HomeMy WebLinkAboutPermit Building 1993-8-24
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
~b
OWN
'\
HE AND i CONSTRUCTION,INC
8495'3 Par kway
PLEASANT HILL,OR_97455
ADD!
CITV]
,
DESCRIBE WORK:
Sf 0
NEW
../
REMODEL
ADDITION
(.-
OUAD
, I MarshaUs Oil & Ins.
II OF B
I
OCCV (
, I Brooks Excavation
II OF S
I
WATER~H't::'f-\-I-C'n, ____
,,--
SPRINGFIELD
.~~;
d()9/1 f>l'lM~O Lt1.1l.L.-
BLOCK:
#71158
I
1
I
iATE:
DEMOLISH
OTHER
rhUf}L, J;).f5:) 13cnn~'
JOB NUMBERq,'~lI,/ J
......
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
rLu: 6l.SL PaJ\.k_
PHON ",.
7alo
B~9g
" ZIP'
CONST.
CONTRACTOR /I
500 Greenfield
Eugene, Or 97404
4131"E"St. 25790
Springfield, Or 9 7 4 7 8
27661,Crow Rd
Eugene, Or 97402
CONTRACIOR'S_J--!j\ME ____ __ ADDRESS
GENER: HE and i Const.,Inc:---a-4959 parkw-ay- -- -- ------- ----
i 1 71158
PLUMBi Peasant H,ill, Or 97455
MECH1 Bills Electric 3170 VI 11th,
ELECT1 Eugene, Or 97402
Don Lewis Plumbing
EXPI RES
- -PRONE
02/95
726-3898
21351
04/94
687-1851
33076
06/93
688-1931
12/93
747-7445
55921
03/94
345-7564
REQUIRED INSPECTIONS
& Rough Mechanical - Prior to
~ cove~ . ,
M"Rough Electrical - Prior to
~ cove~
r
I~ Electrical Service - Must be
'/ apP,roved to obtain permane'nt
electrical power.
- D j=ireplace - Prior to faclhg
, , rnaterials and framing Insp.
.,~ Framing - Prior to cove~
mWall/Ceiling Insulati9n - Prior to
{cover.
~,DrYWall - Prior to taping.
I i V..'eod piove-:- A~ter ;ns~an;;'li(lr1.
CJ Insert - Alter fireplace approval
; and installation of unit.
~urbcut & Approach. -- After
" ,,' , for,n1s are erected bulpri"or to
'I placement of concrete.
I
N- Sidewalk & Driveway .-. After
L~xcavatlon is complete, forms
'~lnd sub-base material in place.
o F~rice "":'" When completed.
, ~vStre,:-t Trees -,When all required
~ tree" are planted.
To request 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.
~Final Plumbing - When all
T plumbing work is complete.
r'ltl Final Electrical - When all.
',-- ~electrical work is complete.
'-.~~.. ,"
"
rX,cl".Final Mechanical - When all
p in~ch~nical worl< is complete.
1kJ Final Building'~ When all
, required inspectionshave'been
approved and building is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - vVh~n all
blocking is complete.
[J
Plumbing Connections - When
home has been connected to
water and sewer.
D Temporary Electric
D Site Inspection - To be made
after excavation, t)ut' prior to
setting forms,
o
Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
~ Footing, - After trenches are
excavated,
D Masonry - Steel location: bond'
beams, grputing. ' "
d Foundation - After forms are
~ erected tJut prior to concrete
placement.
o
121
Underground Plumbing - Prior
to filling trencll.
Undelfloor Plumbingl Mechanical
_ Prior to insulation or deckin~;l.
f"\:/rpost and Beam' - Prior to floor
':/\ insulation or decl<ing. '
I 'VI Floor lnsu'lation -:-: Prior to
7" decking,
\:vrSanitary Sewer - Prior to filling
~ trencll. ,
- '
lVt Storm Sewer - Prior to filling
~ trcnct1.
~ Water Line - Prior to filling
~ trencll.
~ Rough Plumbing -, PriO~'t~
~ cover, '
o Electrical Connection T When
blocking, set-up, and plumbing
, inspections have been approved
and the home is connected to '
the service panel.
[-J Final - After all required
- inspections are approved and
porches, skirting, decl<s, and
venting ha~e been installed.
Lot faces
Lot ,sq. ftg.
Lot coverage
Topography
]81
Total height
BUILDING PERMIT
ITEM
SO. FT.:,
\~qD
4A~
Main
Garage
Carport
Total Value
Building permiti=ee
State Surcharge
Total Fee
Lot Type
X Interior
Corner
Panhandle
Cul.de'sac
,.~~
Setbacks
I P.L.. HSEI GAR ACe
IN
'I
IS
W
E
x ~,'.go = 2)~A\\B '
\ 4. \ () io~~S-
(A)
e41~\'
, <~?i3ro
, \C\ .~O
~fl~D
SYSTEMS DEVELOPMENT CHARGE (SDC)
, . ", (B) A{)2f5.1'7
PLUMBING PERMIT
ITEM
j.
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO ~
FT.
FT.
FT.
NO
(C)
~;
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance'
. State Surcharge
Total Permit
'(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge'
'Sidewalk
~ft
2iJft
Curbcut
Demolition
~te SUrC~,rge
oD. -\l\() f\ (\Y ~
~ ,- - . -
FEE
\loD,oO
llo.O ' ro
'8.CO
l~B,c.o
<:l'~
(O;. ci)
<=taCO
I"
",
',' '"
~,_OU
J\~'\~
.\ n.W'
1.\3
'33 '. 1I2 ':)
\q,CG
'\4 .8:)
41) .00
Total Miscellaneous Permits (E)
. ' ,J I"
TOTAL AMOUNT DUE (excluding electricaljd'7 J ).'70
(A, B, C, D, and E Combined)
IS THE PROPOSED WORK IN THE
'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grar)t,ed on the express condition that the "aid
construction shall, in ali respects, conform to the Ordinance
adopted by the Cit)1 of Springfield, including' the
Development Code, regulating the construction ancJ use of
buildings, and 'may be suspended or revoked at any time'
upcnc violation of any provisions of said ordi.nances,
Plan Check Fee
'Jl~.
Date Paid' ~
Recel pt N u m be{?~ ~
Rt\:~' ;~ 1-t \
p~~viewec:J try - W.
- !6Rlj'~3'
Date
Systems Development Charge is due on all undeveloped
propertieswilhin the City limits which are being improved,
ADDITIONAL COMMENl:S.,
-n \ ,'r.-Tr"\r '-;-^\\~---' lrtJ ~~;;-r' tv - \
.CwuuDUJJL/i)/ f~
,.1 . - , ,~ Uf' ,
-~T~\\X\b:\)" ~,tvU _ _'
cJ n' 'f\V\; \ l,~-~
~ \J\QX uITU) '\ l\f\S'
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By signature; I stato and agree, that I havecarefully'examined
the completed application and do hereby certify that all
information hereon is t"i'iJfJ and correct, and I further certify
that a'ny and all work perin/mod shall be done in accordance
If~iththe Ordinances C?f IheCity QI SpringfieId, and the Laws
oi'the State of Oreg'on PE!rtaining to the work described
h,e~ein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I furttll:\rcertify that only contractors and employees who
are in compli"~nce with ORS 701,055 will be used on this
project.
I further agr,ee to ensure that all required inspectiol\s are.
i'eques \8rj at the prope:- ti rn.~;, that each add ress is readabl e
from the 3treet, ,d'lat the permit card is located at the front
of the property, and the approve,d ~et of plans will remain
, on the site at all times during construction,
Signature ~/)ry,~
Date 8-q -q3
~:~:,:~O:~MBER' ~ )~~ \\)\)h'2j
DATE PAIDB.M"~C\'~ .'
AMOWNi-REC~vD~ ~,' ,.<16
RECEIVED BY ~ J..... ---./
JOB NO. cr 3 I \ J r
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 1-trE. d c..otJST. TNC.
I
LOCATION: 20 ~ 7 BONN I ~ LI+1JE::..
DEVELOPMENT TYPE: LOJ2.. - tJE!:-W Sp.fZ..
BUILDING SIZE:
1. STORM DRAINAGE
LOT Z,b Nr c.cL..E: ff':...
LOT SIZE
SQ. Ft.
IMPERVIOUS SQ. FT. _ 1---I~? X $0.203 PER SQ. FT. (;(J4~ )
"'- ~
2. SANITARY SEWER-CITY
NO. OF PFU'S 1<1 X $42.08 PER PFU ~57iI)
(See Reverse) '- .-/'
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S leg x $15.125 PER PFU + $10 MWMC ADM FEE $ 2~-Z 'Z-~
(Use PFU Total From Item 2 Above)
MWMCCREDIT IF APPLICABLE (SEE REVERSE) $ '3'f~
TOTAL -MWMC SDC C-z of?' ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ I Cf ? B'~
X $424.31
~~8~
$
$
/
X l.oJ X $424.31
X X $424.31
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~Lt.k- g ~o 19~
U Kip Burdick I I
SOC Coordinator
~ Cf~ €)
'-- ~
II
TOTAL SDC $ "2.0";5-
FIXTURE UNIT,CALCULA-. .IN TABLE: Number of New Fixtures ^ . . lit Equivalent = Fixture Units (N6Te,~ "''J:
For remodels, cafcul!lte only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
-z.
2
1
2
3
6
2
6
6
1
3
2
1 jHead
2
2
1
6
4
t.f-
Bathtub....._..., ,...,..--...,.....,.....,........"...'.. ,."..,........,.,.
Drinking Fountain............ ..............,..... ........ ,............
Floor Drain....... ...........................,....".,..............,......
Interceptors For GreasejOiljSolldsjEtc.................
Interceptors For Sandj Auto WashjEtc...............,..
laundry Tub /Ootheswasher........ ..............., ...........
Ootheswa~er - ;3 Or More.;........:..........................
Mobile Home Park Trap (1 Per Trailer)'.................. .
Receptor F9r Refrigerator fWater Station jEte........
Receptor For Commercial SinkjDishwasher jEte..
Shower, Single .StaIL.........,.......... ..... .......... ............
,Shower, Gang.......,................. ..., ........ ........, ...... ':...,.
Sink, Bar, CommerciaL.............. .... ,....... ........ ........
Urinal, Stall fWall.............. ...... ......,..... ....... ..........,.....
Wash Basin/Lavatory, Single.......................:..........
. Water Ooset, Public Installation.............................
Water Ooset, Private..... ....... ........... ,........ ..,............
Miscellaneous:
-z
, (
,2,
7.
Z-
Z.
i
TOTAL FIXTURE UNITS
/<1,
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
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
Improvement (If after annexation date)
?1.2-1 X $,/tJ.G. ?7c.f()~
(Rate X Assessed Value)
X $ =
(Rate ,x Assessed Value)
CREDIT TOTAL = $ 3tf ~
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR-STORM DRAINAGE
R esid ential.......... ....,...................... .......... .......... 0.4
COmmercial...... .......... ..... ...................... ........... 0.9
I nd ustrial.. ......... ........ ..... ......... .... .....,........ ........ 0.45
Govemmental......................... .......................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT