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Home My WebLink AboutPermit Building 1992-12-1 '"., J' -- RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 . , ASSESSORS MAP" , , ,..'. '.. "'3 c:::,. LOT: ~~ SPRINGFIELD 86f\Y\ \ 'C. LAfJE. BLOCK: OWNER:~t)~ '\4\~\~ ADDRESS: Rt\.~;f\, Pf>.R.\(~\\~ R~ CITY' ' ~'('\~\-\\ u.. ' " DESCRIBE WORK: k}E:UJ ~~t:> NEW V REMODEL ADDITION CONTRACTG~ ; HE and i Const.ylnc. GENERAL: _~ PLUMBING: 7 Bi 11 s EI ectri c MECHANIC4 ELECi-RICAJ , "1 Don Lewis Plumbing STATE: OV' DEMOLISH OTHER ., "',J, 84'35'3 Par kwav Pleasant Hill, Or ~_ CONST, 71158 '37455 3170 l"J 11 thy Eugene, Or '37402 21351 500 Greenfield Eugene, . Or '37404 33075 i # OF BLDGS OUAD AREA MarshaUs Oi 1 ~,~ Ins. 4131IE"St. Springfield, Or '37478 OCCY GROll Brooks El;cavation I # OF STORI~;::): r~ WATER HEATER: 257'30 27551 Crow F.:d Eugene, Or '37402 55'321 .,~ An AcHE:. 0 ~lA-I-.JS JOB NUMBER q~ \ lc5J 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDI~;SI~N:n Iw.l~ ,p A-R.~ PHONF' 7d.-b- ~9~ RANGF' z:- .............., ZIP: q,ltss 02/133 \IE 725-38'38 (:1" /5 -~ I ;./ 587-1851 _I' 04/'33 '05/133 588-1 '331 ' 12/'32 747-7445 ' I 03/133 " 345- 7554 '~. I SQUARE FOOTAGE: W~3 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. 'w Temporary Electric U Site Inspection - To be made after excavation, but prior to ,setting forms. D Underslab Plumbingl Electricall Mechanical :- Prior to cover. - ~. .." '. . .. '. ',,' lXl, F Footing - After trenches are _..Y ~xcavated. " . D Masonry, - Steel location, bond beams, grouting. 1'../( Foundation"':'" After forms are ~ erected but prior to concrete ' placement. D Underground Plumbing - Prior to filling trench. RE'OUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. , ~ Rough Electrical -:- Prior to cover. 1><1 Final Plumbing..,.... When all , plumbing work is complete. .~ Final- Electrical - When all ~ electrical, work is complete. l:><J' ' - ,---" (N"Final Mechanical - When all . Elect~ical S,ervice !- Mustbe . , , mechanical work is complete, , ~approved to obtain permanent 'electrical power, D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D WalllCeiling Insulation - Prior to , . cover. D Drywall - Prisr to taping. fiV7T Underf~lumbi~echan~ . _ V'..~_ Prior fO'll1::,uld[(On~ecklng, ,~WOOd S'tov..:r"; Aft~~ install'ation.' , zoeo ct-t7k./wcs r:A i"Xf Post and Beam - Prior to floor ~nsulation or decking. 1VI Floor Insulation - Prior to y-.......decking. . ~ Sanitary Sewer - Prior to filling ~ trench. M Storm Sewer - Prior to filling ;" , trench. -fVI Water Line - Prior to filling ~ trench. I'-./J Rough Plumbing - 'prior to ~cover. D Insert -' After fireplace approval and installation of unit. ' VI Curbcut & Approach - After ~ forms are erect~d but prior to placemen't of cqncrete. ;I{;"" . ~ ' . -r::71 Sidewalk & Dri~eway - After ~excavation is complete, .forms and sub-base material in place. UFence - Whefl completed. , ,-" '-~..l2',1 treet Trees -,; When air required ,.,' trees are planted. ' . , . -c7f 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, D 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. D Final - After all required , inspections 'are approved arid -porches, skirting, decks,-and ' venting ,have been .installed. LoHype .. ~E PROPOSED WORK IN ~HE ~ Lot faces ~ Setbacks Lot sq, ftg. 117~ ~terior I P.L. I HSE I GAR ACC I. HISTORICAL DISTRicT,OR ON IN 201 THE HISTORICAL REGISTER? Lot coverage ~f) Corner If yes, this application must be signed Is L2-9p and approved by the Historical Topography Panhandle \\0 I Iw /0' (0' Coordinator prior to permit issuance, Total height Cul-de-sac IE (pI APPROVED: ~o~~4 ~~ 4--'; ~~ ,10 SYSTEMS DEVELOPMENT CHARGE (SDC) ~ 4 \ q ? &t- -z."Z- BUILDING PERMIT ITEM SO. FT. X $/80. FT. S0?-0 J4/0 . , Main -J4!-n ,5(93 Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO 2- Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan NO 3 Wood StovellnsertlFireplace Unit Dryer Ven.t Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Su rcharge Sidewalk _h{) ft Curbcut ~ ft Demolition State Surcharge ,i<1/h,]i?wew Total Miscellaneous Permits (E) TOTAL AMOUNT DUE'(excluding electrical) (A, B, C, 0, and E Combined) VALUE 1r2-1L -$J9b FEE ~D~ ~. (JO /hS.oO . r;, "0 '"f~O q ,t#) I~OO --3tJO <.1,SO -', J 0, {)O \ . ,)~~-~,- 4q,?Jb --13-." () J :J., (p f!) . ..., . -S:D 01) 72. ~ 0 .. '20 5 J:!O 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: :z hi< e 2. 0 ~ ==- f"D~ Date Paid: Receipt Number' ~/2- /,//7 ~-? 7D~ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ~fUffi\ff1M~, " _', ~ ~1\f\O){. J t_!~ J ~) \C\\D PAt2i-1 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 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 times duri~construction, . Signature ;dt~~ J'h. ~--.: Date /~I /9:J- , 9~~ DATE PAID fl, \ ' C(1' ~ . ~ AMOUNT REC~,.I~.E 2 ~20. {p ~ RECEIVED BY q l~ VALIDATION: RECEIPT NUMBER .w -- fill' JOB NO. CX'2-16l?i' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMP\A~r :J6~ \-\H~-"'H:~ LOCATION: =t, '-,~ ~ 0 \...H..\\ S \-.A t...l E. DEVELOPMENT TYPE: LD P- - t--\E.'^-i Sf-?- ~ \ c:.o L- E.. V'A;~\(.. -- BUILDING SIZE:, 1. STORM DRAINAGE LOT SIZE. SQ. Ft. IMPERVIOUS SQ. FT.' 'Z1--t<<C 2. SANITARY SEWER-CITY NO. OF PFU'S \<6 (See Reverse) 3. TRANSPORTATION X $0.192 PER SQ. FT. ~C2~(.,?) ---- ...-" X $39.78 PER PFU <G\~ ~ NO OF UNITS. X TRIP RATE X COST PER TRIP X \, 60S X $401.05 ~G,~}~0 ---- ------ X X $401.05 $ X x $401:05 $ , -1"2.- SUBTOTAL (ADD ITEMS 1,2, & 3) $ \ G'-f tv - :,1 4. ADMINISTRATIVE FEES "BASE CHARGE ,(SUBTOTAL ABOVE) X .05 c;- ~L-~?) '-- ----- TOTAL - C ITY SDC $ tl'2- '1 o..~ 5. SANITARY SEWER-MWMC NO. OF PFU'SI<6' x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 'ZSS \~ (Use PFU Total From Item 2 Above) 0' ~.'~'~ . (J Kip Burdick SDC Coordinator . \ ?-i~ /17.- I -,..:> $ 7:::0 '- TOTAL~MWMC SDC~~ TOTAL SDC $ \'1 '?L4 7-2- MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~t FIXTURE ~NITCALCULA !I TABLE: Numbe; of New FIXtures ~qUivalent = Fixture Units ;~O;E' For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS \ 2 1 2. 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 '-t Bathtu b............... .......... ............................................. o ri n king Fountain...... ........................ ~::.................,.. Floor 0 rai n........................... ..................................... Interceptors For Grease/Oil/Solids/Etc..............:.. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher................... ........ ... ..... Clotheswasher - 3 Or More.................,~.................. Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial SinkjDishwasher fEte.. Shower, Single StalL.......................... .... ................ S hower, Gang.......................................................... Sink, Bar, CommerciaL.............. ........... ........ ......... Urinal, Stall /WaiL.. ................... ......... ...... ................. Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............. .................... ....... ....... Miscellaneous: '2- Z- -z '2- '2. '2- u u TOTAL FIXTURE UNITS \n 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) x $ ~-. (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ .~.- Credit for Parcel or Land Only If Applicable .. ~ l. . "f - ~:t ,~ 1. i' RUNOFF COEFFICIENTS FOR STORM DRAINAGE ~; ~: F flJ. fl"; j, .. ,;-. Residential...... ...... ..... .......... ........... .... ........ ...... 0.4 Commercial. ......... .... ...... .......... ......... ......... ...... 0.9 Industrial. ........... ....... ...... ...... ........... .......... ....... 0.45 Governmental........ ,..... ......... ...........--............... 0.5 t~~<: IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT is.~' ~l,':.. ' J f!' .' The fo!!owin~ pr();Pf;t ~,~ ~,,''\.... :,,', .: :',~,o the following zoning, and'doe::; Ut" i "''-i'''''';'';' ";-,,viiic land use 225 FIFTH STREET approval. '\ If""\. Y) . ELECTRICAL PERMIT AP~CAT~ON SPRINGFIELD, OREGON 97477 ZCI1i!'r_._v~) \(....0" Q ~ INSPECTION REQUEST: 72~a~769111l0:2 City Job Number \\.00 ,OFFICE: 726-3759 -'~---_. ,C-"\! 1.0CAT.ION OF I ~~~~:'~' "',ne,,,, . ""- -eOHFhE'PE-F,'EE SCHEDULE BELOV ~l\.~ 'S ~ ~D~ (\.-lO " . New Residential-Sillgleor \ c{L9C\ , Multi-Family per dwelling unit. LEGAL >>ESCRIPTION Service Included: Items Cost Sum 1000 sq, ft. or less t.--- $ 85,00 ~S, c}O Each additional 500 sq, ft or portion <: n &-D thereof "L $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 8~DE~~Il>rI~ ~ Permits are ~~:~~ns~e~::-::d expi re if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY ~ (/(( <'"', A L Electrical Contractor ~ j S~, , 'CC' We. sT /1- Phone ., if ) I J 5 7 910 S Expiratio~ Date I t)-I- 9 r- Constr Contr. Number ;) I., S'j Services or Feeders Installation, Alterations or Relocation: B. Address "J /1 h City 7L/).l Supervisor License 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps -to 1000 amps Over 1000 amp~/volts Reconnect 'Only $ 50,00 $ 60.00 $100,00 $130,00 $300.00 -$ 40.00 Number C. Temporary Services or Feeders Installation, Alteration or Relocation 'L}{) Expiration Date i/:-. '2' f - I' J $ 40.00 $ 55.00 $ 80,00 volts see "B" 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Signature of Supervising ~lectrician ~UtJ~ --- ~ (/. rt....4 Owners Na~ .Y--\ 1) '-+--. (~l-IJL> . Address848 ~,: A\ _ ~(lJ ~.J i "Y}37J\ City \) cl.-Ltl) Phone~~J~ above Branch Circuits D. New, Alteration or Extension Per Panel $ 35.00 One Ci rcui t Each Additional Circuit or with Service or Feeder Permit , ,OVNER INSTALLATION $ 2.00 The installation is being made on property I own which is not intended for sale, lease or rent, E. Miscellaneous (Service/feeder not iricluded) -Each initallation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTALOP ABOVE, J 5 S. ~ 5% State Surcharge 7.75" TOTAL ~?_ .'75 , Owners Signature: ~~~;~-----FJ-~I' -:-rt: ' ?-)----;:=--.-~- RECEIPT #: -} ,y,~v' ' ,. RECEIVED By:r-: lJ )() / - . . ,,,,,,,--,,,,"-