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HomeMy WebLinkAboutPermit Building 1995-3-15 IIp;;\ \"~l os f, '(1 ~ 0. H " 0 ~ q n I -Pr-e.Sc..L)f::; t 5_priYlj&td Neill RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: /7&3 ASSESSORS MAP: ~ LOT: OWNER: ADDRf'"'' CITY: DESCRIBE WORK: NEW -t-- REMODEL ADDITION -8 SPRINGFIELD . 95()z/D .'?4 BLOCK' f\!mu al> ./ LJ1YLQ / STAT'" OR. JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 La..I/1,f>./ __ -:.26~ /3 TAX LOT: ... SUBDIVISION: -U/VAI'N J//t:u, PHONE: {<!-(.,-tqs/ .J-.h~ DEMOLISH OTHER ZIP: 97<1-; '7 CONTRACTOR'S NAME 1\" V\ vu "> CONST ADDRESS CONTRACTOR' J\J 0 weJt. . <=\12..1 PrfSU>U- ~IA oS PHONE 7'fh -79'::/ GENERAL: PLUMBING' MECHANICA' . ELECTRfCAI . QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: \ \\\\J\ 0 \l., ~ N\ 61 WATER HEATER' - OFFICE ~SE - LAND USE: \ \ \ \ . OF UNITS' \ CONSTR. TYPE: ~}J HEAT SOURCE: r: ("51 t:... . RANG'" EXPIRES 111.L.1/5 )' FLOOD PLAIN: ZONING CODE: illU . OF BDRMS: -::z.... SECONDARY HEAT: =1;0 SQUARE FOOTAGE: ,3\01 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. Inspectlons requested after 7:00 a.m. will be made the followIng work day, o Temporary Electric ~Slte Inspection - To be made ~after excavation, but prior to settIng forms. ~tJ;?v o Underslab Plumblng/Electrlca" Mechanical - Prior to cover. ~Footlng - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. dFoundatJon - After forms are ~ ~rected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor PlumblngJ Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. ~ Floor Insulation - Prior to ~decklng. l\:::1' Sanitary Sewer - Prior to Wllng ~ trench. )s;71 Storm Sewer - PrIor to filling ~ trench. dwater Line - Prior to filling ~ trench. rv,- Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~ Rough Mochanlcal - Prior to ~cover. ~Rough Electrical - Prior to ~cover. ~lectrlCal Service - Must be approved to obtain permanent <3 ectrlcal power. ~ Fireplace - Prior to facing ~materlals and framing Insp. ~ramlng - Prior to cover. rc:7I' WalllCelllng Insulation - Prior to J.6..l.cover. @DryWall - Prior to taping. o Wood Stove - After InstallatIon. o Insert - After fireplace approval and Installation of unit. 1\7'1 Curbcut & Approach - After ~ forms arc erected but prior to placement of concrete. r\-:;r Sidewalk & Drivews\, - After ~excavatlon Is complete, forms and sub-base material In place. o Fence - When completed. ~ Street Trees - When all required ~rees Bre planted. U1 Final Plumbing - When all ~ plumbing w9rk Is complete. .~ Final Electrical - When all ~electrlcal work I~ complete. f)(f Flnal'lMochanlcal - When all ~ mec~anlcal work Is complete. M Final Building - When all ~equlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connecllons - When home has been connected to water and sewer. o Electrical Connecllon - 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. 1- " , .',..,' . . i ~ _ ";1 "'({ :~~~. , IS THE PROPOSED WORK IN THE. Lot faces L~ Setbacks I I Lot sq. Itg. I PL. IHSE GAR ACC HISTORICAL DISTRICT, OR ON _ Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, Ihls application must be signed Topography ~t~c> Is I and approved by the Historical Panhandle Iw I I I Coordinator prior to permit issuance. Total height 2.2i:4" Cul.de.sac lLLLL._ APPROVED: BUILDING PERMIT ITEM sa. FT. X $/SO. FT. ,~~.:> /fJO Main ":2/:)5'/ /tJ <; /;, Garage Carport Total Value Building Permit Fee Stale Surcharge 25".11 + /5, D8 TOlal Fee (A) VALUE _/./ ~2h (p " /f/!>~i /3:vrr ')/) 2..7 .r 10 .2.1- ,c::4, <; 7 - . SYSTEMS DEVELOPMENT CHARGE (SDC) :2.5~5.7D (8) PLUMBING PERMIT ITEM Fixtures Resldenllal 8ath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Stale Surcharge q, ~ ~ --f- $"", '7 6 Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Van t Fan N' .3 Wood Stovellnsert/Flreplace Unll Dryer Vent _~ UAM:.; u.y'rI Mechanical Permit Issuance State Surcharge I.' ~ f ' S 3- Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /dO fl '$6 fl Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) FEE /72. ~o I~:(I '2A77'( .~ t::... 0.0 4. /".0 '9,$--0 <.&0 '::;-.-0 27>0 //?O€> "'2 .7-1 3"7.'11 1<=j',Oo I,;'.~I/) 3f,~ 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 conslructlon shall, In all respects, conform 10 Ihe Ordinance adopted by the City of Springfield, Including the Development Code, regulallng the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: ::;;>~ 7' _ 2./2-/15'" Receipt Number: 1&0 3/// Rece~ved B ' ./(~~ .~ Plan eviawed By Date Paid: .J.1r ~~ 7'D}"te Systems Development Charge Is duo on all undeveloped properties wllhln the City limits which are being Improved. ADDITIONAL COMMENTS ~~\n 1\ \~)f~ '\)J 1/ ' Jj~ \~0CiJ~ II ) \ -\-no ~W- \ /IJ.'\nj. -, . ( ') ,A+T: Iw.lav ~' ~f\~~;\}).~Q. \(-\leU ~l . ~~~. ~//'~4:l/rf.S ~///R~ , 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 Ihe 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 are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all re~ulred 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 prop~e approved set of plans will remain on th~~1 tlmy! during con:(u~n. ./ X;gna~~?/J'A/./2 /}/ &wt/Y'/C. Date Yo/r5 VALIDATION: RECEIPT NUMBER . ~ \f~f:.. DATE PAID ~ \S .LL. AMOUNT REC~ s:; g... '" '7 RECEIVED BY ~OB NO. 15'0 Z/O CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . ATIACHMENT B1 NAME OR COMPANY: LOCATION: Cfo'l DEVELOPMENT TYPF' BUILDING SIZE: D~";H15 f DiA-fJtI€. It/OWAI( f PRf:SLo" ,I ME:. 1-.D,il.. ,"'~W S.r::/Z.. I.OT SIn:' SQ. Ft. 1. STORM nRA TJ:lAGE. IMPERVIOUS SQ. FT. n 81 2. SANTTARY SFWFR-rTTY NO. OF PFU'S . 7-1 (See Reverse) 3. TRANSPORTATTON X $0.209 PER SQ. FT. ($ '1''1 ~ ) ~ , X $43.26 PER PFU ($ I 1c:.60"=' ) NO OF UNITS X TRIP RATE X COST PER TRIP X \.0\ X $436.19 X X $436.19 X X $436.19 ($ f,I'iO~ ) $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) z?> $ :z.,oz.'3- 4. SANTTARY SFWFR-MWMC NO. OF PFU'S "2-, x $17.19 PER PFU + $10 HWMC ADMIN.FEE $ '-/7'i!1- (Use PFU Total From Item 2 Above) $ 55 7j.. MWMC CREDIT IF APPLICABLE (SEE REVERSE) IQIAI -MWMr snc ($ 'ilP,"'~ ) SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ Z."H(~ 5. ~nMTNTSTATTVF FFFS BASE CHARGE (SUBTOTAl ABOVE) X .05 <1IZ2.0l!o- ) -7..fZ911\ foil LAW5iE.1C- Date: 3/(3)95 I -- . . '_'--:',.1 _.J..... .::;;;;10.' "_. .::>u...... "-,v,-,, ..........._.::H-'- IDJALSOC '10 $ 1.,'51,,3'- B2 . SDC . , ~ . . FIXTURE UNIT CALCULI-ION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels. calculate only the tl.EI additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub...................................................................... I J (z) Drinking Fountain..................................................... Floor Drain............................... ................................. Interceptors For Grease/OiI/Solids/Etc................. Interceptors For SandlAuto Wash/Etc.................. Laundry Tub/Clotheswasher................................... (i) Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorlWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. II) Shower, Gang.. .................. ...... ...... .................. ........ Sink: Bar, Commercial, Residential Kitchen........................ 1I ) Urinal, StaIlIWall..:.... ............. .... ................. .............. Wash Basin/Lavatory, Single.................................. "'tHL (5) Toilet, Public Installation........................................ Toilet, Private....................................................... III ('1>) Miscellaneous: t TAHIT'I""'.s Sh'IJ;:- TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: calculate credits sE;parates. I UNIT EOUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ~ = FIXTURE UNITS 4- z. '2. t. :; 1'2. 1..7 . Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1 ,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 ~3~ X $ 11e.IIC (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or land Only If Applicable ImprovelT)ent (if after annexation date) = = CREDIT TOTAL = $ Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 4557J- . . ~ ~?~ Willamalane 'tg' Park & Recreatio~ District Job No. Q5('f \0 - ' SYSTEMS DEVElOPMENT CHARGE WORKSHEET NAME.~+-\)1aJ\ n C) ~ "'0. \. 'Xt (..; PHONE: '\ ~ln .lCl<C\l AOORBS o,rl\.. ~ ~..ui'cib \ ~A STATE f1'--ZJP !IJj 11 lqCATION OF P~OPOSED BUll~Si.SJlt: \\1.._....d-t I 0 ..." ') , Street Address If Known: UY / J..\! ~ r7Yl11Jl..-----" - '. - r-- PI~tt Name:!~)oY \~) TaxlotNumber:~ ~O?'31.\\ ()ldoL~ 1. DEVELOPMENT TYPE (Check appropriate dwellirig(s). SDC Calculations and dwelling type definitions are on the back.) A. Sinl!le Family - Detached I Single Family home ( NO OF UNITS Manufactured home not in a park $ 4' . f'I\ .00. X $400 PER UNIT .;=. 1.1 ) B. Sinl!le Family - Attached . \ NO OF UNITS X $370 PER UNIT = '$ C. Multi-Family Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufadured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $40(J~ d $ - $AcD~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approyal. See SDC Credit Worksheet. ' 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Creditl I. ~~";;~,~ '?J I \S /C\S O<lte