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Home My WebLink AboutPermit Building 1994-4-7 REt)IDE~TIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT: rt. -e ...:.... _..Iio_w-.c_D BLOCt<' /4,/ '1 tb C"--- .0 -<: " C L. If /(..1 OWNER: D ........ - "'- ADDRESS: _~L 2 I!:)';- CITY: 5~f_ STAT'" ~, ""'- DESCRIBE WORK' A/~.J 0.... 0 Lc.. Ie NEW ,/ REMODEL ADDITION DEMOLISH OTHER G7 77-:5 J'-/- 01 . JOB NUMBER q LfO:S-:J:;), 225 Fifth Street Springfield, Oregon 97477 ;, ,. TAX LOT: ".->-- t') CJ(; Q <::) Ph 0/;- ~ A J~ SUBDIVISION: PHONE: 7:t~ 7_9/ c) ZIP: _?/ ~ ? V CONTRACTOR'S NAME GENERAL: D Lv-.... PLUMBING'{" <; !-04-, MECHANICAL: {)..-. . . III I ELECTRICA" Va V;t 5 CONST, I J ~ I {ADDRESS CONTRACTOR · !~~ ~(20t;" CD....fivaK ~i 2..119...- iOLlA_ b1 Pi tf-,9</ k/~lh /21u r 1- J:; I ~ "1,,,r /' 77</7 z.. EXPIRES -', Un/-q'j/ $)'d9t.. '7/..." /..4 11/, "'/9(/ , ) PH6,tt-Z9G f~ 72Cz1't" .~ (/ f(<"-I /</ J, ?.,~ ) ':' { -~ 99/-"fY11L.- QUAD AREA:'--Q QJuLJ . OF BLDGS: - I OCCY GROUP: 8'?Y\- lJ\ . OF STORIES: ~ S. WATER HEATER: - OFFICE US~- LAND USE: -1/ A C.-J . OF UNITS' ~ CONSTR. TYPE: \J ^/ (~)\-\ 'l HEAT SOURCE: RANGe. T '" FLOOD PLAIN' ZONING CODE: ".Ll~LD~ . OF BDRMS: ~+ )).,. SECONDARY HEAT:, ./!!f SQUARE FOOTAGE: . {'. "\.:.c'l"'f 11'74, P/')I".h 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. o Tempor~ry Electric K7I Site Inspection - To be made ~after excavation, but prior to , setting forms. ~T~ "I'V'1' Unders~l~mblug.i:Electrlcal/ ~Mechanlcal - ....rlor to cover. K7f Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, groutIng. K71' Foundation - After forms are ~ erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. K/f Floor Insull}J.lon - Prior to )AoI decking. L'S~) 1':71 Sanitary Sewer - Prior to filling .J...6.l trench. f\:A' Storm Sewer - Prior to filling ~ trench. . I'i7I Water Line - Prior to IIll1ng !,.Ol trench. ~ Rough Plumbing - Prior to ~cover. REQUIRED INSPECTIONS R7I' Rough Mechanical - Prior to ~over. ~ Rough Electrical - Prior to ~ cover. ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~ Wail/Ceiling Insulation. - Prior to I.Pl cover. ~DryWall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval end Installation of unit. I"V'I' Curbcut & Approach - Alter ~ forms are erected but prior to placement of concrete. 'K7l Sidewalk & Driveway - After ~excavatlon Is complete, forms and sub-base material In place. D Fence - When completed. ~treet Trees - When all required ~ees are planted'. ~ Final Plumbing - When all ~ plumbIng work is complet,e. ~Flnal Electrical - When all ~electrical work Is complete. ~ Final Mechanical - When all ~ mechanical work Is complete. l'ViI' Final Building - When all ~requtred Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water.and sewer. , D Electrical Connection - When blocking, 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. ~S 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 permit Issuance. Lot faces ~ Lot Type Setbacks Lot sq. Itg. Interior p.L. HSE GAR ACC I I Lot coverage Corner N Is I Topography _ Panhandle 'dS g lw I Total height ' Cul-de-sac . (55 ") IE I BUILDING PERMIT : ITEM SO. FT Main q::>8,1<lJ~<;?~ Garage~'t(...t<\J LJ0:d. /tJ4 ~177 VAL~ ;f:Q.~;:;3 -'511 ~ 6937 " X $/so, FT ~ sr-,'J. 1,-/,,1) Carport 11/."744 ~"'JJ 460.00 '2'2,.60 ~~,~ .(jC SYSTEMS DEVELOPMENT CHARGE (SDC) 1f. (B) ff.2c..\~~ , Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures /~z~o . Residential Bath(s) N' 2)( I Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge q/z "-- ).,q i~). Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood 2 2- 9~ ?:, . ero Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent 2.. ~.t>D Mechanical Permit --2/.~ /D.OP /. ()~ .'32.0> Issuance State Surcharge Total PermIt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge 15.2S /5.2J Sidewalk ~5" ~<" It It Curbcut Demolition State Surcharge plAA) ,&t5W JjjJ. 2.92. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) 3'357.13 APPROVE,...' 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 constructlon and use of buildings, and may be suspended or revoked at any tIme upon violation of any provisions of said ordinances. .~YI (;'-' ()~ '2-'79 ~ ?,_ ~c:;-qL...( Z.9y:>,D~ - ])ud'2 .92. Plan Check Fee: Date Paid: Receipt Number' Rec;k~~~ Plai1'!(Re<llewed By' 4/~4 Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~\~ T~ c::J/,1Sf) \..'JX\ (\Q),( ~ ~'T 0 ~~. \ >>1 0 \ C\ I riL Qortr-'~n~,-J 1\'U\'1\Df\ 00l\ D..hO . (J\ri\'N-tD \ (\~i. )(s:-j\C:~.1;L -\ ','1 jt::cfL\.. 0:1'3<:\ ~LlftU'~'LLD1tL, ~__1 ' .1\ S~~ ,q~ ~<r /~ .Rti:jJ'o. ~ D _ N~411194 ~ L\ ~ IlUt ~Jj..x\~ By signature, I tate and agree, that I have care ully 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 Ordlnanc~s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wI/I be made of any structure without permission of the Building Safety Division. I further certlfy 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 tlme, that each address Is readable from the street, that the permit card Is located at the front of the pro pert nd the approved set of plans will remaIn on the ~Ite at times durl~~I~ XlgnaM - ~ .a.4.. ~ v /~" Date Lf~ 7 - 7'7 VALIDATION: RECEIPT NUMBER DATE PAin AMOUNT RECEIVED RECEIVED BY J J, 'rl..OS- '-11'/ /Cj...., 4~/J?_ .S'" 3 ~E> . . . - @ ~!I!!!!S!!~!!~ Job No. ~~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME~f\ Y9J\Q .~\~i5 PHONE:\~Io-~C\.l'() ADDRESS: .3lo~tn 0(\ffi.~ ~r rC\S STATE:l~12.-zlpq14l~ LOCATION OF PROPOSED BUILDING SITE: f\T'\f\T'\ /-... - U [) _ _ 11 Street Address if Known: c-OO(O~ ~ ci.1.. ) l ) ~('!t) ) rrxJ.J~ Platt Name:~ffi ~ \\ ~ Tax Lot Number: \ fj(""?)~~ ('CicCO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back,) A. Sinl1le Familv - Detached Single Family home NO OF UNITS B. Sinl1le Familv - Attached NO OF UNITS cQ C. Multi-Familv Aoartment NO OF UNITS D. Manufadured Home Park NO OF UNITS _ Manufactured home not in a park X $400 PER UNIT = $ X $370 PER UNIT = $rr\'DSD X $277 PER UNIT = $ X $280 PER UNIT = $ WPRD SDC $~D~ $0 $f)4D~ 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) L.1 I I I CJI.{. Date . . .OB NO. ':l!J D ~1.. 2.. .~ ' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: DUM-I E- k:N/&H-rS LOCATION: 20"e, ~ '],.070 S~TT f(o, (7D;7-S o..f ~ .. 00&.00 DEVELOPMENT TYPE: MVR. - NE::.W OI/PLf'.>l- BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. "2-119 X $0.203 PER SQ. FT. ~ Lt'-l'l. ?.::!) ......... ..-"'" 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) "2.2.. X $42.08 PER PFU ~9'L-?'~ '--- ../ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 2- X /,0 I X $424,31 X $424.31 X $424.31 ~gS7i) ......... -' $ $ X X 4. SANITARY SEWER.MWMC NO. OF PFU'S 2..2.. x $15.125 PER PFU + $10 MWMC ADM FEE $ ??7-'2.- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ Co~~ TOTAL-MWMC SDC ~"2- ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2-'-+ ~ b l':i 5. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 ~--::p, .o',L ~/IB/9'-t (j Kip Burdick / SDC Coordinator ~\'Ly"+~ '-- .--/ TOTAL SDC $ -z..ro \ ?.. S<4 FIXTURE UNIT~CALCULAON TABLE: Number of New FiX1ur.nit Equivalent = FiX1ure Unit;> (~OTE: For remodels, calculate only the N-~dditional fixtures) .... NUI,\6ER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub............... .................. .................................... Drinking Fountain...................................................., Roor Drain..............................................................., Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher.........,. ,......,.......,........ Ootheswa~er - 3 Or More......,.........,....,............... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single' Stall.,.... ,......., ,......,..............,., ,.....,.. Shower, Gang..........,....,.......".............,......,.........".. Sink, Bar, Commercia!............,............".........,........ Urinal, StallfWal!..............,..................,..........,.......... Wash Basin/Lavatory, Single............."..........,......,. Water Ooset, Public Installation..........,................., Water Ooset, Private..........................................,.... Miscellaneous: ?.- 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 '2. '1.... z.. z... TOTAL FIXTURE UNITS L/ o..j 4- '2. c;>, '2-7.- Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,~~ Assessed Value I $ 2.24 I 1.93 1,57 1.18 0.79 0,44 0.28 CREDIT CALCUUI.TION TABLE: calculate credits separates, I ;:~Xed -- I Rate per $1,000 Assessed Value Year Annexed 1986 1987 1988 1989 1990 1991 1992 $3.21 3.13 3,08 2,96 2.82 2,68 2.51 Il 1979 or before 1980 1981 1982 1983 1984" 1985 Credit for Parcel or Land Only If Applicable ~. 7-1 X $ 7.- \ ,., '5 <a9 e,~ (Rate X Assessed Value) Improvement Cd after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ <09%; I RUNOFF COEFFICIENTS FOR STORM DRAINAGE A esidential..............., .................... .................... 0.4 Commercial....................................................., 0.9 Ind ustrial......... .............. .................................... 0.45 GovernmentaL................................,................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT