The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-12-7 !:I (,... ;:/ j " RESIDENTIAL PERMIT APPLICATION ; .i ~ 1 , I \ l Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK; ASSESSORS MAP: LOT: ;PQ, . SPRINGFIELD ~- . cQ3~ w:x:..\-I ()~ BLOC\'" OWNE ADDRI CITY:_ HlB AND i CONSTRUCTION, INC 84959 Parkway PLEASANT HILL,OR 97455 DESCRIBE WORK: ~FD NEW ), ADDITION REMODEL CONTRACTOR'S NAME ri'" , - --------- #71158 JF' DEMOLISH OTHER . J,...\ \:.F- I <\ 3.a forlf\lE JOB NUMBER 02., j ~DS, 225 Fifth Street' Springfield, Oregon 97477 TAX LOT: SUBDIVISION: : ~',', ....-f;: -I, "'.' '.(." v.wv.:J,~H"...A ' .' '. ,~-",-,---". . <::.. PHONF' I 1\ ~~ ~\ ~! ~ ZIP: ' ADDRESS CON ST. CONTRACTOR · EXPIRES PHONE, HE and i Const.,Inc. 84959 Parkway 71158 Pleasant Hill, Or 97455 Bills Elect rie 3170 W 11th, Eugene, Or 97402 21351 Don Lewis Plumbing 500 Greenfield Eugene, Or 97404 33076 Marshalls oil & Ins. 4131"E"St. 25790 Springfield, Or 97478 02/95 726-3898 04/94 687-1851 06/94 688-1931 12/93 747-7445 LI_"'~~:~ ~~~_~~~.~.~~,~,~,:~__,..,. ,_~~::~~~~~_~~_;~_~02, ,_,_,.__._~,~.~.~,~..ug....au~~,:::u"uW"'Y~:~:K~::4 REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o lInderslab Plumbing/Electrlcall Mechanical - Prior to cover. lLJ Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After' forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, Q(] Rough Mechanical - Prior to cover. - GJ Rough Electrical - Prior to cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ILl Wall/C'elling Insulation - Prior to cover. [] Drywall - Prior to taping, [X] Final Plumbing - When all plumbing work Is complet,e. G Final Electrical - When all electrical work Is complete. ~ Final Mechanical - When all L.X-J mechanical work Is complete. rI Final Building ~ When all ~ required Inspections have been approved and building Is completed. '. o Other MOBILE HOME INSPECTIONS *"' Underlloor Plumbing/Mechanical LJ -,Prior to Insulation or decking. .0 Wood Stove - After I~stallatlon.' !; o Post and Beam - Prior to floor Insulation or decking. ~' : " " ii 'i: " ~ : " -l1 t ~ ,~ .lj ~ ~; '~ ~ Q(] Floor Insulation - PrIor to decking, ~ Sanitary Sewer - Prior to f11l1ng trench. ~ Storm Sewer - Prior to filling trench. . [:J Water Ltne - Prior to filling trench. l!J Rough Plumbing - Prior to cover. . o Insert - After fireplace approval and Installation of unit, [!] Curbcut & Approach - After forms are erected but prior to placement of concrete. [!] Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When 'all requli'ed trees are planted. ' , o Blocking and Set.Up - When all blocking Is cOn:-'plete. 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 a-pproved a'nd porches, sklrtln'g. decks, and ventlng have been. Installed. Lot faces Lot Type . ',X Interior Corner Lot sq. Itg<:' Lot ~ove,~ag~' . Topography Total height .6S " . BUILDING PER'Mrf" .. ITEM SQ, FT, Main , -B <2S'" 4:;rL ,:/ Garage Carport Tolal Value Building Permit Fee State Surcharge Panhandle Cul.de.sac X $/SQ, FT, ~ 56.20 14.20 Setb'~ks I P.L. HSE GAR ACC IN \S Iw I ~--~ , (.. _HE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON,..,:- ;;" ,; J, '''I THE HISTORICAL REGISTER?');'.' ',J h', If yes, this application m~~i'~~'~';~;:ed'Y!- n : and approved by the "HI~torlcal,"~i'" :J.. . ~ )I -\, Coordinator prior to permit Issua~c~. J .' '....~' \{" APPROVED: VALUE 33:457 6.020 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall. In all respecls, conform to Ihe Ordinance adopled 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 ordina~~es. ( f ; !, i f' . ! Plan Check Fee: Date Paid: 89.477 l , " 401. On2- 20:15 423.15 Receipt Number' ReCe~Y: . --.//u .A4..4~ Plaii~ R;'i;;;"~ S{' /2/~bJ 1 oate (A) SYSTEMS DEVELOPMENT CHARIIGE (SDC) ~ 'Z'!- .. (B), '2-O?r.. - Total Fee PLUMBING PERMIT ITEM Fixtures Residential l3ath(s) N' 2' Sanltary.Sewer Water FT. Slorm Sewer FT. FT. Mobile Home Plumbing Permit Stale Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (C) (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Plan Check Fee Total Miscellaneous Permits' (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. FEE ADDITIONAL COMMENTS A a:. --r 4 \11m ~~, .-trT~.......J (~~ox- -\CJiS --.lu.d; A Air~- ()~t ho,.rA( -160, DO' LiGc C-"IP/VVVflL l/oI'il."......... \JJ.dPC<r.rrIuJJP~ ~. 160..00 , 8.00 168.00 6.00 4.50 9.00 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 10 the work described herein, and that .NO OCCUPANCY will be made of any. structure without permission of the Building Safely Division. I further certify that only cont.actors and employees who I are In compliance with ORS 701.055 will be used on this project. 3.00 22.50 10.00 1.13 33.63 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 I.ocated at the front of the properly, and the approved set' of plans will remain on the site at all times during construction. Slgnaturp ~rl.-K..}r.. ~ 19.00 14.50 /1- dJ.9LJ-:J, Date 40.00 VALIDATION: RECEIPT NUMBER \ \ a p> a \i\,l - 0,3 AMOUNT RECEIVEr 2 ~ 55. 2. b \...~so-. DATE PAIr> RECEIVED BY "\. .. ~OB NO. Q"?I8oz;, '. ,~. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /-Ie. f -r CoNS'. IJ.JC. LOCATION: 2.:?0"2. Loc.H OJL DEVELOPMENT TYPE: /....De - AJEw SFR- BUILDING SIZE: LOT SIZE SQ. Ft. NO OF UNITS X TRIP RATE X COST PER TRIP / X i,t)i X $424.31 x x X $424.31 X $424.31 {" '-f 7-8 >;.h ~ $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S /'$ x $15.125 PER PFU + $10 MWMC ADM FEE $ 7-B'Z 'Z? (Use PFU Total From Item 2 Above) $ -:;1.' J d"? MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~"T TOTAL-MWMC SDC ~ ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 1"I"7:7q'Z.7 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 L .~~<~~.;k \,-1" /q"2;, () Kip Burdick ' / SDC Coordinator ~ q" q~ ........... /' . "2.? TOTAL sac $ '70'?1o - ~ FIXTURE UNIT.CALCU~ON TABLE: NumberofNewFix1ures~nit Equivalent ~ Fixture Units (NO::' -, For remodels, calculllte only the NET additional fixtures) FIXTURE TYFE NUMBER OF NEW FIXTURES Bathtub..........,.,.".....,......,.....,.",...."....,',.,. ."........." Drinking Fountain..,...., n...'.'."...,...., n.......'".."...".... Roor Drain...,......,.....,...,....,...,.,.,........,.......".".,..'" n Interceptors For Grease/Oil/Solids/Etc........n....... Interceptors For Sand/Auto Wash/Etc...............n. Laundry Tub /C1otheswasher........,.,..,...,...,..,..,.,..,.. C1otheswa~er - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorjWater 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: / ( -z. 2- TOTAL FIXTURE UNITS UNIT FIXTURE EOUIVALENT UNITS 2 2..- 1 2 3 6 2 7- 6 6 1 3 2 7- I/Head 2 -Z 2 1 'Z- 6 4 t::> ifS Based on assessed value, If improvements occurred after annexation date in table. CREDIT CALCUlATION TABLE: calculate credits separates. I .. Year Annexed Rate per $1.000 Assessed Value '3.2.-/ X $ /O.t> '0,-/03 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ 3<-1 C.2 Rate per $1,000 Assessed Value Year Annexed L 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 Credit for Parcel or land Only If Applicable Improvement [If alter annexation date) $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 --,I 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