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Home My WebLink AboutPermit Building 1993-3-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: .;:24- LOT: ! OWNER: .-J .1 I ADDRESS: ~ c;L1~{ BLOCK: HE AND i CONSTRUCTION,INC #71158 84'35'3 Parkway PLEASANT HILL,OR 97455 CITY: I \. DESCRIBE WORK: 5F-D NEW v REMODEL ADDITION CONTRACTOR'S NAME GENERAL:: r-1~E and i Const., Inc. PLUMBING: ~ MECHANICAL:J Bills Electric I ELECTRICAL: ..J l " . i QUAD AREAG /I OF BLDGS: J OCCY GROUP: J /I OF STORIES: Ii Ii WATER HEATER! Don Lewis Plumbing Marshalls Oil & Ins. Brooks Excavation I I j DEMOLISH ___ OTHER (;tJ?.p~ ~tf1 J3()~ C?D~~ '- JOB NUMBER 225 Fi'fth Street Springfield, Oregon 97477 TAX LOT:' SUBDIVISION: nccbLo ~ -- PHONE: 7~lcz,-3gqg -, ~, ZIP: ADDRESS CONST. CONTRACTOR /I EXPIRES PHONE, 72~-3;38-}- 687-1851 'I I r REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ( cover. ~ Rough Electrical - Prior to, ~ cover . o Electrical Service - Must be P approved to obtain permanent electrical power. o Fireplace ~ Prior to facing materials and framing Insp. _' ~Framing -, Prior to cover (7)1, WalliCeiling Insuliltion - ,Prior to P cover, ~DrYWall - Prior to taping.: ~~ C;;;;;::'~Hon D Insert - After fireplace approval and installation of unit. ~' urbcut & Approach - After forms are erected but pri or to . placement of concrete, YSidewalk & Driveway - After' , excavation is complete, f,orms and sub.base material in.place. D Fence - When. compieled. r:tX Street ;re~s - W:len all required ( trees are pl,Jnt'~d, , 71158 02/'35 8495'3 Par kl,Jay Pleasant Hill, Or '37455 3170 W 11th, Eugene, Or '37402 500 Greenfield Eugene, Or 97404 4131IE"St. Springfield, Or '37478 27661 Crow F.:d Eugene, Or '37402 21351 04/'34 33076 688-1 '331 I I I I I ~ L 06/'33 257'30 747-7445 1'.) Iq""J 4../-1..:1..1 55'321 03/'34 345-7564 To request an inspection, you must call 726-3769, This,is a 24 hour recording. All inspections requested before 7:00 a,llJ, will be made the same working day, inspections requested after 7:00 a.m, will be made the following work day. 'C2SL Temporary Electric D Site Inspection ---: To be made , after excavation, but pri,or to setting forms. o Ul}derslab Plumbing / Electrical/ Mechanical - Prior to cover ~ Footing:"'" After trenches are ( excavated. . D Masonry - Steel location, bond , beams, grouting. f-t9Foundation - Afte,r forms ar~,., /' ~ erected but prior to,.goncrefe placement. D Underground Plumbing - Prior to filling trench. ,~ Underlloor Plumbing/Mechanical ( - Prior to insulation or decking. ~P9st and Be,am~ pri~r to floor .' insulatio_n .or decking. , . - ~, FI~C:; Insulation - cPrior to decki ng. ,r, ' , ( . LLP, Sanitary Sewer - Prior to filling , ( trench. !:a Storm Sewer - Prior to filling ~ trench. ~ Water Line - Prior to ffll.in, g trench. :. , ' [2!IROU9h Plumbing - Prior to T cover, , ~ Final Plumbing - When all I plumbing work is complete: I-1fFinal Electrical - When all T electrical work IS complete. I~inal Mechanical - When all .T mechanical work is complete. ~inaI Building - When all required inspections have been ., approved and building is completed. . . , 0 Other .MOBILE HOME INSPECTIONS D Blocking' arid Set-Up - When all , blocking is complete. D 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 ;~ / .}J. Lot Type ,~ Interior , , Lot sq. ftg, Lot cov~rage~ Corner Topography Panl:1andle r1/ Cul-de-sac Total height BUILDING PERMIT 1~/!5" 00~, X $/ so, FT. ITEM ,Main Garage Carport Total Value Building Permit Fee State Su'rcharge Total Fee '-; T'HE 'PROPOSED WORK IN THE .iSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If'yes, this application must be signed and' approved by the ,Historical Coordinator prior to permit issuance: Setbacks I P,L, I HSE GAR AG.cl N, S . Iw IE VA LU E ' (A) 8~ '314. rf) ,q . '7l5 1:L3__~7() SYSTEMS DEVELOPMENT CHARjE (SD,~)~ (B) J3:1~ - - 1 PLUMBING PERMIT ITEM Fixtures, Residehtiai~:~th(S) Sanitary. Sewer NO. ~ FT. Water . FT. - \'. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust I-:lood N:'3 Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit' (D) , , , MISCELLANEOUS PERMITS Mobile Home State Issuance :;:~::::~lQO C'urbc'ut 3) It It Demolition r\\~SurCharge 'vVll}\\~r ~ FEE _ 7(Cl). q) /K)oO 8,CO ( ?13 ,cO -~ "4,50 q.CD f S .CX2 ;~_OO \ ':51.5:) /1) OD_ / 9S:<-, ,4!]Z16 r~:~-ar--- -:4'.~ 4f)pU Total Miscellaneous Permits (E) , TOTAL AM'OUNT DUE (excluding electrical) c~}lo.f!)1tP (A, B, C, D, and E Combined) , I ' APPROVED: , . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ' . '..' . This permit is grantee! on the'express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfie-Id, including the Development,Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon ~iolation of any provisions of said ordinances. :~t: ~:~dCk Fe~e: - fif'" tv/ Receipt Number:-=- ') , ~eived By: '., I \ )~ \\f\ "t\ __~ 'ill r Plal~~ 'Rcv"e~~~ ro 3.~ Date Systems Development Charge is due on all undeveloped properties within the City limits which are beirig,ilTiproved,' ADDITIONAL COMMENTS L%f\~~\m~-): \C\~ ':~: ... .. H ~ By signature, I state and agree, that I have carefully examined the' completed appl.ication and do hereby certify that all inform~tion hereon is ,true and correct, an.d I further certify that any and all work performed shall be'donein accordance V\i[th the Ordinances of the City of Springfield, and the Laws of, the State of Oregon pertaining to the work cJescribed herein, and that NO OCCUPANCY will be made of any siructure without permission of the Building Safety Division. I Jurther certify that only contractors and employees who arei'n compliance withORS 701.055 will be used on this p~oiect. I further agree to ensure that all required inspections are requ,ested at the proper time, th,ateach address is readable from the street, that the permit card is located at the front of the'property, and \he approved set of plans will remain , ' on the site at all times duri~~const.ruJtion. Signature ~iLI,Ui'Jri'l...JLJ h7Q'\ v1RP, Date' ~.~ (/9.3 -- VALIDATION: " nq 1 F:lECEIPT NU~'ER '" ",' t, . DATE PAID ,,") d0 . q , A~CEIVED &.Y " ~ '') ",~~" .~;.~~~~~~~~:;., . , '" i . ".;;' :.~ {\:ti "' "'\ ,._ JOB NO. $0 ?,J3,S , ti;.1~~, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCi~['~ RESIDENTIAL) NAME OR COMPANY: !-IE.4 r C{)J../St.' I,,-,c. I LOCATION: '2-1 7-1 13-o).}1J If:.. ~'E DEVELOPMENT TYPE: Ll? R- - NEIAl SFf2- La I '2- '1 ~ "j, U> Le PA-1Lr- BUILDING SIZE: LOT SIZE SQ. Ft. GS~~~?) -- ------ Gl/k>~ -.........-. ---------- NO OF UNITS X TRIP RATE X COST PER TRIP / X {,DDS X $4.01.05 c::r03 ()~) -- ----- X X $401.05 $ x .J""-~l" X $401";05 31 ff 1 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ I (p(" 1 'd: 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ce-SS3 ~) TOTAL-CITY sot $ /75103:. 5. SANITARY SEWER-MWMC NO. OF PFU'S I cg x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ '2SS ~ (Use PFU Total From Item 2 Above) , -t:rt~L~k U Kip Burdick SDC Coordinator 3/"-'f/Q; I $ 3o~ TOTA~-MWMC soc~~ TOTAL SDC $ / q7 /p 1.!- MWMC CREDIT IF APPLICABLE (SEE REVERSE) ....... ~"'...- / FIXTURE UNIT CALCULATIO.... fABLE: Number of New Fixtures X Unit For remodels, calculate only t~e NET additional fixtures) jivalent = Fixture Units (NOJE: FIXTURE TYPE NUMBER OF NEW FIXTURES' UNIT FIXTURE EQUIVALENT UNITS ?- 2 1 2 3 6 2 6 6 1 3 2 1 jHead 2 2 1 6 4 t.f Bathtu b,......,..."...,."..,......, ,..............................,...,.... Drinking Fountain...................".... ...,....., ~.."..........,.. Floor Drain. ........".,..............,....,... .....,........... ...."..... Interceptors For GreasejOiljSolidsjEtc................. Interceptors For SandjAuto WashjEtc,................. Laund ry Tub jClotheswasher.......,........................... Clotheswasher - 3 Or More.........................,........... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator ;Water Station jEte..,...., Receptor For Commercial SinkjDishwasher jEte.. Shower, Single Stall.. .,.........,.......". ..,..........,.... ....... Shower, Gang..................,.. ........,....,..:.................... Sink, Bar, Commercia!.......................................,..... Urinal, Stall jWall."".......,....,.........,.....,.,..,..-..,.......... Wash BasinjLavatory, Single.............................,.... Water Closet, Public Installation...........,....,............ Water Closet, Private....,.....,.....,..,."".....,................ Miscellaneous: L- 2- t- '2- 2- 2- ~ TOTAL FIXTURE UNITS (<6 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 1 'I "" , () ., X $ If). / '2 - ~ Credit for Parcel or Land Only If Applicable ~ 0 J 10 d"f) (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 30 ~ 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