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Home My WebLink AboutPermit Building 1995-2-21 ASSESSORS MAP ^ OWNE~tAr\.2JI F'r\toy-rn~ j~(\' ADDRESS 9:lq'q "',n =~? rv\ ,,'Jtl\. c&J: . . CITY "'~J\\'s\~~Q~~. STATE~lJf\ DESCRIBE WORK ~\ f\?)\o , K(\ ff\ 1 ~ 11 '--~~lo.. ~ Dr~ NEW ........... REMODEL ~ADDITION DE~IS~ - OTHER RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 726 3759 LOT ~ , SPRINGFIELD BLOCK JOB NUMBER q~)I'L3 225 Fifth Street Springfield, Oregon 97477 PHONE ZIP q('\<Vl~ CONTRACTGf~~NAME ADDRESS GENERAI\ fJ.XLt \donfnt-, PLUMBING YS\\Q';I(y) ~ rt ~"rJ1.~ 1\ MECHANICAL' ~() I \r\ 0 (\ filL ELECTRICAL I AU~ c;: ~ CONST CONTRACTOR # ql)'l[)~ s\\~\ q 'L 1.D8 '-'"\ \ '",IAhl-tS EXPIRES 1\ 2.0... C\lo C\ \C\ C\\() \o~3 S\\ \.n o 2q q u; q 23fof.oOZ. ex. ~ qs ,,"lS JI"~q PHONE Q1.'3loId)L - OFFICE USE - QUAD AREA ....~<~r _ LAND USE __11 / I FLOOD PLAIN - # OF BLDGS I # OF UNITS I ZONING CODE JJJf2- OCCY GROUP Q~+}I\ CONSTR TYPE U,AJ # OF BDRMS ,'1 " # OF STORIES I HEAT SOURCE (u!-l SECONDARY HEAT 0 WATER HEATER E~ RANGE f~ SQUARE FOOTAGE 1I(J~~ To request an Inspection, you must call 726-3769 This Is a 24 hour recording All Inspections requested before 700 a m will be made the same working day, InspectIOns requested after 700 a m will be made the followIng work day D Temporary Electnc 0' Site Inspection - To be made after excavatIon, but prior to settlng,f~mS~ o ~;';ab ~mbrn91 Electllcal/ Mechanical - Prror to cover ~ootlng - After trenches are excavated D Masonry - Steer location, bond beams, grouting ~undatlon - After forms are erected but prior to concrete placement o Underground Plumbmg - Prior to filling trench ~nderfloor Plumbing/Mechanical - Prior to Insulation or decking ~ost and Beam - PrIor to floor Insulation or decking ~Ioor Insulation - Prior to decking ~n1tary Sewer - Prror to fllJlng trench ~torm Sewer - Prior to fltlmg trench ~ater Lane - PrIor to fltling trench ,---,~ " ~ L!::1 :",.ough'Plumblng - Prior to cover .; REQUIRED INSPECTIONS ~ou9h Mechanical - Prior to cover ~ough Electrical - Prior to cover @'Electncal Service - Must be approved to obtain permanent electrical power D Fireplace - Prior to facing materials and framIng Insp ~rammg - Prior to cover ~alJ/Celllng Insulation - Prior to cover Q-DrywalJ - Prior to taping D Wood Stove - After lnstal/atlon o Insert - After fireplace approval and Installation of unit G';:urbcut & Approach - After forms are erected but prior to placement of concrete ~Sldewalk & Driveway - After excavation Is complete, forms and sub base material In place D Fence - When completed D Street Trees - )'Vhe,n all required trees are planted I.. '1 ~anal Plumbmg - When all plumbing work Is complete [G:lnal Electrical - When alt electrical work Is complete ~mal Mechanical - When all mechanical work Is complete c::g---Flnal BUilding - When all required Inspections have been approved and building Is completed DOther MOBILE HOME INSPECTIONS o Blocking and Set Up - When all 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 Fanal - After all required Inspectlons are approved and porches, skirting, decks, and ventlng have been Installed Lot faces L~P< Setbacks \. ~IS THE PROPOSED WORK IN THE I :L I HSE I GAR' ACC I HISTORICAL DISTRICT, OR ON Lot sq ftg _ Interior I I I THE HISTORICAL REGISTER<L.tI D Lot coverage Corner Is \ If yes, this application must be signed Topography Panhandle and approved by the Historical n Iw Coordinator prior to permit Issuance Total height CuI de sac IE APPROVED BUILDING PERMIT BUILDING VALUE, PLAN CHECK ITEM SO FT X $/ SO FT VALUE AND BUILDING PERMIT Main \ \-:\3 .s~7.D \..o'3ldft This permit IS granted on the express condition that the said .5 \.J1O \'\ \[) 'l <6C\lD construction shall, In all respects, conform to the Ordinance Garage adopted by the City of Springfield, Including the Development Code, regulating the constructfon and use of Carport buildings, and may be suspended or revoked at any time upon vIolation of any proVISions of said ordinances Plan Check Fee Total Val ue Yj\~'1D Date Paid ~ ,,)\-/ ",'J.f:>A 00 Receipt Number >f-' Building Permit Fee -t- ~ DID A. II c\[l, Received By , r4 0 Cf.S State Surcharge ~tl(\ \'\\~. V l:-\ ~1I\o,C\~ TotakFee (A) Plans Reviewed By ~ v Date SYSTEMS DEVELOPMENT CHARGE (SDC) ,!BAR 0+ (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N" ~ Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + 3.o/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust -Hood Vent Fan N" FEE \\ On cO \ '--oD CD \~ro \I ~ &:l ~ S1) 0.. . cf) Wood Stove/Insert/Fireplace Unit Dryer Vent ~co Mechanical Permit \ \ n SO \lJ CO \ L~ '?J ~f'J B.") Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk '7D Curbcut r() {(J ft " rDn .'3.) ,3 qo ft Demolltfon State Surcharge \~_ ~\\\ ('\.. ~~\"iOo0 ~cD Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding elect"c~3-q"QA (A, B, C, D, and E Combined) " Systems Development Charge is due on all undeveloped properties Within the City limits which are beIng Improved ADDITIONAL COMMENTS "lwb\J(\ fI X , ",~A 0 11 ':n. ~ Y x:v 04\. ~(\\\~)[ fl SPD \ C\ loG . ~I\~\: \. \ ,Q.,r-,C' ./ " By signature, J 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 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 701055 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 SIgnature Datp VALIDATION r~ RECEiPT NUMR~R . \\n'3~ DATE PAID' _ ~;)\~'7 AMOUNT RE~V~ ~3J,4. 19- ' RECEIVED B~ 7J(f:():. _/1 . ATTACHMENT 81 . lOB NO. 1.5' 01.2 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY ,;/~k i.JI f LOCATION "54-82 ~ JJ~ DEVELOPMENT TYPE ~;C!-) BUILDING SIZE '.OT SPF SQ Ft. 1 .STf1RM nRATN~ IMPERVIOUS SQ FT .2..3 (,,:r 2 SANTTARY SFWFR-CTTY NO OF PFU'S If" (See Reverse) 3 TRAijSPORT A TT ON X $0 209 PER SQ FT $~d --'" X $43 26 PER PFU ~r~..6!> NO OF UNITS X TRIP RATE X COST PER TRIP I X j, 0 I X $436 19 X X $436 19 ~~CJ.>~ $ X X $436 19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4 ~ANTTARY SFWFR-MWHC NO OF PFU' S I f x $17 19 PER PFU + $10 MWMC ADMIN FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ IQIAI -MWHC snc SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3/ f' ? :? $ $ /-5 $(2q ~./~ - -- $.2.",,0,-':,34 /5/2 f!-,z 5 AnHTNTSTATTVF FFFS 05-~ ;::; ~o""Z507 BASE CHARGE (SUBTOTAt ABOVE) X 05 ~~- /~ . Date Ha y Hormg, P ~ ~:,~~\.\o~~n~~c9&l'qs ~~~~~%Lf\torrtdl~ 5\C\ \9l2 .'\0 '^~\\\LWd OLUeA OOG.DQLL~ ~J(\ ~ck~5DI?1 __~\S lh ~d\{.R.(erdL.~\\0.Ni:o.LfLtall:e.n<::j. ecm~))lt.)Qd") .2-/3-? 5 ,2-/5'.f? TOTAl snc 5 'b '6,01- {~ 1. :c.:..3 'l:- r () FIXTURE UNIT CALCUL. .ION TABLE: Number of New F,xtures X UOlt EQulvatent (NOTE For remodels, calculate only Ihe l'iEI addItIonal 'IXtures) NUMBER OF NEW FIX lURES . FIXTURE TYPE Bathtub Ollnklng FountaIn Floor Dram . Interceptors For Grease/Oll/Solrds/Ete Interceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Mobile Home Park Trap (1 Per Trader) Receptor For RefllgeratorlWater Statlon/Etc Receptor For Commercial Srnk/Dlshwasher/Etc Shower, Smgle Stall Shower, Gang _ Srnk. Bar, CommercIal, Residential Kitchen Urinal, StallIWall . Wash BaSIn/Lavatory, Single Toilet, Publrc Installation TOilet, Pnvate i'vhscellaneous I TAN; TORS .$/Nk . UNIT [OUIV ALENT 'Z. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ~ = Fixture Units FIXTURE UNITS 4' '2- 2.. .z. s:: /'7 CI'lEDIT CALCULATION TABLE Based on assessed value If Improvements occurred after annexation date In table, calculate cred,ts separates Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $346 338 332 321 306 292 273 ~ Cred.t for Parcel or Land Only If Applicable .' . Improvem~nt (If after annexatIon date) / / ~ z.. TOTAL FIXTURE UNITS = Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 "7,1''- X $ 7!S"'iiJ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) Rate per $ 1 ,000 Assessed Value $246 214 177 1 37 097 061 044 015 2c. z.3 ~ CREDIT TOTAL = $ zc. .2.3 " , 'I