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Home My WebLink AboutPermit Building 1994-2-7 (2) . SPRINGFIELD . RESIDENTIAL . ~ nL1.^f\/ (] f1ERMIT APPLICATION JOB NUMBER YOl[! U(t2Q.L Inspections: 726.3769 "4 225 Flft~ Street Office: 726.375~ ~J' Springfield, Oregon 97477 LOCATION OF PROPOSED $V~K;... l oBlo~ \:r{S~ ~'\C.C ASSESSORSA'lAp. IYi )d-Cnl,11 . (,l TAX LOT' (,'0\00 LOT'\' BLOCK: I SUBDIVISION: OWNER:.M\J\d ~"Ob d\-t~~)....~'U1llill nJ- PHONE: '\'111- c _.Lo ADD~ESr: . 4~4 \Y'i ~ .D..},) I'>.hh 0 ~ ,,,. . (R -x:..,: ')1-\ - G2. rJ() CITy:~')~l\ ~~rI~fooDl lj --STAT~: J$\O~ ZIP: 01'\4'19) DESC,RI\E WORK: 0.)J\~ 0., ~ ffi i ~ >> 1 ) \. ~ \\ t\ \(\ 0 fl [\(L.> NEW 1'" REMODEL ADDITION DECbLlSH OTH~R / CONST CQNTRACTOR',S NAME_: ADDRE~S J-.. ~ CONTRACTOR A GENERAL:~xn.v \n.'\'{)~..-' f)(\q Juytp(')" <y \~.~0,-,l. :J....\ ~ g(.Q\ n 'iJ' PLUMBING: Ll. ',. ,S<::{)?-.. MECHANICAl' ..J ELECTRICA~: i\ \r11 A QUAD AREA: 1\ R~-, \ OCCY GROUP: ~.?-rt-fJ\ # OF STORIES: II '-t'\\Sr<Lf\t WATER HEAT~R: -t( ./ # OF BLDGS: ..951P:5 I ;... OFFICE USE - \ \ \ \ # OF UNITS: \ CONSTR. TYPE: V tJ, HEAT SOURCE: f' f~ RANGE: y ~ LAND USE: EXPIR~ A,S-I\ f)4t;ot~ m!i~q/.p cq.PR.qip 01h/61-7(p FLOOD PLAIN' ZONING CODE:i f'P ) # OF BDRMS. ~ SECONDARY HEAT:.:Hf/ SQUARE FOOTAqE\ ~ !"frl:: :.l,'lIdJ, To request an Inspection, you must call 726.3769. This Is a 24 ~our 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. ~ Temporary Electric p:;;;;Jl Site Inspection - To be made ~ after excavatton, but prior to selling f,orms. o Underslab PlumblngJElectrlcall Mechanical - Prior to cover. r<;7I FooUng - After trenches are IL.:S excavated. o Masonry - Steel locatton, bond beams, grouttng. IZJ Foundation - After forms are erected. but prior to concrete placeme~t. o Underground Plumbing - Prior to filling trenc~. ~ Underfloor Plumblng/Mechanical - Prior to Insulation or decking. , ~ Post and Beam - PrIor to floor ~ Insulation or decking. 1':1 Floor Insulation - Prior to l.L::l decking. [Z] Sanitary' Sewer - PrIor to filling trench. ~ Storm Sewer - Prior to filling. trench. . ~ Water Line - Prior to.fllllng I.L-l trench. ~ Rough Plumbing - Prior to cover. r REQUIRED INSPECTIONS fVI Rough Mechanical - PrIor to ~ cove~ . r::::::::7I Rough Electrical - Prior to IAJ cover. rvr Electrical Service - Must be ~ approved to obtain permanent electrical power. ~ Fireplace - Prior to facing J.L...::i materials and framing Insp. o Framing - Prior to cover. f':Lt Wall I Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. fV/I Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. 1':/1 Sidewalk & Driveway - After . ~ excavation is complete, forms and 5:ub-base material in place. o Fence - W~e,n completed. , o Street Trees - When 'all required trees are planted. '1Y1 Final Plumbing - W~en all ~ plumbIng work Is complet.e. 1"':/1 Final Electrical -. When all }.L::::I electrical work Is complete. 1")('1' Final Mechanical - When all ~ mechanical work Is complete. rs<1 Final Building - When all ~ required Inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - W~en 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 porc~es; sklrtln'g, decks, and venUng ~ave been Installed. . \ C.THE PROPOSED WORK IN T'ME Lot faces Lot Type Setbacks ) '. -.2{ Interior I P.L. 'HSE'GAR'ACCI ---HISTORICAL DISTRICT, OR ON Lot sq. fig. IN I THE HISTORICAL REGISTER? Lot coverage _ Corner If yes, this application must be signed Topography lO%- Is I and approved by the Historical Panhandle Iw I Coordinator prior to permit Issuance. Total height f/;s5 Cul-de.sac to 5' ') IE I APPROVED' Garage IL\P) ~ ,/!W;i73; ";?_9,7'7 1/,,41 55 b, -PI Total Value Building Permit Fee State Surcharge Total Fee (A) , ," SYSTEMS DEVElOPMENT CHARGE (SDCl :If> , (B) ft.'2..<.j-1'Z.~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bat~(s) N' ~ --1!i2 ,or; (') . Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit 192../50 Q,63 7.02./3 State Surcharge Total C~arge (C) MECHANICAL PERMIT -(,.O(J 1./,50 _IS.6() Furnace Ex~aust Hood Vent Fan N' ..:; Wood Stove/lnsert/Flreplace Unit Dryer Vent .' :? _f'JO Mechanical Permit "P'.J (' t:or. zg,50 /IJ ,rf() 1,0.1 .5 '),q,13 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk f,?'{) 47~ ft fI -v2.-.l!lt'J /6,3() Curbcut Demolition J!\eAirCi f\~) . I () '~<-1' t{- ~ ,5Lf' ~'2,/ q ,OR Total Miscellaneous Permits (E) 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, confor.m 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 provl~loqs'~ said ordinances. Plan C~eck Fee: ,~?1~ ' \ l) Date Paid: _1- :J.I~ - '2. c:: Receipt Number'V Il4 --J ) ReC~BY: CFl ( J'Cl..- , r J I?'^"v ~ . Pla'i'fSReviewed By '2--~7-"l'f Date Systems Development Charge Is due on all undeveloped properties wlt~ln the City limits w~ic~ are being Improved. ADDITIONAL COMMENTS ~ - \ 7: .---:J/) C;-J II') l! ' f\ /l1}f: J Y11f2...;: I CI ( of) ~ Ac&t,S ~~H\t; ~()J\(] ,,,- By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrlbed ~erein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division.. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time; that each address is readable from t~e street, t~atthe permit card Is located at the front of the property, and the approved set of plans will remain on the site at al times during constru Signature Date~/7 /q I I VALIDATION: I \ I J') RECEIPT NUMBE~ J .~5 \U J DATE PAID rY } .Cf.~, /, _ AMOUNTRE~IV . :--)11~,~-~ RECEIVED B - - - ~ . o Y.'!}nl}!!!!!~!!!! . Job No. L:14tX1B SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ID ~"')\r\ "~~~\:\\iQ\)Dxt, PHONE: rv\f\-3h80 ADDRESS, 4flA4,- J'fu ~ !tJao ~STATE GJLZl' il1fJ8 LOCATION OF PROPOSED BUIL~CjSIJh ~- ,...,...., \ tfu ~ "- Street Address if Known: t~l()h \i')'\ :::,,~ _~ ~. 'l'i ~ Platt Name: O~ f'ill) r\Q ~ t$}hkTax Lot Number: \~(Yr~\ \ C/)\tf) \St--r 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A. Sinl!le Familv - Detached \ Single Family home NO OF UNITS \ B. Sinl!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 $ 4-{'(\ cD X $400 PER UNIT = X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ $4CO~ $rb $4fY)?1 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) ~~~~~;~ City of Springfield cJlr;/o/! Date .' -" . . JOB NO. q,;oo" f> CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: $1\\1 \ t:> ~ \)€::e.e,y l4u L i, Ll fL"- LOCATION: (~~t, <;( ~alZ.'S>y-n..\\P\. DEVELOPMENT TYPE: !-;,e.. ~ t..-l~1kl <:"C-:!2- \~o"2-0~\t- DOIOD BU.ILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. "2-'71.--+ X $0.203 PER SQ. FT. ~S?1.,9i) '-- ./ 2. SANITARY SEWER-CITY 0'5"2- 00 NO. OF PFU'S (See Reverse) 3. TRANSPORTATION 'Zs X $42.08 PER PFU NO OF UNITS X TRIP RATE X COST PER TRIP ~ $ X t. 0 \ X $424.31 X $424.31 X $424.31 --' X X 4. SANITARY SEWER-MWMC NO. OF PFU'S 'Z-S x $15.125 PER PFU + $10 MWMC ADM FEE $ ~~'CI.1 (~se PFU Total From Item 2 Above) MWMC CREDIT IF APPqCABLE (SEE REVERSE) $ <0..., ~ TOTAL-MWMC SDC 02 I o~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 'Z-"?s'-l ~ $ 5. ADMINISTRATIVE FEES Cl\l~ TOTAL SDC $ '2'4I'2.-z..s BASE CHARGE (SUBTOTAL ABOVE) X .05 I~' ~L'.J._ t /zs /.,<4 V Kip Burdick ; , , SDC Coordinator FIXTURE UNIT:CALCUueoN TABLE: Number of New Fixturesenit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) .~ . '. . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain............. .... ..........,.. ....... ................ Roar Drain................................................................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Ootheswasher........................1.:.:....... , Ootheswa~~er - 3. Or More...........................::........ Mobne 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 BasinjLava!ory, Single.................................. Water Oosel. Public Installation............................. Water Ooset, Private............................................... Miscellaneous: . . z... 'l- . . 2 1 2 3 6 2 6 '.6 1 3 2 l/Head 2 2 1 6 4 \'1. . ! 'Z. I" \ 1.- '5 '5 .., , . TOTAL FIXTURE UNITS '2.5 = Based on assessed value. II improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate cred,its separates. I " =;] Rate per $1,000 I Assessed Value $ 2.24 1.93 1.57 j 1.16 0.79 0.44 0.28 = (olt~ = = $- (o..,I~ Rate per $1,000 Assessed Value Year Annexed 1979 or before 1960 1961 1962 'o, 1983. 1984 '1985 $3.21 3.13 3.06 2.96 2.62 2.68 2.51 Credit for Parcel or Land Only If Applicable . Improvement (If after annexation date) Year Annexed 1986 1967 1968 1989 1990 " 1991' 1992 ~,"Z-, X $.?,D,"It (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..............................:.:...:....::....::....:... 0.4 COmmercial...........................:..................:..:.... 0.9 Industrial........................................................... 0.45 Governmental................................................... 0.5 r IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT