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Home My WebLink AboutPermit Building 1992-4-9 .' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' 18 02 05 2 4 ASSESSORS MAP: 64A LOT: . SPRINGFIELD ~,., 4431 Jessica Street -', # SP 39 . N1a1A JOB NUMBER ~( Jf"n... 225 Fifth Street Springfield. Oregon 97477 Springfield, OR 97478 BLOCK' OWNER' Capstone Homes, Inc, of Oregon P,O. Box 22636 ADDRESS' CITY: . Eugene, STAT~' DESCRIBE WORK' Single Family Residence NEW XX REMODEL ADDITION DEMOLISH CONTRACTOR'S NAME GENERAl,capstone Homes, OTHER TAX LOT: 2200 SUBDIVISION' Lucerne Meadows PHONF' 689~5567 OR ZIP' 97402 ADDRESS Inc, of OR P,O,B, 22636 CONST, CONTRACTOR # Eug, ,OR 97402 62018 PHONE 689-5567 EXPIRES 10-18-92 PLUMBING:Fridl und Plumbing 85628 Dilley Lane Euq, ,OR 97405 51835 12-14-92 MECHANIC<AI' Garibay Heating 4207 W,5th Ave, Eug, ,OR 97402 70545 12-~1-92 ELECTRICAl' Rose CorD, 89976 Dau Lane Euoene I OR 97402 54431 9-30-92 QUAD AREA:(~R~ . OF BLDGS: \ OCCYGROUP: Q'?)~ fV\ . OF STORIES: ~ r./ WATER HEATER: - OFFI\ USE - LAND USE: ~ \ \ . OF UNITS: ' CONSTR. TYPE: JL^) HEAT SOURCE: ~ J ~ RANGF' 746-9433 344-2481 686-0905 FLOOD PLAIN: ZONING CODE: U)V 4 . OF BDRMS' SECONDARY HEAT' SQUARE FOOTAGE' /<J2:?? ~ , ---, To request an inspectlon, 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. ,...- o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrlcall Mechanical - Prior to cover. f\:7( Footing - After trenches are ~ excavated. . D Masonry - Stee! location, bond beams, grouting. ~ Foundation - After forms are ~rected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS r;;::7( Rough Mechanical - Prior to ~ cover. K:7f' Rough 'Electrical - Prior to J...6J...cover. "f'::/( Electrical Service - Must be ~approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. 'f':71 Wall/Ceiling Insulation"':'" Prior to ~cove~ . ~ Drywall - Prior to taping. ~ Underfl~! !,lumDI~chanical":::> f':7f " ' ~ - Prior t01"",,,m;ulvn or Clecklng. ~ W~t~~F:)fstarrat'on. ~post and Beam - Prior to floor .insulatlon or decking. ~Floor Insulation - Prior to '" "':ecking. K:71' Sanitary Sewer - Prior to filling ~ trench. 'f':/( Storm Sewer - Prior to filling ~rench. ~ Water Line - Prior to filling ~rench. 1':71' Rough Plumbing - Prior to ~over. D Insert - After fireplace approval and 'Installatlon of unit. 1'\71 Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. 'rv(Sidewalk & Driveway - After ~excavation is complete, forms and sub.base material in place. D Fence - Whe.n completed. /f7l);treet Trees - When all re'q~jred V.rees are planted. . ~ 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 the service panel. D Final - After all required , Inspections are approved and porches, skirting, decks, and yentlng have been installed. Lot faces ~ '1ype · Selbocks . THE PROPOSED WORK IN THE Lot sq, ftg, ffl-1 Interior P.L HSE GAR ACC I HISTORICAL DISTRICT, OR ON :5' 1 THE HISTORICAL REGISTER? Lot coverage $ _ Corner N If yes, this application must be signed Is 9' 1 and approved by the Historical Topography cIDl' _ Panhandle Iw .1 Coordinator prior to permit issuance. ~e.sa~ ' Total hel ght IE 20' I' APPROVED: BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, ~tt.?O ~/1/0 VALUE c;7, "7, / 1. Of) fn 15f,oO Main !3f~ 179 Garage Carport ~t') 7./.00 3Jt:,.PO /S.60. 331.Pio SYSTEMS DEVELOPMENT CHARGE (SDC) flS . - (B) -# ")-D .,.., '[l.. Total Val ue Building Permit Fee State Surcharge Total Fee' - (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' "2, Sanitary Sewer FT, Water FT, Storm Sewer FT, Mobile Home -"c FEE -L92 ?,O Plumbing Permit qt.3 202.. (3 State Surcharge Total Charge (C) MECHANICAL PERMIT --L:-- ~ 4,50 q.O-O /5.00 :<.,ov Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit 5150 /0,00 /.e,~ d.CJ 38 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~~ ft Curbcut ::;?.fn ft /5/0 J~.90 Demolition State Surcharge PUrr. ') .em /R-O ~.oo Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D, and E Combined) 20~/7, Of!> 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 lhe City of Springfield. Including the Development Code, regulating the construction anc;1 use of buildings, and may be suspended or revoked at any time upon violation o~ any provis~s of said ordinances. Plan Check' Fee: -Mli) ':fO' Date Paid: Receipt Number: Received By: PI~~/V'>; , ~~2 . , Systems Development Charge is due on al/ undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS I "11n~ Olli ... . L{q ~ tb 44~ 9'/ /y'::;:.;t 'j (~T '. I\\,P?~~\~) ~V\1\~ ~c\l.j \C\f\~ 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. I further agree to ensure that all required ~nspectlons 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 a~~es,du~~truction. Xlgnature I t/;;/.~ ~ t7' ~ - Date ~~., VAll DATION: ~. RECEIPT NUMBE~ , DATE PAIP 't ' AMOUNT RECE~ RECEIVED BY (-1\'10_) JOB NO, !1."J.O..;q<-j CITY OF StNGFIELO SYSTEMS DEVELOPMtI CHARGE - WORKSHEET I , (COMMERCIAL & RESIDENTIAL) NANEOR C0I1PANY: CAPStONE:;. HOMr2-S XNc. of Qf2-t:&-ON LOCATION: Iftf'bl J'i':';"~/Ul St. 1<;( () 7- 0 s '2-'-1- - "7-- ~ 0 DEVELOPMENT TYPE: L-D/Z. - NE:.W '?F7Z. BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 1-100 X $0.186 PER SQ. FT. Is ?"IO~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) LOT SIZE SQ. Ft. 2, SANITARY SEWER-CITY NO. OF PFU'S 'Z 2;, X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION Is B~"~ I NO OF UNITS X TRIP RATE X COST PER TRIP X' X $388.61 I~ "10 s~ ,I s I X 1,00 s X $388.61 X X $388.61 i (Se~ Attachmen~ ~ To Determine Trip Rates) .q., , , SUBTOTAL (ADD ITEMS 1,2, & 3)'$Jt..b"7~-9- 4. ADMINISTRATIVE FEES BASE, CHARGE (SUBTOTAl ABOVE) X .05 Is 25"? ";q TOTAL-CITY SDC S 1'7 S I ,.!- 5, SANITARY SEWER-MWMC NO. OF PFU'S '1-? x S13.25 PER PFU + S!OMWfK ADMIN. FEE s ?1'-I75.. (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~-R (j . J.....' ~ Kip Burdick sac Coordinator ~ /:; I /1'1-- I I s ~,'t2. TOTAL-MWMC SDC Is 1--l?"~~1 TOTAL SDC s"2-03'-f'f!.. FIXTURE UNIT CALCU ~O N T AS LE: Number of New Fi'1ures.i1 EQu~'alenl = Fi.1ure Unils (NOTE: For remodels. calculate only the ~dilional fi.1ures) , .., NUMBEfl OF UNIT FIXTURE ,FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS I 2 1 2 3 6 2 6 6 1 3 2 1jHead 2 2 1 6 4 ~ Bathtub..................................................... ................. Drinking Fountain.......:............... .......,. ...................... Floor Drain...,...,...:........:..,........................................ Interceptors For GreasejOiIjSofids/Etc............,.... Interceptors FocSandjAuto Wash/Etc..........::...... Laundry TubjOotheswasher....,...........,.................. Ootheswasher . 3 Or More..............,...................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrlgerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single Stall................................................. Shower, Gang....',......,.....,:...........,............-......... Sink, Bar, COmmerclal..,.,...... .......-............. Urinal, StalljWall..,.....-.....-...:............"........-...,..."., Wash BasinfLavatory, Single._._,......... Water Ooset, Public Installatioll............................. Water Oosel, Ptiv?'o -.................. Miscellaneous:, ?- ...'" ')... '], -;. '? ~ 1'2- TOTAL FIXTURE UNITS = '2-~ CREDIT CALCULATION TABLE: Based onassesseri value. tfJmprovements occurred aftecannexation date in.table, calculate credIts separates. I 1979 or before 1980 1981 1982 1983 1984 ' Rate per $1,000 Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 Year ' Annexed 1985 1986 1987 1988 1989 1990 Rate per $1,000 Assessed Value $1.69 1.35 1.15 0.92 0.59 0.23 1 l Year, AnneiEid Improvement (If after annexation date) . ')..,e.,1. X S II. S'3 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = =- r '!! Credit for Parcel or Land Only If Applicable = ~ =$ ~Jo./-2- RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL..............................,......... .............. 0.4 COmmerci2L.................................................... 0.9 IndustriaL.,............... .............. ..... ..... ................ 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT SPRINGFIELD ~.' 225 FIPTH STREET ,SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759' t;-'.'(iIiOwing Zc, :""g. ,~nd pr~JeOl as sob . , ~l-iPil)"al doe. not re Iremmf)() has t~,. . SPeeInc 18 . , " Zonin 97477 726-37e1ldil P,ERHITA'~L~I~A Number '1 Q(JNi 1500 sq. ft'. or less ,..--/ $ 85.00 <AS ~ Each additional 500 sq. ft or portion thereof Z $ 15.00 3C).~ Each Manufid Home or Modular 'Dwelling Service or Feeder $ 35.00 City Job 1. ALlt/torl:~ Slgnatore LOCATION OF INSTALLATION ' ' 4431 Jessi ca Street A. ' New Resl 'l-Single or Multi-Family per dwelling Service Included: ' MPLETE FEE SCHEDULE BELOV, LEGAL DESCRIPTION, 18 02 05 2 4 TL 2200 JOB DESCRIPTION Single Family Residence Permits are non-transferable and expire if work is not started within 180 daY$ . of issuance or if work is 'suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ", i uni t. Items Cost SUIn , I I I , Electrical Contractor I, Address 89976 Day Lane Rose Corp. B. Services or Feeders {10 Branch Circuits included). Installation, Alterations or Relocation: Ci tyEugene 686,-0905 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only , I Phone Supervisor License, Number 15685 Expiration Date 10-1-92 $ 35,00 $ 60.00 $ 80.00 $130.00 $300.00 $ 35.00 -'"' ....~. .~.... . Constr Contr. Number 54431 C. Temporary Services10r Feeders Installation, Alteration or Relocation, Expiration Date 9-30-92 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over ,600 amps or 1000 Signatu~, upe~vi~ Electrician //~.pJ/~ ' D. Branch Circuits OlINER INSTALLATION $ 35.00 $ 40.00 $ 80.00 volts see "B'" above New, Alteration or Extension Per Panel 'E. Miscellaneous (Service/feeder not included) -Each installation Pump'or irrigation $ 36.00 Sign/Outline Lightin~ $ 36.00 Signal, Circuit or limited energy panel $ 36,00 5. SUBTOTAL OF ABOVE 115 ~ ,5% State Surcharge' <; I',J TOTAL ,I? (;.75 Name Capstone Homes, Inc. of Oregon . Address P,O, Box 22636 One Circuit Two to ten Circults Each Addt'l, ten or portion' thereof 'Ci ty Eugene, OR 9740~hone 689-5567 The installation is being made'on property I own' which is not intended for sale, lease or rent. Owners Signature: ~~~~~~-:~~GT~t1t/-;;R----- RECEIVED BY:~I/)0 ~-; $ 35.00 $ 50.00 $ 15.00 I ,I , I I ,I I I I