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Home My WebLink AboutPermit Building 1995-6-6 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOT NEW SPRINGFIELD BLOCK ~ QSDlol6- JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT n\rTX...) SUBDIVISI~ Gr\5\~ PHONE M4 lnC\ln! (') ZIP q'14/191 CONTRACTGf\S~ NAME GENERAI\ CJ.)('u \d On f nt, PLUMBING 9~ ~ rt \.'hllQ l \ MECHANICA' , Q:\("'1 l \r\ j) n f i1-t-, ELECTRICAL ,)..[.\ Q~ C;:io~) CONST CONTRACTOR # QIJ0Dx S \1 ~\ q'LW'K ) ~ Inhl"\-S PHONE q? -'3lo\d')2. \o~3 5\\ \0 q i3fdo02- 4-l<;; 2J~q ADDRESS EXPIRES 1\ 2.QJ\ln C\ \~ G..\n ') 2q Off} C\ <\ qS - OFFICE USE - QUAD AREA '" ~0.(I _ LAND USE -.-11 , I FLOOD PLAIN # OF BLDGS I # OF UNITS f ZONING CODE ~ OCCY GROUP R~+M CONSTR TYPE utU # OF BDRMS ,'3 # OF STORIES I HEAT SOURCE (1)1-1 SECONDARY HEAT 0 WATER HEATER E" RANGE F____ SQUARE FOOTAGE II o~ ~ To request an inspection, 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 o Site Inspectaon - To be made after excavatIon, but prior to setting forms o Underslab Plumbing/Electrical' Mechamcal - Prior to cover ~ootmg - After trenches are excavated o Masonry - Steel Jocatlon, bond beams, groutIng ~undatlon - After forms are erected but prior to concrete placement D Underground Plumbing - 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 , ~nltary Sewer - Prior to fllllng 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 Electrical - Prior to cover ffi:lectncal Service - Must be approved to obtain permanent electrical power D Fireplace - Prior to facIng materials and framIng Insp ~amlng - Prior to cover ~all/Celllng Insulation - Prior to cover Q-DrywaU - 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 ~Sldewalk & Dnveway - After excavation Is complete, forms and sub base material In place D Fence - When completed D Street Trees - When all required trees are planted ~lnal Plumbmg - When all plumbing work Is complete t~....__ ~Inal Electrical - When all electrical work Is complete ~lnal Mechanical - When all mechanical work Is complete ~mal BUIlding - When all required Inspections have been approved and bUilding IS completed DOther MOBILE HOME INSPECTIONS D Blocking and Set Up - When all blocking Is complete D Plumbing Connections - When home has been connected to water and sewer D Electncal Connection - When blocking, set up, and plumbing Inspections have been approved and the home Is connected to the service panel D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed Lot faces Lol TYPE -V Int~nor Lot sq ftg Lot coverage Corner Topography Total helgh~ U InS' '\ ~ BUILDING PERMIT so FT \ \-:\3 ,5\.JLO Panhandle CuI de sac ITEM X $/so FT 5\.071) \'\ \[) Main Garage Carport Total Val ue Building PermIt Fee State Surcharge -\- ~ D;D Total Fee (A) I PL I IN Is Iw IE VALUE 1o'2:>\.rff1- 'l <6C\lD ,\\~1jD .....moo A'lC\Q. 0f')\Oq~ SYSTEMS DEVELOPMENT CHARGE (SDC) 1/3 (B) 1ft,:,p,p, ~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home ----' ~~""-~Iumblng Permit State Surcharge + 3.0/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total PermIt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surchar~ Sidewalk f)l) ft Curbcut 911 It DemolitIon State Surcharge \~_ \l\{\C\ \)n~ FEE \1 On ~ \ \.Q()CO \:.4. '?D II~ &J t.\ Sf) q,cD ~co \\0 SQ II) co \ 2:,?J ;:} '7 63 ~o s{) \~ ~U 6J)cD Setb'lcks HSE GAR I ACC I I I I I ,S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON tI THE HISTORICAL REGISTE~ 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 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 proviSions of said ordInances Plan Check Fee Date Paid ~ ~ Receipt Number \.\.\'Jt-.' Received By . ~ ~tlD \'\\~,\I tJ Plans Reviewed By -. Date Systems Development Charge Is due on all undeveloped properties within the City limits which are beIng Improved ADDITIONAL COMMENTS ,,'to t.DC\. ~ r , ","1 A 0 II 'Uit.t'\/ lMT, IlsPD \5\.{\ \\ ~)( '. \ C\.lo() - ~(\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 certlfl 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 GRS 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 ns will remaIn , 'in e site at~.1I t es dUring c tru I Ig aturp ., _~ .. alA /.ry' d"'--- - -( ,.'J ,- VALIDATION ~ RECEIPT NUM~ER ~.Y l?~ DATE PAID V) ~,G{-) AMOUNT REC~:J, rJ.....~ (ff::\, \ ~ RECEIVED BY D\(D)~ J Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrlcal~O (A, B, C, D, and E Combined) 1 NO. q5o~7)( CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY I-IAYDE3.N E,.rrERf"!<-iSES L..Jc LOCATION. ?'Z-lS \"( C.l-/t/2..0~€-E3. DEVELOPMENT TYPE L-/7J.C.. - NE=.vJ SFR BUILDING SIZE f '6 0 7-0 (p 1-1 - 0' ()tJ-O LOT SIZE SQ Ft I STORM DRAINAGE IMPERVIOUS SQ FT NA 2 SANITARY SEWER-CITY NO OF P,U'S /'6 (See Reverse) 3 TRANSPORTATION X $0 209 PER SQ FT C-8-~ X $43 26 PER PFU G77f';(.J..) '---- .-/ NO OF UNITS X TRIP RATE X COST PER TRIP / X / 0/ X $436 19 G 4M~ ) ~ X X $436 19 $ X X $436 19 $ 4 SANITARY SEWER-MWMC NO OF PFU'S /'i{ x $17 19 PER PFU + $10 MWMC ADf1 FEE (Use PFU Total From item 2 Above) $ 3/"14-3- TOT AL -MI.JMC SDC $ 2<.,2.3 G~ ~ $ /5/2. 4-2- MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) o ,~J.:~ (j Klp Burdick SDC Coordinator X .05 Date. ~ /Z3/tf&j , / TOTAL SDC G 75'0; '-- ~ $ / S BB 04- " FIXTURE UNIT, CALCULA TIQ_N TABLE: Number of New FIxtures X Unit EquIvalent = FIlcture Units (NOTE For remodels calculate only the wi' - additional fIxtures) NUMBER OF 'UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub Dnnkmg Fountain Floor Dratn Interceptors For Grcasc/Od/Sohds/Etc Interceptors For Sand/Auto Wash/Ete Laundry Tub/Clothcs\.,rashcr Clothcswashcr ~ 3 Or More MobIle Home Par, Trap (1 Per Trader) Receptor For RefngeracorNvater Statlon/Ctc Receptor For CommefCIal Slnk/Dlshwasher/Etc Shower, Smgle Stall Shower, Gallg Sink Bar, Commercial, ReSIdentIal KItchell Unnal, Stall/Wall Wash Basm/Lavatory, Single T Ollet. Publ'c Installation Tollel, Pnvatc MISCcllzlncou-, 1.. Z- Z- lOl/\L II lU'~ U,''iTS 2 1 2 3 G 2 G 6 1 3 2 l/Head 2 2 1 G 4 4- 2 Z- 7.- B \'6 CI1EDIT CALCULATION 1 ABLE B"sed on assessed value If Improvements occurred after annexation date III table -:alcul1lc credIts scp3r3lc~ YC<F Annc>..cd 1979 or before 1980 1981 1982 1983 1984 1985 [{,1te per $1 000 ^<;scsscd V3luc $346 338 332 321 306 292 273 -'I y(..:~ /,nnc..:;J 1985 1986 1981 1988 1989 1990 1991 1993 GenG per $1 000 I\sscsscd V <Jtuc $246 2 14 177 137 097 061 044 015 1..b2.~ CredIt for Parcel or Land Only If Applicable Improvement (If after annexation datel ~ 4'" X $ ,. ? 8 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 2"'-z...:;: