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Home My WebLink AboutPermit Building 1994-7-18 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 OHlce: 726.3759 . . ' JOB NUMBER q4\~ 225 Fifth Street Springfield, Oregon 97477 LOCATI~~ OF PROP~E~ WORK: &. ~A......'1 ASSESSORS MAP' \'CO'd..O\.oC'Y) " 4\ . OWNE'p: <1\~ <Lf\ r f\}::lJ {\'\ ~ ~(\(' PHONE: ADDREP~:~~t~~J ~ \\. CITY:U\ ,,)\ l r\ 1 ,\\10' {) lV' ,STATE: rz~1\ ZIP: 01'"\/7') DESCRIBE WORK: ~..~.q::~n.^ Q, ~() N\lV q, \ ~o l\\c1 Qf\0L NEW ~ REMODEL ,- ~ADDITION ' 'DEM~ISH OTHER LOT' BLOCK: CONTRA~'~ NAM~ C I ADDRESS' GENERAl.L,l)'Cu.1C 1 QI\ cI\1-'\., " PLUMBING' t~}f(\ Q rt \ P. ~ ~o Q 1 MECHANIC,!. : fu.-l..-\ t\. 0 f"\ y.N-). \ ELEcTRICA& cA\. \ 0 A T lo.~)U' (' .) CONST. CONTRACTOR # ~ lllQ~ 5 \'\?{) A\ I\C\~ \ ()~'l~ QUAD AREA: \.~ ~Q ~ # OF BLDGS' \ OCCY GROUP:, ~ '3 -\ N\ \ '( ~ · OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: ,\ \ \ :~:S~::T~PE' 0 J HEAT SOURCE: U j\\ E-- RANGF' , TAX LOT:\lln ('I'"'fJ..CX') SUBDIVISIONl J~\ l ~ t \ '-\L\ _ \ cf--\ loCo EXPIRES f').\~ . q.\~. 1),\ Q.- Q4 q~~tt~ \o~ .~\, Lo q~~'ldcW"' 415.A\?fl FLOOD PLAIN' ZONING CODE: li)\(..... . OF BDRMS: ?J'.e:J SECONDARY HEAT: SQUARE FOOTAGE: ~d). ~ To request an Inspection, you must call 726.3769. This hi a 24 hour recording. All Inspections requested before 7:00 a.m. Will be made the same working day, Inspections requested alter 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 Plumblng/Electrlcal/ Mechanical - Prior to cover. 1':71 Footing - After trenches are ~ excavated. . o Masonry - Steel 'location, bond ,beams, grouting. ~Foundatlon - After torms are erected. but- prior to.concrete placement. o Underground Plumbing - Prior to filling trench. I"t7I Underfloor Plumbing/Mechanical ~ -,Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulation or decking. r&J Floor Insulation - Prior to decking. IVl Sanllary Sewer - Prior to filling ~ trench. r:g] Storm Sewer - Prior to filling trench. ' f'Vl Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to IaJ cover. ~\ REQUIRED INSPECTIONS r\7\ R~ugh Mechanical ~ Prior to ~ cover. f'Vil Roug'hElectrlcal - Prior to LA.l cover. . ~ 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 cover. r2l.DryWall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approv~1 and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ 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. ~ Final Plumbing - When all - plumbing w9rk Is complet,e. I"Zl Final Electrical - When all ~electrJcal work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r::::l1 Final Building - When all ~equlred 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 porch os, skirting, decks, and venting have been Installed. Lot faces L~t~pe . .x Interior Lot sq. ftg. Lot coverage Topography _ Total height ?-t ) BUILDING 'PERMIT ITEM \~T. Main J.. ~l J\ Garage ....) (V Carport Corner Panhandle Cul.de.sac x $/SQi:) &. 14.10 Total Value Building Permit Fee State Surcharge Total Fee '.,' " ..~. ~~~,. \' :1~ ~'r-;'I:.t.;i~.tJ.s';..;i!.:GtJ. .':h.:'1 .'., . . ...... ;r.~.'~, Setbacks ' HSE GAR Ace'l I I ... THEPROPOSED WORK.tN THE _ ' "HISTOI;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be elgned and approved by the Historical Coordinator prior to permit Issuance. .l'P.L. 'I ' ". '. " N' Is Iw IE :~ SYSTEMS DEVELOPMENT CHARG~i~g"Cl (B) &t~~f) '115'JO 34Cf" ~ /011+ ~ (A) :3nlo.Q'J- ' PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N~ ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home FEE i/.tJO.CO Plumbing Permit State Surcharge Total Charge I (Ou'OO +80 + B.CXJ (C) /72..g() MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge .50\ Total Permll (D) MISCELLANEOUS PERMITS Mobile Home State issuance State SurchHIJI\ Sidewalk 'IU It Curbcut ~ It Demolition S'fl(' Surch'R~ ~ \).. , l< g f.\ \-'\0. t\. liD 4-~ C\.CO 'r~.OO f (f) .~U /0.00 .f3~ a0.~~ 111),3J L3HQ, ~q:J. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) CJ' / IU.'rz.. (A, B, C. 0, and E Combined) , APPRovpn. ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,ln all respects, conform to the Ordinance adopted by the City, of Springfield, Including the Davelopment Code, regulating the construction and use of buildings, and may ba suspended or revoked at any time , upon violation of any provisions of said ordinances. Plan Check Fee: ,,-'t-\. J ./ Date Paid: J ~ Receipt Numberu y Received By: ~ ~S!\~lt.ti f). \~ % Data Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~ tm C'L ~d ouYl. ~ \..~,\"\" \OJfD (~) \ _~N\OX..: \ '-'\ lo 0 J)~ \ By slgnature,l state and agree, that I hava carefully examined the completed appllcetlon and do hereby certify that all Information hereon Is true and correct, and I further certify that any and ell work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Lews .. 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 reada..,le from the street, that the permit card Is located at the front of the propertYiand the approved set of pi s will remain \~:::u::ea~;;~s__ tI n. ~ate' 'J7 ,--- "I~~~ VALIDATION: l <::.. b RECEIPT NUM.Il..ER ' ~C\.' ....J DATE PAID / \ 'lP,' ~4- AMOUNT REc~q~1;.1 ~~~S . \'~ RECEIVED BY \\ '- ') ~ -- J ATIACHMENT 81 /14\^^c:.. JOB NO. '-1: l.ll. l-v CITY OF S~NGFIELD SYSTEMS DEVELOPME'" CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION: ;/~L ~ ,~, / /' ?~/J. DEVELOPMENT TYPF' "'i,cl? BUILDING SIZE: ~- 1. <:;TORM nRAINAGE IMPERVIOUS SQ. FT. ~/?,c;, 2. SAMlIARY SFWFR.CITY NO. OF PFU'S IV (See Reverse) 3. lBANSPORTMl.O!i I,OT SIZE. ~ SQ. Ft. X $0.209 PER SQ. FT. $ '7'Sb. i? X~3.~Pffi~U $ 71~~F NO OF UNITS X TRIP RATE X COST PER TRIP J X I.oj X $436.19 $ ~.<j.o..>:r X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. SAIilIARY SFWFR-HWMC NO. OF PFU'S /"6 x $17.19 PER PFU + $10 HWMC ADMIN.FEE $ 3/7.?Z (Use PFU Total From Item 2 Above) HWHC CREDIT IF APPLICABLE (SEE REVERSE) $ 5? c. C) .' ' IQIAI -MWMC snc $ .z.lf"~.....4: SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ I '1t;.o. 92. ,5. AOOJNTSTATTVF FFFS ~~ (SU~J~OVE) X .05 %~ ~~. 'Date: 7-/~- 99 ~ary rig, P.EV SDC Coo inator' ' $ '1 Y:os IQIAI snr $ ;2.05''j]. r? B2.SDC . 'FIXTURE UNIT CALCULATION TABLE: Numbcr of New Fixturcs X Unit Equivnlcnt = Fixturc Units (NOTE: For remodels, calculate only t~ additional fixtures) . ' . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..,........,............".,.........,.................,.....,....... . Drinking Fountain..................................................... Floor Drain............. ................'............,....,................ Interceptors For Grease/Oil/Solids/Etc................. Interceplors 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 Kitchen........................ Urinal, Stall/Wall.. :................... ........ ...,....... .............. Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private.....................,.....,........................... Miscellaneous: CREDIT CALCULATION TABLE: calculate credits separates. I I z 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 4 z... 2. z. 1f /"? Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 I = 37!c, 6 I / z.. 2. TOTAL FIXTURE UNITS = Year Annexed Rate per $ 1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 y,.f{:. X $ /O,07t-o (Rate X Assessed Value) X $ (Rate X Assessed Value) Credit for Parcel or land Only If Applicable Improvement (if after annexation date) = .---- $ 2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 I, CREDIT TOTAL = $ 3';1.60 r