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Home My WebLink AboutPermit Building 1994-7-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' 1~-o'2.. , ASSESSORS MAP' LOT' 48cJe . SPRINGFIELD · '4 JOB NUMBER C\ ,011~ 225 Fifth Street Springfield, Oregon 97477 04eaJ TAX LOT: SUBDIVISION: c.PrSCf"rt)1Ji!. 1frs'lff OWNER' Do-N b ~8'f\J'O/'7 Boc....t C~ ADDR~<;"" Y)A.q') ,_ rlAu..u... ~l' ,(\ CITY: ~)J\~~ (\ STATE:'t~)XO~ DESCRIBE WORi<' ~/, CCl'Iv-S h NEW ~ REMODEL ADDITION -0'2...-2...3- ,'t 0 BLOCK: DEMOLISH ; OTHER . "" ,., PHONE:~: ,~~ ZIP: Q'r\r-l~ " " CONST ,'c"o, NTR~CT~~,,~, .t;JXPIRES P,HONE :. '~/31 1 '3jCJf7~(:rz.J CONTRACTOR'S NAME ADDRESS' .., GENERAL:- "Wf(.L/~,::..(" 6-tLN (' rl')( J PLUMBING' C crtVr7Z--~~ MECHANICAl' /1.r7 A-F2-.<~c.-S ELECTRICAl' ~ /?,?; -o,...z-- j QUAD AREA' ~ \ OCCY GROUP: ~~ '\tM . OF STORIES:_A WATER HEATER: ~ 6 . OF BLDGS: . ,OJ 5' JC-(() 1&.A31q. ,,5C12f23 3{sl~s \ - OFFICE USE - LAND USF' \ \ \ \ \ ' :..< CONSTR, TYPE:' Uf\ HEAT SOURCE: ~ G ('. . OF UNITS: RANGF' FLOOD PLAIN: r; ZO~'NG CODE: WIU . OF BDRMS' ~ SECONDARY HEAT: - V"f SQUARE FOOTAGE: Alt:t1O- To request an Inspection, you must call 726,3769, This I. a 24 hour recording. All Inspections requested before 7:00 a,m, will be made the same working day, Inspections requested ~fter 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 torms. o Underslab Plumblng/ElectrlcalJ Mechanical - Prior to cover. K;7( Fooling - After trenches are ~ excavated. o Masonry - Steel location. bond .beams, grouting. l'\;?1'Foundatlon - After forms are ~ erected but prior to'concrete placement. D Underground Plumbing - Prior to filling trench. l";:2f Underfloort1>lumbln~chanlc!!J,.> ~ Prior to~-(5;-':'~"'l\,ng, ~ Post and Beam - Prior to floor ~nsulatlon or deckIng. f\:?f Floor Insulation - Prior to ~ decking. . ..... ~ Sanitary Sewer - Prior to filling ~ trench, ~Slorm Sewer - Prior to filling trench, . . . , , ~water tine ....:\,prIOi to filling trench, \ , 1"\71' Rough Plumbing - Prior to ~cover. / . "REQUIRED INSPECTIONS fCAR~ugh Mech~nlcal .....;. Prior to ~ cover, ~A'S r'fJ,-'. .f'::A' Rou~h'Ele~trlcal - Prior' to ~ cover." . " ' K7l Electrical Service - Must be ~approved to obtain permanent elecl~lcal power. ' , f'V'(,Flnal Plumbing - When all ~ plumbing Work Is complete. ~ Final Electrical - When all ~ electrical work is complete. I'Y'I' Final Mechanical - When all ~ mechanical work Is -complete. rov1 Final Building - When all ~ required Inspections have been approved and building Is. _compl,et~~. ~ \ ~ I,. ',".~ . '. . ... :.. ..,~. ... .RI'O~her ~~ U.Qj! o Fireplace - Prior to,ragl,ng materials and framing Insp. . , - ~ Framing - Prior to,.cp:er> .- rvr Wall/e.elllng Insulatlc;n,~'Prlor to ~cover.'" . , , ".. '. \ 't.:..,' .,' ., QOrywall - Prior to,taplng. " , >"'< . " '," . MOBilE HOME INSPECTIONS o Wood Stove - After Installation. o Insert - After fireplace approvlll and Installation of unit. ~ ,Curbcut & Approach.....:' After ~ forms are erected but 'pilorfo placement of concret,e" ' . , K7r Sidewalk & Driveway - After ~ excavation Is complete, forms and'sub.base material In place, o Fence, - When completed. @) Street Trees - ,When ~II required trees are planted. ' , / o Blocking and Set.Up - When all blockIng is complete. o PlumbIng Connections - When home has been connected to water and sewer. . o Electrical ConnectJo'n - 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. I Lot faces -Ai-- Lot sq. ftg, ;;!QL D Lot coverage _ Topography Total helgh(~ BUILDING PERMIT ITEM sa. FT, Main I r>uL..- "if40 Garage Carport Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM ,;" " L~t ~pe. Interior )( Corner Panhandle Cul-de~5ac , , .::' .,':. r, '"( :; ~ J:.,'.'.. ' ):1 ~ ~.,~;i ~~,.~:~i:~!. . Setbacks ' :a, THE,PROPOSED WORK IN THE, "'HISTORICAL DISTRICT. OR ON THE HISlORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinator prior to permit Issuance. I 'P,L, HSE GAR Accl IN 2D Is 10 Iw ~ IE I~ I, x ~~w =\D\A~\~{) . .\ " \\,~4 ~~...,. (A) Fixtures Residential Bath(s) N' a, Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home \r~~ 4[ ;::S-J 23 z::s . -e r 3.7', 5nl.~7 , SYSTEMS DEVELOPMENT CHARGE (SDC) I . (B), f..2.1ff.tr Plumbing Permit State Surcharge Total Charge ~~mAV . (C) Furnace MECHANICAL PERMIT Exhaust Hood Vent Fan Wood Stove/lnsertlFlreplace Unit N' -::z,. FEE /92. 1',0 9'."> ~,.., .-,..-.-'7,9/ ...-~". , h~ 4fSO -9.#'0 ~.tyD ~.&O 3fJ,5"O J,/,:J ,tW /.5" :J :3'7. ~/.d, .7F (D) .dn 95 Dryer Vent _~ ./,u,;,t& J t<)H I F~ MechanlcaJ Permit Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /7(1 ft Curbcut ~ ft ~~~'!'tn 0 State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D. and E Combined) . $0 --:;z,S. :~.~ ~ ,/5.72 APPROVED' 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 provislo~Of said ordinances. PI~n Check F~e: ~/. '-1~ Date Paid: 5 ~ .'-If- . Receipt Number: .rpf,.~d' Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS --.111 J JU:XYJi f. J\Sld.ht.1J. ~K) '- ~T: ~IH'LoO lJz-\nfU)L Ol\ fL: 1<1 W() u //1771 .2 . r;zA2ti ~a5/il~ " By signature. I stale and agree. that I have carefully examined the completed application and do hereby certify that atl 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 Safely 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 ~/.es during //~ < 'r' Slgnatu'J'r/~N C. - , Oat"" .s-: -2-01- -9 ~ VALIDATION: ' 'V /""f::::: RECEIPT NUMBER - (3..0 U ) DATE PAin ~ YJ. K q <; - AMOUNT~CEI ~&p 35B7Z-.1 2- RECEIVED~Y , (\ ^ / /-1\_"'\, ~ ~ . . fi !!..'!i!IR~.!!!!!~~!; Job NO.Lf4(fl~~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM~* blilldo ,~PHONE: f')Qlo. \~c:; ADDRESS ~l 9'bIJo I ~ STATLM-.lP~ b\Ml0f) Platt Name: .fu..t:j\t\ r\9 H,~ Tax Lot Number: ~ idA ~ 04Pro ~ " - LOCATION OF IilROPOSED BfJILPJ'l....Cj ID"E: Street Address if Known: U7'-\ ~~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.l A. Single Familv - Detached , Single Family home _ Manufactured home not in a park NOOF UNITS , X $400 PER UNIT _= $ 4lY) ,CtJ B. Single Familv - Attached NOOF UNITS X $370 PER UNIT = "$ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NOOF UNITS X $280 PER UNIT = $ WPRD SDC $ . 2. SDC CREDIT (If applicable) SDC-payer must fumish proof of WPRD Credit approval. See SDC Credit Worksheet. $ $ ,~ C6 lit- Date '1"707105- CITY OF .INGFIElD SYSTEMS DEVElOP,eT CIlM~GE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COI1PANY: f)tfM J (,.&.,.L .6 4f'~ r LOCATION: ~'1;-t" (j-~ DEVElOPNENT TYPE: ~,c;e BUILDING SIZE: _LOT SiZE , SQ. Ft. l. STORIi DRAINAGE IIiPERVIOUS SQ. FT. 3f,2~ ' X 50.203 PER SQ. FT. ~'~0 2. SANITARY SEWER-CITY NO. OF PfU'S 2.3 X 542.03 PER PfU ~~ r, 8n (See R,everse) '-- .-/ 3. TRANSPORTATlOli NO OF UlIITS X TRIP RATE X COST PER TRIP J X /,01 X 5424.31 X _ X 5424.31 ~4;28:S?> '--- -- 5 X X 5424.31 5 4.' SANITARY SEWER-MWMC NO. OF PFU'S z.~ x 515.]25 PER PFU + 5]0 MWMC ADM FEE S .$.5"1, P7 (Use PFU Total From-Item 2 Above) MWI1C CREDIT IF APPLICABLE (SEE REVERSE) ", 5 7cJ. ~<J TOTAL-MWMC SDC ,.z'Yr,J SUBTOTAL (ADD ITEMS ],2.3 & 4) S.2J .rs 5. ADMINISTRATIVE FEES BASE CHAR~BTOTAL,,~O~ .05 ~~ /reriU tt-/tJ-f~ /' -Ki\!l 8tlfdic'k ~ S~C~rdinator ~ TOTAL SDC 5 ~-99'r. U " v '- r ,..".-....--..... -.--- For rCI11C\..1C'!$. ,..,'rcu::J:'c only Ihe I':l::f "Hldi:km~tllhllJ1l':') . "L'I.~HIl OF. l':":I1' n:oul1l: r-:~W fI.'\l L'j; COL'i\""lEIH U::US .2 ., ..,. .. 3 G .I 2 :z. G G 1 3 2 I/Head I 2 '2.. 2 3 1 "S 6 3 .; IJ. flXTunE TyPE !3~lhlul>.,.................,....,....., ..'",.. ,,',', ""..,..,..,.,.,'... Drinking FOulllJin.................,...,......,........,....,. ..'.', Floor Dr.lin,."..........,........,...,.. .,",.,' ....", .,. "". ..... ,. ..,. Interceptors For Glc~sc/Oil/SolitJs/Ete...............,. Interceptors For S~nd/I\uto Wash/Ere........,......,.. La undry T ul>/aothesw~ sher.. .........,........ ......, ..'..... Clotheswa~her . 3 Or Morc..,...................,.............. Mobnc Heime Park Trap (I Pcr Tranerl................,. Reeep!or Fgr Refrigerator/Waler Station/Etc......,. Receplor For Commercial Sink/Dishwasher/Etc.. Shower, Single .Stall................., ......., ..................'.... Shower, Gang,........,...........,.................................... S!nk, Bar. CommerciaL........,..,...............,........:...... , Urinal, StallfWall...................,.......-...,......"......,......... Wash BasinfLa\'atory, Single..,.....:........,...,............ Water aose~ Public Installation............,..,............. Water Closet. Prr.'ate,.,...............................,.........,.. Miscellaneous: Tor;.,L FIXTURE UNITS ~ 23 CREDIT CALCULATION TABLE: calculate cred~s separates. 'i Based on assessed value. If improvements occurred after annexation date in tabla. Year Annexed Rate per $1,000 Assessej Value Year Annexed Rate ~er $1,0~11' Assessed Value .' i: , ! S 2.24 1.93 1.57 1.1B 0,79 0.44 0.2B , I 1979 or before 1980 1931 1S82 1983 1934 '1985 $3.21 3,13 3,08 2,95 2,82 2.63 2.51 193-5 1937 1988 lsa9 , 19'?J 1!?91 1!?92 Improvement (If after annexation date) 3..J./ X S 2.//J(, D (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL .. 70.'1'7 ~ .. Credit for Parcel or Land Only I( Applicable .. = s 7~,-?? " RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL..............................,..,..,..,..,........... 0,4 CommerciaL.................,.............,......,.......,.... 0.9 I nd ustrial. .......,. .......'.... ..,... ......... .,.,........'......... 0.45 Governmental..............,..,.......,.......,....,............ 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT