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Home My WebLink AboutPermit Building 1994-7-1 RESIDENTIAL PERMIT APPLICATION Inspeclions: 726-3769 Office: 726-3759 . SPRINGFIELD LOCATION OF PROP~Sj.p)~O~t<',,~2. \ r)c;(,. ,.,l-,1p ASSESSORS MAP: ~t:Y:J LOT' \ L BLOCK' I OWNER' (~\ "'.1'\1'\ k,.,-b.CA , ~ AODRF,,,,./h 9 \--. rcrcst cAr CITY' !\11n"V1~ DESCRIBE WORt<' (.n..,c. t-rucA- NEW 'f.. REMODEL CONTRACTOR'S NAME GENERAL: _(....\",,^,,, Cnbr;, PLUMBING' Co"trqc.h.S MECHANICAL: M", r.sl1" ((?_ ELECTRICAl' tV\ "'."^ lAi QUAD AREA: · OF BLDGS: OCCY GROUP' . OF STORIES: \~~ ~ ~}\ N'---. I ~ WATER HEATER: STAT~' Or(.. . 94~'7/CP '1'\.e..vJ SF,D. JOB NUMBER 225 Filth Street Springfield, Oregon 97477 TAX LOT: ()R.lc(D' Wci) SUBDIVISION: Q",k,f.A"I" ? 1",+ PHONF' , \ . ZIP' q -7":5'2.. , ADDRESS Gr>c.1- P\Ul"\biAj CONST, o1~OmOR' ~ %~~b,2Z REQUIRED INSPECTIONS f"'\71 Rough Mechanical - Prior to ~ cover. 1V7l Rough Electrical -.:... P.rlor to ~ cover. rv( Electrical Service - Must be ~pproved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ramlng - Prior to cover. f"V'( Wafl/Celllng Insulation - Prior to ~cover. ~rYWafl - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approvel and Installation of unll. ~ Curbcut & Approach - After ~ forms are erected but prior to placemont of concrote. ~Sidewalk & Driveway - After ~xcavatlon Is complete, forms and sub-base malerlal In place. D Fence - When completed. "1'7f Street Trees - When all required ~trees are planted. l:i.~.lfq- ~5 10 .~~'l.~.I.fllil FLOOD PLAIN: ZONING CODE: .ill "---- . OF BDRMS: ~ SECONDARY HEAT: SOUARE FOOTAGE; 42, 7 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. ADDITION DEMOLISH OTHER D. Temporary Electric ~ Site Inspection - To be made ~fter excavation, but prior to seltlng forms. D Underslab PlumbIng/Electrical/ Mechanical - Prior to cover. "F::7f Footing - After trenches are ~excavated. D Masonry - Steel location, bond beams, grouting. rxl Foundation - After forms are ~erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. ~ Underlloor Plumbing/Mechanical ~ Prior to Insulation or decking. r'V'f' Post and Beam - Prior to floor ~Insulatlon or decking. rvf Floor Insulation - Prior to ~ecklng. lVf Sanitary Sewer - Prior to tilling ~trench. ~ Storm Sewer - Prior to filling ~trench. 'f'/f Water Line - Prior to filling ~rench. R7f Rough Plumbing - Prior to ~ cover. Al~ ( Or\~_ - OFFICE USE - LAND USE: _ \ \ \ \ . OF UNITS' CONSTR. TYPE: ~ 1~' HEAT SOURCE: C ecr fA c___' RANGE: _ )'V1' Final Plumbing - When all ~Plumblng w9rk Is complet.e. );v71 Final Eleclrlcal - When all ~electrlcal work Is compl.ete. f':/( Final Mechanical - When all ~mechanlcal work Is complete. lVl Final Building - When all ~equlred Inspections have been approved end building 15 completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connoctlons - When home has been conn.ected to water and sewer. D Electrical Connection - When blocking, set-up. and plumbing Inspections have becn approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Install cd. .' 1(!2/Q.1/~ -376po ---.-I~ ~ 0 ~,.~. ! //O~ (A) 3'1"1,<00 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 119fti', ~ Lot faces \ Lot sq. fig, Lot covorage Topography Total height ~/r BUILDING PERMIT SQ, FT, /?"7~ ,~~ ITEM Main Garago Carport Total Value Building Pormil Foe State Surcharge Tolal Foo PLUMBING PERMIT ITEM Setbacks P.L, HSE GAR ACC I N I S I W I E I ".,' Lot ~ype. ~ Interior Corner Panhandle Cul.de-sac X $/SQ, FT. = .;-~z.o VALUE tilt!) 11S98 ,'0 "~~O FEE Fixtures Resldonllal Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sower FT, Mobllo Home ~ 6-0 c:::,_ ..?~ A(;/JYIJ(;. -,-,;;.4 (C) 17?~O MECHANICAL PERMIT Plumbing Pormil Slato Surcharge Total Charge Furnaco Exhaust Hood Vont Fan / ?:EJ,MJ N. 2- 0<:;'0 ..:f. S-O ~,e.o Wood Slove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuanco Stale Surcharge Total Permll <8'0 19FO. /n~tJ-" (J%~,m.(' .%~ (D) ....3/() 7 MISCELLANEOUS PERMITS Mobile Home Slale Issuance State Surcharge Sidewalk 4LJ It /b Curbcul It Domollllon Slale Surcharge / /_ t70 / ? ]a Total Miscellaneous Permits (E) ~I TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, 0, and E Combined) " ' ~,;~ \'.~t.:i~'; ~S THE PROPOSED WORK IN THE, ""'HiSTORiCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical Coordinator prior 10 permit Issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thai the said construcUon shall,ln all respects, conform to the Ordinance adopled by Ihe City, 01 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. /id/ //A '7'~ ^ "0 Plan Check Fee: ~ ~<. ># ~) I Date Paid: ~r <I!: Receipt Number' / 'l ~d ') Received By: .d--'~~ Plan~~?#L ~a:rf Systems Development Charge Is duc on all undevelopod properties within the City limits which arc being Improved. ADDITIONAL COMMENTS ~~ A< c;/5'" /)~A~ ,~-\T', ~\OlM,' ,-~M~ \q'i~ ~ r'r) 8-.tl.Q. l \.~or 1:1./' //177-1 :z ~~ ff.P:f ./&m7T ~0 By signature. I. state and agree, that I have carofully examined the completed appllcallon 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 Ordinances of the Clly of Springfield, and the Laws of the Stale of Oregon pertaining to the work described heroin, and that NO OCCUPANCY will bo mado 01 any struclure wlthoul permiSSion 01 the Building Sefety Division. I further cerllfy that only contractors and employees who aro In compliance wllh ORS 701,055 will be used on this prolect. I further agreo to ensuro that all required Inspections are requested at tho proper limo, that oach address Is readable from the street. that the permit card Is locatod at the front of the property. and the approved sel of plans will remain on the site ~t all~s during construcllon. Signature x,~77L/~ oat"./" 2.. I. - Cj ~ VALIDATION: RECEIPT NUMBER 1'~(~?5 1-; -1<-1 AMOUNT RECEIVEP z-q 7C}, 9/ RECEIVED BY r~ DATE PAID . fi l!..'!i!Ii!,'.!!~!~!!~ . Job No. q4{}ll~q SYSTEMS DEVELOPMENT CHARGE r I \ , , f\ 7RJKSHEET NAME: ~~I\lJ. PHONE:({ld).lo\'l2- ADORES, 'Ml.. ~ 1\ ~1\ 0 ~~\ro.n~5TAlI fL.rp Ql7:,2.l LOCATION OF IlROPOSED BU~~"'G SITE: Street Address if Known: c.")~\ Platt Name: l\h..~ Tax Lot Number: ~I\D~QCD tfJ...lDfi) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A. Sinl!le Familv - Detached 3; Single Family home NO OF UNITS B. Sinl!le Familv - Attached NO OF UNITS \ C. Multi-Familv ADartmen~ NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT _= $ X $370 PER UNIT = , $ ST\Dr;D X $277 PER UNIT = $ X $280 PER UNIT = $ fit $ .3 '10.CO $(% $ 8'10 ,cO l l!l:~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for CrediO ~' N\ , ommunity Services City of Springfield I L/" Date . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL ~ RESIDENTIAL) 9?o~/? NANE OR CONPANY: LOCATION: 5"2/ (;.~ r--~ ~,,~ DEVELOPNENT TYPE:~;=A> BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. '2./,"63 LOT SiZF - SQ. Ft. X 50.203 PER SQ. FT. ~~4:U~ '- -- 2. SANITARY SEWER-CITY NO. OF PFU'S (See R,everse) JY X 542.08 PER PFU cr-,r;t. #) '-- .,./ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4. SANITARY SEWER-MWMC NO. OF PFU'S J"if x S15.125 PER PFU + S10 MWMC ADM FEE S 2..'8'2,2.~- (Use PFU Total From Item 2 Above) X 5424.31 ~~z.i; .s~ '- -- S S J x /,0/ X $424.31 X X 5424.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) S .2-r.,;"3 TOTAL-MWMC SDC ~~.~ '-- ,../ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S I 'l"lf'3,S'- 5. ADMINisT~VE FEE~ , ( BASE CHAR~SUBTo/ ~-w /~ /" s~~~~~i~J;~or X .05 t; -.21-7'9 rs-'1~/h ~ TOTAL sac s 19~ ~ 7-~ .... r ~ I^IV"~-I.I. -..-- For fcmcd~!$. C'_1IclJl~ilc only Ihe NET :1ddiiiol\;il fi'..1lIlL':') . l~l'r,',HfI OF. L':":lf FIXTURE NEW Fl.Xll'ii 1:01'1\'i,lEIH U/JIf S "2- ., 1- ~ 3 G ,J 2 'Z. G 6 1 3 2 l/Head I 2 '2, 2 "Z. 1 'z. 6 2. 4 t! FIXTURE TWr: Oalhlub........... ....,.. .....'".."..'" """""""""",..""",".. Drinking FC'lJl11:lin........................ ..... ........................ Floor Drain....................,..,.."......""..,...."'.."......,...... Inlcrceptors For Greasc/Oil/$olids/EIC................. I,nlerccplors For Sandf/,uto Wash/Etc.................. la und ry Tub /C1o:heswa sher....,.......,.............,........ aotheswa~her - 3 Or Morc..................................... MobITe Homc Park Trap (1 Pcr Trailer).................. Recep!or F(>r Refrigerator/Water Stalion/Elc........ Receptor For Commercial Sink/Dishwasher/Elc.. Shower, Single' Stall..... .............. ......,.......... .:........... Shower, Gang....................................................:..... Sink, Bar, Commercial............................,....".......... , Urinal, Stallf\\'all,...................................................... Wash Basin/lavatory, Single.................................. Water C1ose~ Public Inslalla:ion............................. Water Closet, Privatc............................................... Misccllaneous: TOT/-.L FIXTURE UNITS = If" CREDIT CALCULATION TABLE: Sased on assessed value. I~Ulate cred~s~:s, Ralc per $1,000 Assessed Value If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 1 Assessed Value .' S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 = .2 1'.~ 3 = ~ = $ .:2 '1. 'T"3 .1 1979 or before 1980 1981 1982 1983 1934 'tgeS $.3.21 3.13 3.08 2.96 2.82 2.68 2.51 t985 1987 1988 1939 1990 1991 1992 .. - Credit for Parcel or Land Only If Applicable Improvement [If after annexation date) 3.:V X S '3:b'f (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential........................................................ 0.4 Commercial...................................................... 0,9 I nd uslriaL ............... ...... .......... .............. ........... 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT