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Home My WebLink AboutPermit Building 1993-12-23 l."-- -,; . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' ,) I LOT' SPRINGFIELD ,.!;)~'[6 l...CCr1 OR. BLOCK' OWNEF ADORE' CITY:_ DO&? AND i CONSTRUCTION, INC 84959 Parkway PLEASANT HILL,OR 97455 SFD DESCRIBE WORK' NEW t' REMODEL ADDITION CONTRACTOR'S NAME CONST, CONTRACTOR . .~~--.,-- 71158 .1 02195 Or 97455 #71158 ,,,. DEMOLISH OTHER . . -----~--_.__.- ADDRESS HE and i Const.,Inc. 84959 Parkway Pleasant Hill, 8ills Elect ric 3170 ill 11th, Eugene, Or 97402 21351 Don Lewis Plumbin9 500 Greenfield Eugene, Or 97404 33076 Marshalls Oil & Ins _ 4131 "E "St. 25790 Springfield, Or 97478 Brooks Excavation 27661 Crow Rd 55921 ~1'.i ;).09.1 ~~~;. JOB NUMBER .'13/71'/ 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION: A US tALP4flK. ~1oI..\~ PHON'" ZIP' A ~ EXPIRES PHONE 726-3898 04/94 687-1851 06/94 688-1931 12/93 747-7445 03/94 345-7564 . "c-,"".. >lInenp nr Q7M12 _ -maae~tne' same wontlng~aay,-ln5pt:!UUUII:S-1 t:I.lUt;::)lt:U ClllQI:-'"VV~a..111"'WIII.IJO.II.a"'O-"10"'V'IV""'I'l:I."'''''' "~""""1' - o Temporary Electric o Site Inspection - To be made after excavation, but prIor to settlng forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. lKJ Footing - Alter trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. . [ZI Underfloor Plumbing/Mechanical _ Prior to Insulation or decking. \] rvl Post and 80am - Prior to floor L4-I Insulation or decking, ~: " [ZJ Floor Insulation - PrIor to decking, " " ~; \' ~! 11 l' ~ i ( i g ,~ '\ .;. . ~ Sanitary Sewer - Prior to filling trench. . [:dl Storm Sewer - Prior to filling trench. . !:A.'I Water Line - Prior to filling \ trench. r:v1 Rough Plumbing - Prior to l.&J cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to L4J cover. . r17'I Rough Electrical - Prior to l,.6.J cover. Cdj Electrical Service - Must be approved to obtain pp.rmanent electrical power. o Fireplace - Prior to facing materials and framing Insp. [Xl Framing - Prior to cover. [E] Wall/e.alling Insulation - Prior to cover. rn Drywall - Prior to taping. o Wood Stove - Alter I~stallatlon, o Insert - Alter fireplace approval Clnd Installation of unit. rvl Curbcut & Approach - Alter I4J forms are erected but prior to placement of concrete. Ii/f Sidewalk & Driveway - After l;.4-J excavation Is complete, forms and sub-base material In place. D Fence - When ~ompleled. rn Street Trees - When 'all required trees are planted. . -.' .~~ C2l Final Plumbtng - When all plumbing work Is complete. crl Final Elactrlcal - When all electrIcal work ]s complete. Ii/I Final Mechanical - When all L4J mechanical work Is complete. I.7l Final Building - When all ~ required Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D Block.lng and Set-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. ,"--' o Electrical Conhectton - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - Alter all required Inspections are approved and porches, sklrtln'9, decks, and venting have been Installed. Lot faces ~ Lol Type . Setbacks Lot sq. fig. ' X Interior I P.L. HSE GAR .ACcl Lot ~ove.rage ~ Corner IN 2~' Topography ~ Panhandle Is 1&' I Total height .fll Cul.de.sac Iw 1/1 IE 91 BUILDING PERMIT sa, FT, I ?-PI D 4<fd X $/SO. FT. a Sl,xn / y/O VALUE ,<;?,II9. (n d~;) ITEM Main Garage Carport .5!.!:f?:. ~ ~~.~ /"9, YtP (A) ~~:? Ye:> SYSTEMS DEVELOPMENT CHAR~E (SDC~f . (B) ff~3/-- Total Value .Building Permit Fee State Surcha~ge Total Fee PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) , N' "? San I tary Sewer FT, Wate:r FT. Storm Sewer FT. Mobile Home /h::::> Plumbing Permit State Surcharge Total Charge I ~ . /6:::/ . (C) , ! " 'S' /6~. coO MECHANICAL PERMIT ,C,,~ 7"-S-P "7; 6 " Furnace Exhaust Hood Vent Fan N' -q Wood Stove/Insert/Fireplace Unit. Dryer vent ::?__o Mechanical Permit ""Z2 -2:> /t?, ..."" ~/./3 3' =s: 63> Issuar.ce State Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk &;,5", fI Curbcul:~ ~~ fI /9. ?"S" J~~ Demolition State Surcharge LiHN~4" ~ .~ l---~ ~.~ "73',?S- Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ZZLJi,..Z2 (A, B, C, D, and E Combined) i," l .HE PROPOSED WORK IN TH;' .~. i~ ....HISTORICAL DISTRICT, OR ON 'r l..j' ij THE HISTORICAL REGISTER?' ,.,~ ",' !;~ ~ If. yes, this application must be signed,,:!,:' ~j and approved by the Hlslorlcal ,1 :' Coordinator prior to permit Issua~c?, . APPROVED: 'l c I I I: I: [ ; f BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall,ln all, respects, conform to the Ordinance adopted by the City of Sprlnglleld, 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 Feo:~-:"'L.~ Date Paid: Receipt Numbp'r' ~BY: ~~. -. :' .~~~ -"'7 ~evlewed y . /2 ~2/.&3-=r Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved.' ADDITIONAL COMMENTS L/~c: ~~7 bOf/.<V'/G" 93/17/ -.4 :a--r'"- VlAtt, ',~ ';:fro JL pt..~-~) "^"~ .111,<; . ~~r~ ffvo-'"'" ./l.id9 uJa2J1.. .x1d-kd W.ifjJD""=fi,(J,,,~ SD::.. r .,.JcdAv./ ..,' 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 Ordlnanc~s of the City 01 Springfield, and the Laws 01 the Statc of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the ,Building Safety Division. I further certify that only contJ:actors and employees who , are In compliance with ORS 701.055 will be used on'thls prolect. I further agree 10 ensure that all required Inspections are requested allhe proper time, that each address Is readable from t~e street, that the pcrmlt card Is located atlhe front of the properly, and the approved set oi plans wiii rurnaln on the site at all times during construction. Signature ~"'rr. ~ Dat~ 11-;).9-9=l, ~ VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT,RECEIVED RECEIVED BY 11:::l\/ J').b2..,Ic,?.. b d 91Jt:a.....L/ 7 l0B t~-( ~' ",'jI;:\Nt"~,!:l.} . ,",," ~ ~. .'[' " , " "'1--- ~... . eOB NO. '-f'~ i '7 9 I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: lie <,iT r:..OMsr LOCATION: L.'2;;t{) Lcu-i l)f!..- DEVELOP~lENT TYPE: LoR. - I-Jfw c;F/2.. T.,. _f'-/L_ . BUILDING SIZE: LOT SiZE SQ. Ft. 1. ~TORM DRAINAGE IMPERVIOUS SQ. FT. '1.'-1(, '5 ~ '-10 X $0.203 PER SQ. FT. ~"5M .-:..........J 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) /<q X $42.08 PER PFU ((;57 >Ii) ........... .-/' 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X (ui X $424.31 0'265~ $ X X $424.31 X X $424.31 $ 4. SANITARY SEWER-MWMC NO. OF PFU'S / 'J x $15.125 PER PFU + $10 MWMC ADM FEE $ --un zy (Use PFU Total From Item 2 Above) SUBTOTAL '2,f03 $ ~..,.-- TOTAL-MWMC SDC ~ (ADD ITEMS 1,2,3 & 4) $ i'13'-f- 0- MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5, ADMINISTRATIV~ FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V' ."~B~ J"":<-k... (7./ G /q'Z.; () kip Burdick SDC Coordinator ~ "I~ (l. q" ~ ','-f TOTAL SDC $ '7.-0':;' j - FIXTURE UNIT ,CALCULAeN TABLE: Numb~r 01 New Fixtures .it Equivalent ~ Fixture Unils (~O'rE:' For remodels, calculate only the NET additional fixtures) FIXTURE TYFE NUMBER OF NEW FIXTURES UNIT EOUIVALENT "2- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 Bathtub..,...,.",.."...,..,... ...,.,.",.,.., ..".,.",..",."..,..".". Drinking Fountain............,....,...... .............,.............. Roor Drain,...,.:"..,...,..,..,..,.,...,......""",.",.".".,.,...... Interceptors For Grease/Oil/Solids/ElC................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /C1otheswasher.......,..,.,......,.,.......,..... C1otheswa~her . 3 Or More...................................., Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator{Water Stalion/Etc........ Receptor For Commercial Sink/Dishwasher/Elc.. Shower, Single'StaIL...............,....,........,..,..".......... Shower, Gang..............".............,...,..........,.............. Sink, Bar, CommerciaL.,...........,...........................,. Urinal, StalljWaIL........,............,....,.....,...,.,..,........... Wash Basin/lavatory, Single,..............,.,...,.....,....., Water Closet, Public Installation............................. Water Closet, Private.."...............,...,...,.,.....,........... Miscellaneous: "7.-, z. TOTAL FIXTURE UNITS FIXTURE UNITS <-I '2. '1.. 7.. B i~ Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCUlATION TABLE: calculate credits separales. II ~:~Xed - l 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 Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 J 3';d~ Credit for Parcel or land Only If Applicable "3'~ I X $ /0. 4 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL .. ." = $ 3'-1~"::" ~ Improvement (If after annexation date) RUNOFF COEFFICIENTS FORSTORM DRAINAGE Resid ential........................................................ 0.4 CommerciaL.................................................... 0.9 IndustriaL......................................................... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT