HomeMy WebLinkAboutPermit Building 1993-10-26
~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
, r:;4
LOT:
.
SPRINGFIELD
LDu+ DR,tV(i"
BLOCK'
HE AND i' CoNSTRUCTIoN,INC #71158
84959 Parkway
PLEASANT HILL,oR 97455
DESCRIBE WORK:
SFCl
NEW
t/
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL:
HE and
~ STAT~'
~-'
DEMOLISH
OTHER
~ME. ~.s
0),108 ~IJI.E.
JOB NUMBER
cr3\ <:57(P
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION' A11t!.o~
i.
"
PHONF'
cr t>l.f. 7&,</7
ld..~ ~'!{'i 8'
ZIP:
.2f-
ADDRESS
CONST,
CONTRACTOR .
EXPIRES
PHONE
Const.,Inc.
84959 Parkway 71158
.. PI easant Hi 11, Dr 97455
02/95
725-389B~
1
I
E,87-1851 L
I
;-
~ Don Lewis Plumbing
QUAD AREA: ~ \
. OF BLDGS: I M h 11 0' 1 . I
U ars a s 1 " ns.
OCCY GROUP: -Xi
. OF STORIES: ~rooks Excavation
WATER HEATER:--1.
\
I
747-7445 r
r
345-75E,4F
(L-
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 d?y, Inspections requested after 7:00 a.m. will be made the following work day.
Bills Ele.:tric
o Temporary Elee,'Tlc
D' Slto Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab PlumbingJ Electricall
Mechanical - Prior to cover.
~ Footing - After trenches are
~excavated.
o Masonry - Steel location, bond
beams, grouting.
t71 Foundation - After forms are
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
~ U nde rfloC>f15 I u m bl ng!jII@.cnanlc,lil
- Prior h,..:l"~u'o.dVll Ll ul:.........,flg.
~ Post and Beam - Prior to floor
~ Insulation or decking.
r'\7f Floor Insulation - Prior to
~decking.
~ Sanitary Sewer - Prior to filling
J..2S.J...trench.
~ Storm Sewer - Prior to filling
~trench.
~ Waler Line - Prior to filling
~ trench.
. i' . -....
r:\::::t,Rough PI~nibing -- Prior'to
~cover.
3170 W 11tfl,
Eugene, Dr 97402
500 Greenfield
Eugene, Dr 97404
413111EllSt.
Springfield, Dr 97478
27E,E,1 Crow Rd
Eugene, Or 97402
REQUIRED INSPECTIONS
CARough Mechanical - Prior to
~ cover.
IV1 Rough Electrical - Prior to
~ cover.
l\:7'1 Electrical Service - Must be
~pproved to obtain permanent
electrical power. .
o Fireplace - Prior to facing
materials and framing Insp.
~Framing - Prior to cover.
CA'WalllCelling Insulation - Prior to
~over.
~ Drywall - Prior to taping.
o Wood Stove - After installation.
. 0 Insert - After fireplace approval
and Installation of unit.
I
\
fQI' Curbcul & Approach - After
y.:s-forms are erected but prior to
placement of concrete.
I'\A Sidewalk & DriVe~aY - After
~ excavation is complete, forms
and sub-base material in place.
\
o Fence - When cotnpleted.
,
\
~Strcet Trees - WhJn all required
~ trees are planted. I
, !
21351
04/94
3307E,
0E,/94
E,88-1931,
'--
25790
12/93
55921
03/94
~Final Plumbing - When all
7"-'" plumbing work Is complete,
'ts7-1 Final Electrical - When all
~ electrical work Is complete.
1'Y1 Final Mechanical - When all
F mechanical work .Is complete.
MFinal Building - When all
r required inspections have been
approved and building is
completed.
DOlher
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 EI~ctrlcal 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 -IY.- Lot Type Setbacks i . IS THE PROPOSED WORK IN THE
,
(5W; x: 'HSE'GAR'ACcl .,. HISTORICAL DISTRICT, OR ON", 'iJ
Lot sq, flg, Interior p.L.
I THE HISTORICAL REGISTEf\? I
Lot coverage ?~~ Corner N lIb If yes, this application must be signed
a.7D Panhandle Is I and approved by the Historical
Topography Iw I Coordinator prior to permit issuance.
Total height d15 Cul.de.sac ~
IE /-1./4- I APPROVEf'l'
\
BUILDING PERMIT
sa. FT., x $/SO. FT.
~'cto.90
~ \L\., \l)
= E8~f}
o '7fi1
ITEM
Main
Garage
Carport
Total Value
~
~n~
4.3~~.:y)
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
.' (B) It '2tJ b -; qj;
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N' ~
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
/lcrJO()
Plumbing Permit
I {o(j,CO
~.OD
/ b<k .c(j
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
( 0 .cO
4.'30
((J .W
Fu mace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
~.co
Dryer Vent
Mechanical Permit
(C{ .c;:D
lO.CD
.qn
5(')4<0
Issuance .
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk f) ';1
fl
n1n .PO
13.(00
Curbcut
,.(}4,
fl
DemolitIon
State Surcharge
P! .A-.t J A1e;//n.J
-#J~
,Total Miscellaneous Permits (E)
;!:j r\ ,-, ,...- ,......."
TOTAL AMOUNT DUE (excluding electrical) . :. ;"". :-e::J
(A, B, C. 0, and E Combined) 2:-775'.7'4
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.
Plan Check Fe~ y ,~ 1 n..-
Date Paid:
Receipt Number
_/O~.J/V
/D~J
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
I
~fu\~)\DfY\ ,UJ W' (N}Vffo IlL >
-f\-r-t-1\ f)<i~ i9- 'c5id 0 ~ {'n 0 0
- - -
\'1\Nli~ \C\f\::S
"-=~~ \', IC\k:(1J Lf-'oLX ~~
PArH .J
By signature, I state and 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 OCCUPAN_CY 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 OAS 701.055 will be used on this
proiect.
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)imes d ng construction.
;<;gnature ~u_ Uob.
Date /D /~ I-, -C/ ~
VALIDATION: /D/ _,0/1
RECEIPT NUMBf);1 . wrn
DATE PAID _/ I ) :/')J.JJ . 0 ~
AMOUNT RECFI\fEt!; 7-9 3~.,- 7" ~
RECEIVED BYr:="!'t f.() fA ~ . .
- , -
.._..'~
.
.JOB NO. "1 '? I S, Go
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 1-1 ~ ~ I CaNST., fAic.
LOCATION: 2;'51 L.oc-H ~.
DEVELOPMENT TYPE: LPI!- - A/e.W SFR.
A'IClJi..E &. . . Lo.,. t;4
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
, IMPERVIOUS SQ. FT.
z.Co I 'b
X $0.203 PER SQ. FT.
('S~I 'I;)
--- ---"
2. ~ANITARY SEWER-CITY
NO; OF PFU'S
(See Reverse)
3. TRANSPORTATION
{'t,
X $42.08 PER PFU
(7'57~
........... ~
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X / . 0 I X $424.31
X X $424.31
(' '/-1.8 ~)
--- ...-/
$
X
X $424.31
$
4. SANITARY SEWER-MWMC
NO. OF PFU'S /<6 x $15.125 PER PFU + $10 MWMC ADM FEE $ "U'Z'2~
(Use PFU Total From Item 2 Above)
SUBTOTAL
$ 3af D~
TOTAL-MWMC SOC ~
(ADD ITEMS 1,2,3 & 4) $ /qr.."3 ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ ~.L'Je- /0 12., Ii?
() Kip Burdick I
SDC Coordinator
~
TOTAL SDC $ '"2.0,,"7 cr;i.
,/
FIXTURE U.NIT ,CALCULAaN TABLE: Number of New Fixtures .t Equivalent ~ Fixture Uni!? (~~~E:
For remodels, calculate only the NET additional flXlures)
FIXTURE TYFE
..i '
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS'
Bathtub.. ............ .............,.,...,.,.,....,.".."..,.,..
Drinking Fountain...,.,......., ,..,...' ,..., ",., ..."..,..,..,.'.....
Roor Drain... .........,.... ..................,.,.,.,..,..".,..,.. ......,.
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
laundry T ub/C1otheswasher........,............ .....:........
C1otheswa~er,- 3 Or More.........,...........................
Mobile Hdme Park Trap (l.Per Trailer)..................
Receptor F9r Refrigerator{Water Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single ,StalL....... ....... ........... ...... ...... ..........
Shower, Gang........................................,...............,..
, Sink, Bar, COmmercial.............................................
Urinal, Stall{Wall.........................,...,.,.......,..,............
Wash Basin/lavatory, Single..................................
Water Closet. Public Installation.............................
Water Closet, Private...................,............,..............
Miscellaneous:
'2
2
1
2
3
6
2
6
.6
1
3
2
l/Head
2
2
1
6
4
<I-
t.
'2..
-z,.
-z,.
"V
Ii
TOTAL FIXTURE UNITS
/~
CREDIT CALCUlATION TABLE: Based on' assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Rate per $1,0~
Assessed Value
Il
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
.'1985
Rate per $1,000
Assessed Value
Year
Annexed
$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)
~,2-' X $ Ib.e.
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
?/-I 02.
Credit for Parcel or land Only If Applicable
= $ 3";"O~
RUNOFF COEFFICIENTS FOR.STORM DRAINAGE
Residential....................;..................................; 0.4
CommerciaL................................................... 0.9
I ndustrial.........................................................., 0.45
Govemmental................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT