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Home My WebLink AboutPermit Building 1972-6-12 OWNER: _..Jj,. r HI' ~ t,. <<Lid'v I A'~ 7) ADDRESS /J,..~ 7 $$t1(U(J)/1f S T~_.._ ' ~ 5~6r rIEI,fJ.. STATE:' I?IP Dr:SCRIBE WOI1K A:./dl11j A ~~t?I.?IrhtJv T ./ItlcI!f/Xflt:t::: /d It//cJel'1 REMODEL ,)< _ ADDITION DEMOLISH. OTHER . ... p' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' .I '70<( LOT: CITY: NEW .. SPRINGFIELD -"B NUMBER _~2rO 7]!l.J 225 Fifth Street Springfield, Oregon 97477 .5/;:/2 CJ~" TAX LOT: _.(">2. '9 /4 SUBDIVISION' PHONE: _Ztft - 36tJ I ZIP: CONST, CONTI1AGIOrl'S NAME..A I. ADDR~, , . CONTRACTOR' CENEnAL: 0 !<frIfaC C'r7.~.fftt?iL(J.N ~?9'-OS" PLUMBING: .A f .5..'" . -....--. ".... ;~~~~:~~:~L: -~~6~;!1 Eke, ( OUAD AREA: --1.RM.YJ \ OCCY GROUP' ':R~ ::; E. . OF BLDGS' . OF STORIES: WATER HEATER: BLOCK: - OFFICE USE - LAND USE: I Il \ \ \/ /l.J EXPIRES PHOlll~ ~~3 cgZfi~) __ ,.... ' 4-lN-:7~~ ____.7?6-76Z7 ft'I?-73<J7 FLOOD PLAIN: \/} '} ZONING CODE: _Lf)v . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAG E: .l O!i..'I To roquest 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. D Temporary Electric Cl Site Inspcctlon - To Iw made atler cxcCJvation. but prior to ~.elling forms. MOllT"R~ 6ARRlftR ~Underslab r':"* ~. g" eetriaB I ~MilGh.H~i~,1 - Prior to cover. ~ Footing - After trenches are ~xcavalcd. )v(~r./.,;'rS ~.:W~....~;j ~_,.. ;,o,,~.~IQ(Top(.llClQ< =~ eX ~,,,,-. tvf Foundation -. After forms are ~crccted but prior to concrete pI acomen I. D Underground Plumbing - Prior to filling trench. o Underlloor Plumblngl Mochanical _ Prior to insulation or decking. D Post and Beam - Prior to floor Insl;llation or decking. 't57r Floor Insulation - Prior to ~ decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling IrcnGIi. I I Water L1no - Prior to filling trench. 1'i71' Rough Plumbing - Prior to ~cover. . . OF UNIT:'" CONSTR. TYPE: HEAT SOURCE: _FE RANGE: c: REQUIRED INSPECTIONS 1V'f Rough Mechanical - Prior to ~ cover. ~ Rough Electrical - Prior to ~COvCI. o Electrical Service -:- Must be approved to obtain perrnancnt electrical power. , o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. 'R:71'" Wall/Ceiling Insulation - Prior to ~cover. . ~ Drywall - Prior to laplng, D Wood Slove - After Inslallallon. o Insert - After fireplace approval and Installation of unit. o Curbcul & 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. I I Fenco - When complelceJ. D Slrool Treos ...:- Wh~n all required trees are planted. . "rvf Final Plumbing - When all ~plumbing worl< is complete. l'v1" Final Eleclrical - Wilen all ~ electrical work is cOlllplclt;!. 'i-..~ Final Mechanical - When all ~ mechanical work is complete. ~ Final Building - Wilen all ~equired Inspections hnl/C been approved and building is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Sel-Up - When nil blocking is complete. D PlumbIng Connections - Wlwn home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plullIbing inspections hnl/e beon approved and the home is connected 10 the service panel. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Lol faces lot Type#e I P.L lot sq, fig, Interior IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul.de.sac IE BUILDING PERMIT ITEM SO, FT, X $/SO. FT, VALUE Main tU>D ~4'- (Z~ Lev.:a) Garage Ab~ Carport ~o ?-;z,s;;.,fN' . //,'10 ii:i9-,_7f2 SYSTEMS DEVELOPMENT CHARGE(SDC)~ (B) $?\'1~ Total Value Building Permit Fee Slate Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE 4-IJ.OfD Fixtures 4- Residential Bath(s) Nil Sanitary Sower FT. Water FT. FT, Storm Sewer Mobile Home Plumbing Permit State Surcharge 2<=t:' _1:zfO Total Charge (C) MECHANICAL PERMIT _~,t'fO 4.50 _3.~ Furnace Exhaust Hood Vent Fan N' L_.. Wood Stove/Insert I Fireplace Unit DrYGI' Vent .3,~~ Mechanical Permit -)6 ~o -1/).00 ,e,3 ..e.7. 33 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Tolal Miscellaneous Permils (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~2,714 -- '~ Setbacks HSE GAR Accl I ~E PROPOSED WORK IN THE ~ORICAl DISTRICT, OR ON THE HISTORICAL REGISTER? II yes. this application 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 tile express condition that the said construction shall, in all respects, conform to Ihe Ordinance adopted by the Cily of Springfield, including the Development Code, regulaling the construction and use of buildIngs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: _I ~<I, 71 _ ~"<":/ LGJA.) -1-7/7 #~ Dale Paid: Recei pi Number: -~4pJ-, Systems Development Ctlargc is due on all undeveloped properties within the City limits which are being improved," AD~ONAL COMMENTS ; #.LtN J. - '~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify Ihat" all informalion hereon is Irue and correcl, amI I further certify ttlat any and all work performed shall be done in accord;mcc with ttlO Ordinances of the C!ly of Sp~in~llield. and the Law3 of the Stille of Orenon pcrlnining to the woJl{ rhJ:~crihf~d' heroin, and that NO OCCUPANCY will IJC made of any structure without permission or the Building Safety Division. I further cerllfy thai only conlraclors 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 readable from the street, that the permit card Is located at tho front of the property, and the approved set of plans will remain on the slle ~:::uring construction. / x:.lgnaIUr~~~~ _~...-4/::,- Date V t( k <:::- / 2- ~ 2- VALIDATION: RECEIPT NUMBER ~&' gc:::> - 6-/?--:/~ DATE PAIr> AMOUNT RECEIVED _ h 5"7. ,(</ RECEIVED BY ./7 __ _ ... /'" /'/..... -----~ '- , ~..Y ., , I ,. .." .... JOG NO. 9ZolL.f~ CITY O",INGFIELD SYSTEMS DEVEL8T CHARGE WORKSHEEf I , (COMMERCIAL & RESIDENTIAL) NMlEOR COMPANY: tV\t":. ~ (V\~7. 'Ro'l":>1'::e... LIJ>-\PY LOCATION: 1'2.<:... "SeQUOIA 5-r. DEVELOPMENT TYPE: l-PF<-.- R~ot::>E.L.. t 10"':>'2.,7:>'-1- - 0"2-'1 ILt BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE SQ. Ft. \-1-1 ~ "'_" <1=. IMPERVIOUS SQ. FT. I \ X SO.186 PER SQ. FT. ~~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) s -z.~'1 ~ , 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ~ X $388.61 X $388.61 s. ,- X X' s; ..- X X $388.61 . (Se~ Attachmen~ ~ To Determine Trip Rates) .. . SUBTOTAL '(ADD ITEM.S 1,2, :) ..-J .' . ''2., ", & 3)' L ,-....0:2. - 4. ADMINISTRATIV~ FEES BASE,CHARGE (SUBTOTAl ABOVE) X ,05 s I s Ii. TOTAL-CITY sac s; ~\-r"U.. 5. SANITARY SEWER-MWMC NO. OF PFU'S x S13.25 PER PFU + S!O'~~C ADMIN. FEE S (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) 1~~LL Kip Burdick DC Coordinator (.,1r"Lfr'Z- S TOTAL-MWMC SDC S -'6- TOTAL SDC S -::on"'.!... FIXTURE UNIT CALCULA~ AS LE: Number 01 New Fi\1Ures X... u~'alenl = Fi\1ure Units (I'OT; . .~.. For remodels. calculate only the NET ~21Ii'1ureS) , NUMBEI' OF UNIT FIXTURE ,fiXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...................................................................... Drinking Fountain..:...:............................................... Floor Omin...........:........:........................................... Interceptors For GreasejOil/Solids/Etc................. Interceptors For'Sand/Auto Wash/Etc..........c....... Laundry Tub/Ootheswasher................................... Ootheswasher - 3 Or More..................................... Mobile Home Park Tmp (1 Per Tmiler).................. Receptor For RefrlgemtorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single Stall....................................-............ Shower, Gang......_....._..................-.......---.......... Sink, Bar, CommerclaL-_......_..........__....__..... Urinai. StaIljWilll-...............:..........-....---.......... Wash Basinflavatory, Single..._...................._.._.... Water Ooset. Public Installation...._...................... Water Ooset. Private_..___........__.. Miscellaneous:. 2 t 2 3 6 2 6 6 1 3 2 t/Head 2 2 1 6 4 \ TOTAL FIXTURE UNITS = -z.. 4- -, Based on ~""o""'ld value. If .Jlnprovements ~rred after annexation date in ,table. r CREDIT CALCULATION TABLE: calcula1e credits separates. I An~~ - 1979 or before 1980 1981 1982 1983 1984 ' Year' Annexed Rate per S1,ooo Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 1989 1990 I Credit for Parcel or Land Only If Applicable x $ = (Rate X Assessed Value) X S = (Rate X Assessed Value) CREDIT TOTAL = s Improvement (If alter annexation date) . Rate per $1,000. ~ Value $1.69 1.35 1.15 0.92 0.59 0.23 RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...................................................... 0.4 COmmercic1...................................................... 0.9 I ndustrial......... ......................................... ......... 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT