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Home My WebLink AboutPermit Building 1993-9-9 .. . .- RESIDEN,TIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK: _.!lX'3 ASSESSORS MAP: LOT: _~'::ID , OWNER: CITY: SPRINGFIELD . JOB NUMBER ~3\~ql. 225 Fifth Street Springfield, Oregon 97477 BLOCK: TAX LOT' SUBDIVISION: naJ, 7}) LP (~ STATE:~ DESCRIBE WORK:~ ~ ~j~_,-+- p~ &J ADDRESS: '_.23-~-~. ~ NEW x REMODEL ADDITION DEMOLISH OTHER CONST, CONTRACTOR' ~ t;7)~Lj , ~'30IJn t;' (;70 'it-:J... '-:w - '-lil GENERAL: PLUMBING: ~~;;:~~::L2ft::r~ OUAD AREA: jBJ\) l~ . OF ElLDGS: \ , 0 ""::l...J._)J\, OCCY GROUP: ..!:.:\.\......LL . OF STORIES: -.--;-ls WATER HEATER:__ - OFFICE USE - LAND USE: ~ ~ \ \ .. OF UNITS: \ CONSTR. T'IPE:.J..l..c..f\,) " HEAT SOURCE: f="'u RANGE: _ G PHONE: 3ur-Lf ?,~.=? ZIP:~I EXPIRES i-qLf (P-1~ ~-qlj \D-q~ PHONE 3115-<./31.fl (pRJ?-IY.3.L 7'l1"-)/,, /7 (08'& -~L FLOOD PLAIN' ZONING CODE: Lrl~ . OF BDRMS:~ SECONDA,RY HEAT: SQUARE FOOTAGEry{ tJ { tJ L To request an insp.ection, you must call 726-3769. This is a 24 hour recordIng. AlIlnspectlons requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work aay. o Temporary Electric o Site Inspection - To be made after excnvation, but prior to setling forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. . ~ Footing - After .trenches are ~ excavated. ' o Masonry - Steel location, bond beams, grouting. ~Foundalion - After forms arc ~rected but pripr to concrete placement. o Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS ~ Rough Mechanlcal- Prior to ~ cover, 'Z$rf,D etA; F,,IfJ, ~ ,..':"<;" Rougl,l E_lectric311 - Prior t.o cover.' . l5<! Electrical Service - 'rv.ust be .. ppproved to obtain permanent electrical power. o Fireplace - Prior to facing . materials and framing Insp. ~rraming - Prior to ,cover. ;::::7!"'Wal1/Ceiling Insulat.io.~ - Prior to ~cover. ' ~ Drywali - Prior to ~aplng, .~Undc~f1oOl'1:'lumbin~ ~hanic~ ~ _ Prior t~n orcrccKlng. 0 Wood Stove - After Installation. f")Zf' Post and Beam - Prior to floor ~nsutation or de<;king. ;;::::::;;r Floor Insulation - Pllor to ~decking. , 'C7f Sanitary Sewer - Prior to flIl,ing ~ lrenctl. , ' F\:II' Storm Sewer - Prior to filling ~ trench. ,rvrWatcr Line - Prior to flll1ng ~trench. rvrRough Plumbing - Prior to . ~ cover. o Insert.....:. After fireplace approval and Installation of unit. ~ Curbcut & Approach - Arter ft.rms arc erected but pllur to p:acement 01 concrell~. ~ Sidewalk & Driveway - Aller ~ excavation is completo, forms and sub.tJUse material In place. D F.::ncc - When complp.ted. ~Slmct Trees - When all l'eQuirecl ~tlP.CS are plan'ted. , ~ ~ Final Plumbing - When alt ~plumblng worl< is complete. ~ Final Electrical - When all ~electrical work is complete. J><1 Final Mechanical - When all _' ~..echanical work Is complete. ~Flnal Building - When all ~ required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Sel,Up - When all blocking is complete. D 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 i~> connected to the service panel. [] Final - After all required inspections are approved and porcllcs, skirling, decks, and venting have been installed. . ia3.QID 4.~7.LO . ~,.J']S" 2...,... 51 1.3~ SYSTEMS DEVELOPMENT CHARGE (SDC) .#3 (B) tlz,c./ 3'f'i!. Lot faces J!L IO/II{., Wo ~J Lot sq, fig. Lot coverage Topography Total height BUILDING PERMIT SQ, FT., ~052.. &rOC( ITEM Main Garage Carport -- Total Val ue Building Permit Fee If State Surcharge Total Fee PLUMBING PERMIT ITEM FIxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Lot Type ~Interior Corner Panhandle Cul-de-sac X $/SQ, FT, 5(.,,1.0 \..." ID (A) N' .z. FT. FT, FT, (C) Dryer Vent Wood Stove/Insert/Fireplace Unit N' 3 Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk 5&: fI Curbcut 30 ft Demolition, State Surcharge W'dAM""t........ )~ 0lJ.e.. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) . I P,L, IN Is Setbacks HSE GAR '")' liS' atl <) , ~~' ,,' }O' 'l(,' I w E VALUE 115,32.", 8''5' r7 FEE ~~o ~~ ./2;~~~ &::>0-0 . ..f. S' a, 1~ /Sd4P :? 8-0 .~7:.S0 /(}f)' <> J. !7t1 +1,3'b 1~70 /4.~O 4-mJ .frO -:z, <)~'~1 ACC I \ I IS! PROPOSED ~ORK IN ~HE .,." HISTORICAL DISTRICT, OR 01'< h i1 ' THE HISTORICAL REGISTE~ If yes, this,application must be signed and approved by the Historical <?oordinat~r prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This 'permit is granted on the express condition ttlat the ,said construction shall'-i-n all respects, conform 10 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: _3ilo, S'S- , _ !Y/'" A3 "r-Ome Pia s Reviewed By' Systems Development Charge is due',on'aIJ undeveloped properties within the City limits which are being improved. ADDITIONAL C,OMMENT~ '- ~ \ '. ~ -rl:-> ()\~ "- 9\"'r\Q~ '. \\rt-,~ \ \)(\lli \ "-- (\Ap~h~) .;s~~ . .~.... ..;........ By signature, I state and agree, that I have carefully examined the completed applic<1tion and do hereby certify that all i.nformation hereon is true and cor"rect, and I further certify that any and all work performed shall be done in accordance with the Ordinanct:s of the Ci~y of Springfield, ,and the Laws of the State of Oregon pertaining t9 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 7C?1.055 will be used on this project. I further agree to ensure that aq required inspectio(1s 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 :~g:::u::eat,af:~p ?]gt~ction 9 -C\ ":Q3 Oat'"" VALIDATION: nLJI!!!t RECEIPT NUMB,R (D10].r DATE PAID _ ( ). ( t! .G(..l..\. AMOUNT REC5iVErj -::) f)<4 P)9-,h RECEIVED BY "['J\ !J')r\... " ~~ . l'l.'J' ..! ~ Ill' - . . tl,. ~iI yy'inl!m!!~!!~ . Job No. 9.3/3'1: 7 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: /5t.U~..v ; ~~z.. PHONE: <4'5 - ~~4'7 ADDRESS: ~?:J,t:/AK.tu~ /?';:"');d.~~ STATE:.t')tf.ZIP q'7~/ LOCATION OF PROPOSED BUILDING SITE: Street Address if Known: q~ 3 ; ,:vR//~~f ~I.... J-s-r --10 Platt Name: ,A").4r,V l7".eE- Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.) A. SinQle Familv - Detached .v-Single Family home NO OF UNITS / B, ~inQle Familv - Attached NO OF UNITS C. Multi-Familv Aoarlment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT = $ 4rro "0 X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ foO CV 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) $ ~/~tIVJU- Comm'unity Services Division City of Springfield \D / Lo / q.s Date ~O., ~.. ~. e :'. ,JOB NO. 9 ~ , :.., 1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /E.L.-L-I &ON e; PLArZ LOCATION: q f:? f='A/I<W""Y PL. DEVELOPMENT TYPE: Lpi< - Alew SF=1e CaAl'!:rr.u. Lor t./o - OM::.. -r1<E.E, BUILDING SIZE: LOT SiZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ?:J1o ~ X $0.203 PER SQ. FT. (7q~~~ '- -- 2. SANITARY SEWER-CITY NO. OF PFU'S , (See Reverse) Icr X $42.08 PER PFU ~7qq 53) ............. .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /, Of X $424.31 X X $424.31 ~Z8 ~) '- -- $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S jq x $15.125 PER PFU + $10 MWMC ADM FEE $ Z"l1 ~ (Use PFU Total From Item 2 Above) , X $424.31 $ MWMC'CR~DIT IF APPLICABLE (SEE REVERSE) $ -e- TOTAL-MWMC SDC ~ """--- ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 'Z.? \ l?:, '.2. 5. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 V' .~, d~.~J.e.- elf I/?, /q-; GI Kip Burdick / f SDC Coordinator ~ 1\ c:. 91) '-- .-/ '-" TOTAL SDC $ 'Z.cf '?+ - -' FIXTURE UNli ,CALCULA TI-' ABLE: Numb~r of New Fixtures X U....uivalent = FlXlure Units !N9:rE..;. For remodels, calculate only the NET additional rlXlures) ..,.. NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub........... ........ .................. .......... ,................ ,..... Drinking Founlain....,..",......,....,..,.,....",......, ..........', Roor Drain,.......,..,........,....,......"".,....",..",..""..,..,.. Interceptors For Grease/Oil/Sollds/Etc........,......., Interceptors For Sand/Auto Wash/Etc,~,.............., Laundry Tub /Ootheswasher.....:...,:,...... :..., ....,: .~. ,'.. OOlheswa~.e!-. 3 Or More..................................... Mobile Hdme Pi!rl< Trap (1 Per Trailer).................. Receptor F9r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single ,SIaIL...................,....................,...... Shower, Gang,..............,........,...,....,......................... Sink. Bar, COmmercial................,............,........,...... Urinal, StalljWall......................"".."".."..,..,.......,..,.. Wash Basin/Lavatory. Single.................................. Water Oosel. Pubiic Installation............................, Water Ooset, Private,...................,'.........,..,......,...., Miscellaneous: J 2 1 2 3 6 .. ' /, 2 6 , , 6' , 1 '. 3 2 l/Head J 2 2 ? 1 6 2. 4 '2. Z; 2. 2. '7, <;? ',' TOTAL FIXTURE UNITS ("I CREDIT CALCUlATION TABLE: calculate credits ,separates. I Based on assessed value, If improvemenls occurred after annexation date in table. Year Annexed Rate per $1.000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3,13 3,08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 Credit~or Parcel or Land Only If Applicable ,,1f"provement (If after annexation date) X $ #.A (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $~A. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..................,...........,."......:.~.,.....:,..... 0.4 . CommerciaL........................,.....",..............,..,' 0.9 IndustriaL......................................................... 0.45 GovernmentaL....,...................,........................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT