HomeMy WebLinkAboutPermit Building 1994-2-28
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oftice: 726.3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
10
LOT'
'.
SPRINGFIELD
a~8L.j l.Oc.+1
, BLOCK'
OWNER: _
ADDRESS: --,
CITY:
OO~OAND i CONSTRUCTION,INC #71158
84959.Parkway
PLEASANT.HILL,OR 97455.
HE and i Const.,Inc. 84959 Parkway 71158
Pleasant Hill, Or 97455
8ills Elect ric 3170 W lit h, 21351
Eugene, Or 97402
Don Lewis Plumbing 500 Greenfield 33076
Eugene, Or 97404
Marshalls oil & Ins. 4131 "E "St. 25790
Springfield, Or 97478
8rooks Excavation 27661 Crow Rd 55921
Eugene, Or 97402
DESCRIBE WO R)<" ,
sFD
NEW 1/
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL: ~
PLUMBING: ...,
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MECHANICAl
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ELECTRICAL:
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QUAD AREA:
. OF SLOGS:
OCCY GROul
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. OF STORI~'
WATER HEATER:
p-----"
, "
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DEMOLISH
OTHER
l.ib. .s.. 'YJ \ La<""
JOB NUMBER .~,D9/Yf
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225 Fifth Street
Springfield, Oregon 97477
. TAX LOT:
SUBDIVISION:~\l.l Q€I-".\cO M\.Cf\.\
PHONF'
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ADDRESS
CONST.
CONTRACTOR ·
ZIP'
EXPIRES PHONE
02/95 726-3898 ~
04/94 687-18511
r
06/94 688-19311
12194 I
747-7445,
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03/94 345-7564j
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SQUARE FOOTAGE: ~
To request an.lnspectlon, 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 following work day.
~ Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting torms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
~Fooling - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
~Foundatlon - After torms are
~ erected but prIor to concrete
placement.
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o Underground Plumbing - Prior.
to tilling trench.
f'<;71'"' Underlloor Plumbing/Mechanical
~ -.Prlor to Insulation or decking.
~Post and Beam - Prior to tloor
"I.4.d Insulation or decking.
IC/r Floor .Insulatlon - Prior to'
I"A,J decking,
, "
~ Sanitary Sewer - Prior to filling
~trench.
;1
~Storm Sewer - Prior to tilling
)6J.l trench. 1'\ . .
pawater Line - Prior to filling
trench. ~ ~ ~ .
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~' Rough Plumbing - prior to
cover. ' , ' .
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RANGF'
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REQUIRED INSPECTIONS
. ~ Rough Mechanical - Prior to
~ cover. .
K::if Rough ElectrIcal - Prior t~
.J,..6..J. cover.
~ t:lectrlcal Service - Must be
~ approved to obtain permanent
electrical power.
o Fireplace - Prior to taclng
materials and framing Insp.
. ~ Framing - Prior to cover.,
FJ"i' Wail/Ceiling Insulation - Prior to
~ cover, ...~
~ Drywall - Prior to taping,
o Wood Stove - After l~sta"at'lon. .
o Insert - Atter fireplace approval
and Installation of unit,
';
f'V'(Curbcut & Approach - After
~torms are erected but_prior to
\ placement at concrete.
KlISldewalk & Driveway - After
~excavatlon Is complete, torms
and sub.base materIal In place.
o Fence - When completed.
~Slreet Trees - Whe~'~1I r8qulied.
~ trees are planted, .
i"V1' Final Plumbing - When all
JA{ plumbing work Is complele.
.1'::If Final Electrical - When all
~ electrical work Is complete.
~ Final Mechanical - When all
~ mechanical work Is complete.
~ Final Building - When all
~equlred Inspec:t1ons have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
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 ,
Inspectlons are a'pproved and
porches, sklrtln'g, decks, and
venting have been. Installed.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
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Lot facos -W- Lol Type Setbacks _ THE PROPOSED WORK IN T~E -
Lot sq, ltg. 1HtO X Interior I P.L. I HSE GAR I ACC I "'HISTORICAL DISTRICT, OR ON ... :j
IN /2' I . THE HISTORICAL REGISTER?' '. '. r
Lot coverage ztPo Corner If yes, this application must be signed
Topography ~2'Po Panhandle \s /3' I and approved by the Historical
~. Iw /8' I Coordinator prior to permit Issuance.
Total height Cul-de-sac IE Ih'l I
AA' APPROVEI"
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BUILDING PERMIT
SQ, FT.
\o~5
~
x S;fD 7~~1
~M) 71/~
ITEM
Main
Garage
Carport
et1: 29e>
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jq,40
#7. "'0
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
, ". (B)' 1t"Zo?71~.
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) . N' 2-
Sanitary Sewer FT.
Water FT,
Slorm Sewer FT.
/~CJIO
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
~c5><l
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MECHANICAL PERMIT
~{:iO
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Furnace
Exhaust Hood
Vent Fan
N'
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Wood Stove:lnsertfFlreplace Unit
Dryer Vent
'<fN'
Mechanical Permit'
'2.7- pO
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"i5 3,(,3
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk ~ 2.. It
Curbcut 4- It
Demolition
-Lq ,3<)
/.3/00
Slate Surcharge
pUtAJ .v9~i!W
.4CJpo
72.;. ,90
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
. This permit Is granted on the express condition Ihat the said
construction shall, In all respects, conform to the Ordinance
adopted by the' City of Springfield, Including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: ~
Date Paid: v~ '
Receipt N~:bW' \
Recel~~
pr5~~eWed By ~(~ ~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
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,-.,~~-1,Lvl ..... )\c uti YO. J:
l~\'~ to. lOLU
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By signature, I state and agree, that I have carefUlly examined
the compieted application and do hereby certify that ell
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 of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and ,Ihat NO OCCUPANCY wlil be made of any
structure without permission of the Building Safety Division.
I further certify that only conl,actors and employees 'who
,
are In compliance with ORS 701,055 will be used on'thls
project.
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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 front
of the property, and the approved set of plans wlli remain
on the site at all times during construction. .
Signature bA'lA 4-..,)..y.. l1v, {\' t;._
Date ~I 1.// q</
VALIDATION: / //Y7.:d
RECEIPT NUMBff. / ~ '(;1 T
DATE PAID --e;::J '~~">-1 I
AMOUNT:RE~~ b2-1 0 !. 8-1
RECEIVED BY _ /'i D... ,
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a'NO. 9t/()'2.o?
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)'
NAME OR COMPANY: ~ Lie.. 1- '/ CoAiSr..
LOCATION: 2?6'-1- Loc.H
DEVELOPMENT TYPE: LDlZ. - Nr-'IAI SFfZ.
rtJc.
La!' /3 AvSml f~ S ,
BUILDING SIZE: LOT SiZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT, _ -z.?~'" X $0.203 PER SQ. FT. 0'2."f Cf~
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2. SANITARY SEWER-CITY
NO. OF PFU'S 1'6 X $42.08 PER PFU ~57~
(See Reverse) .............. ../
3. TRANSPORTATION .
NO OF UNITS X TRIP RATE X COST PER TRIP
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S 1'6 x $15,125 PER PFU + $10 MWMC ADM FEE $ '2'01... ~
(Use PFU Total From Item 2 Above)
$ "2..f02-.
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~-r
TOTAL-MWMC SD~ 0~~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 1'1 Sq ,--('
X $424.31
(42-8~)
$
$
/
X f,o/ X $424.31
X X $424.31
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ 1<-:. jLe--Lz.lz3 h</.
U Kip Burdick ' f
SDC Coordinator
~ crrq0
10,
TOTAL SDC $ '20 '57 -
FIXTU RE UNIT ,CALCU alON TABLE: Number of New FixtureUnit Equivalent ~ Fixture Unit~(NOIt:
For remodels, calculate only the NET additional flXlures)
NUMBER OF UNIT FIXTURE
FIXTURE TYFE NEW FIXTURES EOUIVALENT UNITS
Bathtub..., ..............,.. ,...,........,.",.,..,.,."....".,"',..,..,..,
Drinking Fountain....,..".......,.,.,.,..,.,.,."".,...",....,..,..
Roor Drain....... ............"....,..............,....,....,..,.".,.....
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
laundry Tub /C1otheswasher................,....... .....,..,..
C1otheswat'er - 3 Or More.....................................
Mobile Hdnie 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:
'2
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
"Z.
"Z.
TOTAL FIXTURE UNITS
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-z.
'2.
8
/5
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCUlATION TABLE:
calculate credits separates.
'~Year
I Annexed
1979 or before
1980
1981
1982
1983
1984
'1985
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
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1,
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$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 If Applicable 3.2-1 X $ /0,0 '::,,-/-"2-
(Rate X Assessed Value)
Improvement (If after annexation date) X $ =
(Rate X Assessed Value)
.), 103
CREDIT TOTAL = $ =>'-t -
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S 2.24
1.93
1.57
1.18
0.79
0.44
0.28
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential........................................................ 0.4
Commercial...................................................... 0.9
I ndustrial....................................... ........... ......... 0,45
Governmental................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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