HomeMy WebLinkAboutPermit Building 1993-8-5
RESIDENTIAL
.PER~,IT A"PPLlCATION
Inspections: 726.3769
Office: 726-3759
LOCt~TION OF PROPOSED WORK:
ASSESSOR~~ MAP:
LOT:
31
OW
AD!
CIT
Joe E. Hi rte
S4959 Parkway Road
Pleasant Hill, Or 97455
DESCRIBE WORK: SF/)
NEW
v
REMODEL
ADDITION ___,_ DEMOLISH .______ OTHER
CONTRAqoB:S.N_J:.ME..
( HE and i Const.,Inc.
5f;'f-1H~G.FIELU
BLOCK:
-~
i
:>TATE:
j
c7f~~ .
\ NUM8E~ _CZ3.../01F[
;~L:5 Fifth Street
Springfield.Oregon'97477
TAX LOT:
SUBDiVISION: fll...ffolJJ_ fJtl.kJtJ_\
PHON E:
7e2iD- 327g
ZIP:
ADDRESS
CONST.
__CONTRACTORII__
EXE'IRES__ _,PHONE,
02/95 726-3898
84959 Parkway 71158
Pleasant Hill, Or 97455
i Bills Electric 3170 W 11th, 21351 04/94 687-1851
i Or 97402
I Eugene,
E
...J Lewis plumbing 500 Greenfield 33076 06/93 688-1931 -
Don
Eugene, Or 97404
Marshalls Oil & Ins. 4131"E"St. 25790 12/93 747-7445
Springfield, Or 97478
ci
! BrOOKe Excavation 27661 Crow Rd 55921 03/94 345-7564
1 Eugene, Or 97402
~'"'~"-="'-'-"-'-'''-'-'' ----~- I~IT"\T~""" _. --- --
-,"-' -
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.
o Temporary Electric
o Site Inspection - To be made
aftE:r ,;xcavation, but prior to
, setting forms,
~. Underslab Plumbingl Electrical!
Mechanical - Prior to cover.
Footing - After trenches are
excav~ted, '
o Masonry ---c Steel location, bond
beams, grouting.
rf Foundation - After forms arc
' I .erectE:d but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
6nderlloor 'Plumbingl Mechanical
_ Prior to insulation or decking,
~post "nd Beam -,Prior-to fleor
insulation or decl<ing.
o
Floor Insulation - Prior to
decking,
,Jf;)sanitilry Sewer - Prior to filling
k.. Ll trenctl.
J
Storm Sewer - Prior to filling
trencll.
Water Line - Prior to filling
trenctl.
ra Rough Plumbing - Prior to
T cover.
REQUIRED INSPECTIONS
Rough Mechanical - Prior to
cover,
Rough Electrical - Prier to
cover.
~ Electrical Service -, Must be
approved to obtain permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp,
~ P"ming --' P"o' to co,e,.
rn Wall! Ceiling Insulation .- Prior to
T. cover.
~ D,ywali - r'io' to taplnq.
d Wood Stove - After ;~stallation.
LJ Insert - After fireplace appro'.'al
wld installation of unit. '
f' Curbcut & Approach - After
lorms are erected but prior to
placement of concrete, '
F Sidewalk & Driveway - After
. i excavation is complete, iorms
,and sub-base material in place.
o Fence - When completed,
D Street Trees - Wilen all required
trees are planted,
rf --
,- Final Plumbing - When all
. plumbing worl< is complete.
-0 Final Electrical - When all
( ", electrical work is complete. ,
'0 Final Mechanical - When all
( mectlanical work is complete.
Sf Final Building - When all .
required inspections have been
approved and building is
completE:d.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking is complete,
,', Plumbing Connections - When
home has been connected to
water and sewer.
o 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, sldrting, decks, and
venting have been installed,
Lot faces Lot Type
Lot sq, ftg. ' Interior I P,L,
Lot coverage pt:J Corner I,N
Is
Topograpl1Y Panhandle
Total height lil2~ Cul.de-sac Iw
IE
BUILDING PERMIT
sa. FT.
\5\05
q--~~
ITEM
Main
Garage
Carport
.--= =::;
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State 'Su rcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
....
~'''''...
Setbacks
'i-/SE'GAR!ACC;
..- I
_J
X $I'SO. FT. = VALUE
Qk2f) 81/mr:t
\4, to . -'a; ~:;P)?
(A)
FEE
NO' ,~
lJaCloJ
~!t~
A n.nS.
43~.tlCS
SYSTEMS DEVELOPMENT CHARGE (SDC) fI3
1./"J a "q .'
, (B) 11' ~ D-, ~ .
FT.
FT,
FT.
(C)
((o{) ,CO
10~:f2J
~.~~
-.~
00
, ,
NO
~
Dryer Vent
Wood Stove/lnsertl Fireplace Unit
00
\~-
Mechanical Permit
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
,(D)
&o/dB
LlI.'I::~
3-~, (~
State Issuance
State surch~b
Sidewalk .' I ft
Curbcut :?:i;;l ft
Demolition
State Surcharge
~~6iJ
cQn.c;Z)
\2\ .sC)
~ .P'1J
leI
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEH?
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 condilion ttlat the said
construciion shall, in ail,respects. conform to [he Ordinance
adopted by the City 'of Springfield, including the
Development Code, regulati~ig the construction ,anel use of '
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances..,
Plan Check Fee: ~ 1/ ~ c:;4? (/-0.. .~: '
r -
Date Paid:
Receipt Number:
I~. :1'
','" ,,,,~;'
(.."
, _.~
. .; ',~ I
." .1':'"
. ':.
~~ol~
Systems Development Charge is due on all undeveloped
properties within the City limits which are being imprO'Jed,
Date
ADDITIONAL COMMENTS
<
0uA bot~
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
wittl 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 wittlOui permission of the Building Safety Division,
.J"f,ur.ther,c.ertify 1I'13t only contractors and empIOyees.v~::o
are in compliance VJith ORS 701,055 will be used on thi's
project.
I further agree to ensure that all required inspr1ctio,\s 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 times during construction,'
Signature~~~ ~ ,
Date7-/S-93
VALIDATION:' $ ~/15~..81
RECEIPT NU~ER . G'" q~()~ 'I
DATE PAID ~ ' S. (__~ ( '<4 [C) ~
.., ~i;
-"
.
; NO. q~ {O 17
,,'"
I;
CITY OF SPRINGFIELD. SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Ji,e E. !-I,ft"$ (HE. if I CO#J~T'I I#JC.)
LOCATION: 1--cOI 13t;1JIJIE:. LANE: ~r '3>J - NIC()/",f. f/:Itt:.t:::.
DEVELOPMENT TYPE: LV/!-- New SF/Z.
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
LOT SIZE
SQ. Ft.
ZB7:;J&.1-
_ X $0.203 PER SQ. FT.
~?7?~
'- -----
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
, X $42.08 PER PFU
(1?7~
'-- ~.
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
'1".-,
i,"
~ tfZ8 5i:)
----- -----
$
$
,I
X, (01 X $424.31
X X $424.31
X
4. SANITARY SEWER-MWM~
NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ 25Z~
(Use PFU Total From Item 2 Above)
X $424.31
SUBTOTAL
$ 3'f o~
. TOTAL-MWMC SDC ~'i~ ~
(ADD ITEMS 1,2,3 & 4)$"260" ~
MWMC <:REDIT IF APP:pCABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~. ~L~ 7/].1/'1~
. - (J Kip Burdick - f
SOC Coordinator
rlDO ~
'- /
qq
TOTAL SDC $ Z \ DC; -
FIXTUREUNIT,CALCUL .ON TABLE: Nu~ber of New Fixture.nit Equivalent = Fixture U[1ffs (NQTE:
For remodels, calculflte only the NET additional fixtures) '~
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
2-
2
1
2
3
6
2
6
6
1
3
2
.1/Head
2
2
1
6
4
of
Bathtub.,. ........... ...........................,............................
Drinking Fountain.......,......,.."...........,.........,.............
Roor Drain,...... ....... ............'... ,.....,..... ,........ ... .... .... ,.
Interceptors For Grease/Oil/Sollds/Etc...,.............
Interceptors For Sand/Auto Wash/Etc...,..........~... .
laundry Tub /Clotheswasher..... ...-...~ ::..;....:....:..::..... .
aotheswa~er ,":,3 Or.. More........................,............
Mobile H6me Park Trap (1 Per Trailer)...:..............
Receptor F9r Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single .Stall................ ....... ........... ...............
Shower. Gang........................ .... ... ... ..........:..............
Sink, Bar. CommerciaL............................................
Urinal, Stall fWall.......................................................
Wash BasinfLavatory, Single..................................
Water aoset, Public Installation.............................
Water aoset, Private................ ................ ...............
Miscellaneous:
1.--
:. I
z...
'Z.
2-
-z,.
~
TOTAL FIXTURE UNITS
I~
CREDIT CALCUlATION TABLE:
calculate qedits ~eparates.
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 (rt after annexation date)
?21 X $" IO,~
(Rate X Assessed Value)'
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
'!JL/ '!2
Credit for Parcel or Land Only If Applicable
= $ 3'-1 o~
RUNOFF COEFFICIENTS FOR,STORM DRAINAGE.'
;"':'.'
R esid ential............... .....~............... ;...',.... .:. ..'.. ....' .0.4
Commercia!........................................... ............ 0.9
Industrial...... ............. ........................................ 0.45
Governmental. .............. ..... ............................... 0.5
. ,', .
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT