HomeMy WebLinkAboutPermit Building 1993-4-26
RESJDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: .726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
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OWNER:I
I
ADORES:,
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CITY:~
SPRINGFIELD t'r-=~ >>..........\
d 1'3 lo reL)'(\i1I~ LOJ)L>
BLOCK:
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HE AND 1 CONSTRUCTION,INC 871158
J 84959 Parkway
PLEASANT HILL,OR 97455
DESCRIBE WORK:
I
5FO
NEW
~
REMODEL
CONTRACTOR'? _~Ary1E_ _ __ _
ADDITION
OTH ER
Li...k.L ~~JLl &nn~
JOB NUMBER ~(JC)~
225 Fifth Street
Springfield, Oregon 97477
1....,
TAX LOT: '
SUBDIVISION: '11 \c:..o~ .ch..V-\<..
PHONF'
7.;)lo-3~1 ~
DEMOLISH
ZIP:
CONST.
ADDRESS CONTRACTOR #
- - - ------- --- -, - ----- ------- --
EXPIRES PHONE
GENERAL: ..---:: HE and i Const.,Inc. 84959 Parkway 71158 02/95 726-3898 L--.-
PLUMBING: ~ Pleasant Hill, Or 97455
MECHANICAL:! I
ELECTRICAL: J Bi lIs Electr ic 3170 W 11th, 21351 04/94 687-1851 ~,.
Eugene, Or 97402
j I I
i Don Lewis Plumbing 500 Greenfield 33076 06/93 688-1931
I 1
Eugene, Or 97404 I
QUAD M~EA: .(]
, ~_# OF BLDGS:J Marshalls Oil & Ins, 4131"E"St, 25790 12/93 747-7445 I
, OCCY GROUP:' Springfield, Or 97478 I
# OF STORIES Brooks Excavation I"~ 27661 Crow Rd 55921 03/94 345-7564 I
WATER HEATEH: ./ Eugene, Or 97402 ~
L-- ?' w
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To rf!quest 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 following work day.
~ Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms.
D
Underslab Plumbing / Electricall
Mechanical - Prior to cover.
~' Footing - After trenches are
excavated, '
. '
D Masonry - Steel location, bond
beams, grouting. '
ftJl Foundation - After forms are
L erected but prior to concrete
placement.
D Undergro'und Plumbing - Prior
to filling trench.
if'9) Underfloor Plumbing/Mechanical
~ - Prior to insulation or decking.
-rm post and Beam - Prior to floor
\ insulation or decking. ,
iWl Floor Insulation '- Prior to
T decking.
r-A, Sanitary Sewer - Prior t~ fillirig
.~ trench.
r:;1] Storm Sewer - Prior to filling
I trench.
cEJ Water Line -.Prior to filling
\" trench. .'
m Rough Plumbing - Prior to
Ldf cover.
REQUIRED INSPECTIONS
~ Rough Mech'anical "- Prior to
~ cover.
~ Rough Electrical - pri~r ~to
~ cover,
rrA Electrical Service - Must be
~ approved to obtain 'permanent
electncalpower.
D Fireplace - Prior to facing'
materials and framing Insp.
UfI Framing- Prior to cover. .
~.f Wall/Ceiling Insulation - Prior to
l cover.
D Drywall - Prior to t~ping,
~ ~OOd Slove - After ir.stallatio'l.
EJ Insert - After fireplace approval
and installation of unit.
I)
m Curbcut & Approach - After
~ forms are erected but prior to
placement of concrete.
~' ,
, Sidewalk & Driveway - After
excavation is complete, forms
, and sub-base material in place.
D Fence - When completed.
o Street Trees - When all required
trees are pl?[1ted,
ell Final Plumbing - When all
[/\ plumbing work is complete.
~ Final Electrical - When all '
~ electrical work is complete.
~ Final Mechanical - When ail
I mechanical work is complete.
k1Jl Final Building - When all '
r required inspections have been
approved and building is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking is complete.
D Plumbing Connections - When
home has been c<onnected 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.
D Final -.,. After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
tol faces
Lot, Type
''t!!-- Interior
Lot sq, ,ltg,
Lot coverage
Corner
Topography
Total he(ght
Panhandle
\':)'
Cu!,:de.sac,~
BUILDING PERMIT
tM'~
A~\t
'X $/so, FT
&.fJ0
r\ . \t)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
,.State Surcharge
Total Fee
. -, -
,PLUMBING PERMIT
ITEM
Fixtures'"
.' i
Residential' Bath(s)
NO ~
Sanitary Sewer FT
Wat8r FT.
Storm Sewer FT,
Mobile ~Home
Plumbing Permit
State Surcharge
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
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State'Surcharge
SidewalkUO
'''''
Curbcut ,~l) ft
ft
Demolition
(A)
HEPROPOSED}JvORK IN THE
HISTORICAL DISTRIcT, ORON
. ,-- - - .
THE HISTORICAL REGIST,E.R?
If yes, this application ':'lust be signed
and. approved by,; the Historical
Coordinator prior-to permit issuance.
R,L,
Setbacks
HSE GAR Accl
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N
=,l[ilD~Q
-5-1~
FEE
/ ( O().'oO
Lw~)~, 0
00
,
f0~ ,CD
if~
,noD,
ts pO'
,'2'00
, '" )....
3f}.~
LQ.. ClJ
m,o
_ . . D.
, ,.,0.0
(Y90
\4.~
APPROVED:
~,
'BUILDING VALUE, P~AN CHECK
A,ND 'BU,ILDING PERMIT
This 'p'er'mit is granted on the express condition that the said
construction Sh311, in all respects, conform to the Ordinance
a9()pted by 'the City of Springfield, including the
Development Code, regulating the construction and use of'
t~uildi~~~, and may.be suspended or revol<~d at any time
~pon. Yi~lation~f ar\;ovisiOr~ of said ordinances,
Plan Check Fee~_J(\ \t)\~)-
Date Paid: '
Recei ptNumber'
ReceivEJd By:
Plans Reviewed By
Date
:~ (rg\:fjfr'\ ,
".~~W
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SYSTEMS DEVELOPMENT CHARGE (SDC) $
., (B) 'II~q'UJ 3~
Systems Development Charge is due on all undeveloped
properties within the'City limits which are'being improved,
ADDITIONAL COMMENTS
i..
,~C)miM~(Q8 'L~ ~L)
,
'::::tL02 J( (l,Wl, ('fIJ:b~
'~ " . '- '
\_~W~)I)[)()io~~;' _~lS
(I~1'i O~ )\S;1.iJJmo.QJ:
,~Y'signature, I state and agree, that I have carefully examined
. the completed application and do hereby certify that all
information hereon is true and correct, and,l further certify
t~at any and all work performed shall be done in accordance
with t\:l~ Ordinances of the City of Springfield, and the Laws
of the State of Oregonp8rtaining to the work clescribed
Ii~rein, and 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 incompliance with ORS 701.055 will be used on this
pr?ject.
I further agree to ensure that all required inspections are
r~quested at the proper time, that each address is readable,
from the street, that the permit card is located at the frani
of the property, and the approved set of plans will remain
. "
on the site at all times during construction.
Signature' ~-L'}n.~
Jf-- ;;l.b -93
Date
S~t\Jhart\t~ ~y~{)
~t~' MI,~ao:o~' ~mlt' .. IE)
TOTAL AMOUNT DUE (excluding electrica~LQ-'--6 .b:;.ij
,(A, B, C, D, and E Combineel)
~:~:':::~JM~ 65\0
. DATE PAID [,) ,to Lj.':'2
A~OUNT R~~EDrJ, 'l'6 \. ,CJ1 }
Fj '=~EIVED ~([;;fJ... _ ~
JOB NO. q~()~.; S
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: /-/& i;: CoAlS.,../< U ClIO^, ]:i.Je.
,
LOCATION: Z,I?~ 13o/o./""e LANe:
DEVELOPMENT TYPE: !-PI!.. ~ NEw Sr~
LOT 1/ - NICOLe fJMK
BUILDING SIZE: LOT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. -Z6<i>O X $0.192 PER SQ. FT. 0q~~V
2. SANITARY SEWER-CITY
NO. OF PFU'S (i X $39.78 PER PFU G1/C, ;j)
(See Reverse) ------ ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/ X l.tJV~ X $401.05
c003.~)
X
X $401.05 $
X $401.05 $
SUBTOTAL (ADD ITEMS 1,2, & 3) $ /t,ILf Lf~
X
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~<iSO~)
-.......-. ---
$ I' as (f(
TOTAL - CITY SDC Ie> -,
5. SANITARY SEWER-MWMC
NO. OF PFU'S /9> X $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ZSS/~
(Use PFU Total From Item 2 Above)
0__~Lc-L
'-V Kip Burdick
SDC Coordinator
t/ h7/q?/
'j (
$~~
TOTAL-MWMC SDC~
TOTAL SDC $ J 'lz,o-a!
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Lyuivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
I
2 'f
1
2
3
6'
2 'Z-
6
6
1
3
2
1 jHead
2 'Z-
2
1 Z
6
4 ~
Bathtub...................................................."..,.........." .
Drinking Fountain.. ........................,........,....,.......,..,', '.
Floor Drain..."....... ............,...,...,.,0......"",...".......,',..
I nterceptors For. GreasejOiljSolidsjEtc.,..........,',..
I nterceptors For Sand/Auto WashjEtc....,.............
Laundry Tub /Clotheswasher..........,......................"
Clotheswasher - 3 Or More...........,......................,..
Mobile Home Park Trap (1 Per Trailer},..,..............
Receptor For Refrigerator /Water Station/Etc........
Receptor For Commercial SinkjDishwasher jEte..
Shower, Single StalL....,............,.. ."....... ..............'.
Shower, Gang... .:.,..,."...................,..........,., ,........,..
Sink, Bar, Commercial........................................ ..,..
Urinal, Stall /Wall......................,....,......,..."".........,.,.
Wash BasinjLavatory, Single..................................
Water Closet, Public Installation......................,......
Water Closet, Private......,.......... ..,.. .......' ........ ......,..
.",. ~
Miscellaneous:
Z-
J \
-z.
z
TOTAL FIXTURE UNITS
't6
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
- -
- --
Improvement (if after annexation date)
2.$3 X$/().(, ~-
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $ ~{)-
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid ential............................,........................... 0.4
Commercial................................... _.................. 0.9
I nd ustrial........................................................... 0.45
Governmental...............".................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT