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Home My WebLink AboutPermit Building 1992-11-12 ....1 ,'..---'" RE~'IDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ofrice: 726.3759 ASSESSORS MAP' LOT' . JOB NUMBER _?-:z ~// 225 Fifth Slreet Springfield. Oregon 97477 ~~(~ (y_ TAX LOT: l n"{'ln ~U.ElQ\VIS~O'" U p~ 1l1f4- ~J)N('~#-'C:N.-tJ( ",.IZ.~ PHONE(Dlo -~ In -qll~ . SpnlNGFIELD OWNER: ~'Q)(l..(A s -erL. ADDRESS\O~ ~\fl.'\'\1\i9~\1'\)-~-U_ CIT}..\~{\<C ,("1\ )\\'7.\' STArE: ~ DESCRIBE WORK: ~aA.Q' : Yf\ ffi. 0_, ...t \ MJ\Zd Q f\(\O NEW REMODEL' ~, ADDITION DE~ISH OTHER ,- BLOCK' ZI pCf6{ O{{]lf CONTRACTOR'S NAME ADDRESS GENERAL: ,Q?n\.\ QI:::_ ~ . Cm\ <r9 PLUMBING: CON ST. lD I L\Sl~ q \1 0 F~ " CONTRACTOR' P ~PIRES \ PHONE _, d.~~A~ \7. ~ ~\ a lWif;f :J.\L ~ A' MECHANICAl' ELECTRICAl' OUAD AREA~ R n L ) . OF BLDGS: - I r-- OCCY GROUP: ]~t_t!.-I_ . OF STORIES: ___Iz:o WATER HEATER: -c ) - OFFICE USE - LAND US'E: ~lll . OF UNITS: _I I CONSTR. TYPE: Ji/V HEAT SOURC~~C7 ~u RANG E: ./ FLOOD PLAIN: , -. ') ZONING CODE: W ~ . OF BDRMS' ~ SECONDARY HEAT: SQUARE FOOTAGE: I ~ I \ To ruquct;( an Inspection, YOll rnu~1 CiJlI 72(j.~i769: TI11~n~""n 2.1'Ho"ur recordl'ng~ Alllnspcctluns 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 day. J5<CTempol'ary Electric [J Site Inspection - To be made after excavation, blll prior to setting forms. l' :'- h Underslab Plumb~ng/Electrlcall Mechanical - Prtor to cover. tV1' Footing - Aftor trenches are ~cxcavated. o Masonry - SI(H~1 location, hond bC31Tlg, groutino. ~Foundatioll - After forms are .L6..l ereclccl but prior to concrete placement. o Underground Plumbing - Prior to filling trench. lS7f' Underlloor~/Moch~lOical ~ - Prior to rll~urdLlon or decking. 1':71 Post and Beam - Prior to floor ~ Insulation or decking. rvr Floor Insulation - Prior to p..1 decking. ~ Sanitary Sewer - Prior 10 filling ~ trench. R"A" Storm Sewer - Prior to filling ~ trench. ~Water Line - Prlof to filling 0 J6J trcnch. R7I' Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS r\7f Rough Mechanical - Prio~: to ~ cover. ' ~.A' Rough Electrical - Prior to ~ cover. r\:A Electrical Service - Must be ~ approved 10 obtaIn permanent electrical power. . D Fireplace - Prior to facing materials ilnd framing Insp. ~Fr3lnino - Prior to cov~r. r.:5<fwall/Ceiling Insulation - .prlor to cover. , . '\ gDrywall - Prior to ta~frig. D Wood Stove - After In~>ta"atlon. D Insert - After fireplace approval and Installation of unit. r-:::7f Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. r9f Sidewalk & Driveway - After ~ excavation Is complete, forms and sub.base material In place. o Fenco - When completed. ~ Street Trees - W~len'all r~qUired l/ trees are plnnt!!d. .. ~Final Plumbing - When all plumbing worl( Is complet.c. ~Ftnal Electrical - When all ~ electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. ~Fi,;al Building - When ail J6..l required Inspections have been approved and buildIng Is complete(l. o Other MOBILE HOME INSPECTIONS D Blocking and Set. Up - Wilen 0.11 blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. j.; o Final - After ail required Inspections are approved and porches, zklrtlng, decks, and venting have been Installod. .... Lot faces -~ Lot TYPe- Lot sq, ltg, ~,., ~Interior Lot coverage ~g Corner Topography LJ. 9. Panhandle -/ TOlal height 11 Cul.de-sac .IS THE PROI'OSED WORK IN 'j'I'1E...; HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? Setbacks P.L, HSE GAR ACC ~--- 2.-_18' _ JI' ~__L____ E (p' (,' __1_1-___) BUILDING PERMIT SQ, FT. la2L ~? x $/5Q, FT, VALUE ~.~ 64-3Sa"~ LZ/~ _~L~VC' ITEM Main Garage Cmporl Total Value 4~S<~ ::2.~tJO -;;;;""", .- _)~_,?O 35-M Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) fIs J/. !>2- , ' . (B) 1I'J..'i<&'o- If yes, thlG application must be signed and approved by tile Historical Coordinator prior to permil issuance. API'ROVED: _ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernlit is ~Jranlcd on the expless cQ/ldillon ttwl the said construction sllall, in ;)11 respects, conformlu the Oldinancc adopted uy the City of Springfield, including the Development Code, rC~llJlaU/ln the constrllClio/l and use of uuildin{ls, and may bu suspcllded or revoked ilt any lime upon violation of any provisions of said ordin:lIlces. Plan Cllecl< Fcc: _2_L2._/C __~-7L__~~_ jt):/2.. - "l L Date Systems Development Cha/go is due on all undeveloped properties within tile City limits which are being improved. PLUMBING PERMIT ~ONAL COMMENTS ITEM FEE ~/I-l . Fixtures Rcsidcnlial Bath(s) N' ~ -L6C2.~ ~T L3J-~ lfJ( ) Sanitary Sewer FT, Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~"" Total Charge (C) jG!{I1, .tnJ MECHANICAL PERMIT Furnace Exhaust Hood 4.6() J 2. DQ Vent Fan N' ~ Wood Stove/Insert/Fireplace Unit Dryer Vent --3,q~ Mccllanical Permit /9.5() IO.D(} .98 3D.f6 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge SidewalK "2 Z. It Curbcul .2,'2. It }2,}O _1-3. 3D Demolition State Surcharge Total Miscellaneous Permits (E) ? '/"'. t;t!1 :21-2.(... -pO TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) By signature, I stale and agree, Ula.ll have carefully ex~uTljncd the completed application and do hereby cerliry that all information hereon is.true and correct, and I further cer~fy . t11al a.ny and all work performed shall be done in accordance. Witll the Ordinances of the City of Springfield, and ttle Laws of tile Stnte of Orenon pert:lining to Ille wOlk described herein, wHI that NO OCCUPANCY will .bf~ Illade of any structurc withoul permission or Ille Building SafeLy Divisi.on. I furlher certify that only contractors and employees who' me in compliance witll ORS 701.055 will be u~~ed on this project. I 1 further agree 10 ensure lhat all required inspI..lclions mc requested ilt the proper time, that each add reGS is rcad.1blc from the stroot, thai the parmi I card Is located al nle front of the pmperty, cJ tllO approved .sel of plans will remain t site at all ne uring construction. Xignatu . _ }.,,\. ~- <;) Date'~7~? VALIDATION" RECEIPT NUMBEFl h.7Vo/ DATE PAID /r/2~ z AMOUNT.FlECEIVEf1 <.L,I~. RECEIVED B~ +~ ~= . I..#~" . . NO. "Tz-r?II CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION: 8 ," DEVELOPMENT TYPE: BUILDING SIZE: L/t/!./!-Y S'ZE- FA-I !i!.Y' E:.W L-ve. - New SrI?- /70327 '-!-2-- ,,"00 .LOT SIZE ,SQ. Ft. 1. STORM DRAINAGl;. IMPERVIOUS SQ. FT. "2:2.. "1 \ 2. SANITARY SEWER-CITY NO. OF PFU'S I~ (See Reverse) 3. TRANSPORTATION , X $0.192 PER SQ. FT. C:t./-?>(poi) ....... -- X $39.78 PER PFU C;;'lD 6:1.-) "'- ---- NO OF UNITS X TRIP RATE X COST PER TRIP / X /,005 X $401.05 Gtfo?>o~ ) --- - X X $401.05 $ ~ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ ISSSt.:!?- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 (( 777!:.) " .-' ' TOTAL-CITY SDC $ /(,?2.'l5..L / 5. SANITARY SEWER-MWMC NO. OF PFU'S /<:6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ Z'5~:/~' (Use PFU Total From Item 2 Above) _0~~;k ?! Kip Burdick SDC,Coordinator # $ ?7~ TOTAL-MWMC SDC~17 ~ ...... ...... TOTAL SDC $ /51So S~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA'ON TABLE: Number of New Fixtures ,!,it Equivalent = Fixture Units (NOTE:' " For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT 2- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 Bathtub,.... ............ ....... .............. ................. ....... ........ Drinking Fountain. ............................... ......,....... ....... Floor Drain................................................'............... Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher.. ....... ...... ......... ........... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall,...,........,..".,...,..,..,..,.,..,...,....... Shower, Gang..".,..............,.....,..,.."."....,..".,...,...,.. Sink. Bar, CommerciaL,....,..,..,..".......,.."..."...,.,... Urinal, Stall /WalL.,..."...,...."..,.".........."..,..,.., ...,....,. Wash Basin/Lavatory, Single....,..............,.............. Water Closet. Public Installation,....................,....... Water Closet. Private..,........".,...,.....".".,..,......,....,. Miscellaneous: '7- '7. TOTAL FIXTURE UNITS = FIXTURE UNITS '-f 2.. z z. p, /P-, CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred afler annexation date in table, calculate credits separates. Rate per $1.0001 Assessed Value \ $2,16 I' 1.90 1.60 II 0.251 0,87 L 0,501 0.16 II 3/'7.2- Year Annexed Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2,60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 Credit for Parcel or Land Only If Applicable 2,'iS? X $ /-:;,7.-10 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL =$ 31'7~ = = Improvement (if after annexation date) - RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid entia!........,......,........ .... ...............,............ 0.4 Commercial,.."..,.............................................. 0,9 I nd ustrial,.."..,...,..,.........,..... ,.............,............,. 0.45 GovernmentaL..,.., ...,.,...,.. ..., .....,..,.................,. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT