HomeMy WebLinkAboutPermit Building 1993-4-5
,.
RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
d:ll
OWNER:
.~d-33'
BLOCK:
ADDRESS:
HE AND i CONSTRUCTION,INC #71158
8495'3 Par kway
PLEASANT HILL,OR 97455
CITY:
\. . ---,.-'- . -
'. ";:;"';,"'r-;.' .
5PO
DESCRIBE WORK:
NEW ~ REMODEL
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
ADDITION
DEMOLISH
OTHER
~, ~IlPi, AJ ~.~
JOB NUMBER
~D-+03
225 Fi fth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
/) J (!C5L.O- P~teJ<-
PHONE'
7c90 -3898
ZIP:
ADDRESS
CONST.
CONTRACTOR II
PHONE .
EXPIRES
02195
726-3898
HE and i Const"Inc,
84959 Parkway 71158
Pleasant Hill, Or 97455
Bi 115 Electr ic 3170 W 11th, 21351 04/94
Eugene, Or 97402
Don Lewis Plumbing 500 Greenfield 33076 06/93
Eugene, Or 97404
Marshalls Oil & Ins, 4131"E"St, 25790 12/93
Springfield, Or 97478
Brooks Excavation 27661 Crow Rd 55921 03/94
Eugene, Or 97402
MECHANICAL: J
I
I
ELECTRICAL:
QUAD AREA:
"'
c;
I
II OF BLDGS:
OCCY GROUP: j
II OF STORIES: J
I
WATER HEATER: ~
687-1851
688-1931
747-7445
345-7564
'.
To request an inspection, you must call 726.3769. This is a 24 hour recording..AII 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.
'0 Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
rlFOOting - After trenches -a;~'
{ excavated.
o Masonry - Steel location, bond
beams, grouting. '
\!tf Foundation - After forms are
( erected but, prior to concrete
, placement.
o Underground Plumbing - Prior
'to filling trench.
~nderfloor Plumbing/Mechanical
"I - Prior to insulation or decking.
dPost and Beam - Prior to floor
~ insulation or ~ecking.
r-:If Floor Insulation - Prior to
T decking,.,
l:::trSanitary Sewer - Prior to filling
r trench. '
IZV Siorm Sewer - Prior 10 filling
~ trench.
/1
r:::?1 Water Line - Prior to filling
'-(""' trench. .
cPl Rough Plumbing - Prior to
Cl-J cover.
REQUIRED INSPECTIONS
ill Rough Mechanical. - Prior to
I cover. .
b::tj..JRough Electrical' - Prior to
( cover. ,
, ,
~Electrical Service - Must be
r approved to obtain permanent
, electrical power. '
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover,
dl Wall/Ceiling Insulation - Prior to
~ cover.
~ Drywall - Prior to t!3ping.
o Wood Stove - A!\or installation.
c=J Insert - After firepiace approval
I and installation of unit.
~ Curbcut & Approach - After
forms are erected but prior to
. placement of concrete..
~Sidewalk & Driveway - /dter
. excavation is complete, forms
, and sub-base material in place.
o Fence - When completed.
.1tJ Street Trees - When ~II required
trees are plantee!.
r:::f9Final Plumbing - When all
~ plumbing work is complete.
-'-123 Final Electrical - When all
" electrical wo'rk is complete.
o Final Mechanical - When ail
P mechanical work is complete.
P Final Building - When all
required inspections have been
approved and building is,
completed.
o Other
MOBilE HOME INSPECTIONS
n Block!ng and Set.Up - When all
L-J blocking is complete.
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
porches, skirting, decks, and
venting have been installed.
\,
Lot faces
,Lot Type
Lot sq, Itg.
Interior'
Lot coverage
Corner
Topography
Panhandle
K
Cul-de.sac
Total height
BUILDING'PERMIT
Q
';!,c:,H;lE PROPOSED WORK Ihl THE
'STORiCAL DISTRICT, OR ON
THE HISTORiCAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks
G>.L. 'HSE' GA-~l ACC-]
. N
S
W
, I
IE
ITEM SQ, FT, X $1 SQ. FT. VALUE
i
Main l~qO -.S.J.,.,. ~D _~I-U2
Garage y Lf';;) I~.ID L, 'd. ~~
/
Carport
. Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
~Lt_13Sl
5_~~
_1Ll~L40
SYSTEMS DEVELOPMENT CHA~GE (SDq~)'~
(B) 181 &' -
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO ~
FT.
FT.
FT.
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
~(C)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
l~
Vent Fan
NO
Wood Stqve/lnsertlFireplace Unit
Dryer Ver:t
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surc~arge
Sidewalk ~O It
Curbcut 0 oft
Demolition
FEE
-- Q)
_J{d)L_-
700 (XJ
f500
/joS",ccI
k~
9,CO
~cO
~ J.
_ -1/1 ~
1-'0:0(;;
t. /3
~.(o~
IO~
-/~( .
~S~QS~c~~\Qf\ ~~U) 40.0
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, D. and E Combinecl)
d,'S'[<L51
I APPROVED:
BUILDING VALUE, PLAN CHECK
ANPBUILDJ~L@ PERMIT .
1 .. . ' ~.- - .
Thi;'-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
upbn violation of any provisions of said ordinances.
; ,;
Plan ,Check Fee:
! '
Date Paid:
.-,~?
\{ )-
~'
Receipt Number'
, '
Received'By:
Plans Reviewed By
Date
Systems Development 'Charge is due on all undeveloped
properties within the City limits w\hich are being i:nproved,
.f\POITIONAL cOlVfMENTS
~lqJS
.MlvutM C J~
SGC_
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certi fy 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 theCity 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 BuildingSafety Division,
I flJrther certify that only contractors 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 ea~h address is readable
flOm the st,eet, th2t (he permit card is located at the front
of th8 property, and the approved set of plans will remain
on the site at all times during construction.
~ignature ~&-u.)",~' xfO!.
3p~/9~
Date
VM,IDATION: ((J..f'V'\~
RECEIPT NUM~' ~.J(/
~ATE; PAID ,~\.s~
A~IOUNT REq':'JC;D. d 10/-l.:Ho
Rf,CE,IVED ~.tm.-J .
J ,JOB NO. Q3oLj() S
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
.:;.......:.if\<';;J;::'_. ._':;~~U-E-WORKSHEET
\., (COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: HE {I CO~~T. / INL.
LOCATION: '2:z.~-;. 13okJAJIE. L.A-AlE.
LoT -Z-' A' IU>L-.E: fJ~
DEVELOPMENT TYPE: L/J1f? - NEW Sr~ ' ,
BUILDING SIZE: LOT SIZE sQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 1..'-11<<-/ X $0.192 PER SQ. FT. C"?6 V
2. SANITARY SEWER-CITY
NO. OF PFU'S lfi X $39.78 PER PFU C;;', (p o?:)
(See Reverse) ----- ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I X I, (T()~ X $401.05
0030~
--- --
X
X $401.05
$
X
X $401.05 $
SUBTOTAL (ADO ITEMS 1,2, & 3) $ 16~ '-I !.!-
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
<(7'110
TOTAL-CITY SDC $/(P73&3:-
5. SANITARY'SEWER-MWMC
110
NO. OF PFU'S _ /9, x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ Z5S -
(UsePFU Total From Item 2 Above)
-;
I ~ -12> ::."~': "".
~~L-~'
V Kip Burdick
SOC Coordinator
""";';"""',',/:""',";" , -,
f'.',~ ,'" _', '.' - . .,.- . ".-. ..... .."
'7;' '3,' q?
I I
$ ~o~
TOTAL-MWMC SDC~5~
TOTAL SDC $ /~1Z ~
'"
MWMC CREDIT IF APPLICABLEJSEE REVERSE)
':, -:":-:",-:'> :_--~'-::'.::. -:"', - -- --:- : ':-,,'--:,.::,
. FIXTUI~U~~l)N;I"TI'CALCUl2A TIOM-" ABLE: Number of New Fixtures X Uni Jivalent = Fixture Units (NOTE:
For remodels,calculate only..the NET additional fixtures)
C' .:t~J7hH!) \ if! t!.c;~)J,.j;~V:;ht . ,NUMBER OF' UNIT FIXTURE
FIXTURE TYPE'........ .'tt'al:~H'1,1;+' NEW FIXTURES EQUIVALENT UNITS
-z,
2--
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
--I
Bathtu b..........,.,........ ...............................,.....,.......,...
Drinking Fountain........... .............. ......... ... ................
Floor Drain...................,........................,.".,........,.....
Interceptors ,.for Grease/Oil/Solids/Etc.................
Interceptors' For' Sarid/ Auto _ Wash/Etc..................
Laund ry 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..
S hower, Single Stall.",...................".,.. .........".........
S hower, Gang............. ...... .......,..,..... .... .............. .....
S ink, Bar, Commercial. .................... ........ ................
Urinal, Stall /Wall............................................. ..........
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private.. ...... ........... ......... ........ ........ ...
Miscellaneous:
Z-
I
2-
z
2--
f2J
TOTAL FIXTURE UNITS
/~
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
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
- ,,..~- -
- -...--
C'"} . t"/'"L X $ /0. I '2.. -^ ~
Credit for Parcel or Land Only If Applicable ~ l);;7 (I -c:rv
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL = $ 30 ~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
R esid ential.. ....... .......... ..................................... 0,4
Commercial...... ..... ..... ...................................... 0.9
Industrial........... ............... ....... .......................... 0.45
Governmental.......,....................., ...................,. 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
225 FIFTH STRlmT
SPIUNGFIELD, OREGON 97/, Tr.-':' :'; '.
INSPECTION REQUEST: 726-3769. L~D
OFFICE: 726-3759 t'-:;.-. 4" L. '.
'-W.e{ 3. ~OMPLETE PEE scnEDULE DELOV
1. LOCATION OP ~NSTALJ.:A[,IOfip,:': ", 11
d'd..~~ ~A.i A d--\ c:t-vtR'~,.IN A. New Residential-Single or
.----_11.\::11 t i-Family per dwelling uni t.
Servlce Included:
,
;c.~':" 'c":""."
LEGAL DESCRIPTION
Jon D~IPTION
S . t .' ~ I d~..e^""cJl-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. COID'RACTOR INSTALl.ATION ONLY
Elcc trieal Con t [ac torB1J; r.J.e.O}r,'C-.
Addrcss306 lAJQS>+ I rth
Ci ty.?: LLq.....W( Phone 3l/3/ ~c:,:s
Supervisor License Number 71) ~ ~ G
Expiration DateJ()-I--q~
Constr Contr. Number 2/'3S J
Expiration Date L(-l- qL/
. ,
~;.~(~j)Visj~..trici~
Ovners Nam. LlL L ;., Ca-,.,~
Add rcss ~ 4C) Sq P~\..A')CUA_
o
City Qi pa.:sc....,.,A... /J&.a'hone I:J k~ ~C) ~
O~NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~--~-~-----~~~Zi~~-----------
RECEI PT it: h('.tY?)-;
!tEeET VEl) Il Y : - - - r-Y I/V' /
.. ._.._"~~-----
Sl"lINl.Ol'lCLU
........ :.
~~,~;~ity Job Number
C1~o~
Items Cost Sum
1000 sq. ft. or less $ 85.00 ~~()()
Each additional 500
sq. ft or portion ~ :S() .00
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
D.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "D" above
D.
nranch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi~ed Energy/Com~
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36,00
5. SUllTOTAL OP ADOVE
5% State Surcharge
TOTAl.
1 I '5 .()()
~_)S
I ~() . ,S