HomeMy WebLinkAboutPermit Building 1994-1-3
0000
HE AND i CONSTRUCTION,INC
84959 Parkway
PLEASANT HILL,OR 97455
....
...
......'
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
q
LOT'
OWNE
ADDRI
CITY:.
DESCRIBE WORK:
:"')f'[)
NEW
x
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' '
.
SPRINGFIELD
~tb
;;)?,1Q4 UX-" t)~,\UE.
BLOCK'
#71158
;fl:>
~
DEMOLISH
OTHER
Mmo Q.JlI)- d~~~LEb~\-\
.
JOB NUMBER ---9j1 ~':)
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION:.f1ust. n ~ k 2::au:i:..t)
~:
PHONE: _r-r~b-,~gq2
"'ft
ADDRESS
CONST,
CONTRACTOR'
HE and i Const.,Inc.
84959 Parkway 71158
Pleasant Hill, Or 97455
PLUMBING:
MECHANICAL:
ELECTRICAL:
Bills Electric
3170 W 11th,
Eugene, Or 97402
I
I Don Lewis Plumbing ,
\i
il
OUAD AREA:
;;. ~N '<'II
\
~:, ~ K\
l
~
500 Greenfield
Eugene, Or 97404
Marshalls Oil tc Inso\ 4131"E"St.
Springfield, Or 97478
. OF BLDGS:
Brooks Excavation
27661 Crow Rd
Eugene, Or 97402
OCCY GROUP'
. OF STORIES:
WATER HEATER'
H~AT S;~~~: ~~>
t;-,
RANGF'
21351
EXPIRES PHONE
02f95 726-3898 '
04f94 687-1851 I
06f93 688-1931 I
I
12/'33 747-7445
03f94 345-7564
SECONDARY HEAT: ri
SOUARE FOOTAGE:~~\~
33076
25790
55921
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 {ollowlng work day.
~ \ 0 Temporary Electric
o
Site Inspection - To be made
after excavation, bul prior to
settlng forms.
o
Underslab Ptumbing/Electrical1
Mechanical - Prior to cover.
rV"1 Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
f"S?'r Foundation - After forms are
~erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
REQUIRED INSPECTIONS
-or Rough Mechanical - Prior to
~cover, -z:t)<<> t:-tA. r,t',
.r:::7f Rough Electrical - Prior to
~cover.
~ Electrical Service - Must be
~pproved to obtain permanent
electrical power.
o Fireplace - PrIor to facing
materials and framing Insp.
~ Framing - Prior to cover.
~Wall/Ceillng Insulation - Prior to
~ cover.
L8J Drywall - Prior to tapIng..
rvf UnderllocK PlumbTriltl{l1lOchanlc,!!,l)
~ _ Prior t~;''D, Ul;<'-'''lng. 0 Wood Stove - After Installation.
~ Post and Beam - Prior to floor
~ Insulation or deckIng.
t8 Floor Insulation -' Prior to
decking,
~ Sanitary Sewer - Prior to fitling
~ trench.
r\7I Storm Sewer - Prior to filling
~trench.
~ Water Line - Prior to flIllng
~trench.
00 Rou9h Plumbing - Prior to
,~cove~.
o Insert - After fireplace approval
. and Installation of unit.
'.
~ Curbcut & Approach - After
~ forms are erected but prior to
., 'placement of concrete.
\
!Xl Sidewalk & Driveway - After
. -.::.xcavation is complete, forms
and sub.base material In place.
o Fence - When completed.
~Street Trees - Wh~n ~II ~eqUired
W trees are planted. .
~Flnal Plumbing - When all
~plumblng work is complete.
'fiC?1 Final Electrical - When all
~Iectrlcal work is complete.
fS(1'" Final Mechanical - When all
~mechanjcal work Is complete.
IVl Final Building - When all
~equired Inspections have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
o Blocking and Set. Up - When all
blockIng Is compl.ete.
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.
o Final - After all required
inspections are approved and
porches, SkirtIng, decks, and
venting have been Installed.
'1
I
Lot Type. _S THE PROPOSED WORK IN T:E ~-
Lot faces ~ Setbacks
I PL. GAR' ACC I ' .
Lot sq. fig. &$2,S X Interior HSE HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
~() Corner :2(,
Lot coverage Is I If yes, this application must be signed
~ /8 and approved by the Historical
Topography Panhandle Iw" ~' I Coordinator prior to permit Issuance.
Total height ~ Cul.de.sac
IE ,13 I
.Bo' APPROVED:
, J
BUILDING PERMIT
SQ, FT,
;C;(O S
453
X $/SQ, FT,
51:,.2..0
L410
ITEM
MaIn
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
VALUE
~1, $7'7
/'1387
931t.,~
~~b-t!)
'2L).7.J
4:?5:7S"
.
SYSTEMS DEVELOPMENT CHARGE (SDC)~
. (B) #'2-"(p~~
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' 2-
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'
~
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
1:-,/
')4
It
It
Curbcut
Demolition
St~tw"~
)f&J
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
/~~
i3,<>r:::J
jfe:,8OO
bC:O
#~
,"<;00
'7? SO
/0_ 80
J,/ ].
'33,tP3
/CJ.JS
;~ ./10
,J
#J. ()"O
7'/7S"
?2:?/".5""1
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
Oe'velopment 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 Fee:
.Pv( #t?u<.
Date Paid:
Receipt Number;
Recel~~
p~evicwed By _
1~j'hJ'
. /Datll'"
Systems Development Charge Is due on al/ undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
A~ '\ \ \1'1 Hfu
A~~y\,)~I, \~~I\
vC\--\\\ \
,~'h~~~ ~\<\Q,")~\v..
/
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 Qrdinanct:S 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 OAS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections arc
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.
Signature kit .I1r2/)~ Llu ~ -b-.....0o '"
4q / <B.
Date
VALIDATION: (II){ _e.
RECEIPT NUMBER Hla/
DATE PAID /:"( q.6f'1'
-- . ,
AMOUNT RECF~ -:z~ :3 ,er/
RECEIVED B.,(/)/J'O....-/
"'
,.
':i~iC.J "j1;i
,t ',-
'if.'~'r,' ,; 'j::
,
.
.
.OB NO. 9~lg?3
.~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: /-Je: J:c CbA1!>-r. :LAIC..
LOCATION: 735'-/ Lt>c..I-/ PIL. .
DEVELOPMENT TYPE: LDfL - NF-fIJ SFR
LOT 'j 4u S'/IN ik.K..
BUILDING SIZE:
LOT SiZE
SQ. Ft.
NO OF UNITS X TRIP RATE X COST PER TRIP
X
4, SANITARY SEWER-MWMC
NO. OF PFU'S l'l x $15,125 PER PFU + $10 MWMC ADM FEE $ '28"2"2-~
(Use PFU Total From Item 2 Above)
X $424.31
('t.f2~ ~~)
'- ---"
$
$
i
X /.01 X $424.31
X X $424,31
SUBTOTAL (ADD
$ 3.;.2-
TOTAL-MWMC SOC €'f8' ~
ITEMS 1,2,3 & 4) $ "2-0 I 5 ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V. ,y ~ Lr.k l"l In /"!?
v Kip Burdick f f
SDC Coordinator
<fj()O~)
-----------
?~
TOTAL SDC $ '1- ( I " -
. ~
FIXTURE U NIT ,CALCU~N TABLE: Numb~r of New Fixture.nit Equivalent ~ Fixture Units (rIOIE;..
For remodels, calculate only the NET additional flXlures)
NUMBER OF UNIT FIXTURE
FIXTURE TYFE NEW FIXTURES EOUIVALENT UNITS
Bathtub.............., ....,.....,..,.,..,..,......,.,.,.,.,."..,......,.,..,
Drinking Fountain.......,..,..,...""......,.."...,.,......,.",.".
Roor Drain.. .............,..,.........,..,....,',."..,....., n'.'.'.,....
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
laundry Tub/C1otheswasher..................... ............,.
C1otheswa~er - 3 Or More.....................................
Mobile Hdme Park Trap (1 Per Trailer)..................
Receptor Fi>r 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 Ooset. Public Installation....................".......
Water Closet, Private...............................................
Miscellaneous:
z.
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
I
I
2-
2-
TOTAL FIXTURE UNITS
~
<I-
z.
2-
'2-
B
('6
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credITs separates.
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
3402
--
- -
Credit for Parcel or land Only If Applicable
~,2-; X $,/tJ,/n
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
= $ 34- 0 ~
=
=
Improvement (If after annexation date)
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residential....................:................................... 0.4
COmmercial...................................................... 0.9
Industrial........................................................... 0.45
Governmental...........:....................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT