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Home My WebLink AboutPermit Building 1993-3-30 ;RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Olfice: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: ASSESSORS MAP: / /?, 0"2.. - t'c, &~;?, 02-- 2'2.- f-Ori.-L'f 77i1 A ~ LOT: 12.- BLOCK: ,,: D v. /) ADDRESS: " (,.,. / CITY:.E - r '" I~~ w~~ OWNER' DESCRIBE WORK' NEW K REMODEL ~:::..s/e ADDITION CONTRACTOR'S N~ GENERA,,?1/ ~ ~ -::J,h ~L 7';; _ .,,( PLUMBING' MECHANICAL: -L1 -- ELECTRICAL' STATE: tJ~ . 0/"1'/42 . ...;;..- DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 '. TAX LOT: 5600- SUBDIVISION' PHONE: ~ ~ / 7 S-cf ZIP: "1'7 -ro 4- CONST, CONTRACTOR' f; ~ ""? Q REQUIRED INSPECTIONS rtA Rough Mechanical - Pr!or to L.,.tS cover. 00 Site Inspection - To be made r7VI Rough Electrical - after excavatio.) but prior to ~4lU cover. selli~rms, ~~1YL ~,... T~ ~,A)<> '47, h . D ~nderSlab Plumbing/Electrical I r71 Mechanical - Prior to cover. ~ ADDRESS ',- 7;-.f'^.-. ~ A&._ ,7f-- / /' Prior to Electrical Service - Must -be approved to obtai n pmmanent electrical power. D Fireplace - Prior !o facIng materials and framing Insp. [Xl Framing - Prior to cover. IAl Wall/Ceiling Insulation - Prior to cover. Q!] Drywall - Prior 10 !a~ing. :l Wood Stove - A:ter :nstatlatlon. D Insert - f\fte. fireplace ap:Jroval ~nd In~:illl(ltion of unit. lXJ Curbcut & Approach - AHer lorplS an=! erected !'L!: ~rior 10 r!acc;n~iit ('If COf"clt-~te" EXPIRES /0r? PHONE r....8ff /7Sf - OFFiCE USE - OUAD AREA: _# 5C LAND USE: Ul/ FLOOD PLAIN' . OF SLDGS: I . OF UNITS: I ZONING CODE: L."'/)JI( OCCY GROUP: -IS-J ::t111__ CONSTR. TYPE: VM . OF BDRMS: n .~ . OF STORIES: I HEAT SOURCE: ;t./jj:J SECONDARY HEAT: ~ WATER HEATER: 9 RANGE: z:.. SQUARE FOOTAGE: 27rr-,9_ 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, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric ~ o Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. rvl Foundation - After forms are ~ erected but prior to concrete placement. 171 Underground Plumbing - Prior ~ to filling trench. r:.\71 Underfloor PlumbinglMech~nir:al ~ _ Prior to insulation or decking. IY1 Post and Beam - Prior to floor ~ Insulation or decking. 1\..-. Floor lllsulation - Prior to ~ decking. [Xl Sanitary Sewer - Prior to fllli0g trench. [Xl Storm Sewer - Prior to fitling trench. r7V1 Water Line - Prior to IIll1ng ~ trenct,. o Rough Plumbing -. ?Iior 10 ':over. I...~I Sidewaik l: DrivewlI\f - After excavation is cornplBte, forms and sub-base matGiiai in piact1. :--, Fenct: - Wn~;, ccmnlet.;:d. t":.- " ~ Street Tre{;s - When all re'1iJ!r<2d _--1 ;~2as arc f)!~0tf;C. . [Xl Final Plumbing - When all plumbing work Is complete. IVl Final Electrical - When all ~ electrical work is complete. ~ Final Mechanical - When all mechanical work Is complete. [;tl Final Building - When all required !nspections have been approved and building is completed. ~D Other " MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blockIng is complete. r" I Plumbing Connections - When home has been connected to w~ter and sewer. [J Electrical Connection - When blocking, set-up, and plumbing inspections have been approved ar"ld the home is connected to the s~f\'ice par.el. D Final - After all required inspections i'lfe approved and rorshes, skIrting, dBCks, ;!nd '1tJ'~:ing have heen Installed. \ Lot faces lot Type . ~ Interior ~ ~ Lot coverage ~~ Topography ~#. , Total height 1~1IY?- lot sq, fig. Corner Panhandle Cul.de.sac BUILDING PERMIT ITEM Garage Carport SQ, FT, ~,~ S 7r-, X $/SQ, FT. s(,; ~ Main '. THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinalor prior to permit issuance. Setbacks I PL HSE GAR ACC , ~jl_____ S 18/ I~-/~/'--== :E ItJ I 1__,_,_--, .___ _____ VALUE /23,$€!:. --':fjLZd..! <<; Total Value I~?-t Building Permit Fee-5"OSpO. -t62-~r _d'2.7~ '- ..'::l=,:u-. 23'1 c2.l4 State Surcharge Vjf"-.::;;;J _ Total Fee (A) -1:.i..J17 SYSTEMS DEVELOPMENT CHARi;;~DC) ~/P~#~' ~,~Ys) ~u PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit ~.I" 16D s,. /6$ ~ $..r$"o 'f ,GIJ (c?,,::l~ State Surcharge Total Charge MECHANICAL PERMIT Fu mace Exhaust Hood Vent Fan N' ~~ Wood Stove/lnser~ire91,~C-~ l'iT ~ S Dryer Vent ~?~~~ Mechanical Permit ~Z-~ /~,- Issuance pf/". Y4~ /4'.#+ I.~ ~~ ~~€~ . (D) 1lY.63 State Surcharge Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge ~qr ~ It ~S- :2..3.;5" It /~~e> /~"1t> Sidewalk <!?/ ~ Curbcut Demolition State Surcharge ~ A'IY: Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excludlrtf] electrical) (A, B, C, D, and E Combined) FEE ~z. $Z> ~ ;5l::> /.~? ~~./3 -t:- ,<S&> ~50 /7 .=- ~- -::?-. ~ 2.- --?..->..- d.- /.- -;z f.- .60 --.3)..a?:! ~Z~~ ~/."2.j APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction :5l1all, in air respects, conform to the Ordinance a~opted by the City of Springfield, including the Development Code. regulating the construction and use of buildings. ar,cl may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Cllcck Fce: -3.? ~. z. S- Dule Paid: RcceilJl r..JullllJer: ~~~ Date -, . tv ' Systems Development Charge is due on all undeveloped propertie~ within the City limits which arc being improved. ADDITIONAL COMMENTS _,g?~t 7 By signature, I slate anu agree, that I have car~fully ~xamined the complc,0d 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 Cll)' of Springfield, and the Laws of the Stale of Orewm pcrlaining to the work described herein. and that NO OCCUPANCY wi!/ be made of any slr;;cture wmlout permission of the Bullc':ing Safety Division. I further ccrtl iy that onl~1 contractors and cmploy.ces VlI10 .1ro In compliance with GAS 701.055 will be used on tllis project. I further agr'cc to ensure that all requireeJ inspections are requested at th~ proper time, that each address is readable from tllO street, that ~he permit card is located at the fronl of the property. and the approved set of plans will remain , on Ihe site at all times 'i~onst;u~ ;I Signature 11 - -/( 1J! 7 Dal" ----Y 20 9 s ' VALIDATION: RECEIPT NUMBER 7"1--/ ~ 7/~~/9.:? Q,~/.2-1 ~~- DATE PAIU AMOUNT r1ECEIVED RECEIVED F3f , .JOB NO. <1'.:>02.4'- "I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) i~.' 'r . : I \ r ,..;l~ ")'\0 11-1~ '.I,'.tJ1 ,f~ f. , 'I, :; " 'l~ . t , . .t~; NAME OR COMPANY: 17 1\ D +-\OM~S TtJ.c .i LOCATION: Co~'iI(", 1=n1Z.."?--('Tl+IA DEVELOPMENT TYPE: L-P~ - t-L!2-W ':>F-~ ,q,O-Z-O'Z-'2--'1... - S&oo BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. If 7, ~ 0 2. SANITARY SEWER-CITY NO. OF PFU'S 2-7 (See Reverse) 3. TRANSPORTATION LOT SIZE SQ. Ft. X $0.192 PER SQ. FT. ( 61'Z.10-cG4~~2., A-l> D ~ (!6 7. o:!- ~ ~(27/~ AOD -+- /Cj'{:J,?!: , - - . ' r' ~-403~ $-- - --' 0>- ~ X $39.78 PER PFU NO OF UNITS X TRIP RATE X COST PER TRIP X l,o-oS X $401.05 X X $401.05 X $401,05 $ X SUBTOTAL (ADD ITEMS 1,2, & 3) $ "2..("2;10\~ 4. ADMINISTRATIVE FEES JOTAL-CITY SDC ((\OCoc;i)-~~ -- ~/~--" '$ "Z.:Z..'?(., ~ I,~ . ::.--' BASE CHARGE (SUBTOTAL ABOVE) X .05 5. SANITARY SEWER-MWMC NO. OF PFU'S 2..? x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 7z...?2.~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V' . -g. LL ~1z-~/<j3 '~ Kip Burdick SDC Coordinator ~ L/q7!;: TQTAL-MWMC SDC~7~-20=?44 ~,...M .0"- TOTAL SDC $'"2?ID~ e'1 I . loT~ AM L 452 f'l SDl!- "/)Uo- _ _ FIXTURE uNrT CALCULATa TABLE: Number of New Fixlures X .qUivalent = Fixlure Units (NOTE: For remodels, calculate only the NET additional fixlures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS 3 2 <I- 1 2 3 6 2 Z- 6 6 1 3 2 l/Head 2 Z 2 1 :> 6 4 (7.- Bathtub.....,............. ,.......... ........ .......,.. .....................' Drinking Fountain.,.., ,. ...........,....,..,..,.....,.,....,."."..'. Floor Drain".."...,..,.."".,........."""....".".,......,.,...,..,. Interceptors For Grease/Oil/Solids/EIC............,.... Interceptors For Sand/Auto Wash/Elc................., Laund ry Tub /Clotheswasher,."."",..""."..."".,..,..,. Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Elc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall.........",....,.,...,..".".,.,......,."..,.. Shower, Gang,.........,..,......,...,..,."..,..,.........,....,...,., Sink, Bar, Commercia!.".."....,.,.."",."..,."",..,..,..,.., Urinal, Stall /WaIL....~,...........,.,.....,..,..,..,........,..,..,.., Wash Basin/Lavatory, Single.................................. Waler Closet, Public Installation.....,..,.................... Water Closet, Private".,.,....,.,.".",."."."""."".,.".." Miscellaneous: 2.- :, ~ TOTAL FIXTURE UNITS z:'? CREDIT CALCULATION TABLE: FCUlate cred::~;:~ates. I Based on assessed value, If improvements occurred after annexation dale in table, 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 Rate per $l'OO~l- Assessed Value $2.16 1.90 1.60 0.25 0,87 0,50 0,16 '. Rate per $1,000 Assessed Value Year Annexed Credit for Parcel or Land Only If Applicable Improvement (ff after annexation date) Z .9." X $ /7. t; 7 <f'f ?!:- (Rate X Assessed Value) X $ ~ (Rate X Assessed Value) = $ . (".;72:. CREDIT TOTAL ,,- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidenliaL..... ....................,..,......,.., ,.. ............ 0,4 CommerciaL.....................".....,...................".. 0.9 IndustriaL... ..... ...................,..,....... ... ,..... .......,.. 0,45 GovernmentaL................................................. 0.5 .' " IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT