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HomeMy WebLinkAboutPermit Building 1993-4-26 RESJDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: .726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: I i ( OWNER:I I ADORES:, i CITY:~ SPRINGFIELD t'r-=~ >>..........\ d 1'3 lo reL)'(\i1I~ LOJ)L> BLOCK: ~ . .~. . "",' 1 I" I j 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 f I 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 I 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 '~O ,.~O') .~(j I 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