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Home My WebLink AboutPermit Building 1993-12-10 -.I -' '-""'- ~ ~ 36:2. SPRINGFIELD ~ JOB NUMBER q ~ \ f\4i.:S 225 Fifth Street ' . . _ . Spilngfleld, O,eoon 97477 lo'\C\~ \_~\uo~~ Qntyt> RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ' LOCATION OF PROPOSED WORK: ASSESSORS MAP: .fl0 J.. 34 tf '-I LOT: '~BLbCK: TAX LOT: f!30S"":- SUBDIVISION:~, ',\ VI~..Q~~ , () .. \\ OWNERt ~t()) Cf\1)51() \1-- . \'\. 'lrONE~~oR-q8.-~\~ ADDRESS:' ~\~f) \Ui\'t\lJY\ U\Q ~ "J,\\\)~ - \'~ l-)?i, - \~ac CITY YOo.(f~~ _., < STATE CClJ_Ol\Dr\ ZIP CffJ 41~ DES~RIIf WORK ~ ~9..C\ , 'df}lY\1 ~iJ U!o L\tO O,0,R'. 0 ~ NEW Y- J REMODEL ADDITION D~OLlSH OTHER COIrRACTOR-S NAME (\ ADDRESS GEN~RAL: P0f\~S\ '--~\,~ PLUMBIt\JG: ~'S4~ ,~~~,.~. ~~ MECHANICAl' E~~CTRICAL: ~.dAEiL- ~~ QUAD AREA: ~~5 # OF BLDGS: - \ OCCY GROUP: ~~~ \J\ \ - , ~- # OF STORIES: WATER HEATER: CONST. CONTRACTOR # ~~~~- PHONE -;~5-9zs~ ~~ 7$ 9'7 5" EXPIR& \0 .~=t). \T' /()#/? .r/ 7.~-~ ?'2S '- OFFICE USE - \\,\ \ \ V ^ r CONSTR. TYPE: J\.../ f-c-, fj LAND USE: # OF UNITS: HEAT SOURCE: RANG ~. FLOOD PLAIN: ZONING CODE: L[)~ D SECONDARY HEAT: ~ - SQUARE FOOTAGE: \C\ ct \ # OF BDRMS: 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. ~empo,"'Y Elee"'e [ZI Site Inspection -' To be made after excavation, 'but prior to setting forms. o Underslab Plumbing/ElectricaIJ Me'chanical - Prior to cover. [Z] Footing - After trenches are excavated. D Masonry '""" Steel location, bond , bear:ns, grouti ng. IAI Foundation - After forms are , erected but' prior to concrete placement o Underground Plumbing - Prior to filling trench. f)Yl Underfloor Plumbing/ Mechanical ~ ...,... Prior to insulation or decking, f7l Post and Beam - Prior to floor ~ insulation or decking. C1I Floor Insulation - Prior to decki ng. IV1 Sanitary Sewer - Prior to filling LAJ trench. ' rA7I Storm Sewer ~ Prior to filling l...f4-J trench. fI7I Water Line - Prior to filling L,.4-J trench. r7fl Rough Plumbing - Prior to l1q:.J cover. REQUIRED INSPEC'T:lONS IVl Rough Mechanical 7"" Prior to LAJ cover, ' , [4J .Rough Electrical - Prior to " cover. . Cf Electrical Service - Must be approved to obtain permanent electrical power., , o Fireplace - Prior to facing materials and framir!Q Insp. /P- ~~~7"' [Xl Framing, - Prior to cover. [K] Wall/Ceiling Insulation - Prior to cover. '> I X I Drywall - Prior to tapi ng, . D Wood Stove - After I~stallation. D Insert - After fireplace approval and installation of unit. GEl Curbcut & App,roach - After . forms are erected but prior to placement of concrete. crJ Sidewalk & Driveway- After , excavation Is complete, forms , and sub.base material in place. o Fenc& - When completed. ~ Street Trees':"" When 'an required trees are planted. , , . [Z] Final Plumbing - When all plumbing work is complete. f\7'I Final Electrical -, When all L.AJ electrical work is complete. r71 Final Mechanical - When all l,Lf-J mechanical work is complete. rA71 Final Building - When all lA-J required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - 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 a'pproved and por'6hes, ~kirti~~, d~c~s, and venting have been installed. ~ lot sq. ftg. C;Z lot coverage ::<9~~ Topography /~ ,IX Total height -\-.bL (~~/) BUILDING PERMIT \ sa. FT. , \-4lo:t 4\r0 lot faces l~lJPe\ ~ Interior _ Corner _ Panhandle ~ Cul.de.sac -",..J Setbacks ,- . ~. ,.:> 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, I P.L. IN Is Iw IE HSE GAR Accl ~/##~. ~,,~b9' ~ I '~?..~> / I I II' Main x ~9~ ~~ sQlll~ \ L\ ~'\D lo 4. ~0 -. \ re ~~"'\ ~~ ~-e> 'zI'~~ ~ SYST~MS DEV,EL?PMENT CHARGE ~SDC) ~' , . . ,.II c)"-. .4z.:. , . ", . , , (B) f!' VV LL:::: ' PLUMBING PERMIT ITEM Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) ITEM Fixtures Residential Bath(s) NO "'2 Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO ~ Wood Stovel1nser~ce UniD . Dryer Vent Mechanical Permit Issuance State Su rcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ':?~ ft Curbcut .$Pft Demolition State Su rcharge J#L.~~~b Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE / iI!!!':t:P ~- 8-- / r-.~ . -.cb -b . (I!JoO 0/: 5'e::> "'7. -- /5": - ""? -- -:3~~~ /P.~ /.~f6 Lie!? .3'$ /6..~ I'I-~ , 7'~G?'. ~ t-' ~A'9.~ -=3/qA?~' 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 Rrovisions of said ordinances. Plan Check Fee' &( 00 .00 Date Paid: \ \ .-\~.~~ Receipt Number: \J \ c-:~~\ Received' y: Q \ [)D-/ .~~ /'2.~-~3 viewed By t.~ '?" ' , Date Systems Development Charge is due on all undeveloped properties within theCity limits which ?~~ being improved. ADDITIONAL COMMENTS l... ~ t~5\ D ::;t~.Q) l'H ~!Hin~t. ) 3.u_i~.~ (~~ ~'QI\~ ~~; \\n.\OO \, 9\\\~ ).( Dl\ 1 ~t:l \ G\ f\ ~ f) 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 9rdinances of the City of Springfield, and the Laws of the State of Oregon pertai ni ng to the work descri bed herein, and that NO OCCUPANCY will be made of any structure without permission of ~he 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 slle at~~7"~onS"UCtlon. Xignatur>~ -A!)~ ' Datp. /'Z-/6-j/'y VALIDATION: RECEIPT NUMBER ,I ! 1/ 7 DATE PAID / 2..//LJ/9) AMOUNT RECEIVE~ ',<; 3tJ/~ 3 tJ . ? /~ RECEIVED BY ~..il"",-,,~-t;- ~,.. .:;;J .c.r ~ f., , ; \ " ~ " JB NO. q? f '7'-1 5 CITY'OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /V1 f Kf;. 'GAtJc;EN LOCATION: 07q~ nLvE12JFL.Lr: CuUI2-T 17{J7-~~4~- 8'DS DEVELOPMENT TYPE: LD e - A(fE,/AJ SFfZ- BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE . , SQ. Ft. IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY "("- NO. OF PFU'S 1'6 (See Reverse) 3. TRANSPORTATION 2lLjo X $0.203 PER SQ. FT, /5-- . ~ ~ ,'J~~) '-- .-/ X $42.08 PER PFU ~5'7 If?) '-- ~ NO OF UNITS X TRIP RATE X COST PER TRIP I X I. ~j ; X $424.31 X $424.31 X $424.31 ~W6?) '-- ,~ $ $ X X 4. SANITARY SEWER-MWMC NO. OF PFU'S I ~ x $15.125 PER PFU + $10 MWMC ADM FEE $ '1.82 '~~. (Use PFU Total From Item 2 Above) SUBTOTAL $ '5 I b~ . . TOTAL-MWMC SOC~z,o~~ < (ADD ITEMS 1,2,3 & 4) $ /q-7'ZJ~- MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 4-/x ~L't.l:- It /1-1/13 U Kip Burdick I SDC Coordinator C <1% ~ 'TOTAL SDC $ '2. 0, I +3:.. FIXTURE UNIT,CALCUL iON TABLE: Number of New FixturE:. Jnit Equivalent = Fixture Units (~NOTE:' For remodels. calculate only the NET additional fixtures) Bathtub........ ...................... .............,..... ..................... Drinking Fountain............... c..................................... Roor Drain.......................... ...................................... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Ootheswasher................................... Ootheswa~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single .Stall................ .......... ........ ............... Shower, Gang................ .... ............................ ....,'..... Sink, Bar. COmmercial..................... ........... ............. Urinal, Stall /Wall.................... ..................................; Wash Basin/Lavatory, Single.................................. Water Ooset, Public Installation.....................,....... Water Ooset, Private. .........c..... .............. ...... ........... Miscellaneous: FIXTURE TYPE NUMBER OF NEW FIXTURES -z. I 2.. '- TOTAL FIXTURE UNITS UNIT FIXTURE EOUIVALENT UNITS 2 -+ 1 2 3 6 2 Z- 6 6 1 3 2 1/Head 2 -Z 2 1 Z. 6 4 l'7 /q Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value I " I Year Annexed Rate per $1,000 Assessed Value Year . Annexed CREDIT CALCULATION TABLE:. calculate credits separates. I 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 - - .- . - .- - - -- - - -. - 5 f "'-! Credit for Parcel or land Only If Applicable '~' . "2- ; X $ J & , I (Rate X Assessed Value) X $ . (Rate X Assessed Value) CREDIT TOTAL Improvement (rt after annexation date) -'- ::: bS = $ 51- RUNOFF COEFFICIENTS FOR STORM DRAINAGE R esid ential........................................................ 0.4 Commercial........... .............. ,............................. 0.9 I nd ustrial...... ..................................................... 0.45 Governmental..................................... .............. 0.5 IMPERVIOUS, AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT \ .. @ y!i!l.!m!~~!!~ Job No. q2J \\\t\~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET '. NAME:J'futQ ; ~Cilll\Q0 PHONE: ~$)SC\~\p ADDRESS: ~C\~ 'l"'~J.~~' ~r -/__JSTAlE: 8~IP q~ LOCATION OF PROPOSED BUILDING~TE: \d' \..... Street Address if Known: LQ'\ 0( ~ \ x: ~\..U) ~9..\~ ~__, ~n ~ - Platt Name..~~~~ ~OI~~ax Lot Number: \ f\(J~~,\ O~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back,) A. Sine:le Familv - Detached ~ Single Family home \ NO OF UNITS Manufactured home not in a.park $~~ X $400 PER UNIT = B. Sine:le Familv - Attached NO OF UNITS X $370 PER UNIT = $ C. Multi-Familv Aoartment NO OF UNITS X $2'77 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $~~ $ 15 cD $ 4f1)~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~~m~ Community Servic~ ~ivision City of Springfield "'\ Q / \ $ / ~3 Date