HomeMy WebLinkAboutPermit Building 1993-8-4
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
~.C)
LOT:
OWN ER::
ADDRES
SPRINGFIELD "'-'
-J:AJu, ~ /.=rX Bt;YUrLt.i
I, 2/.7~~M/ItJ/c
JOB NUMBER 9.3/-L)b 7
..~t@.
cQ6ctCl 6~_~
225 Fifth Street
Springfield, Oregon 97477
BLOCK: ____
TAX LOT:
SUBDIViSION:Q.lJ1Dlo~ ~
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'l~b ~9P
1151- 76c17
PHON~:
CITY:_
Joe E. Hirte
84959 Parkway Road
Pleasant Hill, Or 97455
ZIP:
,
DESCRIBE WORK:
'f..-
SFD .',
. .0 ,,",
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
MEC
ELEI
J
Bills Electric
Don Lewis Plumbing
ow
"0 Marshalls Oil & Ins.
I
, OCQ
i
"01 Brooks Excavation
WA1j
DEMOLISH
OTHER
ADDRESS
CONST. .
CONTRACTOR -il- --'t::=EXPIRES. ~.",,:-g.t:iON E
. . \ ':,:. ~ -.. ' .r:. . ~
~.- .. -- "t-t~1 -..,.--.-'-- i
71158'~~~ 00'2(95 726-3898
9 7 45 5 " \ ,\
84959 Parkway
~leasant Hill, Or
" \
. . ,...:..;';J...J' .~., "- ."'-----'---- .....--- -- -"-~
21351 04/94 687-1851
33076 06/93 688-1931
25790 12/93 747-7445
55921 03/94 345-7564
3170 W 11th,
Eugene, Or 97402
500 Greenfield
Eugene, Or 97404
4131"E"St.
Springfield, Or 97478
27661 Crow Rd
Eugene, Or 97402
To request 8n 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:owing work day,
rn Temporary Electric
o
Site Inspection - To be made
after l~xcavation, but prior to
setting forms,
o
Underslab Plumbing/Electrical/
Mechanical - Prior to cover,
~FOOting - After trenches are
excavated.
Masonry -s;eel location, bond
beams, grouting. .
q;undation - After forms are
erectE:d but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench. '
~. Undertloor Plumbing/Mechanical
- Prior to insulation or decking.
? " ,
~ Post and Beam-' Prior to floor
insulation or decl<ing,
~Floor Insulation - Prior to
T decki I1g,
qfi, Sanitary Sewer - Prior to filling
\ trencl1.
~ Storm Sewer - Prior to filling
'if-! trenctl, ' ,
J:Z:VWater Line - Priorto filling
~--.J trencll.
r::-YJou9h, Plumbing - Prior to
~c'~ver,
REQUIRED INSPECTIONS
tel ROUg,~e, chanical ,- Prior to
~ -" coverT" 0 W CJLQ.J:l../\--/
~~ Rough Electrical - Frior to
~ cover.
~Final Plumbing - When all
plumbing worl< is complete.
~ Final Electrical - Wll~n all
~.-J electrical worl< is complete.
~
Electrical Service - Must be
, approved to obtain permanent
electrical power.
o Final Mechanical - When all
l mechanical work is complete,
~~' in:;,1 Building - When all
, required inspections have been
approved and huilding is
;:omplP.'ted.
r.n Firepl3ce - Prior to 'facing
{ n~c:~eri2,ls and framin!;! In3p.
~Framing - Prior to cover.
~all/ceiling Insulation - Prior to
( Gover.
~rYWall - Prior to taping.
o Wood Stove - After insta~Jatio;l.
o Other
MOBILE HOME INSPECTIONS
o Insert - After fireplace approval
and installation of unit.
o Blocking and Set.Up - When all
blocking is complete.
tz1)Curbcut & Approach - After
~ forms are erected but;)rior to
placement of concrete.
..& Sidewalk & Driveway- After
I{--J excavation is complete, forms
and sub-base material in place.
o 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.
D Fence - When completed.
[]
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed,
LJ Street Trees - When all required
trees are planted.
Setbacks
Lot faces Lot Type
Lot sq. ftg. X Interior I P.L.
, IN
r' Corner
Lot coverage Is
Topography Panhandle
Total height I~I Cul-de-sac Iw
IE
BUILDING PERMIT
\4\-r;
QD~
X $/sW
'PC l()
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
HSE GAR
VALUE
'B!}1,~
~,(J={~
~(o133i-
.3Q4,.O~
,q .'10
4\ ~ ,'1()
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
JJ ~fJ
(B) ff' 2-, " -
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
rQ
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
3
Vent Fan
NO
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit,
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State sur,chaO
Sidewalk LD
Curbcut :?J:)
ft
.ft
Demolition
,-~\(\cc:cr ~.~ .
Total Miscellaneous pe\~its
TOTAL AMOUNT DUE (excluding electrical)
(A, S, C, D, and E Combined)
FEE
JiJ2(). ~
Ilo() .00
8.0,0
IlQR. OJ
[p .00
4.SJ
Of .C?U
I c:::. aU
~---o
:3.0
d'7.50
( (). 00
J. <?~n
~<1.3~
l C\ .au
\ ~. .so
~)~
(E)
ACC I
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IS THE PROPOSED WORK IN THE
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit is'suance,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted 011 the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances,
Plan Check Fee: fir .A?f'.
Date Paid:
Receipt Number'
Received By:
- -
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits wh'ich are being improved,
ADDITIONAL COMMENTS
SG-c...
~dL 10,,5
~J. ch.-uJcJ!f( ,C~~h~~
: ~' !
. \/ ;: ,~ !:i'~'~:
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By 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 I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springiield, and the Laws
of the' State of Oregon pertaining to the work described
herein, 'and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I fu rtli~r certi fy that only contractors and elllployees who
are in compliance with ORS 701,055 will be used on this
project.
I further agr.ee to.en~ure th;jt all required!!}spuctiof\s ~:~, _
requested at the proper time, that each address is readable
from the street, that the permit card is located ijt the front
of the prop~rty, and the approved set of plans will remain
:::::~ea~c~~~;~~
Date 7//~
{ ,
VALIDATION: (1, n(~
RECEIPT NUM~ -1. ~ ~~./
DATE PAID h4~. 1 ~
AMOUNT RE~,V" ,D", : -, Lo 'X L
RECEIVED B~ \..U
; t
,t '
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'B NO. .,331007
CITYOFSPRINGFIE~D- SYSTEMS DEVELOPMENT CHARGE
'WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY:' JOE 'E... !-/1/2. T€- (/IE' I CON5 r.' INc. ')
- I /---
LOCATION: ZO 'i'l t3()N1Jre. LANe
DEVELOPMENT TYPE: Lpl!.. -: NeW SFR.
BUILDING SIZE: LOT S (iE SQ. Ft.,
L STORM DRAINAGE
IMPERVIOUS SQ. FT. Z'bL.lt x $0.203 PER SQ. FT. ~1(..7~
'-- ~
2. SANITARY SEWER-CITY
NO. OF PFU'S . l<:t X $42.08 PER PFU 0~;r~
(See Reverse)
, ' ,
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I X 1.1)/ X $424.31
',f. ' '
:i> I t
..
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"-- ~ .
$
$
X
X
4. SANITARY SEWER-MWMC
X $424.31
X $424.31
5. ADMINISTRATIVE FEES
BASE CHARGE (SPBTOTAL ABOVE) X .05
~~~~~~
SDC Coordinator
r/oo~
'-- .-/
, tf~
, TOTAL SDC $ Z I fJ.;..-- ,
':it;~!
FIXTURE 'UNIT CALCULA )N TA8LE:Numbe~of New Fixtures' lit Equivalent = Fixture Units (NOTE:
. I ,~.
For remodels, calculate only the NET additional fixtures)
FIXTURE TYpE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
Bathtub..,. ...........",.,..."..,....,.,..,.,',...,"',.,..,.,",......,'"
Drinking Fountain..... ..........., .......".,',.. ,..,.. ....,... .......
Roor Drain... ........ .:......,.....,. ,.",..,..,...,.,'" ,.....",..'., ,..
Interceptors For Grease/Oil/SoI1ds/Etc.................
Interceptors For Sand/Auto Wash/Etc.....,............
Laundry Tub/Ootheswasher......... ,... ... ... ....,... ........
Ootheswa~~er - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor F9r Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single .Stall................ ....... ... ..... ............. .....
Shower, Gang... ............... -...........,.,.................. ........
Sink, Bar, Commercial.. ...,..... ............ ......... ..............
Urinal, StallfWall........................, ...,.......... ............,...
Wash Basin/Lavatory, Single. ........ .........................
Water Ooset, Public Installation.............................
Water Ooset, Private..... .....,......... ,.... ,......... ............
Miscellaneous:
I '
2 +
1
2
3
6
2' ~
6
6
1
3
2
1jHead
2 '2..--
2
1 'Z-
6
4 B
2-
z..
'2--
TOTAL FIXTURE UNITS
/)1
CREDIT CALCU~TION TABLE:
calculate credits separates.
I
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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
1979 or before
1980
1981
1982
1983
1984
'1985
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
II
\
Cred. for Parcel or Land Only If Applicable ~ . 1-1 . X $ I () . (. ?>of 03
(Rate X Assessed Value)
Improvement (If after annexation date) 'x $ ::
(Rate X Assessed Value)
CREDIT TOTAL = $,3-1D.2
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
R esid ential. .......; .....,.......................................... 0.4
Commercial...................................................... 0.9
Industrial...... ............ .......-.................................. 0.45
G ovemmental...... ............................................. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT