HomeMy WebLinkAboutPermit Building 1993-8-24
7,-/ tt-~ 3
.' ,
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
d7
LOT:
OWNE
cJ)Ju. ~Jf9- 8~
~
JOB NUMBER 03 \0\\
SPRINGFIELD
cZ)b9
BLOCK:
CITY: ~
Joe E. Hi de
84959 Parkway Road
Pleasant Hill, Or 97455
~TE:
)
AODRI
,
DESCRIBE WORK:
..:>fO
NEW
tV
REMODEL
CONTRACTOR'S NAME
HE and i Const.,Inc.
Bills Electric,
Don Lewis Plumbing
Marshalls Oil & Ins.
Brooks Excavation
ADDITiON
DEMOLISH
OTHER
PHor-JF'
ZIP:
;:
- ~,
. CONST.
CONTRACTOR /I
EXPIRES
PHONE
ADDRESS
- - - ..'-.- .- -
--- - - ---- - ---.- - _._-- ---~- - -~ - --
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
r~ cover.
~ Rough Electrical - P-rior to
~ cover,
rB Electrical Service - Must be
~ approved to obtain permanent
, electrical power. ,
D
Fireplace - Prior to facing
'materials and framing Insp.
. "'-.-..,.,
- - --- -.------
84959 Parkway 71158 02/95 726-3898
pleasant Hill, Or 97455
3170 W 11th, 21351 04/94 687-1851
Eugene, Or 97402
500 Greenfield 33076 06/9* 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 I
w_,_..~ f~. -=--I""'_'~'I.""'~'~'---:-"'-I~ ...-
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
after excavation, but prior to
setting forms,
o
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
~.
Footing - After trenches are
excav3ted,
o
Masonry - Steel location, bond
beams, grouting.
~ Foundation - After forms are
erect(:d but prior to concrete
placement.
o Underground Plumbing - Prior
to iilling trench.
~Underfloor Plumbing/Mechanical
~ - Prior to insulation or decking.
\ ' ;1.
~ Post ilnd Beam - Prior to floor
( / insulation or decl,ing.
~) Floor Insulati~n' - Prior to
T: decking,
~ Sanitary Sewer - Prior to filling
L( trench.
~) Storm Sewer - Plior to filling
{ trencll.
~water Line - Prior :0 fillinu
trench. .
, . Rough Plumbing - Prior to
cover,
~ Framing - Prior to cover.
~Wall/ Ceiling Insulation - - Prior to
r cover. '
ifP Drywall - Prior to tapin:g.
o Wood Stove - After installation.
D Insert - After fireplace approval
, Lind installation of unit.
,l
~urbcut & Approach -- After
~ ~orms are erected but prior to
, r>lacemcnt of concrete.
r Sidewalk & Driveway - After
excavation is comple~e, forms
and sub.base material ill place.
D Fence - When c,ornp:eted.
rrl1 ~;treet Trees - WI1en all required
~ trees are planted.
(ZJ Final Plumbing - When all
( plumbing worl< is complete.
'.l221 Final Electrical - When all
( electrical work. is c~mplete.
~inal Mechanical - When all
( mechanical work is complete.
~inal Building -' When all
:-' required inspections fiave been
approved and building is '
completed.
D Other
MOBILE HOME INSPECTIONS
[J Blocking and Set-Up - When all
-- blocking:s complete.
D PllImbir~g Connections - When
home has been connected to
water and sewer,
[=:J Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
["--] Final - After all required
--- inspections are approved and
porches, sl<irting, decl<s, and
venting Ilave been installed.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
M.,5~
BUILDING PERMIT
ITEM
SO. FT.
flp / ( t2-
~I
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
Fixtures,
Residential Ba1h(s)
Sanitary Sewer
Water
,Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
r
Panllandle '
I P.L.
IN
Is
!w
IE
Setbacks
HSE GAR
Cui-do-sac
X $/SO~
QI.tJ ' .
ELJO
- q(lSB
XJffi
",4
QS; txJ4
/L~_r) eX)
W.SQ:
4SL~'
... .' ~ ,I
(A)
FEE
NO
.~
I~.~
FT,
FT.
FT.
(C)
(~.sJqi '1'
6);D'j>
cD
{.'so.
lA ,cD
NO
1
Dryer Vent
Wood Stove/Insert! Fireplace Unit
'~.p9
Mechanical Permit
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(Dj
d)f),g]
In.~
I. eJ-?;
CJpL '2--08
State Issuance
State Surcharge
Sidewalk Lo()
ft
Curbcut
3:J- ft
Demolition
\S~~ \t)hne('~;
\ Y w-"\
\q~
L\{) rv
Total Miscellaneous Permits (E)
, ,~ " ./
TOTAL AMOUNT DUE (excluding electriCal)',)f('f a-:lo~
(A, B, C, D, and E Combined)
..
ACC I
I
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 Histori.cal
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 ai' 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 FeWR> ~ 1JL-.-'
Cate Paid: \
Recejpi Number'
B5S~
Date
Systems Development Chal'ge is due on all undeveloped
properti,9s within the City limits which are being improved,
ADDrtloNAL COMMENTS
~d\\~lli~ \..q,~
By signature, I state and agree, that Illave carefully e:<amined
the cOlnpleted applicalion 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 Stale of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be m;ide of any
structure without permission of the Building Safely Division',
I further certify that only contractors and employees who
are in compliance with ORS 701,055 will be used on this
project.
I furtller agree to ensure that all required inspectiof\s are
requeste.j at the proper ti!T:G, tila! 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 ~~~.~"
Date
7-/~-'~ -=3
VALIDATION: f..r>Jr) I
RECEIPT NUM~R _C!J I' t1JS \~.:..-..
DATE PAID K r91.Q),) /
AMOUNT REC'1.':9' .3, '+~i \~)
RECE'IVED BY(2/tLYl )
.... ".,'
'~
,DB NO. cr 3 10'-1-4-
:,,',
CITY OF SPRINGFIE~D SYSTE~S DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & REstoENTIAL)
NAME OR COMPANY: ::To lEE. c. t-1-, ~ TEE.
LOCATION: -ZOloCl) 13()I-JN Ie LAf.JE
DEVELOPMENT TYPE: l-P,e. - N~v.I SPf<
BUILDING SIZE:
1. STORM DRAINAGE
LOT 2-7 - /J(cAL-E. fA~~
LOT SIZE
,SQ. Ft.
IMPERVIOUS SQ. FT.
.-z,oy.~
X $0.203 PER SQ. FT.
~~\S~
'-- .--/
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
'Z-"?
. X $42.08 PER PFU
~(,,(8~
'-- .-/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S 2~ x $15.125 PER PFU + $10 MWMCi ADM FEE $ ?5"'~'
(Use PFU Total From Item 2 Above)
$ '2.J~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ,J T
TOTAL'MWMC SDC ~2.?~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ v,~? ~
X $424.31
G~~~
$
$
I
X /.0/ X $424.31
X X $424.31
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~J~c-.L~ 1 /1."t/q-z.,
\) Kip Burdick f
SDC Coordinator
CIOG.~
TOTAL SDC $ 'Z;zLf 1.- !2
1 :' - ;.' ~. ~
FIXTURE UNIT CALCULA. .uN TABLE: Number of New Fixtures ^ ",nit Equivalent == Fixture Uni!.s(NOTE:
For remodels, calcul~te only the NET additional fixtures) , ,. ~
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
;,
2
1
2
3
6
2
6
6'
1
3
2
l/Head
2
2
1
6
4
&.j
Bathtub........,............---...,.,......,."..".'.'..'..'.."" ..........
Drinking Fountain,......,.........., ....,....""...'. ......',. ....,..
Roor Drain... ..,.,.... .......,..,."..,."...,.,.".,."...,...,..,',...,'
Interceptors For Grease/Oil/Sollds/Etc..:.........,....
Interceptors For Sand/Auto Wash/Etc......,...........
laundry TubjClotheswasher........ .......... ........, ........
Clotheswa~her -; ;3, Or More..................,..................
MobUe Home 'Pa'rk 'rrap (1 Per Trailer)..................
Receptor F9r Refrigerator jWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single .Stall.......................... ........ ........ ..c....
Shower, Gang...........'.... ..................... ......... ..............
Sink, Bar, Commercial. ........... ....... ........,.". ....... ......
Urinal, Stallf./'lall.............. ........... ....... ... .... ....,. ..........
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation............................. '
Water Closet, PriVate......................... ........... ...........
Miscellaneous:
z.
"
z..
z..
?
3
12
TOTAL FIXTURE UNITS
-Z~
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table.
calculate credits separates.
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
Rate per $1,000
Assessed Value
$ 2.24
1.93 '\
1.57
1.18
0.79
0.44
0.28
3+0~
=
= $ '3'-1-03
,Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Credit for Parcel or Land Only If Applicable
~~pr?vement (dafter annexation date)
'3 . Z I . X $ (~,"
(Rate X Assessed Value)
X $.
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR. STORM DRAINAGE.'
, ,
. . .' ~
R esiq ential........: ......... ...... ...... ~~. .~............. ........ 0.4
CommerciaL..... ............ ...~.................:............. 0.9
I nd ustrial...... ......... ..........'..................... ............. 0.45
G ovemmental. ............ .......................... ............ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT