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Home My WebLink AboutPermit Building 1992-11-20 pc., .~OB ~~MBER qcQ I~LI? ~ 225 Fifth Street Springfield. Oregon 97477 . ,..- SPRINGFIELD .; RESIDENTIAL PERMIT APPLICATION j);; J"€- ()q1(Y\ N/A , TAX LOT: SUBDIVISION: Lochaven BLOCK: LOT' PHON~' 688-9123 Lochaven Partners OWNER' ADDRESS: CITY' 1199 N. Terry St. Eugene 97402 OR ZIP: STAT~' .-~te \- DEMOLISH striMe~ Accessorv Value $ <//0.1/0 --- OTHER M.H. Value $ ~;), //f).DD , DESCRIBE WORK' Mobile Home set UD x ADDiTION REMODEL NEW CONST. CONTRACTOR' EUl!. 41497 20-236PB PHONE 484-6505 689-"/762 484-6505 344-1500 EXPIRES 2/2/92 ADDRESS 87922 LaPorte Dr. CONTRACTOR'S NAME Ernie & Son's GENERA' ' 1441 N. Hl<v. 99 PLUMBING' Harrison Construction 2/2/92 41/,97 87922 LaPorte Dr.. Eu~. MECHANICAl' Ernie & Son I s 20-280C/63137 855 IL 24th Heritage Electric ELECTRICAl' .~... - OFFICE USE - QUAD AREA: \ Q J\ ')\ }.. J LAND USE: \\~n FLOOD PLAIN: \1 u(~ . OF BLDGS: \ . OF UNITS' \ ZONING CODE: OCCY GROUP: R-~ CONSTR. TYPE:~) N OF BDRMS' ~ N OF STORIES: \ HEAT SOURCF' \='0 SECONDARY HEAT: WATER HEATER' 7.-/ RANGF' t-> SQUARE FOOTAG E: [(.1:). Lf2.... ~ . To requesl 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 afler 7:00 a,m, will be made the following work day, REQUIRED INSPECTIONS o Final Plumbing - When all plumbing work Is complete, o Rough Mechanical - Prior to cover. o Temporary Electric o Rough Electrical - Prior to cover. D Final Eloctrlcal - When all electrical work Is complete.' o Site Inspection - To be made after excavation, but prior to setting forms. H, Underslab PIUmbing~ 0 Electrical Service - Must be W Mechanical - Prior t"" __. -.. approved to obtain permanent electrical power. 'R7f Footing - After trenches are ~ excavated. o Final Mechanical - When all mechanical work is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. DOthor o Foundation - After forms are erected but prior to concrete placement. o Wail/Ceiling Insulation - Prior to cover. o Underground Plumbing - Prior to filling trench. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS o UnderCloor Plumbing/MechanIcal _ Prior to Insulation or decking. o Wood Stove - After Installation. ~Iocklng and Set.Up - When all lfJb!ockln9 Is complete, o Post and Beam - Prior to floor Insulation or decking. o Insert - After fireplace approval and Installation of unit. ~ Curbcul & Approach - After ~forms are erected but prior to placement of concrete. Q'fPlumblng Connections - When {home has been connected to water and sewer. o Floor Insulation - Prior to decking, ~ Sanitary Sewer - Prior to filling ~ trench. "\)(] Storm Sewer - Prior to filling ~ trench. ~ Water Line - Prior to filling ?J trench. )Zl Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - Afler excavation Is complete, forms .and sub-base material In place. o Fenco - When completed. [trFlnal - After all required ~.~nspectlons are approved and porches. skirting, decks. and venting have been Installed, o Street Trees - When all required trees are planted. o Rough Plumbing - Prior to cover. Lot taces Lot Typa Setbacks .IS THE PROPOSED WORK IN THE <'" Lot sq. ltg, Interior I P.L. HSE GAR ACC I HISTORICAL DtSTRICT'ar IN; I THE HISTORICAL REG STER <,', . If yes, this application t:i sl'g.;"ed Lot coverage Corner " ~' 'A- S and approved by the Historical Topography Panhandle Coordinator prior to permit Issuance. Total height Cul.de.sac W IE APPROVED' BUILDING PERMIT ITEM sa, FT, x $/sa. FT, =~ Main Garage C VL~a,) Carport, "- \ (\ \fI(\ . Y Il 1\ (\ Q ~S:, 410 Total Value I~.OO -. .?S J __t::) . TI Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) w .Ii t~ 7'P (B) ill'1C,2.P>- PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. FT, ~~.ou ~t:),OU A c:; oc) Water Storm Sewer Mobile Home Plumbing Permit '7:S .00 :~ .'75 I) P;; .IJS State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace ExhaU:j.t Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge / ~ ," \fJ~~ 4{'). \.1:). {J) Total Permit (D) MISCEl.LANEOUS PERMITS Mobile Hume State Issuance State Surcharge Sldewal~< It Curbcut ~ It Demolition U .1'!() State Surchi:uge Total Mlscelianec'us Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, C, D, and E Combined) I f/idt./ct) 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 sus,ded or revoked al any time upon violation of any provislo s of sald...ordinaflcos. Plan Check Fee: i"\7';"'" /'" Date Paid: ('0, \,'V Receipt Number' )><'\ Re7 Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I stato 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 OregC?n pertaining to the work described herein. and that NO OCCUPANCY will be made 01 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 profect. 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 Iront of the property, and the approved set of plans will remain on the slt~mes during construction. Slgnatur/ d:Ar ",j.{) st, 7l1j)/1~~ DatL~_l/< 7o-9'L.? y ,,~ VALIDATION: 6& 7"B DATE PAID 11-20(!2... AMOUNT RECEIVEr> ' 15~ ,m 4~ ,//// RECEIPT NUMBER RECEIVED BY " "~~ '.. "" '; . i ) 225 FIFTlI STRlmT SI'IUNGFIELU, OIU:GON INSPECTION REQUEST: OFFICE: 726-3759 9 7It 77 726-3769 3. l'1fr~~~D~Tr;lmWA. \ r]()~~CJlf~N rA4ri) , ~~::~:~":f:;::'~ ~'" If york Is not started vit~~~O days of Issuance or If york is suspended for 100 days. "1 :i 2. CONTRACTOR INSTALLATION ONLY Electrical Con t rac tor~j2. c:e-ltr...- Address R'5.5 cJ. ~ Phone 3W-/5c50 City~ t7 Supervisor License Number ! : W5-S /0/1/95 Constr ContL'. NumbeL' It 3/3 7/58:, ,;1-0 - zeo c.. /o/~/~3 Expiration Date ; ; , Expiration Date , '" Signature of Supervising Electrician " I , ;.i ..j I I i ! j I 'I i Ci ty iI ~...! ";1 "I " ']':/ " , '~ ~ 1 " , , ;, i f I OIlNr-.R The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: .,. 11- ~-7""2... ~~~~~~J:ll # ily:~:~.60_~~?<. ,_____,__ S"'IlN(.;.t;IIlLU City Job Number COMPLETE PEE SCnEDULE DELOII New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd lIome or Modular Dwelling Service or Feeder d D. 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 $ 85.00 $ 15.00 $ 40.00 PI) $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel One Ci,rcul t Each Additional Circuit or vith Service or Feeder Permi t E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm 5. SlJDTOTAL OF ABOVE ,5% state Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 PD. CO , 'f'UO ><"'>4-- _ CKJ . ;' . .JOB NO. QZ.1C,("." CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) , , NAME OR COMPANY: L()(,i-IA VE.N '0>.~\N~S LOCATION: '-tl'? "Z:>u>.,--r~ (~L.e:1J1o.\ t:>~. DEVELOPMENT TYPE: Ltl\2.. - NE:-IN !v\()1">IL-E. ~oMl":. 1-\,0",",10 .. Pll-'''f.'''''''f" BUILDING SIZE: 'Z1-{."?t', 1 l"tV''?o LOT SIZE 1. STORM DRAINAGE LOc:...H~"E:t-I LO"T 1?e, SQ. Ft. IMPERVIOUS SQ. FT. (~B(..., X $0.192 PER SQ. FT. c; '2.<0(" fl) ...... -- 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) \5 X $39.78 PER PFU ~1("OLf) ...... --- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X . '5'1'-!- X $401.05 C:=Z'b020 ~ -- X X $401. 05 $ ~ X X $401.05 $ SUBTOTAL (ADD ITEMS 1,2, & 3) $1'2..-1'2..-?2 4. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 (( CoO~~ ...... -- TOTAL-CITY SDC $ \'2..-1'2.. '\.:!. 5. SANITARY SEWER-MWMC It" NO. OF PFU'S \ e:, x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ "Z.?? ~ (Use PFU Total From Item 2 Above) V';::E;. , , .~ ~ L..k lJ Kip 8urdick SDC Coordinator l' I,., /'"12 I / L- TOTAL-MWMC SDC~?~~ ....... -- TOTAL SDC $ t 52-~'~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA-"N TABLE: Numbe'r of New Fixtures X. Equivalent; Fixture Units (NOTE: \ For remodels. calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS , 'Z- 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 Bathtub...................................................................... Drinking Fountain,.....,.. ......."..,...,..,.. ,..,........ ,....' ,..., Floor Drain"...,.......,..,..,......"",.."..,..,....,........,..,...,.. Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry Tub /Clotheswasher...,..,..,..,........., ,........... Clotheswasher - 3 Or More............,....,~.................. Mobile Home Park Trap (1 Per Trailer)..,............... Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall..,.......""..""'..,..""".,.."'..,..,.." Shower, Gang..,.....,.."......,..,..""".,..,..,..,',.........,..., Sink, Bar, CommerciaL",."""",..""",..,."",..,..,..,... Urinal, StalljWall.....,..,.,..,.,.."..,..".,..,..,..,',......,..,..". Wash Basin/Lavatory, Single,..,..""",..,.,....,....,..,... Water Closet. Public Installation,....,.........,....,........ Water Closet. Private.....,....,..".."",.,..,..,.."..,..,....... Miscellaneous: I IL 'Z. 2 TOTAL FIXTURE UNITS ; ..J l. 'Z. "Z. 8 18 Based on assessed value, If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed CREDIT CALCULATION TABLE: calculate credits separates, \ Year , Annex: 1979 or before 1980 1981 1982 1983 1984 $2,83 2.76 2,71 2,60 2.46 2,33 1985 1986 1987 1988 1989 1990 1991 Rate per $1,0001' Assessed Value $2,16 1.90 1,60 0,25 0,87 0,50 0,16 1\ Credit for Parcel or Land Only If Applicable X $ ; (Rate X Assessed Value) X $ ; (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential..,.....,..,..,....,...."..,.,....,... ,......,... ,..,.. 0,4 CommerciaL..,.....,.....",........,....,..,..,.......,.."..., 0,9 Industrial,.,....,..,..,....,.......,.."....", ,..,....,....',..".. 0,45 GovernmentaL,.....",.....,..,.....,."""..,",.,..,""',., 0 ,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT