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Home My WebLink AboutPermit Building 1995-4-17 ASSESSORS MAP 1\\ OWNE~I)r\QJ\ f'ntoy-(j\~ .1~(\' ADDRESS 9:,Ci\'s=l ~\.J ...--=<.? nf\ '-J).J~ CITY .h~1\ d\r\~ Q ~ N. STATE I ~\ (1i\ r DESCRIBE WORK ~\ f\.f)\O K(\D\, ~ !.l, "~~lD~ f\c~ NEW ..........- REMODEL ~ADDIT\ON DE~IS~ RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 726-3759 LOT ~ SPRINGFIELD BLOCK OTHER '3. e1'1 JOB NUMBER 4 t;/) LU?J 225 Fifth Street Springfield, Oregon 97477 . TAX LOT, OJ'{l1JO SUBDIVISlooml IrQS\ G,rlJ\r).,Q.m PHONE 1\44 InC\ln I /) ZIP C{f"\41]?! CONTRACT~~_NAME ADDRESS GENERAL\ ~ Y1onf:f\~ PLUMBING 9~ ~ ri \:rili.~ t \ MECHANICAL' :[\("11 Ill. j) (\ f 1Il+, ELECTRICAL' AU ~ C; ~ CONST CONTRACTOR # qlJ 0 ()~ CS \17>1 q '2-:21)'(, , -loBl<\-S PHONE qJ '3ln\~ \O~~ 51\ \Q QZ3000Z- <\-1 s 2J~q - OFFICE USE - EXPIRES ~ 20. a.11J C\ \C\ o,\() f) 2q Cito C\ '\ qS QUAD AREA '- ~",r _ LAND USE {II I FLOOD PLAIN # OF BLDGS I # OF UNITS { ZONING CODE Ul!'2.- OCCY GROUP Q~+.M CONSTR TYPE U;U # OF BDRMS c'3 # OF STORIES I HEAT SOURCE (1)/-1 SECONDARY HEAT 0 WATER HEATER E~ RANGE f__ SQUARE FOOTAGE II(J~~ To request an inspection, you must call 726-3769 ThIs Is a 24 hour recordIng All Inspectlons requested before 700 a m will be made the same working day, Inspectlons requested after 700 a m will be made the follOWing work day o Temporary Electnc o Site Inspection - To be made after excavatIon, but prior to settIng forms o Underslab Plumbmg/Electncall Mechanical - Prior to cover ~ootmg - After trenches are excavated o Masonry - Steel location, bond beams, groutl ng ~undatlon - After forms are erected but prIor to concrete placement o Underground PI...mblng - Prior to filling trench ~nderfloor PlumbIng/Mechanical - Prior to Insulation or deckmg ~ost and Beam - PrIor to floor Insulation or decking ~Ioor Insulation - Prior to decking ~nttary Sewer - Prior to filling trench ~torm Sewer - Prior to filling trench r1--Water Line - Prior to filling u.::r trench Gd10U9h Plumbing - Prior to cover REQUIRED INSPECTIONS ~OU9h Mechanical - Prior to cover ~OU9h Electncal - Prior to cover ~Electrical ServIce - Must be approved to obtain permanent electrical power o Fireplace - Prior to facing materials and framing Insp ~ramlng - Prior to cover ~allJCeiling InsulatIon - Prior to cover Q-DrywalJ - Prior to taping D Wood Stove - After InstallatIon o Insert - After fireplace approval and InstallatIon of unit G;:urbcut & Approach - After forms are erected but prior to placement of concrete G"'Sldewalk & Onveway - After excavation Is complete, forms and sub base materia! In place o Fence - When completed o Street Trees - When all required trees are planted ~lnal Plumbing - When all plumbing work Is complete ~Inal Electrical - When all electrical work Is complete ~lnal Mechanical - When all mechanical work Is complete ~Flnal BUlldang - When all required Inspections have been approved and bUilding IS completed o Other MOBILE HOME INSPECTIONS D Blockang and Set Up - When all blocking Is complete D Plumbing ConnectIons - When home has been connected to water and sewer o Electrical Connection - When blockln9, set up, and plumbing Inspections have been approved and the home Is connected to the service panel o Fmal - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed Lot Typt Setbacks Interior I PL IHSE'OARIACcl IN I I Corner Is I Panhandle Iw I Cui de sac IE I Lot faces Lot sq ftg Lot coverage Topography \t;(1 Total height -L.L ( In6') BUILDING PERMIT so FT \\~3 "t:) ~ 0.0 ITEM X $/so FT 5\.o7D \'\. \[) VALUE lo'3\.!'A- '1 ~a, to Main Garage Carport Total Value 1\\~fjD ...moo Af)c\~ Or')to 0.'6. Building PermIt Fee State Surcharge T ~OID Total Fee (A) SYSTEMS DEVELOPMENT CHAaGE (SDC) if, (B) I'?Be,O~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' c0. Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + ~o/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" FEE tl 00 cD I. ~d) C:D \~m \-'~73J "\ c::., () q,cD Wood Stove/lnsert/Flreplace Unit Dryer Vent ~cD Mechanical Permit \to SQ \nw I L~?J ~ 5.'3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surchar~ Sidewalk f7l) Curbcul c:QLP ft r!.)O.~ ) l~qO It DemolItion State Surcharge \..~.s.>_J'\_ \J\l'\ f\ \)~\~OQ0 dJ.)cO Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrtCalplbl.31 Cf1 (A, B, C, D, and E Combined) ./ IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON '" THE HISTORICAL REOISTERQ _l \ D. 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 City 01 Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon vlolatlon of any provIsions of said ordinances Plan Check Fee Date Paid ~ ~ Receipt Number .(? , Received By ... ~ t'I\j\\ \\\~, \ l W Plans Reviewed By . v . Date Systems Development Charge Is due on all undeveloped properties Within the City limits which are being Improved ADDITIONAL COMMENTS ,,'1.0 b'o(\ fI Y , '" ~A 0 u 'h ~ \' J:v u4-r, ~\\\\t)l fl. sPO \ ex. LoO " " " - ~(\~h \ By signature, I state and agree, that I have carefully examined the completed appllcatlon 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 01 any structure without permission of the Bullding 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 af the property, and the approved set of plans will remain ~::"::.:'jJ=;4~ Datp Jf :6~ 0~ VALIDATION l1'..-yJ RECEIPT NUMBER \ \t1:1 I t.-- DATE PAID 4, \ l qc., AMOUNT RECElVEfP c:03Zdt. F1 RECEIVED BY ~\ NA...-/ v - NO. Of 50 L/-Ll9 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY f.-lAYD~N E/-,\'-cl2-Pl2-t'7E.S LOCATION, ~"'? '-'7:> C+-H::.l2-o\LE-E. DEVELOPMENT TYPE: L- D ~ - "-.! fSlAl S,Fg. 1<;1,6'2-0Go'2-\ - 07..7.-00 BUILDING SIZE LOT SIZE SQ Ft 1 STORM DRAINAGE IMPERV IOUS SQ FT t{.A 2 SANITARY SEWER-CITY NO OF PFU'S I<?, (See Reverse) 3 TRANSPORT A TI ON x $0 209 PER SQ FT Ctr~ X $43 26 PER PFU G--n6~?) '--- /' 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 SANITARY SEWER-MWMC NO OF PFU'S 11S x $17 19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ :::'1<=\4-7.. TOTAL-MWMC SDC ~~~2 '2.9~ I~ ~ $ {S 1'2.- 4-'1-. MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) k:::2..~ ~Lk (J Kl P Burdlck SDC Coordlnator X 05 Date- 4 h /qS . , TOTAL SDC G 1<:> ,,~ ~ $ 1'55604- FIXTURE UNIT CALCULA "0N TABLE: Numbcr of Ncw F,xtur (NOTE For remo"dels4 calc'(.I1atc only tl J..EI additIOnal fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Umt EqUivalent = Fixture Umts Bathtub _ _ _ Dnnkmg FountalO Floor Dram Intcrccptors For Grcase/O.I/Solids/Etc Intcrceptors For Sand/Auto Wash/Etc Laundry TublClotheswasher Clotheswasher - 3 Or More MobIle Homc Park Trap (1 Pcr T rallcr) Receptor For Refngerator/Water Statlon/Etc Receptor For CommercIal Sink/Dishwasher/Etc. Shower, Single Stall . Shower, Gang .. , Sink Bar, CommercIal, Residential KItchen .. . .,. ..... Unnal, StallIWall . Wash BaSin/Lavatory, Slllgle TOilet, Public Installation TOilet, Pnvate Miscellaneous 2 '2- z. TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 FIXTURE _ UNITS 4 2- 2- z. '6 \'b CREDIT CALCULATION TABLE Based on asscssed value If Improvements occurred after annexation date In table, calculate credits separates .~--- Year Annexed l1ate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $346 338 332 321 306 2.92 273 1985 1986 1987 1988 1989 1990 1991 1993 Rate per $1,000 Assessed Value $246 214 177 137 097 061 044 015 2'" z. 3 Credit for Parcel or Land Only If Applicable 3'!'-(.,. X $ -r 'S 2> (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (of after annexation date) ~ CREDIT TOTAL ~ $ '2(" z2