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Home My WebLink AboutPermit Building 1993-8-11 ,.. ~ ln~nUJ12) ~. . , TAX LOT: Q..Q \rY) SUBDIVISION: \WfQ.(\1-tolii~ Q,,} \ <i,t ~WNER:_.-L'1-.\.&\'\~~()\1\ 'Ar\ J . PHO~: C\'i--\ -t Q \'<lQ. ""c! """lLaC=L 1=1_" f'rlQDT, l)\\ I' "" .' 1\ ) ,\ \ ) , . -, , Clc.a. , '" \1j1iL~ .", STATE: ~),~ (? /"f7' ZIP: C, f\ ~ '.4.. \ DESCRIBE WOnK: "S V\"\C\.\s ,H(\ ffil \h.J/ \< 0 [\1. N Q 1'\.(\ Q NEW ~ nEMODEL __ (jADDITION _ DEMOLlS~ OTHER .OCATION or- PROPOS~D ;!I2!1~: -~ -~ ~SSESSORS MAP: \ 't-{. ::hI().!}. \ Q ~ /3 Cl--- -'" -......... IESIDENTIAL IERMIT APPLICATION 'spec lions: 726.3769 lflice: 726.3759 _OT: BLOCK: CONTRACTO 'S NAME' . GENEnA'L: _ ' M,((-) ,MECHANICAL' _ . ~ 1- n ) . ELECTnICAL'lli...W Cf: ~Q' . OUAD AREA:~'A..C::":)(l , _.- . OF ElLoG~: - _\ -- OCCY GROUP g:-~~~- . OF STORIES: - ' - ' C WATEn HEATER: L---' . ~. '5 f' '3" "1 ADDRESS " .) _ OFFICE USE - \ \ \ \ . OF UNITS' \ CONSTR. TYPE:..iLr--J HEAT SOURCE: F'S RANGE: <::( J LAND USE: ',' JOB NUMBER , Cl3 In::si 225 Fifth Street Springfield, Oregon 97477 .~ ~1 FLOOD PLAIN' ZO~ING CODE: . OF BDRMS: \ \'lfc' ) ~~ . SECONDARY HEAT: SQUARE FOOTAGE: ~ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 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. o Temporary Electric {Z] Site Inspection - To be made aller excavation, but prior 10 setting louns. o Undcrslab Plumbing/Electrlcall Mechanical - Prior 10 cover. ~ Footing - After tren~hes are excavated. 'd Masonry - Steel location. bond bealllS, urol,llinu. ~ Foundation - Aller forms arc creclcd IlUI prior to concn:tc placement. o Underground Plumbing - Prior to lilllng trench. [Xl Underlloor Plumbing/Mechanical _ prior to Insulation or decking. ~J)O-Sl and Beam -. Prior' to 'f1oor;' ~ insulation or.dcckinlJ.~ ". . . ./,,/' ell Floor Insulation - Prior to decking. ~ (ZJ Sanitary Sewer - Prior to lilling trenctl. Storm Sewer - Prior to filling trench. r-;t Water Line - Prior to filling LAJ trench. . [Z] Rou.Oh Plumbing - Prior to r.ov.;r. REQUIRED INSPECTIONS ell Rough Mechanical - Prior to covcr. ., . " [2[] Rough. Electrical - Prior to cover. ItA Electrical Service - Must be l.--:A:J approvcd to obtain permanent electrical power. [lJ Fireplace - Prior to facing materials and framing Insp: [A Framing - Prior to cover. [21 Wall/Ceiling InsulatIon - Prior to covcr. W Drywall - Prior t.o taping. o Wood Stove - Aller Installalion. o Insert - After fireplace approval and Installation of unit. [2J Curbeut & Appro'aeh -: After forms arc erected but prior to placement of concrete. r71 Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material In place. o Fence - When ~omPlctc~. rT7l Slreot Trees - When all.reQulred 1X-.l twcS aro planted. ct] Final Plumbing - When all plumbing work is complete. riP\ Final Electrical - When all Lf4J electrical work is complete. o Final Mechanical - When all mechanical work Is complete. rA7l Final Building - When all J;A-J required Inspections have been approved and building Is completed. DO'hcr MOBILE HOME INSPECTIONS o Blocking and Sct,Up - When all blocking Is complete. o Plumbing c;onn'ccttons - When home has been connected to water and sewer.' o 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 (acos #-- ~~ .; Lot Type Lot sQ. Itg. _ Interior L Corner Panhandle 7-- Lot coverage ~ Topography ~~ Total height d.Q. Cul-de-sac Setbacl(s 1---'--- I PL. 'HSE' GAR ACe .. r '::;'1 HE PROPOSED WOHK ~ TH.s. HISTOfllCAL DISTRICT, OR ON THE HI:;TORICAL REGISTER? ~--<..::;,--- ~S W ~.5t _~ (t>~/.Y- ,___. BUILDING VALUE, PLAN CH.ECK . AND BUILDING PERMIT S BUILDING PERMIT ::1: M x '~~"8D~ ?J7,~64 Garage ",\rlQ 11,\ (j)'-D~1.. 2a, ?t:> a~.9~ SYSTEMS DEVELOPMENT CHARGE (SDC) ..b .II '5'Z.fP . (B) fP 2tJr.Jt., - Carport Total Value Building Permit Foe State Surcharge. Telal Fee (A) PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' ~ Sanllary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permll State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' -:z Wood Stovc/lnscrtl Fireplace Unit Dryer Van 1 MeChanical Permit Issuance J State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /~:? -:alP II It CurlJcut Demollllon Slate Surcharge , Total Miscellaneous Permits (E) C\4411 - J . . t//S.OO- FEE U&> /~.-,. -S.- /6$. - ~. ,.". <,/. st> ~.-'> ~.- /9. S?:> /V'. - -",g; <5&:', Y 8 -::55.P>~ -L&;.Yc> 419. S'5 TOTAL AMOUNT DUE (excluding electrical) ::i?6S? 11-5" (A, B, C, D, and E Combined) If yes, Ih;s applicalion must ue signed anti approved by the Historical Coordinalor prior to permil issuance. APPROVEP: This permit is grailted on tho express conrJitlon lhal the said construt;lion shall, in all fesoccls, conform '10 the Ordinance adopted by ,he City of Springfield, Including the DeveJopnlent Code, retlulating the construdion and use of buildings, and may be suspended or revoked at any time upon vlolalion 01 a~rovisiohS Oald ordinances. Plan Check Fec: 1.LQ , Dale Paid: '~_~Q'~ ~ Receipt NUl11bur:~ gji ;Z:'::-r~:'-' S-/c~3 PJlYfs Reviewed , - - Date Systems Developrnenl Charge is duo'on all undeveloped properlies within the City limits which are being improved. ADDITIONAL COMMENTS, l ~-\-I; TLo, '7'7() \~nn.lx.J)lL.1 . J~~ 1iuJL0Dlli0 ^ 1>111 P.PI Y, ~ By signature, 15talo and agree. that I have carefully examined the completed application and do hereby cerlify that all i.nrOfmation hereon is true and correct, and Ilur~her certify that any and all worl( performed shall be done in accordance wilh the Ordinances of Ihe Cily of Springfield, nnd the Law3 of the Slate of Oregon pertaining to the work described herein, and thai NO OCCUPANCY ,will be made of any structure without permission. of the Building Safely Division. I further certify thai only contractors and employees who arc In compliance with ons 701.055 will be used on this project. I further a~ree to ensure Iha~ all required inspeclio(ls arc requested at the proper time, that each address is readablo from the street, that the p.ermlt card is located at the front 01 the property, and the approved set of plans will remain on the site al all~Uring conslrucllon. , Signalurt. y ~ /:l1J~ -> Datf' I ' I VALIDATION: \ -\ '4- -i./ . \. JOB NO. q~J054 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ,WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: C;U:;NIJ KnTA-K.A LOCATION: 72.~5 G-L.ACAE/i!... Ho'207../Z - O'},/OO DEVELOPMENT TYPE: Lp~ - N&W$r/2. BUILDING SIZE: LOT stu SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. "Z'f' & X $0.203 PER SQ. FT. ~'10 ~) ------------ 2. SANITARY SEWER-CITY NO. OF PFU'S I~ X $42.08 PER PFU 0S7'tt) (See Reverse) 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /,0/ X $424.31 X X $424.31 r- ~~) '-- '-- $ X X $424.31 $ - 4. SANITARY SEWER-MWMC NO. OF PFU'S I'D x $15.125 PER PFU + $10 MWMC ADM FEE $ "Z ~'2. ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 5~ ~ " TOTAL-MWMC SDr, ~2.e ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $/"1()'5'3-J:,. 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~'..,.. ~;':"'J.:, 7 h'Z-/a"Z.. V Kip Burdick (~ SDC Coordinator G"15~) ........... .../ ?~ TOTAL SDC $ '2-tJOO-- FIXTURE UNIT ,CALCU LA Tla TABLE: Number of New Fixtures X eEqUivalent = Fixture Units (NOTE: For remodels, ca7CUlate only the NET additional ftxtures) i.'\ .~ . NUMBER OF UNIT FIXTURe"'"" :::'="mmmm New ","UNes 'QU:"'"' UN~ Drinking Foun{ain.........,.....,..,.....,......,..................... 1 ~~e~~~p~;6~~..G;~~~~ioii;s~iid~;E;~....~~..............'.:~'.~~ ~ 19terceptors For Sand/Auto Wash/Etc.................. 6 Laun91Y Tub/Dotheswasher,.................................. ' \ . / 2 DotJieswa~er - 3 Or More...................."..."....,...., 6 'AM 6ne Hdme Park Trap (1 Per Trailer)..........:....:.. .' , " 6 ' eceptor F9r RefrigeratorfWater Station/Etc......., 1 ~~~;~r ;~~I~~~~~~~~~.~.i.~.~:..~i~.~.~~.~~~~.~,~~~:: ~ . Shower, Gang.......,................................................,.. l/Head Sink, Bar, CommerciaL....,...............................,...... 2 Urinal, StallfWall..................................................,.... 2 Wash BasiniLavato.ry, Single..,...........,................... 1. 1 Water Dose!, Public Installation............................, 6 Water Dose!, Private............................................... '2- 4 Miscellaneous: '2. -z ~ "Z. "6 TOTAL FIXTURE UNITS I~ CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Rate per $1,000 Assessed Value $ 2,24 1,93 1.57 1.18 0,79 0,44 0.28 - , = 5?~~ = = $ 5~82 Year Rate per $1,000 Annexed Assessed Value 1979 or before $3,21 1980 3,13 1981 .... 3,08 I 1982 2.96 I 1983 2.82 l 1984 2.68 '1985 2.51 1986 1987 1968 1989 1990 1991 lro2 - Improvement (If after annexation date) . . .... ,,' 3,2./ X $ jtn .7'- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Credit f~ Parcel or Land Only If Applicable ."', . RUNOFF COEFFICIENTS FOR STORM DRAINAGE .,::. Residential........:.........,."............;.:,......,:..;....:,.. 0.4 CommerciaL...........,..,.............,...........".....,.... 0,9 IndustriaL......................:.................,............,... 0.45 GovernmentaL...........,..,................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT