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Home My WebLink AboutPermit Building 1993-8-5 ~- /977 .8~X~ , ., , \ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: .:)>~ OWNER: --1 ADDRESS: ...: BLOCK: ~ " HE AND i CONSTRUCTION,INC #71158 84'359 Pal" kway PLEASANT HILL,OR 97455 CITY: ---~ , DESCRIBE WORK: SF I.) NEW V REMODEL __ ADDITION CONTRACTOR'S NAME DEMOLISH OTHER ct~ ~Q5/P/ cRI3b qQ\D~ JOB NUMBER 225 Fifth Street Springfield, Orego,n 97477 TAX LOT: SUBDIVISION: l7...LeolL ,LJ~ PHONE: 7e51~ 3999 ZIP: ADDRESS CONST. CONTRACTOR 1/ _ EX.PII3ES ., _ ,PHON.E_, HE and i Const.,Inc. 84959 Parkway 11158 Pleasant Hill, Or 97455' BiUs Electric 3170 W 11th, 21351 Eugene, Or 97402 Don Lewis Plumbing 500 Greenfield 33076 Eugene, Or 97404 MarshaUs Oil & Ins. 4131"E"St. 25790 Springfield, Or 9 7 4 7 8 . Brooks Excavation 27661 Crow Rd 55921 Eugene, Or 97402 RAN G'E: -'~WATER-Fl'E"ATE'R: =- 02/95 726-3898 04/94 687-1851 06/93 688-1931 12/93 747-7445 03/94 345-7564 .- To request an inspection, you must call 726.3769. This is a 24 hour rec-:>rding, 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 cay, [gJ Temporary Electric D Site Inspection - To be made after (:xcavation, but prior to setting forms, o Undel'slnb Plumbing I Electricall Mechanical - Prior to cover. ~ootil19 - After trenches are ~ :xcavated, o Masonry - Steel location; bond . jams, grouting. , ' r-iJ.,-Foundation - After forms are ~ erected but prior to concrete placement. D Underground Plumbing - Prior . to filling trench. , ~ndel'f100r Plumbing I Mechanical - _ Prior to insulation or decking. r=:J::r1>ost Olnd Beam - Prior to floor (!;LJ insulation or decl<ing., ' ~or Insulation - Prior to tzJ d~~king, . [j::j-51lnitary Sewer - Prior to filling ~ trenctl. '.. .- c::::f!-storm. Sewer - PriQr to filling ~ trench, ' . ~ . CJl-Water Line - Prior to filling ~ trench. . r=:tl--Rough Plumbing - Prior to ~J cover, REQUIRED INSPECTIONS ~'bugh Mechanical - Prior to '/ cover. ~ough Electrical - Prior to (Y--l cover. ~ectrical Service - Must be <SLJ ;;pproved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. 1'- ' Ia:I rraming - Prior to cover. J....+r WaUl Ceiling Insljlation - Prior to ~ cover. ~rywaU - Prior to taping. I o Wood Stove - After installation, D Insert - After fireplace approval and installation of uni~. ~rbcut & Approach -. ,'>.fler La! ;~~ms are erected but pr;or to placement of concrete. ~ ~alk & Driveway - ,-\fter l~~~~~ation is comple"e, forms and sub.base material in place, Cli-ence - When completed. o Street Treeti - When all required trees are planted, r-%nal Plumbing - When all ~ plumbing work is complete. .,/ Ld:1 Final Electrical - When all 0- electrical work is complete, ~inal Mechanical - When all {/ , mechanical work is complete. , ~. F" al Building - When all , required inspections have been approved and building is completed. D Other M081LE HOME INSPECT!ONS o Blocking and Set-Up - When all blocking is complete. [~ Plumbing Connections - When heme has been connected to wateriand sewer, L~ Electrical Connection .- 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, ski rli ng, decl<s, and venting have been installed. Lot faces Lot Type X Interior Lot sq, ftg, Lot coverage Corner Topography Total height Panhandle ,t&:)"" Cul-de-sac BUILDING pERMIT ITEM sa, FT. X $/SO. FT. 11ef) &.:)1) 4 12. 11, l () .Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Residential Bath(s)" NO c4. Sanitary Sew~r Water FT. FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANiCAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood StovellnsertlFireplace Unit Dryer Vent Mechanical Permit Issuance State Surchar\;je- Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surchar?\ Sidewalk f7(j Curbcut -9{)' ft f t Demolition State Surcharge Setbacks HSE GAR ACC I P.L. I IN Is I, Iw IE VALUE r; A !JJED ~-~cq FEE lloULa) !(O()jOU 13tD1 I {oB.:i) 00 0, 4= . SQ q,(XJ, ...... 30C) &958 m.o 1...13 __3-:3-.l o.~ ...... c112.~~ \Lt.~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (~xcluding electricalye:9Log{)15 RLlj~ , a,pp,). lC\~ (A) ,\()f\~O SYSTEMS DEVELOPMENT CHARGE (SDC) ;/3 , ..#. ciS (B) 1f'Z()'3b- '^ n r" r"\ ..........'" r= r",...........I_:..........,.J\ I, IS THE PROPOS.ED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFl? If yes, this application must be signed and approved by the Historical Cool'dinator prior to permit issuance, APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condilion that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulaling the construction and use of buildings, and may be suspended or revoked at any time upon'violation of any provisions of said ord i nances, Plan Check Fee~~Lj('l_ ~ ~............... Date Paid: Receipt Number' Received \\\c;ox<-!m ~~,- --- Plans Reviewed By . 64Q~ -_: _:':~-d Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS . . C\\l)\ \QD\ ~ N,Q1 ~') - . . ~ - - I" 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 bedone 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 witllout permi~;sion 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 inspuctiof\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. Signatur~~ ~ ~ Date 1- ;J.fo- q oj VALIDATION: "/,--::<.... RECEIPT NU~ q??L:>'--J DATE pAID '0.Q3 AMOUNT RECE~E (~pjO I . ~ Q____ . Ir'\.D ,..-,r-,-..r-I\/r-r-.. I"""'l'/ ~ J ~ ./ "'"\~/' -4_ ,"__" ..' ~r" .' , ",' ~ :;;,.~:~,.. ",' ~?~~~!i' . ,B NO. Q3>1074- '-)":'-{' . , CITY OF SPRINGFIELD SYSTEMS DEVELoPMENT CHARGE WORKSHEET ... (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: j/t:.. 4 I 6NS T. ING. LOCATION: /C'J77 1.36"'N/~ !-AN€:. DEVELOPMENT TYPE: !-P/z- - NE;W $r-t!=. '-'" 3'2- - ,.j,cc;/-..E. ~ BUILDING SIZE: 1.' STORM DRAINAGE IMPERVIOUS SQ. FT. LOT S'I'ZE SQ. Ft. '2~ ~ e; X $0.203 PER SQ. FT. . 005 ~ . '- ' ------ . 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) . /% X $42.08 PER PFU 057~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ,., ; . : ~ ,rl , j. : I ~~Z8@) '-- .-/ .$ $ , / X /.oJ X $424.3.1 X X $424.31 X 4. SANITARY SEWER-MWMC NO. OF PFU'S 1& x $15.125 PER PFU + $10 MWMC ADM FEE $282 zS (Use PFU Total From Item 2 Above) MWMC CREOIT IF APPL~CABLE (SEE REVERSE) . $ 3~ ~ , : '..., . TOTAL-MWMC SDC ~4- g z2) . ~ .--:: SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 13 ~q ~ X $424.31 5, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~13--Lck- 7/2-1/13 f (! Kip Burdick ' SOC Coordinator c~~~ &/5 , TOTAL SDC $ 'Z o~fe, - " ,~ FIXTURE UNIT,CALCUL .ON TABLE~ Nu~b;~'r of New Fixture For remcx::lels, calculilte only the NET additional fixtures) )nit Equivalent = Fixture Units (!:JOTE: ." ,.0..- FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EOUIVALENT UNITS ~ 2 1 2 3 6 2 6 ,6 1 3 2 1jHead 2 2 1 6 4 '-I- Bathtub................. ......... ..... ..... ......' ,.,.... ......' ,......... ... Drinking Fountain.:.....,............. ... ..,..... ... ........... ....... Floor Drain............ ...........,........,........................ '...... Interceptors For GreasejOiljSollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub jClotheswasher.. ..... ......... ...... ... .... ...... C1otheswa~~er -.3 Or More.................:................... Mobile Hdme Park Trap (1 Per Trailer)..:............... Receptor F9r Refrigerator jWater StationjEtc.:...... Receptor For Commercial Sink/Dishwasher jEtc.. Shower, Singl e . Stall............................................ ..... 'Shower, Gang......m........... m........ .............. .............. Sink, Bar, CommerciaL.......... ........... ...................... Urinal. Stall jWall.. ..................................................... Wash BasinjLavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private.......... ... .......... ............. ........... Miscellaneo'us: 2.. , J 'Z- 1,. z 1,. i TOTAL FIXTURE UNITS )fJ 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 '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) 3."}.,! X $ /().fo (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL 'lrI, ~ Cr:edit for Parcel or land Only If Applicable = $ 34tJ~ RUNOFF COEFFICIENTS FOR, STORM DRAINAGE R esid entia!... .....;...........;..............:...... ..; .;. :....... 0.4 Commercial.......... ........................... ................. 0.9 I nd ustrial...... ...... .... ...........;....................... ........ 0.45 G ovemmental..... .................... ................. .... ..... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT