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Home My WebLink AboutPermit Building 1994-9-16 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ottlce: 726.3759 LOT' . OTHER . Cf4 \ DS3 JOB NUMBER 225 Fifth Street CONTRACT~'~ NAM~ C J ADDRESS' GENERA' . l..) ~,L~ \ Q f\ cf\t\. PLUMBIN; ~}fC\Qrt. \ P.~~OQ \ MECHANICM..fu_Li'\Of'\ r,ftt-). ' ELECTRICA~ ~\ \ Q A Y~o.Ml\i ~--> CONST. CONTRACTOR * R ll\C\ c:=\ 5 \'\?rl . B\'\C\S t ()~'l~ q~~~~ l..{)~ .~t \ lo q 'A"?1-ldrW ~ 4(i~.A\2g EXPIRES ~.\'2., . q.\t\. ''on Q.. 04 ~~Q~ - OFFICE USE - QUAD AREA: LAND US". \ \ \ \ FLOOD PLAIN' * OF BLDGS' \ * OF UNITS: 0J ZONING CODE: ~\::..... OCCY GROUP', ~ 3 -\ lv\ CONSTR. TYPE: * OF BDRMS: * OF STORIES' \ HEAT SOURCE: \ l')r\ SECONDARY HEAT: WATER HEATER' 9 '" RANGF' E-- SQUARE FOOTAGE: I~AC) 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 7:0p a.m. will be made the following work day. REQUIRED INSPECTIONS rvi R~ugj, M'echanlcal ...:. Prior to LOt cover. ' o Temporary EI~ctrlc_ O Site Inapectlon - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. f':7l Footing - After trenches are ~ excavated. . o Masonry - Steel 'location, bond ,beams, grouting. ~Found8t1on - After forms are erected. but. prior to'concrete placement. o Underground Plumbing - Prior , to filling trench. ~ Underfloor Plumblng/Machanlcal ~ -,Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulation or decking. [g] Floor Insulation - Prior to decking. IV1 Sanitary Sewer - Prior to filling L...O.l trench. ~ Storm Sewer - Prior to filling .trench.. . . ." , ... . ~ Water Llne:T Prior to fI1l~ng trench. . ~ . r'V'I Rough Plumbing - Prior to ~ cover. I'VI Rough' Electrical - Prior to L.A.l cover. ~ Electrical Service - Must be s"pproved 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 Installation. o Insert - After fireplace approvlll and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation Is completo, forms and"sub.base material In place. o Fence - When completed. o Street Treee - When all required trees are pI an ted. ~ Final Plumbing - When all ." plumbing w9rk Is complet,e. r::::Tl Final Electrical - When all Ip.. electrical work Is complete. @'Flnal Mechanical - When all mechanical work Is complete. r.::11 Final Building - When all L..Z:J"'7equlred Inspections have been approved and building Is completed. DO'her 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 Connectton - 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 porches, skirting, decks, and venting have been Installed. ,.\, Lot faces Lot Type. X Interior Lot sq. Itg. Lot coverage Topography Total height Corner Panhandle ~ Cul.de.sac BUILDING PERMIT ITEM ,,~T. Main -l.lW ~LcD x $ISQ~ &.0../ /4.10 Garage Carport Total Value Building Permit Fee Stale Surcharge Total Fee ~~I; ,\..;~.1~ '\!'-':":.:;f"J;:..~:~_;i!~T.", ':1\.:. ,~ ,"" ' , "'.' :;~.st'-".:.. 'a THEPROPOSED WORK,tN THE. ' -'-HISTOJ:\ICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. ';.." : ,. Setbacks. h~L HSE GAR ACC' N' S Iw IE :~ (B) SYSTEMS DEVELOPMENT CHARGE (SDC) l.loS''i. ~3 1f4S'IO 1 je c.i,t 1-. ""'1. /041+ ~ (A) Z3J[ii!f'J-' PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home FEE i!.oO.CD Plumbing Permit State Surcharge Total Charge 0/\ /lOUCD +C1J + 8.00 (C) 172..~U MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanlcel Permit Issuance State Surcharge Total Permit .501 (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk It Curbcut II Demolition S~ Surch't'l\~ _ a _ . " )( ~ R'\ V \.Cl. t\u.o Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 4.ffi CI.CO r~.OO l(o.'SU 10.00 .f3~ ~ ~l)~ APPROVED: ' . 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 p'rovlslons of said ordinances. Plan Check Fee: _ . . ',~ . , ./ Date Paid: ~ ~ Receipt Numbe~ y , Received By: ~ ~~lLti ,'). \~ ~ - ~ Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~')!llffi e-.x _ ~d 0 u"Xl ~lli ,LA'\"\" \tJ.GD (~ ) '- ~N\QX \ q ton- J~ \ !Iou, r/A..JKt., tJrW./~A-;r./f'-r "/"'_iT/L Id#~ ue.. lhf./f~{PI6nn 'f/T ,~ .Ar1?~ I 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 ell work performed shall be done In accordance wltt\ the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without 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 to ensure that all required Inspections are requested at the proper time; that each address Is reada~le from the street, that the permit card Is located at the front of the property, and the approved~et of pi s will remain on the site at ~ times ~~t~uc . ~natur!.-~~CUA _ v~ Oat. .... c?~n0 '/ /' '7( VALIDATION: RECEIPT NUMBER 1f'72,.6Co ~I:_.. ~ ~'/J~.Tf' '2 . ~.:2Q. ~ ...... DATE PAID AMOUNT RECEIVED RECEIVED BY JII". v' ATTACHMENT Bl . . fI NO. ,,-9/0S..3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: //~L ~.~. LOCATION: 3 ~ ~'? G-~ DEVELOPMENT TYPE' <t:D BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2./?4 . 2. SANTTARY SFWFR-CITY NO. OF PFU'S /1 (See Reverse) 3. TRANSPORT A TT ON. tOT SIZF SQ. Ft. X $0.209 PER SQ. FT. , (4S-"~~ X $43.26 PER PFU 'c-nl.~r~ ' NO OF UNITS X TRIP RATE X COST PER TRIP I X /,0/ X $436.19 X X $436.19 c~~O'>9 $ X X $436.19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ IC.1S.t, f 4. SAMlIARY SFWFR-MWMC NO. OF PFU'S /? x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ~/'/.-f.2.. (Use PFU Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) .$ ~ 4." 0 -. IQIAI -MWMr. snr. pi' .t.~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ l'lfoO.S-/ 5. ADMINISTATIVE FEES BASr~HARGE (SUBTOTAl ABOVE) X .05 ~~' ~L Date: 'J-7-97Z /' Ha' ~orn;g. V. SO Coordinator L,~ ~ '_.~/ TOTAl SDC 0:z.0S'~ B2.SDC ~ ~TURE UNIT CALCUL.ON TABL~: Number of New Fi~t.X U~it Equivalent = Fixture Units (NOTE: For remodels, calculate only the Nfl additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub...... ...... ................................... ....................... Drinking Fountain............................. ........................ Floor Drain.. .......................................... .................... Interceptors For Grease/OiIlSolids/Etc..............:.: Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.. ...... .......... ..... ..... ....... Clothes washer - 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: ,TANI "'...:s SINo!- UNIT EQUIVALENT .;2, 2 1 2 3 6 2. 6 ,6 1 3 2 1/Head 2 2 1 6 4 .2 / / 2.. ') TOTAL FIXTURE UNITS = FIXTURE UNITS 4- '2. < 2 ~ /"i' CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Rate per $1,000 l Annexed Assessed Value 1985 $2.46 1986 2.14 1987 1.77 1988 1.37 1989 .0.97 . 1990 0.61 1991 0.44 1993 0.15 ,,- -. 3,/f~ X $ /0. tr6c) = ?~. 60 (Rate X Assessed Value) ~ X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 34.(00 'I I I 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 Onl,)' If Applicable Improvement (if after annexation date)