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Home My WebLink AboutPermit Building 1993-3-1 JDE- H/~TE 'ADDRESS: )( '-IcrSq ;J';;fZKwfiLt - ~ J P I..t (J;/) ~ ~ xi..LLt . RESIDENTIAL , PERMIT APPLICATION Ins pections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' .typ . /~ LOT: OWNER' CITY: DESCRIBE WORK: c!!FD NEW,'\. . REMODEL ('~ , CONTRACTOH'S NAME_ GENERAL HE and i G.onst., Inc, PLUMB.lN MECHAN Bills Electric ELECTRIQ I Don Lewis Plumbing , QUAD AR I Marshalls Qil & Ins, /I OF BLD I OCCY G R Brooks Excavation /I OF ST01 WATER HEATER: .('7' D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. " D Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. ~1'Zl?Footin9 - After trenches are T excavated. D Masonry - Steel location, bond beams, grouting. ~OUndatiOn - After forms are erected but prior to concrete , placement. D Underground Plumbing - Prior to filling trench. \WI Underfl,O, or Plumbing/Mechanical r: - Prior to insulation or decking. 'f:IJJ Post and Beam - P~ior to floor F insulation or decking. ~ Floor Insur'ati'on - Prior io ~ ~ decking, ~sanitary Sewer - Prior to filling {' trench. ~ Storm :s'~wer - Prior to filling ~ t~nqh~ . , ~ Water Line - Prior to filling r trench. -.l..L:1 Rough Plumbing - Prior to r' cover. c:;J 171; BLOCK: i STATE: ((J~ ADDITION OTHER DEMOLISH. v {!;;)c.AL c..ar:. 0('1 c:<c; 35" g~ , JOB NUMBER C[3D\Q4 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: /J/ef'Y~ '-o;L;Jek.. 7C:<~-8n f1 PHONF' ZIP' <:)7 V~c::;- ADQJiJ;;>~u , CONST / _____ __ _,f9~TI3~IQB_!___ EX~IRES PHONE 84959 Parkway 71158 Pleasant Hill, Or 97455 3170 W 11th, Eugene, Or 97402 21351 To request an inspection, you must call 726.3769. This is a 24 hour recording. All 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 fol!owingwork day. " , ,', " REQUIRED INSPECT-IONS '- . It #1 Rough Mechanical- Prior to (~ Final Plumbing - When all ~ cover, --cP plumbin'g work is complete. ~ROU9h Electrical - Prior t~ f1Z1' Final Electrical - When all r cover. , T electrical work is complete. r Electrical Service - Must be ltf Final Mechanical - When all m, echanical work is comple,te. approved to obtai npermanent electrical power. ~' Final Building...,.. When all D Fireplace - Prior to facing required inspections have been materials and framing Insp. approved and building is completed. 500 Greenfield Eugene, Or 97404 33076 4131"E"St, 25790 Springfield, Or 97478 27661 Crow Rd Eugene, Or 97402 RANG E: ''=''" 55921 ~ '''mlng - P,loe to com tZZJ Wall/Ceiling Insulation" -, Prior to cover, 't(!J Drywall - Prior to taging." ~ ~~ - After in~tallation. D Insert -After- fireplace approval and installation of unit. ' 02/95 726-3898 04/94 687-1851 06/93 688-1931 12/93 747-7445 1/ 03/94 345-7564 D OQ Or\Tn.::'':''I~~'=-'~l~~~'~._---- if D Other MOBILE HOME INSPECTIONS ~curbcut & Approach -= After . forms are erected but prior io' placement of concrete._ ~' idewalk & Driveway - After excavation is complete, forms . and sub.base material in place. D Fence - When completed. r7J Street Trees - When all" required ~ trees are planted. Blocking' and Set-Up - When all blocking is complete. D Pllimbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. _I: .../ D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed, I~ 'lE PR'O~OSED WORK IN .THE 'h .)RICAL DISTRICT; OR ON THE HISTORicAL REGISTER? If yes, this application must be signed an'd approved by the Historical Coordinator prior to permit issuance. Lotfpc~s " ,Lot Type I Pol IN Setbacks I ' I I HSE GAR ACC Lot sq, Itg. .' I n'terior Lot coverage Corner Topography Total height Panhandle S ~,J C'-II.de.sac w IE' I I I' BU I L DIN G ;,PERM rr ~'J-C;' ' ~l::)() S X $ISQ, FT = VALUE QJO.QO'~ _r;g~j-~ /Lf./D ' 1{R~ ITEM "~~ '~ Main Garage Carport Total Value 8~ c;;,..q1-__ , IQ. '/0 ' , 4-/.3~'l 0 Building Permit Fee State Surcharge Total Fee (A) SYSTEIVIS DEVELOPMENT CHARGE (SDC) ~, (B) *,q~\~ PLUMBING PERMIT ITEM Fix,tures dJ "Residential Bath(sr NO Sanitary Sewer FT. Water FT Storm Sewer FT. :,;"1" Mobile Home Plumbing Permit State,Surcharge Total Charge (C) MECHANICAL PERMIT Furnace, Exhaust Hood Vent Fan NO 3 FEE / ItJO cz)_ /fi{) /XJ ~OO Ibh~CO I CO.' (0, . 4~50 q,OO' I,~ ,00 ,dCO ...s..."7 . 'Wood Stove/Insert/Fireplace U'nit Dryer Vent MeChanical Permit 31,,00 If). 00 J.8B 4f13B Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidew~lk {h 'ft , Curbcut 50 ft 19.06 L~~C:O Demolition L~w)ui\aQ~C,' - 40 ,CO' Total Miscell~neOU~lts (E) TOTAL AMOUNT DUE (~xcluding electric'alcQL0.3[P~ r (A, B, C, 0, and E Combined) APPROVED: BJ)ILDING VALUE, PLAN CHEGJ< J}~D BUILDING PERMIT This permit is granted on the,e)(press condition that the said c9n'struction shall, in ail respects, conform tothe Ordinanc'e adopted by the City, 'of Springffeld,incllJding the, Development Code, regulati ngthe constryction 'and use of buildin'gs, ar;td,.may be suspended or revoked at any time 'upon violation of any provisions of said 'ordinances. Plan ,9h,eCk Fee \. ~j~ Date paid: " Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped pro'perties withinthe City limits which are being improved. ADDITIONAL COMMENTS, \~c.~ t')t)t9): \C\.fl.S ~)'1 rl 0 u ryo Q.L) , . (\~I\ldl ~C\ ~'f\ \ Bysi9nature, I state and agree, that I have carefully examined the cOfllpleted application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance ~ith the Ord'inances of the City of Springfield, and the Laws of the State of Oregon, pertaining to the work described ~erein, an~ that NO OCCUPANCY 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 pr?ject. Ifurther agree to ensure that all required inspections are re'q~ested at the proper time;that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain , ' on the site at all times during cOl"1struction, S' . t . J A ,,In 4. Iv .~, -L , Igna ure ~~ . ~ Date cR/I, / 9,-~ VALIDATION: /7 / ./- I R"CEIPT NUM!J.Ej' / {Ol.O .. DATE PAID O. I .q~ - ~MQUNT "ECE:!.~.,- 510, LJ[a RECEIVED ~ '-J)/J.jL"-.. ~ .. ) . ii',; .' . , tif . ThE>, followinq pro.i0ct as ,~u~~ined ha~ the followin . ' 225 .FIFTH STREET zOllino, and does not requIre specifi'o lal~LEGTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477 flpprove.l. . n ' . '. q 4 INSPECTION REQUEST: 726-3769 zoni..g:i~iHj)k-' , Ci ty Job Number . 3Dlq OFFICE: .' 726-3759: . Date 5-~-=-933G COHPLETEFEE SCrrEDULE BELOV 1 ~ L.OO~, TI,.Q~OF.' I I~.T T~ALLLALATIO~horized Signature '-'5 '. , . QJ I ' J"-t'. ~ \\^- Q.,.::> A. New ResJd.ential-Single or Multi-ramily'per dwelling unit. LEGAL DESCRIPTION. Service" Included: . SO~DE~~~Nr1 Q I~' \C\ \ ~\3' 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. CONTRAcToR INSTALLATION ONLY B. . Electric~l Gontractot /3;'//5 i:leclric Address ~ /70 l-U I L ik City <rOC; ~ Phone3(3/35.~ / Supervisor License Number ~JP()~ Expiration Date 10 -/ --- 95 Constr Contr. Number ;:) /3.';; .1000 sq.ft. or less Each additional 500 sq. ft,orportion thereof . Each Manuf'd Home or Modular Dwelling Service or Feeder ' Items Cost Sum .J $ 85.00 86 6l $15.00 8.'0 $ 40,00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over .1000 amps/volts Reconnect Only , $ 50.00 $ 60,00 $100.00 $130.00 $300.00 $ 40.00 C~ TempQFary Services or Feeders Installation, Alteration or Relocation Expiration Date t./-.j-- 9'3q' (JJ~/Y) E::r~ Ovners Nanie~\~~~ Address 8i\~~q ~ Ci ty ~. .~' ()] , Phone l Llo-~ mINER INSTALLATION . The installation is being made on property I own which is .not intended for sale, lease or rent. ,Ovners Signa ture: ~~~;~-~~-~-T~~~---~~~--~---~---- RECEIPT #:,~~. 'lU1LfLl RECEIVED ~ '/\._~ '\ ~~~~~. 200 amps or less 201 amps to 400 amp~ Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits , $ 40,00 $ 55.00 $ 80,00 volts see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service .or Feeder Permi t 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL E:Kiscellaneous (Service/feede~ -Each installation Pump or irriga t ion Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 35,00 ~:i!'''''-'' " $ 2.00 not included) $ $ $ s ll~q) ", ~.I Jc::..., -A(). 'T:S 40.00 40,00 20,00 36.00 JOB NO. q'?-o' qtf- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Soe t+11~.-rE LOCA T I ON: Z , , ~ 1:>0 N t--t l t:: lAME:. DEVELOPMENT TYPE: Lv IZ- - fJf:.W <7F-t2- BUILDING SIZE: 1. STORM DRAINAGE Lo\, \ 7- f..1 , LCJ LE: fA:e-'(... LOT SIZE SQ. Ft. IMPERVIOUS SQ. FT. ?-(P? (p X $0.192 PER SQ. FT. CSOb ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) \<t> X $39.78 PER PFU ~\<ooD ~ ~ .' 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \ .~oS:> X $401.05 X X $401.05 C;;O~O~ "----- ----- $ X X $40i~D5 $ -z..1 SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1<0 2S - 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~\'L~ TOTAL-CITY SDC $ \..,o~~.l 5. SANITARY SEWER-MWMC \10 NO. OF PFU'S 1 fS x $13,62 PER PFU + $10 MWMC ADMIN. FEE $ -ZSS- (Use PFU Total From Item 2 Above) ~. ~~~~ ,- U Kip Burdick SDC Coordinator '2../\4 /1~ ( ( $~~ ~ TOTAL-MWMC SDC<'~ZS~) TOTAL SDC $ t~?\ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNrrCALCULATIO~~ABLE: Number of New Fixtures X Unit l For remodels, calculate only th,;.,N.ET additional fixtures) Jalent = Fixture Units (NOTE: FIXTURE TYPE. NUMBER OF NEW FIXTURES UNIT . EQUIVALENT Bathtub........... ...........................:............................... Drinking F au ntain..................................................... Floor Drain......................,.......;................................. Interceptors For GreasejOiljSolidsjEtc................. Il'}terceptors For SandjAuto WashjEtc.................. Laund ry Tub jClotheswasher... .... ........ ........ ............ Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).........;........ Receptor For Refrigerator jWater StationjEtc........ Receptor For Commercial SinkjDishwasher jEte.. Shower, Single StalL....... ...... .............. ..... .......... .... Shower, Gang.....,.,........;.........:.................;............. Sink, Bar, Commercia!....... .......... .................. .......... U ri nal, Stall jWall.,..................................................... Wash BasinjLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private........ ........... ..... ................ ....... Miscellaneous: "1~ 2 1 2 3 6 2 6 6 1 3 2 1 jHead 2 2. 1 6 4 . \ '1- '2-. TOTAL FIXTURE UNITS fiXTURE UNITS '-t '"L '1- 2- B \<& CREDIT CALCULATION TABLE: Based on assessed value. 'If improvements occurred after annexation date in table, calculate credits separates. I Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 ,1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 'f985 1986 1987 1988 1989 1990 1991 Rate per $1,000 Assessed Value $2,16 1.90 1.60 0.25 0.87 0.50 0.16 Credit for Parcel orland Only If Applicable 2. <2>? X $ 10. Co ~ ~ (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