HomeMy WebLinkAboutPermit Building 1994-1-18
1-
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP'
LOT:
17
--a
SPRINGFIELD
BLOCK'
HE AND i Construction Inc #71158
OWNER'
ADDRESS:
CITY'
84959 Parkwav
Pleasant Hill
DESCRIBE WORK'
X
NEW
DUPLEX
RE~ODEL
CONTRACTOR'S NAME
, H HE
GENERAL: _ ._ and I Const., Inc.
PLUMBING: --.9
MECHANICAL: Bills EIE'chi,:
ELECTRICAL: _
I
Don l_ewis PIlJmbing
QUAD AREA: _
I Mal'"shalls Oil ~~ Ins.
. OF BLDGS: _
OCCY GROUP!
/I OF STORIES' B(o()k~; E~',(:ava.'Gl0n
L........
WATER HEATER:---~~'
STATF'
OR
.
JOB NUMBER
931825
ADDITION
DEMOLISH
OTHER
225 Fifth Street
Springfield, Oregon 97477
','
TAX LOT'
SUBDIVISION: _AIJ~ti n Perk
. PHON~'
726-3898
ZIP'
97455
'*
,.
ADDRESS
CON ST.
CONTRACTOR #
REQUIRED INSPECTIONS
~ Rough Mechanical :- .Prlor to
cover. ' , '.
F:::7I Rough Electrical - Prior to....
~cover.
~ Electrical Service - Must be
~ approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and" framing Insp.
~ Framing - Prior to cover.
IC/I Wail/Ceiling Insulation - Prior to
~ cover. ,
D Underground Plumbing - Prior I\Jf Drywall _ Prior to ,taping. .
to filling trench. J.-"""
~nderflom- "'lumDln~echan~ D . .' '.'
~ .::..- Prior to Irisuliiflori 6r (JecKrng. Wood Stove - After Installation.
8,4'35'3 F'arh'ay 71158
F'I easant Hi II, Or '37455
3170 W 11th,
Eugene, Or 97402
500 Greenfield
[~ugelle, Or '3];1<)4'
4131 ll'E II St .
Springfierd~ Or
'37478
27E,61 Crow F.:d
Fuopnee Or
~----'~RANGE: c
'37402
'EXPIRES PHONE
02/'35 726-38'38 3898
J
21351
687-1851 L-
I
r--
588-1'3~,1
04/'34
33075
OfJ!93
~257'~O
747-74451
1-
"4" 7cE41
~:, ...J- ....)....1
SOUAREFOOTAGE: ,~rq3'-
12/'33
55'321
03/'34"
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. wlll be made the followIng work day.
c:J Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbin9/Electrical/
Mechanical - Prior to cover.
~ooting - After trenches are
~ ~xcavated.
D Masonry - Steel location, bond
bear:ns, grouting.
~Foundatlon - After forms are
~~rected but-'prlor to concrete
placement.
~ Post and Beam - PrIor to floor
~Insulatlon or decking.
'f':?(' Floor Insulation - Prior to
~ecklng.
~ Sanitary Sewer - Prior to filling
J..L..J"trench.
K7f Storm Sewer - PrIor to filling
~trench. .
~ Water Line - Prior to filling
trench.
~ Rough Plu~bing' - PrIor to
cover,
D Insert - After fireplace approval
and Installation of unit.
fC1 Curbcut & Approach - After
.J..O..J. forms are erected but prior to
placement of concrete,
r-;;:;>r Sidewalk & Driveway - After
~excavation is complete, forms
and sub-base material In place.
D Fence ~ Whe.n completed,'
~treet Trees - Wl'1en 'all re"quired
ry trees are planted: '. I ,
~ Final Plumbing - When all
plumbing work Is complete,
~ Final Electrical - When all
electrical work Is complete,
~ Final Mechanical - When all
. mechanical work Is complete.
~ Final Building - When all
~ required inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer. .."
'.
D Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
th~ servIce p.anel..
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
,.
,
. s~ ~ '2.61:>"4 ~";~/C i9'?(t?Cl("
Lot faces W4J1. Lot Type Setbacks (.. THE PROPOSED WORK IN THE .
etZSS I PL. , HSE'GAR'ACcl -. HISTORICAL DISTRICT, OR ON
Lot SQ. ftg. _ Interior IN I THE HISTORICAL REGISTER?
Lot coverage ~ner If yes, this application must be signed
~ Is I and approved by the Hlstorlcai
Topography Panhandle iw I Coordinator prior to permit issuance.
Total height 24A. I Cul-de-sac
IE I
APPROVED:
BUILDING PERMIT
ITEM SO. FT.
:2.'341
~2
X $/so. FT.
VALUE
/:3/5fe.f
II 3()~
Main
Garage
Carport
L~2~Z2.
S'2.q.75'
u,f'T
S~.7A
SYSTEMS DEVELOPMENT CHA~E (SDCl{$
(B) '3/A-I o;r
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
FIxtures
Residential Bath(s)
N' I II} ,-:S
..2~~.'70
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
/1/'7
291.&9
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
/2.~p
"7.<Hl
-L J8-J. (J-<)
Fu mace
2
'Z
/...
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
z
~oo
Mechanical Permit
4~
/QOO
2..2.~
5'7.:2-~
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk /n ft
Curbcut . 4,~ ft
'~"i.?fO
/ib.J.e
Demolition
State Surcharge
P!-A,) ~El/lcW FeE
40<70
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
1~q1.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 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 Gheck Fee: .IS ~ ~
l-lC;(ffL!.
Receipt Number' \ \'0?J 0
Received' ~
~
Date Paid:
/2 ~ vir
70';.t.l
PlanS Reviewed By
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
P~TII1
. -) .
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 .t.hat 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 atl" times dur~ c~nstructlon. . .'
Xlgnature~rU1- Y1rI. ~r.'_
/-:- / r ~'1 (j
Date
VALIDATION:
{l~~
I ~!'\ /5'4 c/<;. #-6"S1
AMOUNT RECEIVE~I d"J 2. ~ _.3 2.-
qfl~
RECEIPT NUMBER
DATE PAIr>
RECEIVED BY
\
.
..
. JOB NO. q31 g"Z.S
---"
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: He. i I CotJs-r. INc.
LOCATION: '2=::'03 LvN\C>lJD t{ .Z.?I? Lac.H
Lo-r 17 AuSTIN fA.f!.r:
DEVELOPMENT TYPE: LDR- - AlEeN DUPL.f;)(
BUILDING SIZE: LOT StZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 3f.;if& X $0.203 PER SQ. FT. r;--7 t/ 0 I:!; )
'-- .../
2. SANITARY SEWER-CITY
NO. OF PFU'S 3-/- X $42.08 PER PFU 04'bo-7€)
(See Reverse) ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $424.31
~667 i~
-------- .-/
$
$
2.
X 1.0/ X $424.31
X X $424.31
.--.
/
4. SANITARY SEWER-MWMC
NO. OF PFU'S '31 x $15.125 PER PFU + $10 MWMC ADM FEE $ 51.<!- '/..2
(Use PFU Total From Item 2 Above)
SUBTOTAL
$ ?Lj.~
TOTAL-MWMC sac ~
(ADD ITEMS 1,2,3 & 4) $ ';6 /<g I~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ 1< J;,j., ;z/lI /q,?
\:l Kip Burdick. I -
SDC Coordinator
~t7?~
.! o~
TOTAL SDC $ 3~q.,-
:
FIXTURE UNIT ,CALCULA aN TABLE: Number 01 New Fixtures X. Equivalent = Fixture Units ~OTE;.
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
1.-
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
Bathtub.................... ..................................................
Drinking Fountain.....................................................
Roor Drain..........................._....................................
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Ootheswasher........ ..w...... .......... ......
Ootheswa~er - 3 Or More.....................:...............
Mobile Home Park Trap (1 Per Trailer)...'...............
Receptor F9r RelrigeratorjWater Station/Etc.......-
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single 'Stall... ................ ........ ..... .:.... ...........
Shower, Gang...........................................................
Sink, Bar, CommerciaL..........................................
Urinal. StalljWall.......................................:...............
Wash Basin/Lavatory, Single.._...............:........._.....
Water Ooset, Public Installation.....................:.......
Water Ooset, Private.............................._:...............
Miscellaneous:
1.
1-
4
if/13
TOTAL FIXTURE UNITS
=-i
'-I
-z.
....
4-
_I -Lo -1/3
34-
CREDIT CALCULATION TABLE: Based on assessed value. II improvements occurred alter annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
./ "'3
Credit for Parcel or land Only If Applicable ? . -z. I X $ /0. (" ~..,. . -
(Rate X Assessed Value)
Improvement (If alter annexation date) X $. =
(Rate X Assessed Value)
3,/"'3
CREDIT TOTAL = $ ..,.
Rate per $1,000
Assessed Value
$ 2.24
1.93
1.57
1.18
0.79
0.44
0_28
'.
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residential....................:.............-..................... 0.4
COmmerciaL.._................-...-..--........................ 0.9
IndustriaL.........................-........-....................-. 0.45
Govemmental.............-..................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT