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Home My WebLink AboutPermit Building 1993-7-9 .. .. .. '. RESIDENTIAL PERMIT APPLICATION . SPRINCFIELD Inspections: 726.3769 Olfice: 726.3759 LOCATION OF PIlOPOSEI? WOfll<: _'1(/_..I~u:';? lua r-;oPc.. . ASSESSORS MAP: h/e 73 51/tJ/ 7&1 LOT: _s.3_ _ BLOCK' OWNER: _Jj_~..1.Lcl, <'.h1 ADDRESh '..'I~A _; s: h", I{e..f_~~. CITY: .APJ.I"" ,c1t!C/J , , DESCRIBE WORK: c;,h,o. NEW " REMODEL ADDITION CONTRACTOR'S NAME . GENERAL: ~l/ej.. €.1.,"1:.L1. /Jib PLUMBING: fi-'JLuno J!)L",..,b MECHANICAL: ~ J/,." 77"~.~ . , ELECTRICAL' L .!-/./>1<-/Ul:J QUAD AREA\~~lJ) \ OCCY GROUP _'~3.-j--~ h OF STORIES: __~_l~_ WATER HEATER: ~_~ . OF DLDGS: CON ST. CONTRACTOR' G-{,C/7? STAT~' ejR f/rl?/~ J..('~L . JOB NUMBER q~~ .. , DEMOLISH OTHER 225 Fi Ith Street Springfield, Oregon 97477 - TAX LOT: {loR? <;. SUBDIVISION: ('V:; 11" r/? g L PHONE: 7~ /- C;.R / / ZIP' ~ 7C/7? EXPIRES /0///91 ,f/JI/ r.J 1./14 /~q 10/'13 PHONE ?C/C/o~tC 7<1t yq.J'.J 74/000 2- 7t;t 7 6[;/( ADDRESS ~ MoJa c.. d"SS""8-7 /)/ cC{, [,-, . /'i2t./ tJH/._'it?)ZO tlfrJ SIn./fe. {"''''~ 2.tt -200 PLl :l. 0- '2..'10 2. () -:f., L FLOOD PLAIN' \"D\V' I ZONING CODE: 1 JIU . OF BDRMS: (~ SECONDARY HEAT:- .~-tJ SQUARE FOOTAGE:/JML 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 o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical! Mechanical - Prior to cover. ~ Fooling - After trenches are ~ excavated. o Masonry - Steel location, hond beams, grollllng. ~ Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. 'I'C"""( Underlloor Plumblngl Mechanical I~ _ Prior to Insulation or dcckinu. 1'\/1 Post and Doam - Prior to floor ~ Insulation or decking. I\:7f Floor Insulation - Prlor to ~ decking. tTV1 Sanitary Sewer - Prior to filling ~ trench. 'lV1 Storm Sewer - Prior to fillIng ~ trench. ~ Water Line - Prior to fIlling ~ trench. ~ Rough Plumbing - Prior to Lp cover. - OFFICE USE - LAND USE: \ \. \. \ . OF UNITS: ~_.. \ J CONSTR. TYPE: .ii..J'I HEAT .SOURCE: ~~ /"'..4_ ~ANGE:_;:::;~' REQUIRED INSPECTIONS rY('Rough Mechanical - Prior to I\7r Final Plumbing - When all A' cover.~Q.~ L..,bJ plumbing work Is complete. .~ Rough Electrical - Prior to 1\7""1 Final Electrical - When all cover. ~ electrical work Is complete. r'\7rEleclrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - PrIor to facln{) materials and framing Insp. )Ef Framln{] - Prior to cover. rxT Wail/Ceiling Insulalion - Prior to ~cover. ~ Drywall - Prior to taping. . ( I Wood Stovo - After Imitallation. o Insert - After fireplace approval and Installation of unit. rTl Curbcut & Approach - After ~forms are erected but prIor 10 placement of concrete. Iki Sidewalk & Driveway - Aller , cxcavation Is complete, forms and sub.base material In place. o Fence ~ Wilen completed. rvt Street Trees - When all rCQulred I trees arc planted. 1'\71 Final Mechanical - When all JA-' mechanical worl< I~i complete. rvr Final Building - When alt ~ requIred Inspections have been approved and building Is completed. rK1 Olher.G A- <; l~- r d.~'('t)(0o) MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is completu. 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. 0' ~ .. Lot Type- ~IS THE PROPOSED WORK IN T":E Lot laces /lie. Setbacks . Lot sq. ltg. i2d?c; Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN 8' I THE HISTORICAL REGISTER? Lot coverage ~ Corner If yes, Ihis application must be signed ;::C~ T Panhandle Is "2C) I and a p proved by the Historical Topography M1 Iw 7 I Coordinator prior to permit Issuance. Total height -X- Cul.dc.sac lL-____J APPROVED: I further agree to ensure that all required inspcclions arc requested at tho proper time. that each address is readable from the street, thai ttle permit card Is located at tile front of the property, and the approved set of plans will remain .- ~n Ihe site at all~~Uring construction. (SignalUre ~~ ~ ''-0 .CO / Date l_/O"L.' 9- - /.9 9"-z., In a.c::.... r~~d ~ '-- C/ BUILDING PERMIT ITEM SO. FT. 2o~O 727 -!.. --; 'i:- Garage X s/so. FT. = VALUE "7h. '2 e- ,L/.lt? J.L6, su. DC _II? ? ~7~ , Main Carport !~..i""7~ -i~ ~tb SYSTEMS DEVELOPMENT CHARGE (SDC) 11 7.'518 'e Total Val us Building Permit Fee State Surcharge Total Fcc (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Resldentiai Balh(s) N' 0 ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home \G\~ 5) Plumbing Permit 19~ S) ~lLe3 ~_..13 ~:~ C\ .co- \ &:\cD - OJ .~. ~.oD ,,-"+1 .50 J f).CO Q.~ Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood .3 Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent ,\ l f\O..!. Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 4n It Ig Curbcut It Demolilion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~lP (A, B, C, D, and E Combined) . 1 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 1I1e 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 sald ordinances. Plan Check Fee: _"::>_4.~'-~ Date Paid: _.'--.lE'J93 Receipl Number:_~4liZ~ Receivcej By: .. ~~--=- iii~cwe BY'~-- 7/" /'l..L r- [tIC! Systems Developlllent CllillgC is due on all undeveloped properties witllin the City limits which arc being illlproved. ADDITIONAL COMMENTS --?/I/~/---- ~Ltmt(- ...I) rtl..U.gH- /JAfH .1 By signature, I :;.tate and agree, that I have carefully examined the completed appllcatlon and do hereby certHy that all information hereon is true and correct, and I further 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 WiHloul permiSSion of the Building Safely Division. I further certify that only contractors and employees who are In compliance with OR~3 701.055 will be used on this project. VALIDATION: . / RECEIPT NUMB7~ ~Ij If DATE PAID ~ / -Cf -9~ AMOUNT RECEIVEn :::BQ,O (., ~ RECEIVED BY ~ ;". ," .' ,- I. . &8 NO. q?;Jo8t../Q CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ;JiM /V1rrc..H~M LOCATION: Cfl/ FA-Ifi:.VVA'f" fl. DEVELOPMENT TYPE: /-P 1l. - 1..1 E-W ~F-/i!.. BUILDING SIZE: Fil-IE 73 Sl-lb~ 7'ls'/ ,.L. BS LOT SIZE SQ. Ft. I. STORM DRAINAGE. IMPERVIOUS SQ. FT. 'Iou" 2. SANITARY SEWER-CITY NO. OF PFU'S 7-'7 (See Reverse) 3. TRANSPORT A TI ON X $0.192 PER SQ. FT. C; /72-!!-) ------- X $39.78 PER PFU ~<f i!) NO OF UNITS X TRIP RATE X COST PER TRIP / X;. ~5 X $401.05 ~D3~) -- ---- X X $401.05 $ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ '2-0,,/ 0 '!!- 4. ADMINISTRATIVE FEES 8ASE CHARGE (SUBTOTAL ABOVE) X .05 ~ loti!!; TOTAL-CITY SDC $ 2/ 'is ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S 'Z~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ?Z?-z.~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICA8LE (SEE REVERSE) k::::~ ~L~ t, -/7- &/3 , - (f Kip Burdick SDC Coordinator $ AI. A- . TOTAL-MWMC SDC~~ ~ TOTAL SDC $ '2.5 J g ~ .,. ... FIXTURE UNIT CALCU LA .t,N TABLE: Number of New Fixtures '*it Equivalent = Fixture Units (NOTE: . For remodels, calculate only the NET additional fixtures) FIXTURE TYPE Bathtub...... ......... ....... ........................ ............... ......... Drinking Fountain......................... .................. .......... Floor Drain.. ... ......................... .................................. Interceptors For Grease/Oil/::;olids/Etc................. Interceptors For Sand/Auto Wash/Etc..........:.:....,. Laundry Tub IClotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc........ Receptor For Commercial SinklDishwasher IEtc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, Commercia!............................................. Urinal, StallfWal!....................................................... Wash BasinlLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet.' Private............................................... Miscellaneous: NUMBER OF NEW FIXTURES UNIT EQUIVALENT .. FIXTURE UNITS 2- z 1. 1. ~ /2 1-~ Based on assessed value. If improvements occurred after annexation date in table, L Year Annexed 1979 or before 1980 1981 1982 1983. 1984. CREDIT CALCULATION TABLE: calculate credits separates. h I Rate per $1,000 Assessed Value $2.83 2.76 2.71 2.60 2.46 2.33 1 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 / I .J -; ? TOTAL FIXTURE UNITS Year Annexed 1985 1986 1987 1988 1989 1990 1991 Rate per $1.00~ Assessed Value j $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) - X $ - IJ.A (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ AlA - RUNOFF COEFFICIENTS .FOR STORM DRAINAGE Residential.... ............. ........................... ............ 0.4 CommerciaL.................................................... 0.9 Industrial. ..... ....................... ............... ........... .... 0.45 GovernmentaL...................................:............. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT