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Home My WebLink AboutPermit Building 1993-12-27 c . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' ~\4' ns Q I' (l{)l( td- Jlnr ADDRESS' \l' 4q SGf CITY' ~ ) UUj- .,..... LOT: OWNER' SPRINGFIELD " .;2.31 a LOC,A-4 ce. · JOB NUMBER 33Jf)Cf1 225 Fifth Street' Springfield, Oregon 97477 BLOCt<' . TAX LOT' SUBDIVISION: AUl',+IO pI(. SCl'-lIV\ _ PHONF' ij) 11' ~/11 J Y1..J..I ~ , ' CONTRACTOR'S NAME GENERAL: ___r- - PLUMBING: ...-J I HE and i Const., Inc. _.84.959 Parkway , 71158 MECHANICAL:, PI easant Hi 11, Or 97455 ELECTRtCAL: J I Bills Electric I I, QUAD AREAQ Don Lewis Plumbing . OF BLDGS: J DESCRIBE WORt<' NEw ~F~ NEW')( REMODEL ADDITION OCCY GROOP: Marshalls Oil 1< Ins. . OF STORtES: WATER HEATEI Brooks Excavation I k'c-I STATF' (j V DEMOLISH OTHER 7';Jt-,-~ \) ZIP' O'1~5:~ -* ADDRESS CONST, _ CONTRACTOR # .. EXPIRES PHONE 3170 W 11th, Eugene, Or 97402 , 21351 02/95 726-3898 I I 587-1851 I I 588-1931 L L 747-7445 ,- 345-7564 ~be 500 Greenfield Eugene, Or 97404 33076 04/94 , 06/93 12/93 03/94 To request an Ir.. , ' made the samo.... _. n.. .1::t~"'Cl7.'1 ") 1-Jt::l.illUrl:::s~requestea"aner"'" :vu.tl;n r;-WIII"Ut::-" ltlUe-t ne-fOII OWl ng"WOrK-aay. ~ Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - PrIor to cover. r=::7f Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. !XI Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior' to filling trench, IC71 Underfloor Plumbing/Mechanical ~ - Prior to Insulation or decking. :! ~ Post and Beam - Prior to floor ~ Insulatlon or decking. " .. , ~ Floor Insulation - Prior to ~ decking. " ~ ~ ~j " ... ~ }' ,:H ~ R/I Sanitary Sewer - Prior to filling Ip trench. ~ Storm Sewer - PrIor to filling trench. . ., , R:7f Water Line - Prior, to filling !,.L:::l trench, - I ' \ . ,\ ' !:23 Rough Plumbing - Prior to cover. :1 4131 "E"St. 25790 Springfield, Or 97478 27661 Crow Rd Eugene, Or 97402 55921 REQUIRED INSPECTIONS 1";71' Rough Mechanical - Prior to ~ cover. ' fVf Rough Electrical - Prior to ~ cover. 1':7! Eleclrlcal Service - Must be ~ 'approved to obtain permanent electrical power. R'1 Fireplace - Prior to facing ~ materials and framing Insp. ~ FramIng - Prior to cover. l'7! Wail/Ceiling Insulation - Prior to J...c::t- cover. ~ Drywall - Prior to taplrg, o Wood Stove - After I~stallatlon. o Insert - After fireplace approval and Installation of unit. IV1 Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. F\:7f Sidewalk & Driveway - After ~ excavation Is complete. forms and sub-base material in place. o Fence - When completed. o Street Trees - When all requ;red - trees are planted. , I 1':71 Final Plumbing - When all I,.bl plumbing work Is complet,e, I'C71 Final Electrical - When all ~ electrical work Is complete. 1':7! Final Mechanical - When all ~ mechanIcal work Is complete. IQl Final Building - When all ~ required Inspections have been approved and bulldlnc Is completed. o Other .. MOBILE HOME INSPECTIONS o Blocking and Set.Op - 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, approved ahd porches, skirting, decks, and venting have been Installed. lot laces lot Type '1- Interior lot sq, ltg, Lot coverage Corner Topography Total height ~js' (orf BUILDING PERMIT sa, FT, LIJ~ ~)fJ4 ' Panhandle Cul.de.sac Setb"cks IHSE GAR1ACcI I I Iw I ~--~ . I P.L. IN Is Main X $/SO. FT, = VALUE \. ~/ () ,d/) q~5(Yl 14. It) 1; I()(o ITEM Garage Carport Total Value f()4.jflB Building Permit Fee l/.!:I..![2-5 State Surcharge ,./. "2-/ Total Fee (A) t.J-1(....I'6 SYSTEMS DEVELOPMENT CHARgE (SDC) f4; , (B) ff1_'/...?/~ PLUMBING PERMIT ITEM FEE Fixtures " 1 ~ Residential Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' if Wood StovellnsertlFlreplace Unit Dryer Vent , Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk LJ'? '1-'1 It It Curbcul Demolition State Surcharge ---APi-! CHECJ<.. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) /q2: .50 / Cjl '2.50 Cf.I:31 'J...02./3 (,()8 rr.5 () /2..(')9 3,00 2.5.!; 0 /iJ ,f).1') I.z'l "36,7/1, /7.7-0 13,60 7_88,7b ~ /'1.5'6 3l76'.fl1 ( .HE PROPOSED WORK IN i~E .....HISTORICAl DISTRICT, OR ON THE HISTORICAL REGISTER? 'If yes, this application must be signed ,and approved by the Historical ': Coordinator prior to permit Issuance. f'~ ij , ;1 APPROVEP' , I I [ . ~ ;: I r BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects. conform to the Ordinance adopted by the City 01 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 Fe.' Date Paid: Receipt Number' R~:p~ B/1~ Plans-Reviewed By J- 7 -9 '1 , Date' Systems Development Charge Is due On all undeveloped properlles wllhln the City limits which are being Improved, ADDITIONAL COMMENTS , " (<2\111101/,1 'frtp..>: 14r;c.., \..,<i\.c} -r'; /0 t~(){) ,-.~;(b(jjlr...J r.!y (Yanff ~ By signature, I state.and agree, that I have carefully examined the completed application and do hereby certlly that all Information hereon. Is true and correct, and I further eertHy that any and all work performed shall be done In accordance wllh the Ordinances of the City of Springfield. and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made 01 any structure without permission 01 the Building Safety Division, I further certify thai only cont~ctors 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 slle at all times during construction. " Signature ~-'IA"'-<A ~ ~cL Date~~ ~ ?/7~ VALIDATION; #1 /\ \ RECEIPT NUMB,ER, _ ~()I.. DATE PAID I ~ /1),.-/ " - ., \ +--.-~ =-~ AMOUNT RECElvE[1' 0-. L-. .::::;1' RECEIVED B:crY./JD. ../ r~4 _.S I < "- . ... . .OB NO. tJ2/ gqQ_ , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: .f-f~), I' (1,.,,Jc,-r '1:"IC I LOCATION: --Z '?<'1 D Loc.+\- De.. DEVELOPMENT TYPE: Lt>/2- ~ l'J~w ~e BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ, FT. ?-oe-"7 ,X $0.203 PER SQ. FT. (" 41-? ,,?) '-- ......... 2. SANITARY SEWER-CITY NO. OF PFU'S :J.? X $42.08 PER PFU ~7 g~) (See Reverse) 3. TRANSPORT A T ION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $424.31 X $424.31 X $424.31 ~t.f 'z.S t;i:) ~ .$ ( X I, c' I $ -- 4. SANITARY SEWER-MWMC ....,~ $ 02"7'6_7 NO. OF PFU'S ~'J x $15.125 PER PFU + $10 MWMC ADM FEE ~~ (Use PFU Total From Item 2 Above) 03 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ '~4- TOTAL-MWMC SDC ~ SUBTOTAL (ADD IT EMS 1, 2 ,3 & 4) $ '2... ( '-f '3 "'.:! 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 /~ ~ L'Jc... 12-/~ gA'? <=r Kip Burdick / ( SDC Coordinator ~ tiS TOTAL SDC $ '2-1..'S 1 - FIXTURE UNIT,CALCU "'N TABLE: Number ot,New Fixtures eit Equivalent = Fixture Unit~,(NO!~: For remodels, calculate only the NET aoditional flXlures) NUMBER OF UNIT FIXTURE FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS i 2 1 2 3 6 2 (3 6 1 3 :2 '/Head 2 2 t '6 4 7-- { Bathtub.... ....,...... ,.....,..........,.."....",....,...."...".......,.. Drinking Fountain.,...............,...,...",.,....."......,....,.... Aoor Drain.."........,....,....,...........,....."..."...."...'....... Interceptors For Grease/Oil/Sollds/Etc........,...,.... Interceptors For Sand/Auto Wash/Etc.........,......., Laundry Tub /Dotheswasher,...........,... ,...., ,............ Dotheswat'er - 3 Or More......,.....,....,.........,......... Mobile Hdme Park Trap (1 Per Trailer).............,.... Receptor F(>r RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single.Stall................,....................,.........., Shower, Gang.........".......,.......,.."... ,.....,............,..., Sink, Bar, CommerciaL..........".........,.................,.. Urinal, StallfWall"......"...,........................".....,........, Wash Basin/Lavatory, Single,....,..........,...."...,.,..." Water Dose\, Public Installation..................,.......... Water Doset, Private....,....."....,...,.....,.................... Miscellaneous: 2- { ?- -:z.. "2, :, 3 /7-- TOTAL FIXTURE UNITS '2-? CREDIT CALCULATION TABLE: calculate credits separates, II ~~:Xed Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed -'~ate per~-1 ,000- ~- i Assessed Value L 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 $ 2.24 1.93 1.57 1.18 0.79 0,44 0.28 3 "'2,/4_3 Credit for Parcel or Land Only If Applicable .7../ X $ /0. r;, :/..,.. (Rate X Assessed Value) Improvement [rt after annexation date) X $ = (Rate X Assessed Value) = $ 3. I 4_3 CREDIT TOTAL ...,. .~ 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