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HomeMy WebLinkAboutPermit Building 1994-2-28 ~\ i . >- 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: ..., I MECHANICAl I ELECTRICAL: I QUAD AREA: . OF SLOGS: OCCY GROul I . OF STORI~' WATER HEATER: p-----" , " ------ DEMOLISH OTHER l.ib. .s.. 'YJ \ La<"" JOB NUMBER .~,D9/Yf ..- 225 Fifth Street Springfield, Oregon 97477 . TAX LOT: SUBDIVISION:~\l.l Q€I-".\cO M\.Cf\.\ PHONF' '~L ~ ADDRESS CONST. CONTRACTOR · ZIP' EXPIRES PHONE 02/95 726-3898 ~ 04/94 687-18511 r 06/94 688-19311 12194 I 747-7445, I 03/94 345-7564j I , . 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. ,I ! i !! :\ , \j I, :, ~ i ~i _i: .\. !l '" 1\ ~j 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. ~ ~ ~ . . I ' , ~' Rough Plumbing - prior to cover. ' , ' . , , RANGF' <p~ 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 f: I i I , I [, [ .r , ~ . r 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" ',I BUILDING PERMIT SQ, FT. \o~5 ~ x S;fD 7~~1 ~M) 71/~ ITEM Main Garage Carport et1: 29e> ~~~ 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 / ~ (J, ,thtJ MECHANICAL PERMIT ~{:iO j;: Furnace Exhaust Hood Vent Fan N' ,~ Wood Stove:lnsertfFlreplace Unit Dryer Vent '<fN' Mechanical Permit' '2.7- pO Jf),~ / .I> "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 ,A -i-l""'\" r..v 'r"/.it ^ . 011) ) ,-.,~~-1,Lvl ..... )\c uti YO. J: l~\'~ to. lOLU ~\)\~f\QN',: \C{' Q .D<iSm.rJr ~c.\,c.< lth~ SlJ& \. ')() fY1L aD /~&J \ tK~ Cf'6 \~ e::s PAtti 1- 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. , I f , , 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... , ~-- '~ .. 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~ ........ ..-/ 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 ~ 1- ? -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 I 1, I $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 - ~ 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 -,' J