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Home My WebLink AboutPermit Building 1994-7-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 OHlce: 726.3759 . . ' J08 NUMBER q4\~ 225 Fifth Street Springfield, Oregon 97477 LOCATI~~ OF PROP~E~ WORK: &. ~A......'1 ASSESSORS MAP' \'Cl)'d.,O\,oC'Y) " 4\ . OW~E"': <1\~ <Lf\ r f\}::lJ {\'\ ~ ~(\(' PHONE: ADDREP~:~~t~~J ~ y\. CITY:U\ ,,)\ l r\ 1 ,\\10' {) lV' ,STATE: rz~1\ ZIP: 01'"\/7') DESCRI8E WORK: ~..~.q::~n.^ Q, ~() N\lV q, \ ~o l\\c1 Qf\0L NEW ~ REMODEL ,- ~ADDITION ' 'DEM~'SH OTHER LOT' BLOCK: CONTRA~'~ NAM~ C I ADDRESS' GENERAl.L.l)'Cu.1C 1 QI\ cI\1-'\., " PLUMBING' t~}f(\ Q rt \ P. ~ ~o Q 1 MECHANIC,!. : fu.-l..-\ t\ 0 f"\ y.N-). \ ELEcTRICA& cA\. \ 0 A T lo.~)U' (' .) CONST. CONTRACTOR # ~ lllQ~ 5 \'\?{) A\ I\C\~ \ ()~'l~ QUAD AREA: \.~ ~Q ~ # OF 8LDGS' \ OCCY GROUP:, ~ '3 -\ N\ \ '( ~ · OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: ,\ \ \ :~:S~::T~PE' 0 J HEAT SOURCE: U j\\ E-. RANGF' , TAX LOT:\lln ('y"'fJ..CX') SU8DIVISIONl J~\ l ~ t \ '-\L\ . \ cf--\ loCo EXPIRES f").\~ . q.\~. 1).\ Q.. Q4 q~~tt~ \o~ .~\, Lo q~~'ldcW"' 41"5.A\?fl FLOOD PLAIN' ZONING CODE: li)\(..... . OF BDRMS: ?J'.e:J SECONDARY HEAT: SQUARE FOOTAGE: ~d). ~ To request an Inspection, you must call 726-3769. This hi a 24 hour recording. All Inspections requested belore 7:00 a.m. Will be made the same working day, Inspections requested alter 7:00 a.m. will be made the following work day. , , , o Temporary Electric ( O Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to COVer. 1':71 Footing - Alter trenches are ~ excavated. . o Masonry - Steel 'location, bond ,beams, grouting. ~Foundatlon - After torms are erected. but- prior to.concrete placement. o Underground Plumbing - Prior to filling trench. rt7'I Underfloor Plumbing/Mechanical ~ -,Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulation or decking. r&J Floor Insulation - Prior to decking. IVl Sanllary Sewer - Prior to filling ~ trench. r:g] Storm Sewer - Prior to filling trench. ' f'Vl Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to IaJ cover. ~\ REQUIRED INSPECTIONS r\7\ R~ugh Mechanical ~ PrIor to ~ cover. f'Vil Roug'hElectrlcal - Prior to LA.l cover. . ~ Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facIng materials and framIng Insp. ~ Framing - Prior to cover. ~ Wail/Ceiling InsulaUon - Prior to cover. r2l,DryWall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval end Inatallatlon of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - Alter excavation Is complete, forms and sub.base material In place. , o Fence - When completed. o Street Trees - When all required trees Bre planted. ~ Final Plumbing - When all - plumbing w9rk Is comple!,e. I"Zl Final Electrical - When all ~electrJcal work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r::::l1 Final Building - When all ~equlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o 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 porch os, skirting, decks, and venting have been Installed. Lot faces L~t~pe . .x InterIor Lot sq. Itg. Lot coverage Topography _ Total height ?-t ) BUILDING 'PERMIT ITEM \~T. Main J.. ~l J\ Garage ....) (V Carport Corner Panhandle Cul-de.sac x $/SQi:) &. 14.10 Tolal Value Building Permit Fee State Surcharge Total Fee '.,' " ..~. ~~~,. \' :1~ ~'r-;'I:.t.;i~.tJ.s';..;i!.:GtJ. .':h.:'1 .'., . . ...... ;r.~.'~, Setbacka ' HSE GAR Acc'l I I ... THEPROPOSED WORK.tN THE _ ' "HISTOI;lICAL DISTRICT, OR ON THE HtSTORICAL REGISTER? If yes, thla application must be algned and approved by the Historical Coordinator prior to permit Issuance. .l'P.L. 'I ' ". '. " N' Is Iw IE :~ SYSTEMS DEVELOPMENT CHARG~i~g.Cl (B) &t~~f) '115'JO 34(,f" ~ /011+ ~ (Al :3nlo.Q'J- ' PLUMBING PERMIT ITEM Fixtures Residential 8ath(s) N~ ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home FEE i/.tJO.CO Plumbing Permit State Surcharge Total Charge I (oU.OO +80 + B.CXJ (C) /72.g() MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge .50\ Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State issuance State SurchHIJI\ Sidewalk .'U It Curbcut ~ It Demolition S'fl(' Surch'R~ ~ \).. , l< g f.\ \-'\0. t\. liD 4.~ C\.CO 'r~.OO f (f) .~U 10.00 .f3~ a0.~~ 111).3J L3HQ, ~q:J. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrIcal) CJ' / IU.'rz.- (A, B, C. 0, and E Combined) , APPRovpn. ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thla permit Is granted on Ihe express condition thai the said construction shall, In all respects, conform 10 the Ordinance adopted by the City, 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 aald ordinances. Plan Check Fee: '\..'t-\. J ./ Date Paid: J ~ Receipt Numberu y Received By: ~ ~S!\~lt.ti f). \~ % Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~ tm C'L ~d ouYl. ~ \..~"\"\" \OJfD (~) \ _~N\OX..: \ '-'\ lo 0 J)~ \ 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 ahall be done in accordance with the Ordinances 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 Building Safety DivisIon. I further certify that 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 at the proper time; that each address Is readat;>le from the street, that the permit card Is located at the front of the property,'and the approved set of pi s will remain \~:::u::ea~;;~s_. tI n. ~ate' 'J7.--- "I~~~ VALIDATION: l <::.. b RECEIPT NUM.Il..ER ' ~C\' ....J DATE PAID I \ .lP,' ~4- AMOUNT REc~q~1;.1 ~~~S . \'~ RECEIVED BY \\ '- ') ~ -- J ATIACHMENT 81 1'14\^^c:.. JOB NO. '-1: l Jl l.v CITY OF S~NGFIELD SYSTEMS DEVELOPME'" CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION: ;/~L ~ ,~, / /' ?~/J. DEVELOPMENT TYPF' "'i,cl? BUILDING SIZE: ~- 1. <:;TORM nRAINAGE IMPERVIOUS SQ. FT. ~/?"c;, 2. SAMlIARY SFWFR.CITY NO. OF PFU'S IV (See Reverse) 3. lBANSPORTMlO!i I.OT SIZE. ~ SQ. Ft. X $0.209 PER SQ. FT. $ '7'Sb, i? X~3.~Pffi~U $ 71~~F NO OF UNITS X TRIP RATE X COST PER TRIP J X I,O! X $436.19 $ ~o</-O..>:r X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 4. SAIilIARY SFWFR-HWMC NO. OF PFU'S /"6 x $17.19 PER PFU + $10 HWMC ADMIN.FEE $ 3/7.?Z (Use PFU Total From Item 2 Above) HWHC CREDIT IF APPLICABLE (SEE REVERSE) $ 5'?, c. C) .' ' IQIAI -MWMC snc $ .z.lf'~.....4: SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ I '1t;.o. 92. ,5. AOOJNTSTATTVF FFFS ~~ (SU~J~OVE) X .05 %~ ~~, 'Date: 7-/~- 99 ~ary r 19, P.EV SDC Coo inator' ' $ '1 Y:os IQIAI snr $ ;2.0 5"'jj , r? B2.SDC . "FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivnlent = Fixture Units (NOTE: For remodels, calculate only t~ additional fixtures) . ' . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain.................................. ................... Floor Drain... ....... ... ........ .............. .......,.......... ........... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.............. .........'........... 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, Residential Kitchen........................ Urinal, Stall/Wall.. :................... ........ ........... .............. Wash Basin/Lavatory, Single.................................. Toilet, Public Installation. ....................... .... ............ Toilet, Private. ...... ..... .... ...... ........ .......... '" ............ Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates. I I z 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 4 z.. '2. z. 1f IY' Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value 1979 or before 19BO 19B1 19B2 19B3 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 I = 37!c, 6 I / z.. 2. TOTAL FIXTURE UNITS = Year Annexed Rate per $ 1,000 Assessed Value 19B5 19B6 1987 198B 1989 1990 1991 1993 y,.f{:. X $ /O,07t-o (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or land Only If Applicable Improvement (if after annexation date) = ----- $ 2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 II CREDIT TOTAL = $ 3';1.60 r