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Home My WebLink AboutPermit Building 1994-7-11 LOCATION OF PROPOSED WO~K: _ ~q 7Z Jr'?",,,,o' r->A- 'c::,d. ASSESSORS MAP: / B - ,.., z.. - C>.~ -;2'3 /</ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 LOT: . SPRINGFIELD BLOCK' -;/ OWNER. dN'~V/J"'_ ..t.?rZCJ~l).Ji{' ~Y-<kmh<'1-- ADDRESS:: ri' ;?/.5lV t'.-/~~C-C;> ce k" .e:,,">_ CITY: ~/Z.<ilf9~ ~ STATE: _rP"F) .JOB NUMBER G4m~s 225 Fifth Street Springfield, Oregon 97477 TAX LOT: / C:>C:> t9 SUBDIVISION:~~.../ ==A-r>--:S- PHONE: /'<// ...C:>5r!Y? ZIP' o76.>? DESCRIBE WORK: ./:?7fi".//O.-=-A7?J-7'-/.#"'~ ~.//5'::;;- ,;;;:J,......A.-'?~&?~ NEW --- REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME . J GENERAl' G>~7~k...=~ PLUMBING: /0' -+' ADDRESS/, /J .5C7.zfi.h/97~/ CONST, CONTRACTOR' %'Y?rZ N /.. MECHANICA" ELECTRICAL . ~,P...,;. ?..e..=U' A-/ QUAD AREA: .1&",~.. ~~ . OF BLDGS: OCCY GROUP: . OF STORIES: , WATER HEATER: v - OFFICE USE'- \ \ s=:() _... . OF UNITS: \ CONSTR. TYPE: \ uJ t::L.-- ~ ~. ' EXPIRES //4Z-9T o'/ PHONE '7.2'" -2/ 7/ \ LAND USE: HEAT SOURCE: RANG'" N FLOOD PLAIN: ZONING CODE: tDfU <~ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: \4t'f\ To request an inspection, you must call 726.3769. This Is a 24 hour reLcordlng. Alllnspectlons requested before 7:00 a.m. will be made the same working day, Inspection's requested after 7:00 a.m. will be made th~ following work day. REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are \ excavated. D Masonry - Steel location, bot:1d beams, grouting. ~ Foundation - After forms are erected but P'l<r\t~~nf'.e~e placement. ~~ D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to insulation or decking. D Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. f'tfsanitary Sewer - Prior to filling Ti"'\trench. ~Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. D Rough Mechanical -' Prior to cover. tfl)OU9h Electrical - Prior to ,\cover. ~ D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~Framinq~ D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of,unit. fJurbCUI & Approach - After forms are erected bU, t prior to . placement of concrete. ~idewalk & Driveway - After excavation is complete, forms and sub-base mate~ial in place. D Fence - When co~pleted. D Street Trees - When all required trees are planted. . D Final Plumbing - When all plumbing work is complet.e. Winal Electrical - When all : l electrical WrnStN81ttLJ D Final Mech~~all mechanical work is complete. ~ Final Building - When all required Inspections have been approved a~d uildin is completed. DOther MOBILE HOME INSPECTIONS f\iiJBlocking and Set.Up - When all \ blocking Is complete. ~ Plumbing Connections - When ~ home has been con nected to water and sewer. ~ Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home Is connected to the service panel. ~ ~ Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed. " ... . , . Lot faces lOI sq, fig, Lot coverage Topography Tolal heigh I " - ... '"....... BUILDING PERMIT t~ ITEM Main Garage ~carporl . cm'~ft~ ) , Total Value Bu"lIding Permit Fee Slate Surcharge TOlal Fee . lol Type , , .';!,\', J.~:!~'j~l. ..'~' (I: .,1: , "I~ Setbacks' PL. HSE GAR ACC I N Is Iwl lLL_~ Interior Corner Panhandle ',", Cul.de-sac X $/SQ, FT. ~ VA~UE . 4~ \4..\U A.1 \cB 4Yf'() ~l.o-~ (q8Lo~) '- ~ ,::0 a.~-r .rb (A) P>l oH Q.; SYSTEMS DEVELOPMENT CHARGE (SDC) 12.00". &)3 PLUMBING PERMIT ITEM Fixtures Residential Balh(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit Stale Surcharge Total Charge (B) FEE N' ~oo ;!s'.au c9~.CD FT, FT, FT, 9..s ,CO ~~.'lS (C) ., P> I.(X) Furnace MECHANICAL PERMIT Exhaust Hood Vent Fan Dryer Vent Wood Stove/lnsert/Fireplace Unit N' Mechanical Permit Issuance State Surcharge Total Permll Mobile Home MISCELLANEOUS PERMITS (D) ./ e; State Issuance State Surcha~ Sidewalk ..v /fI Curbcul a~ fI Demolition State Surcharge 1()5~ ~(){V ~.t5+ 5.f)fJ r?J. \~~.r15 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~ ~;,l. \ (A, B, C, D, and EComblned) .U ..S THE PROPOSED WORK IN THE 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, Ihls application must be signed and approved by the Historical 'Coordinator prior to permit Issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ' " This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the Cily 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 Fep. Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~-tll. .\~\L\\QU ~~-M4,~'/ \C\'lq 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 don'e in accordance with the Ordinanc~s 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 .Bulldlng Safety Division. I further certify that only contractors and employees who are In compliance wllh ORS 701,055 will be used on this project. I further agree to ensure that all r~quired Inspections 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 on the site at all times during construc~ 7 <(_-- Slgnatu,"'----',-- (" ,c:' CJ -~ Dat~7 II, /r;?9Y VALIDATION: "l (j /) ( RECEIPT NUMBER' r&L.--\O DATE PAin ( ). ) \ ~ . AMOUNT REC&,IViD, d~-lQ.Q? RECEIVED BY mm J . fi 1!Y}!~!!!i!!~!!!; . Job No. q4aY7~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NMlJ\clLt\ "l--\\ ,t~\a - ~\ lINt lit-' _ PHONE..I}4-I ~,h ADDRESS: 2D\~ ~D~0nY"sTATE:~IP~ LOCATION OF ~ROPOSED BUI\,Q!~SITE: f\ \ _."........ .... r.... ) , Street Address if Known: t=)~ fl ex. -W~ eX Platt ~ame:GD\ili n Ux-YTax Lot Number. l~' 020 ~ 2~01Cff) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the backJ A. Sinl!le Familv - Detached Single family home NO OF UNITS \ B. Sinl!le Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. 10anufadured Home Park NO OF UNITS WPRD SDC 1 Manufactured home not in a park cfJ $4fl(). . X $400 PER UNIT F, X $370 PER UNIT = '$ X $277 PER UNIT = $ X $280 PER UNIT = $ $L\fD~ $'€:/ $ 4CDt?0 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) i) ~A tl\ )L Community Services Divisio City of Springfield f} I II I Cl4 Date . . JOB NO. 9 "10 9 -I.S- " CITY OF SPRI NGF I ELD SYSTEMS DEVELOPMENT C/lARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NANE OR COMPANY: j/~ ~ ~ /lzt..-ud lOCATION: S-&J72. ~M.1 (~.~ ~. DEVELOPNENT TYPE: ~ ~ ~ ... ~~~ I IT .. / BUILDING SIZE: (S.2. ',<.n')r(/r,.' x Z2.' )... LOT SiZE 1. STORM DRAIN~GE t>j:V(IS'x"Is'j SQ. Ft. HIPERVIOUS SQ. FT. ;2. f3/ X $0.203 PER SQ. FT. ~ ........... ~ 2. SANITARY SEWER-C ITY NO. OF PFU'S /? X 542.08 PER PFU ~ rSl.f;j (See R.everse) ~ 3. TRANSPORTATrol~ NO OF UNITS X TRIP RATE X COST PER TRIP / X /,0/ X 5424.31 X X 5424.31 ~ "1.z~,~ '-- -- S X X 5424.31 s 4. SANITARY SEWER-NWMC NO. OF PFU'S / If X 515.125 PER PFU + 510 MWMC ADM FEE S .2~2.2.S- (Use PFU Total From Item 2 Above) \ }....~=--- MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL S S-/..2.3 TOTAL-MWMC SDC ~~ '- ---- (ADD ITEMS 1.2,3 & 4) S 1910.S-1 5. ADMINISTRATIVE FEES . BASE ~GE};U~AL ABOVE) X .05 ~ ft~ . 7-;r-'1~ / \jKiF B:.:r . SDC Coordinator 6 qs:r?l ~ TOTAL SDC S 2ooG..o:l fixTuRE UNIT,CALCU~ION TABLE: r~\JmL'N 01 New Fi'llJ1eUl1il Ec;ui\'al.:'l1t = Fi,1ufa UnilS (NOTE: For remodels. c...llcuI3:C only the NET ;!~h.ij:ic'H1.11 fi...hJl\.'~') uUI.mEn OF L':oIIl' FIXTURE FIXTURE TyPE NEI'I FiXlU"ES t:Ol'l\'/,LErJT UNITS Balhlub.............,.. ..........',.. ,.,.....," "".,.. .,...' ,.,.." ..,'..' Drinking F ounl:tin...... ....... ...... ....... .......... ...... .... ....... Floor Drain"",.."'..,..""".,....".""'.""'..."""'..,..."..,., In!ercepton; For Graasa/Oil/Solids/Etc................. Interceplon; For Sand/I,uto Wash/Elc......,:.......... Laundry Tub/Ootheswasher......,............,....,.......... aotheswa~er . 3 Or More..,.............,.................... Mob~e Home Park Trap (1 Per Trailer).................. Recep!or F9r Rerrigeratorf\^later Station/Elc........ Receptor For Commerclal Sink/Dishwasher/Etc.. Shower, Single,StaIL...............,..............,.....,........... Shower, Gang.............,...."........................,..,........,.. Sink, Bar, CommerciaL....,......,..,.....,....,.................. . Urinal, StallfWall...................,..........,...."......,........... Wash Basinjlavatory, Single.........................,........ Water aoset, Public Installation............,................ Water Ooset, Prr..ate,...................,......,................... Miscellaneous: .2.. " "1- .I J G 2 G 6 1 J 2 l/Head 2 2 1 6 .; 2. I ~ 'Z 2. 2. l?' TOT/-,L FIXTURE UNITS = I? CREDIT CALCULATION TABLE: ~ate cre-j~s separates. I I Sased on assessed value. If imp:ovements occurred after annexation date in table, = Rate per $1,000 ~ ( Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0,28 = S-/, 2 3 = --- = $ < /. 2-3 Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or beiore 1930 1981 1982 1983 ' 1934 '1985 53,21 3.13 3,08 2.96 2,82 2.63 2,51 . 1935 1937 1938 1989 1990 1991 1992 .. Cted~ for P~rcel or Land Only If Applicable Improvement [d after annexation dale) 3..2. / X, S /,$-. '1(.0 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE , Resident ial......,......... ................ .......... ,............. 0.4 Commercial....,...................................,............. 0,9 Industrial, ........., ..........,.. ,..',.......... ....'", ............ 0,45 Governmenlal......................,............................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT