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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