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Home My WebLink AboutPermit Building 1993-8-24 R'E~rt>ENTIAL PERMIT APPLICATION ~/") - -- - - ~ "X,?1' ".' , ' - t:'t! ",5.;.Jk.9<'I/2, tel.;Lj ,,-,I SPRINGFIELO- 1j -' - . Inspections: 726-3769 Office: 726-3759 Wit,., O?~ ~~/ LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: '-~ BLOCK: _0lf~~=5 ~~ eft 3 ~~31 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ruC!.o~ OWNER: vNCr ,1j ~ Xht.~ :;;II 7/ /a:5' PHONE: 751h~~R9f ADDRESS: jY~959 fJOA iLLu~ t€d ~ (l) Ie ZIP: q7~~ CITY: STATE: I f DESCRIBE WORK' NEW K ~EMODEL . ~. /J.uv IS F [J ADDITION DEMOLISH OTHER CONTRACTOR'S NAME . , ADDRESS I CON ST. CONTRACTOR 1/ c HE and i Canst.,Inc., I 84959 Parkway 71158 'Pleasanb Hill, Or 97455 .F Bills Electric 3170 W 11th, Eugene, Or 97402 21351 E .-J Don Lewis Plumbing 500 Greenfield 33076 Eugene, Or 97404 ~ I j Marshalls Oil & Ins. I I \ I 4131 "E" st. 2579 0 springfield, Or 97478 27661 Crow Rd 55921 Eugene, Or 97402 Brooks Excavation EXPIRES PHONE 726-3898 \ 687-1851 \ L 688-1931 , 747-7445 345-7564 r- 02/95 04/94 06/93 12/~3 03/,94 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. ' INOI Temporary Electric REQUIRED INSPECTIONS ~OU9h Mechanical - Prior to T cover, . I~Rough Electrical - Prior to T cover. D Site Inspection - To be made after excavation, but prior to setting forms, D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. -C7f Electrical Service - Must be Papproved to obtain permanent electrical power. I'Vf Footing - After trenches are ~ excavated, -~Fireplace - Prior to facing J,LJ ~aterials and framing Insp. D Masonry - Steel location, bond beams, grouting, ~ ',~ 1/' " :-raming '- Prior to cover, ~oundation - After forms are erected but prior to concrete placement. ,~ Wall/Ce!ling Insulation - Prior to ~ cover. D Underground Plumbing - Prior , to filling trench. '~all - Prior to ta~ing, -r::::::::YUnderfloor Plumbing/ Mechanical ~- Prior to insulation or decking. o Wood Stove - After installation. '-CJf Post and Beam - Prior to floor ~nsulation or decking. d1 Floor Insulation - Prior to ~ecking. . , I' / I' o Insert - Afte'r ~Ireplace approval an'd installation of unit. I~ Sanitary Sewer - Prior to filling ~rench, rl Curbcut & Approach - After ~rms are erected but prior to placement of concrete. ,---A cidewalk & Driveway - After "i:;t:t";xcavation is complete, forms and sub-base material in place. ri Storm Sewer - Prior to filling ,~ench. -~ater Line - ':'rior to Oiling .,YJ trench. o Fp.nce - When completed, n Rough Plumbing - Prior to ~ cover. D Street Treer. - When all required trees are planted, M Final Plumbing - When all ( plumbing work is complete. ~inal Electrical - When all I ~Iectrical work is complete, I)<:fFinal Mechanical - When all I ,,,echanical work is complete. ".t'I'Final Building - When all ~ required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete. o 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. o Final - After all required inspections are approved and porches, skirting, decks"and venting have been installed. Lot faces Lot Type Setbacks Lot sq. ftg. 3i Interior I P.L. HSE GAR Accl IN I Lot coverage Corner Is I Topography 1nS) Panhandle Iw I Total height Cul-de-sac IE I (A) SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . (B) IIz.O?"!J79- I BUILDING PERMIT sa. FT. \?)Q{) 44.// .- ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM . Fixtures Residential Bath(s) NO d Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan X $/SO. ~~ 0'lo.'L(J \Lt. \0 f)ViL\\ 'i CofL ~3 ffl~\ ~~CO 'lq1-(.) 40110 FEE ~I {) n.oO (C) /1 n, :C(J n.. R.'eX) 10rp,r:o ( () ,00 4.50 q.OO ~.CO Dryer Vent Wood StovellnsertlFireplace Unit NO Mechanical Permit' Issuance State Surcharge Total Permit (D) ~.ffi 1 n. rY) /,,{?-, ,a;~.L8 MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk LoO ft mft Curbcut Demolition \:~~~~\5\O f\ ~~_ 19.CD 14.S) AD .d:J Total Miscellaneous Permits (E) n{) I c:::: nO TOTAL AMOUNT DUE (excluding electrical)~D (A, B, C,D, and E Combined) i\. 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 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 buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: rl~ Receipt Number' &J0 ~ Received By: \. ~ Plans Reviewed By Date - . Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ! ~~v\]\))~dJ- S5\6JJJnQ.J'-) ~l~-\- \ 'If\X')t-l m 6-01u11-\m c3l\1\1\o N.- f.XLtu { 1 q f) C:) 0 (J --- ~ By signature, I state and agree, that I have carefully examined the completed application and do hereby cerli fy 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 Springfield, 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 further certify that only contractors and employees who are in 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 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 limes during construction. ~IJ/)nJ1 ~,t/QU ~tfJ Signature Date 6- /1o-9j ::~:::~:MBER. c<L . IPlY()40C')3{(J DATE PAID Px<t4 -~~ . AMOUNT RE~,~IV. D cOfXl, J ~ Y5?, RECEIVED BC/) l/\(\,-.-J JOB NO. q3t?-J '3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: J./.(!; tf I Ca..t5T~. LNG. . , LOCA TI ON: "Z D z., 0 'e::>o l!-J t..J I E. L.A tJ E:. DEVELOPMENT TYPE: LD 12. - NeW c:,F~ La,. ? - N IC-OL-E. f>Ait~ BUILDING SIZE: LOT SIZE SQ. Ft. l. STORM DRAINAGE IMPERVIOUS SQ. FT. 2'-f7c..f X $0.203 PER SQ. FT. (602 ~ '--- ~ 2. SANITARY SEWER-CITY NO. OF PFU'S /g X $42.08 PER PFU ~5 7 t.J?') (See Reverse) "- ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 4. SANITARY SEWER-MWMC NO. OF PFU'S (<6' x $15.125 PER PFU + $10 MWMC ADM FEE $ "Z 8"2. 2S (Use PFU Total From Item 2 Above) C C () $ -:z.... I 0 ~ MWM R.EDIT IF APPLICABLE SEE REVERSE ~, TOTAL-MWMC sac ~</'6"'i) SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ /q?J(P fi X $424.31 ~28~ '- ----- . $ $ / X I.CI X $424.31 X X $424.31 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~L~ Z/J7/1~ (J Kip Burd i ck I / SOC Coordinator Cq~~ oz.? TOTAL SDC $ 20??- FIXTURE'UNIT,CAlCULA:. .ON TABLE: Number of New Fixtures. .nit Equivalent = FixtureUnits~NQ!~~ For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EOUIVALENT UNITS z. 2 cf 1 2 3 6 2 '2. 6 6 1 3 2 l/Head 2 'Z- 2. 1 Z 6 4 € Bathtub........ .....................,...,..,................................. Drinking Fountain. .......................,....,................... .... Roar Drain,............ ..-.. .... ,.................. ..',..... -. ......,... .-- Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sandj Auto Wash/Etc.................. laundry TubjOotheswasher.. .......... ....... ............. ... OothesWa~er ";3 Or M9~e....:................................ Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator fWater StationjEtc,....... Receptor For Commercial SinkjDishwasher jEtc.. Shower, Single . StalL................ ... .... ...... ................. Shower, Gang.. ............ .................. ,............ .............. Sink, Bar, CommerciaL............. ........ ...... .... ........... Urinal, Stall fV'Iall....................................................... Wash BasinjLavatory, Single.................................. Water Ooset, Public Installation............_................ Water aoset, Private............ ........ ... ....m.. .......... ..... Miscellaneous: 1. 2- TOTAL FIXTURE UNITS 1'[1 CR~DIT CALCUL4.TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate' credits separates. '. Year Annexed 1.979 .or before 1980' 1981 1982 1983 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 Improvement (If after annexation date) '3. '2-1 X $ /0. b 30./- ll~ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = $ '2..- IlJ_~ CREDIT TOTAL ~"j Credit for Parcel or land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE R esid ential............. ................ ..~............ .............. 0.4 Commercial.. ..................... ...........::......... ......... 0.9 Industrial.. ................................... ...... ................ 0.45 Governmental... ............ .................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT