HomeMy WebLinkAboutPermit Building 1993-7-12
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:
10
'. ~,
LOT:
BLOCK'
OWNE
1
ADDRI
#71158
HE AND i CONSTRUCTION,INC
84'359 Par kway
PLEASANT HILL,OR 97455
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lTE:
I
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CITY: J
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,DESCRIBE WORK: ~FD
tI REMODEL
ADDIT!ON
DEMOLISH ___ OTHER
; NEW
JOB NUMBER
q~DBD
225 Fifth Street \, A
Springfield,Oregon.9747i'
TAX LOT:
SUBDIVISION: AJ ,e.o{i {JlJrL/~
7~~ 3l?9~
PHON E:
ZIP:
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR #
PHONE
HE and 1 const.,Ine.
84959 parkway 71158
Pleasant Hill, Or 97455
Bil15 Electric
3170 W 11th, 21351
Eugene, Or 97402
500 Greenfield 33076
Eugene, or 97404
Don Lewis Plumbing
Marshalls Oil & Ins.
4131"E"st. 25790
springfield, Or 97478
B~ooka Ex~avation
27661 c~ow Rd 55921
Eugene, Or 97402
_..,.,..-,.-
EXPIRES
02/95
726-3898
04/94
687-1851
06/93
688-1931
12/93
7 4 7 - 7 4 4'5
03/94
3 4 5 - 7 5 6 4 '",
To request an inspectior~, -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. inspectio,ns requested after 7:00 a.m. will be made the following work day,
..... :~
HEQ(JIRED INSPECTIONS
" ~ Temporary Electric
K71 Rough Mechanical - Prior to
~ cover.
D
r-/1 Rough Electrical - Prior to'
J.K..d cover. , _
Site Inspection - To be made
after excavation, but prior to
settin~l forms,
D Underslab Plumbing/ Electricall
Mechanical - Prior to cover,
/1'1i Footing - After trenches are
~ excavated,
~ Electrical Service - Must be
~approved to obtain permanent
electrical power.
l~ Fireplace - Prior to facing
materials and framing Insp,
o Masonry - Steel location, bond
beams, grouting.
Ji"i Foundation -:- After forms are
~erected but. pr)or to concrete
placement.'".' ,
KI Framing - Prior to cover.
~ Wall/Ceiling Insulation - Prier to
cover.
D Underground Plumbing :-: Prior
, to filling trench.'
S Drywall - Prior to t~Ping.
I 'Vj"'Undedloor Plumbing/ M'echanical
7'"X - Prior'to'insulation or decking.
. ."..~
til Post ,!~(i:Be<Hn:-, Prior' to flo,9r
p InsulatlOr, or decl<lng. '
D Wood Stove - After installation.
D Insert - After fireplilce approval
- "nd installa,tion of unit.
r'ti Floor Insulation - Prior to
jdecking,
I\:7l Curbcut & Approach - I-\fter
~ forms are erected but prior to
placement 'of concrete.
it
1'5(1 Sanitary Sewer - Prior to fil:ing
I trench,
rYl Storm Sewer - Prior to filling
~ trenctl.
..171 Sidewalk & Driveway - ,\fter
~ excavation is complete, forms
and sub.base material in prac~:,
r~ Water Line - Prior to filling
L...D- trench,
CJ l~el1ce -. VI/iHln complettjd,
- . -a
d Rough Plumbing - Prior to
~ cover,
r:::i1, Street Trees - When '~il required
~ trees are planted, , '
r\."'A" Final Plumbing - When all
L~ plumbing work is complete.
r\7( Final Electrical - When all
~ electrical work is complete.
~l Final Mechanical - When all
~ mechanical wOii< is cornplete,
~Final Building - When all
/' required inspec!ions have been
approyed and b:Jilding is
compl,eted,
D Other
MOBILE HOME !NSPECTIONS
DBlocking and ,Set.Up - When all
t)locking is complete.
[=:J Plumbing Connections - Wilen
, home has been connected to
water and seINer,
LJ Electrical Connection - Wilen
, blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panEl!.
'l-J Final - After all req~lired
n_ inspection~ are approved and
porches, skirting, decks, and
venting have'been installed,
.
/' .
. I
Lot faces ~ p;pe Setbacks IS THE PROPOSED WORK IN THE
.~4do I P.L. ACC I .... HISTORICAL DISTRICT, OR ON
Lot sq. flg. " Interior HSE GAR
37 ?v !N It:> THE HISTORICAL REGISTER?
Lot coverage Corner Is If yes, this application must be signed
L.Z ~D Panhandle ,7,7- and approved by the His torical
Topography
d (/ Iw "5 '5 Coordinator prior, to permit issuance,
. Total height Cul-de-sac IE
5 APPROVED:
FEE, " ." .
Jip('p) ~\\{iQJ{_T!Th~): \~f)6~.
('J1J\Ilb\fu ~U1lllnQJ0
BUILDING PERMIT
, SQ, FT.
\ ~~!1
Lr\U
x . ,-~sr07:i)B6/E&.1
\4.m ~flB_.
ITEM
M?,in
Garage
Carport
6'44-f}3
4\~QC)
,A~ qo
(A) ,,\J1:Qr;
SYSTEMS DEVELOPMENT CHARGE (SDC) f/5
J/ It:I J 'Ji.
(B) 1LL.u q
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO c9
Sanitary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
J0(),O()
l3.fX)
f(of6PJ
cD
Lo.
Lt,50
l 0 .CD
o
~~.dJ
State Surcharge
Total'Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
~
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
I.~W
,.UlP)
0[')A?)
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State SurCharg;\
Sidewalk I Ol) It
Curbcut 3 () ft
[q.co
14 .~o
Demolition
\t\'w surcha}'\er '
LV \() f\ \ > )-.::ILL
I ..' !' -' lp)) , t
Tota ,--......_~.,~\EYi-ml s
~u:
,-1 c9l( I. 7()
'(E) ~ ~') \,CfQ,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all re~pects, conform to the Ordinance
adopted by the City of Sp,ringfield, including the
Development Code, regulating,the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of a?{ ~ov;sions of ,said ordinances,
Plan Check .Fee: ,y . lJ . '7 (") .
Date Paid:
.,} ".
Receipt Number'
Received y:
, pfj ~~
Pia (Reviewed By
~MJ.,
Sy'stems Developmcnt Chal'ge is due on all undeveloped
properties within the City limits which,arebeing improved,
.. ...
ADDITIONAL COMMENTS
,-'
PA-n1 :1.
By signature, I state and agree, that I have carefully examined
the completed application and do hercby certify that all
Information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work de:;cribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certi'fy that only contractors and employees who
are in compliance Witll, Q.RS 7Q1,055 will be used on this
project.'"
I further agree to ensure that all requiredinspcctiof\s are
requested 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 0(' plans will remain
/~g~;it;:~7:5h~ J;;;jo ~
Date ' J II")" JCP"
VALIDATION:
RECEIPT NUMBER
q '-II~
f 1').--lC1~ '
~~'.lo'7
DATE PAID
^I\Af'\II"IT D"=.r"t=I\lr=n
.
",OB NO. q~o 8lfS
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: J-!E 1/ r Co^,ST.. TNC-.
LOCATION: '210 g 13oN^, IE::.
DEVELOPMENT TYPE: LI/e - New ~F!Z
!-a, /0 tJ,C-Ol.-C. fi+~
BUILDING SIZE: LOT SIZE SQ. Ft.
1. STORM DRAINAGE . ';
IMPERVIOUS SQ. FT. 2-5/5 , x $0.192 PER SQ. FT. 0'1'-f!!J
2. SANITARY SEWER-CITY
NO. OF PFU'S leg X $39.78 PER PFU (i/0"!)
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I X _ !. a-05 X $401.05
x
x
X $401. 05
X $401.05
(1039
$
$
SUBTOTAL (ADD ITEMS 1,2, & 3) $ I (p I? ~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~BD~
l/qJ _,f{
TOTAL-CITY SDC $ ~ ~
5. SANITARY SEWER-MWMC
NO. OF PFU'S /<6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 2-S5 ~
(Use PFU Total From Item 2 Above)
v_ /S~L~
'~ Kip Burdick
SDC Coordinator
to /;~/1~
I I
$ 3o~
TOTAL-MWMC SDC~
~
TOTAL SDC $ /'1 ,q 'L
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
A~URE . UI\IIT 6ALCU LATIN TABLE: Number of New Fixtures X lJ, ,rt Equivalent ~ Fixture Units (NO~E" ."
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
I
2
1
,2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'-I-
Bathtu b....,.................................................................
D rinki ng Fountain.............:.......,.....,.........................
Floor Drain............ ..... ....... ..... .......... ................. ,... .... '
Interceptors For, Gre~s~/Oil/Solids!Etc"......:...;....
Interceptors For SahdjAutoWashjEtc....:.....:....... '
Laund ry Tub /Clotheswasher.......... ............... .... ......
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator fWater Station/Etc..,.....
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single Stal!........ ............... ..... ............... ......
Shower, Gang. .,.,....,..,' ............... ........... .., ........ ........
Sink, Bar, Commercial............. ...,... .............. ........,..
Urinal, Stall fWaIL......... ..... ................... ........... .... ,....
Wash Basin/Lavatory, Single..................,...............
Water Closet, Public Installation.............................
Water Closet,' Private............ ........... .............. .... ,. .....
Miscellaneous:
1-
z
J~
I .
z.
2.
z.
y
~
TOTAL FIXTURE UNITS
IS
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Based on assessed value. If improvements occurred after annexation date in table,
Year,
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
- .- . .
-.---
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
1979 or before
1980
1981
.' 1.9~2
1983
1984
$2.83
2,76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
Improvement (if after annexation date)
'2. 8~ X $ /0. G, ;'0 ~
(Rate X Assessed Value)
X $
(Rate X Assessed Value) 3 06
CREDIT TOTAL = $ 0 -
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential........................................... ............. 0.4
Commercial. ........... ............. ....... ...................... 0.9
Ind ustrial................... ..... .................. ................. 0.45
GovernmentaL............................ ..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT