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Home My WebLink AboutPermit Building 1995-2-16 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOT: SPRINGFIELD BLOCK: (\A. DESCRIBE WORK: ~ U':)~. NEW V'" REMODEL \DDI~I-ON DEMOLISH OTHER JOB NUMBER C4 '2JiJLP 225 Fifth Street Springfield, Oregon 97477 44C\ !sJ ttDm ~ftJ . 0.50\ \ TAX LOT: ~DJ)()1V~. ~LL . ~ - 5/71 PHONE: 8as 543 'laD l'[S ZIP: %()( SUBDIVISION: ".CONST. , CONTRACTOR # "lol~ CONTRACT~ ~~t: " f\/\ ~. ADDRESS ,GENERAL: ~ \1 u/j . \ \\11\ \ffi ~ ~n^ ' PLUMBING: lJj t;..)\,>p . ' , ' MECHANIC~\\L: ~~rl1J1~, . J1\ U~UxY\ ELECTRICAL: ~\ J' JC 1fYLLt../ - - ~ ~ # OF STORIES: WATER HEATER: LD 2..1o~ L ~t3 - OFFICE USE - \ \ 2-0 2- .'..' CONSTR. TYPE: VtJ \)JT\ LAND USE: '# OF UNITS: HEAT SOURCE: RANGF' (..; EXPIRES \ t:\\:q4 PHONE t!174~~4$ \2.n.Q4- 1'S.Q to 141~ 1_'f;4-.. ~ ..... FLOOD PLAIN: 'ZONING CODE: ~ # OF BDRMS: cf)f ~ SECONDARY HEAT' ~ SQUARE FOOTAGE: r0A~ 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 wbl"k day. ~ '. '~<' . I ' REQUIRED INSPECTIONS ~ Temporary Electric ,...- L.:::J Site Inspection - To be made after excavation, but prior to setting forms, o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~~tlng - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. ~Undatlon - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~derlloor Plumblngl Mechanical '- Prior to Insulation or decking. ~st and Beam - Prior to floor Insulation or decking, ~or Insulation - Prior to decking. ~ltary Sewer - Prior to filling trench. ~orm Sewer -::- Prior to filling trench. ~ater Line - Prior to filling trench. /' L:::J Rough Plumbing - Prior to cover. . ~U9h Mechanical..:.... Prior to cove~ ". ~UghElectrical - Prior to cover. r:-l...&: ' , LLd' :.~~ctrical Service - Must be approved to obtain permanent electrical power. . D Fireplace - Prior to facing materials and framing Insp. ~amlng - Prior to cover. ~I/Celllng Insulation \' Prior to cover. ~wall - Prior to ,t~plng. D Wood Stove - After Installation. .. D Insert - After fireplace approval and Installation of unit. ~rbcut & Approach ,~ After forms are erected but prior to placement of concrete. ~dewalk & Driveway - After excavation Is complete. forms and sub-base material In place. o Fence - When completed. ~reet Trees -'{IIhen all .requlred trees are planted. . / '~n,alp.l~mbing - When all plumbing work Is complete, ~al Electrical - When all electrical work is complete. " ~nal Mechanical - When all . mechanical work Is complete. ~ Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS - -.. , o Blocking and Set,Up - Wh,en al/ blocking is complete., .~ . D 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 approved and porches, skirting, decks, and' venting have been installed. tItW ,Lot Scl; 'ft,g: ~ Lot coverage '~~f, S'",o Total height lli~ (\4" )- BUILDING PERMIT SQ. FT. &~\ . ',-m Lot faces Lot Typ, _ Interior X Corner Topography Panhandle Cul-c;le~sac I .>;-. . , ',':' 'i ' .!- ~~,' l .; ;... . ~. ~ :: ~, . ,-, ":i' I 'P.L. I'N 1'5 Iw I~ HSE GAR /4 J~ I~ /3 S'" ! , Main x a~'. w = lti)\U;~ 14 . \0 "!11DLCL , JD'1;11.cO 4-.C; /00 I -, ~ =?~.Of1 ~7,()e 5.YSTEMS DEVE~OpMENT CHARGE (SDC) , (B) 'fi~?, 9'3 ITEM Garage Carport Total Value Building Permit Fee State Surcharge Z2f2-(-/sF'"J (A) Total Fee PLUMBING PERMIT ITEM' Fixtures Residential Bath(s) NO &)(2- Sanitary Sewer FT. FT. Water Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge /t:!!.!!.+ ql;o Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood 2- ? Vellt Fan . NO Wood Stove/lnsert/Flreplace Unit Dryer Vent 2- Mechanical Permit Issuance ,State Surcharge l.aS T- .iP3 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~o ~f ft ft Curbcul Demolition State Surcharge /~/3V Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE _~ZD.~ ? C; .~o -$.&:'O 9,60 t;., .~ (0 .t:>-r:) 2/.00 -Lo,UO I.~B <::? ~s / 7.~-O J~.~o Z93/S'" ~ ;,/ :2.. S' ~~~ - . S6J-2.8Z.~ Setbacks ' IS THE PROPOSED WORK tNTHE - HISTO~ICAL DISTRICT, ORON. , THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. 'ACe' I I I -- APPROVED: . ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This' permit is granted on the express condition that the said . const~uction 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 vfolation of any provisions of said ordinances. Plan Check Fee: 2.;9. ~ , ~ S Date Paid: Receipt Number: Received By: , .~ ~Aw?A'J~;"- Plans Revle~/ -,/~d/f~1 DatV// , Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~+T: /5,rffJ ~{\f\DL tQ~'. "fR loO '~ciJL p~1 .<)'~~ ~ ~~,FT /5 - jfClrp~/~ By signature, I state and agree, that I have carefully examined the, completed application and do hereby certify that all Inform'atlon hereon Is true and correct, and I further certify that any and aliwork performed shall be done in acco"rdance with the Ordinances of the City of Springfield, and the Laws oft~e ,State of Oregon pertaining to th~ work described herein,' and that NO OCCUPANCY will', be made of any structure without permission of the Building Safety Di"islon. 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 e permit card Is located at the front of the propert nd the approved set of plans will remain , on the site t all time~d~ construction. ~g atur <1-. .(~-:- /Slgn \.-.7"'/ Date/ ,,./ ~ --:9~ VALIDATION: 16 328 REC~IPT NUMBER r:9-18leT DATE PAID ~ - ~ l(J .a~s. ' ' AMOUNT RECEIVE.!Ul i -<)q g1)5 i RECEIVED BY V)\:ID-/ ; . " . .~ NO. q4/16 G . , ., _;. ~ ;-~.~ '_ . - .-:",,- \~ .~..." y. _~:': J . CITY OF SPRINGFIH~0~;T8YSTHM$ [;)[VELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) AITACHMENT Bl NAME OR COMPANY: I<vrn ;:K/!.e;:t; LOCATION: 1-60 Z. ~ ",,) ~~'f' 'S, fa ~ II ., DEVELOPMENT TYPE: ~~ BUILDING SIZE: lOT SIZE 1. STORM DRAINAGE SQ. Ft. IMPERVIOUS SQ. FT. ~(J~ ~' X $0.209 PER SQ. FT. 0 :4!.~ 2. SANITARY SEWER-CITY NO. OF PFU' S . (See Reverse) 50 X $43.26 PER PFU , ~57Z9 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X X $436.19 X $436.19 a;-fr /, /8"') $ $ SUBTOTAL (ADO ITEMS 1.2. & 3) $""3 o7f,~T z X 1.01 X $436.19 ll.... 4. SANITARY SFWFR-MWMC NO. OF PFU'S Jb x $17,19 PER PFU + $10 MW~lC ADMIN,FEE $ L 2 y,,?-,/ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ S..,z'r S TOTAL-MWMC SDC s-3"-:;r~. ~ ~ ~ '- - . SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ :> ~ ~ ~,/ 3. 5. AnMINISTATTVE FFF~ ~~ ('~.~VE) X ,05 ~ /(+Dr Date: ~' Ha~y H~rnig. P. . / SDC'e6ordi nator (~.~ /2-21~ '77 TOTAl SOC $ ;? ~3 "8. r3 B2 . SDC ~. FIXTURE UNIT CALCULNl'rON TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the t!fI additional fixtures) NUMBER OF NEW FIXTURES Bathtub.......................". ,...... .................. ..... ,...... ....... Drinking Fountain..... ,......................... ....... ........ ....... Floor Drain........ ...... ,... ......... ............. ........................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/r::tc.........;........ laundry Tub/Clotheswasher.................. ..............:.. Clotheswasher - 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 I Private.. ..................................................... Miscellaneous: ' ,TANI TaRS $1/01)::: FIXTURE TYPE 3 2... J 2. 4 4 TOTAL FIXTURE UNITS UNIT EaUIV ALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ~ = FIXTURE UNITS h 4 2 4 <1. /b ?b CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 Rate per $1,000 Assessed Value $3.46 3.38 3.32 ' 3.21 3.06 2.92 2.73 Year Annexed 1985 1986 1987 1988 1989 1990 i 991 1993 Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0,97 0,61 0.44 0.15 r, 'i Credit for Parcel or Land Only If Applicable S;< ,I g 3.-,,/G X $ /:>~ 0 3"t/ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) Improvement (if after annexation date) ---- CREDIT TOTAL = $ ;;-;2, 17f'