA: ~Q.. SC LAND USE: III I . OF BLDGS' I . OF UNITf" I OCCY GROUP: 4<?:' q..M CONSTR. TYPE: \IN . OF STORIES:_' HEAT SOURCE: FE lIE... WATER HEATER: y RANGf' 2: . ., - ~z:>'" 5f' Z-IoO JOB NUMBER q~/''-I-4-t...f 225 Fifth Street Springfield, Oregon 97477 TA,X LOT: SUBDIVISION' 1600 Ravenwood PHON~' 747 5009 ZIP: 97477 EXPIRES 8-27-94 12-14-93 12:2.23-93 10-1-93 PHONE 747-5009 74-6-9433 74,7'-7445 896-3942 FLOOD PLAIN: ZONING CODE: u)~ d. . OF BDRMS: SECONDARY HEAT:..EP SQUARE FOOTAGE: .3.(d~() 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. [2(] ,Temporary Electric I7l Site Inspection -A To be made L6:.J after excavation, but prior to setting forms. krJ Underslab Plumbing/Electrical/ Mechanical - Prior to cover. lZJ Footing - After trenches are excavated. o Masonry - Steel locatIon, bond beams, grouting. r:7l Foundation - After forms are lLJ erected but prior to concrete 'placement. D Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to f1~or Insulation or decking. D Floor Insulation - Prior to decking. IX] Sanitary Sewer - Prior to filling trench. [Z] Storm Sewer - Prior to filling trench. rn Water Line - Prior to filling trench. r!J Rough Plumbing - Prior to cover. .' REQUIRED INSPECTIONS I)7J Rough Mechanical - Prior to ':4' cover, ..@ CitM.tVv-o~ Ff>. I7l Rough Electrical - Prior to ~ cover. 171 Electrical Service - Must be L.....4-J approved to obtain permanent electrical power. o ~Ireplace - Prior to facing materials and framing Insp. CEJ Framing - Prior to cover. Ii7l Wall/Ceiling Insulation - Prior to ~ cover. [K] Drywall - Prior to taping, o Wood Stove - Aft~r installation. '0 Insert - After fireplace approval and installation of unit. [Z] Curbcut & Approach - After forms are erected but p~lor to placement of concrete. ;> I'VI Sidewalk & Driveway - After L...4-J excavation is complete, forms and sub-9ase materlal in place. D Fence - When completed. fl7l Street Trees - When 'all required L.t!.-J trees are planted. _. '. rVl Final Plumbing - When all ~ plumbing work is complete. r71 Final Electrical - Wh,-;n all I,.Ll-J electrical work is complete. 171 Final Mechanical - ""hen all ~ mechanical work Is complete. .' ntl Final Building - When all ~ required Inspections have been approved and building is completed. o 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 ap'provl~d and .-. porches, skirting, deck3, and .venting have been installed. Lot faces ~. Lot Type . Setbacks tTHE PROPOSED WORK IN TH: -, Llnterior I P.L. IHSE GARIACCI HISTORICAL DISTRICT. OR ON Lot sq, ftg, IN I THE HISTORICAL REGISTER? \/\A) I Lot coverage _ Corner ?Af~ . If yes, this application must be signed ~~ Is 13 I and approved by the Historical Topography _ Panhandle Iw I Coordinator prior to permit issuance. .~ X CuI-de-sac ?b ,Total height,;(~~ IE ?/I I APPROVED: BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, = ~ t-, ";).0 /41{) VALUE OU <:2Lf30() O(~Ol,.," Main ISOO (~L-,O Garage Carport . Q ~ U"''U'W\iWV~ I <-OC _~~L~..!::l;), I SO <, ~ ~G J' ,0 ' ~~qo .. r.....!...... . -.::! "" x -r \(' ~ 'i- /:>!J.uEt> d I ~'O Total Value 1~1;~ -r-:r~~::S5cJ- ~/ '/. - '2 s: 70 (A) ?3~, 7~ SYSTEMS DEVELOPMENT CHARGE (SDC) #5 .JI '2-0/ (B) w2Z7'Z-- Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' '2 Sanitary Sewer FT wate't FT. Storm Sewer FT Mobile Home ~- Plumbing Permit State Surcharge ~- g,- /6&'. - Total Charge (C) MECHANICAL PERMIT ~.- o/,1ii? b,- /5:- .,..- Furnace Exhaust Hood Vent Fan N' 'Z Wood Stove/lnser~eplace uny Dryer Vent Mechanical Permit ~'7.~e> /LP.- J,?? ~f~23 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ -=r~ - /7.175 J 7". 5'.? It Curbcut It' Demolition State Surcharge ~//~/!-A(A!/.-HA"tF l/~ j-:?2 SC5" TOTAL AMOUNT DUE (excluding electrical) '3'<I~9 b2.. (A, B, C. D, and E Combined) Total Miscellaneous',Permits (E) 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. :2, l:JCf3'f _ Date Paid: Q/::1,1 Cj<2, Receipt Number' IO:z,;:r:2 Re~: ,_,_~ pf~~y 7~ Plan Check Fee: /~..,.:2-~ Date . Systems Development Charge Is due on all undeveloped properties within the City limits which are being'improved. AD91TIONAL COMMENTS ~.l/'v t1r'lC'A f.L.-_1/V A t.\ 3. I~ /<,n Clv,~. I lOr! 'i ~rf'd)a..e.K.' Ct.A/'o b$,.rOg. 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 CRS 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 times during }jstruc_tio,: <#/:: ~ignaturp /J~ ~ Date VALIDATION: RECEIPT NUMBER /o~ So /0/20.> x;,tl$8 ,r:. .<. ~ DATE PAID AMOUNT RECEIVEf1 RECEIVEO BY .,. . . , o !/!i!I.!m!!~!!~ . , Job No, CJ?, J L/Id.. 4 SYSTEMS DEVELOPMENT CHARGE WORKSHEIT NAME: ~p~, ~. l0ff'ej ~~ ADDRESS: _P.o. 8.ncL1Jn ~ PHONE: ..::J__YJ - C, D()C1__ STATE:OQ ZIP CJJLfLI_ LOCATION OF PROPOSED BUILDING SITE: Street Address if Known: L-.j ~ ~ L/ Platt Name: ~()u.U>^"u,)l"ll'>dL :1n......()..I~hA,; , Tax Lot Number: _' S? Od () ".;;;tl () J,k2f) 0 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type defipitions are on the back.) A. Sinl!le Familv - Detached ~ Single Family home NO OF UNITS Manufactured home not in a.park X $400 PER UNIT = 00 $ 40(') B. Sinl!le 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 $ 2, SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NIT SDC ASSESSED (If SDC reduced for Credit) $ $ .....l:::J.OOO()__ ~ -i"'^ ix:n']') l_k>~JL CommunUy Services Division City of Springfield q 1 'd3 / q~ Date .. . .OB NO. 93/ LJ-L{-L/ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: .Jt:.ss.f 1StE. TTY 'B/?'oO/C-S LOCATION: '-132<1 h.K.S'I'If./111 ST. 1'6~2o~ZI - /1::>00 DEVELOPMENT TYPE: LOI!... NE. /AI SF.e BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. _ ?:> {g'f 6 X $0.203 PER SQ. FT. (7?"f '1j;---) .......... ..-/ 2. SANITARY SEWER-CITY NO, OF PFU'S 1'5 X $42.08 PER PFU 057'13:') (See Reverse) .-,,/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4, SANITARY SEWER-MWMC NO, OF PFU'S _ /8 x $15,125 PER PFU + $10 MWMC ADM FEE $ -z.ez z.! (Use PFU Total From Item 2 Above) X $424.31 ~2-8~---") '-- ,..-/ $ $ / X I,l>l X $424.31 X X $424,31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 44 !:!.. TOTAL-MWMC SDC ~) '-------:-;' SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 'ZIG,'-/ ~ 5, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X ,05 V.,,~Lk q/v//.,3 () Ki P Burdick I! ' SDC Coordinator ~/Ot!>€:) ............ ---' zA TOTAL SDC $ Z 7-7"2.. -- FIXTURE UNIT:CALCULA.N TABLE: Number of New Fixtures .it Equivalent ~ Fixture Units (NQTE: For remodels. calculate only the NET additional flXlures) , " NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS '2- 2 1 2 3 6 2 6 :6 1 3 2 l/Head 2 2 1 6 4 '-f Bathtub........,..".". ,.,..,....".,.".,.,.,',., .,..,.,.".".".".."., Drinking Fountain..".".,.".,."...,.""".".,.,....,...".,..,... Roor Drain... ....,....., ...,."....,.,..,.,..,."",.,.,..,..".,..,..,... Interceptors For Grease/Oii/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc........,....,.... Laundry Tub /Ootheswasher. .....,......,.. ..............,..:, Ootheswa~her - 3 Or More............".....,.................. Mobue Hdme Park Trap (1 Per Trailer).....,............ Receptor F9r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single 'Stall. ........,..........,...,.. ....... .......... ...,. Shower. Gang.................,.,........" ,." "...,..,..,...,........ Sink, Bar, COmmercial................,....,.........,..,........., Urinal, StalljWall..................,...., ,.".,.,.,....,.....".......,' Wash Basin/Lavatory; 'Single.....,.,....,....,..,..,.....,..., Water Oosel. Public Installation,...,..,..................,.. , Water Ooset. Private....................,.,......................,. Miscellaneous: 'Z. z. '2- "Z. -z... 6 TOTAL FIXTURE UNITS ~ Ie CREDIT CALCULATION TABLE: calculate credits separates. I Based on assessed value. If improvements occurred alter annexation date in table, Rate per $1,000 l' Assessed Value Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 S 2.24 1.93 1.57 1.18 0.79 0,44 0.28 ..J 3,7-1 X $ 1~.7S t./-Lf '!:i (Rate X Assessed Value) X $' = (Rate X Assessed Value) If CREDIT TOTAL = $ '1'1 ~ Credit for Parcel or land Only If Applicable }rnprovement (If alter annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..........................,.....:.::.....,:............. 0.4 CommerciaL..,..........,...........,............,............ 0.9 1 ndustriaL.....................................,.................. 0.45 GovernmentaL.........;,........,..,......,....,............. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT