HomeMy WebLinkAboutPermit Building 1994-4-18
$".~ \\'s. ~~dnL
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:
LOT: l ~
~404
~',,~,
JOB NUMBER
9~3 Y'.s-
225 Fifth Street.
Springfield, Ore.gon 97477
BLOCK:
TAX LOT:
SUBDIVISION: At\~ \'k. ~Oe.T\-\
,
01/ .: 'r:.OOHOEO ANO' i CONSTRUCTION;INC '#7115"8
I
AC' ,I..::. 84959 Parkway
cd . ..PLEASANT .HILL" OR_.9.Z,4,55 . STATE:
, )
. .t.'_ . --t_.__
UsF'n"-
DESCRIBE WORK:
NEW X
REMODEL
,ADDITION
CONTRACTOR'S NAME
"
GENERAL: I:
PLUMBING: I
MECHANICAL: J
ELECTRICAL: J
I
;: "-
-,~.'-"'"
DEMOLISH'" ,.': 'OTH,ER
PHONE: F ,-:: -r ~ (Q 3 cgcr g>
ADDRESS
'CONST.
CONTRACTOR #
__ _~__.____ _ ____.______._~'f:"'-__ .___ __ _ _ __
HE and i Const.,Inc. 84959 Parkway 71158
Pleasant Hill, Or 97455
Bills Elect ric 3170 W 11 t h, 21351
Eugene, Or 97402
Don Lewis Plumbing 500 Greenfield 33076
Eugene, Or 97404
Marshalls Oil 8. Ins. 4131"E"St. 25790
Springfield, Or 97478
Brooks Excavation 27661 Crow Rd 55921
Eugene, Or 97402
QUAD AREdt
# OF SLOGS: I
OCCY GROUP]
I
# OF STORIES:
J
fj
WATER HEATER:
Ht:A" tiUUbI\;t::
y/
I l.-.-t
,.,
ZIP:
EXPIRES PHONE
----
02/95 726-3898
I
04/94 687-1851 i
i
i
06/94 688-1931 L
12/94 747-7445
03/94 345-7564 I
r
. i
SECONDARY HEAT: ,,(;;;;"
SQUARE FOOTAGE:c4JPi..cll
- - I
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.
~ Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
M" Footing .- After trenches are
~,excavated. .
D Masonry - Steel location, bond
beams, grouting.
'1~(Foundation - After forms are
~~erected but- prior to concrete
placement.
RANGE:
REQUIRED INSPECTIONS
~ Rough Mechanical. "7 Prior to
~"'cover.
~Rough Electrical - Prior to
~, cover.
~ Electrical Service - Must be
/~.approved to obtain permanent
electrical power. , ,:' '.
D Fireplace - Prior to facing
materials and framing Insp.
~ ~raming - Prior to cover.,
, ... .
~ Wall/Ceiling Insulatio~ ~ :p'rior to
/~cover. '.
\~DrYWall - Prior to ta~i~'~..
. . ~_." -,
Underfloor:::Plumbin' echanical . .' .
/~_ Prior to"Tnsula io,~ VI "'-''''',ng~D Wood Stove - After installation.
D Underground Plumbing - Prior
to filling trench.
I"XI Post and Beam - Prior to floor
.~nsulation or decking.
~ Floor Insulation - Prior to
, -decking.
.~ Sanitary Sewer - Prior to filling
/~ trench.
~ Storm Sewer -. Prior to filling
'~trench. _
~ Water Line - Prior to filling
'~ trench.
'. .
~....Rough Plumbing - Prior to
~ \. cover. .
D Insert - After fireplace approval
and installation of unit.
'lZ(-<
A Sidewalk & Driveway - After
, excavation is complete, forms
and sub-base material in place.
D Felice - When completed. , ,
~treet Trees - When an;e'~~'ired... .
(~es are planted.. . , ,.
~Final Plumbing - When all
~plumbing work is complete.
. .
~Final Electrical - When all
/. ';el~ctrical work is complete.
'l~~Final Mechanical - When all
/~e.chanical work is complete.
I~ 'Final Building - When all
/~equired inspections have been
ap,proved and building is
completed.
D Other
MOBILE HOME INSPECTIONS
o 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
the service. panel.
o
Final - After all required
inspections are approved and
porches, ski rti ng, decks, and
venting have been installed.
Lot faces ;:::) .
Lot sq. (tg.' ~~
Lot coverage \~
~2.1'),.
Topography '- r"-
Total height \'f\ /
tf\ I)
BUILDING PERMIT.
ITEM SO. FT.
X'ype
,~. Interior
Setbacks
HSE GAR Accl
17/' I
/g' I
~ I
j?, I
~. ,,-, THE 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.
I P.L.
IN
Is
Iw
IE
Corner
Panhandle
Cul-de.sac
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
VALUE
'9<./~. -
/7~S?~
X $/SO. FT.
-!? 6 ~ ":2t?
/ y(/~
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use 'of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: :i? .,~. e::?2!>
/~~~
/Z/2...
Main
Garage
Carport
J-/:>.... ~7'
Receipt Number: ./ /97:~
Received:;6Y: ./2. ~. ,
~~~
'K)t. . ~~/~/,,_M .
~s Reviewed By
Date Paid:
L~:!$/'?,~~"
hi5f),~
'~1.18
\ ~].e~
SYSTEMS, DEVELOPMENT CHARGE (SDC) -$
~ '1:?~l"2:.!.
Total Val ue
Building Permit Fee
(~{(y
State Surcharge
(A)
Total Fee
Systems Development Charge is due',on all undeveloped
properties within the City limits which are being improved.
(B)
ADDITIONAL COMMENTS
PLUMBING PERMIT
ITEM
FEE
\~J\Q \{ ,l \C{IlS
-~~~ \O\.nCD
\ c"
, I..}
'. .
:~.'~b
...~
Fixtures
NO ~. ~
Residential Bath(s)
Sanitary.Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
%1 a:.a D
l~~
.~
~~ -~ct.b3
. ~'" ~
(C) ~~.\3 ' ,~.
MECHANICAL PERMIT
Plumbing Permit
State Surcharge
Total Charge
~..CQ
1.\. SO
<q. (')0
"Fu mace
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 ORS 701.055 will be used on this
project.
Exhaust Hood
'3,
NO
Vent Fan
Wood Stbve/lnsertlFireplace Unit
. _Dryer Vent
~..(b
Q.Q.t.:\ &
JDOO
\~ \ ~
~1."1>
\
Mechanical Permit
Issuance
State Surcharge
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 xLLtJClJL \n JuA:o
(D)
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk h ~ \
Curbcut ~ '1
~q.CfL
\ l.{ .3s
ft
Date
It
Demolition
VALIDATION: \ Q ~
::;:'::,:UM~, 18,.~2t~
AMOUNT REC~~$.3!.l 'B":t,~Q5
RECEIVED BY 0'1 ~LA ,,1
State Surcharge
Total Miscellaneous Permits (E) .L{.4.~
TOTAL AMOUNT DUE (excluding electric~~l'61.5..%
(A, B, C, D, and E Combined)
JOB NO. Cf'-l 0 ~ 'i C;
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: t+E: ~ r CoN5/. IfoJc.
,
LOCATION: L '-foL{ O-rTO
DEVELOPMENT TYPE: LOR- - fJE-W <?FR
BUILDING SIZE:
1. STORM DRAINAGE
LOT SIZE
SQ. Ft.
IMPERVIOUS SQ. FT.
?~OO
x $0.203 PER SQ. FT. G"I \ '0
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
~<3
X $42.08 PER PFU
~'?l~
'-- ~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $424.31
~n~~
$
$
x , . 0 I X $424.31
X X $424.31
4. SANITARY SEWER-MWMC
NO. OF PFU'S l~ x $15.125 PER PFU + $10 MWMC ADM FEE $ '28~'2~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3~o~
TOTAL-MWMC SDC ~2Y.e- L.~
~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ~'Z-z.S~
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~~L~ ~/\B/~Y
U Kip Burdick . I
SDC Coordinator
~\\\~
'- .-/'
TOTAL SDC $ Z~?I ~
FIXTURE UNIT,CALCUlJ. ON TABLE: Number of New Fixtures .~nit Equivalent = Fixture Units (NOTE:
For remooels, calcul~te only the NET additional fixtures)
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
FIXTURE TYPE
'Z-
2 -z.
1
2
3
6
2 -z...
6
6
1
3
2 Z
1/Head
2 Z.
2
1 Z.
6
4 ~
Bathtub..... ........... .... ,....... .............................,............
Drinking Fountain..................:........ ........... ........ ... ....
Floor Drain................................................................
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Clotheswasher.......... ...... ......... ..........
Clotheswa~her - 3 Or More.....................................
Mobile Hdme Park Trap (1 Per Trailer).............~....
Receptor Fi;>r Refrigerator /Water Station/Etc........
. Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single' StalL........;..... ... ........ ......... ..............
Shower, Gang.. ....................... ...... .., .............. ...........
Sink, Bar, Commercial.... ................. ......... ...............
Urinal, Stall f'Nall............ ...... ................................ .....
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet. Private.................... ........'.. .................
Miscellaneous:
,
'\
L..
TOTAL FIXTURE UNITS
\9:.
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate' credits separates.
Year
Annexed
Rate per $1.000
Assessed Value
Year
Annexed .
Rate per $1,000
Assessed Value
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
::z... '? I I "7_,'.0_'3.
Credit for Parcel or land Only If Applicable . J 'c, ( X $ tl. '0 "J'-t
(Rate X Assessed Value)
Improvement [If after annexation date) X' $
(Rate X Assessed Value)
CREDIT TOTAL = $ ~ 4- ~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
R esid entia!........................................................ 0.4
Commercial...............................:...................... 0.9
I nd ustrial........................................................... 0.45
Governmental.. .............. .... .......... ..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT