The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-10-26 \ RESIBENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' .~~ LOT: . .~(~) SPRINGFIELD. /"1"1/ Jf. .iQ(~D' 02;n 7 80l'\rllE' JOB NUMBER ~\SC)l 0 225 Fifth Street Springfield, Oregon 97477 TAX LOT: t: SUBDIVISION: A)/(f)LE Pt:lRt:: F 1/2 f'..T A(j BLOCt" 1171158 OWNER: ~ ADDRESS: CITY:_ HE AND i CONSTRUCTION,INC 84959 Parkway PLEASANT HILL,DR 97455 DESCRIBE WORK: NEW " SF() ADDITION DEMOLISH OTHER REMODEL CONTRACTOR'S NAME. r GENERAL: PLUMBING: MECHANICAL: ~ ELECTRICAL: ~ I I fj QUAD AR'EA: --D . OF BLDGS: ~ OCCY GROUP: ~ . OF STORIES: J WATER HEATER: J ADDRESS CONST, , CONTRACTOR . HE and i Const"lnc. 71158 Or 97455 Bills Electric Don Lewis Plumbing Marshalls Oil & Ins. Brooks Excavation 8495'3 Par kway Pleasant Hill, 3170 W 11th, Eugene, Or 97402 500 Greenfield Eugene, Or 97404 413111E"St. 25790 Springfield, Or 97478 27551 Cro~' F;rJ Eugene, Or 97402 PHONF' 7.:ab .3&9~ '16"1 7~47 ZIP' + EXPIRES. PHONE 02/'35 725-38'38 21351 04/'34 587-1851 33076 051'34 588-1'331 12/'33 747-7445 55'321 03/'34 345-7564 To request an InspectIon, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before7:00 a,m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day, [X) Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblngl Electricall Mechanical - Prior to cover. l\71 Footing - After trenches are r excavated. o Masonry - Steel location, bond beams, grouting, ~FOUndatiOn - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~ Underlloor Plumbing/Mechanical T - Prior to Insulation or decking. m Post and Beam - Prior to floor \ Insulation or decking. i=t]. Floor Insulation - Prior to ,deCking, r\7f Sanitary Sewer - Prior to filling rrench. f.>(f Storm Sewer - Prior to filling r trench. 'I9l Water Line - Prior to filling r ~trench. - . I ' -""rt. -...... - d Rough Plumbing .:.... 'P~ipr.to LP'cover. REQUIRED INSPECTIONS n ~ough Mechanical - Prior to (;-covertiAro ..{tj Rough Electrical - Prior to .,over. ~Iectrical Service - Must be approved to obtain permanent lectrlcal power, o Fireplace - Prior to facing materials and framing Insp. ~Framlng - Prior to cover. '4tl Wall/Ceiling Insulation - Prior to r; cover. ~DrYWall - Prior to taping, b Wood Stove - After Instanatlon, o Insert - After fireplace approval and Installation of unit. yicurbcut & Approach - After forms are erected but prior to placement of concrete, ~idewalk & Driveway - After xcavation is complete, forms and sub.base material in place. o Fence - When completed. ~ Street Trees - When all required ~trees are planted. Final Plumbing - When all plumbing work Is complet.e. / [)(J Final Electrical - When all / ,-electrical work .is complete. t7l Final Mechanical '- When all ;?"'=- mechanical work Is complete. ~-Flnal 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 co~p'ete, 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. . , . tTHE PROPOSED WORK'IN THE', Lot faces --i:'I-: Lot Type Setbacks .2(, Interior I PL. , HSE ' GAR' ACC I HISTORICAL DISTRICT, OR ON Lot sq, fig, ~ IN I~ I THE HISTORICAL REGISTER? Lot coverage ZPo Corner If yes, this application must be signed ~D Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. Total height lliL~{ Cul.de.sac fib 1$:7 IE ~ I . APPROVED' BUILDING PERMIT liJJJ '~~b - tf$b ITEM Main Garage Carport Total Val ue m:&D - 1 q /10 4\~DO Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDe) ~ ~ 1'1 (B) 'Z-O'-l- '? - PLUMBING PERMIT ITEM FEE Fixtures . " Residential Balh(s) N' A / (cO,a.) Sanitary Sewer FT. Water FT. Storm Sewer FT, Mobile Home Plumbing Permit licO,CD E3.Cb Jio(/) ()() ( 0 ,CXJ 4.'50 q.co (SPO '-~w " State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 2> Wood Slovellnsertf Fireplace Unit Dryer Vent Mechanical Permit (~.I) ,S:J If) 00 '~.ffl 4q.,~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge f}() fI &D,:'('! 1:3 . Cd') Sidewalk Curbcut ~ fI Demolition State Surcharge J?~A J /fl.//e to 4JI(f-O Total Miscellaneous Permits (E) flft//) G/J TOTAL AMOUNT DUE (excluding electrlcal)CY ft ,0,;. (A, B, C, 0, and E Combined) -;) 7.<;'"/1 '!:>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 of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation 0: anK~O~iSions of said ordinances. Plan Check Fee:\""^-'~ , ~C5l~ Date Paid: Receipt Number ReCeiV~BY: --#~ /4-~d~/ Plans Reviewed By I /0 ~r7r J 7 Da(e Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADD]TIONAL COMMENTS , ' "-...o\\\\\V)L\Y\1oi ~f\c) \ Qi~ \', \\'it,U! ,(I" d.i)!Qm - U tx~~dRam 11111nn1f} 1A1IQ.., -Sf\f\, . L) , ~1P! ;' By sIgnature, I stale and agree, that I have carefully examined thl':! completed application and do hereby certify lhat 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 Bulldlng Safety Division. I further certify that only conlractors and employees who are In compliance with GRS 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 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. Slgnature~~..u h-.~ Dale r/~/q~ VALIDATION: RECEIPT NUMBER /Qro~ DATE PAID /!) - fJ(o .q~ AMOUNT REC~~.; . 2--9,rfJ ' \ Q.., RECEIVED BY(-=-~ {()~ . . . .~B NO. 9~1 SSe.. ............ . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: \-\€: ~ 1: e.c1-1~:""'" :(w.c.. LOCATION: 2"?"? 1 Loc...~ \)~ . DEVELOPMENT TYPE: LDIZ- - ~E:~ ";:>Fl2.. BUILDING SIZE: L 0" '=> r., to! I e-ol.-E: ~ LOT SiZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2'7'7;70 X $0,203 PER SQ. FT. ~\?"'!) '- ---" 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) X $42.08 PER PFU 0?1~ \ 'is 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ~Z'e""~ ......... ---" .$ \ X $424.31 X $424.31 X $424.31 $ X \ ,0 I X X 4. SANITARY SEWER-MWMC NO. OF PFU'S 1'2> x $15.125 PER PFU + $10 MWMC ADM FEE $ W-z.'Z...2 (Use PFU Total From Item 2 Above) MWMCCREDIT IF APPLICABLE (SEE REVERSE) $ ,?y o~ TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ \"\&.1-, ~ - 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~'Jc. lo/(<4:/q~ SDC Coordinator C 9.,V ,-, TOTAL SDC $ '2-0'4? - " :.' FIXTURE UNIT ,CALCULA T. TABLE: Number of New Fixtures X .Equivalent ~ Fixture Units (NOTE: For remodels, calculate only the NET additional flXlures) ~ , ' NUMBER OF UNIT FIXTU~E' -- FIXTURE TYFE NEW FIXTURES EOUIVALENT UNITS 'II>, '-;'. Bathtub.............. ......"......,.,..,.,.,..".,.,."..,....,..,"',..,.., Drinking Fountain,...".."".,......,.,..",.,.".".,..".".,",.., Roor Drain...,...... ...,...,..",.".....,...,.,.,.,........".".,"',... Interceptors For Grease/OiI/SolidsjEtc................. Interceptors For Sand/Auto Wash/Etc,u............... laundry Tub /C1otheswasher.............,.......,...,.......,. C1otheswa~~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F!>r RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single'StaIL..............................,.,..".....,.... Shower, Gang..............................,.............,............,. Sink, Bar, CommerciaL,......................,..,.....,..,........ Urinal, StalljWall..........,..,.................,.,.....,.....,......... Wash Basin/Lavatory, Single....,....,.............,...,.,.... Water Closet. Public Installation............................. Water Closet, Private...................,..,.......,.,..,........... Miscellaneous: :. \ 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 "Z. '2. '2- t 1- 'L -z... "Z- f, TOTAL FIXTURE UNITS \'b " Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCUL6.TION TABLE: calculate credits separates. I Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Rate per $1,000 Assessed Value Year Annexed $3.21 3.13 3.08 2.96 2.82 2.68 2.51 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 --' 1986 1987 1988 1989 1990 1991 1992 ?,'2.\ X $ \0 ,6 ?'.tO~ (Rate X Assessed Value) X $ ~ (Rate X Assessed Value) CREDIT TOTAL = $ ~,+o2 Credit for Parcel or land Only If Applicable Improvement Cd after annexation date) ~' RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.................;.................................... 0.4 CommerciaL................................................... 0.9 Industrial........................................................... 0.45 GovemmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT