HomeMy WebLinkAboutPermit Building 1993-4-5
R Ll6H-
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
Co
LOT:
'. (
,!
, OWNER:
ADDRESS: -.---:
:
dO 3 8' ~Of\) tU I'S
BLOCK:
#71158
I
I
HE AND i CONSTRUCTION,INC
84'35'3 Par kw.:;l,y ,
PLEASANT HILL,OR '37455,
CITY:
DESCRIBE WORK:
,. .5J:: 0
NEW "
REMODEL _
CONTRACTOR'S NAME
I\DDITION
DEMOLISH
OTHER
0iLh..L Ml2;5 f2j)-nV}le
JOB NUMBER C{5'J2{) ( IJ
J --.j
225 Fi fth Street
Springfield, Oregon 97477
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TAX LOT:
SUBDIVISION:
n \, CfU 1SL
pbXL
FHONE,
.' "lQb ,~g-9~
ZIP:
1.1 U-uJ7j).v-,cL" !PIS)
"----"
ADDRESS
CONST.
CONTRACTOR II
EXPIRES
PHONE
REQUIRED INSPECTIONS,'
~ Rough Mechanical ~- Prior to
\ cover.
aPROU9h' Electric;1 ~ Prior to
( cover,
'~Electrical Service - Must be
\ approved to obtain permanent
electrical power. '
D Fireplace - Prior to facing
materials and framing Insp.
r Framing - Prior to cover. ,
~ Wall/Ceiling Insulatio;' - Prior to
I cover.
~DrYWall - Prior to taping. ,
W~n~.o
D Insert - After fireplace approval
, and installation of unit.
r-)
~urbcut & Approach - After
, forms are erected but prior to
~lacementOf concrete.
Sidewalk 8<, Driveway - After
excavation is complete, forms
and sub-base material in place,
D Fence - When completed.
r-I? S'mel T,rees - When all requi red
~-trees are planted, , .
GENERAL: i L
PLUMBING: _,I ijE and i Const.,Ine. 84959 Parkway 71158 02195 726-3898
'M~~HANICAL: I Pleasant Hill, Or 97455 I'
I Electr ie 3170 W 11th, 21351 04/94 687-1851 I
ELECTRICAL: .J Bi lIs
, i Eugene, Or 97402 1
I
J
" 06/93 688-1931
t Don Lewis Plumbing' 500 Greenfield 33076 I
.j i
OUAD AREA:' Eugene, Or 97404 \
II OF BLDGS:_ 25790 12193 747-7445
, Marshalls Oil & Ins. 4131 "E"st. \-
OCCY GROUP: J ~pringfield, Or 97478
II OF STOR'IES: J I
55921 03/94 .345-7564
I Brooks Excavation 27661 Crow Rd \
WATER HEATE~ Euaene, Or 97402
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To request an inspection, you must call 726-3769, T,his is a 24 hour recording, Ai: inspections requested before 7:00 a,m, will be'
made the same working day, inspeciipns requested after 7:00 a,m, will be made the following worK day,
'-
Final Plumbing - When all
plumbing work is complete,
Final Electrical - When all
electrical w'ork is complete.
- nal Mechan:cal - When all
echanical ",!ork is COmPlete.
~nal Building - When all
required inspections have been
approved and building is
completed.
[J Other
MOBilE HOME INSPECTIONS
o Blocking an'd Set.Up - ,When all
blocking is complete.
D Plumbing Connections - When
home has been. connected 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.
&, Temporary Electric
-0
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbingl Electrical/
Mechanical - Prior to cover.
'" m Footing - After trenches are
'\ excavated.
o Masonry - Steel location, bond
beams, grouting.
~OUndatiOn - After forms are
erected IJut prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
q-Y un~~~~~~~~I~~~;,:~~1 ~re~~,~~:i~;~
k::6/post ~l1d Beam ~'prior to floor
L..+J insulation or decking.
r-cr5( FI~or insulation - Prio'r to '
~ decking.
Wsanitary Sewer - Prior to filling
~ trench.
,~Storm Sewer - Prior to filling
t-" trench.
D, Water Line - Prior to filling
l ... trench. -
r/j)ROU9h Plumbing - Prior to
~ cove~ '
D
Final - After all required
inspections are approved' and
porches, skirting, decl<'s, and
venlJng have been installed,
~ "''jfHE PROPOSED WORK IN THE
7Q'fORICAL DISTRICT, OR ON'
THE HISTORICAL REGISTER?
If. yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot sq, ftg.
Interior
Setbacks
'l-l=J:-.:_JH ~~ _G A~ ~~~
I' ' ,
IN'
Lot f:1ces ,__
Lot Type
Lot coverage
Corner
Topo'graphy
Panhandle
S
Total height
~ \01'
Cul-de-sac
w
I
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I
APPROVED:
E
BUILDING PERMIT
so. FT.
14 J ()
-!5D.~
X, ,$/so. FT: = VAf--U)., 1\
' : ~/D .~D ,f\ClAic:\
\...,dL - ~-L~I- ~/\
J1.1lJ ' ~'J_~m&,
ITEM
Main
Garage
'Carport "
. AtOt3~
- 3Cfj~CP:
I Cf .tV
(A) ~j3 ,']D;,
SYSTEMS DEVELOPMENT CHARGE (SQC) If,
" .H' ~tf
. ',(8) 'ff I Cia../- 5 --
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
FEE
Fixtures
(J1.dl (iJ
Residential Bath(s)
NO ~
\
Sanitary Sewer
FT.
.~~c
:", Water
~
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
I rOO /0, (j'
. -8,0 ,"
Lfi8~ cO
(0 to
~:~O
g:oo-
[IS. co
___3., co
State Surcharge
Total Charge
(C)
MECHANiCAL- PERMIT
Fu mace
Exhaust Hood
Vent Fan
NO ,'3
Wood StovellnsertlFireplace Unit
Dryer Vent
Mechanical Permit
,~') /SJ
I tJ~ oT)
f.ffi
19.~~
Issuance
State Surcharge
Total Permit
(D)
MiSCELLANEOUS PERMiTS
Mobile Home
State Issuance
State Surcharge:
Sidewalk (p() ft
curbcut" ~ ft
-/9,~
, 4 c::.t\
--.:...l.I.--JLl
Demolition
(~\)ur\\\~(
, Total Miscellaneous ~mits" (E) ,
TOTAL, AMOUNT DUE (excluding eleClrical)cQLa-fi-Ei~
(A, B, C, D, and E Corqbin0d)
~) ,Cex
-_._._-_.__._.__.-,-~_.._._--_.- --
, .
BUILDING VALUE, PLAN CHECK
AND~UILDING PERMIT
", l '
This permit is granted on the express condition that the said
construction shall,.in ail rEls.pects,conform to the'Ordinance'
a'dopted by the City of Springfield,includi,ng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked ,at any time
upbn violation of any provisions of said ordinances.
r.._ .
Plan.Check Fee:
Date Paid:
f\.-/
Receipt Num
Received By:
Plans Reviewed 8y
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
'- .- ~~ .
_(fJJJL/J[){;1o.61fi_01:J31QV
(~nrO); \C\,1S
, ,
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'.': :-h.",; ~.
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By signature, I state and agree, that I have carefully examined
th'e c6mpleted:application and do hereby certify that all
information hereon is true and correct, and I furtr,er certify
~h'at any and all work performe,d shall be done in accordance
w!th,the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the worl, 'described
herein, and that NO 'OCCUPANCY will be made oJ any
structure without permission Ol'the Building Safety Division:
I,,'further certify ttlat only contractors and employees who
a~e fn compliance with ORS 701.055 will be used on this'
project.
I further agree to ensure that all required inspections are
requested at the proper time,that each address is readable
-'ro'm-the street, t.hat the! permit card is,lQcated at the front.
qf th.~ property, and the app'roved set of plans will remain
on the site at 3.1.1 times during constr~ction.
Signature' '~ti.-<<-~. ~
3/d-3'/93
Date
VALIDATION: " .L\ c::.. (1)3
RfCE'IPT NUMBE~Y:\(7~"'-LJ-~1 .:)
DATE PA I D c::c...-.A.J-Z..... '7\ -
PMOC,':NT RE~IYE ',. <<(\1 )!jll.d (
RECEIV.ED BY.'C( '7
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'!----JOB NO. q?O~, la
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.....;.;..0;;.,.,......
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
,~~ORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 1-1 f...i reo J..! t;.,. . r N G .
LOCATION: '2-0"2;J B BONN' E: LANE:
DEVELOPMENT TYPE: LDI?- - NE'^' t7'=:-,re..
BUILDING SIZE:
1. STORM DRAINAGE
L.b T to - N I C-OLE: pAl2/(...
LOT SIZE
SQ. Ft.
IMPERVIOUS SQ. FT.
L-I 0 y.
X $0.192 PER SQ. FT.
c-S14 Ii)
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2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
I~
, X $39.78 PER PFU'
~o~
\$ 7 fro...:- )
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3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
! X I.oor; X $401.05
0+0"3 o!!-)
"--.. -------
X
X $401.05 $
,:'t;11i ' ,j
X $40(i05 1 $
SUBTOTAL (ADD ITEMS 1,2, & 3) $ I Co ~B z-..,
X
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
c;-?,( ~)
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TOTAL-CITY SDC $ 17~ 0 '.!.-
5. SANITARY SEWER~MWMC '
NO. OF PFU'S I~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ZSS'"
(Use PFU 1ota1 From Item 2 Above)
t/.~LvL
(f - Kip ~urdick
SDC Coordinator
. ~!'2-c.f/q3
1/
$ ~o~
TOTAL-MWMC SDC~~
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TOTAL SDC $ I q 45 -;'1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
1
FIXTURE UNIT CALCULATl ~ TABLE: Number of New Fixtures X L':quivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
?.
2
1
2
3
6
2
6
6
1
3
2
1 /Head
2
2
1
6
4
~
Ba tht u b.......,..."..................,.,..........",...,......."..."....,
Drinking Fountain..,.. ,..... ...,.,........ .....:::,....."..",....",
Floor Drain... .............. ......, ,.,.........., ,.,.. .......,.... ...,.....
I nterceptors For Grease/Oil/Solids/Etc,................
Interceptors For Sand/Auto Wash/Etc...,.............,
Laund ry Tub /Clotheswasher... .... ,.. ....., .,.... .............
Clotheswasher - 3 Or More.....,........................,......
Mobile Home Park Trap (1 Per Trailer)...,.....,..,.....
Receptor For Refrigerator ;Water Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StalL........ ......,. .,...,...,. ........, .....,...',
S hower, Gang.........,............., ,......,......,.......",....",..
Sink, Bar, CommerciaL........,..........,......,....,..,....,...
U ri nal, Stall/Wall..",.............".,.....,.....,......,.,.,........"
Wash Basin/Lavatory, Single.....................,....,.......
Water Closet, Public Installation.............................
I/Vater Closet, Private.......,..,......,.",....,..."" "..'"....',
Miscellaneous:
z.
2.
'Z-
"2-
'"i
'-
~
TOTAL FIXTURE UNITS
If?
,
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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
./
...7.
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Credit for Parcel or Land Only If Applicable Z. ~ ~ X $ /0. ~ ~ D ~
(Rate X Assessed Value)
Improvement (if after annexation date) X$
(Rate X Assessed Value)
CREDIT TOTAL = $ 3D ~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.,... .............. ............,........ ...........,.... 0.4
Commercial............. .,........... ............... ........ ..... 0.9
Industrial... ............ ............ ................................ 0.45
GovernmentaL..........,.. .......... ...........,........, ..... 0,5
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IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT