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Home My WebLink AboutPermit Building 1994-7-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 OHlce: 726.3759 . ~ . . JOB NUMBERg41lfs I .~ 225 Fifth Street '-aJI Springfield, Oregon 97477 \t\.~~~ . TAX LOT:\11 n fY'i..JICX'Y SUBDIVISION' J:~ l ~f'\~: OWNEP' 0\\\ ~Q,f\ ?- f\'tO ffi\\~ !:\O.l) ~~(\('.pHONE: t \~ .\d--{ lolP ADDRE~: f!>l.\ ~ ~rJ ~~{J rYi Y "- ~tJ\ 00"1-' . CITy:~.Ji \i\ t f'\n.~.j o' V (V - STATE: ll\ 0 r)(C')1'\ ZIP: a 1'\ , <'f) '\ \\ ,\- DESCRIBE WORK: ~f\'l\..^ Q, ~Q N\1 V f +. \ ~Q J:\\O Qf\(')L, NEW Y REMODEL . ~ADDITION. DEM\g),ISH OTHER LOCATION OF PROP~Er;!...WORK: AA \ '1 ASSESSORSj.1AP' \'d..)~O\o("() LOT' <\-~ ) . BLOCI<" CONTRACT~~'~S I NAM E J ADDRESS. GENERAl.:...q'{).J. I\'t1. PLUMBING:. )fC\Qrt \ ):l\~OQ \ MECHANIC~'~ctOf'\ TN,. ELECTRICA;\'O\\ \ 0 A. f _~p'p~ ~ ) CONST, CONTRACTOR . ~\ 1IC\c;\ 5 \'\ ?{1 B\. ,\q~ t ()~'l~ q~~1d~ ~o~~t\ lo C\? "?).ldrW.- L\1~.A\~ QUAD AREA: ,~S,Q J . OF BLDGS' \ OCCY GROUP:, ~?, -\ "^' \ 9 -' · OF STORIES' WATER HEATER: - OFFICE USE - LAND use. \ \ \. \ · OF UNITS; . \ . , CONSTR. TYPE: 'IV [V HEAT SOURCE: '\D\-\ f..... RANGE" EXPIRES 1'").\,;\ , q.\.~. tj,\Q.. l\4 FLOOD PLAIN' ZO~ING CODE: ~\C..., ~ . OF BDRMS' SECONDARY HEAT: _. . SQUARE FOOTAGE: ..:: \~ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requesled before 7;00 a.m. will be made the same working day, Inspections requested aftar 7:0,0 a.m. will be made the following work day. REQUIRED INSPECTIONS r'iI1 R~ugh M.echanlcal ...:. Prior to ~ cover. D Tamporary Eleclrlc D Slle Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. l"Vl Footing - Atter Irenches are ~ excavated. . D Masonry - Steel 'location, bond beams, grouting. ~Foundatlon - After forms are erected. but. prior to'concrete placement. o Underground Plumbing - Prior to filling trench. ~ Underlloor Plumbing/Mechanical Ll>l-.Prlor to Insulation or decking. ~ POSI and Beam - Prior to floor L....1SJ Insulation or decking. [gj Floor Insulation - Prior 10 decking. fVl Sanllary Sewer - Prior to filling l.6.l. trench. ~ Slorm Sewer - Prior to IIIl1ng trench. ~ Waler Une - Prior 10 filling lL::::l.trench. r\/I Rough Plumbing - Prior to ~ cover. f'Vil Roug.h.Eleclrlcal - Prior 10 I....O.l cover. . ~ Eleclrlcal Service - MuSI be approved to obtain permanent electrical power. o Fireplace - Prior to facing malerlals and framing Insp. ~ Framing - Prior 10 cover. ~ Wail/Ceiling Insulation - Prior to cover. rzlDrywafl - Prior 10 taping. D Wood Slove - Atter Installation. o Insert - After fireplace approval and Instaflatlon of unit. ~ Curbcul & Approach - After forms are erected but prior to placement at concrete. ~ Sidewalk & Driveway - Aller excavation Is completo, forms and'sub--base material In place. o Fence - When ,completed. o Street Trees - When all required trees are planted. ~Flnal Plumbing - When all - plumbing work Is complete. . . I"Zl Final Electrical - When all lp.. electrical work Is complete. Ei!Flnal Mechanical - When all mechanical work Is complete. OJ Final Building - Whan all l..Z:l"i'equlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - Aller all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot facas Lot sq. flg. Lot coverage Topography _ Tolal helgh~~1 '\ BUILDING PERMIT ITEM .1 ~_ F'T. Main -1..\W ~lcO Garage Carport Total Value Building Permll Fee Slate Surcharga Tolal Fee L~t '~pe . .x Inte~lor Corner Panhandle Cul.de-sac X S/SQi) &. /4.10 (A !:? I\'):"~ 1\,!,;",:,~'j:.~.'I-!;:Ui!,~f<. ':h,,:,'i ,"" ,.... ;;\,"1;4.~, .,. , .. Setb leks. ... I ;P.L HSE GAR ACC. IN. Is Iw IE :~ :., THE PROPOSED WORK.tN THE. . . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approvad by Ihe Hlslorlcal Coordinator prior to permit Issuance. APPRove",. . J BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT nils parmlt Is gran led on tha exprass condition that the said construction shall, In all res peels, conform to the Ordinance adoptad by the City. of Springfield, Including the Development Code, regulating the conslructlon and use of buildings, and may be suspended or revoked al any time , upon violation of any provisions of said ordinances. Plan Check Fee: ,,: '\t-\ J ./ Dale Paid: . ~ Receipt Numberu V Received By: ~ ~~lw f). \~ % Date SYSTEMS DE~ELOPMENT CHARGE (SDCh . (B) ~O~~7 PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Slorm Sewer FT. Moblla Home Plumbing Permit Stale Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Venl Fan FEE H.oO.aJ L/r>UOO +80 +- S,a> (C) 172.~U N' ?-. Wood Stovellnsert/Flreplace Unll Dryer Venl Mechanical Permit Issuance State Surcharge Total Permit .50\ (D) MISCELLANEOUS PERMITS Moblla Home Slate issuanca Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcal) e~:J6.~ (A, B, C. 0, and E Combined) r!)')/{). _ J State Surchar9l\ Sidewalk ~l/ Curbcul rOCo ft ft Demolition S't'l(' surch'R~ C). , l<g h\ V$). ~UJJ 4.ffi q.CO .r~.OO llD .:SU I 0/50 .f3~ ~ rJ()W \~.q() , 4l)q? Syslems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~~ jf'r\ r-S _ &0 0 Q \ 'Xl'iLtv - \ ~~\', \("mJ (..u)1 ) "-- ~ f\1\.Q.K : \ q to n ~~ \ Wl\\nr{\f~~,w-~~\\~Nt _ \ M'l~HJ\O~ \~~f( _\.1\$\d.~ By slgnatura, I alate and agrea, Ihall have carefully examined the completad application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performad shall be done In accordance wllh Iha Ordinances of the Clly of Springfield, and the Laws oflha Slale of Oregon partalnlng 10 the work described herein, and Ihat NO OCCUPANCY will. be made of any slructure without permission of the Building Safety Division. I furlher certify Ihal only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections are requested al tha propar time; that each address Is readable . , from Ihe slreel, Ihat Ihe permll card Is located at the fronl of Iha property, and the approvad set of plans II remal n on Ihe. site al ~II W'es durln~stru Signature _ ~~/; ,_ Dal". J-) r4A I VALl DATION: ;") ,',"'''' "'"'Yf.~ / DATE PAID . '1 . ~ AMOUNT REceJ';D^ ~ . ~ RECEIVED Bf~ ) =-~~3S.n-. ATTACHMENT Bl ~B NO. CITY OF SPR~GFIELD SYSTEMS DEVELOPMEN"CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) ~..",.... C\4\CS \ N.AJo1E OR COMPANY: ;/-;4~.~, LOCATION: 3,)~ &-~ /)/? . DEVELOPMENT TYPE: 5~/? BUILDING SIZE: ~- 1. STORM nRATN~ IMPERVIOUS SQ. FT. ~/?"C; 2. SANlIARY SFWFR-CTTX NO. OF PFU'S IV (See Reverse) 3. TRANSPORTATTON I,OT SFj; ~ SQ. Ft. X $0.209 PER SQ. FT. $ ~S~, 1"'7 X $43.26 PER PFU $ 716'." '8" NO OF UNITS X TRIP RATE X COST PER TRIP I X /,01 X $436.19 $ ~4-o..>~- X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 4. SANlIARY SFWFR-MWMC NO. OF PFU'S /~ x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 31 '1, ~ 2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE> $ 3'?," C> . . IQIAI -MWMC SDC $ ~~"f:."'~ SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ I '1c.o, 92. 5. ADMINISTATTVj; Fj;F~ BASE C~ (SUB)J~OVE) X .05 ~~ ,ai~, Date: ~-/.;t-- 9'9 Aary r ;g, P.EV SDC Coo inator $ '1 Y;O$ TOTAl SDC $ ;205"~.? 1 B2.SDC . FIXTURE UNIT CALCULA TION TABLE: Number of New Fixlurcs X Unil Equivalcnt = Fixlurc Units (NOTE: For remodels, calculate only I~ additional fixlures) . . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS z 4 Balhlub..................................................................... . Drinking Founlain............ .............. ........................... Floor Drain. ........ ....... ................................................ Inlerceplors For Grease/OiI/Solids/EIC................. Interceplors For Sand/Aulo Wash/Elc.................. Laundry Tub/Clolheswasher......... ................. ......... Clolheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigeralor/Water Slalion/Elc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL................................................ Shower, Gang........ ..............................................:... Sink: Bar, Commercial, Residential Kilchen........................ Urinal, Stall/Wall..:.................................................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Privale....................................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 z.. / I "2. 2.. 2.. 2. l?' 17 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credils 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 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 y,-fr:. X $ /0.077-0 (Rate X Assessed Value) X $ (Rate X Assessed Value) 3~c; " ------ Credit for Parcel or Land Only If Applicable = Improvement (if afler annexalion date) = CREDIT TOTAL = $ ~60 r