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Home My WebLink AboutPermit Building 1994-2-10 ~ .-~ '. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' . SPRINGFIELD ~t@ d 5~ '3 L,J:)c.. ~ 1:) eJ \J E LOT' IS . ci~ r;.?/:)g, LrJCH ~. , JOB NUMBER ~4fy) P:Jf-. ,- 225 Fifth Street Springfield, Oregon 97477 <' BLOCt<' TAX LOT' SUBDIVISION: ..l\U:!ltIJ' PAQ! SlIICt,", OWNER: _ ADDRESS: . CITY:_ OOHOEOAND i CONSTRUCTION,INC 84959 Parkway PLEASANT HILL,OR 97455 DESCRIBE WORV' _ '5Fn NEW ~ REMODEL J. CONTRACTOR'S NAME ADDITION #71158 .! ' DEMOLISH OTHER ADDRESS CONST, CONTRACTOR' . 71158 Or 97455 02195 HE and i Const.,Inc. 84959 Parkway pleasant Hill. -' 8ills Elect ric 3170 W 11th. Eugene, Or 97402 21351 04/94 Don Lewis Plumbing 500 Greenfield Eugene, Or 97404 33076 06/94 Marshalls oil & Ins. 4131"E "St. 25790 Springfield, Or 97478 12/94 PHONF' A ~ ZIP: EXPIRES PHONE 726-3898 687-1851 688-l931 747-7445 Brooks Excavation 27661 Crow Rd 55921 03/94 345-7564 ~ 0000 Eugene, Or 97402 --made'" the .same workl"9 day;-Inspecnons -requested-after7:0Q- a.m~ wl""b~e-m'ade'"th'e""fol'owlh"g"worK"day. (00 Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ElectricalJ Mechanical - Prior to cover. {:?1 Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. rQ1" Foundation - After forms are L.f=:J erected but prIor to concrete placement. o Underground Plumbing - Prior to flltlng trench. Ml Underfloor Plumbing/Mechanical ~ _ Prior to Insulation or decking. ~ Post and Beam - Prior to floor Insulation or decking. l8-Floor Insulation - PrIor to decking, Bsanitary Sewer - Prior to filling trench. g Storm Sewer - Prior to filtlng trench. . ~ Water line - Prior to filling trench. ~ Rough Plumbing - Prior to ~ cover. ' REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to cover. ~ Rough Electrical - PrIor to cover. rY Electrical Service - Must be ~ approved to obtain permanent electrical power, o Fireplace - Prior to facing materials and framing Insp. @. Framing - Prior to cover. .CJl Wall/Ceiling Insulation - Prior to ~ cover, EiI Drywall - Prior to taping. o Wo~d Stove - After Installation, o Insert - After fireplace approval and Installation of unit. R/t Curbcut & Approach - After ~ forms are erected but.prior to placement of concrete. [R[ Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place. o Fence - When completed, o Street Trees - When all required trees are planted. iV7'l Final Plumbing - When all JC:>I plumbing work Is complete. g} Final Electrical - When all electrical work Is complete. rt::7f' Final Mechanical - When all l2S...J mechanical ~ork Is complete. C71 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 - After all required inspections are approved and porches, skirting, decks, and venting have been installed. J Lot faces Lot Type- Setbacks Lot sq, Itg. X Interior I PL. HSE GAR ACC I IN I Lot coverage Corner Is I Topography Panhandle d!:5 Iw I Total height Cul-de-sac ~,) IE I BUILDING PERMIT sa, FT, 1'1/3 4'~2- ~BtzL X $/SO. FT. ITEM Main Garage Total Value Building Permit Fee State Surcharge Total Fee (N SYSTEMS DEVELOPMENT CHARGE (SDC) ~ (B) 11 -z.??>?> '!! PLUMBING PERMIT ITEM FEE Fixtures Pf).50 Residential Bath(s) N'_~ Sanl tary Sewer FT. FT. Water Storm Sewer FT, Mobile Home Plumbing Permit I L1:J. ,S) C[,~ Am ,J..3 . I 0 ,cD 4.50 .I:JCO State Surcharge Total Charge (C) MECHANICAL PERMIT 'Furnace Exhaust Hood N,4 Vent Fan Wood Stovellnsert/Flreplace Unit ,~ cO Dryer Vent Mechanical Permit ,.;)550 70,ou /.:10 8(0,18 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State surc~ Sidewalk 1\7: It Curbcut ;,)4 'It 1;) ,&V j .::J .f tJ () Demolition L pl()?\a~er._~ Total Miscellaneous ~JfT1its 4D GO (E) TOTAL AMOONT DUE (excluding electrical) (A, B, C. D, and E Combined) ~S THE PROPOSED WORK tN ~HE -. '...HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? It yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED' 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 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 Fee~_ f\o \I \\o...lf\-.--' Date Paid: \' Receipt Number Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \_~\: \f),IA)) ,=C:.k\'\ ~ Q ~y: \ \ G\ I) ~ , ~ ~ '>> 3~ to c..C..1-) do !,l "frO r J) ) By signature, I slate 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 certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfleld, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wIthout permission of the Building Safety Division. 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. Signature ~ j,If~1 ~ ~_ l iw ~ ~ ~ Date '/ ;Jet/ 9<1 VALIDATION: \ I JYl RECEIPT NUMBER ,(l VJIJJ DATE PAIf"l ~/ r ~ ) 'Gf~ AMOUNT REC~ r C':5\ l) C) . '3.0 RECEIVED Bf.- "7) ~ . 'I"" '""";'-'/"rry' '."':'''~:''.''r ~ . e,OB NO. CJ.....L/()() Ii''''_ ar'" 9 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: He i -r C4NS-r., :!fJc.. lOCATION: 'Z~q~ LDt.-H pR.llle DEVELOPMENT TYPE:~ - tJf:./AI SFR BUILDING SIZE: lOT StZF SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ..' -;, ~~ X $0.203 PER SQ. FT. (~".JS~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) '2.&/ X $42.08 PER PFU 000'1 "1) '-....... .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /.0 I X $424.31 X X $424.31 ~7,e/~) '- ......... $ X 4. SANITARY SEWER-MWMC NO. OF PFU'S Zo.f x $15.125 PER PFU + $10 MWMC ADM FEE $ '?J7? ~ (Use PFU Total From Item 2 Above) X $424.31 $ - MWMC'CREDIT IF APPLICABLE (SEE REVE~SE) $ 3&./ D.! TOTAl-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ~o+ , '?> ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ,b!~~ '/1-7/,tf . - 7J - Kip Burdick f I SDC Coordinator (! 7,O~ 'to TOTAL SDC $ 2~?; - FIXTURE UNIT.-,CALCU ~ON TABLE: Number of New Fixture.nit Equivalent = Fixture UnitsjN?~E: For remodels, calculate only the NET additional fixtures) ~- NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.,...,...............,. ,.......,."."..,.,.....,................ ,..., Drinking Fountain...."......"..."....,..",......,.........,......, Roor Drain.,......,......."........,.....,....,.,.. ,.,......."...,....,. Interceptors For Grease/Oil/Sollds/Etc....,......,...., Interceptors For Sand/Auto Wash/Etc,.......,....,.... , Laundry Tub /Clotheswasher.., ,......",...... .......... ,..... Clotheswa~er - 3 Or More,....,.,......,....,......,.......... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor Fi>r Refrigerator JWater Station/Etc...,.... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Singl e .Stall,.." ...,......., ,......... ............, ......... Shower, Gang.............,...,....."....,.........................".. Sink, Bar. ('.ommercial....,.,...,...........,......,........,...... Urinal, StaIlJWall..............,.,....,.........,....,.,................ Wash BasinfLavatory, Single.................,.............,.. Water Closet, Public Installation...,.................,......, Water Closet, Private........,."..........,..........,....."...... Miscellaneous: ( 'i. ;. ,~ . . ", 2 1 2 3 6 2 " 6 :6, 1 3 2 1/Head 2 2 1 6 4 I'Z. .: . I 'Z. '0, . . !- '.' ..... 'Z. ."'-,. I 'Z- ( "t ,.,. 'II" TOTAL FIXTURE UNITS 2.-+ = Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates, I .I Year Annexed Rate per $1,000 Assessed Value $3.21 3.13 3.08 2.96 2.82 2.68 2.51 II 1979 or before 1980 1981 1982 1983 1984 '1985 Credit for Parcel or Land Only If Applicable . I . ~ " ,Improvement Cd after annexation date) R", "" ",000 \ Assessed Value S 2.24 1.93 1.57 1.18 0.79 0.44 I 0.28 _ Year' ,> Annexed 1986 1987 1988 1989 1990 1991 1992 3.'2.1 X $ IO.~ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL "3o.}O.-! = - = $ >'IO~ RUNOFF COEFFICIENTS FORSTORM DRAINAGE ~~~~;~~i::::::::::::::::::::::::::~:::::::::::.:::.::::::'::::::: ~:: ': Industrial....:...............,......,..,..,.........,............... 0,45 GovernmentaL.,........,......,.....,.......,.,......",....,. 0.5 .. , . , , IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT