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Home My WebLink AboutPermit Building 1992-7-2 r RiSIDENTIAL I PERMIT APPLICATION Inspections: 1:~6.3769 Office: 726,3759 . SPRINGFIELD bQ.,,,e: LOCAlION OF PROPOSED WORK: \ '8, ~'/~' \ ., 0'" ,., r. ...,.., ASSESSORS MAP: :7 '-''0 ... t..- LOT: ~_.. ,_ , BLOCK: 11... OWNER ~Dc::t-:l ~~ (Z.rY'_-~..\V:) AOORESS _\~\ ~C:::.\..E:::. 012\'ic CITY:, ~p~ 'l'..H~c::-t1!::::LD STATE: DESCRIBE WORt<. Co/':) S1' (l.J.) c...i ADOITION V' OEMOLlSH OTHER NEW __00 rlEMOOEL ~ B/::"'-rU 4. (j,ILlTy IZOO~ !B NUMBER _. Qro80[) 225 Fifth Street Springfield, Oregon 97477 -. .' TAX LOT: 20-z.,. SUBOIVISION:3~ ~. &l2DVe.~ PHONE "141- 534-<.,_ ZIP _~.::L4:"J.l .. ~..,,~'\C.. CONST. CONTFlACIOIl'S NAME ADDRESS ~....-.;;:; CONTRACTOR # GENEFlAL V~~E;. ~.t:N1>!:?~? }~2.Jl.~;)':tJ.~r:r.>..,-,:"~~CP_ .,~~ ~6. "36~S".t::N DWYKJ.',~?, PLUMElING, __. _. ' _" U_'.. ,~.-" -.-- ----,. . MECHANICAL .,_,.._ .. _.._00._"__'- ELECTRICAL:~E:\N \Nb"j a.B::.... 4-"2.D2. 'N Go'\>' QUAD AREA: \~U) . OF ElLOGS: , 1._ OCCY GROUI': _~~ /I OF STORIES: _~~ WATER HEATER: EXPIRES __"6 -jlo~-;_ PI'IONI, ~-C:fY::>~ ~ ~...\%--z. :5\D5~ _Sc>~__~". .s, REQUIRED INSPECTI~NS ,1-\::.rRough Mechanical - Plior to' _pI eOVtH. l-~ Rough Electrical - Prior 10 . Gover. D Electrical Service - Must be approved to obtain permanent electrical power. . ~4 ,. D Fireplace - Prior to facing materials and framing Insp. ,... " I.Zl Framing - Prior to cover. ~ Wall/Ceiling Insulation - Prior to ~ cover. . - ~ Drywall - Prior to taping. D Wood Stove - After installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. - OFFICE USE - ~\\ \ 0rd COM, LANO USE: " OF UNITS:_ CONSTR. TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN: r-' ZONING COOE:lX:J"'./ ,__ . OF BORMS: SECONDARY HEAT: _. ,_._ SQUARE FOOTAGE: -t3.8.-:,i;) To request an inspection, you must call 726-3769. This Is a 24 hour recording. AlIlnspeclions requested belore 7:00 n.lll. will he made the saIne workino day. Inspections requested after 7:00 a.m. will be made the following work day. CI TCIIlPOI;lIY Elecllic 1=:J Site In~pcction - To be lIlade allu!' ,})I(';lv,t1ioll, l.Jul prior 10 setlirq] !,-Hrns. D Underslab Plunlbing/Electrical/ Mechanical - Plior to cover. IZl Fooling - After trenches are excaval(~(j. o Masonry - Stcel location, bond boams, urouting. r--;-J Foundation - After forms are ~ ereclc(! but prior to concrete placement. D Underground Plumbing - Prior to fillinO trench. [Z] Underlloor Plumbing/Mechanical - Prim 10 insulation or decking. r-:;t Post and Beam - Prior to floor ~ insul;,lion or dccli.ing. [L!] Floo~ Insulation - Prior to decking. o Sanilary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling troncll. o Water Line - Prior to fillinU trench. ~ W Rough Plumbing...- Prior to cover. o Sidewalk & Driveway - After excavation is complete. forms and sub-base material in place. D Fence - Wilen compleled. o Street Trees - When all required troes are pl<:Hltcd.. . ~ ~ ~ Final Plurnbill~J - WIII~1l all plultlbing woll.. is cOllq1lc:Ole. lZJ Final Elechical - WIH;l1 all eleclrical Woli( is COlllpt(,te. [Xl Fimll Mechanical - Wllefl all mccllanical work is corllplel(~. rn .Final Building - When ,111 required inspections have bcell approved and buildino is completed. DOlher MOBILE HOME INSPECTIONS D Blocking and.Sel-Up - When all blocking is complete. D Plumbing COIll.lcctions - Wilen home has been connected to water and sewer. o Electrical COllllectioll - When blocking, sel-up, and pturIlbinu inspections IHive been approvl~d and the homo is connecled to the service panel. D Final - Afror all required inspections arc approved and porches, skirtina. deel,s, ;111(1 venting have IH~en in:;I;lIl(~(1. Lot faces LX.:..- Lot Type. Lot sq, ltg, ..j2( Interior Lot coverage Corner Topography C/.wrA> Panhandle Total height Cul-de-sac \. As THE PROPOSEO WORK IN THE -.r;ISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks I P.L. I HSE GAR I ACC I N 6r.~. S 5'2' lw' 61 'I ~57' _~ BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. VALUE 1'9.2.? ~7~ ~ Main Garage Carport Total Value Building Permit Fee ~ ~ Stale Surcllarge ~- ~. Total Fe;' (A) 2L. 9~ SYSTEMS DEVELOPMENT CHARGE (SDC) 1f . (B)~UO~ PLUMBING PERMIT ITEM FEE ~~ Fixtures 6.x/C? Residential Bath(s) N' Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit k:c? OC> ,,?OC> .62: ae Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' / -":?'. __tS .. Wood StovellnsertlFlreplace Unit Dryer Vent ( ~ Ore? Mechanical Permit ~///. /5.- /tP,- .7:>- 25:~ Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ,It Curbcut It Demolition State Surcllarge Total Miscellaneous Permits (E) TOTAL AMOUNT ,DUE <excluding eloctrical) -;ZVtb.7.8- (A, B, c. D, and E Comblnod) APPROVEO' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thai the said construction shall, in all respects, conform to the Ordinance adopled by the Cily of' Springfield, including lhe Development Code, regulating the construction and use of buildings, and may be suspended or revoked al any lime upon violation of anYL\l\sions of said ordinances, Plan Check Fee: . 5~ Dale Paid: l o. \'2-. C{ L Receipt Number: ,~-:\,~ Receive By: ~ - ~ -/~-/? (' p. ~eviewed Bf / 2-("-92- Date Systems Development Charge is due on nil umlcvclopcd properties within the City limits which are being improved. ADDITIONAL COMMENTS r-.. '1n'~ \ 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 furl her cerlify that any and all work performed shall be done in ;1ccordancc 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 certi fy that only contractors and employees WllO are In compliance with QRS 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 ot the property. and the approved set of plans will remain on the site at all times during construction. ,c::-.. (Z;.. n_,. Slgnaturo ~ ,~ v Dale ., -1.. -<9<.. VALIDATION: RECEIPT NUMBER 5' C("3'c;:> '2-;Z ~2__ AMOUNT RECEIVEr> 7e::>6.?g ~~ OATE PAID RECEIVED BY , CITY OF JOB NO. 92D~'?O S'-INGFIELD SYSTEMS DEVELOPM~ CHARGE WORKSHEET ' , (COMMERCIAL &. RESIDENTIAL) 19;- NM1E OR COMPANY: DON R. 1<OGEO-l?-'=> LOCATION: \131 G-fZE:.EO.N VALF: D1<-.. II D'?'Z-t.>'2.'2.. - '2-02- DEVELOPI.1ENT TYPE: I_I) e. - A.D P \ T \ C ~ BUILDING SIZE: II -I 'Z.-l.? LOT SIZE SQ. Ft. 1. STORM DRAINAG~ -?"L./ S .1'2... 'I;:. IMPERVIOUS SQ. FT. ~-/'" X $0.186 PER SQ. FT. -r-/ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S Z X $38.55 PER PFU (See Reverse To Determine Total PFU'S) S; .\1 ~, /Y~. ~ ~JPTA::- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $388.61 X $388.61 S; $ X X $388.61 (Se~ Attachmen~ ~ To Determine Trip Rates) '''' ' SUBTOTAL '(ADD ITEMS 1,2, i' -2-' '..'. &. 3)'1.:. .- .~ ,2,.\-' 9:1 ~p 4. ADllINISTRATIVE FEES BASE CHARGE (SUBTOTAl ABOVE) X ;05 z.:z,p s '~ TOTAL-CITY SDCS; o1--Z-1 ~ ~~. /0 5. SANITARY SEWER-MWMC NO. OF PFU'S ~ x SI3.25 PER PFU + S!O,MWMC ADMIN. FEE S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S ~~~ (j Kip Burdick sac Coordinator (p/,S ;'1,- TOTAL-MWMC SOC S -e>-- TOTAL SDC S ~~ ~"./~ ~ FIXTURE UNIT CALCULATaN TABLE: Number 01 New Fi'1uresx." Equ~'aleI11 = Fix1ureUnils (NC~. \ For remodels. calculate only the NET a~tional fix1ures) , NUMBEfl OF UNIT FIXTURE ,FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.................................................:.................... Drinking Fountain..:...~.............................................. Roor Drain...........:........:........................................... Interceptors For Grease/QiI/Solids/Etc................. Interceptors For'Sand/Auto Wash/Etc..........:....... Laundry Tub/Ootheswasher................................... Ootheswasher . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).....,............ Receptor For Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single StalL........,....................................... Shower, Gang............................................:._.......... Sink. Bar, COmmercial........................ Urinal, StallfWalL...................................._.......... Wash BasinfLava10ry, Single._....... Water Ooset, Public Installation...._........_.....m. Water Ooset. Private_.....__......__.... Miscellaneous:, 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 7.. TOTAl FIXTURE UNITS = -z. 2. , CREDIT CALCULATION TABLE: Based on,assessed value. If Improvements ~ed after annexation date in ,table, calculate .......;;;., separates. Year AnneiEid 1979 or before 1980 1981 1982 1983 1984 Rate per $1.000 Assesse<f Value $2.66 2.64 2.53 2.41 2.19 2.04 Year' Annexed 1985 1986 1987 1988 1989 1990 Rate per $1,000, Assessed Value $1.69 1.35 1.15 0.92 .0.59 0.23 Credit for Parcel or Land Qnly II Applicable x $ = (Rate X Assessed Value) X S = (Rate X Assessed Value) CREDIT TOTAL = S Improvement (If after annexation date) . RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL........m...............,.....,..................... 0,4 CommerciaL...........................,............,.....,.... 0.9 IndustriaL..m........................ ........', m' ..........,.. 0.45 GovernmentaL........................................,....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT