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HomeMy WebLinkAboutPermit Building 1993-8-5 7-/1-93 , l' , RESI&ENTIAL PERMITAPPLlCATION . Inspections: 726-3769 Office: 726-3759 SPRINGFIELD LOCATION OF PROPOSED WORK: ~035 180n nLL rt(}ruL l.l~ c';Q.\'-\. &nnLL JOB NUMBER q'~ \ ~ 225 Fifth Street Springfield, Oregon 97477 LOT: 01.9 BLOCK: TAX LOT: SUB D I V I S ION: YU...tiDl.JL j::(-.lJIt....k, ASSESSORS MAP: owr ADD .Joe E. Hirte 84959 Parkway Road Pleasant Hill, Or 97455 ! iTATF' CIT'i I , DESCRIBE WORK: SF'O. NEW II REMODEL ADDITION DEMOLISH _____ OTHER CONTRACTOR'S NAME ADDRESS CONST, CONTRACTOR /I HE and i Canst.,Inc. 84959 Parkway 71158 Pleasant Hill, Or 97455 Bills Electric 3170 W 11th, Eugene, Or 97402 21351 -; Don Lewis Plumbing 500 Greenfield Eugene, Or 97404 33076 Mar5hallB oil & In5. 4131"E"st. springfield, Or 97478 25790 Brooks Excavation 27661 Crow Rd Eugene, Or 97402 55921 PHONF' ZIP: '--ntapLL, ~ EXPIRES PHONE 02/95 726-3898 __..~l,~ 04/94 687-1851 0'6/9 ~ 688-1931 12/93 747-7445 03/94 345-7564 ._'--'--"-_._~.."~"-'-,--;--:=--,- v''--- 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 sitme working day; inspections requested after 7:00 a.ln.'will be made the foliowing work day. ~TempCJrary Electric REQUIRED INSPECTIONS rt9 nough ~,: h~al,nicar\f)~:':or to L cover. ICJlAV &(bJV ~OU9h """;0" - Pcio, 10 ( cover. ~J . S . b Electrical ervlce - Must 'e approved to obtain permanent electrical power, D Site Inspection - To be made afler excavation, tJut prior to setting forms. D Undel slilb Plumbing/.ElectricalJ Mechanical - Prior to cover. rr4 Footin'g - After trenches are ~ excavated, D Fireplace - Prior to facing materials and framing In::;p. D MaSO~ry - Steel location, bond beam,>, grouting. ' cpFoundation - After forms are , erected but prior to concrete placement. , r;JFcamlng ~- r,IN 10 eO'''. ~ WalllCeiling Insulation - Prior to Gover. , , ' ~ Drywall - Prior to tclpir,g. D Underground Plumbing -- Prior to filling trench. ' rr--H Undel i!lior Plumbing I Mechanical ~ _ Prior to insulation or decking. ~' Post and Beam - Prior to floor I ~ insulation or decl<ing. [;f'Floor II1S~Jlation - Prior to T,decki ng, rfSanitary Sewer - Prior to filling ~ trcncll. o Vlood Stove - After installati'('n. D Insert - After fireplace approval ;tnc! installation of unit. r Curbcut & j\,pproach - After . - fqrnls are erectecl but prior to , placement of concrete, vYSidewalk & Driveway - After excavation is cornplet8, forms Lind sub-base material in place. \:;ti' Storm Sewer - Prior to filling t trenctl. , fHwater Line, - Prior to filling "(~ trencll. ~ Rough Plumbing -- Prior to W cover, D Fence - When completed. LJ Street Trees - When. all requirecl trees arc planted. /) , 1~ Final Plumbing - When all - plumbing worl< is complete. ~. , Final Electrical- When all ; . electrical work is complete, r~ Final Mechanical - Wi'!':ln all 'f_.J mechanical work is complete. ~ Fin31 Building - When all ,- required inspections have been approved and building is completed. D Other MOBILE HOME INSPECTIONS o Blocking and Sei-Up - When all blocl<ing is complete, [J Plumbing Connections - When - home has been connected to water and sewer. ["] Electrical Connection - When blocl<ing, set-up, and plumbing inspections have beef! approved and the home is connected to the service panel. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. : '. Lot faces Lot Type Lot sq. ftg. t-, Interior '\ PoL. IN Lot coverage Corner Topography Panhandle S Total height lif Cul-de-sac I'w I E' BUILDING ,PERMIT SQ. FT. 4(Y) 4-\~' ,ITEM X~~l1~ \4.\0 Main Garage: Carport' Total Value Building Permit Fee State Surcharge Total Fee (A) VALUE ~ 5~~ SYSTEMS DEVELOPMENT CHARGE (SDC) $ (B) 1J 202.1 ~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO c9 Sanitary Sew8r FT. Water FTo Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust HooQ o Vent Fan NO Wood Stove/Insert! Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge, Sidewalk 'CDD ft Curbcut ,q) ft Demolition ~~\hX\rL FEE 11d1, CO f3. CC) LLd1W 8.m, 11oY5,CO CD ,C.:rJ C)() { 0 ~LX! (~,aJ t ~1,20 It) '. (XJ /. '61{ 4~"QY if" cD (~.~'S() 4v) eu Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (e;Cluding electriCal)O)',lJ9'.-:g J (A, B, C, D, and E Combined) Setbacks HSE GAR ACC ~' , ~ IS THE PROPOSED WORK iN THE' HISTORICAL DISTRI8T, OR ON THE HISTORICAL REGISTS,fP If yes, this application must be signed and approved by the Historical ',' Coordinator prior to perm!t issuance, '" APPROVED: BUILDING VALUE, PLAN CHECK' AND BUILDING PERMIT This permit is granted on 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 building's, and may be suspended or revoked at any time uPo,n violation~ of f\YOp~1i~n~ of said ordinances, Plan Check F~' ~ Date Paid: Receipt Number: c~~,lW 9S*~' Dale ' Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS ,-~_1\_D.LJo h~: \ C\ ')S_ ~~~J\bJ=)1J~ Q_~) By signature, I state and agree, that I have carefully examined the c<;>mp!eted application and do hereby certify that all inforrrlCltion hereon is true and correct, and I further certify t11at,;::r.)-' 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 described herein, and trat NO OCCUPANCY will be made of any s~ructure without permission of the Building Safety Division,' I further certify Lhat only c,ontractors and employees who are in compliance with ORS 701,055 will be used on this project. ,\ I further agree to e;lsure that all required inspectio,\s are requested at the proper time, that each address H; -re'adable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, Signature ~~'~+4 Date 7- 110-93 VALIDATION: cX/J'.c-1 RECEIPT NUM~ '. , / au, DATE PAID ~ "--'\. Cf ~ AMOUNT RE~- ~,~{-,) .5lp RECEIVED s,Yr D) "'--"'<:.... - :<- '~, .....-1 ," . ,~ -, ~A . ,os NO. '!12.1 0 '-1.-5 '\r,~r: CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ,I', WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: :ro.e E:.. HI~ IE LOCATION: '20 ~ 5 ~()I>J^,/c LANE DEVELOPM.ENT TYPE: WI?- - NlZw Sf/Z BUILDING SIZE: 1. STORM DRAINAGE l-a T ?-1 - NIU)[.,e ~ ..',. ~::,~ . LOT S I'ZE SQ. Ft. IMPERVIOUS SQ. FT. 2'-11'1 X $0.203 PER SQ. FT. ~L/-q I o?) '-- .--/ 2. SANITARY SEWER-CITY NO. OF PFU'S I g X $42.08 PER PFU (7$1~ (See Reverse) , '-- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X I. ~, ,X $424.31 , /:"1.". ..\..1 " X X $424.31 X X $424.31 ((q.ZB ~ "'--- --"" $ .,... $ 4. SANITARY SEWER-MWMC NO. OF PFU'S / ~ x $15.125 PER PFU + $10 MWMC ADM FEE $ 'Ze2-Z~ (Use PFU Total From Item 2 Above) $ -'2- I ~ MWMC CREDIT IF APP.LICABLE (SEE REVERS~) ~-r , TOTAL - MWMC' SDC ti2 t./ <3 2 ~ ' ,~ ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ /Qz,15 ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 'r<:!'~L~ 7 !2Z /9?? o - Kip Burd i ck I I SOC Coordinator Cq~~ TOTAL SDC $ '2-021?..1. .,l FIXTURE UNlf;CALCUL .O~ T~BLE: Number of New Fixture.nit Equivalent = Fixture Units (N9!~:_ -- For remodels, calculate only the NET additional fixtures) , ' NUMBER OF UNIT FIXTURE FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS '. /' 2 1 2 3 6 2 ,6 6' 1 3 2 1 jHead 2 2 1 6 4 '-f Bathtub,........ .......,...........,.,....".,...',..,' ,..,..,."".' .....,.. Drinking Fountain.........,.....,.....""'."'.......'. ..... ......... Roar Drain,.....,. ..... ......,.,......,.,..""....,.,.,...,.,.,.."..,.., Interceptors For GreasejOiljSolldsjEtc................. Interceptors For SandjAuto WashjEtc,........,........ Laundry Tub /Ootheswasher..........,.......... ...... ........ aotheswa~~er -: 3 OrMore............:......:................. Mobile Adme Park Trap (1 Per Trailer).;.~.............. Receptor F9r Refrigerator /Water Station/Etc........ Receptor For Commercial SinkjDishwasher fEte.. Shower, Single .StaIL..... .... ..... ,....... ..... .................... Shower, Gang.. ............,..............,.....,......."..., ...,'..... Sink, Bar, CommerciaL .......................,...,....... ......... Urinal, Stall fWall........... ............,.... ......,.... ......... ....... Wash Basiri/Lava~ory. Single.................,................ Water Ooset, Public Installation............................. Water Ooset, Private..... ........ ............... .... ............... Miscellaneous: z. , ,/ 2. I 2- Z- 2. 'Z-- JJ TOTAL FIXTURE UNITS [g CREDIT CALCUU\TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed . 1979 or before 1980 1981 1982 1.983 1984 '1985 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $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 Cr:edit for Parcel or land Only If Applicable ? . Z ( X $ I O. to 3'-1 0':: (Rate X Assessed Value)' X $ = (Rate X Assessed Value) '2"u. o~ CREDIT TOTAL = $ ~T , ;Improvement (If after annexation date) RUNOFF COEFFICIENTS FOR, STORM DRAINAGE R esid ential. .......: ........ ................: .,. ......:........... ',' 0.4 COmmercial........ ......... .... ................................. 0.9 I nd ustrial.................... .... .'..... ........ ........ ............. 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT