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Home My WebLink AboutPermit Building 1992-1-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . JOB NUMBER 9//'/-C;--S 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 4452 Jessica Street 18 02 05 2 4 Springfield, OR 97478 2101 ASSESSORS MAP' 66A LOT: BLOCK: OWNER' Capstone Homes, Inc. of Oregon ADDRES'" P,O. Box 22636 CITY: Euaene, DR 97402 STAT'" NEW xx REMODEL DESCRIBE WORK' Sina1e Fami1u Residence OTHER ADDITION DEMOLISH TAX LOT: SUBDIVISION' Lucerne Meadows PHON'" 689-5567 ZIP' , CONST, CONTRACTOR'S NAME ADDRESS 'CONTRACTOR # EXPIRES GENERAl' Capstone Homes, Inc. of OR P,O,B,22636 Eug.,OR 97402 ,62018 10-18-92 ,PLUMBING' Sonny Jones Plumbing 1151 Quina1t St. Spfld,OR 97477 78523 12-13-92 MECHANICAL: Garibau Heatina 4207 W. 5th Ave, Eua" OR 97402 70545 "12-21-91 ELECTRICA" Rose Corp, 89976 Day Lane Euqene, OR 97402 54431 9-30-92 - OFFICE USE - PHONE 689-5567 747-2596 344-2481 686-0905 QUAD AREA: ~Rs(' LAND USE: \ \ \ \ FLOOD PLAIN' # OF BLDGS' I # OF UNITS: , ZONING CODE: --~&-DP ~ OCCY GROUP: 1{~ i-.N1 CONSTR. TYPE: V^) # OF BDRMS: # OF STORIES: ") HEAT SOURCE:~ .r:A , SECONDARY HEAT: WATER HEATER: ~ RA N G E: ----E'" €= e:.r- . SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This Is a 24 hour recording. AI/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. lAJ Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbingl Electricall Mechanical - Prior to cover. [K] Footing - After trenches are excavated. . . D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. lZl Underground Plumbing - Prior to filling trench. QJ Underfloor Plumbing/Mechanical - Prior to insulation or decking. [2] Post and Beam - Prior to floor insulation or decking. C1l Floor Insulation - Prior to decking. rY1 Sanitary Sewer - Prior to filling I..,LLI trench. ral Storm Sewer - Prior to filling ~ trench. . rM Water Line - Prior to filling ~ trench. c:aJ Rough Plumbing. -- Prior to cover. REQUIRED INSPECTIONS [!] Rough Mechanical - Prior to cover.' . ell Rough Electrical -. Prlo'r to cover. r:Jl Electrical Service - Must be l....AJ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. W Framing - Prior to cover. [ZJ Wall/Ceiling Insulation - Prior to cover. l2rl Drywall ~ Prior to taping. D Wood S,tove - After Installation. D Insert .:.... After fireplace approval and installation of unit. GEl Curbcut & Approach - After forms are erected but prior t'o placement of concre.te. ' .. ~ Sidewalk & Driveway - After excavation Is complete, forms a.nd sub.base material In place. D Fence'~ When completed. [:lJ Street Trees - When an re-quire<r trees are planted. .... ' r7l Final Plumbing - When all L.L\-J plumbing work is complete. rl71 Final Electrical - When all '..A--J electrical work is complete. [4J Final Mechanical - When all mechanical work is complete, rJ::l 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 venting have been installed, ", Lot faces ~ Lot Type. Setbacks . THE PROPOSED WORK IN THE Lot sq, ftg, ~ Interior I P,L. HSE GAR ACC I HISTORICAL DISTRICT. OR ON IN JjJ I THE HISTORICAL REGISTER? Lot coverage ~ Corner If yes, this application must be signed Topography ~~ Panhandle Is Zl' I and approved by the Historical ~" 'Iw 5"6'. I. Coordinator prior to permit issuance. Tolal height 'Z- - -X- Cul.de.sac IE 6!6t I APPROVED: ~-5Y~/.?" J -:;;,> /. <rD' /b.~ "2L/7.~ SYSTEMS DEVELOPMENT CHARGE (SDC)ea , ., (B) 11- 1AJfa -(I..J... BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, Main L!:I77 L/fi'o/ -;;;:~.7P 1<1-119 Garage Carport Total Val ue Building Permit Fee State'Surcharge Total Fee (A) . PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' "::? Sanitary Sewer. FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu mace Exhaust Hood Vent Fan N' -:r' Wood Stovellnsertc:(iTePlace Unit> Dryer Vent ~ 7};Z?/~ . ,i' Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~s- ft ::26 Curbcut ft Demolition State Surcharge 7Z//-~ 'j:j'.c-WE~ k-~ Total Miscellaneous Permits (E) VALUE -Gl$.6%.'?O ~,,~ Y'P FEE /92.-/S~ /~::?___5Z> 9. &:3 '2":::>2. /~ .-:=:;.. -- ~- Sc:> "'7. -e:> /'S: ...... '"3'- ~ 7...-= ~~_Si= /b.- /. -?:J5 ,~/qg /5::2.5 1'"5.. 75 ;/p, .-. 69...... TOTAL AMOUNT DUE (excluding electrical) '"27"3'7. St'''7'' (A, B, C. D, and E Combined) 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 and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: M/I./.~.- Date Paid: Receipt Number' Received By: Plans 'Reviewe-d- By Date Systems Development Charge is due' on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS -7~G ~ /092. ?~<Y5~ /h7.c5Sg;;> G:.rk:PCt:Jd;' //- 8'30 . # ~ .Av-.rv-..L--LJ?.rP- \0,9 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 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 tir;ef ~Uring construction. Signature t::~ Date Mer If/I VALIDATION: lOA ~ '\ RECEIPT NUMBER ,~_ t) DATE PAID I~() -Cf z.......; AMOUNT RECE'V, ~qc>o. /9 RECEIVED BY _ \1-',~ ) fi . .. JOB NO. Cj II ,--/-'=>l:, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET ! (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: CAP9-rot--lE. -t--l:O""E:~INc.., oF O"e.c:;,oN LOCATION: ,+'-1 S"l- ~f:.7~\C.A ST. DEVELOPMENT TYPE: \...P'{2. - "-lE-vJ BUILDING SIZE: I, STORM DRAINAGE IMPERVIOUS SQ, FT. 1.:2. (p 'C> X $0,186 PER SQ, FT, $ '--l '2..\ ~~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) \'iO'2-0c:;,'2.'-\ - "2.lb \ LOT SIZE SQ. F t. 2, SANITARY SEWER-CITY NO. OF PFU' S 1.';> X $38,55 PER PFU (See Reverse To Determine Total PFU'S) $ ee.Co~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP \ X \.O~S X $388,61 $ ~D s~ X X $388,61 $ X X $388,61 $ . (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1(.."1"1 02 4. ADMINISTRATIVE FEES 8ASE CHARGE (SUBTOTAL ABOVE) X ,05 . .'.- S B'-/-"l<; TOTAL-CITY SDC S n<t,'t~ 5. SANITARY SEWER-MWMC ,NO, OF PFU'S '2.'7 x 513,25 PER PFU + S10 MWMC ADMIN. FEE s?\,..r!Z (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) v" ~...L (j' Kip Burdick sac Coordinator 1'1--/11 /., I . , S :,\ '+1 TOTAL-MWMC SDC $~~~~ TOTAL SDC S '1.-0(0, ~ FIXTURE UNIT CALCUlAON TABLE: Number of New Fixture_nit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE Bathtub... .......... .................. ....... ..... ....... ........,...., ......' Drinking Fountain....... ;....... ............... .............. ......... Floor Drain... ...........,........... ........... ..... ....:................. Interceptors For Grease/Oil/Solids/Elc................. Interceptors For Sand/Auto Wash/Elc.................. Laundry Tub /Clotheswasher....... ........... ..............,.. Clotheswasher - 3 Or More..............................;...... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dlshwasher/Etc.. Shower, Single Stall........;.................................,.."., Shower, Gang,.........................:...................,.......".. Sink, Bar, Commercial............................................. Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous~ ,. NUMBE~ OF NEW FIXTURES 2- \ ~ ." TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 t 6 4 = FIXTURE UNITS <-l 7- 7- ~ \'2- "2.-'? Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: jlCulate cred~~;:rates, 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 1- Credit for Parcel or Land Only If Applicable .Improvement (ff after annexation date) Year Annexed Rate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 $1.69 1.35 1.15 0.92 ' 0.59. 0.23 'Z.,t,,(.,. X $ \\.~~ (Rate X Assessed Value) X $ . (Rate X Assessed Value) CREDIT TOTAL = 7:> \ '-+, = = $ ?\'-+2- 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 -j:;Ii'~i-i ,._:.c<,;::::~:.~;:;:::;,~;,> ~- 225 FIFTU STREET , ..<~','.;;" l"~' ,\..," oJ' SPRINGFIELD, OREG<1,~\,974!1'"'' INSPEC'l'ION REQUEST: ,f''726-3769 OFFICE: 726-3759 \.(;'V' .,r;,~,(,S~ , .' v / 1 ~ LOCATION OF INSTALLA3 ",,:,\)19 4452 Jessica 'Str~tO ""oS\<:l A. :rP'- p..~ LEGAL DESCRIPTION 18 02 05 2 4 TL 2101 JOB DESCRIPTION , Single Family Residence' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is, Suspended for 180 days. 2. CONTRACTOR INSTALLATI!)N ONLY Electrical Contractor Rose Corp. Address 89976 Dall Lane City Phone El1apnp 686-0905 Supervisor License Number lS6R8 Expiration Date (~10-1'-92j.' Constr Contr. Number 54431 Expiration Date, C,,.9.,:30-92'> Signatur~upe::"iSing Electrician ,V~~~p; Owners Name . D. Capstone Homes, Inc. of Oregon Address P.D, Box 22636 Ci ty Eugene, OR, Phone 689-5567 97402 OVNER INSTALLATION' The installation is being made on property ,I own which is not intended for sale, lease or rent. Owners Signature: ~~;;~=-~-7~z;;:zr~-- _, --~ RECElrr v: ~ f.' L%-=r ') RECEIVED .ny: caLY'v ~,. - , ELECTRICAL PERKrr APPLICATION Ci ty Job Number q // Y'c;-g COMPLETE PEE SCHEDULE BELOll New Residential_Single or Hulti-Family per dwelling unit. Service Included: ~OO sq.ft. or less / Each additional 500 sq. ft or portion - thereof 2- Each Manuf'd Home or ----- Modular Dwelling Service 'or Feeder Items Cost Sum $ 85.00 $S',..-s. $ 15.00 ?c7.- $ 35.00 B. Services or Feeders (10 Branch Circuits included). Installation, Alterations or.Relocation: 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 C. $ 35.60 $ 60.00 $ 90.00 $130,00 $300.00' $ 35.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less / $ .wOO SI~ ~ 201 amps to 400 amps $ 40.00 Over 401 to' 600 amps $ 80.00 Over 600 amps or' 1000 volts see "B" above Branch Circuits New, ~lteration or Extension Per Panel One Circuit Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $,50.00 '$ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation . Pump or irrigation $ 36,00 Sign/Outline Lighting $ 36,00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL /"'5'5 --=- .. 7_:?~ /?:;2, ?-S-