The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-10-26 1.- ~ ~ RESIDENTIAL PERMIT APPLICATION , . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORt<' ASSESSORS MAP: .....,~ LOT: --51., BLOCI" OWNER: -.: . ADDRESS: ~ CITY: HE AND i CONSTRUCTION,INC 84959 Parkway PLEASANT HILL,OR 97455 DESCRIBE WORK' 5f' f) NEW 'Y-. REMODEL ADDITION CONTRACTOR'S NAME GENERAL: --;- , PLUMBING: ~ HE and 1 Const., Inc. MECHANICAL: J ELECTRICAL:---.J Bills Electric I OOAD AREA:d Don Lewis Piumbillg . OF BLDGS: I OCCy'GROUP: 1 Marshal], s Oi I 1, Ins. . OF STORIES: J WATER HEATER:1 Brooks Excav<\tion \ #71158 DEMOLISH OTHER 225 Fifth Street Springfield, Oregon 97477 TAX LOT. SUBDIVISION: NICOlf, PA&: .J'IP~" Ai'll). ~: . PHON~. 78lc-al6C\& q6i\-lbL\-l ZIP: * ADDRESS CONST, CONTRACTOR' EXPIRES' -- -PHONE.... REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. f\:/r Rough Electrical - Prior to ~cover. 84959 Par'kway 71158 Ple<\s<\nt Hill, Or 97455 3170 (,11th, Eugene, Or 97402 500 Gr~enfield Eugene, Or 97404 4131HE"St. Springfield, Or 97478 27651 Crow Pd Eugene, Or 97402 ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framlng, - Prior to cover. r\71 Wall/Ceiling Insulali~n - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood ~tove - After Installation. o Insert - After Ore place approval and Installation of unit. ~Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. ~idewalk & Driveway - After excavation Is complete, forms and sub-base material in place. o Fence - When .completed: ~treet Trees - When all. required ~trees are planted. ():.;21'~j:) 7'i:E,-~;~USIH 21351 04/'34 . ., E.137-1851 I L 33075 05/'34 588-1'331 :257'30 12/'33 I ftl7-7445 [ 55921 03/'34 345- 75EA I I L. ~ ~ \ .. -- To req~est an inspection, you"must call 726-3769. This Is a "24- ho.ur recording. All inspections-reqUlisted before7:00 am~will be made t~e same working day, Inspections requested after 7:00 a.m. will be made the following work day. . [Zl Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbingl Electrlcall Mechanical - Prior to cover. K7f Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. fV1 Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. M Unde~lIo~lumbfna/OA__:'".':~ ~_ Prior t...... .".......Go~~ VI ut:l.Klrlg. f"':?'1' Post and Beam - Prior to Ooor ..)!S..-.l insulation or decking. r7f Floor Insulation - Prior to J,.X..d decking. f)7'f Sanitary Sewer - Prior to filling ~ trench. r\71 Storm Sewer - Prior to filling ~ trench. K'/t Water Line - Prior to filling ~ trench. r\7f Rough Plumbing -:~rior to ~ cover. . l\ ~Final Plumbing - When all L,6l plumbing work Is complete. ts?1 Final Electrical - When all ~ electrical work Is complete. , \ ~ Final Mechanical - When all ~mechanlcal work is complete. ~ Final Building - When all . ~ required Inspections 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 - Aller all required inspections are approved and porches. skirllng, decks, and venting have been installed. . . ;J , ~i Lot (aces ..l:iu- Lot Type Setbacks i IS THE PROPOSED WORK IN THE ,. .X- I PL. ACC I , Lot sq. ltg. I ~ Interior HSE GAR HISTORICAL DISTRICT, OR ON XU) 24-% IN l;s I THE HISTORICAL REGISTE~ Lot coverage Corner Is I If yes, this application must be signed ~ and approved by the Historical Topography Panhandle dt- lw leD I Coordinator prior to permit issuance. Total height Cul.de.sac IE 1/ , I APPROVED' BUILDING PERMIT '/510 -zrm X $/SQ. FT. = VALOE ,--'Yo ,&() ffi 1c2....1 I~,\~ ~I - - J ITEM Main Garage Carport CkJ4~ 4VRco ~()m (Al ~C[O SYSTEMS DEVELOPMENT CHARGE (SDe) ~ $-z.09">;o ~ Total Val ue BuildIng Permit Fee State Surcharge Total ,Fee (B) FEE I J( 00,00 ~' l1r?n.oo A. ()() j(()g.aJ Exhaust Hood loCO ~:~ Vent Fan N' :3 Wood Stovellnsert/Flreplace Unit <~,OO Dryer Vent Mechanical Permit IqS) ID,OU ~(~~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State surchargb' Sidewalk ') t_ ft Curbcut ~~ ft Demolition cf)r)~) i.s./ d) State Surcharge A/LA:.} ~tl6W A-r} QO , Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrICal)~':'::.r ~ 11 (A, B. C, D, and E Combined) 22::0~ l~T BUILDING VALUE, PLAN CHECK AND BUILDING flERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted 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 ordinances. Plan Check Fe~ f\r\ J Jl..-. Date Paid: Recei pt Number' Received By: Plans F1e~~/ /JAAz., / Daft . Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \ ~J\ oyfYlt.o): .! LJ76 l ~C\- T: \ J\r+,l f\ C\<. (l.I..~pum , Qi~t~}) fim 11. Ji l1LJ..r1Jli1oJu ~ . 8[)(l___ ,-~ v ,/JAf?-f .:1 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Informatlon hereon Is true and correct, and I further certify' that any and all work performed shall be done In accordance with the Ordlnanct;!s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Divjsl~n. I further certify that only contractors and employees who are In compliance with 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 front of the property, and the approved set of plans will remain on the site at all times during construction. Signatur" ,~~~.~, Date q /~/93 VALIDATION: RECEIPT NUM~~" f' IO(rY K(/') DATE PAID /1) ~ (n ,~ ~ AMOUNT RECEFff.~ . ~~ RECEIVED BY t:-:3<l^ C>.. _ -) -'"'1,....--.."........, ( '. .....-/ e e-JOB NO. 9~'5?S CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: WE:. J. -:r COr-.lc;:'T, Tt..lc., LOCATION: -Z""::> e., \...0<:.-1-\ t>lUvE. DEVELOPMENT TYPE: L-D ~ - r-.\ E:VJ "~(2.. t-.i\c..oL..~ p~. Lo";" '"=>/ BUILDING SIZE: LOT SiZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. '2-(?~ X $0.203 PER SQ. FT. ~?9~i) .......... ---- 2. SANITARY SEWER-CITY NO. OF PFU'S \<6 X $42.08 PER PFU 6151 'l-~") (See Reverse) , .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X t.ol X $424.31 X X $424.31 X X $424.31 ~'2-f:,?~ "'--- .-/ $ $ 4. SANITARY SEWER-MWMC NO. OF PFU'S \~ x $15.125 PER PFU + $10 MWMC ADM FEE $ ?e."2."L~ (Use PFU Total From Item 2 Above) SUBTOTAL $ ~'4 0 ~ TOTAL-MWMC SDC ~ (ADD ITEMS 1,2,3 & 4) $ I"\"I?~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~""R. .L~ It>/l4/1} , -0 Kip Burdick . I SDC Coordinator c~"\~v "!of. TOTAL SDC $ '2- 0<=\ ? - FIXTURE UNIT ,CALCU LA:aN TABLE: Number of New Fixtures X. Equivalent = Fixture unit/(l:I0f For remodels, calculate only the NET additional ftxtures) NUMBER OF UNIT FIXTURE FIXTURE lYrE NEW FIXTURES EOUIVALENT UNITS Bathtub,. ............ ,...........,..............,... ,..............,....'... Drinking Fountain.......,....,...,.......,...,.....,........,',....... Roor Drain...,....,."........,.........., " ...,.,...,."...,.....,....'.. Interceptors For Grease/Oil/Sollds/Etc..,............., Interceptors For Sand/Auto Wash/Etc....,.........,... lAundry Tub /Ootheswasher....,.......... ,... ,.... ...,..., :., Ootheswa~er - ~ 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 Oosel. Public Installation..,..............,.,...,...., Water Ooset. Private................,.........,.....,....,.....,..., Miscellaneous: 1.. 2 1 2 3 6 2 6 6 1 3 2 '/Head 2 2 1 6 4 \ 2- z- TOTAL FIXTURE UNITS 4 2. 2 "'L 8 I~ Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits, separates. II Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1~ 1984 '1985 $3,21 3,13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2,24 1.93 1.57 1.16 0.79 0,44 0,26 Credit for Parcel or Land Only If Applicable ? . 2.-\ X $ \ 0 . b ~4 .~ (Rate X Assessed Value) Improvement (If alter annexation date) X $ = (Rate X Assessed Value) .,.1 02, CREDIT TOTAL = $ ?'"T RUNOFF COEFFICIENTS FORSTORM DRAINAGE Residential....................;,..........,:........,...,......... 0,4 CommerciaL................................................... 0.9 I ndustrial..........,.........................,...................... 0.45 GovernmentaL................................................ 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT