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Home My WebLink AboutPermit Building 1994-7-15 '. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT' ~c . SPRINGFIELD .;l ~L\.'5 LDC.;\-\ ~Y<.\UL BLOCK' OW" . OOHOEO AND i"'CONSTRUCTION, INC ADDI 84959, Parkway CITY _. PLEASANT HILL,OR _97455 DESCRIBE WORt<' ~~ti NEW V REMODEL ADDITION CONTRACTOR'S NAME - 1171158- ,I\TI=' , DEMOLISH OTHER ~JOB N'UMBER Q40?st 225 Fifth Street Sprin9field, Oregon 97477 TAX LOT: SUBDIVISION: 0 "",.~-p\( &u:I:h PHONE: ',atlo- 3'st9<X ZIP' ~ ADDRESS CONST, CONTRACTOR # - EXPIRES . - - PHONE REQUIRED INSPECTIONS IVI Rough Mechanical - Prior to L.b.,) cover. 1\71 Rough 'Electrlcal - PrIor to L.N cover. r\7l Electrical Service - Must be ~ approved to obtain permanent electrical power. . o Fireplace - Prior to facIng materials and framing Insp. 00 Framing - Prior to c~ver. r\71 Wall/Ceiling Insulation -"Prlor to L.f\.l cover. . [XI Drywall - Prior to ta~ing, .'. . o Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. rVl Curbcut & Appr;;ach - After ~ forms are erected ,but p'riar to placement of concrete. rn Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. ,t,' rYl Street Trees - When all required l trees are planted. . .~\,'. .' GENERAL: ~ - I HE and i Const.,Inc. 84959 Parkway 71158 02/95 726-3898 PLUMBING: -' Pleasant Hill, Or 97455 - I MECHANICAl 8ills Electric 3170 1iI 11th, 21351 '04/91> 687-1851' I ELECTRICAL:1 Eugene, Or 97402 I' I Don Lewis Plumbing 500 Greenfield 33076 06/94 688-1931 I Eugene, Dr 97404 I QUAD AREA: Marshalls Oil & Ins. 4131 T'St. 25790 12/94 747-7445 # OF BLDGS: Springfield, Or 97478 , I 8rooks Excavation 27661 Crow Rd 55921 03/95 345-7564 I' OCCY GROUI Eugene, Or 97402 # OF STORIE! I !- WATER HEATER: r~ RANGE: V SQUARE FOOTAG~ . ..r- 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, Inspections requested after 7:00 a.m. will be made the following work day. I m Final Plumbing - When all "i"" plumbing work Is complete, r\11 Final Electrical - When all ~ electrical work is complete. rYl Final Mechanical - When all T m~chanlcal work Is complete. I\7l Final Building - When all ( required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS \ - .~ -...~ ~ Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblngl Electrlcall Mechanical - Prior to cover. rvl Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting. m Foundation - After forms are L...p.J erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, rn Underlloor Plumbing/Mechanical - Prior to insulation or decking. rYl Post and Beam - Prior to floor ~ insulation or decking, rYl Floor Insulation - Prior to ~ decking. rVl Sanitary Sewer - Prior to filling ~ trench. m Storm Sewer - Prior to filling ~ trench. r\Tl Water Line - Prior to 'filling LPJ trench. . 00 Rough Plumbin.g' ,;--' Prior to cove~ ' ~ . o Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. . " D Electrical ConneJ~ion ~ 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 ventlng have been Installed. BUILDING PERMIT, Iw_ :~U;~~r 1oCB- M,IO f) Cf~ 4p.f\ .r 4.l11,1lQ.. ~.~ \.:l.a 4'-l"\.G~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 12./Ic.., 1'- ~l.lo1, ~6 ~:l&O 7"}A71. 03 '. TOTAL AMOUNT DUE (excluding electrical) ~ 1'1'--'< ,.,'~ (A, B, C, D, and E Combined) Lot faces . Lot Type \ X lnteri~r Lot sq, ltg, Lot coverage Corner I Topography _ Total heigh.&nro' \\'1" Panhandle Cul.de.sac ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge '1.'\ 1/.\U."i<., (A) Total Fee PLUMBING PERMIT ITEM Fixtures . t> ;. Residential BaUi(s) N' ;).. Sanitary Sewer, FT, Water FT, , Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge '3"'1; ~..... (C) Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/lnsert/Flreplace Unit Dryer Vent MechanIcal Permit Issuance ~~.. State Surcharge Total Permit ~'t ~~ (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge 1~ It Sidewalk Curbcut ~ ft Demolition " ~ surchafll ~ l... .Uf'o f'\, rf\()Oa 0. Total Miscellaneous Permits (E) I P.L. IN Is Iw IE Setbacks HSE GAR , FEE tt'oo.cn:> \("oQL ~<;&l2... '"\,'CSu \1lt~o. /r-,HJ i:i, sr 1..'0/ ~,qP z:z.,. r D Q!2.. ~(") V'"" ~,~5 -31.~ '- ~O.<2c \ 3."0 - '-'"" ACC I I I I I \, THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. . - 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 m'ay be suspended or revoked at any time upon violation of an provisions of said ordinances. .~ Plan Check Fee: 1 " Date Paid: Receipt Number' ~~;:~\t~ ~~ Reviewed By ~ ~}q4 Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS " "~+J:I" \~~L600 l..0\C\~'O_,,1 \Qf\~ . .. tJ , By signature, I state and agree, that I have caredully 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 tlme~ that each address is readable from the street, that the permit card Is located at the fro:nt of the property, and the approved set of plans will remain on the site at all times during construction. Signature ~ "'rr... ~ . , Date , , VALIDATION: RECEIPT NUMBER / J 7):/ 7~J/ Zif ~ ?f~~"- A . DATE PAID AMOUNT RECEIVED ~ RECEIVED BY r - - - - 'Yj!(J 7S"'"?" CIlAllGE .--= CITY OF.RINGFIELD SYSTEMS DEVELO.,H , WORKSHEET (COMMERCIAL & RESIDENTIAL) NANE OR CO/-!PANY: LOCATION: 2 3~} ;IE f ~ ~ 2d j)~ v DEVELOPNENT TYPE: $,c L> BUIL'DING SIZE: - IOTS!ZE- SQ. Ft. 1. STORI1 DRAIliAGE 1I1PERVIOUS SQ. FT. 2'il"C.5.7s X $0.203 PER SQ. FT.. ~ '-- -' 2. SANITARY SEWER-CITY NO. OF PFU'S (See R.el'erse) 3. TRANSPORTATION IF X $42.08 PER PFU (('"1$7.~ '- -- NO OF UIHTS X TRIP RATE X COST PER TRIP I X 1,&/ X 5424.31 X X X $424.31 X 5424.31 (";.2?'S~ ---------- S 5 4. ,SANITARY SEWER-11WI-lC - NO. OF PFU'S / f x $15.125 PER PFU + 510 HWMC AD/1 FEE 5 .z?2,;z.S (Use PFU Total From Item 2 Above) MlmC CREDIT IF APPLICABLE (SEE REVERSE) s 37',a.5 TOTAL-MWMC SOC ~ '- ..-/ SUBTOTAL (ADD ITEMS I I 2,3 &. 4) S ;2.0/5"". <7e. 5, ADlHNISTRATIVE FEES BASE_~H~ (SUBTYr-~VE) X ,05 ~~, c, -8'"-77Z / ~;;) &u',.;;...k- I ) SD0toordinatoV COO.~V TOTAL sac s 2//(,.1 ~ r ~- ,_ '^ I UriC: U NIl \.....1\1.-'-' '\J~" ,'-'., 'r'u-",_L.. 1-'''''U,,"",--' \" n\.'~' .-...... - ow - For ICI11Nr!::. C:lICU::I:'C only tile f~EI ;lddi:i(lll:tlli\lIJ1l':') FIXTUr;E nTf, . ~ -"1 IILI:,~G[n OF . 1':1:1"0' 1'1.\ 1 Ui;E \ L':-:ll I:OL1i\';,LEIH FI;':lunE u::ns !3~lhlllb................"..,......,....,......... ,..,.".."... ..".,.,.,.. Drinking F 0l1111Ji:l........................ . ........ ............,...... Floor D"'irl..... ......., ....,..,..,..",",',..,',..,..,',.......,..,',..,. Inlcrceplors For GrcJsc/Oil/Solius/EIC................. InlcrCcplOf'S For S~nd/l,uIO Wash/Elc.................. La undry Tub /C1olhe sw~ she r,..........,..."..,..........,..,. C1olheswa~her . 3 Or More..................................... Mobile H6n;e Park Trap (1 Pcr Trailcr).................. Recep!or F9r Refrigerator /Watcr Stalion/Elc........ Receptor For Commercial Sink/Dishwasher/Elc.. S hower, Sing' e 'S lall.........,........................ .....,......... Shower, Gang.................,............. ........................... Sfnk, Bar, CommerciaL...........................,.......,.:.,.... , Urinal, StailfWall,............"..................,........,......,..... Wash Basin/La\'atory, Single.................................. Water Closet, Public Inslallalion............................. Waler Closet, Pr/vale......,......................................,. J,liscellaneous: ~ 4 3 G J 2 2.. I G G 1 3 2 I/Head 2 2 1 G 4 "2. 2' 2.. :2.... 'is' TOT.-'.L FIXTU"E ur-iITS ~ /r CREDIT CALCULATION TABLE: calculate cre-jr.s sep,;.rates. r Basej on assessed value. If improvements occurred af1er annexation date in table. Yea Annexed Rate per $1,000 Assessej Value Year Annexed Rate per $1,000 Assessed Value Ii II ~: ., 1979 or before 19-30 1931 1982 1983 1934 :1985 $3,21 3.13 3.08 2.95 2.82 2.63 2,51 19&5 1937 1988 1%.9, 19"3'3 19"31 1992 $ 2,24 1.93 1.57 1.18 0.79 0.44 0,28 ,I .. Credit (or Parcel or land Only If App!icable 5.~/ X s /0,{,07) (Rale X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = .51.03 ---- I,mprovement crt after annexation dale) = = s 3~..::?3 '. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Res id ent ial,... ...,... ...........................,..... ............ 0,4 Commercial......,.............................,................. 0.9 t nd ustr ial........."............,..........,.....................". 0, ~ 5 Governmental...............,...............................,... 0,5 IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT