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Home My WebLink AboutPermit Building 1994-8-26 , RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: IS LOT: SPRINGFIELD " ~k4- ~57S (00..\ Z503LornonO Q41d.57 JOB NOMBER 225 Fifth Street Springfield, Oregon 97477 ~~ Lbc.\-\ CI2 ':l. 36b L~rr.O\'\O ~'- BLOCt<. TAX LOT SUBDIVISION. AuSTI" ~ SCll\~ ADDRE 0000 HE AND i'CONSTRUCTION,INC #71158 84959 Parkway PLEASANT HILL,OR 97455 ". OWNEF CITY:_ 't)PL ~ DESCRIBE WORK: NEW v' REMODEL CONTRACTOR'S NAME GENERAL: _ PLOMBING: ~ I MECHANICAL: ! ELECTRICAL: J I I I QUAD AREA: d . OF BLDGS: J OCCY GROUP: I . OF STORIES: l WATER HEATER: ADDITION DEMOllSI-i OTHER PHON"' ADDRESS CONST. CONTRACTOR # HE and i Const.,Inc. EXPIRES PHONE 02/95 726-3898 I' 04/95 687-1851 [ I 06/95 688-1931 L I 12/94 147-7445 L i 03/95 345-7564 I I" I ----. .--- /S\~~ - SQUARE FOOTAGE: 71158 97455 2l35l ZIp. To request an inspection, 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. Bills Electric Don Lewis Plumbing 84959 Parkway Pleasant Hill, Or 3170 W 11th, Eugene, Or 97402 500 Greenfield Eugene, Or 97404 4131 "E "St. Springfield, Or 97478 27661 Crow Rd Eugene. Or 97402 Harshalls Oil & Ins. Brooks Excavation -T..J o Temporary Electric o Site Inspection - To be made after excavation, but prIor to setting forms. D Underslab PlumblnglElectrical1 Mechanical - Prior to cover. ....JFOOting - After trenches are '~ ~xcavated. D Masonry - ~teel location, bond ~ams, grouting. Foundation - After forms are erected but prior to concrete placement. ~~~~~:=~0'-~-~ REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to .LKJ cover. '. ~OU9h Electrical - Prior to 7,cover. r\;.r Electrical Service - Must be l..6\ approved to obtain p.ermanent electrical power. D Fireplace - Prior to facing materials and framIng Insp. l:X:1 Framing - Prior to cover. ~ WalllC'eiling Insulation - Prior to ~ cover. D Underground Plumbing - Prior to filling trench. 60nderfloor Plumbing/Mechanical - Prior to Insulation or decking. ~Post and Beam - Prior to floor lG insulation or decking. 0 Insert - After fireplace approval .; /' 1 and Installation olunlt. ~loo;.,Il1~mMf~-L IPN"r .l\)....,\:J.,,}.V' ~ecklng. ,.LXt C~_rbcut & Approach - After .~ ?,..~.fo.i1\,s are erected but prior to r-vSanitary Sewer _ Prior to filllrig placement of concrete. ~ench. ~ . Sidewalk & Driveway - After ~Storm Sewer _ PrIor to filling excavation Is complete, forms l...6.l'trench. . and sub-base material In place: ~water Line - Prior to filling trench. Rough Plumbing - Prior to cover. ~DrYWall - Prior to taping., D Wood Stove - After Installation. D Fence - When completed. . D Street Trees - When all required trees are planted. . 33076 25790 55921 ~ Final Plumbing - When all ~plumblng work Is complet,e. ~ Final Electrical - When all 'f==d' electrical work is complete. ~JFinal Mechanical - When all P mechanical work Is complete. m Final Building - When all tAl required InspectIons have been approved and building is completed. DOther 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 at! required inspections are approved and porches, skirting, decks, and venting have been Installed. ;.1,)0) 'cy c~; , 1"'11. "'!I')' !:..J"'.r~~ (\~ " <...(;0(\.,_... '.,VIJ.;' --,~,_,~ Lot faces Lot Type Lot sq, ltg', _ Interior ,/' _ Corner Lot coverage Setbacks I PL. HSE GAR N S Topography Total height &1:$ _ Panhandle a /'1'D,cLlf!cie'~ac~oc. ~~ _ I., E \4'l~11- !1f2H.15 aLPAC\.. IS~ <\Og man BUIt:.jj'l~ I'ERMI:r,JJf\, SO. FT, );}.2A \ _~D~ ITEM X $/so, FT, = .5\0.2D \4.ID Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) VALOE \ -=\ \ 5\dt- \ '-3-116 (B) SYSTEMS DEVELOPMENT CHARGE (SDC) 'I'l-fC:i? . 9 L. 4S.lXJ lD .W c9..~St-\.35 . ~ .loD si .ld) PLUMBING PERMIT ITEM Fixtures " ,,:... .' ..-. Residential Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit 14 .I~+ ~.S 1 State Surcharge Total Charge (0) MECHANICAL PERMIT Fu mace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit .'Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk y::;\ ~ ft Curbcut 4"f) It Demolition ~(~urCharg'f\. .. . '" ~f\ \ k'OlJ.u.u..; Total Miscellaneous Permits (E) TOTAL AMOONT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE ~g~:n c4 '6~.'10 ~ ~I)I D .""\() \~.co q.CO -If,CV 1o.cD .~4S \\" qD ~)~ 'V::D\ ~ ACC I I I \.. liE' PROPOSED WORK IN THE ""HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. lice!:: APPROVED: I....~ ,. .......:- '. ~ ... .., ", -~ BUILDING VALUE, PLAN CHECK 2 t 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: ~.....:, \C"J{"'" ) Date Paid: - ;, q'J, .~J t:' Receipt Numbej ~~ R~y~ Plans Reviewed By '..;' (W fA .?j;C{f Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \ ~ffi I \ sA+ T: \0 \cCO \~l\~ ~): \C\15 By signature, I state 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 Springfield, 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 GRS 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~1 ~Ao ..h. ~ Datp f/!! -/ f;.-9lf VALIDATION: (I Ad." /''1 RECEIPT NOM~,. 17L (~ DATE PAID n .cG&r4.f AMOUNT RECf.!..V~D Z\ ,I r~ ~ .'2..0 RECEIVED BY F'J\ ( f'D.!.-) I I SPRINCFIELD.. The following project as submitted has the following zoning, end does not require spociflc land use apP,ovflI, 225 r U H. STREET . ~Dft- SPRINGFIELD, OREGON 97477 ZOning INSPEctION REQUEST: 72lP<i1Q'69 h-1tJ -'11-{ OPPICS: 726-3759 ' A.""-riz-~~' t 1\ ...1 , MUUOU ~ ~gna u.o_ "3 ~~~O~lo~: , LEGAL DESCRIPTION ?J~3 Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if vork is suspended for 180 days. ' ! 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor BILLS Address 31 ZQ...iJEST 11TH llillLJE City I'IU:: I'N I' Phone-Ea7_'R~' Supervisor License Number 980S Expiration Date 10/1/95 ., .- Constr Contr. Number ':...:.. 21351 Exp1'ration Date 4I?R/QIl' Signat~SWin~an Ovners Nam~ cl\ 0_ ~J\ Address 84C15C1, PQLtu.Xt.J..( City D. \~.~ 0 Phone 1f1o '381K' . OlINER INSTALLATION The, installation is beirig made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: .City Job Number E911PhETI! PEE SCHEDULE BELOI/ Nev Residential-Single or Hulti-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder It ems A .~ Cost Sum $ 85.00 tJD $ 15.00 ~ $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps 'Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation ,200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see tln" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~ J ~.CO /0.'75 -+ lP.45 -~3~.~lJ SUBTOTAL OP ABOVE 5% State Surcharge TOTAL .. ATIACHMENT B1 , . JOB NO. 9~/2.S1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /jp f -I ~. ,LOCATION:..235'9.Lad J 230(;. J,,-,...,~ , . ' DEVELOPMENT TYPE: ~".~ / BUILDING SIZE: 1. STORM nRAINAGE LOT SIZF SQ. Ft. . :. . iMPERVIOUS SQ. FT. res/.s?) X $0.209 PER SQ. FT. $"1b 3./,- 2. SAMlIARV SFWFR-rTTY NO. OF PFU'S (See Reverse) 3. lRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP ~ ..2 "f X $43. 26 PER PFU $ g //(;,'1.02 J-. X /,6/ X $436.19 $ 'J? ?!,/O X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1. 2. & 3) $.t. 'iff 2, 2 ~ 4. SAMlIARV SFWFR-MWMC NO. OF PFU'S ~'.x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 5.26/3 (Use PFU Total From Item 2 Above) '." MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 1'''. ,,~ . ~ ' TOTAL-MWMr snr. L4'9/. ~s- SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3}03.13 5. ~TNTSTATTVF FFFS BASE CHARGE hSUBTO Al:-"ABOVE> X .05 ~, I, , I ~ _~ Date: ~ary or ig, P.E~ SDC C tlinator $ 1'$"./9 'T - ..2 5' - 9 "fL IQIAI snr $ '5~'6'.?z... B2.S0C . FIXTURE UNIT: CALCUL~N TABLE: Number of New Fixtue Unit Equivalent = Fixture Units (NOTE: For remodels, calculateonly-ttleNEI additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub.........,.......,.....".,.,.,..,.,.,.,.,....,,..,....,.....,..,..,.. Drinking Fountain...,..,.".,.,....,.,.,........"..,.. ............... Floor Drain.......,.......,....,......,.,.,.,....,.., ...,.................. interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc...,.............. Laundry Tub/Clotheswasher ............. ... .....,.. ... ........ Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL,...".,............,.,......................... Shower, Gang.........,..,....,.,.,.,.,...,.... ...... ...............,.. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:............,...,............,...... .....,...,...... Wash Basin/lavatory, Single.................................. Toilet, Public Installation".,.,.,.,.,.,.,.,.".,..,.........,.,., Toilet, Private....,.....,..,.".......,.,.,.,. ...... ..... .........,.. Miscellaneous: ,TAl'll T()'p's ShVr I :1 , 2 3 3 TOTAL FIXTURE UNITS UNIT EaUIV ALENT 2 1 2 3 6 2 6 6 1 3 2 lIHead 2 2 1 6 4 ..1. = FIXTURE UNITS Z" 114 <. a. 4_ 3 /;2.. ~.2;t Based on assessed value. If improvements occurred after ~nnexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. If Rate per $1,000 Assessed Value Year Annexed II 1979 or before 19BO 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Credit for Pa~cel or Land Oljly If Applicable Improl(erT]ent. (if after annexation date) - Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 5. -Ie" X $ /0.. {. tnJ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 '3~.''f = ----- CREDIT TOTAL = $ 1r;,.'~