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Home My WebLink AboutPermit Building 1998-10-28RESiDENTIAL PERMIT APPLICATION lnspections: 726-3769 Ottice:726-3759 PrlINGFIELr, JOB NUMBER 7 8 t7 ffi,225 Fifth Street Springf leld, Oregon 97477 ?3 ,//1/ L/LOCATION OF PROPOSED WORK: ASSESSORS MAP:/1o77(,tz TAX LOT:7oo LOT BLOCK: PHOI"I E: drL ZIP:7 7STATE: 77 q- Tt /7/u '2/ CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHEFI DESCRIBE WORK: ADDRESS 'ru//ElL EXPIRES .' PHONE GENEBAL: PLUMBING; MECHANICAL: ELECTBICAL: CONST. CONTBACTOR #CONTRACTOR'S NAME - OFFICE USE - AUTI1ORIZEE FLOOD })LAIN TIJIQ Denr.,-.ryTETIT9ITT PFBlflnsouAR F. FoorAG E: To request an lnspectlon, you must call 726-3769. Thls is a24 hour recordlng. All inspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. will be macje the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prior to cover. Final Plunrbing - When all plumbing worl< Is complete. SIte lnspectlon - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblng/ Electrical /Electrical Servlce - Must be approved to obtaln permanent oleotrloal power. Final Mechanical - When all mechanical work ls complete.lcal - Prlor to cover. - After trenches are Final Buildlng - When ail requlred lnspectlons have been approvod and bulldlng lr completed. excavst€d f]Flreplace - Prlor to faclng matcrlals and lramlng lnrp. Masonry - Steel locatlon, bond beams, groutlng.ramlng - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placemont. Other Wall/Celling lnsulatlon - Prlor to cover, Underground Plumblng - Prlor to fllllng trench.Drywall - Prlor to taping tl MOtsILE HOME INSPESTIONS Undorlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng.fl Wood Stovo - After lnstallatlon Post and Beam - Prlor to lloor insulation or decklng.lnserl - After fireplace approval and installatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumtring Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filllng trench. Sidewalt< & Driveway - After excavation is complete, forms and sub-base malerial in place. Water Line - Prlor to filling trench.n Fence - When coiiipleted. Street Trees - When all required trees are planted. Final - After all required inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. Eough Plumblng - Prlor to cover. _--\ ..rr-:- 4o :' SUBDIVISION: - t-utr fi MatL.€,u,t E E tl E rl E E E Lot faces Lot sq. ftg. Lot coverage Topography Tolal helght Lot TyL - lnterlor - Corner -- Panhandle - Cul-de-sac ks IS THE PROPOSEO WORK }N THE . HISTORICAL DISTRICT, OR ON THE HISTORIOAL REGISTER? - lf yes, thls appllcatlon must be slgned arrd approved by the Historlcal Coordlnator prlor to permit issuance. APPROVED: PL.I'JSE GAR ACC N S E VALUE ftrcl ", /6, za(A) X $/SQ. FT. rf .7f Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport Coo BUTLDING \ALUE, FMU CHECK AND BUILDING PERMIT This pernrit 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 provisions of said ordinances. Plans Bcviewed By Date Receipt Numbe Plan Check Fee Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N! FT. FT. FT. (c) Plumbing Permlt State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) Mechanical Permit lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all information hereon is true and correct, and I f urther cerflfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 7Ol.O55 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all timeis durin g constructlon. Date Signatu re z MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- lt Demolition Total Miscellaneous Pennits (E) eraruffiffirs"3 C -LL1( TOTAL AMOUNT DUE (excluding electrica|' -31(A, B, C, Q and E Comblned) ,0{ L/- ?7 {tnRECEIVED BY _- AMOUNT RECEIVED DATE PAIi).,l z VAI-IDATION: RECEIPT NUMBEH I JOURNAL OR JOB NO AITACHMENT A % l:t<t CITY OF SPRINGFIELD SYSTEMS DEVELUPMENT CHARGE I^JORKSHEET NAME OR COI,IPANY: DEVELOPMEI\IT TYPE Ac(d,t;utn BUILDiNG SiZE OT SiZ lLrL. 1. STORI',1 DRAiNAGE iMPERViOUS SQ. FT qtfi X $0.227 PER SQ FT. s 20,43 2. SANITARY SEWER-CITY NO. OF PFU'S X $47.14 PER PFU $ luk (See Reverse Sjde) 3. TRANSPORTATION NO OF UNITS X TRIP RA.TE X COST PER TRIP x _ x $475.32 $ .-- t0 x $475.32 4. SANITARY SEI^/ER-M!^JMC A. REIMBURSEMENT COSI: 5. ADMINISTRATiVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 NO. OF FTU'S PER FEU B. IMPROVEMENT COST: NO. OF FEU'S PER FEU |-,1t^/MC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ( 5 toz s- $ <$ $-ffi- TOTAL-M|^/MC SDC $ p4 SUBTOTAL (ADD ITEMS T,2,3 & 4) $ AI,+ 3 Date SDC Coordinator ATTACH'A. I^JPD ragL 'r'1 TOTAL SDC s z/,+; LOCAIION : K34 N, Z-.i+r St l-'lx I UHE UNIT CALCULATION TABLE: Number of New Fixrures X Unit Equivarent = Fixtui.e Units(NOTE: For remodels, calculate ooly :^ NET additional fixturesl FIXTURE TYPE Bathtub..... Drinking Fountain.... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc.. lnterceptors For Sand/Auto Wash/Etc.. Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 per Trailer)...... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....:.... Shower, Gang.. Sink: Bar, Commercial, Residential Kirchen.. Urinal, Stalt/Wail... Wash Basin lLavatory , Single....... Toilet, Public lnstallation. Toilet, Private........ Miscellaneous: CREDIT CALCULATION TABLE:Basec on assessed value. lf imcalculate credits se oarates. Credit for Parcel or Land Only lf Appticable lmprovement (if after annexation date) TOTAL FIXTURE UNITS provements occurred after annexation date in lable, NUMBER OF NEW FIXTURES UNIT EOUIVALENT $ FIXTURE UNITS 2 'l 2 o 2 6 6 1 J 2 l lHead 2 2 1 6 4 - - X$ : (Rate X Assessed Value)x$= (Rate X Assessed Value) , CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Onlyl Residential. .......... 0.4Commerical ......... O.g lndustrial........... o5 Governmenta1...................... O.s Year Annexed Hate per S1,OO0 Assessed Value Year Annexed Hate per $1,000 Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1 989 1 990 1 991 1 00, 100,) 1 994 1 00tr 1 996 1 997 $1.98 l. t5 0.96 0.83 0.67 o.52 0.38 o.21 FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT