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Home My WebLink AboutPermit Building 1994-8-30 RESIDENTIAL PERryJlT APPLlCATIO Inspections: 726-3769 Office: 726.3759 . LOCATION OF PROPOSED WORK: _hI!? ~ ASSESSORS MAP' /~O.z-.:;:::!l3~// LOT: 7'7 BLOCK' s OWNER: ADDRESS' CITY, ~ -~-..j ~(--:'Es..f:-:: "5.~D&1 G. S, SpfZ1 ~Ht5t J~ STATE: . DESCRIBE WORK: ~ NEW 1'- REMODEL ~e. ~~1t--~""AL ADDITION DEMOLlSH- . :., JOB NUMBER 9'1//5/;.) 225 Filth Street Springfield, Oregon 97477 'i"'.~IIJ1--:: TAX LOT: ~~ SUBDIVISION, / ~>>t5:f75. / >< : PHONE: '/ L).1r-7~R Y8O/-?Y9Y ZIP: q7 '1-78 ~~r OTHER CONST, CONTRACTOR'S NAME ADDRESS' , CONTRACTOR # GENERAL: S\~<E.. ~L ~r..3'1-b7 S;f.....,P.~_f;, ?2:t7fl PLUMBING' At,~HBI-\~ V~ L-t. 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. REQUIRED IN~PECTIONS ~ R~UOh Mechanical - Prior to cover. . MECHANICAl' ELECTRICAL: ----'<<'"-'i, h.- \~ QUAD AREA: i\:Q.S:G # OF BLDGS: \ OCCY GROUP: 'RD~ N\. '12- # OF STORIES: WATER HEATER:~,4S;;; . , ./ ~ Temporary Electric IIc7'I Site Inspecllon - To be mado ~ after excayatlon, but prior to setting forms. " 0 Underslab Plumbing/Electrical! Mechanical - Prior to cover. ~ Fooling - After trenches are W excavated. . o Masonry - Steel location, bond .beams, grouting. ~ Foundation - After forms are ~ erected.but prior to concrete placeme~t. ~ Underground Plumbing - Prior 'f'c!' to filling trench. ~ Underlloor Plumbing/Mechanical ~ -.Prlor to Insulation or decking. ~ Post and 8eam - Prior to floor l..J'-J Insulation or decking. M Floor Insulation - PrIor to ~ decking, , rvI Sanitary Sewer - Prior to filling ~ trench. rV1 Storm Sewer - Prior to filling ~ trench. ~ Water Line - Prior to filling ~ trench. ' .' ." d Rough Pluml;?tng - Prior to L.::f-! cover. . _. " ",,",-, -~~ RL'~' I - OFFICE USE - '. \\ \ \ \ V/J LAND USE: # OF UNITS, CONSTR. TYPE: HEAT SOURCE,,r;:::::::a.. ,..2"'4~, -'-7"&?"/-:'~ RANG'" 6~ , ,. ~ Rough' Electrical - Prior to ~ cover. !SOl Electrical Service - Must be' approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. lp;l Fra;"lng - Prior: to cover, '-Ol Wail/Ceiling Ins~lallon - Prior to ...,... cover. ~Drywall - Prior to'taplng. o Wood Stove ~ A.lter I~stallatlon. o Insert - After fireplace approval and Installation of unit. ~Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. \-:;" Sidewalk & Driveway - Afler ~ excavation Is complete, forms and sub-base ma,terlal In place. o Fen~e - When completed. [K] Street Trees - When all requlr~d trees are planted. . EXPIRES PHONE qlq if ?jL?~ ?ki2. , IJ ~ (-71'k l I U g'f-7'1 '1-0 FLOOD PLAIN: ZONING CODE:.i..I){2.---- . OF BDRMS: q .. SECONDARY HEAT, ~. ~~. SQUARE FOOTAGErOn ~q' , r"c:t- Final Plumbing - When all ~ plumbing work Is complet,e. ..\-, Final Electrical - \Mhen all ~electrlcal work Is complete." b Final MechanIcal - When all ~ mechanical work Is complete. ~ Final Building - When all . 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. o Electrical Connection - When blocking, set.up, and plufQblng Inspecllons 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 ~ ,/ L~t Type Lot sq. ltg, . ~~ 0 ){, Interior Lot coverage _ Topography ~ Total t\,Ellght $ Corner Panhandle Cul,de,sac BUILDING PERMIT so, FT. 2}2-4t) , t::;9L X $/SO. FT. = ITEM \ ':j '.' ,'>->"r.,:.: :~..i'~?iq::~} Setbacks ' HSE GAR ACC' '( tTHEPROPOSED WORK.tN THE, . ':HISTORICAL DISTRICT, OR ON Aft THE HISTORICAL REGISTER? ) , ';/27 5"~ 1W, ,fiI~~., I ' APPROVED: ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT h~L, IN Is Iw IE 66 If yes, this application must be signed and approved by the Historical . . Coordinator prior to permit issuance. This permllls 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 violatlon of any provisions of said ordinances. Main ~ ~ I'./<.,~>c.~ ~ " /y./,t>'. --!?f/r,/!!:;j!i!.' /~ 5' ;>~:;t > , .:5'//. ?5'" f?":b /7"'. ~.> :::;r5": S9 , 5"~~ .69 SYSTEMS DEVELOPMENT CHARGE (SDC) f :zs 8''- ,J/ Garage Carport Total Val ue Building Parmi t Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Flx~ures Z)o'1-- Residential Bath(s) N' Sanitary Sewer FT. ,<; 2. I ~- Water FT. 3/' -, Storm Sewer FT. <)Z..-' Mobile Home Plumbing Permit Stat';, Surcharge Total Charge -T.S' r.:,3 (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' L/X-:::J Wood Stove/lnservfj';ePlace unJ,D ,~/3 Dryer Vent 6~/J ??:~~j~ Mechanical Permit Issuahce State'Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk 70 It Curbcut ~ II Demolition State Surcharge Total Miscellaneous Permits (E) I VALUE FEE /42_ ~l> " , ,N:?Z5P ,,-.& ::1 ~_?S -:ZIP 7. 9/' v?',.- ,j '/.~ - /<>.- / 5:~ (;,.A( - ? V ::S.- ~- tho $'0 /(!:>._D "2./ ;if /.26 ~,~( :2'&'. ~ /"!>.-rO "?5.~ TOTAL AMOUNT DUE (excluding electrical) !5~g, 72 (A, B, C, 0, and E Combined) ?"?2_ ~ y g-5'-~:' Receipt Number. / 4/2 ~ Rece,'w, '" #..- ./?~, ~. ..c{~-~vre~d 8 ' / Pian Check Fee, Date Paid: , ~~a:--9Y Date Systems Development Charge Is due on all undeveloped (, properties within the City limits which are being Improved. ,~.- A'MTIONAL COMMENTS ,~7#1 /h2.t<'lJ-;<: ,./') ~J) A-/ -'-', 1f'20 "7'/rJ r )~"""*7~ ~~~/.) ~~A, " " 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 cerllfy 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 !hat 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 7'9t1me)'du7ff3;;;l.:;>'ftlon, :::""1i:/:1flO--' - VALIDATION: RECEIPT NUMBER /45':5 / 9~.w /''7~ 40''''' '3,~ ~:.m ~ ~- DATE PAID AMOUNT RECEIVED RECEIVED BY ATTACHMENT B1 4t ~OB NO. ~/1~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: I ~ .IS ~ LOCATION: r;,~5''? ~ DEVELOPMENT TYPE: SF/) BUILDING SIZE: 1. STORM nRATNAr:[ IMPERVIOUS SQ. FT. 1.0T SI7J:' 5Q. Ft. .2. "f f S- X $0.209 PER SQ. FT. $ sn.n 2. SANTTARY SFWFR-CITY NO. OF PFU'S . (See Reverse) 1-) , X $43.26 PER PFU $ lo81.5'eJ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X 1.01 X .$436.19 ~~~ g ~--1W $' ,f.>Io..>5' X X , X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 2(HS. ';lJ, 4. S6NlIARY SFWFR-MWMr. NO. OF PFU'S ;1...,- x $17.19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) jo . IQIAI -MWMr~ SUBTOTAl (ADD ITEMS 1.2.3 & 4) ~ $ ,f H'. 7 ~ $ 12.3S $ ~(; '1, ~o $ :2-4 C- ~/" : .. 5. AOMTNTSTATTVF FFFS BAS~ (SU,-? ~OVE) X .05 ~ ~ Date' /' Ha~y_~ornig. P.B. / . s~oordinator~ S J2.3J(:.. y-~J'-~ IQIAI snc $ 7-~ n,. 3/ B2.SDC . ,i' ?':.:::~::;?:~::'~~~~" u_ ..._ _. . ; FIXTURE UNIT CALCUL.ION TABLE: Number of New Fi.S X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the W additional fixturesl NUMBER OF NEW FIXTURES i I J , 1 ,i ,j i i J I I I j J I I J 1 ') 1 1 ! FIXTURE TYPE Bathtub..................................................................... . Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher....... /. .IiMf:/................. Clotheswasher. 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).......:.......... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Oishwasher/Etc.. Shower, Single Stall.'.............,.................................. Shower, Gang.............................................:............ Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall. .:...;,.. ............................................. Wash BasinlLavatory, Single.................................. Toilet, Public Installation.......................,....... ......... Toilet, Private....................................................... Miscellaneous: 'TAl'll TCJ!~ ~"'i:' CREDIT CALCUI.ATION TABLE: calculate credits separates. r ; \ Year Annexed ....-~ 2. .2 I ~ < TOTAl. FIXTURE UNITS UNIT EOUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 .2. = FIXTURE UNITS 4- <t z. "3 1'< 25' Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value 1979 or before 1980 1981 ' 1982 1983 1984 1985. I i II $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Year Annexed 19B5 1986 1987 1988 1989 1990 1991 1993 = Credit for Parcel or LandOnl,)' If Applicable 1 ~ 1 Improvement (if after annexation date) , 3AC, X $ .zO.9/0 (Rate X Assessed Value) X $ (Rate X Assessed Value) = ~ Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 7' .2.3 S- ----- CREDIT TOTAL = $ 7'~. 3~-