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..'
"
"
"
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1,
~I
..
:li
~
I
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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