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Home My WebLink AboutPermit Building 1994-2-1 LOCATION OF PROPO~ X"9Jj~ , S(lo tt, ASSESSORS MAP: /' I U--:::hJ:s4~ ~ - LOT: I.~ BLOCK' OWNER: K n j~+:<' ADDREcc, . . -1</ R q CITY: .<;/)n~1fe/d. (1n,1S&lA.r,h~,,-, CON ST. ADDRj;SS nL. LU CONTRACTOR # '7\ ..:ft,,~(l/ffll()VK;..""" u.U a...n 6 '\/J.r, '?J.t:U 1<'1 / d, /I ,2 f)/U /nh, ;"PL H\L.\l\4- .' (J \ /1 ;-\ MECHANICA' . i!Ju:...Lf-s ~a. r\.U QI U rl. ELECTRICAL: --1)d :1: '3 @e7'.CYJ '(7-, rn1!JQ.' J - OFFICT- QUAD AREA:rOQn~ L LAND USE: \ \ _ ( # OF BLDGS: \_ # OF UNITS' OCCY GROUP: ~"~-t tv\ CONSTR. TYPE: \/ r\ ) \ . . ~ESIO'ENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 DESCRIBE WORK: NEW I REMODEL CONTRACTOR'S NAME /(11~k PLUMBING' (!IJ~_to /Yl GENERAL: # OF STORIES' WATER HEATER: .p ./ . SPRINGFIELD . (:,1 AJ€.:.,' ~j' JOB NUMBER q '-IN) ~ c... --' J.. H...'''y rL6Lo VO/tlTl dCL/ / STATE: _& df) 7:)u./.J 1 e K.. 225 Fifth Street Springfield, Oregon 97477 .e drA{)-r~[)4{l0-& PrJ TAX LOT' ~o(){) SUBDIVISION: ,D h airs (fe/it' b o7f.. / 7':;'(r 02'6 '-f PHONE' ZIP: 974-7.f' " ADDITION DEMOLISH OTHER EXPIRES PHONE 1-10-3-1 Ulr.:l '7"'; ~n'~~ 1~~~~~1 ll.(~~' fff~ FLOOD PLAIN' - ZONING CODE: U.1lfc # OF BDRMS:~+ ~ SECONDARY HEAT: - 0 SQUA'7R~Gh)';;'i / f;5 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. ~ Underslab Plumblng/Electrlcall Mechanical - Prior to cover. I':/r Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, groutIng. 'R/rFoundatlon - After forms are ~ erected but prIor to concrete placement. o Underground Plumbing - Prior to fll/lng trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - PrIor to decking. ~ Sanitary Sewer - Prior to filling trench. IQ' Storm Sewer - Prior to filling ~ trench. I"'J"'Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to ~ cover. HEAT SOURC'" RANGE: _r..../ REQUIRED INSPECTIONS rvr Rough Mechanical - Prior to Ip cover. f'V1 Rough Electrical - Prior to ~ cover. I'V1 Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. !"';tI Wail/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After I~sta"atlon. o Insert - After fireplace approval and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After L,L.J excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When 'all requIred trees are planted. r"\;;J! Final Plumbing - When all L.,L:t plumbing work Is complete. ,f':71 Final Electrical - When all !.,.Cd electrical work Is complete. I8l Final Mechanical - When all mechanical work Is complete. ~Final Building - When all ~ required inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set,Up - When aI/ blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. D 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. /..:;. I P.L. HSE GAR ACC I IN Is Topography ""T/t ,/ - Panhandle I W Total height ~ _ Cul-de-sac j (~~~/JcA~toypr')'/h'j7:- ~E BUILDING PERMIT 0 ITEM [31.1/ler13- ~ X $/sa.g.O = VAL~ Main I [\ -=iO. q I p~ ~~eo..--~. \ '1-. to Lo~l O~ . Lot faces Lot Type ~Interior Setbccks Lot sq. fig. Lot coverage Corner Carport I ()~ ~53 -/ 4- 42,i!'JO 2"2,16 (A) 'f 64- It) SYSTEMS DEVELOPMENT CHARIE (SDC) 1f5 013 (B) 1.-1Q1.. - Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM FEE FIxtures Residential Bath(s) N' 2. I tarM Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit 16/J,f9D State Surcharge 'if,/) 0 Total Charge (C) /t'l ,0 tJ MECHANICAL PERMIT Furnace Exhaust Hood ()) q.C() Vent Fan N' "/- , ,60 Wood Stovellnsert/Flreplace Unit Dryer Vent ( J.) h.OO Mechanical Permit ~"CD_ Issuance _LI2JJ 0 State Surcharge _1.C6_ Total Permit (D) ~ns MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 3Y 311 /5.10 /5./0 It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) 3d, 2.0 .34'C(p~ L TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) ('",-HE PROPOSED WORK IN THE' '-HISTORICAL DISTRICT, OR ON I^ ~ THE HISTORICAL REGISTER? IV U 1 .......... If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVEP' 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 provisy\ns~fJ8\d ordinances, Plan Check Fee: M- / .~~ Date Paid: ~i-I? -'1<-1 Receipt Number:~r3 ~ 7' Recelv d By: ~ , :/L.-,o PI eviewed Byl /-2.-f-c;;C Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. AQDIl:r9NAL~OMMENTS ~ \0 j:::t=' q ~- O,Q,- \ \ lo OffiQ - (\ ~C\ fi n~ , \\~ ;n\&.f)t~J\01':t 'k) ~~ ~ ~ 1f\t-\ .\ [J'C.i-(') \j\ri 1lN:rL-- / (CW~ ,-~T,\ ~L'7~,{) ~ 1-.~\~f\Q}C \L:\IQ(/J _ . l1U J) .l\C'\1 J1j 0 r\t rr Q J I :nl.1JLJ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify 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 without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with GRS 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 front of the property, and the approved S8. t o~pra will remain on th its at al tl as durlng~~ . Slgnature\ _ ...J:7/> I d -} -0 L-{ Date VALIDATION: RECEIPT NUMBER II SiLl :;) , J ..c,Lf AMOUNT RECEIVED .1\ '1~_ ~-) RECEIVED BY ~ DATE PAin .. . .JOB NO. Cf10035 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: EU71N K"";IG-Hr5 LOCATION: 'Zo';ci7-o..J7- SC.t''T1 RO/TD /703"2-54-3 -:- 00600 DEVELOPMENT TYPE: IVlDf!- - N~W DUPLeX BUILDING SIZE: LOT SiZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. '2 CfTZ.- X $0.203 PER SQ, FT, G &O??:h '-- ....-/ 2. SANITARY SEWER-CITY NO. OF PFU'S 2-7.- X $42.08 PER PFU ~ QZ-'5 7f) (See Reverse) '-- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP Z- X J.o/ X $424.31 X X $424.31 ~ <;?67!l) '- ....-/ $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S '2. Z- x $15.125 PER PFU + $10 MWMC ADM FEE $ 7-127!,. (Use PFU Total From Item 2 Above) X $424.31 $ SUBTOTAL $ ro1gz- TOTAL-MWMC SDC ~ '- .---{. (ADD ITEMS 1,2,3 & 4) $ -Z c;, '? 'i !- MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 t:: /) ~LvL ( /,15 j'i'f . ~ Kip Burdick '1. SDC Coordinator 6r'?1- ~ ~ oe TOTAL SDC $ 7...712- - FIXTURE UNIT,CALCUL.A ,eN TABLE: Number of New Fixtures X. Equivalent = Fixt~re Units (NOTE: For remodels, calculate only the NET additional fixtures) '-. , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 2- 2 1 2 3 6 2 6 6 1 3 2 1 /H ead 2 2 1 6 4 t./- 1- Bathtub........................................... -.. -....................... Drinking Fountain............ ....... ........ ..... .................. ..' Floor Drain....................,........................................... Interceptors For Grease/OiI/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub jaotheswasher..,...............,............,... aotheswa~~er - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor F!>r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher jEtc.. Shower, Single.StaIL............................................., Shower, Gang..................,............ ........................... Sink, Bar, CommerciaL.............,............................. Urinal, StallfWall.....................,.......................... ....'" Wash Basin/Lavatory, Single.....,............................ Water aoset, Public Installation............................. Water aoset, Private.............,................................. Miscellaneous: '2..- Y- -z.. I.f- 7-- -z. S? TOTAL FIXTURE UNITS = -z.'Z CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value .1 --. $ 2.24 1.93 1.57 1.18 0.79 0,44 0.28 1979 or before 1980 1981 1982 1963 1984 '1985 $3.21 3.13 3,08 2,96 2.82 2,68 2.51 1986 1987 1988 1989 1990 1991 1992 Credit for Parcel or Land Only If Applicable ImproVement [If after annexation date) '7' z...1 X $ 2./.'15 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL 01~'::" = /OJ '?~ = $ IV' 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 , .-'" . @ !!!iUI.!!!!!!l!!!~ . Job No. q4{)(\~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~'~r\,l k\-ts PHONE:-18J~ LOCATION OF PROPOSED UIL~I~G ~l:E' . 1\.,.1 J..."" --W- t1J -11) Street Address if Known: 6J ( )<q. (j ~ 4l H-{l ,;cD 11-0> 'r( C'LJ. f ~ Platt Name: ~ n {\ t J\'s Tax Lot Number: l 'I ()0 ';:{ ~ rY)/.Rf) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definitions are on the back,} A. SinQle Family - Detached Single Family home NO OF UNITS B, SimIle Family - Attached NO OF UNITS d C. Multi-Family Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS _ Manufactured home not in a park X $400 PER UNIT = $ $ 1yj.{),c6 X $370 PER UNIT = X $277 PER UNIT = $ X $280 PER UNIT = $ $ ')4-() ,cD $f!f $j2\.{)~ WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~~~~~oP -> 0;; I-LJ$ City of Springfield