HomeMy WebLinkAboutPermit Building 1993-7-12
RE&IDENTIAL
PERMIT APPLICATION
Inspections: 726.376~
Office: 726.3759 '
ASSESSORS MAP:
ago
LOT:
..
BLOCK:
C. .\;:1L ~_ .
OWNER: fJCJ.
ADDRESS: j196Lt. PciJUu..uG...i.-t-
CITY: --.:1210 0/) ~ \. ')JJ Ll (J
, '
~d
~ .'~
STATE:
6)1"
NEW
K REMODEL
AJeW. SFLJ
~" OTHER
DESCRIBE WORK:
ADDITION
CONTRACTOR'S NAME ;'
.- GENERAL: ---'
PLUMBING: J
MECHANICAJ
HE and,i Const.,Inc.
I
Bills Electric
ELECTRICAL:
Don Lewis Plumbing
QUAD AREA:
1/ OF BLDGS:
OCCY GROUP.
I
1/ OF STORIE~
I
,
WATER HEAT!
Marshalls Oil & Ins.
Brooks Excavation
\
DEMOL'lSH
· Ni .
JOB NUMBER" /J;3oz 74-
225 Fifth Street~,~~-
Springfield, ~regon )7477
\
TAX LOT: .
SUBDIVISION:~u.... ~
PHONE:
'/Ab--3tf9 g
.....
ZIP'
'9 7t./ 5'6-
ADDRESS
."..".:. CONST. .
. CONTRACTOR 1/.
PHONE
84959 Parkway 71158
P~~asant Hill, Or 97455
3170 W 11th,
Eugene, Or 97402
21351
'\
EXPIRES
\,02/95
1
729-3898/
I
687-18511
I
500 Greenfield
Eugene, Or 97404
33076
04/94
06/93
688-1931
4131"E"St.
Springfield, Or 97478
25790
12193
747-7445
27661 Crow Rd
Eugene, Or 97402
55921
03/94
345-7564 \
-, .. _.. -- - ._-~~rJ-
To reqt..:est an inspection, you must call 726.3769. This is a 24 hour reccrding. 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.
#empo,",y Elee"',
D Site Inspection - To b~rnade
after excavation, but prior to
setting forms.
D
Underslab Plumbing I Electricall
Mechanical - Prior to cover.
~'Footing - After trenches are
~ excavated_ _
D
Masonry - Steel location, bond
beams, grouting.
'JX:! Foundation - Aft€?r forms are
, ~ erected but prior to concrete
placement. .
D
Underground Plumbing - Prior
to filling trench.
I><f Und~rlloor<tJumbi~echanic~
.; '- Prior to InSUli:lllOn or at~CKlng.
~ Post and Beam - Prior to floor
. - insulation or decking.
IYJ' Floor Insulation - P~iort~ --
~decking.. ' y
rxi Sanitary Sewer - Prior to filling
~ trench,
~ Storm Sewer - Prior to filling
~ trench_ '
"K7f Water Line - Prior to filling
~trench.
K7I Rough Plumbing - Prior to
J,.D..L cover_
REQUIRED INSPECTIONS
K7f Rough Mechanical -:- Prior to
J6.J..cover.' .., .
~ Rough Electrical - Prior to
Y~cover.
K71' Electrical Service -. Must be
~pproved to obtain permanent
elecirical power. -'-
D Fireplace - Prior to facing
materials and framing In'sp,
~Framing ,- Prior to c~ver. _
t5<:f Wall/Cening InSUla!i~'~ - P~ior to
.. ....cover. .,
~ Drywall - priO~o, taping.
'---'1 '.''''0''': r.-..o~..- ^ f~...... :n~t....II....-~:o~
U 1#\f'.~ U v.. 'lrte: - ,-\I.cI I .":' U.;IC.t~1 'I.
o Insert - After fireplace approval
and installation of eJnlt.
~ Curbcut & Approach - After
. ~ forms are erectecJ_.but prior to
placement of comcret~,.;
M Sidewalk & Driveway - After
Y~xcavation is complete, forms
and sub-base material in place.
, .
D Fe~ce - When cornplei-ed.
.:.;:,., _' .. t\;,.,~-:
J~Street Trees :::- Wh,~'r\:ClI;reqlJired
~trees are planted: . ~
);;:71' Final Plumbing - When all
~ plumbing worl< !s complete.
K71' Final E!ectrica: - When all
~ electrical work is complete.
k71 Final Mechanical - Whell all
~ mechanical work is complete.
MOFinal Building - When all
~ required inspections have b~en
approved and buiiding is
completed.
D Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete_
D Plumbing Connections - Wilen
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 se~vice panel.
.' .
o Final - After all required
- inspections are approved and
porches, skirting, decks, and
. venting have been installed,
.L-
Lot faces __~_:' j
Lot sq, fig" r.~'.--
r-~ ---.....
Lot Typ
~terior
Lot coverage :_~_,__
Topography L2 ~O
Total height US /-
Corner
Panhandle
Cul.de.sac
BUILDING-PERMIT
Setbacks
p.L. 'H_~~;~-Ac~-1
N ,\ \.p ,
--I
S I
Iw 13R
\" , Irl1 ff:1 (~L_
. E . (~J.k ,-.... ,;'
ITEM SO, FT, X $/SO, FT VA LU E
Main 1&/~ ~~ qaf!/8
Garage $// ' /4 (E.. ~7-2nS
Carport
~1-
-1-3 ()_.bO
z/.~o
~5/.50'
SYSTEMS'DEVELOPMENT CHARGE (SDC) :
1f2.011 ~
Total Value
Building Permit Fee
State Surcharge
, Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
Fi xtu res
Residential 8ath(s) NO ~
-
Sanitary Sewer FT
Water FT
Storin Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Fu rnace
Exnaust Hood
Vent Fan
NO
4
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MiSCELLANEOUS PERMiTS-
Mobile Home
State Issuance
State Surcharge
Sidewalk r I':):... ft
,- C::'
Curbcut _'JQ 1ft
Demolit;on -
State Surcharge
ELA.4..) ~~
To'tal Miscellaneous Permits
(E)
FEE
_)~,5()
q~3
- I
~2!!
_0~O
4rO~
12- tJO
----.
'< .0-0
;2-5.S'O
_/-C2. 00
_-1,2-'6
3(~.7e,
I-~" "A- C:::,-,~ "':.J
, ~d\..:)",";' _
'J--_J.~.~
. 'i::iJ" "0
- -Y-l(=-~:' '" 0"' ,. ..
_'Zl9.50
,- ---.. ""
'~._-..
) I
.IS THE PROPOSED WORK iN THE
" HISTORICAL DISTRICT, o R'"'O 1\1, ~
THE HISTORICAL REGiSTER?
If yes, this al?plication must be signed
and approved by the Historical
'Coordinator prior to permit issuance,
I\':'~' >.
APPROVED'
" BUILDING VALUE, PLAN CHECK-
AND BUILDING PERMIT
This permit is granted on the express conditio.n tllat the said
construction shall,-.in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
De~:elopmerit Code,'i'egulating the-construction and use of
buildings, and may pe suspende'd or revoked at, any time
upon violation-of a'ny 'provisions of--said ord:nances,-
~77.~O
Plan Check Fee:
Date Paid:
Receipt Number'
~ //"7~3
Wsa(j ~
/~~
Reviewed By I'
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
, (~12'J\bWQ. ~~(?D_Q!--/
.-PATH 1
,
\..
[3Y signature, I state and agree, that I have carefully eX3mined
th(3 cor:npleted application and do hereby certify that all
i~formation hereon is true and correct, and I further certify
t~~t any and all work performed shall be done in accordance
vyith 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
structu,re without permission of the Building Safety Division,
I further certify tllat only contractors and employees -who
are in compliance with ORS 701_055 will be used on this
project'.
I f~rther agree to ensure that all required inspections are
'requesteq at the proper time, that each address is readable
f;-S::D th2 ~treeti th8t. t~e'.perm1t card is !c.cat.cd at t!'1e front
Of the property, ancj the approved set of pians will remain
on the site at all times during construction,
Signature,xt/~M,~
Date- :4/4/93
. -
VALIDATION:
~. r
CJLf73
PATE PAID ? /,').-\ Cp) ,
AMOUNT..RECEIVED~. ~'~ leA-- -; \~ lp
-- -ID~ - ---.
RECEIPT NUMBER
,;
TOTAL AMOUNT DUE(excluding electrical) ;~:~
(A, B, C, D, and E CJmbined) - -- ---. - ----.
,'~
RECEIVED BY
.... " r
.
JOB NO. 1~O'2.-1Lf
'.} ~.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIALr& RESIDENTIAL)
NAME OR COMPANY: ~o~ !-t-(~TE:
LOCATION: (~q/ ~o~N1E. ~E
L-o T 1- 8 ~ I C-O t...E:. fAt<.J<
DEVELOPMENT TYPE: LOi:- - NE:W ~F{z"
BUILDING SIZE:
1. STORM DRAINAGE
LOT SIZE
SQ. Ft.
IMPERVIOUS SQ. FT. t.,oS~
2. SANITARY SEWER-CITY
NO. OF PFU'S Z~
(See Reverse)
3. TRANSPORTATION
X $0.192 PER SQ. FT.
~q~ ~i)
-......... ~
X $39.78 PER PFU
GqfLfcri')
---- --
NO OF UNITS X TRIP RATE X COST PER TRIP
/ X /,005 X $401.05
0+b~ ~
---- --
X
X $401.05 $
X $401.05 $
SUBTOTAL (ADD ITH1S 1,2, & 3) $ 17 1'1.. ~
I
X
4. ADMINISTRATIVE fEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
c;- S3S (,i)
~ ~
TOTAL-CITY SDC $ !,17QQ
5. SANITARY SEWER-MWMC
NO. OF PFU'S '2.'? x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ;''2.:~'Z-~
(Use PFU Total From Item 2 Above)
)~~~~
U Ki P Burdi ck
SDC CoordiFl-ator
3 !()/f3
$~~
TOTAL-MWMC SDC~~~
. ---- --
TOTAL SDC $ '2-0't J ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
FIXTURE UNIT CAlCUu"~ON TABLE: Number of New Fixtur.nit Equivalent = Fixture UritS{N0.TE:"
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
Bat ht u b......................................................................
o rinking Fountain.......... ............................., ...... .......
Floor 0 rain...........,....................................... .......... ...
Interceptors For GreasejOiljSolidsjEtc.................
Interceptors For Sandj Auto WashjEtc..................
Laund ry Tub jClotheswasheL.................... ..............
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator fWater StationjEtc........
Receptpr For Commercial SinkjDish,<<asher jEtc..
Shower; ,., Single Stall. ........,. ... .......,.. ,.... .;..................
S hower, Gang........,.......,.........................................
Sink, Bar, Commercial.......... .:....... ....... ......... ..........
Urinal, Stall ;Wall................. ................ ....... .... ...........
Wash Basin jLavatory, Single.... ................... ...........
Water Closet, Public Installation.............................
Water Closet, Private.. ....... ................. .....,......... ......
Miscellaneous:
NUMBER OF
NEW FIXTURES -
I
7,
~
TOTAL FIXTURE UNITS
UNIT FIXTURE
EQUIVALENT UNITS
2 "2-
1
2
3
6
2 2-
6
6
1
3
2 Z
1 jHead
2 '2.-
2
1 ~
6
4 I 1..-
2~
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
1979 or before
1980
1981-i '
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
Year
Annexed
1985
1986
1987
1988
1989
1990
1991
'2 . 5(~ X $ /0. (p
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
Rate per $1,000
Assessed Value
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
=
oe
~-
:::z.._~
= $ -.::;0
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residentiai.,.... ....,... ...... ........... ... .,.................... 0.4
Commercial...... ...... ......",....." ,. ...., ...... ....., ....... 0.9
I nd ustrial........... ....... .........,.. ........... .........,... ..... 0.45
G overnmental...............,..,....... .............,;.... ...... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT