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Home My WebLink AboutPermit Building 1992-4-20 ~ t; I RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ' " . SPRINGFIELD LOCATION OF PROPft~W K' '7 z. 90 -, "\" ASSESSORS MAP: ~ C1-. ~ ,#au:.y Sr. LOT: /27 OWNER: /.#fLt/J;:V ADDRESS: ...L' 2 ? '7 CITY: __5r'fi.o tvI'LL//t?1-t.S 5. 7 .,"'- BLOCI" I. :-." STATE: {dl., DESCRIBE WORK: \~ \- '\!.r> f")AO 0 J"'\.C9 ~ NEW v-- ADDITION REMODEL DEMOliSH OTHER !B NUMBER 02D3a/ -.,-; 225 Fifth Street Springfield, Oregon 97477 '. TAX LOT: 03tU-., SUBDIVISION: P'ld. /1!1'c.c.s /~ ~ PHONF' 74(, -0 '1' J-~ ZIP' -'7-74 7 ~ CONTRACTOR'S NAME ADDRESS GENERA" #. tA-r(,Lt..,/~ k....n?~.::: PLUMBING: _,LON'?" CtJZ.a=5 /l1 ~;:$Mz. cs ELECTRICA" P?/lC.s" CONST. CONTRACTOR' CCJ7'-lT;.. , (;)?"3.cJ .3 . ---. . 1~ &lonl EXPIRES PHONE :<1~,.~_7~~~11o l;;) , ~ q!:) t+J..._11zi..... 4.L'SYZ; to'81~ ~ MECHANICAL: QUAD AREA 4~'SG . OF BLDGS', j OCCY GROUP~'~-t M 'e... " OF STORIES: WATER HEATER: - OFFICE USf - LAND USE: j.\ \ . OF UNITS: CONSTR. TYPE: N HEAT SOURCE: # i"'1'L/t-;l? RANGE: ~ ~ FLOOD PLAIN: ',-, V I " ZONING CODE:_~ -~ . OF BDRMS' SECONDARY HEAT: ......... SQUARE FOOTAGE: L~L.fL) 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 tile same working day. Inspections requested after 7:00 a.m. will be made the following work day. [gI Temporary Electric [KJ Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbingl Electricall Mechanical - Prior to cover. C8J Fooling - Aftor tronches are excavated. o Masonry - Steol location, bond beams, grouting. [K] Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. IXJ Underlloor Plumbing/ Mechanical _ Prior to insulation or decking. rVl Post and Beam - Prior to floor L,A-J Insulation or decking. I7l-Floor Insulation - Prior to L.lLJ decking. 171 Sanitary Sewer - Prior to filling l,.Ll.J trench. (Zl Storm Sewer - Prior to filling trench. J"L7) Water line - Prior to filling lAJ trench. lXl Rough Plumbing "'::'-0: P~ior to. cover. REQUIRED INSPECTIONS I"'JI Rough Mechanical - Prior to l-AJ cover. rY1 Rough Electrical - Prior to L....,.,CJ cover. r-:.i1 Electrical Service - Must be L,AJ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. rYI Wall/Ceiling Insulation - Prior to L,lLJ cover. 00 Drywall - Prior to ~apirig. . . o Wood Stove - After In~tallation. o Insert - After fireplace approval and installation of unit. rn Curbcut & Approach - After forms are erected but prior~to placement of concr~te. CZl Sidewalk & Driveway - Aller excavation is complete, forms and sub-base mater,lal in place. o Fence - When completed. . [J1 , Street Trees - Whim all required trees are planted. l--:n Final Plumbing - Wilen all L.,AJ plumbing worl< Is complete. , ~ 171 Final Electrical - When all ~ electrical work is com pi etc. rJl Final Mechanical - Whcn all ~ mechanical work is complete. 1.7fFinal Building - When all ~ required inspections have been approved .and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - Wilen all blocking is complete. o Plumbing Connections - When home has been connected to water and sewer. ~ o Electrical Connecliorl'- When blocking, set.up, and plumbing inspections have been approved and the home is connected to the ~ervlce panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have beon installed. Lot f aGCS ~ " . . Lol Type. ...-;-:r _ Intcrior ............-corn~r Lot sq. fig. .~---=.,;.( Lot coverage Topography ~ Cul.de.sac Panhandle Total height BUILDING PERMIT ITEM SO. FT. 1.:f3z... :mi.:~ 7 / ~.?'5' X $fSO. FT. :;2,<; . /0 Jj.16 Main Garage L-'Nr/# Ga""'.... I PL. HSE GAR IN Is I W /'2. I lL..24 Z4-~ Setbacks /'119 z.~ 20 VALUE 5~ft' :r3::>.::'..:~ . ZB,,/0'6;'=-- Tolal Value 94X$8'/5- _'LJ' A_V'. #C' Building Perini I Fcc 7~1iD, Stelle Surcharge '2l::>. ~ Total Fcc (A) _~~3C> SYSTEMS DEVELOPMENT CHARGE (SDC)H3 . (B) -1$1f&..7 ~ PLUMBING PERMIT ITEM Fixtures Residential Ba(ll(s) ~ Sanitary Sewcr FT. Waler FT. Storm Sewer FT. Mobile Home Plumbinn Permil Slale SlIIcllflr11u "" Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~1""3 Wood Slovcflnserl(f'ifeplace Un9 Dryer Vent Mechanical Permit Issuance Slate SlIrcl1arge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Slate Issuance Slate Surcharge Sidewalk ,L~ fI Curbcul -;;?~ fI Demolition FEE --L 4::> _L(f/). ~ _ __. 8. _C>'f:> _L~R c.O -t::.~.- 1-5(:> 9: orl:!' /5': or"l5 -:;;;;:~ -:;;;7..-SC:> /.6>. - j.8S C/9. ~ _:5.8.3S r:5'. '9c> Slate Surct1arge #;m/7'/h#AK .h.AA 7fEV/ttFlV Sb.5.> Total Miscellaneous Permits (E) /~.JS-~c> TOTAL AMOUNT DUE (excluding eleclrical) 26"3? $t:G (A, B, C, D, anel E Combined) ACC I I I ., THE PROPOSED WORK IN THE ~ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thatlhe said construction shall, in all respects, conform to thc Ordinance adopted by Ihe City 01 Springfield, including the Developmcnt Code, regulating the construction and use of buildintlS, and may be suspended or rcvol~ed <11 <lny time upon violnlion of any provisions of said ordinances. Plan Check Fce: --zp7 - 31; --? hf:>c>'C.';::> ~VC _ </:...'1.9?- ~ ;:lt1:i3.~ Date Paid: Receipl NUlllbcr:_'i=<?~ Received By: ~E m---,- ~~~~~ ~ Reviewed ~ /' _'-{:z..U2 Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. A~1TI0NAL COMMENTS -l ili~f~t~filitrt \-<:2\* T ~ ~ \'~\ ([) ~~\~,V, Hl(J-..~ By signature, I state and agree, that I have carcfully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certHy that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, <lnd the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be madc of any structure without permission of the Building Safcty Division. I further certi fy 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 localed at the front of the properly, and the approved set of pliln~; will remain on c sito al all tirnos during cons~ru~l. tu~ # (; , ~ VALIDATION: A~--vA RECEIPT NUMBEjl '"r0 1'-"1 DATE PAID 4-- 'Z.J...lff1.. AMOUNT RET'flp..;?.s:::z. ~9 ~ RECEIVED Bf .:\\ L D.A .../ J ~ v CITY OF JOB NO. '120<;01 S'It'lGFIELD SYSTEMS OEVELOPM. CHARGE WORKSHEET (COMMERCIAL &. RESIDENTIAL) NN1E OR COr.1PANY: HAf<-,I/f:;Y IAI{ LLlANl S LOCATION: 72-'10 L-Io/.-/...v S-r. Ifa-z.o'2-/2. - {)~/C)o DEVELOPHENT TYPE: Loe - f'Jew c::.>=e BUILDING SIZE: .LOT SIZE .SQ. FL I. STORH DRAINAG~ IHPERVIOUS SQ. FT. 2.i.f7.'? X SO.186 PER SQ. FT. b t.f&O~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S \9 X 538.55 PER PFU (See Reverse To Determine Total PFU'S) Is 1~1-~ I 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \ .00S X S388.61 Is ;:z,ql) ~ I s X' X S388.61 X X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL '(ADD ITEM.S 1,2, s - &. 3) $ 16e?~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAl ABOVE) X ~05 Is 7'1 '2 I TOTAL-CiTY SDCS 1(..,(/2 ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S 19 x S13.25 PER PFU + S!OM~~C ADMIN. FEE S ~(,\~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~cL~ ~ Kip Burdick SDC Coordinator '-f /15111- { , , S '310 ~q TOTAL-MWMC SDC Is '2.2--+ ~l TOTAL SDC S I BB7 ~ , FIXTURE UNIT CALCULA~N TABLE: Number of New Fi'1uresX Unit equivalent" Fi.1ure Units (I~QTE: For remodels. calculate only .the ~ ~.ion21 fi>.1ures) - . NUMBEfl OF UNIT FIXTURE NEW FIXTURES EQUIVALENT ur,ITS FIXTURE TYPE T~"". ....... I Bathtub..............................,...................................,... Drinking Fountain..:...:......... ...... ......... .... ....,.'.. ......... Floor Drain...........:........:............... ..,......,.......,. ......... Interceptors For Grease/Oil/Solids/Etc.....,........... Interceptors For'Sand/Auto Wash/Etc..........:.,..... Laundry Tub/Ootheswasher..........,....................,..: Ootheswasher. 30r More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dism""sher/Etc.: Shower. Single Stall._.....:...................................... Shower. Gang..:..._.........,........................--.-......... Sink. Bar. COmmerciaL.:........--.......-----....... Urinal. StalljWaIL-...-...;....~..........-........................ Wash BasinjLaVatory. Single._______.__............ Water Oosel. Public Installatiol1.........-...-............. Water Oosel. privata ...-......--..----.-.. Miscellaneous:. I ? 1- TOTAL FIXTURE UNITS 2 t 2 3 6 2 6 6 1 3 2 t /Head 2 2 t 6 4 .z., '2- Z- ~ (3 /"'1 '2- Based on assessed value. If.imprOlfelllents occurred after annexation date in .table. CREDIT CALCULATION TABLE: calculate credits separates. 'j Year Annexed Rate per $1.000 AsseSSed Value 52.66 2.64 2.53 2.41 2.19 2.04 Year Annexed 1985 1986 1987 1988 1989 1990 1979 or before 1980 1981 1982 1983 1984' L- Credit for Parcel or Land Only Ii Applicable 2.&'" X $.13.97 (Rate X AsseSSed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Improvement (If after annexation date) , ----, Rate per $1.000, I Assessed Value '. 1 \ \ -.-\ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL..........................,.....................-~.:~ 0.4 COmmerci3I....................................................... 0.9 IndustriaL.... ................................. ......... .......... 0.45 Governmen:zl.., ................................ .........'...... 0.5 $1.69 1.35 1.15 0.92 0.59 0.23 ___-M _ . = "c, ~ = S ~b ~~ IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT