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Home My WebLink AboutPermit Building 1993-11-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . l , . ~f1'? '? 1 q ~\'40() JOB NUMBER ".,f., 225 Fifth Street. ~" '.' Springfield, Oregon 97477 Lu ~ffob . ( J TAX LOT n 33CX J---- SUBOIVISIOr-e,m' fa n7-L~ ,j1 ~1J" ) PHONE: 1J~') lo- IS ~ ZIP Cfl4l ~ LOCATION OF PROPOSED WOR~ ~a..\ ASSESSORS MAP: \P,n'd " \,Q \,4 ~ BLOCt<.I' LOT: OWNER' "J.-tQ.\,(J 1 h')i.\\\o: m,<:::::' ADDRESS)' Tj G\ q f\ \ ~)\ ~ LV~ ~ , CITY: _ ~ )~)\ ~. f\() ~ '- 0 0 ~ \\ ~ STAT~ (\U\ Q.CYJY\, DESCRIBE WORK: -:-; _f\~x=T-Y-O m ,[ 0.1 fJ \-..! () I\ i.6 0 no 0 NEW REMODEL C\AODITI~ DE~L1SH OTHER CONTRACT~. NAME \ . "'\.~, AODRESS GENERAL:~ 0 \ ~,\ \. '\ \ \ \('~.r:dS u PLUMBING'~ \ \:-C' i\~ <::; MECHANICA~. ~\\\\ ~ ~~ ~~ li J ELECTRICAL: ~ .\\ f' C . \'Q ~\~ ~Nn . " C.O~~A3\ N .EXPIRES PHONE ~D~ \ \ a .?:{8.s "17 t-,.. 5..~ ~l(f) 0'\3'~~,/~1>) AF{'8{:) \~ '.1 ~Y~[F1J1E PfYA-?~_,~. Sqf-I~ L\;QfF, - OFFICE USE - \ y QUAO AREA: LAND USE: \ I \ FLOOD PLAIN' N OF BLDGS: \ N OF UNITS' VM ZONING COOE: illl2- OCCY GROUP: ~~ f..i\ CONSTR. TYPE: N OF BDRMS: ~ N OF STORIES: f}__ HEAT SOURCE: ~0 SECONDARY HEAT: r""9 WATER HEATER: RANGF' Z:~ SQUARE FOOTAGE:~ ~ \ \0-. : 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. rng Temporary Electric @ Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. [Z] Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. Gll Foundation - After forms are - erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. [1J Under(1oor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to tloor insulation or decking. '"-- [Z] Floor Insulation - Prior to decking. W Sanitary Sewer - Prior to filling trench. [[] Storm Sewer - Prior to filling trench. . 00 Water Line - Prior to filling trench. . [E] Rough Plumbing - Pri"or to cover. REQUIRED INSPECTIONS c:Rl Rough Mechanical - Prior to cover. . . r:71 Rough Electrical - Prior to ~ cover. [Z] Electrical Service - Must 'be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. I xl Framing - Prior to cover. 00 Wall/Ceiling Insulation - Prior to cover. CiJ Drywall - Prior to taping. [E] ;\'- _1 Cleve - After installation. ?/~Ce. ?//Y/;r- D Insert - After fireplace approval and Installation of unit. l1l Curbcut & Approach - Arter forms are erected but prior 10 placement of concrete. rn Sidewalk & Driveway -.Afler excavation is complete, forms and sub.base material in place. D Fence - When c,ornpleted. rt7l Street Trees - ~h9nall, r~quired I.Ll-J trees are planted. [LJ Final Plumbing - When all plumbing work Is complet.e. ,.. rvl Final Electrical - When all ~ electrical work is complete. Cill Final Mechanical - When all mechanical work Is complete. ~ Final Building - When all required lnspectl.ons have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set. Up - When all blocking is complet~. D Plumbing Connections - When home has been connected to wa:er and sewer. '. o Electdcal Connection - When blocking, set-up, and plumbing inspections have been approved and tile hOl!le is connected to the serylc7 panel. , , o Final - After all required inspections are approved and porches, skirting, decks, and venting have been Instarred. . laE PROPOSED WORK IN THE Lot faces ~ L~pe Setbacks I PL. ' , , I .. HISTORICAL OISTRICT, OR ON Lot sq. IIg. ~ HSE GAR ACC _ Interior IN I THE HISTORICAL REGISTER? Lot coverage '2Pt? Corner ;?g' If yes, this application must be signed Is J 1 Topography ~ ~ and a p proved by the His torical Panhandle ~J I Coordinator prior to permit issuance. Total height .5'i' Cui-do-sac W cD4' Ju,A.. E ~.' 6' I APPROVED: I. BUILDING PERMIT ~FT' X $/SQ. FT. ~. .--YALUE "- l'f~..#~~ ~I~ ~\l . . ~~~ 1i;tA.~":lg./~ aL~_.7.~ ~ ~'1) /~ 8g:,.41S~~Q5 '" ""i";ij,2S" _ :28>. :5" t' (A) . 5!1.e--'-.76 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ l~..f563.:!. ITEM ::z,*g Main ~~~/7 Garage '~ Total Value Building Permi I Fe,S State Surcharge Total Fce (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Balh(s) N' ~ San 1 tary Sewer FT. Water FT. Storm Sewer FT Mobile Home _t92 f>i:> Plumbing Permit /92.;SC::I- ?,6:? ;;gC2;2~j.~ State Surcharge Total Charge (C) MECHANICAL PERMIT _6. 6' 'I.S't? a.- /5-:- ~.- Furnace Exhaust Hood Vent Fan N' q'/"3 . - Wood Stove/lnsert~~~ce Unit~ Dryer Vent Mechanical Permit _,#,.5&? /~.-z, -2."~ _"!l2.5:J Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surchargo / '9. '96 Curbcut ~2 It ...L'i, $0 ~~lri#'-~~~ .1/.?P Sidewalk b~ It State Surcharge J,I~a~ ~~-!:~E ~ ...." _7'X~'tP ~2s:s:,,/6 Total Miscellaneous Permits (~) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is wanted.on the express condition that lhe said construction shall, in all respects, conform to the Ordinance adoptc," by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any tfme upon violation of anY~~S'id~rd~nces. '-I> . Plan Check Fee: '\ ~ I ,'-1.~ ~t1~7 Dale Paid: :" C-t3 ~;;t!!' .~t:;. Receipl Number: I ~ 04'7 ~ Received By: 't) \~ ~ Plans Reviewed By Date Systems Development Charge is due. on all undeveloped properties within the City limits which are being improyed. ADDITIONAL COMMENTS ('mW'dill . ~I rn Q 0fl QJc:..;) C~+ T ~1f)J ~u{) \.S:J.\llfliX t n i 0 ,:) ~ IC\ l&3 By signature. I stale and agree, that I have carefully examined the completed application and do hereby cerlify thai all Information hereon is true and correct, and 1 further certify that any and all work performed shall 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 Safely Division. I further certify that only contractors and employees who arc In compliance with QRS 701.055 will be used on this projecL I further agree to ensure that all required inspections arc 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 th~/7L durin10;:ruction Slgnatp VC /1 .... .J Oate If - Z ~-9 3 ~:~:::O:UMBE I ~Oq11~ DATE PAin \. z.=L.Lf...z -:?~-Z"::! /6' RECEiVED BY ~ ~ _ .J . " &8 NO. "l?1Lf'Jo CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: S-rE3:Vc Y\!tUtANlS LOCATION: 72"''1 HOL-LY 51, /'?(JZ,07-/'2 - O~~oo DEVELOPMENT TYPE: LP/z' - MEN t[;F-f2. BUILDING SIZE: LOT SIZF SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT. "ZCoo ~ X $0.203 PER SQ. FT. ~SZq~ -.......... ~ 2. SANITARY SEWER-CITY NO. OF PFU'S "2-5 X $42.08 PER PFU G5"2~ ') (See Reverse) '-- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 (" '12-855.) '- ./ $ $ / X / . 0 t X $424.31 X X $424.31 4. SANITARY SEWER-MWMC NO. OF PFU'S "'L? x $15.125 PER PFU + $10 MWMC ADM FEE $ ?~~ '!: (Use PFU Total From Item 2 Above) SUBTOTAL (ADD $ 5<r ~ TOTAL-MWMC SDC ~7-e,""~ ITEMS 1,2,3 & 4) $ "Z..'??B y'z MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 l/'~~L'k Id/'f/'f'? U Kip Burdick I' SDC Coordinator ~11~c:r..::) ~ TOTAL SDC $ ?.t../-?? ~ FIXTURE'tINIT,CALCUueoN TABLE: Number of New FiXlure.nit Equivalent = FiXlure Units (NOTE: For remodels, calculate only the NET additional ftXIures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS ~ 2 1 2 3 6 2 6 '6 1 3 2 l/Head 2 2 1 6 4 Bathtub.................,......,.....,....... .... .. ............... ........,. Drinking Fountain................,........ .........,................. Roor Orain.........."................ .... ................... ... ....,..... Interceptors For Grease/Oil/Sollds/Etc.........,....... Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher................... ..,............. Ootheswa~er - 3 Or More..................................... Mobne Hdme Park Trap (1 Per Trailer).....:............ Receptor F(>r RelrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Oishwasher /Etc.. Shower, Single' Stall....................................,............ Shower, Gang............................... ..........,....'............ Sink, Bar, CommerciaL.................."...,................... Urinal, StallfWaIL..................... ..,.. ........... ...........,.... Wash Basin/Lavatory, Single.................................. Water Ooset, Public Installation............................. Water Ooset, Private.....................,............. Miscellaneous: f ? "3 TOTAL FIXTURE UNITS (, "2. "2. "? /'l- 'lS Based on assessed value. 11 improvements occurred after annexation date in table, CREDIT CALCUUI.TION TABLE: calculate credits separates. ~I'- II Year Annexed 1979 or belore 1980 LIE: '1985 Rate per $1,000 Assessed Value Year Annexed 1936 1987' 1988 1989 1990 1991 1992 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0,28 s"! &3 Credit for Parcel or Land Only II Applicable Improvement (If after annexation date) ~~I X $ /f.6Q (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 5"1 "3 = RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL..................:........ .........:... .............. 0.4 CommerciaL.................................................... 0.9 IndustriaL......................................................... 0.45 GovernmentaL.....,........................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT