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