HomeMy WebLinkAboutPermit Building 1992-3-27
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
18 02 05 2 4
ASSESSORS MAP'
63A
LOT:
.
SPRINGFIELD
4443 Jessica Street .Springfie1d, OR
BLOCK'
ADDRESS'
P.O. Box 22636
Capston'e Hoines, Inc. of Oreqon
~
OWNER'
CITY'
Euqene,
STAT'"
OR
NEW XX' REMODEL
ADDITION
Single Family Residence
OTHER
DESCRIBE WORI<'
CONTRACTOR'S NAME
GENERAL,Capstone Homes,
DEMOLISH
#SP 36
.
0';:) ()~()~
JOB NUMBER
225 Fifth Slreet "
Springfield, Oregon'97477
97478
TAX LOT:
SUBDIVISION:
2300,
Lucerne Meadows
PHON'"
689-5567
ZIP:
97402
x-
P!N E
ADDRESS
Inc. of OR P,O,B, 22636
CONST.
, CONTRACTOR #
Eug, ,OR 97402
EXPIRES
62018 10-18-92
689L5567
746-9433
344-2481
686-0905
PLUMBING'
. ....
Frid1und Plumbing 85628 Di11eq'Lane Euq.;OR 97405
MECHANICAL:Garibaq Heatinq 4207 W, 5th Ave, Euq..OR 97402
ELECTRICAL' Rose Corvo 89976 Dau Lane,':Euaenp. OR 9740j:'
QUAD AREA: \.. ~Q.. ~
# OF BLDGS: ~
OCCY GROUP R'~TM
# OF STORIES:__~
WATER HEATER'
- OFFICE ~SE -
LAND USE: I \ l \
1 ).
CONSTR. TYPE: V (\/
HEATSOURCE:6~ /'.4 ~
# OF UNITS:
RANGE:
51835
12-14-92
70545 12-21-92
54431 9-30-92
FLOOD PLAIN:
ZONING CODE:
u )r/)
# OF BDRMS'
SECONDARY HEAT: ~ - -
SQUARE FOOTAGE dl( )..:s
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.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
~ Footin'g - After trenches are
excavated.
D Masonry - Steel loca,tlon, bond
beams, grouting.
[I] Foundation - After forms "are
erected but prior to concrete
placement.
r:vl Underground Plumbing - Prior
~ to filling trench.
rY1 Underfloor Plumbing/Mechanical
~ - Prior to insulation or decking.
~
Post and Beam - Prior to floor
insulation or decking.
[Xl Floor Insulation - Prior to
decking.
I"'i7l Sanitary Sewer - Prior to filling
l..4J trench.
[Z] .Storm Sewer - Prior to filling
trench.
[2] Water Line - Prior to filling
trench.
[EJ Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
CEI Rough Mechanical - Prior to
! ' cover. ~'.
rvl Rough Electrical - Prior to
~ cover.
rvl Electrical Service - Must be
~ approved to obtain permanent
electrical power. -
o Fireplace - Prior t; facing
materials and framing Insp.
rn Framing - Prior to cover. _
(Z] Wall/Ceiling Insulation - Prior to
" cover.. ..,
[1] Drywall - Prior to tapi~g:
D Wood Stove...;.... After installation.
D Insert -" After fireplace approval
and'installatlon of unlt.
~ Curbcut & Approach - After
forms are erected'but prior to
placement of conc:rete.
[Ll] Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
i .....
O"FenCe - When completed.
. .
IZl Street Trees -, When a,.1I required"
trees are planted. . ~.
[l] Final Plumbing - When all
plumbing work is complete,
'1:71 Final Electrical - When all
L;,XJ electrical vyork is complete.
I}A' Final Mechanical - When all
LP mechanical work is complete."
r17I Final Building - When all
~ required Inspections have been
, approved, and building is
completed.
o Oth;;
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o 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
venting have been installed.
,
-~
Lot faces JiL Lot Type.
Lot sq, ftg, ~ Interior I PL
Lot coverage ~p Corner IN
Topography ~ Panhandle \S
Total height &1" L Cul.de.sac Iw'
IE
BUILDING PERMIT
~.~~7S -
~~c:Of::>
/7.. .GO.
~b9_~
'SYSTEMS DEVELOPMENT CHARGE (SDC) ~
.. . (B) ~ li'?8~
ITEM
SQ, FT,
----AC ?'"
4J'29.Z?
,
X $!SQ, FT, ~
Main
':3 9. ?.&>
Garage
Carport
Total Value
Building Permit Fee
State*3urcharge
-Total Fee
. (A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s) N" "'?
-'"
Sanitary Sewer FT,
Water FT,
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
I
Wood Stove! Insert(f'Treplace Unit)
Dryer Vent
~:T' 7} /?He::3>
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
./
Mobile Home
State Issuance
State Surcharge
Sidewalk
"3b ft
:2~ ft
Curbcut
Demolition
State Surcharge
JJ/9-'Y ?:1/?:-I//~ r~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrical)
(A. B, C. D. and E Combined)
Setb"cks
HSE GAR
9
71
VALUE
~ 5'7702. >
/
6,O!i'7.~ "
,
FEE
/~~
/6a-
~_ -r7
/ ~.€_ ..-l>
h,-
0/.. ,5;"0
3'. CSi?
/s:~
"?- .......
-::? _ -z>
--??_ :;-eJ
/0
1.6~
,ij5': /&
/5"" Y'ot'
/~. t6C>
~L?, 6't>
69. ""t>
-::7~~ 5"".8
~
ACC I
I
I
I
I
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,
2?
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
APPROVED:
This permit is granted on the express condition that the said
construction 'shall, in all respects, conform to the Ordinance
ado pled 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: ,~~ '- /# , :;fhF #S'
/0 7'1 ~.~.;n ~
Dale Paid:
Receipt Number'
Received By:
,4a:::aB~/;/'7.
?-,1'7-~<
Date
Systems Development Ch'arge is due on all undeveloped
properties w~t_hin the City limits which are being improved.
ADDITIONAL COMMENTS
7
(\\ \ n DS\ct. V
L 0\ "'\- \ : '4 vS8 ~()
\c;!nfuJi \ ~l ~/
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 witl 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 front
of the property, and the approved set of plans will remain
~the site at ~puri g co struction.
nalure . G/ff L../
, \: . ~ .- J~ t
Date "', 'r
VALIDATION:
RECEIPT NUM~R - .
I "
DATE PAID '_ r-I
AMOUNT REC0f1 D ~.?":3. 'f7'3
RECEIVED BY / r:..A../
--- -
r, -----
I v---'
JOB NO. 92.o~o"2..-
~
CITY OF SttINGFIELO SYSTEMS OEVELOPM~ CHARGE
WORKSHEEf I
, (COMMERCIAL & RESIDENTIAL)
N^"lEOR COMPANY: CA-PS1'Ololl:: u..b,,^~<;' ::Lt--lc. . Or Ol2-E:.&O~
LOCATION: t../-4'-1~ ~e.'::;'~1C.At s-r.
DEVELOPMENT TYPE: LofL ~ !-J.E:.w <Sr~
BUILDING SIZE:
l<6o'Z.o<:>'Z'-/ - '2">;,00
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "Zo<OY- X 50.186 PER SQ. FT. ~ ~e,?::>~
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S \~ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
$ (""'I?~.
NO OF UNITS X TRIP RATE X COST PER TRIP
,I
X ',ODS X $388.61
$ ~c;rlSc;,<; .
,r'
X' X 5388.61 $ .
'.,
.,..". '.' ,.,. X--"'--=' X $388.61 ." ",S' _' ,h____.
<,S~~ Attachment; ~ To Determine Trip Rates) '."!>'=> ..'_
.. ,.". ..' SUBTOTAL '(ADD ITEMS 1,2,.& 3)' S :\<1-",$ -,
4. ADMINISTRATIVE FEES
'BAsE CHARGE (SU~TOTAl ABOVE) X :05
$
'1?~
TOTAL -CITY SDC $ I'=:''-/ I '1.
5, SANITARY SEWER-MWMC
,-
NO. OF PFU'S
IS
x 513.25 PER PFU.+ 5!OMWMC ADMIN. FEE .$ 2.<-18 ~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
S~\~
TOTAL -MWMC SDC S 211 ~
TOTAL SDC S \ \'?~ t.o
~'_~ ..L.c..k..- ~/l 0 /.,?-
\l- Ki p Burdi cl::
sac Coordinator
,_FI~URE UNIT CALCULATION TABLE: Number of New Fi\1ureS X Unit ::qu~'alent = Fi'1ure Units (NOTE
For remodels. calculate only the ~ditional fi'1ures) , .
, NUMBEfl OF UNIT FIXTURE
.FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub............. ............................ ....................... ......
. ~:;i~~~~:~~::::::::::::::::::::::::::::::::::::::::::::::::::::::
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..........:.......
Laundry Tub/Ootheswasher...................................
Ootheswasher . 3 Or More.....................,...............
MobDe Home Park Trap (t Per TraDer)................:.
Receptor For Refrigerator fWater Station/Etc.,......
Receptor For Commercial Sink/DishwasherfEtc.:
Shower, Single Stall,.........:......................................
Shower. Gang......_.............................,.....,....._........
Sink. Bar, COmmercial,........................,_........_....
Urinal, StaDfWall...,._.,..........._................_...__...
Wash Baslnflavatory, Single....._.........
Water Ooset, Public Installation.,..................._....
Water Ooset, Private._......._................_..
Miscellaneous:,
'Z-
z
Z-
TOTAL FIXTURE UNITS
,
CREDIT CALCULATION TABLE:
r~~~;:tes
I
2
t
2
3
6
2
6
6
1
3
2
t/Head
2
2
1
6
4
=
'-I-
'Z.
'Z--
'2-
6
IB
Based on assessed value. If ,Improvements oc:curred after annexation date in table.
52.66
2.64
2.53
2.41
2.19
2.04
Year'
Annexed
1985
1986
1987
1988
1989
1990
"'2..",,,, XSl\~
(Rate X Assessed Value)
X 5
(Rate X Assessed Value)
CREDIT TOTAL
Rate per $1JXYJ
I ,~,x1VaIue
I
1979 or before
1980
1981
1982
1983
1984
Credit for Parcel or Land Only If Applicable
Improvement (If after annexation date)
RUNOFF COEFFICIENTS FOR'STORM DRAINAGE
ResidentiaL..............................,....................... 0.4
CommerciaL.........................,......................... 0.9
Industrial........................................................... 0.45
GovernmentaL................................................. 0.5
: RaleperSl.000.
A -- '. --. I Value
= ~\+7
41
= S ~\ -
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
51.69
1.35
1.15
0.92
0.59
0.23
'I