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Home My WebLink AboutPermit Building 1993-6-23 '" RESroENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-:\759 SPRINGFIELD . LOCMIQr,j OF F'ROPOSED WORK: ,___<;5-; 2._~A~.d?~ ASSESSORS MAP: 1"l/J.3 ;sf :2_5 LOT: _ BLOCK: OWNER __~3~ S7L.~;-rn\.-")0e,.t.J ADDRESS: ~ '2~ 3 :~ (~yL/.//E ' 13i-//L) CITY E44' STATE:_ ~/' , DESCRIBE WORK: -;2.~ c;)7OYUf _~67??ro&~ ADDITION _,_ DEMOLISH OTHER NEW REMODEL CONTRt,CTOR'S NAME GENERAL: , /9L,il iL)C/Q ~.D5 ' " 'J ~ ~-7~ __,.Ci~,&.il..-'" '/'6/ L-tj:; PLur",lBING MECHANICAL: ELECTRICAL: QUAD AREA:\Rt\llU 11 OF B'LDGS: ~_ ~\. _ OCCY GROUP: 'K~' I\- 11 OF STORIES d WATER HEATER: ADDRESS .CONST. :CONTRACTOR 1/ -- JOB NUMBER 930t;f!J'1 . . 225 Fifth Street Springfield, Oregon 97477 TAX LOT: &-,A7J - OFFICE USE - LAND USE: \ \ \" \ 1/ OF UNITS: \ ' ) CONSTR, TYPE:' V AJ ' HEAT SOURCE: ~ ,\ RANGE: SUBDIVISION: PHONE: 3H-,q3~_? 7.(r;, - 7??/ 9741J/ ZIP: EXPIRES PHONE FLOOD PLAIN' ZONING CODE:LD..r2-J 1/ OF BDRMS: SECONDARY HEAT: 3t() SQUARE FOOTAGE, To request an inspection, you must call 726-3769, This is a 24 hour recording, All inspections requested bef~re 7:00 a,m, will be made the same working day,inspections requested after 7:00 a,m, wilt be made the following worl< day, D Tempornry Electric D Site Inspection - To be macle after ,:;xcavation, but prior to settir:g forms, [] Underslab P:umbing! Electrical! Mechanical - Prior' to cover: ':1'<::::4:F, ooting, - After trenches are '!~'..Jexcavated, " [] Masonry - Steel location, bond be8ms, grouting, L,J Foundation - After forms are erecti';d but prior to concrete placement. [] Under'ground Plumbing Prior to filling trench, D Underfloor Plumbing! MechaniC,al - Prior to insulation or clecking, ~ Post and Beam - Prior to floor ~ insul;ltion or decl<ing, 1'v1' Floor Insulation ~ Prior to ~ decking, o Snnilary Sewer - Prior to fillin~] trcncll, D'Slorm Sewer - Prior to filling trench, ' [] Watel line - P~ior to filling Irenci), 'K7f Rough Plumbing - Prior to ~ cover, REQUIRED INSPECTIONS J><:[ROU9h Mechanical -"Prior to , cover, , ~ Rough Electrical ~ Prior to ~over, D Electrical Service - Must be approved to obtain permanent electrical power, D Fireplace - Prior to fac;~g materials and framing Insp. ~ Framing - Prior to cover, , I'v'1 Wall! Ceiling Insulation - Prior to ~ cover. ~rYWall Prior to t~ping, D Wood Stove - After installation, il insert - After iirepiace approval and installation of uriit. ~ , [] Curbcut & Approach ,- After forms are erected but prior to placelllcnt of COnCI'3tc, [] Sidewalk & Driveway - After l~xc2.vation is complEte, forms ;o,nd sub,base material in place, 1'1 Fence - When con'r>ieted, L_,] []~~~~~ta;:~D~~a;e:h,:,~,~ll_:~~q ui red 1vi Final Plumbing - When all ~ plumbing work is complete. .,...,.,.,f Final Electrical - When all Y"""L electrical work is complete, ~Final Mechanical - When all ~mechanical worl< is complete, ~ Final Building - When all ~ required inspections have been approved and building is completed, I I Other MOBILE HOME !NSPECTIONS D Blocking and Set-Up - When all blocking is,co'llplete, D Plumbing Connections - When home Ila5 been connected to water and sewer', l-J Electrical Connection - When - blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. [J Final - After all required inspections are approved and porches, skirting, decks, and .. venting have been installed, 'M Lot faces Lot Type Lot sq. fig. Interior Lot coverage Corner Topography Totalhei ght Panhandle Cul-de-sac BUilDING PERMIT ITEM SQ, FT. X $/SQ, FT. Main Garage Carport 7;U(),~ ' FIIV IS/! 740 2.. Ci' "" . ~, Total Value Building Permit Fee State Surcharge Total Fee , (A) Setbacks HSE GAR ACC " -- is THE PROPOSED WORK IN THE HISTORiCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and appraved by, the Histarical Coordinator prior to permit issuance: I PL. IN' Is Iw IE VALUE 9SS-4' :~.S-o 4p3 e,4-. ~-.J SYSTEMS DEVELOPMENT CHARGE (SPC)-H5 . , , (B) {} tq'Z~ PLUMBING PERMIT ITEM Fixtu res .3 Residential Bath(s) NO, Sanitary Sewer FT. Water FT, ,Starm Sewer FT. Mabile Home Plumbing Permit State Surcharge Tatal Charge (C) MECHANICAL PERMIT Furnace Exhaust Haod Vent Fan NO J Waod Stove/Insert! Fireplace Unit Dryer Vent Mechanical, Permit Issuance State Surcharge Tatal Permit (D) MISCELLANEOUS PERMITS Mabile Hame State Issuance State Surcharge Sidewalk ft Curbcut ft Demalitian State SiJ rcharge Tatal Miscellaneaus Permits (E) , " TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Cambined). - " FEE ~~. 110 , J,S-O 3/,~O ,P1/~ J~.N) /O.~~ .7~ 2~.7S f$1-/~ ;:.. ,~ \ APPROVED: BWILDING'VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted an the express canditian that the said, canstruction shall, in all respects, can farm to. the Ordinance adapted by the City af Springfield. including, the Development Cade, regulating ttle canstructian and use of b'uildings, and may be suspended or revaked at any lime upan vialatian af any provisians af said ardirlances, ;, b j; 3 ,C;--j1?, -<5' 3 Re~eipt Number: 0S:-4'3 Received By:: <-~ PI~~-n~ j Plan Check Fee: Date Paid: 6,/'d'7:r Date , i Systems Develapment Charge; is due On all undevelaped properties within the City '!,~it,s which are being improved. ADDITIONAL COMMENTS "5~~~ ~~' ;-1:J~~r/ /~,~AfJII/~(2) ~ .~~ /~ ,~ .~&V t:J~ By signature, I 'state and agree, thatl have carefully examined the campleted applicatian arid do. hereby cert'ify that all infarmatian herean is true and carrect, and I further certify that any and all work perfarmed shall be dane in accardance with the Ordinances af the City af Springfield, and the Laws af the State af Oregan pertaining to. the wark described herein, and. that' NO OCCUPANCY will be m<.lde af any structure withaut permissian af the Building Safety Divisian, ,( further certi fy that anly contractars and emplayees who. are in campliance with ORS 701,055 wi!1 be used an this , project. ' ", "I f~rther' agree to. ensure that all required i~spcctians are \ requested at the praper time,'that each address is readable framthe street, thc.itthe permi-t card is lacated at the frant af the praperty, and the appraved set af plans will remain an the site at all times durina constructian.', ' v~" - /~~'r7../ '. /'\siQ.D.at-l:l'r, ,~\ ~ .J I .. ' {( -')' Datp ....' VALlpATION: RECEIPT NUMBER 9/72- ~ -2.~ -~,? 4-:J.,4. r<;; .~~\ DATE pAID AMOUNT RECEIVED RECEIVED BY " :':n"'-,,~~1i''-':".%I'::r"' I '-.':'-;'F:<.iF .':>J,'f'.!"~ ; ,~~~\ MOB NO.' q~()(Pg7 CITY OF SPRINGFIELD SYST'EMS DEVELOPMENT CHARGE , . WORKSHEET! I "!~, " . , .!;' 1", ' (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f>r:.I'?Y Sf'€:. FF fE;.NSo N LOCATION: 51'1- A-sp€;N. 1703~c..f2.-'3. - (000 DEVELOPMENT TYPE: L-PIZ- - i?~t') DEE.L BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE SQ. Ft. IMPERVIOUS SQ. .FT. -- , X $0.192 PER SQ. FT: cs-~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) I' X $39.78 PERPFU '~7~~ --- ..-- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $~Ol. 05 X X $401.05 ...'.X' X X $401. 05 " C;-.&) ----- ---- $ $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ Z7~ 'i:!2- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~/!J €) ............ ..--' TOTAL-CITY SDC $ Z"Z ~j. 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.62 PER PFti + $10 MWMC ADMIN. FEE $ (Use PFU Iota 1 From Item, 2 Above) , - k!~'~ '0 Kip Burdick ' SDC Coor<.iinator t; 121-/93 ' I I $-- TOTAL-MWMC SDC~~~ TOTAL SDC '$ :2 '1'7... ~ MWMC CREDIT I~ APPLICABLE (SEE REVERSE) , .-- . . --,' ,...., . ~.... . .. ... ~ FIXTURE UNITCALCUU\.TION TABLE: Nurnber of New Fixtures X Unit Equivalent = Fixture Units (NOTE ". For remodels, calculate only the NET additional fixtures) c_ UNIT FIXTURE EQUIVALENT UNITS NUMBER. OF NEW FIXTURES FIXTURE TYPE 2 1 ',,' 2 .3, 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 Bathtu b:..................................................................... Drinking Fountain..................................................... Floor 0 rai n................................................................ Interceptors For Grease/Oil/Solids/Ete...........;..,.. - . -. . ..~ Interceptors For Sand/Auto Wash/Ete.....:...:....:... ' Laund ry Tub /Clotheswasher.... ....... ......... ........... .... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Ete........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.... ...... ................ ....................... S hower, Gang.......; .,................................................ Sink, Bar, CommerciaL..... ......................... ............ Urinal, Stall /Wall.... ............... ........ ........ .............. ...... Wash Basin/Lavatory, Single....... ...................... ..... Water Closet, Public Installation............................. Water Closet, Private........ ..... ...... .............. ...... ........ Miscellaneous: "\ ., , '2,.. I I I If I 7 TOTAL FIXTURE UNITS "'..-....,. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Year 'Annexed $2.16 1.90 1.60 0.25 0.87 0.50 0.16 1985 1986 1987 1988 1989 1990 1991 $2.83 2.76 2.71 2.60 2.46 2.33 1979 or before 1980 1981 1982 1983 , 1984 X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT.TOTAL = $ Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) RUNOFF COEFFICIENTS,FORSJORM DRAINAGE .';. ~ ,- .... .' Residential........................................................ 0.4 'Commercial........;..........................~.................. 0.9 I nd~'strial... ............ .............. ......... ........ ....... ...... 0.45 Governmental...................... ............................. 0.5 ...1' IMPERVIOUS .AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT