The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-1-25 . R~D!;NTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORI<' ASSESSORS MAP' 7 LOT' OWNER: _ ADDRESS: _ CITY: . SPRINGFIELD 613-<;6 Afjr'jI.IJk'/t./6 BLOCK' OO~OAND i CONSTRUCTION,INC #71158 84959 Parkway PLEASANT HILL,OR 97455 DESCRIBE WORI<' 5 F D NEW \/ REMODEL ADDITION CONTRACTOR'S NAME HE and i Const.,Inc. DEMOLISH OTHER tk qtJJ1 ~ JOB NUMBER Q4, rY'f5j 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ,t}LI57'/1l.I /-Io/ZL: .541Tr( i. PHON~' ZIP: ADDRESS CON&T. CONTRACTOR' -- 84959 Parkway Pleasant Hill, 71158 Or 97455 02/95 8ills Electric 3170 lrJ 11th, Eugene~ Or 97402 21351 04/94 Don Lewis Plumbing 500 Greenfield Eugene, Or 97404 06/94 33076 Marshalls oil & Ins. 4131"E"St. 25790 Springfield, Or 97478 12/94 EXPIRES PHONE 726-3898 687-1851 688-1931 747-7445 Brooks Excavation 27661 Crow Rd 55921 03/94 345-7564 0000 Eugene, Or 97402 ~.- m aae-t lie sam'e"worJ<1 ng-oaY.-l ns pecTlOnS-n;H..fUe~ Rnrt~'iM~t~l"j~C1;" .;-n 0 "-u",,":,, ,.............. .................. ..... .~_.. -. n___" ~ 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 ~xcavated. o Masonry - Steel location, bond beams, grouting. ,kA Foundation - After forms are ~rected but prior 10 concrete placement. o Underground Plumbing - Prior to filling trench. d' Underlloor Plumbing/Mechanical ~ Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~Insulation or decking. rXl Floor Insulation - Prior to Mdecklng, .r7f sanita~ Sewer - Prior to filling K;rench. ~St.orm Sewer - Prior to tilling ench. _ \ \ \", . . " , ~ater L1~e;.2 Prior to filling ~ trench. '. ~ ,";.:.., ough Plumbingt0.7_ Prior to cover. \ REQUIRED INSPECTIONS "V1" Rough Mechanical - Prior to (\: cover. Q'ROU9h Electrica.1 - Prior to (___cover. pfElectrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. If1Framlng - Prior to cover, ~ Wail/Ceiling Insulation - Prior to ~over. %Drywall - Prior to taping, ~ W~od Stove - After installation. o Insert - After fireplace approval and installation of unit. --J::::7l Curbcut & Approach - After ~ms are erected but prior to placement of concrete. ffisidewalk & Driveway - After / excavation is complete, forms and sub.base material in place. o Fence - When completed. J~eet Trees - Whe~ all required ~ trees are planted. ---.rf-1 Final Plumbing - When all ~Plumblng work is complet.e. ~Flnal Electrical - When all /L--P~lectrlcal work is complete. ...171 Final Mechanical - When all ~echanical work Is complete. Pfinal Building - When all equlred inspections have been approved and building Is completed. ;;zr 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 . Lot Type A'lnterior Corner Lot sq, fig, Lot coverage Topography Panhandle -...... JEi 3<tr Cul-de-sac Total height ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) i' THE PROPOSED WORK IN YHE, '" HISTORICAL DISTRICT, OR ON" " THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks I :L.I HSE ' GAR' ACC I I S I I Iw I I I E I I R4,-~1 ,WJD rQ40 iOf) .4"0 SYSTEMS DEVELOPMENT CHARGE (SDC) ;fj (B) /I 20??~ BUILDING PERMIT P1h X $~~~O - ~011A 44~. ~,({) 1cP---3:} PLUMBING PERMIT ITEM Fixtures Residential Bath{s) 'N' rJ Sanitary Sewer FT. FT. ~; . Waler Storm Sewer FT. Mobile Home. Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' .~ Wood Stove/lnsert/Flreplace Unit Dryer Vent MechanIcal Permit, Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk Lol) Curbcul B'i ft ft Demolition t~c~\)\y\ f\ (\r r . . - . Total Miscellaneous Permits (E) FEE JioD (:i::J 'I /!dJ. a;J s:; .cO /fCf5,CU ~ ~~cD ~.w /D,OU --L-/3 35./0.- -=) \~~() ~t)ou on KI., v C/ TOTAL AMOUNT DUE (excluding electrical) ~ 0 (A, B, C, 0, and E Combined) APPROVED' 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 of any provisions of said ordinances. ..~J Date Paid: \~\.J Receipt Number' - ~ , /Ii{ Plan Check Fee: l-/~1f ate , Systems Development qharge is due on all unde.~eloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS . t ~ '.o U2\-+ I II) Ir;lYJ ' _ c9\{\rlo r \Jm 0) \L-\J( 15 cD2*tArr ~J)in. 091~ By slgnature,l state a~d 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 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 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 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 ti.mes dUrln9....\..onstruction. ... Signature d-<.Jt1rJA. Jr".~hjA>7, , - Date 1-/ ~-C; y VALIDATION: RECEIPT NUMBER". /~ .~.....:..~'~,_.__'_.~~....~_~. h':"::~);';l~....;~ :......~,.,...,;.~w;.....:.........;...._"""~. '"~.,,~..;....._~.;.,' _ . , .'ft .., '. " . . JOB NO. q..jtJ() oS () .r - ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: J1c.f T ~N$ r. If.Ic.. , LOCATION: '2?..ff( uc.H J),e... DEVELOPMENT TYPE: LO!Z.. - Al~w SRe. BUILDING SIZE: I. STORM DRAINAGE LOT SiZE SQ. FL IMPERVIOUS SQ. FT. -z. '-I 'i , X $0.203 PER SQ. FT. Go;4J, ~') '-- ---" 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 3. TRANSPORTATION /<j X $42.08 PER PFU (j~7 ~0 NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 ((:11-8 5?) '------' - $ $ / X /. a I X $424.31 X X $424,31 4. SANITARY SEWER-MWMC NO. OF PFU'S /g x $15.125 PER PFU + $10 MWMC ADM FEE $ ze1- '2..2 (Use PFU Total From Item 2 Above) MWMC' CREDIT IF APP,LICABLE (SEE REVERSE) $ ~t./- o~ TOTAL-MWMC SDC (!z~t/5 SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ /q'?t1 {(' 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~Lr.k.. \ /,e-, /qtf cJ Ki P Burdick ( ( SDC Coordinator ~ Cf~ "1.) .......... ./. f/? TOTAL SDC $ ""'ZD'3>~ - ~. . .......-.-.-.... ,_.....,..,....... . , . - FIXTURE U.NIT~CALCULATION TABLE: Number of New Fixtures X Unit Equivalent ~ Fixlure Units (~O~. For remodels, calculate only the NET additional flXlures) NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS FIXTURE TYFE I 2 + 1 2 3 6 2 'Z. 6 6.' , 1 3 2 I/Head 2 oz. 2 1 "2- 6 4 9 Bathtub... .....,....,............,....,...,.,....,',.,...,...,.,.. ....,....., Drinking Fountain....,.."...".,...,....,.",.,....,.........,.,..... Roor Drain..."......,......".,..,..........,.,.,.,.........'.'......".. Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. laundry Tub /C1olheswasher.............,........ ............, C1otheswa~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single 'Stall........ ......... ......... ...... ................. Shower, Gang.. ...................... ............ ........ ............... Sink, Bar, CommerciaL...............,.......................... Urinal, StallfWall....................................................... Wash Basin/Lal(?tory, Single.................................. Water Closet. Public1nstallation............................. Water Closet, Private,.............................................. Miscellaneous: 'l- f 'Z. 'Z. TOTAL FIXTURE UNITS I~ CREDIT CALCUlATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate crlldtts separates. I 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 $ 2.24 1.93 1.57 1.18 ,0.79 0.44 0.28 Improvement [If after annexation date) 3.2-/ X $ 10.(., (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL "3 a.f 02 <;:redit for Parcel or land Only If Applicable ~ "2..fO~ = $ v"'- ',' .' : RUNOFF COEFFICIENTS FOR STORM DRAINAGE I. " . Residenlial....................;...............,.;.........,........ 0.4 Commercial.........................................~,.:......... 0.9 IndustriaL........................................................ 0.45 GovernmentaL................................................ 0.5 " ~;: IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . .OB NO. q<-/OO S 1 .._~., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NA~IE OR COMPANY: I-Je:. ~ "I U/JST. TAIL. , . LOCATION:; Z?...fn LoUf OK.. DEVELOPMENT TYPE: L-DJi!.. - Nc.W S~!<... BUILDING SIZE: LOT SiZE SQ. Ft. 1. STORM. DRAINAGE IMPERVIOUS SQ. FT. '2..'-I,<-{ X $0.203 PER SQ. FT. ~SO-z. oz.:f) '- ...-/ 2. SANITARY SEWER-CITY NO, OF PFU'S /t( X $42.08 PER PFU ('?7~ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /,01 X $424.31 ~ thsS~) ......... ---" X X $424.31 $ X X $424.31 ,$ 4. SANITARY SEWER-MWMC NO. OF PFU'S / ~ x $15.125 PER PFU + $10 MWMC ADM FEE $ -Z 62 ~ (Use PFU Total From Item 2 Above) SUBTOTAL $ 3':lo~ TOTAL-MWMC SOC ~ (ADD ITEMS 1,2,3 & 4) $ {q,?fo ~ MWMC CREDIT IF APPL~CABLE (SEE REVERSE) 5, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~--p, . f~ ' '- _ L.-iL- 1 I Kip Burdick SDC Coordinator c~~~ TOTAL SDC $ 'Z.o3"?'Z.2. FIXTURE lJN1T',CALCU~N TABLE: Number of New Fixtures.it Equivalent ~ Fixture U~its (NOTE: For remodels, calculate only the NET additional flXlures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE' UNITS . --". FIXTURE TYFE ( 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 f.- 6 4 '1- Bathtub............,......,..... ...........,.."..,...,.,....,.,."....,."., Drinking Fountain,....,.....,.,.........,...,...,..,.....,.....,."". Roor Drain..........., ........,..........,.....,................,......... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /C1otheswasher................ ............ ......, C1otheswa~er - 3 Or More.....................................' Mobile Hdnie Park Trap (1 Per Trailer)......:........... Receptor F9r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc... Shower, Single ,Stall.................... ........ ...... ...... ......... Shower, Gang.........................................................,.. Sink, Bar, CommerciaL..........................................: Urinal, StallfWalL................ ..... ............... ................ Wash Basinflavatory. Single.................................. Water Closet. Public Installation............................. Water Closet, Private,.............................................. Miscellaneous: 7- 1. ". ."'Z. z. z. 2.. e TOTAL FIXTURE UNITS ~ I'D CREDIT CALCUlATION TABLE: .calculate credits separates. 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 $ 2.24 1.93 1.57 1.18 0.79 J 0.44 0.28 Credit for Parcel or Land Only If Applicable ? . z..1 X $ / () . (, ~...;. ..2 (Rate X Assessed Value) X $. (Rate X Assessed Value) .,. =$. '7 .J~ CREDIT TOTAL 7" Improvement [rt after annexation date) t", \~ . 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