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Home My WebLink AboutPermit Building 1994-7-18 (2) . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 , TAX LOT:\lln II'PfX) , SUBDIVISION! _ ful.l~_O~ ~~,!\0 ~HONE: 1 V~ . \d--{ ~ :::~~~~~ ~~~~, CITY:U\\j\l (\ 1 ,'orV . -, STATE: \0 X1..f-)1\ DESCRIBE WORK:~f\'l\\ Q. ~Q~J..,t \ ~O t\\c1 Q f\C'L NEW ~ REMODEL '~ADDITION ' .' DEM~ISH OTHER ZIP: Ol~1 ?J CONTRACT~'~ NAM~ ~J ADQRESS . . GENERA",-l..J'l'Lt j,( \ Q .\'\. . PLUMBING: ~}[C\Q \ P.~~OQ \ MECHANIC~"~W <(-~. . ELEcTRICA;'. 0.\ _ OJ'~U (' J CON ST. CONTRACTOR' ~ ll\q~ 5\~?{1 ~ \. f\C\~ \ ()~'l L\';) Q a~, NE ~?,.~~ 5.A\~ QUAD AREA: ~ ~Q / · OF BLDGS: \ OCCY GROUP:, ~ '3 -\ ~ \ 9 J' · OF STORIES' WATER HEATER: - OFFICE USE - LAND USE: \ \ '- \ , OF UNITS: \. , CONSTR. TYPE: V IV HEAT SOURCE: W \-t f_ RANGE: EXPIRES ~.\~. q. \.t.{. 84Q.. FLOOD PLAIN' ZONING CODE: If'')\C...; , OF BDRMS' '- ~ SECONDARY HEAT:.. SQUARE FOOTAGE: ~\oC\3 To request an Inspection, you must call 726.3769. This Is a24 hour recording. All Inspections requested belore 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. . ' , REQUIRED INSPECTIONS r\It Rough M'echanlcal ...: Prior to - ~ cover. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover, ~ Footing - After trenches are L,LS. excavated. . o Masonry - Steel location. bond beams. grouting. ~ Foundation - After forms Bre erected. but- prior to'concrete placemer'!t. o Underground PlumbIng - Prior to filling trench. ~ Underlloor Plumbing/Mechanical l2.l _ Prior to Insulation or decking. rD Post and Beam - Prior to floor ~ Insulation or decking. (g] Floor Insulation - Prior to decking. IVl Sanltsry Sewer - Prior to IlIlIng l...tC::I.ltrench. ~ Storm Sewer - Prior to filling trench. ..., . , ., ~ Water Line - Prior to 1I111ng LL:::>I.trench. r\::'I. Rough Plumbing - Prior .to,,', ~ cover. f'ViI Roug'" 'Electrlcsl - Prior to ~ cover. ~ Electrical Service - Must be approved to obtain permanent electrical power, o Fireplace - Prior to facing materlala and framing Insp. ~ FramIng - Prior to cover. ~ Wail/Ceiling Insulation - Prior to cover. ~Drywall - Prior to taping. o Wood Stove - After 'nstallatlon. o Insert - After fIreplace approvl!Il and Installation of unit, 129 Curbcut & Approach - After forms ere erected but prior to placement of concrete. 181 Sidewalk & Driveway - After excavation Is completo, forms and'sub.base material In place. o Fence - When completed. [] Street Trees - When all required trees are planted. ' . ...... ~ FInal Plumbing - When all - plumbing w9rk Is complet.e. r"l'l Final Electrical - When all Ip.. electrical work Is complete. @'Flnal Mechanical - When all mechanical work Is complete. r.::t1 Final Building - When all L..Z::t'7equlred Inspections have been approved and building I. completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o PlumbIng Connections - When home has been connected 10 water and sewer. o Electrical Connection - When blocking. .el.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 porches, skirting, decks, and venting have been Instal/ed. Lot faces L~t~pe . 15:.. Interior Lot sq, Itg. Lot coverage Corner Topography _ Total hel~hl~ ~ BUILDING PERMIT ITEM t1~_ F'T. Main ~ ~lcO Panhandle Cul.de,sac x S/SQi:) 0l0. 14./0 , Garage Carporl .::r1~~. \' :1~, '\r:-l::t'}~'(-...~~~f1?(,f.:"" ',;' " Setbacks. . '. . ,I'F~L HSE GAR ACe' IN . Is Iw I E I : &j[t ". THE. PROPOSED WORK,tN THE. ' . "'HISTOJ:\ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this eppllcatlon must be signed and approved by the Historical , Coordinator prior 10 permit Issuance. APPRov"n. . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thla permllls 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 I upon violation of any provisions of said ordinances. Plan Check Fee: "L'\f-\ J ./ Date Paid: \} ~ Receipt Numberu y Received By: ~ ~~~lLti Total Value Building Permit Fee State Surcharge Total Fee '1l~5'JO li'dJ 1-, VI. 1011+ ~ (A) Z!fJ[(i!f 'J.- ' SYSTEMS DEVELOPMENT CHAR~~~ (B) c9.V: . f) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home FEE /i.oO.uJ 0,...... I {ouro 4.C:IJ + (3.00 (C) 172.~c) Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Venl Fan NO ~ Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge Totar Permit .5Ot (0) MISCELLANEOUS PERMITS Mobile Home State issuance State surct'Jl'\ Sidewalk U It Curbcut It Demolition S'flf Surch'R~ _ \)_ \ l< g f.\ V \.Cl t\. UU Total Miscellaneous Permits (E) 4.ro C1.CO 'r~.OO l(o.SU /0.00 .f3~ ~ ~ '\-l)9:) f). \~C\4 - ~ Date Systems Development Charge Is due on all undeveloped properties within the City II mils which are being Improved. ADDITIONAL COMMENTS ~')o :tIn C'L ~O 0 u...Yl. ~~ ~~\" \CJ.a.D (~ ) ~cAN\QX \CHorf ~~ \ By signature, I state and agree, that I have carefully examined the completed application and do hereby certHy that all Information hereon Is true and correct, and I further certify that eny and all work performed shall be done In accordance with the Ordinances of the Clly of Springfield, and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure wllhout permission of the Building Safety Division. I further certify that only contractors and employees who ere In compliance with ORS 701.055 will be used on this proJect. I further agree 10 ensure that all required Inspecllons are requested allhe proper t1me~ Ihat each address Is readable , . from the street, that the permit card Is located at the front of the property, and the approved set of plan will remain 11the, site at,~1I times durl~ons ctlo . Ig ature~/;f!I Date' 7-1#-q./l. , ~. ( VALIDATION: jffflA r-:t1' RECEIPT NUMBE?j . ' I""'lit'l DATE PAID I ~1'6 ".. '. . ~. ~\ . . ~':';'7 j ".a.r1' ~ <"""""1i.. :~:~~;DR:~i;1\l~ 'tJllbCfP'- ,{ ..-.. ....., TOTAL AMOUNT DUE (excludlptl"elep{r~ ..... ' (A, B, C, 0, and E Combined) r,r Ilu.'1" .":'" <I"'.r' -;:-J-, I...... I ._ - I . JUBNU, . CITY OF ~INGFIELD SYSTEMS DEVELOP~T CHARGE ~l~ WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: #A-4,4 ~ r ..~ .I~. / /. LOCATION: ~~\ C-~ LJA. DEVELOPMENT TYPE' "') F /? .. BUILDING SIZE: ~.- 1. S.rORM nRAINAGE I OT SIlF - SQ. Ft. IMPERVIOUS SQ, FT. ~/?r;, X $0.209 PER SQ. FT. $ "7StC.1'7 2. SAMlIARY SFWFR-r.TTY NO. OF PFU'S (See Reverse) 3, TRANSPORTATION /V X $43.26 PER PFU $ 71 6. '" If NO OF UNITS X TRIP RATE X COST PER TRIP J X /, c) / X $436. 19 $ .p:.40.5"~- X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. SAMlIARY SFWFR-MWM[ NO. OF PFU'S /7; x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 3/? 7" 2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3'1,' C) . ' IQIAI -MWMr. snr. $ 2-lr.<J:-.4"4: SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ / rc.o. 92. 5. AnMINISTATTVF FFF~ BASE C~GE (Si1BTO /,\(ABOVE> X .05 ~~ ~/. %9 /;L~ Date: ~ary r ;g, P .EJ / SDC ,Coo inator \./ .~ $ "l Y:O$ -,: - / -f2.- 9'7' IQIAI snc. $ ;2.05"'ii.?? B2.SDC FIXTURE UNIT CALCULA TION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only tA-JET additional fixtures) . ' ~ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.... .................................................................. Drinking Fountain....... .................... ........................., Floor Drain.............. .......................................,.......... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.................... ....... ........ Clotheswasher. 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator!Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.............................................,.., Shower, Gang,......,....,.",.,.,.",.. '.."...",....".""......:... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall!Wall..:............ ..., .............. .., .".,.. ...,., ...,.. Wash Basin/Lavatory, Single.................................. Toilet, Public Installation......................................., Toilet, Private....................................................... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates, I Year Annexed 2. 2 1 2 3. 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 4 z.. 'Z. 2.. If /'i' Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) / / z. 2. TOTAL FIXTURE UNITS = Vear Annexed Rate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 = '31':.c. CJ 'J,.f{:. X $ /O.07J-r::> (Rate X Assessed Value) X $ (Rate X Assessed Value) $2.46 2.14 1.77 1,37 0,97 0.61 0.44 0.15 = ---- CREDIT TOTAL = $ ~60