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Home My WebLink AboutPermit Building 1994-6-3 OWNER: 1.0. UJei/l .e ~IJ\ Y5a-te.S ADDRESS:' "73 Y-b -r~ u (~l/l -R-J CITY', S:a V ht\~+( e ld C6/A $"-tVLAcT f-"/ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 11-02 - ASSESSORS MAP: 4 LOT: DESCRIBE WORK: NEW~}( REMODEL '\. ~~ '.~" 5/tme ~, SPRINGFIELD 72tP, '. BLOCK' STATI=. ()( i) ~~sq +-t , " :- DEMOelSH Jv.p)ex 'ADDITION CONTRACTOR'S NAME GENERAl. 6M c2 V?f lel OTHER C?<~M~ (93~7".f) , JOB NUMBER C?~O 7 ~s: . -$: 225 Fifth Street PHONE: 71(; .-tS21 ZIP: 07 Cf'7 0 , (ADDRESS', , L J+c 5iv/(," +ftJ Vl1eS- L"r / CONST. ' CONTRACTOR # b b. 7.)0 PHONE 717- fd:55 PLUMBING: MECHANICAL: ELECTRICAL: QUAD AREA: ~~~'G \ OCCYGROUP: ~~,+tv\ ~ # OF BLDGS: # OF STORIES: WATER HEATER: ",c. . .f" ;.' - OFFICE USE - LA, ND USE: \ \::in ~- CONSTR. TYPE: V AJ # OF UNITS: HEAT SOURCE: wy- E5~:/ q5 .. ~ ; ; ,FLOOD PLAIN: ZONING CODE: ~ OF BDRMS: ~\)~ {o RAN,GE: ,- L:. SECONDARY HEAT: SQUARE FOOTAGE: cfJ(dt ~ , - To request an Inspection, you must call 726.3769. This I,s a24 hour recording. All Inspections requested before 7:00 a.m. will be j made the same working day, Inspections requested ~fter 7:00 a.m. will be made the fbllowlngwork day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcall Mechanical - Prior to cover. I vr 'Footing - After trenches are ,'"'" excavated. ' D Masonry - Steellbcatlon, bond beams, grouting. , '" , , I YI Foundation - After forms are ~erectedbut prior to concrete placement. D Underground Plumbing - Prior to filling trench. 1\......, Underfloor Plumblngl Mechanical ~ - Prior to Insulation or decking. !2Sl Post and Beam - Prior to floor Insulation or decking. IVl Floor Insulation - Prior to ~ decking. r\/f" Sanitary Sewer - Prior to filling lfY trench. r\/I'Storm Sewer - Prior to filling '-[Y' trench. ' M Water Line - Prlorto filling ~ trench. ',,: '. ESZJ Rough Plumbing - Prior to I cover. REQUIRED I NSPECTIO NS ~ R~U9h Mech~nlcal ~ Prior to I6l cover. " " , ro( Roug:liElectrical ...,. Prior to l.6J ~over.: r\7( Electrical Service - Must be IA! approved to obtain permanent electrical power. D FIreplace - Prior to facing materials and framing Insp. es:J Fran~lng- Prior to, cover. IV! WalllCelllng Insulation - Prior to ~ cover.'" .. , ~ DrywlilJ.,... prl,or to taping.,' D Wood Stove .,... After installation. D Insert - After fireplace approvlll and Installation of unit. DCurbcut & Approach - After , forms are erected but prior to placement of concrete. , o Sidewalk & Driveway - After excavation Is complete, forms and'sub-base material In place. o Fence ~ When completed. D Street Trees - When all required , trees are planted. ' , ~ Final Plumbing - When all 'plumbing w9rk Is complete. V I Final, Electrical.,... When all ~ electrical work Is complete. f'57l Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all lXJ required Inspections have been approved and building Is, completed. D'Olher I,':' 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. : o Electrical Con~ection - 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. ' ,~~ Lot faces :.:: Lot sq. ftg. Lot coverage Topography Total height ~ . I ,CV>/ ') '- BUILDING, PERMIT, ITEM 111~/:' Main ex · ILV 4la Garage Carport Total Value Building Permit Fee State Surcharge Total Fee } ~ ;';~.., .1t Lot Type >. X. Interior .. Setbacks ' ,h~L. HSE GAR ACC Corner N S Iw IE Panhandle Cul-de'sac X~!JO ='~1lJ 14.0-" \o~ \~1 G 14Q'S) ~'\'. I '(A) 5a~ SYSTEMS DEVELOPMENT CHARGE (SDC) lZJ18" 23 PLUMBING PERMIT ITEM Fixtures Resldent!al Bath(s) Sanitary Sewer FT. Water FT. Storm Sewer FT., Mobile Home Plumbing Permit State Surcharge Total Charge (B) FEE NO r!J+ Q. 3~DCO ~O{), (-+q.L,Q) 'I tom (C) . 33lo.W MECHANICAL PERMIT Furnace - Exhaust Hood d. 4.00 Vent Fan NO 4- laCO Wood Stove/lnsert/Flreplace Unit 'o~ Dryer Vent l)..;. Mechanical Permit cXJ(.XJ Issuance \ 0.00 State Surcharge ~.~\) l.$ ~.35 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk [g 1] Curbcut Slo ft Demolition State Surcharge ft ~().Q~ J~~ \f~i~tt~i/:~:,~.J ; -, '-l'~. ; 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. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permltls 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. PI~n Check Fee: ~17?fZ5' ~.... 40 ~ Date Paid: ' -5" -I '3 - /C::/- Receipt Number: / kfb ~cJ Received By: ' ~ ~ \ ~e~/tM- to /~t94 Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \cA4-T: 1 a 'f\-() \.~~{\t}( ~J 1C\ tr0 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Info'rmatlon hereon is true and correct, and I further certify that any and ali 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 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 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 construction. Signa~~Af.~ Date t/s (q~ / VALIDATION: RECEIPT NUMBER 1~/6~ DATE PAID L- 9-? cf AMOUNT RECEIVED ~r)f) to .~c:::; RECEIVED BY /2~~.e,... . //;r Total Mlscellaneou,l? Permits (E) TOTAL AMOUNt~DUE (excluding electrical) ~ ~-~ (A, B, C, 0, and E Combined) ~ ~..~' \. /~I'i ;J~. G .' i: CITY OF SPRINGFIELD S'('STEMS DEVELOPMENT CH^RGE WORKSHEET (COMMERCIAL & RESIDENTIAL) q.po ~~.? NN1E OR C0l1PANY: /~ /5~ ,(/ , LOCATION: ~i-3/-I"5"5 A~ ~ / DEVELOPNENT TYPE: d,...A/' / (/L-/r~ ," BUILDING SIZE: lOT S~ZE ~ SQ. Ft. ~:," L STORM DRAINAGE ' . IMPERVIOUS S,Q. FT. ;2 "15""2 2. SANITARY SEWER-CITY NO. OF PFU'S '32 (See R.everse) " 3. TRANSPORTA nON X $0.203 PER SQ. FT. ((;S8, :?J '-- ~ X $42.08 PER PFU ~f~5"?) '-- ~ NO OF UNITS X TRIP RATE X COST PER TRIP x X $424.31 ~'tS1,/i) '-- ------ S S :2. x I, OJ X $ 424 . 31 X X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'$ "5-:2- x S15.125 PER PFU .,. $10 MWMC ADH' FEE S 19+,~ (Use PFU Total From Item 2 Above) MWI1C CRED,IT IF APPLICABLE (SEE REVERSE) S J8,'ft TOTAL-MWMC SDC(4SS,O~ , ,'-- ------ SUBTOTAL (ADD ITEl1S 1,2, J & 4) S 3.:21'1-,Y' 5. ADrlINISTRATIVE FEES \ HAR~E ~~T~ABOVE) X .05 /I~ I G-/.-?~ ~r;c=mJr c~o,v TOTAL SDC S 331"8".2. ~ r a-I.^ Iur'l~ VI'lII'. ....,,,<-~ ~ -... ~,. ". .~~~. .."...~.,. ,.. ..~... .......~_.'- For remodels. ("~l'IClJl:li(? only lhe r~ET ..Hldi:i(lll;\lli....1IHl.:.) l-.!ur.'.GF n OF( ") r-:EW riXl un'E~ L':~lr fiXTURE EOl'l\'i,l.I:IH U:-JI rs FIXTURE TYPE Bathtub........... ................ .....,..... ,.." , .......,...",......' '.. Drinking F ount:!ill............,.... ......." ,...,...., .......'... ..'... Floor Drain...............................,...., ........" .,..............'. Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand//\uIO Wash/Etc.................. laundry Tub jOotheswasher................ ... ........ ........ Clotheswa~her . 3 Or More..................................... Mobne Home Park Trap (1 Per Trailer).................. Recep!or F9r Re(rigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single .Stall.......... ........ ......... ...................... ~hower. Gang. .................................. .................:..... Sink. Bar. Commercial. ........... ....... ................ ........... . Urinal. Stall f\\'all... ..........:...... ........ ............................ Wash Basin/Lavatory, Single................:................. Water Ooset. Public Installation............................. Water Ooset, Private....... .............. ....... ........ ....... .... Miscellaneous: ;).. ., 4 4- 3 G 2 4- 6,: 6 1 3 2 l/Head 2 4- 2 1 + 6 4 -IfL> ~ 2.. 4.' TOT!-.L FIXTURE UNITS = $2 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, ca!culate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1931 1932 1983 " 1934 .1$85 $3.21 3.13 3.08 2.95 2.82 2.63 2.51 1986 1937 1988 1989 19'90 1991 1992 $2.24 1.93 1.57 1.18 0.79 0.44 0.28 J a._ b_ .._.. R , ! Improvement (rt after annexation date) 3,;J.j X s J:2,I.fo (Rate X Assessed Value) '. X S (Rate X Assessed Value) CREDIT TOTAL = 3l;, ? it- .~ .. Credit for Parcel or Land Only If Applicabfe = = $ --:>g:-, 9 r RUNOFF COEFFICIENTS FOR STORM DRAINAGE R e sid ential. ,. .............................. .... ....~..;. ......:.... 0.4 Com me rcial.. ............................................. ....... 0.9 I nd u strial...........................................:......... ...... 0.45 G ove rnm ental..................................:................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT ~ " fI\' . ~e YYj!IPe!!!!!~!!~ Job No. (4)-45 SYSTEMS DEVELOPMENT CHARGE WORKSHEfT NAME: LtI\II'nn~_ ~... PHONE: ~4\cJ.\ffl ~ \. . .\......,.... (U . ((\0 C L ADDRESS: ~~ \ t\\)}.~tJ{ \ \<<A STATE:~ZIP ~ LOCATION OF jiil~OPOSED BU!WlN~ITh . A \ re::e- Arch () C'11 ^^_.,:- Street Address If Known: \\tr::) ~\jJL.A..J \:::>~~ . . Platt Nam~ ~ \-\ \.%L Tax lot Number: \ '\J~}{?l9lt3 -CY}l04 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) ''f A. Single Familv - Detached Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT F" $ B. Single Familv - Attached NO OF UNITS rQ X $370 PER UNIT = . $ IJ4{),W - " C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ $ f)4() ,00 , $%cx) $11f) , WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SOC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~~~rVices DiviS! City of Springfield t.. / -=3 / ~ Cr, Date ' ' 71c:jP,r #- I .,/~ "