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Home My WebLink AboutPermit Building 1995-5-30 LOCATION OF PROPOSED WORK ,,~onr\ ASSESSOR~M>P.......- \ SO~aOd \ LOT ~ BLOCK OWNE~t_\r\.Qi\ F'nt0Y'rn~ J~~' ADDRESS 'P:>LI\5l r:;.n~"=<.1) rv\ ,'lU o..o.:J CITY "-.~J\ Lf\~ ~ Q ~ N. STATE I ~~\ ~ lJ(\ DESCRIBE WORK ~\ 0..?) \ Q > (-\(\ fI\ I ~ l h \~~L\ ~ ~ NEW ..........- REMODEL ~ADDITION DE~ISH OTHER / / '7~ ~IOO RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 JOB NUMBER q~(JHQ I 225 Fifth Street Springfield, Oregon 97477 TAX LOT (rn( r ') SUBDIVISloom\ F G,()J\r\aC!S PHONE M4 lnCllo lfJ ZIP qfj4(1~ CONTRACTG{l,S NAME GENERAI\ C[.'{'u \{1 On f fiT, PLUMBING Y.ffi~~ ~ fi n"'Jlg 11 MECHANICA' , Q\r. I \r\. j) n f ..tilT, \ ELECTRICAL I AU ~ c;: ~ CONST CONTRACTOR # q10[)~ S \l~\ q t:2DR '!()bl-tS PHONE Q?3lo\d)L to~3 Sl\ \n Q23fo002- 4-lS 2J~q ADDRESS EXPI R ES '\ 2.0... C\lo C\ \C\ a...\o ') 2q Q{fJ C\ ~ C\s - OFFICE USE - QUAD AREA ~~~r. LAND USE --111 , FLOOD PLAIN . OF BLDGS I . OF UNITS I ZONING CODE ~ OCCY GROUP R ?,+}I\ CONSTR TYPE U,-U . OF BDRMS ,'j . OF STORIES I HEAT SOURCE 11) 1-1 SECONDARY HEAT 0 WATER HEATER S RANGE F--, SQUARE FOOTAGE If o~ ~ To request an Inspectlon, you must call 7263769 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 Electric D SIte Inspection - To be made after excavation, but prior to settIng forms D Underslab Plumblng/Electncall Mechamcal - Prior to cover ~ootlng - After trenches are excavated o Masonry - Steel location, bond beams, grouting ~undatlon - After forms are erected but prior to concrete placement D Underground Plumbing - Prior to filling trench [B-Underfloor Plumbing/ Mechanical - Prior to Insulation or decking ~ost and Beam - Prior to floor InsulatIon or decking W-:loor Insulation - Prior to decking ~nltary Sewer - Prior to filling trench ~torm Sewer - Prior to filling trench ~ater Line - Prior to filling trench ~OU9h Plumbing - Prior to cover REQUIRED INSPECTIONS ~ough Mechanical - PrIor to cover ~ough Electncal - Prior to cover ffi:lectncal Service - Must be approved to obtaIn permanent electrical power D Fireplace - PrIor to facIng materials and framIng Insp ~rammg - PrIor to cover ~all/Celllng Insulation - PrIor to cover Q-D-rywalJ - Prior to tapIng D Wood Stove - After Installation D Insert - After fireplace approval and Installation of unit ~urbcut & Approach - After forms are erected but prior to placement of concrete G"Sldewalk & Dnveway - After excavation Is complete, forms and sub base material In place D Fence - When completed o Street Trees - When all requIred trees are planted ~Inal Plumbln9 - When all plumbing work Is complete ~Inal Electrical - When all electrIcal work Is complete ~lnal Mechanical - When all mechanIcal work Is complete ~Fmal BUilding - When all required InspectIons have been approved and building Is completed DOther MOBILE HOME INSPECTIONS D Blockmg and Set Up - When all blocking Is complete o Plumbing Connections - When home has been connected to water and sewer D Electrical Connection - When blocking, set up, and plumbln9 Inspections have been approved and the home Is connected to the service panel D Flllal - After all required inspections are approved and porches, skIrtIng, decks, and ventIng have been Installed Lot faces Lot Type ~ Interior Lot sq Itg Lot coverage Corner Topography Panhandle \~, Total height ..L,.L QOI"f') BUILDING PERMIT sa FT \ \ ?J3 ~\QO CuI de sac ITEM X $/SQ FT 5\.o7D V\. \[) Main Garage Carport Total Val ue Building Permit Fee State Surcharge T ~ 010 Total Fee (A) Setbacks HSE GAR Accl I I I I I PL IN S W IE VALUE 1o'3~ r"j <6C\lo 1j\~f')D ,,~ 00 A'l c\.Q.. 01]\0 a.~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ ~ o4W (B) '\' \ <S e:, e, - PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' cQ. Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + 2P/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk t'/D Curbcut ~ It It Demolition State Surcharge '-~_ ~\t$'\ $O\;(O~ FEE \\oO~ \ "-DDCO I~'?D \I~ &J .; Sf) o...~ :;co \\n SQ IDCO I L~?l J. ') 63 c9n,~{J \~ CV) 4) cD Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrtCaI0J!.r-/f-..l.5:fl (A, B, C, D, and E Combined) ~ 0 THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON .... THE HISTORICAL REGISTE~. J \ n 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 permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the Clly of Springfield, Including the Development Code, regulating the construction and use of bulldJngs, and may be suspended or revoked at any time upon Violation of any proVisions of said ordinances Plan Check Fee Dale Paid \ "1:"'1,,)./ Receipt Number .(,> , \;"" Received By ~ \\\l0 \'\\~ . \ L l;\ Plans ReViewed By Date Systems Development Charge Is due on all undeveloped properties Within the City limits which are being Improved ADDITIONAL COMMENTS ,,'to b'of\ fI Y , "'- ~A 0 u "n CJ. '( ..tv ~\, ~(\\\~}.[ '1 sPO \C\loO - 0J(\m \ 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 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 turther certify that only contractors and employees who are In compliance With ORS 701055 will be used on thJs 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 III remain o~ at all times dUring construction S~M)~J;'Z: ~ ~.. r<j.~~ VALIDATION I <2f RECEIPT NUMBER t -:J V ~ /) DATE PAID S . ':<{ ) l..{~ ' AMOUNT REpE;jD. f.!A(~ . IC-(, RECEIVED B~~ if ,- , NO. 9<:>04-10\ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY \.-\P,YDE.t-1 '0../>.1 \E:-R-PIL\S~S I :G-lc LOCATION '?'?64 C~~~C::- 1 C:;SO-;2..Dfo-i:1 - 00(000 DEVELOPMENT TYPE LDt2-- - t-lE:-1Al SP~ BUILDING SIZE ~_OT SIZE SQ Ft. I STORM DRAINAGE IMPERVIOUS SQ FT IJ. A . X $0 209 PER SQ FT (-G-~ 2 SANITARY SEWER-CITY NO OF PFU'S \2, X $43 26 PER PFU ~ (See Reverse) '---- ---" 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ~ X \.0 I X $436 19 '-.. ./ X X $436 19 $ X X $436 19 $ 4 )ANITARY SEWER-MWMC NO OF PFU'S \ 'ZS x $17 19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From item 2 Above) $ ,:?\q 4-2. TOTAL-MWMC SDC $ 2'" z.2. ~ '-.. ------ . $ ISI"2.4!:- MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) ~~c~ SDC Coordlnator X 05 Date.4-f,?:>/'1S G l?~ --- .-'" TOTAL SOc. $ \'?eeo4- FIXTURE UNIT CALCULA T'0N TABLE: Number of New F,xtur< (NOTE: For remod~l;. caf::~lat~ only 11 ....EI additIOnal fixtures) NUMBER OF FIXTURE TYPE NEW FIXTUI1ES fOlt EQuivalent = Fixture Untts 7 Z- z.. TOTAL ,I",TUGE UI'JlI S UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 G 4 FIXTURE, UNITS 4- ? -z. 2. e \'b CREDIT CALCULATION TABLE Based on assessed value If Improvements occurred after annexation date m table. calculate credits separates Bathtub ..... Drlnkmg Fountain Floor Dram Interceptors For Grease/Oll/Sollds/Etc Interceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More. MobIle Home Park Trap (1 Per Trailer) Receptor For Refrlgerator/Water Statlon/Etc Receptor For CommercIal SmklDlshwasher/Etc. Shower, Smgle Stall. . ..... .... Shower, Gang. .... . . . . .. ....... ..... Smk: Bar, Commercial, Residential KItchen ..... . ...... Urinal, Stall/Wall . Wash Basm/Lavatory, Smgle T oliet, Public Installallon Toilet. Private Miscellaneous 'i Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 Rate per $1,000 Assessed Value Year Annexed $345 338 332 321 306 2.92 273 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1 ,000 l' Assessed Value $246 214 177 1 37 097 051 044 015 ? 4(." X $ -, <; 6 (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or Land Only If Applicable Improvement hf after annexation date) CREDIT TOTAL -z",z..:2. $ Z{..z.~