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Home My WebLink AboutPermit Building 1994-9-14 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 . SPRINGFIELD ~J':' ~, LOCATION OF PROPOSED WORK: 6? ~ t; ASSESSORS MAP:.J f)~ ~ LOT' OWNER' FR.JJ-NK Tlet.lTT~ :~:,~\'-\.L\ \g NEW CONTR PLUMBING: MECHANICAl' ELECTRICAl' QUAD AREA: # OF BLDGS: OCCY GROUP: ~ # OF STORIES: WATER HEATER: BLOC.... f\AoJ\ ~ STATE: - OFFICE USE - ~1I\ LAND USE: # OF UNITS' CONSTR, TYPE: --.Y ^ J HEAT SOURCF' RANGE: , JOB NUMBER~~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' f:f r?icD PHONE: %~ 'Ql ~a-~ 7'11- 3'155 - ... V ZIP:!1'W~ EXPIRES PHONE J~'11,. .'~ -V~ FLOOD PLAIN' ZONING CODE: # OF BDRMS: SECONDARY HEAT' SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour 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. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. O Undersla.rplu~bln~Electrlcal/ Mechanl~O cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - PrIor to filling trench. ~ Undertlo~MeChanlcal _ Prior to m::OUlallOn or decking. r":?l Post and Beam - Prior to floor l,L:::f Insulation or decking. i .f : ~ ~ ~ t! .\j 1i f: ,. ~i ~ I ~ fQ1 Floor Insulation - Prior to ~decklng, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. " o Water Line - Prior to filling trench. FVI Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS I\2f Rough Mechanical - Prior to )L-.l cover. ~ Rough Electrical - Prior to ~ cover. N1 Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framIng Insp. ~ Framing - Prior to cover. ~ Wail/Ceiling Insulation - Prior to L.f-l cover. JZl Drywall - Prior to taping'. o Wood Stove - After I~stallatlon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete. forms and sub-base material in place. o Fence - When completed. o Street Trees - When all required" trees are planted. f"Q'\ Final Plumbing - When all t,.LJ plumbing work Is complete, [)(] Final ElectrIcal - When all , electrical work Is complete. I'\7l Final Mechanical - When all ~L.:::::I mechanical work Is complete. f"'Xf Final BUilding - When all ~ required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections - 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. Selbacks ! P.L. I HSE GAR I ACC I I N I I S I Iw 1 ~--~ Lot faces Lot Type ~ Lot sq. ltg. Interior Lot coverage Corner Topography Total height Panhandle Cul.de-sac BUILDING PERMIT ITEM SQ. FT, X $/SQ, FT. = VALUE Main Garage Carport (~,...~ -f!?7.... ?-f( fO 1,4~ Total Value '1 'b.$'O , 7.FJ1 , If,) tP,3'? SYSTEMS DEVELOPMENT CHARGE (SDC) f 2("S'~/O Building Permit Fee State Surcharge z.. '16v- t.O' Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures .1) SI'J-"O Residential Bath(s) N' Sanllary Sewer FT, Water FT. Storm Sewer FT, Mobile Home Plumbing Permit '5t)'.f)O State Surcharge k5()J- 2,50 1I,t)O '1: Total Charge (C) .-5 ,60 MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 2- h,O/) Wood Stove/lnsertlFlreplace Unit Dryer Vent 3.M Mechanical Perml t ,ll411tP . l,S;fJfJ '" ,I) /) /,'W_ :2tD.~O Issuance State Surcharge ,11J+-. '15 Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slate Surcharge Sidewalk It Curbcul It Demolition Slate Surcharge LNV;=.STI6'ATlltv FfE Lf () ,C) 0 'I () ,(~ () Total Miscellaneous Permits (E) I ;OTAL AMOUNT DUE (excluding electrical) ~A, B, C, 0, and E Combined) 47' /,(,7 ltPTHE PROPOSED WOR~ IN THE .... HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by Ihe Historical Coordinator prior to permit Issuance. ~, \ , f. ~ ;} ..~ APPROVEP' L \ r I l I , , ~ I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granled on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by Ihe Clly 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. '''" CO", "" ~Ji1A Date Paid: Receipt Number:-r:==/. J ~ Received Bo'" s::l.Jfi r ~ ) :1~ Plans Reviewed By 7-/t-91.f Date Systems Development Charge Is due on all undeveloped properties within the Clly limits which are being Improved, ADDITIONAL COMMENTS _Si3'Y-7~A-?C 1!!/~7"'d~ -.g'~AffT /S A'l'5-?g/~ /J1hf..h ('tf'1~:wr /A71fL. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon 15 true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordlnanc~s 01 the City 01 Springfield. and the Laws 01 the Stale of Oregon pertaining to the work described herein, and Ihat NO OCCUPANCY will be made 01 any structure wllhout permission olthe Building Salety Division. I further cerllfy that only cont",ctors 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 lime, that each address Is readable from the slreet, thai the pormll card Is localed at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~gnatur~ ~^-~{' Date 5/L,4 /';'~ VALIDATION: /d.7/7~ '7//?,,/f',j' 1 ~5' /; c;; ~. '~ RECEIPT NUMBER DATE PAIr' AMOUNT RECElv"n, RECEIVED BY q ~092 7- CITY O~RINGFIELD SYSTEMS DEVELOtENT C!lARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NANE OR C0l1PANY: ;RANt TR(,)TTER LOCATJON:...k...;t~ Co ~/N~TRf=:Er DEVELOPNENT TYPE: GAKM-E. ~"W~S/"N, BUilDING SIZE: -- lOT SiZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ~ FT. ri AOb ~ X $0.203 PER SQ. FT. ~~d) J Y ---- 2. SANITARY SEWER-CITY API>/TI'''#''l L NO. OF PFU'S (.. /(P.tJ.. .. ~S;(,~ X 542.08 PER PFU (See R.everse) "-- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X ~X 5424.31 ~ / X X 5424.31 ~,yf) y -- S X $424.31 s 4. SANITARY SEWER-/1WMC NO. OF PFU'S to x S15.125 PER PFU + S10 MWMC ADM FEE S /00, '?S- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s /(')('), r~- TOTAl-MWMC SDC ~ '-.......' ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S ZS".2.-I'i'" 5. ADMINISTRATIVE FEES BAS~ c~ (Syy'OT~BOVE) X .05 ~ ,;7l~ -:t-~ -'1fL ~ ~~C~~~~;~~~ rC0 TOTAL SDC ~ ;z.c'S":/t') r FIXTURE UNIT CALL,;U U\ IIUN I AljLt=: r~\JmL'cr 01 r-Icw Fi,l\JI~$ X l'1ll1 tqul\';"\'I>' = r"'",,, u,u" ,..- .-. for rem, odt'l$. c..,lcul~lt'C ~nly the ~"'lddiiiOIl;jl fh.11Ifl':') . I~L".'.G(1l OFA L':-:il' FIXTURE FIXTURE TYPE I':EI'I F1X1UIi~ I:CLfl\',\lErJT U:.iIfS Balhlub...........................,...,....,.., ' ,.,.,.........,..,...'".., Drinking Founlain......................... ...................... Floor Drain.,.............,.. ....,...., ,.. ,.,.., .,...... ...... ........ "... 'nlcrceplo~ For Grcasc/Oil/Solids/Etc................. Inlerccpto~ For Sand/Auto Wash/Erc.................. La undry Tub /Clolheswasher.......,........,..... ............. Clotheswa~her . 3 Or More..................................... Mobne Home Park Trap (1 Per Trailer).................. Recep!or F9r RerrigeralorjWaler Slalion/Elc........ Receptor For Commercial Sink/Dishwasher/Elc.. Shower, Single.Stall.,............................................... Shower, Gang.......................................................... Sink, Bar, CommerciaL....................................:...... . Urinal, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Inslallation............................. Water Closet, Prr.'ate............................................... Miscellaneous: I 2. 3 G 2 I 6 6 1 3 2 l/Head 2 2 1 . 6 4 ..L , .' TOTJ..L FIXTURE UNITS = c. CREDIT CALCULATION TABLE: calculate cre:i~s separates. I Based on assessed value. If improvements occurre-:! after annexalion date in table, 1, Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Year Annexed ~ 1979 or before 1980 1931 1932 1983 1934 '1935 $3.21 3.13 3.08 2.95 2.82 2.63 2.51 t936 1987 1938 1989 1900 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 .. Credit for Parcel or Land Only If Applicable Improvement Crt after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = At... . U wrt4 O">'1.~:~p-,.~ = of A 01 _ tt..:~ = $ lOt), 7-~ '. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid ent ial............... ........ ...... ........ ..... .............. 0.4 Commercial...................................................... 0.9 I nd ustrial......, ......... ...... ....... .................. ............ 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT