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Home My WebLink AboutPermit Building 1993-7-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . . SPRINGFIELD . p;. JOB NUMBER ~o~7 225 Fifth Street Springfield. Oregon 97477 ~ LOCATION OF PROPOSED WORK: /,,?:2 ,.. ;:>7~ ASSESSORS MAP: '//~?-"::z;2-3/ A/Sz.... C::/..d>#I'29f~/' / ~ TAX LOT' '2 '9~-I-=? ----'<-..> , . LOT: -4': . - BLOCK: SUBDIVISIQN' ,.....~~ /~7'7T~ ~/7.~~~ r~ ?~"'J OWN~R' ._ ~4A"~..~ ~'._ lA... "~~. . PHON;:' ~~-..5<&";:S~ ADDRESS:~j/7,7,:/:)~J~..~.>-p .~. ~fl/r:-""'j ..~: F~~ STATE:_.oA - ZIP' &:??4/~r CITY: DESCRfBE WORK' h__.N~6'C:7 /I'/~X NEW .Y REMODEL ADDITION DEMOLISH ____ OTHER ADDRESS CONST. CONTRACTOR' EXPIRES . PHONE CONTRACTl'N NAME .. GENERAL: \ \.);.1 J~.J' PLUMBING' MECHANI~~'{\jmQ fl_Q ~r ELECTRICAL:/_ o\f\~ O-..::-~..\ 0 .ILl QUAD AREA \ R \\ )\0 . OF BLDCS: _.._ . \ OCCY GROUP \-<;,~~ JJ\ ~~ . OF STciRI ES: WATER HEATER: ,. ~~?5~~ - OFFI9-E p&.,E - LAND USE: \ l'J.-U . OF UNITS: ~ ) CONSTR. TYPE: V fI./ HEAT SOURC~;r--c:;.r.~C RANGF' FLOOD PLAIN' ZONING CODE: llO~ . OF BDRMS: _ ~-!- ':2..., - ~ SECONDARY HEAT: SQUARE FOOTAGE: $~ 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 ITwde the same working day. Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made Clfter excavation, but prior to setting forms. o Underslab PlumbingJ Electricall Mechanical - Prior to cover. ~ Footing - Afler trenches are J..,6J excavated, ' o Masonry - Steel location, bond beams, grouting. 'J"':7( Foundation - After forms are ~ erected t)ut prior to concrete plaCClTlcnt. o Underground Plumbing .- Prior to filling trench, ~ Undcrlloor_11lumbin~cchaniS)l ~ _ Prior IO"'nI.:ou'a,I()~r deCKing. ~ Post and Beam - Plior to flo()r ~sulalion or dcckinD. ~ Floor Insulation - Prior to ~decking. ~ Sanitary Sewer - Prior to fillirlg ~Irenctl. 'K"7f Storm. Sewer - Prior to filling ~ trench. ~ Water'Une - PrIor to filllflg ~ trench. , . ..(71 Rough Plumbing -' Prior to ~COVt:~ ' REQUIRED INSPECTIONS f":7f' Rough Mechanical - Prior to ~ cover. ~ Rough Electrical - Prior to ~ cover. ....... \ ~ Electrical Service -.: Musfbe ~pproved to obtain permanent electrical power. . ~ ... o Fireplace - Prior to facing materials and framing :ns.p. . . ~Framing - Prior to cover. ~ Wall/Ceiling Insulation - Prior to ~"'-co,'cr, . ~ Drywall - Prior to taping. o Wood Stove - After L'~ta'lalion. D I'nsert - After fireplace opproval and installation of unit. ~ Curbcut & Approach - Aller forms ale ercr:teu but .prii;.r to p[<,\ccrncnt of concrel.O:. ~ Sidewalk & Driveway - Altcr ~ excavation is complete, forms arll ~lIb-basC matulal In place. [--I Fence - When comp!'~lp.d. ~ S!reet Trees - Wlicll'.;11l r,:;:.qulled lr,~'2S are planted. ", . ~ Final Plumbing - When all IAlplumblng work is complete. lVf Final Electrical - When all ~ electrical work is complete. ~ Final Mechanical - When all ~ mechanical work is complete. rv1 Final Building - When all ~ required inspections have been approved and bL'jlding is completed. DOther MOBILE HOME INSPECTIONS ,-1 Blocking and Set-Up - When all blocking Is complete. CJ Plumbir'HJ Connections - When homc has been connected to water and SEwer. _ '---I 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, dec!~s, and venting have been installed. . . --. Lot faces Lol Type Setbacks IS rHE PROPOSED WORK iN l"HE Lot sq. ltg. ~'7 ~ ~nterior I P.L. HSE GAR ACC I HlciTOfllCAL DISTRICT. OR ON IN I THE HISTORICAL REGiSTER? Lot coverage ~ Corner I If yes, this application must be signeeJ /2.% Is /~' ! and approved by the Historical Topography Panhandle I lP~ Coordinator prior to permit issuance. z+' Iw Total height Cu:.de.sac IE b3 APPROVED' BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. = VALUE. Main ~/7.c 402 1b-;2&> 1~_:z.9~Z~ .t N ./'e> -4_5.2;.26 Garage Carport /~~~ ~"'lA.2.S ?-il!/ 5.7 2,.U> SYSTEMS DEVELOPMENT CHARGE (SDC) #> . (B) fI"1:70 '(('-/ '!E- PLUMBING PERMIT ITEM Total Val uc Building Permit Fcc State Surcharge Total Fcc (A) FEE Fixtures Residential Bath(s) N' 2. ')( 2.... 3~.oO Sanitary Sewer FT. FT. Water Storm Sower FT. Mobile Home Plumbing Permit State Surcharge /62fJO ~~~ Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood 2- N' ,d.. qpo /'2...00 Vent Fan Wood Stovellnscrt/Fireplace Unit Dryer Ven 1 ~ pi:' Z-. Mechanical Permi t 27 b-O /0.19,0 /.3S 3B_.3S Issuance State Surchargo Total Perrnil (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge 20.3S J1:~0 Sldewaik ..../-'7 -!3o It ft Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) 24.g~ 4=01+-- ~ I TOTAL AMOUNT DUE (excluding electrical) (A. B. C. D. and E Combined) I I: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is pranted on,the express cqndition that the said constructi,on Shall, in all, respects, conform 10 the Ordinance adopted by tne City of Springfield, inc:uding the Development C.ode, reculating the construction and use of buildings, nnd may be suspended or revoked at any time upon violation of any provisions of said ordinances, Plan Chock Fee: ~'2.". ~ Date Paid: _6 -'2 tjI'~ Receipt NUFnbcr:__9/.sit '3 Received . ,/7 ~~ ~ . . W~ 2Z.v/te"3 Pia ~evicwed By . 1--=-~~ Systems Development Ctlarge is due" on all undeveloped properties within the Ci!y linllts which a~e being improved. ADDITIONAL COMMENTS ,??J.....::..~y~ 5c::..-~- ./ ...........~-:> L""'~ ~ " . #J9~ e~7/&l"""~ krn&Y'#L- 7~~A #~~ By signature, I ~,tate and agree, that I have carefully examined: the comp18tcd. applic;:ltion and do here?y certi fy that all lnforrnation hereon i.s 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 Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wl'thout permission of the Building Safety Division. I furttler certify that only Gor1'l.ractors nnc employees who are In complianco with ORS 701.055 will be uzcd on this project. I iurther agree to ensufO that all required inspcctio,ns are requested at the proper time, that each address is re~dable from the street, that the permit card is located at the front of the pro'perty, and the approved set of !)lcJns will remain ~g~::u:~e :2mes dU;9 G;:t,/on Date ~/- 2,{, - 93 q (01-1 RECEIPT NUMBER ----;')7 . ~. DATE PI-.ID __L"G;I...10,q ;::..., '_ AMOur.,T f!ECEr~ :tt-)I 'i,)JC-,_. RECEiV:oC BY .1::;2)-~(;Q _ ~ . VALIDATION: ,,_ ' 0.::.,. -e .NO. q'l;:Jo?YS 7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCfAL & RESIDENTIAL) NAME OR CONPANY: :JANlF:.S 13 LA gLJE LOCATION: 777, 4 77(P tJ. r..LOVI';~/..E.ItC: CooP DEVELOP~lENT TYPE: fYlo IZ. - AI,::; tIJ DUPLF':.x LOT SIZE 1/ () '?1-1-? I - z.q~o I. ~(JoO . . BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S 32.- (See Reverse) 3. TRANSPORTATION SQ. F t. L.,,?q?..- X $0.192 PER SQ. FT. c: "IS,} 2"0 ~ ....-- X $39.78 PER PFU Gt1.77..q~ .~ NO OF UNITS X TRIP RATE X COST PER TRIP 2. X l.ooS X $401.05 C:YOG> :!- ) ........ .....- X X $401.05 $ X X $401.05 $ SUBTOTAL (ADO ITEMS 1,2, & 3) $ 'Z?~B-;~ 4. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ------------ TOTAL-CITY SDC $ -z."'''''5l-~ 5. SANITA'RYSEWER-MWMC NO. OF PFU'S 72. x $13.62 PER PFU + $10 MWMC ADMIN. FEE $I..N-5 8'f (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) 7~L'c.k (., 07 /q3 , Kip Burdick /' /. SDC Coordinator $ Ze, I~ TOTAL-MWMC SDC~q~ . TOTAL SDC $ "2;,034- 'f0 FIXTURE UNIT CALCULA& TABLE: Number of New Fixtures x.qUiValent ~ Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) r'- -. .~. FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub.............. ................ ....................... Drinking Fountain.......... ........................ Floor Drain..................... ...... ... ......................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub / CI otheswasher................................... 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 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 7 2. '-f. <-/. TOTAL FIXTURE UNITS FIXTURE UNITS ...f. <-I- '-I- l.f f(. :'2 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred alter annexation date in table, calculate credits separates. Year Annexed Rate per $1.000 Assessed Value 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 -Z . '6 ~ X $ _ q. 1.-? ~ '2 G. '.:!. (Rate X Assessed Value) Improvement (if after annexation date) X $ - . = (Rate X Assessed Value) =$z./I~ CREDIT TOTAL ... ] $2.16 1.90 1.60 0.25 0.87 0.50 0.16 J 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