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Home My WebLink AboutPermit Building 1992-02-07P]lt FIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER O 'n.>'-- h,225 Fifth Street Springfield, Oregon 97 477 LOCATION OF PROPOSED WOFIK:4/</y, 3qb5t i/,1, p, ASSESSORS MAP:TAX LOT:OO LOT:BLOCK SUBDIVISION 2P?? **-;= OWNER PHONE: ADDRESS: CITY:STATE: DESCRIBE WORK: NEW - REMODEL ADDITION DEMOLISH OTHER CONTRACTOFI'S NAME ESS CONST. CONTRACTOR #EXPIBES PHONE4tzt2aGENERAL: PLUMBING MECHANICAL ELECTRICAL: -oF E QUAD AREA: * OF BLDGS: LAND USE:FLOOD PLAIN * OF UNITS:ZONING CODE: OCCY GROUP: S OF STORIES: CONSTR. TYPE HEAT SOURCE: # OF BDRMS WATER HEATER RANGE: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 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. REQUIRED INSPECTIONS fl Temporary Electricll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. B Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.f-l Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking. E Blocking and Set-Up - When all blocking is complete.lnsert - After fireplace approval and installation of unit. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. B Sanitary Sewer - Prior to filling trench.tr 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 filling trench, Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prior to filling trench. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. tr Rough Plumbing - Prior to cover. g K 4T ztP: =??28 722-2.*2q D. r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. @fue,- VALUE 2f. a' aac>/54- (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee /-2, ^./.2, BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 provisions of said ordinances. /?-/2e,/ Plans Reviewed By Date Date Paid Receipt Number: Received By Plan Check Fee:/6,2{ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) h t boq'E Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS dSo I ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer FEE Mobire none 1fu1ffup -/5= - zJz> r-. t -J,-__n_Q,e(c) N0 FT. FT. FT. lD -oo PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State SurchargeitA/Sidewalk l,O\ ft ry/7*.Curbcut - ft Demolition State Surcharge /b5* ?o.d Total Miscellaneous Permits (D) 2 (E) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther 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 Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther 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 L/ Date on the site at Stdung natu re TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) <@lz3 __3 cza EI ED DATE PAID AMOUNT REC RECEIVED BY VALIDATION: RECEIPT NUMBER APPROVED: ,r-ScD /<z.o€ i.G *nR q\\-1SL TAX LOT JOB NUMBER LOCATION OF PROPOS ASSESSORS MAP: RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOT - BLOCK:SUBDIVISION:_ 225 Fitth Street Springfield, Oregon g7 477 OWNER: ADDR CITY: PHONE: ZIP:STATE: ADD N DEMOLISH OTHER D N DEL AME ADDRESS EXPIRES PHONECONTRACTOR' MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING \\ WATER HEATER: # OF BDRMS RANGE: * OF UNITS: LAND USE: ZONING CODE: FLOOD PLAIN: _ OFFICE SECONDARY HEAT SQUARE FOOTAGE: CONSTR. TYPE HEAT SOURCE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGST To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS f_l Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When altplumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. ;4 Footing - After trenches are excavated.Final Building - When ail required inspections have been approved and building is completed. Fireplace - Prior to facing materials and lraming lnsp. Masonry - Steel location, bond beams, grouting. [|rt"-ing - Prior to cover tr Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. tr 3Qn E E l--l ottrer E E E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E k IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED: BUTLDING PERMIT ITEM Main Garage Carport SQ. FT. X $/SO. FI.VALUE Total Value Building Permit Fee State Surcharge Total Fee (A) BUILDING VALU E, PLAN CH ECK 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 Spri ngfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of Plan Check Fee: . Date Paid: S said ordinances. Receipt Numbe Rec By: /-8-2? Date SYSTEMS DEVELOPMENT C (B)'^1t="l'Pf'*Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rn ace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther 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 Safety 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 f ront of the property, and the approved set of plans will remain on the site at all times durino constructiD'R%**'{,-/*ureq2- 7- 7A MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition Surch Total Miscellaneous (E) ITOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) VALIDATION: RECEIPT NUMB I o DATE PAID AMOUNT RECE FIECEIVED BY Ery_ Z )/z __L_ _ ewed Sdrte*F. Z( - ,- /r r- Date IELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Ollice: 726-3759 I OCATION OF PT.IOPOSED WORK: ASSESSORS MAP: LOT: OWNER: ADDRESS JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 7 TAX LOT: BLOCK: SUBDIVISION CI.IY: -D STATE: PHONE:@ ztP-?/\< DESCRIBE WORK NEW -- REMODEL ADDITION DEMOLISH OTHER ADDRESS CONST. CONTFIACTOR 'EXPIRES PHONECONTRACTOR'S NAME C ENERAL PLUMBING: MECHANICAL: ELECTRICAL: r OF BLDGS: OCCY GROUT': r OF STORIES: WATER HEATER ZONING CODE: --- .- , OF BDFIMS: _ . , SECONDARY HEAT: - . SQUARE FOOTAGE: - OFFICE USE _ LAND USE FLOOD PLAINOUAD AREA: r OF UNITS: CONSTR. TYPE: . - HEAT SOURCE: RANGE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be macJe the same working clay, inspections requested atterT OO a.m. will be made the following work day. REOUIRED INSPECTIONS f-l femOorary Eleclric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is corlplelL..cover, Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Firral Mechanical - When all mechanical worl< is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond bearns, grouting.Framing - Prior to cover. Other - -Foundalion - After forms are erected but prior to concrete placernent.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPESI-IONS L]Underlloor Pluttrbing/ Mechatrical - Prior to insulatiorr or clecking.Wood Stove - Aftcr installation Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and installation of unit. Blocking and Sel-Up - Wlten all blocking is conrplete. Floor lnsulation - Prior to decking.E Curbcul & Approach - After forms are erected but Prior to placement oa concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, an<l plumbing inspections have l.reort alrproved and the horne is connected to the service panel. Storm Sewer - P(io( to filling trench. Sidewalk & DrivewaY - A{ter excavation is comPlete, for'ms and sub-base material in Place. Water Line - Prio( to lilling trench.[--l Fence - When comPleted. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventinO have been installed.Rough Plumbing - Prior to cover. rO7€e> aL7. ry:=?f- r tl tI rr tl tl E E T tI Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior -- Corner .- Panhandle -. Cul-de-sac Setbacks P.L.HSE GAFI Acc N S E ^ts rHE PRoPosED woRK tN THE 11 ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved tly tl-re Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SO. FT, X $/SQ. FT,VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition that the said conslruction strall, in all respects, conform to the OrcJinance adopted by the City of Springfield, including the Development Cocle, regulating the construction an(l ['se ol builrlinqs, and rn:ry [;c sttspcncled or rcvokcd at arry lirne upon violation of any provisions of said ordinanccs' Plan Check Fee Date Paid Fleceipt Number:-- Fleceived By: Plans Rcviewed BY Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge is due on all undeveloped properties within the City limits which are being improved' PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No FT. FT. FT. Plumbing Pertnit State Surcharge Total Charge (c) ADDITTONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No --.--- Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is trtre and correct, and I {urther certif y that any and all work performed shall be done in accordance with the Ordinances of the City of Springficld' and the Laws of the Stale of Orcgon pertaining to the worl< dcscribcti herein, arrd that NO OCCUPANCY will be nr;rrJc of any structure without pertrrission of the Builcling Safety Divisiotr' I further certify tllat only contractors and employees who are in compliance with ORS 701.055 will be ttsed on this project. I further agrec to ensure that all required inspections are requestecJ at the proper tin're, that each address is readable from the street, thal the permit card is located at the front of the property, an(l tlre approvcd set of plans will remain on the site at all ti during cons Signature Date n. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewatk 3? n curbcur fu- ft<'<du/3a Demolition State Surcharge /7,5O //.50 Total Miscellaneous Permits (E) VALIDATION RECEIPT NUMBER --.2/2 DATE PAID 7:Z:a,>,,/ ''- AMOUNT FIECEIVED FIECEIVED BY --c2<2 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) --?4 ao strrrtNGFrrrLo 225 FIFTE STRBEf, SPRINGFIEID, oREGON 97477 INSPBCf,ION REQUBST: 7 oPPICE: 726-3759 1 rNST ELECTRICAL PERHIT APPLICATION Number ?//7f)- COHPI..ETE TEE SCEEDULB BBLOV Nev Residential-Single or HuI t i-Fami ry pe r dvelling unit. d:Items Cost $ 8s.00 $ 1s.00 s 40.00 0b 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps 0ver 600 amps or 1000-voIT nle f,%1E .';7 ) Sum Electrical Contractor Address A /),zaa 7 L000 sq.ft. or less Eaeh additional 500 sq. ft or portion thereo f Each Manuf,d Home or Modular Dvelling Service or Feeder B. Services or Feeders fnstallation, Alterations or 7 Relocation: JOB DESCT PTION Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI{TRACf,OR INSTALI,ATION ONLY d 200 amps or less / 20L amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0n1y $ $ *L00 00 00 00 00 00 50 60 s 40.00 $ ss.00 $ 80.00 Ci ty Supervisor License Number Expiration Date Constr Contr,,Number Expiration Date vno"" 72G 73a3t_ 2 $100. $130. $300. $ lro. s see rrgrr "$[ C. Temporary Services or Feedersfnstallation, Alteration or Relocation L Signature o sing clan 'rs Name Address ct ty-Phone OSNER INSTALI^ATION The installation is being made on property I own vhich is not intendedfor sa1e, Iease or rent. 0vners Signature: DATE:3*L7 - D. Branch Circuits Nev, Alteratlon or Extension Per Pane} oneCircuit / 535.00 Each Addi t ional Ci rcui t or vi th Servi ce or Feeder Permi t $ 2.00 a & E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/OutIine Lighting- $Limited Energy/Res - $Limited Energy/Comm S 40.00 40.00 20. 00 36.00 ST,BTOTAL OP ABOVB 5Z State Surcharge TOTAT C'TY OFSPR OREC RECEIVED B 2 5 Sa.* a C'TY OREGO'U ab 225 FIFTE STREEf, SPRINGFTELD, OREGON 97 477 INSPEGTION REQIIESTz 726-3769 oFFICE: 726-3759 1 OF Ci ty Job Number PEE SCEEDULE BELOV sidential-Sing1e or lti-FaniIy per dvelling unit. Serviee Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dvelling Serviee or Feeder $ 8s.00 s 1s.00 t1a s 40.00 s see uBu aEiE ELECTRI APPLICATIONq\R, A Sum Permits are if vork is 1-'-transferable,started vithin expi re 0 days of issuance or if vork is suspended for 180 days. 2 COT{ISACTOR INSTALI,ATION OM.Y Electrical Contractor Address Phone . Ptui.Jurl B. Services or Feeders -. Installation, Alterations or k/c Relocation: 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1y C. Temporary Services or Feeders fnstallation, Alteration or Relocation 200 amps or less I 201 amps to 400 amps * over 401 to 600 amps -Over 600 amps or 1000 volt '2 @ ffi 4 s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ci rc-6/74Supervisor License Ndmber Q-6 7/.E Expiration Date Constr Contr. Number Exp iration Date Signa of Supervi Electrician Ovners Address Ci ty Phone OVNER INSTATI^ATION The installation is being made on property I ovn vhieh is not intended for sale, lease or rent. ovners Signature: DATE: RECEIPT *: D. Branch Circuits Nev, Alteration or Extension Per Pane} One Circuit Each Addi tional Circuit or vith Service or Feeder Permit s 3s.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limited Energy/Res Limited Energy/Comm STIBTOTAL OP ABOVB 5f, State Surcharge TOTAL + s 40.00 $ ss.00 $ 80.00 .00 .00 .00 .00 N) s40 s40 $20 S36 5 )( RECEIVED BY: 3D fr.rtr JOB NO.Irrrgz CITY 0F Sr-,tINGFIELD SYSIEHS DE{EL0PHErrr CHARGE WORKSHEET i (C0HHERCIAL & RESIDENTIAL) NANE OR COMPANY:Aoe-e-es )Leru* R*q LOCATION:.{rz- (l %q aj sr-I -l ozzz t t.l O l^o PE: LD€- - (=A.p-*(=L'- ?P-rtr9 fua* - P.?- certr-Dt-pir W +o LDEVTLOPHENT TY EUILDING SiZE: ge\beD oero.@oeo>eo r- zQ LoT slz . Ft. 1. STORH DRAINAGE IMPTRVIOUS SQ. FI. lZoo-b1b-- GZ4 X 50.186 PER SQ. FT.$ I rG09 2 (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknorvn) SANITARY SEI.IER-CtTY NO. OF PFU'S X 538.55 PER PFU s 3 (See Reverse To Determine Total PFU'S) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x - x s388.51 5- x _ x s388.61 x x s388.61 (See Attachment C To Oeternine Trip Rates) SUBToTAL (ADD ITEMS 1,2, & 3) ADI'IINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .0s TOTAL-C!TY SDC s lzt 91 SANITARY SEt'lER-Ht',MC NO. OF PFU'S 513.25 PER PFU + S10 l.lh,!.lc ADI:IN. FEE S $-- s I s I (Go9 4 5 (Use PFU Total From Item 2 Above) HI,JMC CREDIT IF APPLICABLE (SEE REVERSE)$ ToTAL-fih,t'lc sDC s+ 1- IOTAL SDC s n)s9- ^ -6o\ r- U:g^^).|,L 0 Kip Burdick SDC Coordinator ,i : i CITY OF SPRINGFIELD SYSTEMS DEV WORKSHEET (cot['tERcIAL & RESIDENTIAL) JoB N0. 9tt'1ts"- FLOPMENT CHARGE NAME OR COMPANY:llooer-rr q LETHA Rnv LOCATION: *IZ N BAB Ar.1-?a2Arr.t- (>lBoo DEVELOPMENT TYPE: LDR - Mc{ u€AcT. Llo*re. +{a. €, PW c,Ag. BUILDiNG SIZE:t20 OT SIZ a. Fr. I. STORM DRAINAGE I}4PERVIOUS SQ. FT.Lu.+7 x $0.186 PER SQ. FT.s +qt b9- 2 (See Reverse For Runoff Coeffic'ients If Actual Imperv. Area Is Unknown) SANITARY SEWER-CITY 3 NO. OF PFU'S tb X $38.55 PER PFU (See Reverse To Determine Total PFU'S) TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x t . oo5,x s388.51 x _ x $388.61 x _ x $388.6I (See Attachment C To Determine Trip Rates) SUBTOTAL ADI''!iNISTRATIVE FEtS BASE CHARGE (SUBToTAL AtsoVE) X .0s (Use PFU Total From Item 2 Above) MI^,MC CREDTT IF APPLICABLE (SEE REVERSE) K-@,**al tt/rt/tr (ADD ITEMS i,2, & 3) S r51b"z s18 b slL5+a9 s Gqfe s 4oe2 S s- 4 5 . SAN ITARY SEI^IER-Mt,lMC N0. 0F PFU'S lZ x 5i3.25 PER PFU + Sio MI{I'IC ADliit,l. FEE S Z'+ge9 s31 71 TOTAL-I'Il\,I'lC SDC S?-rt'2 Kip Burdick SDC CoordinatorU TOTAL SDC s t8 6Ea9 t TOTAL-CiTY SDC FIXTURE UNIT CALCUT [lON TABLE: Number of New Fixturt For remodels, calculate only theNE'[ additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub.......Z Drinking Fountain. Floor Drain.... lnterceptors For Grease/Oil/Solids/Etc. lnterceptors For Sand/Auto Wash/Etc... Laundry Tub Clotheswasher - 3 Or More... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorAVater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. S hower,' S ingl e Stall..... ;. ;.................. Sink, Bar, Commercial Urinal, StallflVall.... Wash Basin/t-avatory, Sin91e..........z Water Closet, Public lnstallation. . Unit Equivalerrt = Fixlure Units (NOTE UNIT FIXTUBE EOUIVALENT UNITS 2 1 2 3 6 2 6 b 1 3 2 1/ 2 2 1 6 4 2- Head e l- Z a<.)Water Closet, Private. Miscellaneous: TOTAL FIXTURE UNITS la CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) '?-,bb x $ 1*.09 --BJ2l- (Bate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL * S ry12) x$ Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per 51,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 s2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1 987 1 988 I Oao 1990 s1.69 1.35 1.15 0.92 0.59 0.23 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential Commercial... lndustrial........ Governmental.. 0.4 0.9 0.45 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT \ CITY OF SPRINGFIELD, OREGO'V SPFlINTTIELED DEVELOPMENT SERVICES PUBLIC WORKS M ETRO POLITAN WASTEWATE R MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (50s) 726-s753 UANUFACTI.TRED HOME SET-UP AGREEMENT As required by the City of Springfield Dethat_vith the approval of the atiached pemanufactured homes vi1l bre placed at i,eJ-opmen t Code,I understand and agree one ofI Springfield, Oregon, City Job Number I Manufaetured Home. A multi-sectional (double vide or vider)unit v an en oor area of not less than 1,000 square feet,that has a nominal roof pitch of 3 feet in height for each 12 feet invidth. that has no bare metal siding or roofing, and that has beeneertified by the manufac turer to have an exterior thermal envelo pemeeting performance standards r^'hich reduce heat 10ss to leveIsequivalent to the performance standards r equired of single familydvellings constructed under the State Spe eialty Codes. ff Manufactured Home.A unit of no t less than L2 feet in vidth than 500 square feet, that has . for each 12 feet in vidth and- w an ene ose loor area of not LessL - Hanufactured Home bloeking - l:ater line connection - Street tl:ee standards ature Date a. nominal roof piteh of 2 feet in heightthat has no bare metal siding or roofing I further state, by my signature belov, that I have been provided vith thefolloving information: - Sanitary sever conneetion - El-ectricaL connection - l'{inimum requirements for permanent steps I also understand that if I am installing a Type r Manufactured Home, the homeshaI1 be enclosed at the perimeter vith itone, brick or other masonry materials,and vith no more than 12 inches of the enclosing material exposed ablve g."d". ' 7 -2 -qA,