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HomeMy WebLinkAboutPermit Building 1993-4-9 cif~~~1 {/~~ JOB NUMBER Of 2Cf31~ . 225 Fi fth Street Springfield, Oregon 97477 .~ " -...,... fiiESIDENTIAL PERMiT APPLICATION Ins pections: 726-3769 Office: 726.3759 190/ LOCATION OF PROPOSED WORK: ASSESSORS MAP: TAX LOT: WJ..O&"- ~Uvt..Jcj 33 SUBDIVISION: BLOCK: LOT: u_, I 1J~1o 3~crg PHONE: OWNER: HE AND i CONSTRUCTION,INC #71158 84'35'3 Pax kway PLEASANT HILL,OR '37455 ADDRESS: ZIP: CITY: )( r/la-p~(1 (!?J ..sFp DESCRIBE WORK: N EWV DEMOLISH OTHER ADDITION REMODEL CONST. CONTRACTOR 1/ EXPIRES ,F'1j()i'Jj: ADDRESS CONTRACTOR'S NAME " GENERAL: I PLUMBING: I MECHANICAL: J I I 726-3898 02/95 84959 Parkway 71158 Pleasant Hill, Or '97455 I r \ i , HE and i Const"Inc. 687-1851 04/94 Bills Electric 3170 W 11th, 21351 Eugene, Or 97402 Don Lewis Plumbing 500 Greenfield 33076 Eugene, Or 97404 Marshalls Oil & Ins. 4131"E"St, 25790 Springfield, Or 97478 Brooks Excavation 27661 Crow Rd 55921 Eugene, Or 97402 , ELECTRICAL: , I OUAD AREA: ~: 1 I OCCY GROUP: ~ 1/ OF STORIES: ~ WATER HEATER: J I 688-1931 06/93 747-7445 f i II OF BLDGS: 12193 345-7564 03/94 ", .- ---! 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. REQUIRED INSPECTIONS ~T~&{,DooJn;cl D Site Inspection - To be made after excavation, but prior to setting forms, '" ' -0 Final Plumbing - When all ( plumbing work is complete. rA Final Electrical - When all ~ electrical work is complete. rr<2inal Mechanical - When all It:1 ~echanical work is complete, ~ough Mechanical - Prior to ., cover. ~ROU9h Electrical - Prior to r cover. ~Electrical Service - Must be approved to obtain permanent electrical power. 0, Underslab Plumbing/Electrical1 Mechanical - Prior to cover. rg7~o, oting - After trenches are ( excavated., D Masonry - Steel location, bond beams, grouting. ~OUndatiOn - After forms are " erected but prior to concrete placement. " ~nal Building - When all Gt1 Fireplace - Prior to facing {""'fequired inspecti.on,s h~ve been r materials and Jrami..':'g.l~p~ A" J approved and bUilding IS z,...QJD (IOOe.J..}l.{).A ~ completed., tA Framing - Prior to cover. ~ "D Other '~WaIl/Ceiling Insulation - Prior to ( cover, ~ Drywall - Prior to taping. D Underground Plumbing - Prior to filling trench. , MOBILE HOME INSPECTIONS [s;zt un~~~~~~~ ~':~~~:i~~,1 ~re~~~~i~~~ ~ost and Beam - Prior to floor / insulation or decking. r::;zp'Floor insulation -=- Prior to '-t' decking. ~ani!ary Sewer - Prior to filling T trench. r::;?( Storm Sewer - Prior to filling ~ trench. " : I Wood Stove - After in.stall8.tion. D Blocking and Set.Up - When all blocking is complete, D Insert - After fireplace approval and installation of unit. D Plumbing Connections - When home has been connected to water and sewer. ~' Curbcut & Approach - After forms are erected but prior to placement of concrete. o Elect~ical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. q:z;f Sidewalk & Driveway - After ( excavation is complete, forms' and sub.base material in place. D Fence - When completed. G,A'water Line -:- Prior to filling ( trench. ~ROU9h Plum'bing - pri~;'.to ~ cover, D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. i</fY. treet Trees - Wh.er:. all required Tt'ees are planted, .' Lot faces Lot sq, ftg. Lot coverage Topography \5/ Total height BUILDING PERMIT ITEM sa. FT. ~ ~\~ Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Lot Type Interior Corner Panhandle Cul,de-si1c ~~@ t~:V (A) Setbacl<s HSE GARIACcl I I -HE PROPOSED WORK IN..t:f1E' , , , h ,STORICAL DISTRICT, OR ON" THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance, I P.L, N S I I 'tV , ! , i~~- ---l----,L-- IE, I ~~LU~~ }- ~~- a~1,_B1 .~PA(iJ ~ 40 ~5\~ SYSTEMS DEVELOPMENT CHARGE (SDC) $ J:J 'Z:z. (B) Fr IqoS -- PLUMBING PERMIT ITEM Fixture? Residential Bath(s) > Sanitar'y Sewer' Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan NO A , FT. FT, FT. (C) NO 3 Wood Stoveilnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERM!TS Mobile Home State Issuance State Surcharge Sidewalk ,'1 D ft Curbcut t>- ~C ') ft Demolition ~te Surc~~~ (\ \, ;VOJ) .'Y\Clf\,-L FEE iliA') PJ ti. ~OfX? F\ tV ttBcO \. ' tb 7. l c/'\ (" V q' (j) r:;<cf) \: )W ~~. [~I)SD .\C?:~ 49.~ ~m ~):cD APPROVED: BUILQING VALUE, PLAN CHECK AND BUILDING PERMIT ' This permit is granted on the express condition that the said const'ruction shall, in all respects, conform to the Ordinance ad'opted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at anytime uppn violation of any roViSiO;\\rst; ~rdi~ances. Plan Check Fee: JL-/ Date' Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS 0J)fl,:6tff.iuS\R~ \_~J\V{~JJ~]_)\. (qll:) GP1th 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 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 arthe proper time, that each address is readable "'frc.ro.' the 3trc:~t, th3i tr.e permit card .is IOC3t~d at the_front of the property, and the approved set of plans will remain on the site at all times during construclion, Signatur~~ if In '~{..}1 ;1; '} Date VALIDATION: ~~':,:'~~ Total Miscellaneous Permits (E) ,~ \ TOTAL A",ioUNT DUE (excludin'g electriCal)~dLor::5C(XJ i (A, 8, C, 0, and E Combined) - . --~- ----- I ZS~7 DATE PAID_ ~"'?-~9" " AMOUNT R~CEIVED~,-,\, _, 6], '~, _-5~'t5~.- Rr:.CEivEu'BY _____ ~----- . RECEIPT NUMBER CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE W,ORKSHEET . , . . (COMMERCIAL & 'RESIDENTIAL) , " '{i~' . !~ " . . ,.,JOB NO~iq~o~1<6 ~;~ NAME OR COMPANY: !Ie 4 r CD~c;,-r~UG1(DJJ. TNc.. . LOCATION: /Cf57 8c^-l^"E LANE:- LoT ~? - tJ, c..OLE: FA/Z-K DEVELOPMENT TYPE: /1Jr.. ~ NE:..W SF/2. BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ZSoS . X $0.192 PER SQ. FT. c0<<OV 2. SANITARY SEWER-CITY . NO. OF PFU'S (See Reverse) (9) . X $39.78 PER PFU G/(lpo7) -------- -------- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ( X (,ooS X $401.05 00~v X X $401.05 $ 0, X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ ! 000 o~ 4. ADMINISTRATIVE fEES BASE CHARGE (SUBTOTAL ABOVE) X .05 0D9 TOTAL-CITY SDC $/fo9,O~!:.. 5. SANITARY SEWER-MWM~ NO. OF PFU'S /<6 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 25S'~ (Use PFU Total, From Item 2 Above) 0~~LL 'u Kip Burdick SDC Coordinator ~ l'Zt/-/17:J , I b'6 $ ;c- .TOTAL-MWMC SDC~~~ TOTAL SDC $ /Q052...3::. MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Un. ,--luivalent =' Fixture Units (NOJiE,:~:' For remodels, calculate only the NET additional fixtures) . ,. ,~ > ' FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS I 2 tf 1 2 3 6 2 "2- 6 6 1 3 2 1/Head 2 "L 2 1 Z- 6 4 ~ Bathtub........... .............. ........................................ ..... Drinking Fountain..................... ..... ........ .,... ........ ...... Floor Drain..... .... ........ ............................ .... .......... ..... 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 Sink/Dishwasher/Etc.. Shower, Single Stal!... ..... ... .:.. ............ ...... ..... ........... S hower, Gang......:.... ........................ ....................... Sink, Bar, Commercia!............................................. U ri nal, Stall ;Wall.... ,.................................................. Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private....... ........,. ,..................... ........ Miscellaneous: 9-.' 2-- 1.-- TOTAL FIXTURE UNITS /'6 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed 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 $2.16 1.90 1.60 0,25 0.87 0.50 0.16 Improvement (if after annexation date) -Z.ls"$ X $ 10. (, (Rate X Assessed Value) , X $ (Rate X Assessed Value) CREDIT TOTAL ~~ Credit for Parcel or. Land Only If Applicable - =$ ~~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE R esid ential........................................................ 0.4 Com mercial...................................................... 0.9 I nd ustrial........................................................... 0.45 Governmental.................... ................. ...... ........ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT .-- LP~/ . tlJi ,_~,:\~,::/_''/''''/~EeTRICAL PERMIT A:PLICATION r) :v'jll~Y City Job Number q,-~{)(3'7 C\ I.{/, A\)~e ,)',,\.6./" c\ S\9;f\'" ~o<<~ 3. COMPLETE PEE SCnEDULE BELOY LjWJ;.9NIfP ~SI~LA1'I<ON \>-\)'I: Vf/)'I0fl~i' UU..O J . 225 FIFTH STREET Sl'IUNGFIELD, OREGON INSPgCTION REQUI~ST: OFFICE: 726-3759 ,'r:' _\~,.,( \ . 1..0'" ,- p\' 97', 77 \}.VV'~ 726-3769 1. LEGAL DESCRIP'rION <::.':JOnr>>~ES~P'fION _~ A <... ').. r- - ~.i J:V...r JlJl.. flIlo J Permits are non-transferable and expire if \Iork is no t s taned within 180 days of issuance or if \Iork is suspended for 100 days, 2. CON1~CTOR INSTALI~TION ONLY B. Electrical ContractorJ3;JJ~ ?=" }~c.i:rJ..C- Address0170 1.,( J, sf \ rth I Ci-tY~Q Phone3ij3/.2,~-:::S Supervisor License Number 7tJ ~4f - Expiration Date /o")-ez3 Constr Contr. Number 2.-/.35 t Expiration Date Ll-/- Cjl/ ~ ./' Owners ~rn Q ~ I r ~ 0' D. Address B4:ClSQ (~1Uu~ ci~~,~i~ PhoncJ9Jrr~ OYNER INSTALLATION The installation is being made on property I own which is not intended [or sale, lease or rent. O....ners Signature: I _~_____________________________________ '! . DATE: RECEI PT >>: ltECETVED BY: '/-9-9~ ~~~ 2__ ,~_....~ -, ~ New Residential-Single or Multi-Family per dwelling unit. Service Included: A. Items 1000 sq.ft. or less I Each additional 500 sq. ft or portion !) thereof C...J\ Each Manuf'd nome or Modular D\lelling Service or Feeder 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 Cost Sum $ 85,00 ~ :::i) $ 15.00 $ 40,00 $ 50.00 $ 60.00 $100.00 $130,00 $300,00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 $ 55.00 $ 80,00 volts see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Com~ One Ci,rcui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40,00 $ 40.00 $ 20,00 $ 36,00 'I a) ( ~. -,,-5. 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