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Home My WebLink AboutPermit Building 1992-5-28 FiE'SIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Ollice: 126-3759 . . JOB NUMBER 0'lOd\-1o 225 Fifth Slreet Springfield, Oregon ~7477 TAX LOT: , CYJ{ rfO"J LOT' BLOCK SUBDIVISION' ~ OWNER'Df\N ~C\.\. nlliu-LQ ) \\\ "-l~ 0 9. (\J PHONE: i/j lo-H~.:s~r ADDRESS B.~ run. Lf - :'(\, . CITY: ~~ STATE:\\)\ ~ ~~ ZIP: L\-rt II DESCRIBE WORK~ 9 ()>- r1 Q nncDL <..00 r1-1 f1~ Ul.\,J}ffi /J::ruurl., NEW REMODEL ADDITION'~ DEMOLISH OTHER U -0 ~1:OJ:t ~ CONST, CONTRAC~S-NAM'C-,..; f\ V. (\~~~RESS a' J,..." -d CONTRA0rOR N ~~Er PHON~ " CENEnAL'_ ~_ tn~9XlWlJL_~\0_L~-UXS_V~_~'~\ Jil_ ~ffjfp,-- I'LUMBING: ~Q.~~.}____________ -' \~\5..:..9~,____ MECHANICAL: __ - Lt\ t]QrWO.' _. f\. ) ELECTRICAL: _ __ I...:.!.J.J.A OUAD AREA &~\\)0 II OF OLOGS: _ J OCCY GROUP: _~~ . OF STORIES: WATER HEATER' - OFFICE USE - LAND USE: -1-\\ \ - N OF UNITS: \. I CONSTR. TYPE: V N HEAT SOURCE: \ LM RANGE" FLOOD PLAIN: _\ ZONING CODE: _ill_f) N OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: -lc2-a ) 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 lTl<ldc the same working day, inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric d Site Inspection - To be made ~ tlfter cxcaviJtion, hut prior to selling forms, 3eT~ D Unde..slab PlumbingJ Electrlcall Mechanical - Prior to cover. ~Footing - After trenches arc ~xcuv.ah.!d. I~ Masonry - ~tcCI location, bond beallls, uroutlllg. "K::;( Foundation - After forms arc ~crccled but prior to concrete placenlcnt. D Underground Plumbing - Prior to filling trench. ~ Underflook.elumbi~Mechanical ~_ Prior to 1k~UIGl"Vn or decking. K:/f Post and Beam - Prlor to floor ~Insululion or decking. "'K7f FI,oor Insulation - Prior to )C>o.l decking, D Sanitary Sewer - Prior to tilling trench. D Storm Sewer - Prior to filling lrench. [J , Water Lino - Prior 10 filling trench. lV"f Rough Plumbing - Prior to ~vcr. ...". REQUIRED INSPECTIONS ~Rough Mechanical - Prior to ~cover. ~ Rough Electrical - Pr;or \0 ~covcr. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp, ~ramlng - Prior to cover. ~ WalllCeiling l~lsulation ..:...- Prior to ~over. ~DrYWall - pribr to taping. D Wood Stove - Alte,r installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - Aller forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place. D Fence - When corilpletC(L , I D Street Trees ...:... Wh~n all required trees are planted. ~ Final Plumbing - When all .L6J...plumblng work is complete. K71 Final Eleclrical - When all ~electrlcal work is complete. K/r Final Mechnnlcnl - When nil ~ mechanical work Is complete. )v( Final Building - When nil ~reQulred Inspections have been approved and building is completecL DO.ther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to waler and sewer. D Electrical Connection - When blocking, set-up. and plumbing inspections have been approved and the hOll1o is connected to the servIce panel. D Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces Lot Type. Interior Setbacks I P,L. HSE GAR ACC Lot SQ, fig, Lot coverage Corner N .S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? "- "" Total height Cul.de.sac ~--- W IE If yes, this applicalion must be signed and ilpprovcd by the Historical Cooldinator prior to permit issuance. f Topography Panhandle BUILDING PERMIT so, FT, L~[)() X $/SO. FT, VALUE 5L!1ojJp.,p"Q() J ITEM Main Garage Carport m,~ _LU~ S,23 LZ2-~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) 111-0'7 ~ Total Value Building Permit Fcc State Surcllargc Total Fee (A) PLUMBING PERMIT ITEM FEE '1c)!'O Fixtures Residential Bath(s) NO Sanitary Sewer FT. ~ " Water \' FT. , .' Storm Sewer FT. Mobile Home Plumbing Permit _/.50 3/.'50 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' / ~~ Wood Stove/lnsertlFireplace Unit Dryer Vent Mechanical Permit MIN. _/ :=i.Cfv --'//7.,,"0 .75 2C:;.7S Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale Issuance State Surcharge Sidewalk It Curbcut It Demolilion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~~ APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition thnt \110 said construction shall, in all respects, conform 10 tho Ordinance adopted by the City of Springfield, including the DeveloS)lTlenl Code, reglllnting the construction nnd ur.e of buildings, and may be suspended or JCvol~cd at any tlme upon Violation of any provisions ~s~ oldll1ances. Plan CllCCk Fee: ~ I? ( Q . L.L:) Date Paid, ~ QD~~ Receipt Number ~4':S1 - Recelve~ Wvn Plan Revlewe~~ ~~q 2- Systems Development Charge is due on all undeveloped properties within the City Ii mils which arc being improved. ADDITIONAL COMMENTS PAi/-! .# r By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon is true nnd correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield. rll1d the LAWS of the StAle of Oregon pertnlnlng to the wc)rl< dC5criIJed herein, and that NO OCCUPANCY will be Ilwde of any structure without permission of the Building Safety Division. I further cerlHy that only contractors and employees who are in compliance with ORS 701,055 will be used on this proiec 1. I further agree to cnSlHC that all required inspections arc requested at the proper limo, that each address is readable from the treet, that the per it card is located at the front of the pr erty, and the ap ed s t on the sl at all tineUr /~nat Date c:: -::J f/.---q '2- t..-' - VALIDATION: RECEIPT NUMBER 4'''7/? DATE PAID ~-2 ~-?<...... AMOUNT RECEIVED ~~-S':";r-g RECEIVED BY ....---::? ~ r- -;"'7"" .,.d' CITY JO~ NO. 92.0 ",L/~ OF SItINGFIELD SYSTEMS OEVELOP~~ CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NANEOR COI'lPANY: GA-I2.Y if VA-'-U~~'-' , LOCATION: 14-I(A LAW^,f<ID(,~ 1'70 "b'Z-t7'21.. - 02-"00 DEVELOPMENT TYPE:~,L - A-T/D f 7'10"/ BUILDING SIZE: lOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. fT. "~5 X SO.186 PER SQ. FT. lL.L1 G. 1.~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S '7 X $38.55 PER PFU (See Reverse To Determine Total PFU'S) ls u.,.., ~I 3. TRANSPORTATION NO OF UNITS 'X TRIP RATE X COST PER TRIP -- . x X 5388.61 Is- I x X 5388.61 $ x X $388.61 $ (See Attachment C To Determine Trip Rates) I SUBTOTAl'(AOD ITEMS 1,2, & 3) $?~,".!!- 4. ADMINISTRATIVE FEES 'BASE, CHARGE. (SUBTOTAl ABOVE) X .05 Is I q -;~ I TOTAL-CITY SDC .$,tfO~~ 5. SANITARY SEWER-MWMC NO. OF PFU'S x 513.25' PER PFU ~ S!OMWMC ATh~IN. FEE $ - (Use PFU Total From Item 2 Above) ~lWMC CREDIT IF APPLICABLE (SEE REVERSE) ~_~L~ o - Kip Burdick SOC Coordinator 5 It:. ;-f"Y I ' S TOTAL-MWMC sac Is -e- I TOTAL SDC S ~5~ , ' ' FIXTURE UNIT CALCU~ON TABLE: Number of New Fi'1ures.x U~il Equivalent" Fi'1ure UnilS (I~OTf;: For remodels. calculale only lhe 1'L- dilional fi'1ures) . F . UNIT FIXTURE ',. NUMBEfl 0 ' .FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...............................................,.........,....n...... Drinking Fountain..:...:...................,...,....,..,",."......., . Roar Orain....:...,..:....:...:.....,........,...................,..,...:.' . Interceptors For Grease/Oil/Solids/Etc................. Interceptors For'Sand/Auto Wash/Etc.:........:...,." Laundry T ub/Ootheswasher................. '....n..........' Ootheswasher - 3 Or More..................................... MobDe Home Park Trap (1 Per TraDer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single Stall..........:....................................,' Shower, Gang............................................_.........' Sink. Bar, COmmerciaL.............- Urinal, StallfWall..................:..........-..-....-........... Wash Basinflavatory, Single._.._._ Water Ooset. Public Installation ,...-......... Water Ooset. Plivate..................._...._.._........ Miscellaneous:. ,- ,.'\' 2 1 2 3 6 ,2 6 6 1 3 2 1 /H ead 2 2 1 6 4 '2- I I I I <f TOTAL FIXTURE UNITS -, CREDIT CALCULA110N TABLE: calculate credits separates. I Based onasse~ro value. UlmprovemenlS occurred alter annexation date in .table, Year Annexed 1985 1986 1987 1988 1989 1990 . RateperS1,OOO. Assessed Value 'I 1979 or before 1980 1981 1982 1983 1984' Rate per $1,000 Assessed Value 52.66 2.64 2.53 2.41 2.19 2.04 S1.69 1.35 1.15 0.92 0.59 0.23 Year Annexed Improvement (If after ann~~;:_.. date) x S (Rate X Assessed Value) X S (Rate X Assessed Value) . CREDIT TOTAL = S Credit for Parcel or Land Only Ii Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL........................................,...,........ 0.4 Commercial................................,:.................:.. 0.9 IndustriaL..................................... ..... .............. 0.45 Governmental,..,...."..............,......,............,...... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE XRUNOFF COEFFICIENT