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Home My WebLink AboutPermit Building 2019-06-24/*n SP'rINGFIELE, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSOBS MAP: LOX #-9 c -a JOB NUMBER 225 Fifth Street Sprlng(leld, Oregon 97477 TAX LOT:74 SUBDIVISION:BLOCK: A + t-ia L STATE:ZIP:37 97/dt OWNEB: ADDRESS: CITY: ONE: ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW Y REMoDEL ADDRESS PHONEEXPIRES CONST. CONTRACTOR #CONTRACTOR'S NAME GENERAL: OqrqrPLUMBING: fi<rMECHANICAL: ()ut a<JELECTRICAL: }un r \IN \l.\ D - OFFICE USE - WATER HEATER: LAND USE:FLOOD PLAIN SECONDABY HEAT: SQUARE FOOTAGE: # OF BDRMS: -_ OCCY GROUP: * OF STORIES: CONSTR, TYPE: HEAT SOURCE: FIANGE: # OF UNITS: -.- ZONING CODE: To request an lnspectlon, you must call 726-3769. Thmade the same worklng day, lnspecilons requested l--l femporary Etectric Footlng - After trenches areexcavated, ls rs a 24 hour recordrng. Ail rnspections requested before 7:00 a.m. wiil beafter 7:00 a,m. wlll be made the followlng work day. REQUIRED INSPECTIONS Site lnspection - To be made [l Rough Electrlcat _ prlor toafEr excavatlon, but prior to U "or.r.settlng forms. I-l Understab ptumbing/ Electrical/ - Mechanlcal - prloi to cover.Electrlcat Servlce _ Must be l-l Ftnat Mechanlcat _ When ailapproved_ to obtaln permanent - mechanlcal work ls complete.electrlcal pow€r. Rough Mechanlcal - prlor tocover.Flnal Plumblng - When ailplumblng work ls complete. Flnal Electrical - When allelectrical work ls complete. [l ftreptace - prior to facing.- materlals and framlng lnsf fftu-,ng - Prtor to cover. pf rlnat Buttdins - When ail.-( requlred lnspectlons have beenapproved and bulldlng lscompleted.l-l Masonry - Steet tocailon, bond - Deams, grouilng. n Foundatton - After forms are - erected but prlor to concreteplacement. [-l yng:lnround ptumbrns - prior - to fllllng trench. Underlloor plumblng/ Mechanlcal - priar to lnsulaflon or decklng. Post and Beam - prior to floorlnsulatlon or decking. Floor lnsulalion - prior todecking. ffif-SanitarV Sewer - prior to fining-1 trench. f] :.T Sewer - prior ro filting - trench. Waler Llne - prlor to fillingtrench. Rough Plumblng - prlor tocover. Wall/Celting tnsutallon - prlor tocover. Drywall - prlor to taping. Wood Stove - After lnstallailon MOBILE HOME INSPE TIONS ln"glt - After fireplace approvalano lnstallailon of unlt. Curbcut & Approach - Afterlorms are erected but prior toplacement of concrete. SiCewalk & Drlveway - Afterexc.avation ls complete, formsand sub-base materlal in place. Fence - When completed. ll Street Trees - When alt requtred - trees are planted. Blocking and Set.Up - When ailotocktng is complete. Plumbing Connectio\s - Whennome has been conn'ected towater and sewer. \ ) Electrlcal Connection _ When p_r9cKr19, set-up, and ptumbingtnspecilons have been approvedand the home is connecied tothe servlce panel, Flnal - After all requiredrnspecuons are approved andporc.hes, sklrilng, decks, andventlng have been lnstalled. 74 4e \ QUAD AREA: I OF BLDGS: E E * Lot faces Lot sq. ftg. Lot coverage Topography Total helght LoVIype K tnt"rio, - Corner - Panhandle - Cul-de-sacE -, THE PROPOSED WORK IN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: ACCP.L.HSE GAR N S W E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls 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 bulldlngs, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances' P ev By Recei pt Numbe a o3 Date Paid Plan Check Fee: BUILDING PERMIT ITEM SO. FT. X $/SO. FT.VALUE 3?o *t'?'P/ o/z'.*?/ (A) \'7A4.fi€i 6C4 Total Value Building Permit Fee State Surcharge Total Fee Main Garage Garport Systems Development Charge is due on all undeveloped properties within the City limlts which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) $LA-st ADDITIONAL COMMENTS fu.qr? 7' ^T t, ,- {V d ft Sanitary Sewer FT' Z'fO/*^r",ffi^ffffi No ?-s.e 34 4lra.,,.s . FEE FT. / ,Zft ,7€ oo(c) PLUMBING PERMIT Storm Sewer Moblle Home Plumblng Permlt State Surcharge Total Charge ITEM Fixtures Residentlal Bath(s) Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlned the completed applicatlon and do hereby certify that all lnformatlonhereonistrueandcorrect,andlfurthercertify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work descrlbed hereln, and that NO OCCUPANCY will be made of any StructurewlthoutpermissionoftheBuildingSafetyDivision. I further certify that only contractors and employees who are ln compliance with ORS 701'055 wlll be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front the approved set of plans will remain Date of the ProPertY, and on the sl at ring construction.me MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk -- ft Curbcut -_ ft Demolltlon State Surcharge Total Mlscellaneous Permits (E) BER VALIDATION RECEIVED BY AMOUNT R DATE PAID RECEIPT TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) s*_24_ 9/o 7 7 7 CITY OF SI,RINGFIELD SYSTEMS DEVELOPMENT CIIATIGE ( c o,,,HERH?l [t#5EI*,, n,-, NAI'IE OR COI.IPAI{Y: LOCAT IOII: DEVELOPI'IENI TYPE: BUILDING SIZE:'r36'x Neu,t E{tsnta sizT a. Ft. I. STORI'I DRAINAGE it'rPERv Ious sQ. ?. SANITARY SEll'ER.CITY NO. OF PFU'S (See Reverse) .) J x x x ru4 x so.2o3 PER SQ. FT X 542.08 PER PFU FT TRANSP0RTAT Iott NO OF UNiTS X TRiP RATE X COST PER TRIP x s424.31 x s424.3r x s424.31 E) X .os s s 4. SANITARY SEl,lER-l.lli'l'lC N0.0F PFU'S x $lS.tZS pER pFU + $tO Hlt'MC ADl.t FEE(Use PFU totalTiomG 2 Abovej Hl.lr,rc CREDTT IF AppLICABLE (SEE REVERSE) TOTAL.MWHC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) BAS (s s Ste z/ L /c5.2 Coord i nator TOTAL SDC 7 F,KTUREUNIT-CALCULATTON IALILEt!.'rrn,L.crotNcrvt:irirrresXUnitL-tirrir':rlcttl=l'rrt"cL'nrrstrr\''r'' For rcn',odcts. cilctrlSle grrly tlrc l'JEr 'tr.;.1it1r'''rutl li'tltrrt':') l{ul.',6[,] L.)l: L'ftl]' rli:TUn-E FrrrunE n.pL- t..,E\i, r:r.\IUriES'" r.oLriVi.Lt-:rJT Uf 'r ts Balhlub......' Drinking Fourrllirl..'... Floor Drain.. ........':""""' lnl erceptors For Grease/Oil/Solids/Etc'.......'....' lnt erceplors For Sand/Aut o \'\'a slr/El c.....'.......... Laundry Tub/Oothesrvashcr.'...........'.. :l I i 3 6, 6 t) 1 3 2 I 2 2 1 t) ClothesvaEher - 3 Or h4ore'..-....... llobile Hdme Park Trap (1 Per Traiter)- fleceplor Fgr B efrigeraIorf{at e r Stat ion/Etc... ""' fleeeptor For Commerclal Sink/D ishrt'a sher/Etc'. Shorver, Single'Stall.. Shower. Gan9........... Sink, Ba( Commercial ' Urinal, StillfVall.... Wash Basin/tavatory, Single. \Yater C]osel Public lnstallation. Water Closet. Private......... hliscellaneous: /Head TOT;.L FIXTURE Ui\'lTS CREDIT CALCUI-A.TION TAB LE: calculate credhs separates. Eased on assessed value. lf improvements occurred afler annexation date in table, Yeer Annexed Fale per 51,00O AssesseJ Value Year Annexed Rate per 51.OO0 Assesse'.J Value 1979 or before 193C 1 981 1*2 19e3 1934 19S5 s3.21 3.13 3.08 2.S 2.82 2.63 2.51 r935 1 937 19gl 1949 r ocY'l 1931 r oo2 s 2.24 1.93 1.57 1.1 B 0.79 o.u 0.28 Gedit for Parcd or Larrc only lf Applicable (R.t. * Irrj.* Ur.f = lmprovement (f after annexation date) X S -- = (Rate X Assessed Value) CREDIT TOTAL =$_ RUNOFF COEFFICIENTS FOR STOBM DRAINAGE Residential... Commercial. .......'...... 0.4 0.9 ............ 0.15 0.5 IIT4PERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT