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HomeMy WebLinkAboutPermit Building 1994-03-17/t*e c? JOB NUMBER 225 Fifth Street Spri ngfield, Oregon gT 477 HESIDENTIAL PERMIT APPLTCATION lnspections; 726-3769 Office; 726-3759 LOCATION OF PROPOSED WORK:*2349 o1+o Sr,<c€ ASSESSORS MAP LOT;BLOCK: 7 TAX LOT SUBDIVISION o*/en- p*zt ,ua,zlt oo00 HE AHO i CONSTRUCTION,INC *7LL5B 84959 Par kulay PLTASANT HILL,OR 97455 NEW y' REMoDEL ADDtloN DEMoLtsH orHER PHONE ztP SFDDESCRIBE WORK: OWNEB;_ ADDRESS CITY: _ CONTRACTOR'S NAME GENERAL: _ PLUMBING:- MECHANICA ELECTRICAL QUAD ,A,REA.: # OF BLDGS OCCY GROU ADDRESS CONST. CONTBACTOFI #EXPIRES a2/95 04/94 06/94 L2/94 PHONE 726*3898 687-1851 688-1931 7 47 -7 445 345-7564 HE and i Const. , Inc. BiIIs Electric Don Leuis Plumbing l'larshalls OiI & Ins. Brooks Excavation 84959 Parkuay 71158 Pleasant HilI, 0r 97455 3170 lll l1th, 21351 Eugene, 0r 97442 500 Greenfield 33076 Eugene, 0r 974O4 4t31"E"St. 25790 Springfield, 0r ,7478 2766L Crou Rd 5592f Eugene Ar i7402 HEAT SOUFICE:# OF STORI f-Xl remporary Electric Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Masonry - Steel location, bond beams, grouting. ffinougttJ$echanic-al - Prior toF\cover. / $ \f,\tqgL\Untl-,\/I X Rough Electrical - Prior to!4cover. K \ l/xJ Final Electrical - When all Helectrical work is complete. K & 03/94 SECONDARY HEAT: SQUARE FOOTAGE: Final Plumbing - When all lumbing work is complete. Final Mechanical - When all mechanical work is complete. t,WATER HEATER:RANGE: To request an inspection, you must call 726-3769. This is a24hour recording. AII 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. REOUIRED INSPECTIONS dl:g*:"- Arter trenches are Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Post and Beam - Prior to floor insulation or decking. X ,rr-ing - Prior to cover. VfwattCeiling lnsulation - Prior toc,l cover. ffiorv*"rl - Prior to taping. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and f raming lnsp. lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Street Trees - When all required trees are planted. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and Sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirtlng, decks, and venting have been installed. p/Unaerf loor Plumbing/ Mechanical ! { - Prior to insulatio-n or decking. K X;:""1; X'*l: Prior to Sewer - Prior to f illing Sewer - Prior to filling X XStorm trench. Water Line - Prior to filling trench. Tlnougn Plumbing - Prior to14cover, 3y \- Wood Stove - After installation. r Nfr [-l Fence - When completed. E :4 Lot faces Lot sq. ftg. Lot coverage TopograPhY Total hei Lot TYPe 'r -Ytnturio, - Corner - Panhandle - Cul-de-sacl-lab acks P.L.HSE GAR ACC N S E O THE PROPOSED WOBK IN T-rE HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISTER? -- lf 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 consiruction shall, in all respects, conform to the Ordinance aOopteO 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' Dates Reviewed -.3.l n4 Plan Check Fee Date Paid Receipt Numb Received B BUILDING PERMIT $/FT.SO. FT. HID5)3 (A) ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT C (B) HARGE (SDc)-;a #zoaCL" ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ) (c) FT. FT. FT PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unlt Dryer Vent f) N0 \5.@A ) (D) (tr-z) MECHANICAL PERMIT Mechanical Permlt lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 f ront of the property, and the approved set of plans will remain on the site at all times during construction. ,drr*" )^. rt'--U Date 3/,, /q ,/ Slg natu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surchargel Sidewatk Jt r, Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electric (A, B, C, D, and E Combined) e re'(L*l ,&4 ,,Curbcut Demolition Su rc itq DATE PAID AMOUNT REC RECEIVED BY VALIDATION: RECEIPT NUMBE lnmr i ) k-C:_ JOB NO.I OZ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I,IORKSHEET (cotlMERCIAL & RESIDENTIAL) NAME OR COMPANY:T L LOCAT ION :24'?-q 'TTo 3T DEVELOPMENT TYPE LDK - NLN 5FF BUILDING SIZE:SiZ sQ. Ft. 1. STORM DRAINAGE IMPERVioUS SQ. FT.21 L'x $0.203 PER SQ. FT. 2 SANIT ARY SEI,lER -C ITY NO. OF PFU'S (See Reverse) lg X $42.08 PER PFU 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP (Use PFU Total From Ml,lMC CREDIT IF APPL ttem 2 Above) ICABLE (SEE REVERSE) $ s b4 02 81 X I'QJ x $424.3i x $424.31 x $424.31 x x 4. SANITARY SEWER-MWMC NO. OF PFU'S lg $15.I25 PER PFU + $10 MIdMC ADM FEE $LOLLSY TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .os B^- Kip Burdick SDC Coordinator 5r>t2 Z4gL9 %t4 TOTAL SDC oZG 1L / $ FIXTURE UNIT.CALCUL,T._ ON TABLE: ruumOer of New Firlures nir Equivalent = Fixture Units (NOTE: ior r"*oOets, calculSie only the r'rg-iooitional fixtures) NUN.IBER oF uNtT F,KTUR; FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS '2_+2 1 2 J 6 .) 6 6 1 3 2 1 2 2 1 6 .+ Drinking Fountain....- - floor Drain-. lnterceptors For Grease/Oil/Sol lds/81c" " """ ""-" lnterceptors For Sand/Atno Wash/Etc" "" " " " "" " Laundry Tub/Gotheswasher.-..-- -- -. Clothes-walher - 3 Or More...---.---. Mobile Hdnie Park Trap (1 Per Trailer). Receptor For RefrigeratorAVate r Station/Etc" " " " Receptor For Commerclal Sink/Dishwasher/Etc" Shower. Single'Stall.. Sink, Bar. Commercial Urinal. StallflVall..... Wash Basin/l-avatory, Single.-------- Water Closet, Public lnstallation.- Water Closet, Private.....-.-. Miscellaneous: ead/H t- z Z TOTAL FIXTURE UNITS L__T- ls CREDIT CALCULATION TABLE: calculate credtts separates. Based on assessed value. lf improvements occurred after annexation date in table' b,'Ll x $l0,G a+ o3 Credit for Parcd or Land Only lf Applicable lmprovement (rf after annexation date) (Rate X Assessed Value)x $- (Rate X Assessed Value) CREDIT TOTAL $34 o2 Year Annexed Rate per $1,00O Assessed Value Year Annexed Rate per $1,O00 Assessed Value 1979 or before 1980 1981 1982 1983 1984'1985 s.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1 987 1988 1989 1990 1991 1992 $ 2.24 1.93 't.57 1.18 0.79 o.44 o_28 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..-. Commercial.. 0.4 0.9 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT _L approval. 225 PTPT:B SI?EEr sPRrNcP.rBID, OREGON 974 INSPECf,IOII RB0ESI: 72 OPPTCE: 726-3759 1 IJGAL DESCRIPTION perraits are non-transferable and expiif vork is not started vithin 180 daysof lssuance or lf vork ls suspended for 180 days., 2. COTITBACTOR INSTALI^ATION ONI,Y ElecLrlcal Contractor BILLS Address 3170 WtSt 1ltU nVfNUf ci trucFNF Phone 5R7-t B5l Supervisor Llcense Number 980S Explration Date 10/1/95 ,' Constr Contr. Number Expi 'ratlon Date 4/28/94 ls l.Clan Ovners Addres ci Phone OSNER INSTALI,ATTON The. installatioh is beirig made on property I ovn vhich is not intended for sale, Iease or rent. Osners Slgnature: APPLTCATTON 3. CONPIJTE PEE SCEEDT'LE BELOV A. Nev Residentlal-Single orHuIti-FamiIy per dvelling unir. . t"t""e rncruded: r tems cos t zoning, and does not require specniD lairu u:r+ SPrlINGF!ELO 1000 sq.ft. or Iess Each additional 500sq. ft or portlon thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder h -L _d_ $ 8s.00 $ 1s.00 $ 40.00 Sum % *5D B. Services or Feeders Installation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect 0nly $so $60 s100 $130 .00 .00 .00 .00 .00 .00 $300 40$ Temporary Services or'Feeders Installation, Alteratlon or Relocation 200 amps or less i $ 40.00 201 amps to 400 amps $ 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voT[s see *8" Branch Circuits re of a5ffi D. Nev, Alteration or Extension Per Panel One Circuig $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/Outline Lighting- SLimited Energy/Res - S Limi ted Energy/Comm S SI.IBTOTAL OP ABOVE 5Z State Surcharge TOTAL 40.00 40.00 20.00 36.00 DATE: RECEIVED 5 c.. ,-i 21357