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Home My WebLink AboutPermit Building 1993-11-3 ..... -/ '.. RESIl:iENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726.3759 ASSESSORS MAP' LOT' q, OWNI Cq3l~ lite!;:. 01(Jf9 ~OJJ,(JIE JOB NUMBEAqj /:"'f) 7 225 Fifth Street Springfield, Oregon 97477 . BLOCK: TAX LOT: SUBDIVISION' ,vl{()~ 1'4teK. 1~1'~t:I t: ADDF, CITY: HE AND i CONSTRUCTION,INC 84959 Parkway PLEASANT HILL,OR 97455 I ~T~' I , SF!:) DESCRIBE WORK' NEW ..... REMODEL ADDITION CONTRACTOR'S NAME GENERAL: i PLUMBI~G: ----'I MECHANICAL: Ji ELECTRICAL: ~ I #71158 DEMOLISH OTHER PHON~' ADDRESS CONST.' CONTRACTOR · 'HE and i Const..Ine. 84959 Parkway 71158 Pleasant Hill, Or 97455 Bills Eledrie QUAD AREA:d . OF BLDGS: ~ OCCY GROUP: J . OF STORIES: J I WATER HEATER:I j Don Lewis Plumbing 3170 I. lltll, Eugene. Or 97402 500 Greenfield Eugene, Or 97404 Marshalls Oil & Ins. 4131HEHSt. Springfield, Or 97478 Brooks Excavation 276&1 Crow Pd Eugene, Or '37402 21351 3307& 257'30 55'321 ?'" '" .:J.pf R 'SiJ. - '''1/7 * ZIP: EXPIRES PHONE 02/'35 7Z5-:.;tr38 - , 04/'34 f,U7-1851 r L 05/'34 588-1'331 12/',3 747-7445 [ I 03/',4 345-75541 ~ [ To request an Inspection, you must call 726-3769. ThIs Is a 24 hour r~cording. 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 (ollowlng work day. ~ Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are ).AJ excavated. D Masonry - Steel location, bond beams, grouting. i""'21 Foundation - Afler forms are ~rected but prior to concrete placement. . o Underground Plumbing - Prior to filling trench. 'CTi Underlloor Plumbing/Mechanical ;,z:s - Prior to insulation or decking. i'1I Post and Beam - Prior to floor ~insuration or decking. ~ Floor Insulation - Prior to ~decking. .~ Sanitary Sewer - Prior to filling ~ trench. C/'f Storm Sewer - Prior to filling ~trench. ~ Water Line - Prior to filling lC::}trench. d Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS d'ROU9h Mechanical - Prior to ~ver~ ~~, nRough Electrical - Prior to ~cover. ~Iectrical Service - Must be . approved to obtai n permanent lectrlcal power. " D Fireplace - Prior to facln.9 materials and framing Insp. ~raming - Prior to cover, ~Wall/Ceillng Insulation - Prior to ~ /cover. . ~rYWall - Prior to taping, . 0 Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. ~curbcut & Approach - After forms are erected but prior to placement of concreto. ~ Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o Fence - When completed. cQJ Struu.t Trees - When all required trees are planted. . . , . , ; ~ Final Plumbing - When all ~IUmblng work is complete. ~ Final Electrical - When all ~electrlcal work is complete. '-I:Zf ~inal Mechanical - When all /~echanical work Is complete. ~inal Building - When all required Inspections have been pproved and building is completed. ' DOlher 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 Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. I o Final - Aller all required inspections are approved and porches, skirting, decks"and venting have been Installed. J - Lol Type . ' ~ { - Lot faces ..::L Setbacks IS THE PROPOSED WORK IN THE Lot sq, ltg, ?,"IfcJ ,~ ~nterlor I P,L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage ~ Corne r If yes. this application must be signed L. .2~.. Panhandle Is I/g I and approved by the Historical Topography fu,;)' Iw ~I a I Coordinator prior to permit issuance. Total height Cul.de.sac O. IE S I I APPROVED: BUILDING PERMIT JAjl) ,cy)~ X~/~Q:2b - '1QL,A4'd- I~( \0- ~Q ITEM Main Garage Carport Bo33t ,13!14,CO \q no (A) 4;\ 3.ry) SYSTEMS DEVELOPMENT CHARGE (SDC) ~ 1f. Z,I o"l 'f2 Total Value Building Permit Fee State Surcharge Total Fee (B) 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' 3 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gran led on the express condition that the said constructlon 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 fiSions of said ordinances, Plan Check Fee, ~ J.5t..J Date Paid: Receipt Number' Receive~ /e'~/ pfani Reviewed By ~ b<f">. / //)c6~:r /Darr--' Systems Development Charge is due on all undeveloped properties withIn the City limits which are being improved. ADDITIONAL COMMENTS FEE , IloO/i} \ dJ\~Ol(,~I\~~ \C\fl5, F ,-- \ ~ 'T. l\ tlJ I 1) >={ Q. ~ , " ~,1nm)~ ,,<r0.-1 ,'IT.'" (Lrf) ,CXJ 8 .m l/rAQJ, LcD ~t~) q [;0 'tsro .~oo Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit < '::(t} ,..l::f) //1 00 ~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 12t Curbcut A4 It \Q.\6 \~~\d) It Demolition \ Sti5\t;h(\e (' L --.. 4( }C(.J - . Total Miscellaneous Permits (E) TOTAL AMOUNT DU'E (excluding electricaI0')H/ /.f:J, 0 (A, B, C, 0, and E Combined) /~J By signature, I stale and agree, that I have carefully examlne~ 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 Safely 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, thai 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. )<slgnatur<> / Date VALIDATION: I'~ <;:::: I _ "'C"" ""M!" ) J IV?' DATE PAID I ,C<l::[~) AMOUNT REC~ do/ ~"O J RECEIVED BY~ (t1).., ) ~i "~'~1''!'' Fr"~'"!"'-:~ "'. "-0.':'" , ... . · JOB NO. "t'?\??/ .~. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE " WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: HE:. ~ T . CaNS-r. Tt-lc.. LOCATION: -z.'?'?~ l-oc.-l-\ t>~. DEVELOPMENT TYPE: LDI2-- N.E:W SFIZ- LOT <.\1 - t-!.c.-oLC: fl'-.. BUILDING SIZE: LOT SiZE sQ. Ft. 1. . STORM ORA I NAG E IMPERVIOUS SQ. FT. -Z~-Z--z.. X $0.203 PER SQ. FT. ~?I-z.t!>i) --- ---" 2. SANITARY SEWER-CITY .NO. OF PFU'S 19. X $42.08 PER PFU (" l'?"'~~ (See Reverse) ........... .....-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \.0\ X $424.31 X X $424.31 ~ '-\-'Z-B s~ ......... ...-/ $ X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S \ ''is x $15.125 PER PFU + $10 MWMC ADM FEE $ '2'b-z. 22 (Use PFU Total From Item 2 Above) M C $ "2-' I c.:!' WM CREDIT IF APPlICABLE (SEE REVERSE) ,,~ TOTAl-MWMC SDC ~ .. ........... ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 7...001 o~ 5. ADMINISTRATIVE FEES ~\Oo.i) ----------- TOTAL SDC $ -z.lol~2 BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~.. ..L~ to/,L{-/'H. U Kip Burdick f / SDC Coordinator FIXTURE UNIT CALCULAT!N TABLE: Number of New Fixtures X. Equivalent ~ Fixture lJtj;ts (NOTE: , .~ For remodels, calculate only the NET additional flXlures) . FIXTURE TYFE /, NUMBER OF NEW FIXTURES UNIT FIXTURE EOUIVALENT UNITS -z.- 2 1 2 3 6 2 6 6 1 3 2 1 jHead 2 2 1 6 4 ~ Bathtub........ ...... ........................................................ Drinking Fountain..................................................... Roor Drain................................................................ Interceptors For GreasejOiIjSolidsjEtc................. Interceptors For Sand/Auto Wash/Etc.................. . laundry Tub/C1otheswasher..............................:.... . C1otheswa~er -.3 Or More;..................................... Mobile Hdme Park Trap (1 Per Trailer):.....::.......... Receptor F9r Refrigerator {Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.Stall................................................. Shower, Gang........................................................... Sink, Bar, CommerciaL.......................................... Urinal, Stall {WaiL........ ............................................. Wash Basin/lavatory, Single.................................. Water Closet. Pubiiclnstallation............................. Water Closet, Private............................................... Miscelianeous: --z.. \ '2. '2- '2. "2- PJ TOTAL FIXTURE UNITS 1'1! ../. CREDIT CALCUlATION TABLE: calculate credits separates. r. I Based on assessed value. If 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 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 \0, b ~- ?7-1 X $ . (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 :i Credit .for Parcel or land Only If Applicable Improvement fd after annexation date) ~,-\02 = -:z..IO~ = $ ..'-I: RUNOFF COEFFICIENTS FORSTORM DRAINAGE ResidentiaL.................;..............'...................... 0.4 CommerciaL................................................... 0.9 IndustriaL........................................................ 0.45 GovernmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT