HomeMy WebLinkAboutPermit Building 1993-11-22
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORt<'
ASSESSORS MAP'
~7
LOT'
.' SItnu. A ~ dO(., q dlnlkL
JOB NUMBER ' "CJ3l5'71
/
SPRINGFIELD
(fXl+ (J Ie/{)6
225 Fifth Slreet
Springfield, Oregon 97477
BLOCK'
TAX LOT'
SUBDIVISION:
tJ/wu.. \~
)
~:
#71158
OWN~R:
ADDRES
HE AND i CONSTRUCTION,INC
84959 Parkway
PLEASANT HILL,OR 97455
CITY:~
DESCRIBE WORt<'
SFD
NEW v
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL: ~
HE and i Const.,Inc.
PLUMBING: ~
MECHANICAL: !
ELECTRICAL: J
I
I
f
._. J
OUAD AREA:C;
Bills Electric
Don Lewis Plumbing
. OF BLDGS:_
Marshalls Oil ~ Ins.
OCCY GROUP:
. OF STORIES:
Brooks Excavation
WATER HEATE.
"
DEMOLll:?H
OTHER
21351
33076
25790
55921
PHON~'
*'
;- ,
-~
ZIP:
CONST,
CONTRACTOR .
r
ADDRESS
84959 Parkway
PI easant Hi 11 ,
71158
Or 97455
EXPIRES PHONE
02/95 I
72E,~?898, \
04/94 I
687-1851 I
I
06/94 688-1931
12/93 747-7445 I
I
03/'34 345-7564 I
P=
----~~-~-
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.
~ Temporary Electric
.
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab PlumbingJ ElectricalJ
Mechanical - Prior to cover.
rn
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
[J2) Foundation - After forms are
t' erected but prior to concrete
placement.
o
Underground Plumbing '-Prior
to filling trench. . .
[ZJ
Underlloor Plumbing/ Mechanical
- Prior to'Jnsulation or decking.
[dt] Post and Beam - Prior to floor
Insulation or decking.
IX] Floor Insulation - Prior to
decking.
[Jl Sanitary Sewer - Prior to filling
trench.
~ Slorm Sewer - Prior to fitllng
74-l trench.
I
rYf Water Line - Prior to filling
L.,.L1J trench.
r7Y1 Rough Plumbirgi .~' Prior to
l,l:!..J cover. .
3170 W 11th,
Eugene, Or 97402
500 13reenfield
Eugene, Or 97404
4131"EIlSt.
Springfield, Or 97478
27661 Crow Rd
Eugene, Or 97402
.... 'I' H"_'.
REQUIRED INSPECTIONS
[::&:J Rough Mechanical - Prior to
cover.
~ Rough Electrical - Prior to
LA cover.
fJ/l Electrical Service - Must be
L.t{.J approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp.
!XI
Framing - Prior to cover.
1Zl Wall/Ceiling Insulation - Prior to
cover. .
!ZJ Drywall - Prior to taping,
o Wood Stove - After Installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
[1J Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When completed..
!Xl
Streot Trees -. When alt required
trees are planted., . \' . .
,
[2] Final Plumbing - When all
plumbing work Is complete,
W Final Electrical - When all
electrical work is complete.
~
Final Mechanical - When all
mechanical work Is complete.
IX]
Final Building - When all
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and' Set-Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
. .
Lot faces 41L? Lot Type Setbacks IS THE PROPOSED WORK IN THE
I P.L , HSE'GAR'ACcl , "
Lot sq, flg, ;'I/O.:!) ~ Interior HISTORICAL DISTRICT, OR ON f\j'J
IN I THE HISTORICAL REGISTEF\.?
Lot coverage /~ Corner 5'"7 If yes, this application must be signed
Topography c::S-~p Panhandle Is sy' I and a p proved by the Historical
Total height ~/ Iw /1' I I . Coordinator prior to permit issuance.
Cul.de.sac I
IE /'2 '1/2' I
APPROVED'
lO~ ij~:2.~'
ij~4. 7~~
2/.99
~/ 7C/
SYSTEMS DEVELOPMENT CHARGE (SDC) ft'
(B) , ~Z?O"l.1t:J.
BUILDING PERMIT
ITEM
X $/SQ, FT.
~2'?
.L,I././ C
Main
SQ, FT,
/7/-::J
~?7
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Tolal Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' ~
Sanitary Sewer FT,
Water' FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N' s//.3
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk ~ / fl'
Curbcut -:::?L/ It
Demolition
State surc~ar e
J?LA# EV/EifV ff-e-
.' '
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
VALUE
%7~.6<>
-t}. I ~L.2t::>
FEE
/~.2~,
/"'7::>.'<;;>,::.
4':::;'~
"2.t>Z./3'
,6.-
,4-/.5'0
/:2..-
7'~
::2-<' St!::>
/P.-
/.~
~?;.~
1'/.6"5"
/?.66
(,IL) _4<>
68.?~
'307 /. ~7
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 01 Sprlnglleld, 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' ~,,'\\n ~ "lI. ~
Date Paid:
Receipt Number
,
1/~.r;''73
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
\ 0\.4\ : \tJ~ beD ~ \C.cQ
~~Q}l ~ 'n1o); \C\f)~ '
. ,
-~\ 1 i 1\ '[\N~, -St. cf1 0 I ~ y.J) u
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 Ordinanct!s of the City of Springfield, and the Laws
of the State of Or~gon 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
f~om the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
o e site at all times during constructlon.
Datp
VALIDATION: ~
RECEIPT NUMBER I ~ \9- \
DATE PAID l ~ . 4. ri-,' ~ "\
AMOUNT REC~[1 ~Z S'tt:J 07
RECEIVED BYO\. ILUJ
'.
&B NO.'1:;/'5/1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: /-Ie i I CONSt. 'XNC,
LOCATION: 7-':?oB L.oCH DR..,
DEVELOPMENT TYPE: LOll- - Ale.w S,:/z.
Allc.o/....c - Lo-r?/
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ, FT.
LOT SIZE
SQ. Ft.
'2.?'2-'1
X $0.203 PER SQ, FT.
~ 'In, -15:')
'-- -------.
2. SANITARY SEWER.CITY
NO. OF PFU'S
(See Reverse)
'2.3>
X $42.08 PER PFU
~101 ~)
'-- .-/
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X 1.01
X $424.31
X $424.31
X $424.31
~Z8~~
'-- --,'
.$
$
X
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S, Z? x $15.125 PER PFU + $10 MWMC ADM FEE $ 3'5-' i']
(Use PFU Total From Item 2 Above)
SUBTOTAL
$ :1.7..J D ?
TOTAL-MWMC SDC ~
(ADD ITEMS 1,2,3 & 4) $ 2Iq?"'~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V' '" -:p-, ~L.k. \O/zl/&f~
<J Ki p Burdi ck I
SDC Coordinator
6101'~
........ "../
TOTAL SDC $ 'Z'?o'2.. "2-
,FIXTURE UNIT ,CALCU~N TABLE: Number of New Fixtures .it Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.. ......'".., ,.. ,...."""""""""..,,",""""""",....,..,
Drinking Fountain,....,..""""""...."""".."",..",..""..,
Roor Drain.....,..,,""..,.."""""""" """"".."".."",..',..
Interceptors For Grease/Oil/Sollds/Etc..,..............
Interceptors For Sand/Auto Wash/Etc......,........,..
Laund ry Tub /Ootheswasher. ,..,..,....',........,..... ....,..
OotheSwa~her - 3 Or, More...............,..........,..,....,..
Mobne Hdme Park Trap (1 Per Trai"~r)....:,:..........,
Receptor F9r RefrigeratorJWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single 'StalL.., ,........,......,..,........",..............
Shower, Gang,......,......"........,..,.., ",..,......""....."....
Sink, Bar, CommerciaL..,......,....,....,........,..,.."......"
Urinal, StaIlJWall,........,........,.."..,....,.."......".."......"
Wash Basin/Lavatory, Single.............,................,..,
Water Ooset, Public Installation............,...............,
Water Ooset, Private,........,........"",....................,..,
Miscellaneous:
/
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
I
,
?
?
TOTAL FIXTURE UNITS
=
2-
-z..
-z.
'2.
'?
("l-
'Z.'?
Based on assessed value, If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates,
1\
Rate per $1,000
Assessed Value
Year'
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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. .." '2,/, .3
Credit for' Parcel or Land Only If Applicable ;J,... X $ /0, b ;;7-r
(Rate X Assessed Value)
Improvement (If after annexation date) X $ - =
(Rate X Assessed Value)
= $ 2..' / 0_3
CREDIT TOTAL ;/-r
S 2,24
1,93
1.57
1.18~
0,79
0,44
0.28
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential"."...............:.........:'."""..,.:.,..,...:.... 0,4
Commercial,......,........,..,......,....,.....,.....,..",..". 0,9
Industrial..............................................:............ 0,45
GovernmentaL................................................. 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
ij