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Home My WebLink AboutPermit Building 1992-4-21 ~ TAX LOT: 0 -=31 QO SUBDIVISI~k\~\~ O{\7iJ) d~l,~)(f ~^"^ J.1.:iMo/V\O , IlL/lc,,,,,--, 1~~t~dleVW~S_";l;:;)S='l f!::,iLfY ~a{J"f~ \-I"" ~?r~o;lI C:;.t"OJ.t~ STAT'" of<. ZIP: Qjlt-t.Jo::::. (J -- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATiON OF PROPOSEO WORK' ASSESSORS MAP' LOT: 10, OWNER: ADORES'" CITY: DESCRIBE WORt<. NEW REMOOEL .f /' . SPRINGFIELD I '9 ():l [') .:::> I:::l. BLOCt<. , ~ ~ ' J<..R/J.J ~~,.. '--' AODITION OTHER DEMOLISH . Cj I) ;:)0S JOB NUMBER 225 Fifth Streei Springfield, Oregon 97477 I CONTRACTOR'S NAME GENERAL:"Tf"", S/~v) PLUMBING:~' Ct'~ pil, . MECHANiCAL: rlr~--Sl\ - ELECTRICAl' ' " t ~ ~ f' ) CONST. CONTRACTOR' 67~:"'J9 ,~\~~ cl)(){M( ) . (o(dlC{'Cf EXPIRES PHONE , ~ /og7 -Dt7k, 1,g.lD.' ,CC{2-> r<1, /4 --4'~[<t ((),4.CL~ ADORESS 7...JC,t flY\f'b-tn Sl- t t ~F4>-1 AR~E - OFFICE USE - QUAD AREA- LANa US". 1111 FLOOO PLAIN: I~ . OF BLDGS: \ . OF UNITS: I ZONING COOE: OCCY GROUP: R ~ -t- .I\)\ CONSTR. TYPE:~~r . OF BORMS: . OF STORIES: ':) HEAT SOURCE: .r::;. I--J,P SECONOARY HEAT: WATER HEATER: '( RANGE: t: SQUARE FOOTAGE: ~ I t:) To request an inspection, you must call 726-3769. This Is a 24 hour recording. AI/Inspections requested before 7:00 a.m. will be made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day. ~ Temporary Electric IXl Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrical/ Mechanical - Prior to cover. [Z] Footing -' After trenches are excavated. rvl Masonry - Steel location, bond LAJ be~ms, groutlng. . r-vI Foundation - After forms are L.AJ erected but prior to concrete placement. I1J Underground Plumbing - Prior to filling trench. !Xl Underfloor Plumbing I Mechanical - Prior to insulatlon or decking. [Xl Post and Beam - Prior to floor insulation or decking. f'"';7l Floor Insulatio,:, - Prior to LA-J decki ng. o Sanitary Sewer - Prior to filling trench. rY1 Sto~m Sewer - Prior to filling L,.CJ trench. [l] Water Line - Prior to filling trench. [X] Ro~gh Plumbing - Prior to cover. REQUIRED INSPECTIONS rdl Rough Mechanical - Prior to l,AJ cover. ell Rough Electrical - Prior to cover. r;7I Electrical Service - Must be l...AI approved to obtain perman"ent electrical power. o Fireplace - Prior to facing materials and framing Insp. l:lJ Framing - Prior to cover. rvl Wall/Ceiling Insulation - 'Prlor to L.,L..:J cover. -..- , ctl Drywall - Prior to t:Ping. D Wood Stove - After installation. D Insert - After fireplace approval and Installation of unit. r7l Curbcut & Approach - After IA-I forms are erected but prior to placement of concr~ete. m Sidewalk & Driveway - After ~ excavation Is complete, forms and sub.base material in place. /\ D Fence - When completed. rn Street Trees -:..~ WhEm all~requjred trees are planted. t" ... . rJl Final Plumbing - When all ~ plumbing work Is complete. rJl Final Electrical - When all ~ electrical work is complete. r7l Final Mechanical - When all ~'mechanical work is complete. f\Tl Final Building - When alt W required 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. D 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 'porches, skirting, decks, and venting have been Installed. -. -...." ". \ Lot faces -4L Lot Type . Setbacks . THE PROPOSEO WORK IN THE Lot sq. Itg. .8-Ya6 +'-- Interior I PL. HSE GAR ACC HISTORICAL OISTRICT, OR ON IN THE HISTORICAL REGISTER? Lot coverage ~li' Corner I~" If yes, this applIcation must be signed Topography ~ Panhandle Is ~' and approved by the Historical S:{ Iw , Coordinator prior to permit issuance. Total height Cul-de-sac 5!!,~p_ IE 7' APPROVED' BUILDING PERMIT so. FT. --Ljl--JCf )(,.,CJ X S/SO. FT. 3Cf,O J l.f . If) VALUE ~ f.oC} , Lf3S lD SSL/:l, qo ITEM Main Garage Carport 902/5<::<0 '57'::. Pe:> /4:. g~ ~9't/_~ SYSTEMS DEVELOPMENT CHARGE (SDC)~l!> (B) 1l> \'6~ \ ~ Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' -:2 FT. FT. FT. --#b Sanitary Sewer Water Storm Sewer Mobile Home Plumbing PermIt /",(0,- a..~ / ~k.. ..0. State Surcharge Total Charge (C) MECHANICAL PERMIT ,c. . t:>" 'i..5"c::!> '9 ..-:> Furnace Exhaust Hood Vent Fan N'? Wood Stove/Insert/Fireplace Unit Dryer Vent -=3.- Mechanical Permit '77_S0 ;,~.- 1-/3 ""3~.63 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 7~ ft Curbcut -;;>g ft ";;l/. yo _1-y'.2C. Demolition State Surcharge Total Miscellaneous Permits (E) q -s-: Ii:P -::?5/'3'./8 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects, conform to 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 said ordinances. Plan Check Fee: dl.../-LJ. I{ 0 In,:2..I.cr} ~ l/:2,() Date Paid: Receipt Number: Received By: ..,::::! ~ d~-..> //-:2./$)/ /PI4f!}S'Reviewed By - J?~V. '-~t,d~/ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMM~S .Ql). S\ f)W~_ ~[\~)rnJLV i~\ (r~~l&-:~\A~O \ ~1\Q)(.0ntQ~ 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 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 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 d~9 ~n~tion._ :::.'~:r;;~/:::' VAliDATION': .A A T'\. ~ RECEIPT NUMBEr> ~ )' DATE PAlO 4 ar '_ '" ,- ~ RECEIVED \./ j ~____ . · JOB NO. '4 \ \ '2-"\ S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ::rolitJ. G2E:a..lE:. /S \l7/I,N TA>-ILO~ - "PENDE..I2..bA-"::>T / LOCATION: ,2.1::' Hou....'-( 'S-C \"(.0"2- 0"2... IL.. - c'?1oo DEVELOPMENT TYPE: \....t)\Z- - Ne.\'J BUILDING SIZE: 1, STORM DRAINAGE IMPERVIOUS SQ. FT. "2.""7'2-k> ;i: $0.186 PER SQ. FT. $ ~ol 04 (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) LOT SIZE SQ. Ft. 2. SANITARY SEWER_CITY NO, OF PFU'S \~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) S Co",\",,=>"\~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP \ X \.ooS X 5388,61 s -:1:::A 0 0:, z.. X X 5388,61 s X X 5388,61 S - (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) S \~9\~~ 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X ,05 s -rct s,] TOTAL-CITY SDC S \k>,1 ~ 5. SANITARY SEWER-MWMC NO, OF PFU'S \~ x 513.25 PER PFU + $10 I1WMC ADMIN. FEE 5 "2.!-~"og ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~_~'L<...L G Kip Burdick SDC Coordinator I tI, /9. I S "?P-, ~ TOTAL-MWMC SDC S 7.\ D 0"1 TOTAL SDC S \ <6 '6 \ 12 FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) . . FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub....... .............. .............. ............................. ...... Drinking Fountain... ................. ................................: Floor Drain....... ............. ............ ....... ..................... .... Interceptors For Grease/Oil/Solids/Etc..............,.. Interceptors For Sand/Auto Wash/Etc...:........:..... Laund ry Tub /Clotheswasher................................... Clotheswasher - 3 Or More.....................,....,.......... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrlgeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher fEte.. Shower, Single StalL............................................... Shower, Gang.......................................................... Sink. Bar, COmmercial............................................. Urinal, StalljWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation....................,........ Water Closet, Private............................................... Miscellaneous: '7.. 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 '7- 4- TOTAL FIXTURE UNITS FIXTURE UNITS -+ -z.. "2. '"2... 9> \"2> Based on assessed value. If improvements occurred after annexation date In table, CREDIT CALCULATION TABLE: iculate cred:::;:rates. 1979 or before 1980 1981 1982 1983 1984 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 1989 1990 $1.69 1.35 1.15 0.92 0.59 0.23 2,'-' X $ I.'..... ':>...~':t.!. Credtt for Parcel or Land Only If Applicable - '" ..... ...., J 0 (Rate X Assessed Value) Improvement (n after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = s ?e <1:!.. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residentlal...... ..........................:.,...... ...... ......... 0.4 COmmercial...................................................... 0.9 Industrial................. .......................................... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT