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Home My WebLink AboutPermit Building 1993-3-1 OWNER: \. JOE H/t1.-TIE ADDRESS:. P19 89 J)/tI():.WAl( C;TY: 8,.~ ~jJ{PaLJa Jtt- ~ - (/ RESIDENTIAL PERMIT APPLICATION .. Inspections: 726.3769 Office: 726.3i59 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: /8 ':::SF;) DESCRIBE WORK: NEW)( REMODEL ADDITION CONTRACTOR'S NAME. d~- C2:::tIn cht?d 191 eJ-/Z. ') Q3Q1CM JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 de;; 1</ BLOCK: TAX LOT: SUBDIVISION: /}/(!OL6 PHONE: P/i~1< 7a6~3!9~ STATE: (;JIG 97455 ZIP: DEMOLISH OTHER ADDRESS 'GONST. CONTRACTOR /I PHONE EXPiRES .------~-- --- -------- - - - -- -- - -+------ , 71158 02/95 726-3898 HE and i Const"Inc. 84959 Parkway Pleasant Hill, Or 97455 Bills Electric 3170 W 11th, 21351 04/94 687-1851 Eugene, Or 97402 Don Lewis Plumbing 500 Greenfield 33076 06/93 688-1931 Eugene, Or 97404 Marshalls Oil & Ins. 4131"E"St, 25790 12/93 747-7445 Springfield, Or 97478 Brooks Excavation 27661 Crow Rd 55921 03/94 345-7564 Eugene, Or 97402 GENERAL: PLUMBING MECHANI! ELECTRIC. I I I QUAD ARE I ;; OF BLD~ I OCCY GRG \ /I OF STOl WATER HE I I I \ I I I I I I \ Q. --5 To request an inspection, you must call 726.3769. This is a 24 hour recording. All inspections requested before 7:00 a.m, w,ill be made the same working da.y, inspections requested after 7:00 a,m. will be made the following work day.. f(J Temp~,",y Elecl,k D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing! Electrical! Mechanical - Prior to cover, ( mFooting - After trenches are, l excavated. D Masonry - Steel location, bond beams, grouting. d-zr Foundation ~ After forms are { erected but prior to concrete placement. ' D Underground Plumbing - Prior to filling trench. \[7'[1nderflo~~ Plumbing! Mechanical L.::::fI - Prior .to insulation or decking. a:f Post and Beam - Prior to floor insulation or decking. . GP. Floor Insulation - Prior to . ( _ decking. . r-ti' Sanitary Sfiwer - Prior to filling tf-J trench. .. . rn Storm Sevier - Prior to filling T trench. ' ~ Water Line - Prior'to filling. , trench. , ' , ... ~ Rough Plumbing ,,- Prior to cover. REQUIRED INSPECTIONS / Jt) Rough Mechanical - Prior to '\ . cover: ~ Rough Electrical - Prior to cover. _ . , . ' ~ Electrical Service - Must be approved to obtai n permanent \ electrical power. I .' LcLJ Final Plumbing - When all ( . plumbing work is complete, ~ Final Electrical - When all . ( electrical work is complete. ~ Final Mechanical - When all r mechanical work is complete. rnFinal Building - When all l required inspections have been approved and building is completed. D Fireplace '- Prior to facing materials and fraiTli.n.g Insp. ~ Framing - Prior to cover. Walll Ceiling Insulation - Prior to cover. mOry'wall - Prior to taping. in . . .". MOBILE HOME INSPECTIONS ~~'a~~ D Blocking and Set.Up - When all D Insert - After fireplace approval blocking is complete. and installation of unit. D Other ... ~urbcut & Approach --.: Atter forms are erected but prior to placement of concrete, ~idewalk & Driveway - After excavation is compl'ete, forms and sub-base material in place. 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. D Fence - When completed. o Final - After all required "". inspections are approved and porches, skirting, decks, and venting have been installed. k--7PStreet Trees'-::o:-.:vhen all'req~ired L1J trees are pia, 'Lu,. ' Lot. faces Lot Type ::"- .~ Setbacks ~ ~ P.L HSE GAB ACC 1 Lot sq, ftg" Interior N 't: Lot coverage Corner Is Topography /5/ Panhandle Total height Cul.de.sac W ,',.,' i.. E BUlL-DING PERMIT ITEM . SQ, FT }4W 4l~ X $/SQ FT , t::) l~ IL., (0- Main Garage . Carport . Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE 'l~ lo&O 5) '8DCJ , } 8118=1 . " neb C() ~ Jl::>L:), A~g.. ~ '11 )'1-10 SYSTEMS DEVEL,OPMENT CHARGE (SDC) .$ . (B) f t~oq~ PLUMBING PERMIT ITEM Fixtures 'Residential Bath(s) NO AJ Sanitary Sewer FT Water FT 'Storm Sewer FT Mobile Home - ,.:~~:>. \' . J'~,,,,.Plumbing Permit State Su rct}arge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan' NO ~ ~ Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge .......- , Total Permit (D) MISCELLANEOUS PERMITS ,~~...,,,,,- < ,"Mobile Home. State Issuance . State Surcrarge ,Sidewalk ~() Curbcut ,,9C) ft It Demolition FEE IS "'E PROPOSED WORK IN THE H, JR1CAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved' by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the sai.d construction shall, in all respects, conform to the Ordinance adopted by the City of Springfiel,d, including the ,Development Code, regulati ng the construction and use of buildings;..and may be suspended or revoked at any time' lipon"\iioiation of any provisions of. said ordinances. ' PI~n Cheok Fe~,~i rfuu<---' Date Paid: ' Receipt Number: Reo~~~~ ~ 4~d ~y $/;/93 / /Date Systems Development Charge .is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS ..i '';'';..c,.. /(d).a:J . CUAn~d-,,_ 6rittlhiL -.,\ {\ f\ o. \r', \\Vy \ - C; . . ------- ~\\J\wtJ ~,~" \ \~~ ( loO.CO goo IloR,CP Lo,C(). 4.S(Y q;oo I~.OO ,~ cD ~1,5n '(70~ ~~ ,\qp7) ,\4.~ \_~(}fh !3y signature, I state and agree, that I have carefully examined thE! cOmpleted applic?tion and do hereby certify that all in!orm?tion hereon is true and correct. and I further certify that any and all work performed shall be donein accordance . Yfith the Ordinances of the Cityof Springfield, and the Laws ~f the State of Oregon pertaining to the work described , , herein, and that NO O~CUPANCY 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. . I further agree to ensure' that all required inspections are requested at the proper ti me, that each add ress is readable from the street, that the p~rmit card is'located 'at the front ot:the property, and the approved set of plans will, remain ()n the sJte at all times during construction. :;::at:t/::'>h..~. VALIDATION: RE~E!PT NUM~R 'DATE PAID ()' j. . rz(Pto~. . q'-) -' . , I L!I{),f)q' - I L~~Si\c~:. _' 4l)CO Total M;soellane~e'm;" (EI TOTAL AMOUNT DUE (excluding electrical'Q2Lon'L-.:Jf ' (A, B, C, ,0, anej E Combined) , ' BECEIVED BY ./ JOB NO. 1~,~ ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~ E: J-/ I fL T E. LOCATION: Z Z , tf t3D~ N , f:. LA-/oJ E DEVELOPMENT TYPE: LVI?- - /oJ P-:-W 5FIZ BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. 'lSl.-? X $0.192 PER SQ. FT. 0<i'f~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) \<b X $39.78 PER PFU 0t~V 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X /.0-05 X $401.05 X X $401. 05 X $401.05 003~ $ $ X SUBTOTAL (ADD ITEMS 1,2, & 3) $ l ,,"o,? ~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <( ~O~V TOTAL-CITY SDC $ I <e.<64~ 5. SANITARY SEWER-MWMC <7 - S' f., NO. OF PFU'S I ~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $~"? - (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $~~ TOTAL-MWMC SDC~~ -.....-. .-' TOTAL SDC $ ,~O,,~ V' ~~L ~ '2-,!t1/r~ () Kip Burdick SDC Coordinator FIXTURE UNIT CALCULATION. ..BlE: Number of New Fixtures X Unit El For remodels, calculate only the NET additional fixtures) llent = Fixture Units (NOTE: FIXTURE TYPE NUMBER-OF NEW FIXTURES , UNIT FIXTURE EQUIVALENT UNITS '1-- 2 4 1 2 3 6 2 7- 6 6 1 3 2 1 jHead 2 ""2- 2 1 ~ 6 4 to Bathtu b...................................................................... Drin~ing Fountain........... ...,..... ...... ............... .... ......... Floor D rai n........................................................,....... Interceptors For GreasejOiljSolidsjEtc................. Interceptors For Sandj Auto WashjEtc.................. Laund ry Tub jClotheswasher....... ...... ................... ... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator ;Water StationjEtc......... Receptor For Commercial SinkjDishwasher jEtc.. Shower, Single StalL...:.......................................... ' S hower, Gang.......................................................... Sink, Bar,Commercial...........:................................. Urinal, Stall ;WaiL.... ......... ......... ... .....,.. .... .......... ...... Wash BasinjLavatory, Single............................,..... Water Closet, Public Installation............................. Water Closet, Private.... ............... .............. ....... ....... Miscellaneous: 1- "2- TOTAL FIXTURE UNITS 15 . 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 19~3 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 Credit for Parcel or Land Only If Applicable 'i, 55 "3 ' X $ 10. (., '3.-0 ~ (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ ~ ~ . RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..""..."..,......,................................... 0,4 Commercial....,. ........,.......................... .....'........ 0.9 I nd ustriaL.............................................,.,... ,..... 0.45 Governmental.................. .....,... ...."............. ..... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT .;,~y~~"l!owit;g'pmjHct ElS submitted ha3 ;he fo!i,::.win( ti~ "O".,lg, anc: Goe<< 11,')1 require sDecific !<:lPd. lI>,,\q' . , . 225 FIFTH STREET apphwd., . , ELECTRICAL PERMIT APPLICATION SPRINGFIELD; OREGON 97. 477 Zonii;g r '7'1 () ." 'q '2(~/()(4 INSPECTION REQUEST: 726-3769 2., _1I--<?V." ._,~~-_... Ci ty Job Number '-).' J --I OFFICE: '726-3759 Date ,) ,l'- ..1.3 '" ., ' Auth:izedsi;~:~~f~Sf COMPLETE FEE SCHEDULE BELOY 1., ~<\CATlO,~' OF (~g.~ ALL~LAT.rIOl! ,) .. - . " ~ I~ LJL~ LJ I~ A. New Residential-Single or Multi-Family per,dwelling LEGAL DESCRIPTION. Service Included: JOB DR.SVRIPTIO~ .. ',011\ rr E--. ~ ~ ,tu 1. "'-JL. J\~ ~ [) ~ Permits are non-transferable and expire if work is not started within 180 days , I:, o,f. issuance or if work is suspended for "c~:l80 days. . '\ ~. CONTRACTOR INSTALLATION ONLY Electrical Contractor R /1/5 Address 2../ )0 City' ,'YcIQt2J1..o / Supervisor License c: / /J... " ?fIJ orr) C Lt...J I L tto Phone_~3t/3 -/35 3> Number qJlQ5 Expiration Date /6-/-q5 Constr Contr. Number ;;;2/35/ Expiration Date tf-I-93 ~Tr2;~rY:716i~ O....ners Nanie0~---,'-\,:\~ ~ Address\?rlq~( ~Q'~ City \),,~ Phoneld.b-36~ O\INER INSTALLATION The installation is being made on property I own ....hichis not intended for sale, lease or rent. ,Owners Signa ture: ~A~;~---~~~-r-;~-~=------~------ RECEIPT #:ql ~ I J (o{o~ RECEIVED B : . 1LJL--'" ~ . . ----- . ,Items _1000 sq.ft. or less I Each additional 500 sq, ft, or portion. n thereof" d-. Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 a~ps t~'1000 a~ps Over 1000 amps/volts Reconnect Only uni t. Cost Sum $ 85.00 B5 $ 15,00 ~3J) $ 40.00 $ 50.00 $ 60,00 $100,00 $130.00 $300.00 $ 40.00 C. Tem~b~ary 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 D. Branch Circuits $ 40.00 4(j $ 55.00 $ 80,00 see "B" above New, 'Alteration or"Extension Per Panel Miscellaneous (Service/feeder -Eaeh installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Cireui t . , Each Additional Circuit or ....ith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ,-" $ 35,00 .."./" " $ 2,00 not included) $ 40,00 $ 40.00 $ 20.00 $ 36.00 1~S~ '7 .1)_", 11or!J.' . '15