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Home My WebLink AboutPermit Sewer Connection Record 1997-5-21 RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726.3759 . SPRINGFIELD ...- . JIII:~ . >'"1 LOCATION OF PROPOSED WORK~ rz 'i ~ ~t Y1-.J k.-:= )\ASSESSORS MAP' /70334:(::; - "-OOq {n >< LOT' BLOCK: ---- OWNER: nCep f ~J..c",^, r(--a. JL: 7""T7;' (, (.)'- .II . . AD~.RREESSS: ?~l 'W'::fH.J r;vl? CITY~ c.~, NB H-'ELJ)-- -"', ...-- . Q7D770 JOB NUMBER 225 Fiflh Street Springfield, Oregon 97477 sVP.~~..-' ~ dU_ Y'?<dl TAX LOT: '1/I2,.7i?S p.fJ 3w'S7. "I' I'III{'.).J. SUBDIVISION: PHONE:~- ?"?-IJ'jV~ ZIP: Q7'177 DESCRIBE WORK: /:k,"IL [~p NEW vV RE~ODEL STATE: ...o~rl 70 I'JCk1I^f1 ADDITION C'-"'Z //NPf/7~M".ff ~d; .l-pL""'j p...-..r.u: fllu(fi-H'U$i\/?l::. DEMOLISH OTHER 1 CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES_, GENERAL:f'/Dfllll STAR (J,~4v,J-ru:vIEjp~t+>e. c:cg#/~< .;2./97' PLUMBING:II-~ ~(}-~1<' ~/tl'fC. ~ 'i2..."CI~ .~.2..fbP~ MECHANICAl' ELECTRICAL: PHONE ~ -1('Nt l)jf'l ~f59-'1')J l - OFFICE USE _ QUAD AREA: LAND USE: FLOOD I'LAIN: · OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: _ SQUARE FOOTAGE: __ To request an Inspect/on, you musl call 726.3769. This Is a 24 hour recording, All Inspecllons requested before 7:00 a.m. will be made the same workIng day, Inspections requested after 7;00 B.m. will bo made the following work day. REQUIRED INSPECTIONS o Temporary Electric O SUo Inspoctlon - To be mado after excavation, but prior to setting forms. o Underslab Plumblng/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placemont. o Underground Plumbing - Prior. tu filling trench. . O Undorlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. O Floor Insulation - Prior to deckl ng. ~~anltary Sewer - Prior 10 1IIIIng ~rench. - . o Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical ServIce - Must be approved to obta.ln permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to Cover. . 0 Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installa.tlon. o Insert - After fireplace approvlll and Inslallalion or unit. o Curbcut & Approach - After forms arc erected but prior to placement of concreto. o Sidewalk & DrlveW3\' - After excavation Is compiotc, forms and sub.base material In place. o Fence - VVhen completed. o Street Troos - Wh~n all required trees are planted. . o Final Plumbing - When all plumbing w9rle; Is complet.e. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical worle; Is complete. o Final Building - When all required Inspections have been approved and building is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complele. 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 Installcd. . Lot faces Lot Type Lol sq. Itg. Interior Lot coverage \,' ,topographY. . Total helghl . '.', Corner Panhandle. Cul-dc.sac BUILDING PERMIT ITEM. , ~a. FT.,. X s/sa. FT. = , , MaIn GarOQO '. ... \ ' Carport Tolal Value Building Permil Fee '.< Slate Surcharge TOlal Fcc. (A) t;', . I P.L Selbacks HSE GAR ACC N S " Iw IE VALUE ',. " '.. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FIxtures Resldenllal Balh(s) N' Sanitary S~wer Waler FT. .::; 5lJ I FT. Storm Sower FT. Mobile Home Plumbing Permll Slale Surcharge t370Mw-in ~ Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Tolal Permll (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding cleclrlcal) (A, B, C, 0, and E Combined) FEE :2. t;". ()f) 1,,t5 ---L. ...<" :27, (In .~.O'D , , i. IS THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon musl be signed and approved by the Historical 'Coordinator prior to permit Issuance: APPROVED: BUILDING VALUE, PLAN CHECK AND. BUILDING P.ERMIT . .. ~ This permlt,is,granted.on the express cordlt!o,ri that the said construction shall, In all respects,'conform to the Ordinance adopled by the City of Sprlnglleld; ,including lhe Dovolopment Codo, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of ~+ny provisions of s,ald ordln~nces. Plan Check Fee: Dale Paid: Rccelpt Number. Recc'ived BY: . \ Plans Revle-wcd-Sy.----- Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By slgnalure, I otate and agrce, that I have carofully examined the completed application and do hereby certify that all Information horeon is true and correct, and I.further certify that any and all work performed shall be done In accordance with lhe Ordlnenc"s olthn City of Sprlnglleld, end the Laws of the SltllO of Oregon p.crlalnlng to tho work described horoln, and thai NO OCCUPANCY will be made of any slruclure without permlsalon of Ihe Building Selety Dlvlalon, I lurlher cerllly Ihal only conlraclors end employeea who arc In compliance with ORS 701.055 will be used on this project. I further agroo to ensuro thai all required Inspections are requested at the proper time, that each address Is readable from tho alreet, Ihat the permit card 18 located ellhe Ironl' of the properly. and the approved 8el 01 plans will remain on the slle ;.~es du~nslrucllon. SlgnalUre~ D ~ 1 '_ ~ tt!7 DaleY c... -;:V-c" ( ~, VALIDATION: ~ (7/ RECEIPT NUMBER 1t:J D'r 7) S~-.2A-cr7 DATE PAID AMOUNT RECEIVED ~po RECEIVED BY V1L... JOB NO. q 7 07 7 0 . ATTACHMENT B. . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: (.'tU-O PjQu~ LOCATION: 753 ROtJAH AUt::., OEVELOPMENT TYPE: c.oWNt:;c.T1nG /0 '-IT';) ;Sr-f..Jf:12.. .loJ BUILDING SIZE: LOT SFF SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S -z..5" (See Reverse Side) 3. TRANSPORTATION X $0.216 PER SQ. FT. $ X $44.75 PER PFU IS" $ 11;6- NO OF UNITS X TRIP RATE X COST PER TRIP x X $451. 26 $ x X $451. 26 $ x X $451. 26 $ ., 4. SANITARY SFWFR-MWMC NO. OF PFU'S ~5" x$20.69 PER PFU+$10 MWMCfADM FEE (Use PFU Total From Item 2 Above) ~5' $ '5z7-- MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SOC z5' $ 52'1 - SUBTOTAL (ADD ITEMS 1.2.3 & 4) at' $ I C,'/Ct, -- 5. ADMINISTRATIVE FEF1 BASE CHARGE (SUBTOTAL ABOVE) X .05 $ fSZ};'- f720':J ,.,.. 'jIJD51&z. Troy McAllister SDC Coordi nator . Date: 5/-z.t /9 7 IQIAI SOC ./ 3" $ 17sB .:--- FIXTURE UNIT CALCUIaION TABLE: Number of New Fixte X Unit Equi',alent = Fixlure Units' (NOTE: For remodels, calculate onl~e l::!fI additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.................................................................... .. Drinking Fountain..................................................... Floor Drain................................................................ Interceplors For Grease/Oil/Solids/Etc................. Interceptors 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: l . 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 .... ." Go -1- '>. :3 3 1"2. TOTAL FIXTURE UNITS = '&5 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. II 1979 or before 1980 1981 1982 1983 1984 1985 1986 $3.72 3.64 3.58 3.45 3.30 3.15 2.96 2.6B 1987 1988 1989 1990 1991 1992 1993 1994 1995 $2.34 1.95 1.53 1.11 "'0.73 0.56 0.44 0.27 0.13 l Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Credit for Parcel or land Only If Applicable Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Industrial............................ 0 5 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICtENT H.