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Home My WebLink AboutPermit Building 1994-3-4 RESlI:}ENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' Ia- LOT' -. SPRINGFIELD lOU" ~~ . l"~_-~~lif.r"A:b.-J , I 'J~BNUMBER ~ 225 Fifth Street Springfield, Oregon 97477 , TAX LOT' \ ,~ SUBDIVlsloNr,9\iniA.-J BLOCK' , . 0000 OWNER: _ HE AND i-CONSTRUCTION., INC 1171158 ADDRESS 84959 Parkway CITY: _ . . PLEASANT HILL, OR 97455 \ 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, Insp,ectlons requested after 7:00 a.m, will be made the following work day. , I . REQUIRED INSPECTIONS ~OUg~Chanlcal - prl~r to ~~ove..~ ~ fVf'Rough Electrical - Prior to ~ cover. DESCRIBE WORI<"' II NEW REMODEL '5>Y'" ~ ADDITION CONTRACTOR'S NAME GENERAL:J -~E .and i PLUMBING: ! I MECHANICAl ELECTRICM J I QUAD ARE1 . OF BLDGl I OCCV GROI I . OF STORIES: Const. ,Inc. 8ills Elect r ic Oon Lewis Plumbing Marshalls Oil & Ins. 8rooks Excavation WATER HEATER: y~ o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. r--A"'Footin9 - After trenches are ~ ~xcavated. o Masonry - Steel location, bond beams, grouting. ~oundatlon - After forms are ~ ;rected but prior to concrete placement. \; ,; o Underground Plumbing - Prior to f\lllng trench. ~nderfloor Plumbing/Mechanical ~:. Prior to Insulation or deckIng. .~ Post and Beam - Prior to floor Insulation or decking. ~Floor.lnsulation - Prior to ~ decking, ~ Sanitary Sewer - Prior to filling ~ trench. .' " ~ ; : ~ .:1 il '1j 'ij 11 tl .' r. 1 .. >- ,i J7(Storm Sewer - Prior to filling ~ trench. . ~ Water Line - Prior .to filling ~ trench. ~Rough Plumbing'- Prior to ~ cover. ..:. \ DEMOLISH. OTHER , ADDRESS CON ST. CONTRACTOR · 84959 Parkway Pleasant Hill, Or 3170 III 11th, Eugene, Or 97402 500 Greenfield Eugene, Or 97404 4131"E"St. Springfield, Or 97478 27661 Crow Rd Eugene, Or 97402 71158 97455 21351 . 'REAT'SOURGE'~'--. ~ RANGE: " dEleclrical Service - Must be ~ ~pproved to obtain permanent - electrical power. DFireplace - Prior to facing materials and framing Insp. 'rpiFramlng - Prior to cover. I\7'i Wail/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping, o Wood Stove ~ After I~sta"at'ion. . o Insert - After fireplace approval and Installation of unll. NCurbcut & Approach - After ~rms are erected but prior to placement of concrete. . JQSldewalk & Driveway - After excavation Is compl~te, forms and sub-base material In place. D Fence - When completed. D Street Trees - When all required' trees are plllnted. PHON"" 70lb,3RC;g 33076 ZIP' .... ~,~ ~~ EXPIRES PHONE 02/95 I 726-3898 r 04/94 687-1851 /- r 06/94 688-1931 I 12/94 747-7445 25790 55921 I 345-7564 I ';)~VVI"IJI""I""'-"'''''''''''''-- - ~- SQUARE FOOTAGE: ~)/t:l-- 03/94 'j;Ji Final Plumbing - When all ~lumblng work Is complet.e. '1\;7f Final ElectrIcal - When all ~ electrical work is complete. ..c1l Final Mechanical - When all ~echanlcal work Is complete. - n,_\...Bullding - When all j.LJ required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D 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. D Final - After all required Inspections are approved and . porches, sklrtln"9, decks, and ventIng have been Installed. Lot faces X'~.. · . Interior Lot sq: ltg. Lot coverage Corner Panhandle Setbacks I p.L. 1 HSE GAR 1 ACC I IN Is Iw I ~--~ Topography Total helgr +Q:" ,--41.') BUILDING PERMIT ITEM sa, FT, x~/sa. F, a ~UE 1fl' Main JO I rFJ . rufuL Garage 4c;~ ; I (0 ?A89 Cul-de-sac Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 4.'1Q~ ~- , " ( , , 4~S-25 SYSTEMS DEVELOPMENT CHARGE (SDf4 tl=> , (B) <tj 2.11Z,- PLUMBING PERMIT ITEM Fixtures N' r<l Residential Bath(s) Sanitary Sewer FT, FT, Water Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood ---':< Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State surCha'le~ Sidewalk ~lt Curbcul lt Demolition FEE '- It tJ('PJ /fd),aJ . ., r5:W (~ .00 I 0 ,cf) q-, r:;={) Lj,cd /} 00 <:::" -r . nJ4,Y) Ii) , {)() (~~Z~ ~() .rb f3. toO 11): CO " . THE PROPOSED WORK IN THii' .'.'.HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? ,. ---.:. - ~ ;' , .; . '~. 11_ ~~. 1>-\1 I ~ f- ~', -' t : II yes, this application must be signed 'c' '. and approved by the Historical Coordinator prior to permit Issu8,:,ce. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT I I , I i i I, f \' This permit Is granted on the express condition lhat the said construction shall, In all respects, conform to the Ordinance adopted by the Cily of Springfield, Including the Development Code, regulating the construction and use or buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee' Dale Paid: ' "Receipt Number ~~el~d By: , \ll\\ N\mtQ Plans Rev\e'v:ed By ./ttL I z.{J, '. qj' Dale Systems Development Charge Is due on all undeveloped properties wllhlnthe City IImlls which are being Improved. ADDITIONAL COMMENTS \' <l+,: \() louD ~noJLLM~,1 tQ/)4' ~ ) . V /tt:M\ ,. l'\o'+-h "if x' , ~d"lltLGD j('.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 certHy that any and all work perlormed shall be done In accordance wllh the Ordlnanc~s 01 the City 01 Springfield, and the Laws of the State 01 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wllhout permisSion 01 the Building Safety Division. I further certify that only cont~ctors and employeesjwhO are In compliance wllh ORS 701.055 will be used on' this project. 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 fro'nt of the property, and the approved set 01 plans will remain on the slt~ a"l" times durlllQ construction. Slgnature~~' #Aft/4~ Date 54.Q-1 VALIDATION: / IOP2/l. RECEIPT NUMNR ' -,.1 I cD 7' DATE PAIf' \.) .q~, T -1 I~' AMOUNT RE ' 0 . ~ RECEIVED B~ )Q ry Total Miscellaneous Permits (E) fJ~'K1IB TOTAL AMOUNT DUE (excluding electrical) <:2lf _.0( I' (A, B, C. 0, and E Combined) , '~i>l'~~7f~f}''!j - :;'1i'r....;.~,<~, .' "n"t-: ~ .....- , . & NO. '14024-'1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: H[; t! r CONSt. .rNe . LOCATION: -Z '?7 B LOGH PI<.. DEVELOPMENT TYPE; LPI?. - New 5Ft: BUILDING SIZE: LOT SiZF SQ. Ft. 1. STORM DRAINAGF; IMPERVIOUS SQ. FT. C- 8+1:> X $0.203 PER SQ. FT. ~IB,i) ~ 2. SANITARY SEWER-CITY NO. OF PFU'S ,'j, X $42.08 PER PFU r;S7~~ (See Reverse) ~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X /,01 X $424.31 X X $424.31 0tu~.3- ) '-- ---" - $ - X 4, SANITARY SEWER-MWMC NO. OF PFU'S 1'6 x $15.125 PER PFU + $10 MWMC ADM FEE $ '2-8'2."Z-~ (Use PFU Total From Item 2 Above) X $424.31 $ SUBTOTAL $ 34~ TOTAL-MWMC SDC ~ ~ (ADD ITEMS 1,2,3 & 4) $ '2- 0 I'L 3'5 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ." 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~~'J.:.. '2-hei~<I <...l Kip Burdick 'I SDC Coordinator ~oo"-=) '- .--/ TOTAL SDC $ '2-1 t Z. "1.:2 FIXTURElJNIT,CALCU.ION TABLE: Number of New FixtU. Unit Equivalent ~ Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) .. ~ NUMBER OF UNiT FIXTURE . FIXTURE TYFE NEW FIXTURES EOUIVALENT UNITS "2- 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 Bathtub.....""..."" ....". n..'.'...,.,."....",..".,."...,.,.,',..,., Drinking Fountain.",.."...,.....,.,..,......,.".,.,.,.....,.,.,.". Roor Drain..." ......" .n......'...,.,.".,..,.,..."."..,.,.,...,.,.,.. Interceptors For Grease/OiI/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /C1otheswasher............,.,......"......,..,.. C1otheswa~er - 3 Or More..................................... Mobile Hdme Park Trap (1 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: Z- :;l.- TOTAL FIXTURE UNITS ~ <f '2. '2.- ~ go I ~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. I ,I 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 Credit for Parcel orland Only II Applicable 3.7.-/ X $ lo.f, 3.j..D! (Rate X Assessed Value) Improvement Cd after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ "'3.;0.2 Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 :1 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