HomeMy WebLinkAboutPermit Building 1994-7-19
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
I
LOT:
SPRINGFIELD
"-.36d
Luc\-\ 'C\ ~UJ...
BLOCK'
("..... -
I ~i'51.HE AND i CONSTRUCTION,INC.
-..;" 84959 PARKWAY ROAD
( ,PLEASANT HILL, OR 97455
__~C~II.?~l~
DESCRIBE WORK' 5l{:'D
NEW v REMODEL
" '
ADDITION
CONTRACTOR'S NAME
GENERAL: _
.'
.
JOB NUMBER c\L\{)9H~
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION: o..uO~ 01(. S~
PHONF'
7c;.tr:,
.38q~
ZIP:
.~b
f~
gTHER
, cONin,
CONTRACTOR'
DEMOLISH
ADDRESS
HE and i Const.,Inc. 84959 Parkway
PLUMBING: ~
MECHANICAl!
ELECTRICAL: I
I
I
QUAD AREA: j
. OF BLDGS: j
I
OCCY GROUP,
I
. OF STORIES
EXPIRES
PHONE
71158
726-3898
02/95
-
,
Pleasant Hill, Or 97455
Bills Elect r ic 3170 ill 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
WATER HEATER'
E0
----.-.-.... ' ,
RANGE: C..--"
04/95
687-1851
6BB-1931 r-
747-7445 I
r
345-7564 [
[
. SQU";RE FOOTAGE:CP~..,J
. J
06/94
12/94
03/95
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.
--~,
_ tTemporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
rn Footi~g - After trenches are
excavated. .
o Masonry - Steel location, bond
beams, grouting.
f'll Foundation - After forms are
t....p...J erected but- prior to concrete
placement.
D Underground Plumbing - Prior
. to filling trench. .
ntl Underfloor Plumbing/Mechanical
t...p..:J - Prior to Insulation or decking.
ltl Post and Beam - Prior to floor
Lf"J insulatjon or .decking.
'.1 " ,
m Floor Insulation - Prlor to . -
I decking. "
rvl Sanitary Sewer - Prior to filling
~ trench.
CfJ Storm Sewer - Prior to filling
trench.
-" .
Nl Water Line - Prior to filling
I trench. , .
. -..'...;.
I')(] Rough Plumbing"':' Prior to
/ cover, .
REQUIRED INSPECTIONS
rn Rough Mechanical ~ p~i.or to
LpJ cover. . ' . .
~:' ~
rv'l Electrical Service - MusLbe
LAJ approved to obtain permanent
electrical power.' .
o Fireplace - Prior to' f~cing
materials and framing Insp.
flJ Framing - Prior to cO:,~~r.
,
"
r\11 Wall/Ceiling Insulat!~!1. ..:.. ~rJor to
~ cover. . .
f7J Drywall - Prior to {a~~g;" ,
. . '. ~. -, '
D Wood Stove -' After installation.
rn Insert - After fireplace approval
and Installation of unit.
,rtr, Curbcut & Approach "':':':'After,
~ forms are erected but, prior to
placement of concrete._
D Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material In place.
.. . ~
o Fence - When com~leted.
~ ... .'" ,
f\Jl Street Trees - Wh.e~ ,all; required
I trees are planted. . .!' (~ I ~
....1
r'f1 Final Plumbing - When all
~ plumbing work is complete.
r1l Final Electrical - When all
~ electrical work is complete.
rv1 Final Mechanical - When all
~ mechanical work is complete.
CfJ Ffnal Building - When all
required Inspections have been
approved and building is
completed.
.....
{
DOther
. " ~
.; ~.; .
MOBILE HOME INSPECTIONS
D Blocking and Set,Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.: ._'
D Electrical Connec'Iion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
,,' ":'" ..~~.. ~J 'f.1 Mf
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot Type
~'lnterlor
.;---
Lot sq, ftg,
, .
~
Lot coverage
Corner
Topography _
Total heig(~
,BUILDI~- PE'RMIT
ITEM SQ, FT,
Main " . I~lox
41 al
Panhandle
Cul.de.sac
Setbacks
HSE' GAR Accl
I
I
I
,H " I
.
PL
N
Is
lw
IE'
'}!fr2.0" \t~
14.\U
\ \~~~
~,QQ.
\ '6.=
Lj'l~.~
SYSTEMS DEVELOPMENT CHARGE (SDC)
f.zZ6,1.S0
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
~'lt; ~
(A)
Total Fee
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' 0
Sanitary Sewer FT,
Water FT,
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
:;~\\:I~
(C)
Totai Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
'4
I"
I
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
\
\
Mechanical Permit
Issuance
State Surcharge
Total Permit
'1. "(,,~~
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk Co~
Curbcut ~6
ft
ft
Demolition
t~~~
"
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical,
(A, B, C, D, and E Combined)
FEE
I ~~.s:c
\ '1 ~~
Il2.
1. -
5 'w
~a i. SI
~.~
LJ,s.o....
I :2.0!L
15. <a2..
3.~
l{O.~
lO.~
&.~
--l.'~
s~_
I q. J2..
I '3.. ~
~~q. (,(JJ.
33.~
?:0S <o,~
.
\ IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
if yes; this application must be signed
and approved by the Historical
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 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.
Plan Check Fee: a. qq. Q:2..
,.
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
,A,,\-- -r'. \qwm
~cM\ i\OU- DC) to '\ : ,Qf1S
- "
\ ~~ \
/"'"
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 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.
Slgnature_ ~,Jd/l....f{_:}'h._ ~
T
Date {;. -/7 -q <f
VALIDATION:
RECEIPT NUMBER
DATE PAiD
I '("J 72-
7-/5'-"Jcf
3.l\ 9. 'Lcq,
~~
AMOUNT RECEIVEf'
RECEIVED BY
~,
.
.
9-f oF9' 7
CITY or- SPRINGFIELD SYSTEMS DEVELOPMENT,CIl^RGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NANE OR COr1PANY: J..t;, ~
LOCATION: 2 302 '2..rr~ 1).,.
,
DEVELOPNENT TYPE:. 5;=Jt
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
lOT SiZE
SQ. Ft.
ZIt:, ~
X SO.203 PER SQ. FT.
~3?:2 ;)
,<......... .-/'
2. SANITARY SEWER-C ITY
NO. OF PFU'S
(See R,everse)
3. TRANSPORTATION
23
X S42.08 PER PFU
~9C, t,f"~
'-- ..-/
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X S424.31
~2~SV
S
S
}
X /".cJ/ X S424.31
X X S424.31
4. SANITARY SEWER-MWMC
NO. OF PFU'S 23 x Sls.12s PER PFU + S10 MWMC ADM FEE S 3s"1,(ff'F
(Use PFU Total From Item 2 Above)
MWl1C CREDIT IF APPLICABLE (SEE REVERSE) S 34,03
TOTAL-MI.mc SDC ~_ '
, ~J~-_/'
SUBTOTAL (ADO ITEMS 1,2,3 & 4) S 2.15-"1..53
S. ADMINISTRATTVF FFFS
~...--' - - -..
BAS~C~ (S'-j1"AIfA?oVE) X .05 ' ,
~h /% h -1-/-7'fZ-
/' i-:~";flu.J;~;" V
/ SD~oordinator ,
Co-r,~
TOTAL SDC S 22(, r.so
r
flXI UHt:. UNI. \....I-\L-VVL...I-.VI. Ir'\'-I"-L.-. nll"'..'I,."j ....1.'...... "..........,
For IcmOO":S, c,,:,lcul:it"c only the ~Jdi;j(lI\;11 fi...ioll..':.)
, I<l'l.'.GEfI OF L':~lr FIXTURE
FIXTURE TYPE NEI'II'IX1URES CC'L'I\'/,LE1H Ul-JlfS
!3athlub................,..............,..,..,.. ",.................,....,..,
Drinking F ounl:!in..,......, ,..".... ...........',..,.. ........, , ....',
Floor Drain"..,..,..,..,..", "..", ,",' ',..,' .."...., ,','" ..',..'"""
Inlerceplo~ For Grease/Oil/Solids/Elc................,
Inlercepto~ For Sand/',uIO Wash/Elc.................,
Laundry Tub /Oolhe swasher, .....',.. ......,.. ,.,..,........,.
Ootheswa~er - 3 Or More,....................................
Mob~e Home Park Trap (1 Per Trailer)..............,...
Recep!or F9r Refrigerator (Water Slation/Elc........
Receplor For Commercial Sink/Dishwasher/Elc,.
Shower, Single,Slall...............................................,.
Shower, Gang,...................................................:.....
S!nk, Bar, Commercial,..............................,.............
, Urinal, StallfWall.............,..............".........................
Wash Basin/Lavatory, Single.........................,........
Water aose~ Public Installalion..........................,..
Water Oosel, Private,.............."............................,.
Miscellaneous:
2.
"
4-
/
3
6
2
6'
6
1
3
2
l/Head
2
2
1
6
4
-:{
/
'2.
3
'3
':I:
/2.
TOTAL FIXTURE UNITS
=
;).3
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation dale in table
calculate credhs separates.
Year Rate per $ 1,000 Year
, Annexed Assess~:l Value Annexed
1979 or before 53.21 1936
1980 3.13 1937
1931 3.03 1938
1932 2,95 1989
1983 2,82 1990
1984 2,63 1991
1985 2.51 1992
Rate ~r $1,000
Assessed Value
II
$ 2,24
1,93
1.57
1.113
0.79
0.44
0.28
'i
Improvement (If after annexation date)
'"3.2. / X S It>. ~ en:>
(Rale X Assessed Value)
X S
(Rate X Assessed Value)
CREDIT TOTAL
=
311.03
----
..
Credit for Parcel or l.a.nd Only If Applicable
=
= $ "5-1-."3
.'
'.
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid ent iaL............................. ........................ 0.4
CommerciaL................................................... 0.9
IndustriaL............. .......: ....... ...................... ...... 0.45
GovernmentaL..............................,.................. 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT