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Home My WebLink AboutPermit Building 1993-10-28 RESIOENTtAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 LOT' OWNER . ~ SPRINGFIELD (q~) ~ ~~~ro .eOt\t'\1~. . ' JOB NUMBER <13 \552> f.)~IVE. 225 Fifth Street 'Springfield, Oregon 97477 BLOCK' TAX LOT: SUBDIVISIONJJ/f{)/ f. P,Q rt: fl asl A 0 0 ~: #71158 ADORE: HE AND i CONSTRUCTION,INC 84959 Parkway PLEASANT HILL,OR 97455 LOCATION OF PROPOSED WORK,~,DJ /...{)(..)'/ ASSESSORS MAP: -r Ii IC~ SQl5 kJ€"'14 .57 CITY:_ Ol=-() DESCRIBE WORK' J REMODEL ADDITION NEW CONTRACTO,fl'S NAME GENERAL: _ PLUMBING: _ MECHANICAL: J ELECTRICAL: J I HE and i Const.,Inc. Bi 11 s El ectr i c r QUAD AREA:Q, . OF BLDGS: J OCCY GROUP: ~ \ . OF STORIES: ~ WAT~R HEATER:l Don Lewis Plumbing Marshalls Oil & Ins. Broo~~s Excavation F' DEMOLISH OTHER PHONF' 1~b-,"3,ll'1R CLCfI.- 7(....4- 7 ", ADDRESS CONST, CONTRACTOR' ZIP' * , 84959 Parkway 71158 Pleasant Hill"or 97455 3170 W 11th, Eugene, Or 97402 500 Greenfield Eugene, Or 97404 41311lE"St. Soringfield, Or 97478 27661 Crow F.~d Eugene, Or '37402 EXPIRES PHONE 02/95 725-38'38 21351 04/'34 587-1851 I L 33076 05/'34 588-['331 25790 12/93 747-7445 r r r r L 55'321 03/'34 345-75EA 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. Kl Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. "h:ti Footing - After trenches are r excavated. D Masonry - Steel location, bond beams, grouting. t . 'btl Foundation - After forms are ~ erected but prior to concrete pI aeemen I. o Underground Plumbing - Prior to filling trench. 'r5t1 Underfloor Plumbing/Mechanical P _ Prior to Insulation or decking. ~ Post and Beam - Prior to floor Flnsulation or decking. 'f'xl" Floor Insulation - Prior to r decking. fill Sanitary Sewer - Prior to filting Ftrench. r7"l Storm Sewer - Prior to filling ~trench. F;(3-Water Line - Prior to filling r trench. fc/t. Rough Plumbing # -\ p;ior to l,o.L cover. l' REQUIRED INSPECTIONS \J'7'1 Rough Mechanical - Prior to d Final Plumbing - When all ~over.~ (\O()())~ plUmbing work is ~omPlet.e. i:::/f Rough Electrical - PrIor to m Final Electrical - ~hen all ~over. ~Iectrlcal work is complete. m Electrical Service - Must bel' r approved to obtain permanent electrical power. . D Fireplace - Prior to facing materIals and framing Insp. , ~raming - Prior to cover. Wail/Ceiling Insulation - Prior to cover. I JztDrywall - Prior to taping, o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. ~...curbcut & Approach - After p forms are erected but prior to placement of concrete. Midewalk & Driveway - After ~xcavation Is complete, forms and sub.base material In place. D Fence - When completed. ~ Street Trees - When all requIred .~ trees are planted. , , ' M Final Mechanical - When all ~mechanical work Is complete. ~Final Building - When all r-requlred inspections tlave been approved and building is completed. D'Other MOBILE HOME INSPECTIONS D Blocking and Set,Up - When all blocking 15 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 and porches, skirting, decks, and venting have been installed. . . - -. Lot faces Lot Type Setbacks ~'" IS THE PROPOSED WORK IN THe Lot sq, ltg, ~ I P,L. HSE GAR'ACCI HISTORICAL DISTRICT, OR ON Interior IN I THE HISTORICAL REGISTER~ Au" Lot coverage ~O ~ Corner I~ If yes, this application must be signed L:2'fo Is I and a p proved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Total height lfi" Cul.de.sac ~ IE I~ 1:2- I APPROVE'" BUILDING PERMIT so, FT, [5[0 () 0!J(o X $/SO, FT, = VALUE ..::f/.p ,2f) (& ki{ / /1./0 YJ 41 (p , ITEM Main Garage Carport Total Value At. Q.Yt) ~cv \Q4-0 4f),1 40 Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHA~GE (SDC)~ , (B) "ZD"6....~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ Jld) ,CD Sanitary Sewer FT, Water FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge lion ,eX? f) .00 I (oR .CO ~,~ q~ \.::) ,LU '~~ ex) Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' '-~ Wood Stove/lnsert/Flreplace Unit Dryer Vent MechanIcal Permit ~/.~D trJ,W \ PR q-q,~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surch\ar~J1 Sidewalk \ \01 Curbcut ~. Demolition It ~~ \rD \,3,\QD It St~7 Surcharge /!/hJ AJa//Ct<J , . ~/J ,CV Total Miscellaneous Permits (E) ~11L2'L ~ TOTAL AMOUNT DUE (excluding electrical)' 00 (A, B, C, 0, and E Combined) _ 7"j'~CJ 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. Pfan Check Fe~' fu ,_~tiI),,~ Date Paid: \ Receipt Number Received By: ,/Y~ (~ ~s"'/ Plans ~~:;d By , 1b,,(z.S(?J Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~fI 0 II . \'YY\ JL '. \a.f\~ \ ~.-\T: \l\D~\"f\ ({(I ,~f'(\. Gy. ~?t) bJ\,"()'{Y\ \ A)i \\0 ffif) Inn.!L: S\\0J J ,~TN 1 By signature, I stale and agree. that J 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 OAS 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 ~n the site at all times during c~nstruftlon~ )(;;Ignaturc A AA(./'....~~ -<A~ .' . . --- I/")/ (J! I y ~ r - Date VALIDATION: RECEiPT NUMBER {0105 DATE PAID {() ~.qQ.., '/" AMOUNT REa~IVE .r9,'~ , .' \ \ RECEIVED BY Ijn/ , " ..- ... . '. JOB NO. 9'71'=:''''6 . ,.' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f-fE:: ~:r Co\JST. I\Jc... LOCATION: "'2'701 Lou-!. 1'12.- DEVELOPMENT TYPE: LO!'2- -NEW SFl2- t-.1 \CO L.t::. f1..lUC.. - Lo T C;" BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. _ -z.., oG:, LOT SjZF SQ. Ft. X $0.203 PER SQ. FT. ~<?<4"'?~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S \'b X $42.08 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \.0\ , X $424.31 - X X $424.31 X X $424.31 4. SANITARY SEWER-MWMC ("tCS, ~~ '-... ~ ~4U)~~) <......... .-/ $ $ NO. OF PFU'S \ 'is x $15.125 PER PFU + $10 MWMC ADM FEE $ -z.B"'2. 7.2- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ "?,-\O'?> TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $\"1 f>"? "'~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~'..... ~~J..... \o/'-+/9~ , (j Kip Burdick I' SDC Coordinator G"'1"1I!) ~ ." TOTAL SDC $ 'Zo ~'2 - \ " FIXTURE tJNIT:CALCULA .N TABLE: Number of New Fixtures X. Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional flxtures) # .. '-. NUMBER OF UNIT FIXTURE FIXTURE TYf'E NEW FIXTURES EOUIVALENT UNITS z. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 4- . ," Bathtub,.. ....."..",... ,..,..,....""...."""......,',..,"",....,",.. Drinking Fountain..,..,..,..""....,....""""""".."..,',....,' Floor Drain....,......., ,..,..,.... ,..,.."".."....",...., ,.."",...." Interceptors For Grease/OiIjSollds/Etc................, Interceptors For Sand/Auto Wash/Etc................., Laundry Tub /Ootheswasher......,.."....,.... ,.., ..... ..".. Ootheswa~er - 3 Or.More,......:...,....,..,................. Mob~e Hdme Park Trap '(l'Per'Trailer)....,............. Receptor Filr RefrigeratorjWater Station/Etc..,..... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single 'StalL................., ,...... ........ ...... ........ Shower, Gang.................,.........,.."........,.."........".... Sink, Bar, CommerciaL.............,........,....,............... Urinal, StalljWaIL.............,....,....,...."..,....,........"..,.. Wash Basin/Lavatory, Single.....................,............ Water Ooset, Public Installation............................, Water Ooset, Private....,.....,..,......,...........,..,........,.. Miscellaneous: z. ?- ~ ~ ?- -z- ?- ~ TOTAL FIXTURE UNITS = 1'1. CREDIT CALCULATION TABLE: calculate credits separates, II Year I Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Based on assessed value, If improvements occurred alter annexation date in table, Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value L $3,21 3.13 3,08 2.96 2.82 2.68 2.51 t986 1987 1988 1989 1990 1991 1992 S 2,24 1.93 1.57 1.18 0,79 0.44 0,28 Credit for Parcel or Land Only If Applicable Improvement Crt after annexation date) "'7."2-\ X $ Ib.b '7;,4 OJ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ ~-+.~ RUNOFF COEFFICIENTS FORSTORM DRAINAGE Residential............,.......;....,.,....,....~.,.....,.......... 0.4 COmmercial..............,.....,...............~.........,....,.. 0,9 Industrial..........................,.,....,..,.....,......"..."... 0,45 GovernmentaL......,.......,........,................"...,.., 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT