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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