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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