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Home My WebLink AboutPermit Building 1993-4-14 q'-5-:-5~._ frJ)3t1 _ ,1 . RES'iD'ENTlAL . PERMIT APPLICATION 'ilril Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: d) ----- I "....--- --------.: OWNER: ~ '1 ADDRESS: ~ SPRINGFIELD ~~ ". ". .~ u ~ /q Od.. BLOCK: HE AND i CONSTRUCTION INC #711~o ~4'-t:'- F '-.10 t:l. :1../:1 'ad::way PLEASANT HILL,OR 97455 CITY: '--, DESCRIBE WORK: ,<:'F D NEW 0( REMODEL MECHAN B~~ctrjC Don Lew15 plumbing ELECTRI<J I OUAD AR i Marshalls Oil & Ins. II OF BLO I OCCY G l~ Brooks Excavation II OF STO WATER HEATER: , (=7 /' ADDITION DEMOLISH OTHER L~ ~::>oC) rq 2. ;;tJ \.7) ;).c 1.4 . ~4b . C]c!)4?Rf' 'is. JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ~ Y.:hJcJe.-, PHONE: 7';;~ 3 A Cflg ZIP: ADDRESS CON ST. CONTRACTOR II PHONE EXPIRES -- _. --. --- ---- --- ._---~ ----- 64959 parkway 71158 02/95 726-3898 I I Pleasant Hill, Or 97455 3170 W 11th, 21351 04/94 687-1851 I I Eugene, Or 97402 I I, 500 Greenfield 33076 06/93 688-1931 , Eugene, Or 97404 4131"E"St, 25790 12/93 747-7445 Springfield, Or 97478 27661 Crow Rd 55921 03/94 345-7564 Eugene, Or 97402 ._._~ RANGe: =-. 00 O"I-\"n-C-I-O \JTr\\,;.ol.L.... 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.' _~ 't:iL Temporary Electric .:'~':';--J' '\ -Vt l-.:-O."~"" -t~ -; Site Inspection - To be made , .;:") after excavation, but prior to ,,/ setting forms. o Underslab PluiTibingl Electrical! Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~ Post and Beam - Prior to floor insulation or decking. . .;~ . ~ Floo~ InsL;lation - Prior to' decking. " ~ Sanitary Sewer - Prior to filling trench. ~ Storm Sewer - Prior to filling ~ trench, . !VI Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS ~ Rough Electrical - Prior to cover. ~ Electrical Service - Must be # approved to obtai n permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~ Wall I Ceiling Insulation - Prior to cover. ~'Drywall - Prior to taping. ~ Wood Stove - Af:er installation. Z. E~(J c~R.. F: f', o Insert - After fireplace approval and installation of unit. I~ Curbcut & Approach - After yc...:r forms are erected but prior to placement of concrete. ~ ~idewalk & Driveway - After ~ excavation is complete, forms an'~ sub-base material in place. o Fence - When completed. ~treet Trees - W, h8n all required ~ees are planted, r--./r Final Plumbing - When all ~ plumbing work is complete, '1Vl Final Electrical - When all ipJ electrical work is complete, I~ Final Mechanical - When all ~ mechanical work is complete, ~ Final Building - When all ~ required inspections have been approved and building is completed. D Other MOBILE HOME INSPECTIONS D Blocking and Set-Up - When all blocking is complete. o 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. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. gQq-,7 'Lff) 3,po 2f), /5 'f.23~ 15 SYSTEMS DEVELOPMENT CHARGE (SDC) #5 II ! q I t:.> 1.!. I ',_ !::o (fac'c s' ,.; .. <; 2[':' wP ~7 ~c fb.M,2'Jd J~,5 .Lot sq, ftg, ' Lot coverag,e Topography T.otal height BUILDING P.ERJ,,11T ITEM sa, . FT. " -.-Jii>?5. 4--2.7 Main Garage Carp.ort Total Value Building,Pcrmit Fee State Surcharge Total Fee :"1. ' " PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water ,FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan NO Wood Stove/lflsertlFireplace Unit 'Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit . _ ", ~ ..j,-./ L~,t, Ty pe ,. Interior' ~ Cqrner Panl1anc!le :Cul-de-sac X $/SO, FT. 5{,ZO 1'1,/0 (A) (B) ?-- (C) 3 Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk 71 30 ft ft Curbcut Demolition State Surcharge 6J L.ltl'l C H tJ.C}<.. i Total Miscellaneous Permits (E) Setbacks I, 'I PL, Ir-iSE GAR N i ,g --i'<6 I -2--1-l-,-,__L "'LLI' j, ' IN , ' '1--,J~;-- ~ /t/; 1ft 1'- _._._.._~ _L.___._-,- V A LU E _$f '3 l{'~] 6 tJ 2-6 FEE J'-. QJ1J B t!> (1!) / t8t!JO fOD 1./'60 q.&D _jS,~O __,2! C16 _37 ,5t;_ If),~ 1,88' lf1J~~ ___:kL~ ____li_,5o ~u__Lf~ ' () () ACC I \ -4' ..".,~ HE PROPOSED WORK IN jfHE r ,,-:5TORICAL DISTRICT, OR ON <- THE HISTORICAL REGISTER? If yes,' this application must be signed ::\nd appraved by the Historical Co.ordinator prior ta permit issuance. ,- I"PPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . Th'is:permit is granted an the express condition that the said co'nstru:;:ti.on shalL in ::\1.1 respects, conform to the Ordinance adopted by the City of Springfield, including the Develapment Code, regulating the construction and use of buildings: and may be suspended .or revoked at any time upon ,:"~i~lation of an provisions of s'aid ordinances. Plan Check Fee:~...Q/L /j~ Date Paid: Receipt Number' Received By: r/) L_ ~ Plan~ Reviewed By If.., 1~-?5. Date Systems Development Charge is due on a!1 undev'eloped pr.operties within tile City limits which are being improved. ADDITIONAL COMMENTS \_~\\\\~~, l')(Jb)" \~(LS ~A\~~<;\,ru__ ~~JDn1t- "~ r;~ ~ By signature, I state and agree, that I have carefu!:y examined the completed application and do hereby ce,tify that aU information hereon is true and correct, and I further certify that any and all work perf.ormed shall be done in accordance with the Ordinances of the Ci,ty of Springfield, and the Laws of the State of Oregon pertaining to the work described ~erein, and that NO OCCUPANCY wili be made of any structure without permission of the Building Safety Division, I further certify tllat only cantractors and emplayees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requosted at the proper time, that each address is readable fmm the street; th?t.the permit card is located at the front .of the property, and the approved set of plans will remain on the site at ~ times during constructi~n. Si~lnature ~~}-j,,~ if 3"/9 ~ Date VALlDAT!ON: ~~- \~ ,'-<t ~ _0 Z '7t:::J ~ _ t(s- !J{ t' - ,=-W~ \.. .J R~CE,:Ir-,')T NUMB;;f _ C'.ll.ni PAID ~ (A, B, C, D, and E Combined) TOTAL AMOUNT DUE (excluding electrica!) ',~~1-~1!._'?-:J-7? RECEIVEIl' BY ___,_________._____,_,_,__~,J_.:..._. ---,--, i . ~ ... " JOB NO. '1'?0 c.I SD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: J-IE 4 I C0/4S7Ff:..1/C- ,tON !MG. , LOCATION: / 1 ? 7., -&, N ~ , E: LPrkJ. r.. DEVELOPMENT TYPE: LP fZ.. - NE:-W ~FR LOI2. /..-1,coL.E. ~K. I ' BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'Z..? '? B X $0.192 PER SQ. FT. C;~'i' 'i) -- .......- 2. SANITARY SEWER-CITY NO. OF PFU'S 1% X $39.78 PER PFU (See Reverse) 0/~v 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 1 X I.ctt>t;, X $401.05 0d~~ X X X $401.05 X $401.05 $ $ - SUBTOTAL (ADD ITEMS 1,2, & 3) $ (f.,/o"2-j. 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 c( ~O V TOTAL-CITY SDC $ I~'fo ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S 1<6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ Z.SS~ (Use PFU Total From Item 2 Above) ~.; ~~ ()Kip Burdick SDC Coordinator '-1110 /13 I I $~~ TOTAL-MWMC SDC~~ TOTAL SDC$ \41 is ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CAlCULATI'-r...4 TABLE: Number of New Fixtures xu. For remodels, calculate only the NET additional fixtures) , ' '"'. 't' _quivalent = Fixture Units (~OrE: ,. FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS '2.. 2 Z. 1 2 3 6 2 2.- 6 6 1 3 2 '2.. 1/Head 2 "2- 2 1 "Z- 6 4, ~ Bathtub....'................................................................. . Drinking Fountain........... .......................................... Floor Drain................................................................ Interceptors For Grease!Oil/SoJids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry 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. ....... .:................................... Urinal, Stall /Wall.. ............ ...... ....... ......... ................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: . I " z.. TOTAL FIXTURE UNITS 1<:6 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 Improvement (if after annexation date) -2.~~ X $ lo.~ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL ~o - Credit for Parcel or Land Only If Applicable - "'2.~- = $ :;;}O 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 S"'IIN~t'II~LU , ,~ ~ "" ,. \': "")~"~~:::; :'y':;'- '1.- \7 ~ \"~,.\r", .~ . '..., > 2"; f.\' F..L.F. 97t. Tl Vi"" ';;! ::,\'C',. \~}", 'r~---- 726-3769 4-1~!L '';;;j;''/( Ci ty Job Number .)\:1' J .' 225 FIITH STREET SPIUNGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. 1,:-..... LqCATION OF ~S:!-,~LLATION, "'fl, ' ,Cl"2, "rl-. \ kOS\ '\ fu Q ('1lUI.L.J LEGAL DESCIUPTION JOB D~CRIPTION , \ B53[J f) ~ ~J) ,[)ir1~J\F\l,...~~ \~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2, CONTRACTOR INSTALI~iIO,N ONLY Elce t rieal Con t rae tor C"l\\~ fI s,.. Address \ ~ () ~ A Ci ty ~ ~ ~ 01l ~-,' ~lllOne '1 2.lP-l ~ Supervisor License Number d~~5fJS \\)\\,C15 ~ 3\0 \ \D .Q'C{3 B. f1~ Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ~ ~~rrN02 _ Owners Ihm~ ~ Q ct \ (' I\~~rzJ Address '~1~P\ ,-~;\J .~~) Ci t}\ ~ . \\J...Q Phone cn4ss6 OYNER INSTALLATION - The installation is being made on property I own which is not intended for sale, lease or rent. O....ners Signature: -~---------~-,- , , , DATE: · . RECE! Pl' tt: HECETVED BY; CJffi4~ 3. COMPLETE FEE SCnEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Sum 8s Cost 1000 sq.ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home or Modular Dwellirig Service or Feeder f $ 85.00 ~ $ 15,00 3J $ 40,00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60,00 $100,00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Ins~allation, Alteration or Relocation AI) 40 , 00 :::::I.LL 55.00 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 $ $ $ 80,00 see "D" above volts D. Dranch Circuits New, Alteration or Extension Per Panel One eit'cui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40,00 $ 40.00 $ 20,00 $ 36.00 /35~ 'J, 'l-C':) /(oA. ?S SUBTOTAL OF ABOVE 5% State Surcharge TOT AI.