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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