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HomeMy WebLinkAboutPermit Building 1994-3-16 .RESIDENTIAL PERMIT APPLICATION - Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT: 3 SPRINGFIELD ~3 1(,,, L-Oc.. \-\ ~ R... BLOCK' OWNER:, ADORES CITY:_ 0000 . HE AND i CONSTRUCTION,INC .#71-158 84959. Parkway, PLEASANT HILL,OR 97455 L ,HE and i Const..lnc. 84959 Parkway Pleasant Hill, Or 3170 W 11th, Eugene, Or 97402 500 Greenfield Eugene, Or 97404 Marshalls oil & Ins. 4131"E"St. Springfield, Or 97478 27661 Crow Rd Eugene. Or 97402 RANGE: "r7 DESCRIBE WORK' ~F'l'\ NEW oJ REMODEL ADDITION CONTRACTOR'S NAME GENERAL: _- ,PLUMBING: I , I MECHANICA I ,ELECTRICAL Bills Elect r ic Don Lewis Plumbing QUAD AREI I . OF BLDGS OCCY GROJ I . OF STORII I Brooks Excavation WATER HEATER: y/ ./ DEMOLISH OTHER . '~~.7 '~:CBl \ ADDRESS CONST, CONTRACTOR' JOB NUMBER 225 Fifth Street, Springfield, Oregon 97477 , TAX LOT: SUBDIVISION' RW5r /U ,Pt<. SOllil4 PHONE: 7~1o 3g<:;~ 71158 97455 21351 ZIP' EXPIRES PHONE 726-3898 r r 687-1851 r L 688-1931 747-7445 r 345-7564 r r I' 02/95 04/94 33076 06/94 25790 12/94 55921 03/94 SQUARE FOOTAGE:.!f A...~.J 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. Inspectlons requested after 7:00 a,m. will be made the followIng work day. REQUIRED INSPECTIONS X. Rough Mechanical _ Prior to U cover. . 00 Temporary Electric O Site Inspection - To be made after excavatIon, but prior to setting forms. o Underslab Plumbing/Electrlcal/ Mechanical - Prior to cover. ~ Footing - After trenches are ~excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prior to concrete placement. \! t..' " " " <I ~j 1, ~I .. :li ~ I < i' ,j o Underground Plumbing - Prior to filling trench, i2Sl Underlloor Plumbing/Mechanical - Prior to insulation or decking. ~ Post and Beam - Prior to floor ~ InsulatIon or decking. ~ Floor Insulation - Prior to ~ decking, V, Sanitary Sewer - Prior to filling ~ trench. Y..... Storm Sewer _ PrIor to filling U trench. . ~ Water Line - Prior to filling AJ trench. , d.. R;;'gh Pluniblng ~ Prior to ~ cover. rYl Rough Electrical - Prior to .7"\ cover. M Electrical Service - Must be 161 approved to obtai n permanent electrical power. o FIreplace - Prior to facIng .materlals and framing Insp. o Framing - Prior to cover. l7'l' Wall/C'eillng Insulallon - Prior to ~ cover. , ~ Drywall - Prior to t~Plng, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit, --c7"i Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavatIon Is complete, forms and sub-base material In place. o Fence - When completed. ~ Street Trees -,Whun 'all required'" trees are plante!.!... ' ~ Final Plumbing - When all P plumbing work is complete, Nl Final Electrical - When all ~ electrIcal work Is complete. ~ Final Mechanical - When all mechanical work is complete. I 'Y1' Hnal 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. D Final - After all required . inspections are a"pproved and porches, sklrlln'g, decks, and ventIng have been Installed. I P.L, IN Is Iw ~' ~--- Lot faces Lot Type . ~ Lot sq, ltg, /~ Lot coverage &20 L.2 i/')o Topography // Total height /7:ii5 ~~I~) "- BUILDING PERMIT ::1: r+8j~' ~~~lh afufu Garage ~ /4'.'V) ~ Interior HSE 27' z Corner Panhandle Cul.de.sac Carport Total Val ue ,RAIIQI , ~~ CD 4~~',~ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC)t/3 , , (B) fhOfo'-f'2, PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' cD Sanllary Sewer FT. Water FT, Storm Sewer FT, Mobile Home 11dJ.~ Plumbing Permll !to{}CX! AW,' Ifo~,(X) In,{b 4,50 q,CCJ r2f <::-- ~ . CO Stato Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood ~' Vent Fan N. Wood Stove/lnsertl Fireplace Unll Dryer Vent Mechanical Permit Q}lJ ;::y) i n,a) (, i3 ~'31,( 03 Issuance State Surcharge' Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk \ ~ fI lc)_ fI ~ Curbcul Demolition JTIf\rc~rt\) j 'k~O '0 " ~ ),CO-J Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) lA, B, C, 0, and E Combined) -- ..:rf?O . f. ' i.-~ jl Setbacks l eHE PROPOSED WORK IN THE "~; '''HISTORICAL DISTRICT, OR O~ t,,;, THE HISTORICAL REGIS~ ,.,v: I,.' ' If yes, Ihls application musl be signed ~.,' '"" and approved by the Historical' Coordinator prior to permit lssuanc~. GAR ACC 32-' ,APPROVED: I !' , l I , , BUILDING VALUE, PLAN CHECK AND BUILDINGPE~MIT This permit Is gran led on the express condition lhatthe said construction shall,ln all respects, conform to the Ordinance adopted by the Clly 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: ..l \llJ Q f ~ Date Paid: ~~ y,;::::----' Receipt Number:'~ J'/ Received By: trJ-e, ( ~jl~(d By IPf( - ~.\IR1 Date Systems Development Charge Is due on all undeveloped properlles wllhln the Clly IImlls which are being Improved, ADDITIONAL COMMENTS U;4+ -L / () toO{) , ~k\~Q}(l nth ~ lbJ\~, f).J lnffiut- ~'<Y\ LL J\\\C\~' SCY\_ ' r- D' - \..~I By signature, I slate and agree, that I have carefully examined the completed appllcallon and do hereby cerllfy that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done in accordance wllh the Ordlnanc~s of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safely Division, I further eertHy that only contJ:actors and employees who ( are In compliance wllh 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 pormlt 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. ..xl..! J VJ 11,<(. )no ~ 3//1 / c; l./ , Signature Date VALIDATION: 1f1LL7-' RECEIPT NUMBEf' . \ \'""1 \, DATE PAIP ~ ./1 () Gft 'EJVIoJ - - - :;:~~:DR:~~( ~ ~({' ) I I~:::r .. ,. - .8 NO. qt../031( .r' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: He;# r CoNS"-, IN.C-' LOCATION: 2.? 1(", L.OC.A-\ De..., DEVELOPMENT TYPE: Lv I?- - tJ t::w '::>f- r<. BUILDING SIZE: LOT SiZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. _ -z.~1-0 x $0.203 PER SQ. FT. 0?/~) '""-- .-/ 2. SANITARY SEWER-CITY NO, OF PFU'S !'l X $42.08 PER PFU r;s 1 'N ") (See Reverse) '- ,.../ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X J, 0 / X $424.31 X X X $424.31 X $424.31 ~Z86~) '-- .-/ $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S 1'2l x $15.125 PER PFU + $10 MWMC ADM FEE $ '2$2. z.5 (Use PFU Total From Item 2 Above) SUBTOTAL $ 3'1 o~ TOTAL-MWMC SD~ ~ "'- ~ (ADD ITEMS 1,2,3 & 4) $ /qe"c., 0_7 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE '(SUBTOTAL ABOVE) X .05 ~ E .LvL ??//<t!9tf o kip Burdick " SDC Coordinator ~. '37 TOTAL SDC $ '2-0 ",,-/ - FIXTURE UNIT ;CALCU .ON TABLE: Number of New Fixture_nit Equivalent = Fixture ~n~s INOT~~ For remodels, calculate only the NET additional fixtures) ~ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS I 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 2- Bathtub.. ,...",..,.." ,.., ,..'""","'" """"""""""","',..,'" Drinking Fountain".."..,.." ,,"",""'" """","","" ,....", Roor Drain,....",.."......." """"..""'" "',""',""" "",..,.. Interceptors For Grease/Oil/Sollds/Etc..............,.. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher......, ,;, ,;...,:,......,.... ,..... Ootheswa~er - 3 Or More...............,...................,. Mob"e Hdme Park Trap (1 Per Trailer).................. Receptor F9r RelrigeratorjWater Station/Etc,....... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single'Stall....,.............,..,....,....,............,.... Shower, Gang,...........,..,..,........,..,.........,..........'....... Sink, Bar, CommerciaL............."............"....,...,...., Urinal, StalljWall........"...............,..,.............."....,...., Wash Basin/Lavatory, Single.................................. Water Ooset, Public Installation..........................,.. Water Ooset, Private,.."..,..,....",..,.........",........,..", Miscellaneous: '2- z.. z. 2. '2- :z. 'l{ TOTAL FIXTURE UNITS I '6 CREDIT CALCUU\.TION TABLE: calculate credits separates, 'I Based on assessed value, II improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or belore 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 $ 2,24 1.93 1.57 1.18 0,79 0,44 0,28 ~ Improvement Cd after annexation date) ?>."2.( X $ /0,(, 3.;03 (Rate X Assessed Value) X $ = (Rate X Assessed Value) = $ '2..I~ CREDIT TOTAL -;/'-f' Credit for Parcel or Land Only If Applicable RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL..................;.........:, ..,.........' ,..,......, 0.4 Commercial.........,..........................................., 0,9 Ind ustrial...... ............. .............. ................. ,......., 0,45 Govemmental..........,..,........,........,....,.............. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT