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Home My WebLink AboutPermit Building 1995-11-13 LOCATION OF PROPOSED WORK ASSESSORS MAf \ 50~ao';\ \ LOT l \ BLOCK oWNE~ IN\U, ~'I\toy-m~ j~(\ ADDRESS 'F)q:s:::{ Dn ...~?nr\ '-J)J~ CITY "'~)\ \.f\Z\ ~ Q~ f'(). STATE ~\ G^" lJf\ DESCRIBE WORK ~\ f\l\\O , K() f'r\ I ~ I 1, ,--~..t'd.d G f\c'JL-.-..- NEW ..........- REMODEL ~ADDITION DE~_JS~ OTHER RESIDENTIAL PERMIT APPLICATION InspectIOns 7263769 Office 7263759 SPRINGFIELD JOB NUMBER QS('1o II 7 TAX LOT rJ\ \(Y) SUBDIVISI~j).l\ GnJ\noQS PHONE ~ InCllrd /J ZIP q f14 f) s::\ CONST CONTRACT~ME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAI\ ~<n\r0T' q1 'LDx ~ 1.~ D..tn Q?'3lo\dJ2. PLUMBING _ Y.. ~ ri \'hll Q t \ S\l~\ C\ \C\ 0.\0 to~3 Sl\ \n MECHANICAL' Q'\('l ~ j) n f 1\+, q 'L WR f) zq Qlo q i3ldoOZ. ELECTRICAL I 1\u cr l.~ .lnRl"\-S 0.. '\ C\S 41S ?L~q - OFFICE USE - QUAD AREA '- ~,,,r .. LAND USE --11 / I FLOOD PLAIN # OF BLDGS I # OF UNITS I ZONING CODE ~ OCCY GROUP Q~+M CONSTR TYPE U.AJ # OF BDRMS .'1 # OF STORIES I HEAT SOURCE (1)/-1 SECONDARY HEAT 0 WATER HEATER S RANGE F.-/ SQUARE FOOTAGE /{ O~~ 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, Inspectlons requested after 700 a m will be made the following work day D Temporary Electric o Site Inspection - To be made after excavation, but pnor to setting forms o Underslab Plumblng/Electncal/ Mechanical - Prior to cover ~ootlng - After trenches are excavated D 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 deckmg . Q-:loor Insulation - PrIor to decking ~nltary Sewer - Prior to filling trench ~torm Sewer - Prior to filling trench ~ater Lme - Prior to filling trench ~OU9h Plumbing - Prior to cover REQUIRED INSPECTIONS @:tough Mechanical - Prior to cover ~ ~OU9h Electncal - Prior to cover ~Electrlcal Service - Must be approved to obtain permanent electrical power D Fireplace - Prior to facing materials and framing Insp ~ramlng - Prior to cover ~aH/Celhn9 \nsulatlon - Prior to cover Q--D-rywaU - Prior to taping o Wood Stove - After Installation o Insert - After fireplace approval and Installation of unit ~urbcut & Approach - After forms are erected but prior to I placement of concrete ~Sldewalk & Dnveway - After excavation Is complete, forms and sub base material In place o Fence - When completed o Street Trees - When all required trees are planted ~lnal Plumbing - When all plumbing work Is complete ~lnaJ Electncal - When all electrical work is complete ~lnal Mechanical - When all mechanical work Is complete [g'Flnal BUilding - When all required Inspections have been approved and bUilding IS completed o Other MOBILE HOME INSPECTIONS D Blocking 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 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 Lot Type Setbacks '-- S THE PROPOSED WORK IN THE V- I PL , , , I HSE GAR ACC HISTORICAL DISTRICT, OR ON _ Interior IN THE HISTORICAL REGISTERQ _ n D Corner Is I If yes, this applicatIon must be signed Panhandle and approved by the Historical Iw I Coordinator prIor to permit Issuance Cut de sac IE I APPROVED Lot faces Lot sq ftg Lot coverage Topography Total helghtr;~ ~P2-' ') BUILDING PERMIT so FT \ \ ?J3 ~\Q.o ITEM X $/so FT .5\.07.0 V\. \[) Main Garage Carport Total Val ua ~ Building Permit Fee State Surcharge -;- ~DID Total Fee (A) VALUE lo'3Uf'rt '1 <60. to l\\~f)D ",mOO AfJC\p-' ;:)f)\ o.q~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) :if 1'5~B ~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO cQ. Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + ~ c:rD Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove I Insert/FIreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk '1' Curbcut ~ ft ft Demolition State Surcharge I.~_ ~\t\ f\ ~o ~ FEE \\ 00 PJ I. \.Df) CO \~?D \I ~ &:l ~ S[) qcD .':l, ro \ \ () SO \lJCO \ L~~ ~ f) 6.3 on.\ OS \ ~~ l\() 4) cD Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electncal)~l\{ ) \'t (A, B, C, D, and E Combined) 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 ..0 , Received By ~ ~()(\ \"(\crm: . \ I hi Plans Reviewed By - v . Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved ADDITIONAL COMMENTS "fwb'or\f\X ,...~A.OU'n~Y l:v LA+\. ~{\\\~)l fl SPa \ C\loD - 0Jr\}-h \ 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 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 tlme, 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 al imes durin con r. ctlon Signature Date VALIDATION J. 1- RECEIPT NUMBER r15C::J DATE PAID / I~I ~ q<, d AMOUNT RECEIVED :~J\- .~'1 RECEIVED BY _ (0 . -,',8 NO. '750C?i7 ., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY I-IAYDE-N El0iEJ?..P!<../SE.":::> Llc LOCATION. Q, 1-6 4- LH-E-(2...0 t:::-E- t OEVELOPMENT TYPE L-/7R. - NE-iN SFR BUILDING SIZE 1. STORM DRAINAGE )<:6 0 7--0(., '2-J - CJ!lo6 LOT SIZE SQ Ft. IMPERVIOUS SQ FT AlA X $0 209 PER SQ FT ~-8-) 2 SANITARY SEWER-CITY NO OF PFU' S 1<3 (See Reverse) X $43 26 PER PFU G77P;"~ '------ .-/ 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ~ ~ I X I Of X $436 19 "S 44055 ) ----- ~ X X $436 19 S X X $436 19 S 4 SANITARY SEWER-MWMC NO OF PFU'S I'l< x $17 19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ 3/q 4-3- I TOTAL-MWMC SDC $ Z("Z!!> ~ '------- ----- $ 15/'2- 4-2. MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMTNTSTRATTVj' FEES BASE CHARGE (SUBTOTAL ABOVE) _k~-f.,L . () Kip Burdlck SDC Coordinator X .05 Date: '5/1-""/"1'5 TOTAL SDC CC 75'S; $ IS ee 04- FIXTURE UNP;, G~LCULA T10l\! TABLE: Number of New Fixtures X Umt Equivalent = F,xture Umts (NOTE: For remodels I calculate only the", _ additIOnal fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub . Donklng Fountain Floor Drain Interceptors For Grcasc/Otl/Sollds/Etc Interceptors For Sand/Auto Wa~h/Etc Laundry Tub/Clotheswashcr Clothes washer - 3 Or More ~ Mobile Home Park Trap (1 Per Trader) Receptor For RefngeratoriWatu StatlOn/Etc Roceptor For CommercIal Slnk/Dlshwasher/Etc Shower, Single Stall Shower, Gang Sink Bar, CommercIal, ResIdentIal KItchen Unnal, StalliWall Wash BasIn/Lavatory, SIngle T otlet, Public InstallatIon T odet , Private MIscellaneous 1- Z- Z- 10Tr,L il lUf,!: U,''11S CREDIT CALCULATION TABLE Based on assessed value If Improvements occurred after annexatIOn date In table, calcul3tc credits scparalcs UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 FIXTURE, UNITS 4- 2 z. '2.-- 8 IB --I Gate PC! ~ 1 000 Asscs<;cd V<Jluc Year AnncAcd {latc per $1,000 A--,scsscd Value 'i 1979 or before 1980 1981 1982 1983 1984 1985 $346 338 332 321 306 292 273 Year !.....nncxcd 1985 1986 1987 1988 1989 1990 1991 1993 Credit (or PSfce! or Land Only If ApplIcable ImprovemenHlf after annexatIOn date) ? 4'- X $ ,. '58 (Rate X Assessed Value) X $ (Rate X Assessed Value) = CREDIT TOTAL $2 46 2 14 177 1 37 097 061 044 015 1-(, 2..2 $2~'Z-~