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Home My WebLink AboutPermit Building 1993-4-12 ~ . . <' RESIDENTIAL PERMIT APPLICATION SPRINGFIELD ~~ '7 2../~CLC._ JOB NUMBER Inspections: 726.3769 Office: 726.3759 225 Filth Street Springfield. Oregon 97477 L.eu/1 ~c::; 2.c, 2.5 ')~V7 - , LOCATION OF PROPOSED WORK: /?C;?, TAX LOT: 4- t..n _ SUBDIVISION: )'~)'f.t...Av~ I [L PHON~' .txP3 -2-6 7J' ASSESSORS MAP: /0 LOT' BLOCK' OWNER: 7e f/. J/- ADDRESS" / ~ -3 ( CITY" b~ DESCRIBE WORK: ,All' u..,. NEW ?\ REMODEL Av., cLt ,s.. u /1. Ih 0 .-vi.. /::>0- . f<: ~1_ of?-.. ZIP' c(7fu "L STATF' -Iv. WlI L, ~ ~ 1JLv~ / DEMOLISH OTHER s,'./~ ADDITION CaNST. CONTRACTOR' 601~b CONTRACTO~'S NAME GENERAl' 1:?,;1.11\ '\- f4.vt ~ PLUMBING: Nk M {( v"U.1> ADDRESS (~'l "PD ~ i'IDJ EXPIRES 5hEr Je, ~ PHONE e:& 3 -2. €. 7?r ::S'l'l- 2.02.2.. 12/"> , MECHANICAl. ELECTRICA' . lS i'.^ V\.'-, i J::"i (ll.rrVL..- 6f-7-/362 QUAD AREA: IRl\10 . OF BLDGS' \ OCCYGROUP: 'Q~M . OF STORIES: - , E: - OFFICE USE - LAND USE: \ \ \ , . OF UNITS: \ CONSTR. TYPE: ~4 HEAT SOURCE: RANGE:_F. FLOOD PLAIN' ZONING CODE: 1J1t2- . OF BDRMS' 0 SECONDARY HEAT: SQUARE FOOTAGE: ~ 1 ~ '7 WATER HEATER: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/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. REQUIRED INSPECTIONS :gj Rough Mechanical - Prior to cover. o Temporary Electric ~ Final Plumbing - When all plumbing w9rk Is complete. o Site Inspection - To be made after excavation, but prior to seltlng forms. ~ Rough Electrical - Prior to "k::::::i cover. ~ Flnnl Eloctrlcal - When all electrical work Is complete. ~ Final Mechanical - When all ~ mechanical work Is complete. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. f";;;:7( Footing - After trenches Bre ~ excavated. ~ Final Bulldln9 - When all ~ required Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. . ~ Framing - PrIor to cover. o Other 'K::/f Foundation - After forms are ~ erected but prIor to concrete placement. ~ Wall/Cclllng Insulation - Prior to ~ cover. o Underground Plumbing - Prior to filling trench. ~ Drywall - Prior to taping. MOBILE HOME INSPECTIONS 'FV>I Underllo'?f:"PlUmbln~echanlr.il ~ - Prior to' InsUlaflon or Clecking. o Wood Stove - Atter InstallatIon. o Blocking and Set.Up - When all blocking Is complete. 'F:7I Post and Beam - Prior to floor ~ Insulation or decking. o Insert - Atter fireplace approval and Installation of unit. ~ Floor Insulation - Prior to ~ dec~ng. .' o Plumbing Connections - When home has been connected to water and sewer. ~ Curbcut & Approach - After ~ forms are erected but prior to ,. . placement of concrete. ", I'i:::A Sanitary Sewer - Prlo(.to"f11llng ~trench. . I"C7( Storm Sewer - PrIor to'tllllng' ~ trench. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. (Vf" Sidewalk & Driveway - After ~excavatlon Is complete, forms and sub-base material in place. ~ Water Line - PrIor to tilling ~ trench. D Fence - When completed. o Final - After all required Inspectlons are approved and porches, skirting, decks, and venting have been Installed. KA' Rough Plumbing - Prior to ~ cover. D Street Trees - When all requIred trees are planted. , . ~ . :,~''.'t:...~.;. I, .f~' ",,~..t:.~:r) .' , C_tTHE PROPOSED WORK IN TH~ ~ " .... "-1"_, Lot faces Lot Type Setbacks ... Lot sq. flg. 7.f, (11') Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON - IN 5' 5' I THE H'ISTORICAL REGISTER? Lot coverage ~ _ Corner If yes, this application must be signed Topography <2970 :i!'. Panhandle S 2-/' I and approved by the Historical lk::{ 20' I Coordinator prior to permit issuance. _ Cul.dc.sac W Total height IE ,2//, I APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE Main J ~ /<:' ~("~z... _L ~:Ufa9 /4.~(1 " -~S If . Garage Carporl 7 St;~ '? 3~/ 00 -l~S- 5!9,tJt" SYSTEMS DEVELOPMENT CHARGE (SDC) $. (B) ~ \qqt, '3... Total Value Building Permit Fee Stale Surcharge Total Fee (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThIs permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code. regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordInances. ::2 '5 ~_6S 11-/'7 -'1 L Receipt Number' .::;.gZc:;. R7P~$~ Plan Check Fee: Date Paid: PWr1s'Revl ewecVBy /2. h 1'1.. 7 ;J:tt- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ADDITIONAL COMMENTS ITEM FEE Fixtures clJ+ T : r;q~() . Residential Ball'(s) N' 2- /~,60 n no If .' l t:{ I n+ FT. ......... . - --- Sanitary Sewer Water FT. PA-rlf 1 Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge 5b.t1O Total Charge (C) ~9, (JO MECHANICAL PERMIT Furnace Exhaust Hood 4,.$"0 qtJO Vent Fan N' ~ '" Wood StovellnsertlFlreplace Unit Dryer Vent 30d Mechanical Permit /In.~O -.in.DO .~ 2:[7.33 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS . Mobile Home State Issuance State Surcharge Sldewallt / b fl Curbcul J ~ It J2:~O >2~ DemolitIon State Surcharge Total Miscellaneous Permits (E) z4,/JO 25352 7 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done I n accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. 1 further agree to ensure that alt requl'red Inspections are requested at the proper t1me,that each address Is readable from the street, that the permit card Is located at the front of the property. and the approved set of plans will remain ~~::$;~;r~;:;z~ l.-t/nlq~ Oat.,. VALIDATION: RECEIPT NUMBER ~001 L-j)'JIc.-:>. d-<;:0$ .~} I ;:) p:, DATE PAID AMOUNT RECEIVEn RECEIVED BY , ~ ,-' . . JOB NO. "'12.\ lIolo CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: 7f:.r:> I-i . A/.J DE:JZ.<;t')1J LOCATION: 1'35 SI-IA-DY Loop J70?2fD2~ - '-/10 DEVELOPMENT TYPE: LO/2. -- ,uEIAJ (,Fr:.. BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. '2.."1 '''I X $0.192 PER SQ. FT. C; 5<OO<i?) --- ..- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 18 X $39.78 PER PFU G-uc"O.:!) ---------- I X 1.005 \, X X 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X $401. 05 X $401.05 X $401.05 G'-tO?~) --- ..- $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ I (p 7'15.:3. 4. ADMINISTRATIVE FEES ( ~6~~ BASE CHARGE (SUBTOTAL ABOVE) X .05 --- --- \ $ \.,(,,?~ i TOTAL,CITY SDC 5. SANITARY SEWER-MWMC > '. I' NO. OF PFU'S It!:> x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ Z?S/~ (Use PFU Total From Item 2 Above) r V ~Lc.L (j Kip Burdick SDC Coordinator \\ /'2-'-11'12- ( I $ Zz. 'S,2 TOTAL-MWMC SDC~~2~ ~" TOTAL SDC $ \ "'''Ilo - MWMC CREDIT IF APPLICABLE (SEE REVERSE) . .. .~ FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: ~ For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS '2. 2 '-I- 1 2 3 6 2 2- 6 6 1 3 2 l/Head 2 2. 2 1 Z- 6 4 6 Bathtub..... .., ....................... ..... ......................... ......... Drinking Fountain............ .......... ... ...................... ...... Floor Drain................................................................ Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... Clotheswasher ' 3 Or More..................;.................. Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL................................................ Shower, Gang.......................................................... Sink, Bar, Commercial............................................. Urinal, StalljWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: '2. -z. TOTAL FIXTURE UNITS {B CREDIT CALCULATION TABLE: calculate credits separates. r Based on assessed value. If Improvements occurred alter annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value l 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 J Improvement (if after annexation date) -Z.B? X $ ,."JS (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL -Z '2. "'.2 Cred~ for Parcel or Land Only If Applicable ~ = =$ U~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE I' ResidentiaL....................................................... 0.4 CommerciaL..................................................... 0.9 IndustriaL.......................................................... 0.45 GovernmentaL.................................................. 0.5 I f. f I, IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT