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Home My WebLink AboutPermit Building 1992-5-11 v J RESIDENTIAL PERMIT APPLICATION Inspections; 726.3769 Office; 726.3759, LOCATION OF PROPOSED WORK; 18 02 05 ASSESSORS MAP: 66 B LOT; . SPRINGFIELD ~~ 4464 Jessica Street . 'qL1)S0s JOB NUMBER 225 Fiflh Slreel Springfield. Oregon 97477- Springfield, OR 97478 2000 2 4 BLOCK' OWNER: Capstone Homes.,' Inc, of Oreqon, ADDRESS' P,O, Box 22636 Eugene, OR 97402 CITY: ,STAT": DESCRIBE WORK' Sina1e Fami1u Residenc:", NEW XX REMODEL ADDITION DEMOLISH OTHER TAX LOT: SUBDIVISION' Lucerne Meadows PHONF' 689-5567 ZIP' CONTRACTOR'S NAME GENERAl' Capstone CONST, ADDRESS CONTRACTOR # Homes, Inc, of OR P,O,B, 22636 Eugene, OR 97402 .PLUMBING: Frid1und P1umbinq 85628 Dillel/ Lane Euq. .OR 97405 MECHANICAl' Garibatl Heatina 4207 W, 5th Ave. Eua, .OR 97402 ELECTRICAl' Rose Corp, 89976 Day Lane Eugene, OR 97402 QUAD AREA: <.~'R~ # OF BLDGS' \ OCCYGROUP; \<"6+M 'J' # OF STORIES' c:x ~ WATER HEATER: - OFFICE U,E - LAND USE; \ ~ \ # OF UNITS; . ~ F' 1 CONSTR, TYPE; JJ.JV HEAT SOURCF' FG F/ .. RANGF' EXPIRES PHONE 62018 10-18-92 689-5567 51835 12-14-92 746-9433 ' , 70,545 12-21-92 . VJ4-?4R.7, 54431 9-30-92 686-0905 FLOOD PLAIN' ZONING CODE; 11) r? ) ~~.- # OF BDRMS: ' SECONDARY HEAT; -'I ' . SQUARE FOOTAGE:~ Pi ~ To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspecttons requested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. )8J Temp~~~ry EI_~~trlc I. \ ". .. '\. D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electricall Mechanical - Prj or to cover. IV1 Footing - Af.ter trenches are ~ excavated. D Masonry - Ste~1 location, bond beams, grouting. , ~ Foundation - After forms are ~ erected but prior to concrete' placement. D Underground Plumbing - Prior to filling trench. ~ Underflo~q1.nechanic1J> ~- Prior to insulCition or uect\lng. -r5<.'T 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. "F\7'1 Water Line - Prior to filling ~ trench. 'K71' Rough Plumbing - Prior to ~over. REQUIRED INSPECTIONS .. ~ Rough-Mechanical "7' Prior to ... .~c.over. "'f'::?f Rough Electrical - Prior to ~cover. 't9r Electrical Service - Must be r--xapproved to obtain permanent electrical power. D Fireplace - Prior to fac:ing materials and framing Insp. ~ Framing - Prior to cov~r. 'f\:7f Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to tapi~g. 1':71 Wood Stove - After installation. JC>{ U1lo~ ;=,1'. D Insert - After fireplace approval and installation of unit. 'K7"( Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. - 'K71' Sidewalk & Driveway - After ~excavation is complete, forms and sub-base material in place. o Fence - When completed. '~ ::'" D Street Trees - When all.re.guired trees are planted. - ".'.._ . ......' ~ Final Plumbing - When all ~ plumbing work is complete. .~ Final Electrical - When all electrical work is complete. 'f\::7r Fihal Mechanical - When all ~mechanical work is complete. lC7f Final Building - When all J6..4 required inspections have been approved and building is completed. o Other '. 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.. \ o Final - After all required inspections are approved and porches, ski rting,~ decks, and venting have been installed. ~ Lot faces ~ Lot Type . Selb"cks Lot sq, ftg, &3t2.0 Interior I PL. HSE GAR ACC 1 IN , I Lot coverage 25'~ Corner ,~ Topography ;]$I!;. /,- Panhandle Is I Tolal height .S r.sp Cui.de.;a~ Iw c." , .. I IE 4:>' I BUILDING PERMIT ITEM SQ, FT., X $/SQ, FT. VALUE Main 1~7(? -3EJ.70 ~'2-"1!j Garage -41-~ 5~3 Carport 72. /~2- .s&) z. tJp /7. tfTe' . ?t,qt&.O - ' ~ SYSTEMS DEVELOPMENT CHARGE (SDC) 'fig , ..' (B) 1k.20~'!~ PLUMBING PERMIT Total Val ue "'~ Building Permit Fee ~ State Surcharge Total Fee (A) ITEM Fixtures Residential Balh(s) N' ::< Sanitary Sewer FT. Water FT., Storm Sewer FT, Mobile Home FEE ;QZ ~O Plumbing Permit State Surcharge qc.3 .!2./?'/- 13 Tolal Charge (C) MECHANICAL PERMIT ;;.,~ 4.S;O C). 0--0 / c:; t>O '2, ~O "2. ~ ~9.GO /12. dD /.98 5/.~8 Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/lnsert/Fireplace Unil Dryer Vent .&14< LIL) z=.. Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 40 f1 Curbcut :21- f1 -L.f-, .(10 /3hO Demolition State Surcharge ~ ) REi/lEu) ?/JftJ ---iFJl'tO ~~1.3 Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D. and E Combined) 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. APPROVED: . 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 suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: .:3 I-k e, ;>n ::: ~6D ,00 Dale Paid: <;"~ /?~ Receipt Number" R~C#~~ ' Plans 'fleviewed By .. ~ '.f~p Systems Development Charge is due on' ~II undeveloped properties within the City limit~ which are being improved. ADDITIONAL COMMENTS 9/07S'7 ;!l~n\O lllli 444C1 ~I T\'ill h0t(1 0 ..'8,(do~lbOA& ~\-: \\, y,,-d:J I ~ ~ f\ QJ( \ :J:ttO , - 'IGliS iJlE:lt/M(. ~y CA-LCLlLJ/f1DAJ 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 appr~v:~ plans will rem ~::u:~m:zn? /<;tion Date Y/;I Ii L , . VALIDATION: RECEIPT NUMBER . '}?;. 4~? \ DATE PAID ...P),. - AMOUNT REC~De - _ loU.~~ RECEIVED BY l':J\ t _ ~ JOB tW. '1:7-05'" r; ) .' CITY OF S-'INGFIELD SYSTEMS DEVELOPM~ WORKSHEET (COMMERCIAL & RESIDENTIAL) CHARGE rW1EOR COf-lPANY: CAPStONE:. 4-0r-/lG-S TNC-. of OfZ-E-e;.-ON LOCATION: '-1-'1(",'-/ T~':7S Ie"" S-r'. /9, 0'2.057-'-1 - 7..-600 DEVELOP~lENT TYPE: L-Of?- - Nt:..W SF~ BUILDING SIZE: ,LOT SIZE SQ. Ft, I. STORM DRAINAGE IMPERVIOUS SQ. FT. '1..1/PJo X $0.186 PER SQ. FT. h '-/7.'1 ~I (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2, SANITARY SEWER-CITY NO. OF PFU'S 2"? X $38.55 PER PFU (See Reverse To Determine Total PFU'S) Is; 8B(",~1 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP , I X /. DOS X $388.61 Is; ~"10 52. \ X' X $388.61 s; X X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL '(ADD ITEM.S 1,2, s; & 3) ~ /1o/~ 4. ADMINISTRATIVE FEES 'BASE. CHARGE' (SUBTOTAL ABOVE) X ~05 Is '6S~ I TOTAL-CiTY SDC SnCjfo ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S ''2-? . 1 15 X 513.25 PER PFU .+ S!OM"~~C ADMIN. FEE S ? I-r - (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~B~~ SDC Coordinator ..j..//6/'17- , ' . s 31 '[!. TOTAL-MWMC SDC Is '2-B31-~ 1 TOT AL SOt;, S; 7.-0(,,4 ~ FIXTURE UNIT CALCULATj,ON TABLE: Number of New Fi,"uresX Unit Equivalent" F,,"ure Units (I--IOTE:, For remodels. calculate only the NET _i:.ional fi>..1ures) .. . , NUMBEfl OF ,UNIT FIXTURE \. FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 1 2 1 2 3 G 2 G G 1 3 2 1jHead 2 2 1 G 4 Bathtub................................... ..,.... .......... ..,............... Drinking Fountain..:...:......... ...........'..' ...m.."" .......... Aoor Drain...........:........:.....:................,.........m......,. Interceptors For GreasejOiljSolidsjEtc....,......,..,.. Intercep10rs For'SandjAUlo WashjEtc..........:....... Laundry Tub jOOlheswasher.......,.."..... ......'"........' Oolheswasher - 3 Or More..........................,....,..... Mobile Home Park Trap (1 Per Trailer)......,........... Receptor For Refrigerator fWater SlalionjElc........ Recep10r For Commercial SinkjDistn...asher JEIC.: Shower, Single StalL.......:,.......................-...........' Shower. Gang.................,....,...'.............--..--......... Sink. Bar. COmmerc~-...._..-_...-_..-......... Urinal. StallfWall...,..............:,..................__........... Wash BasinfLavatory, Single..._.._........_....,...... Water Oosel. Public Installation.........-.................. Water Oosel. Pnvate_...........,..-....- Miscellaneous:, 1 I ..., '7 TOTAL FIXTURE UNITS 7.-- '. 2-- 7.-- 1.-- ? 11. '2--:1, Based on assessed value. If .Improvements occurred after annexa1ion date in ,table, CREDIT CALCUU<TION TABLE: calculate credits separates. I Year Annexed 1985 1986 1987 1988 1989 1990 Ra1e per $1.000 Assessed Value S2.G6 2.64 2.53 2.41 2.19 2.04 Year Annexed 1979 or before 1980 1981 1982 1983 1984' 7..(,(, X SJ,/.<6'!> ?/+,J (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = S ; I +2- Credit for Parcel or Land Only Ii Applicable Improvement fd after annexation date) , Rate per Sl.0oo , Assessed Value I il S1,69 1.35 1.15 0.92 0.59 0.23 - - - - _0'- _.______0_ - _0--- __ - ___ - _0_'-_._ ..- - -- - RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL...............................................-.... 0.4 COmmerci2.l...................................................... 0.9 Ind uSlriaL..... ..................m.... .......... ................. 0.45 Governmen:al.-_..... .....__..__...__.._u_. .... .:.............. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT SPRINGFIELD .' ~/U 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1, LOCATION OF INSTALLATION 4464 Jessica Street LEGAL DESCRIPTION 18 02 05 2 4 TL 2000 JOB DESCRIPTION f\O(Q-::l ef Single Family Residence d c;A..J' Permits are non-transferable and expire if work is not started within 180 daY$ , of issuance or if work is 'suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Rose Corporation Address 89976 Day Lane Ci ty Eugene, OR 97402 Phone 686-0905 Supervisor License Number 1568 S Expiration Date 10-1-92 Constr Contr, Number 54431 Expiration Date 9-30-92 Signa turaupervis~' n Electrician I . , (~UJ.~ ' OVNER INSTALLATION Name Capstone Homes, Inc. of Oregon Address P,O. Box 22636 'Ci ty Eugene, OR 97402phone 689-5567 The installation is being made on property I o"n "hich is not intended for sale, lease or rent. Ovners Signature: -----------------T-~----------------- DATE: ,,--~'I :'-12- RECEIPT I: ~} . _' "':::'T\ 0 r ') \ RECEIVED BY: (-'1) /J I L) . ELEcTRICAL PERKIT APPLICATION Ci ty Job Number qc9~ 3. COMPLETE FEE SCHEDULE BELOll A. New Residential-Single or Multi-Family per dwelling unit. Service Included:' Items Cost SUIn 1500 sq.ft. or less /~ $ 85.00 fEf5.o.. Each additional 500 sq. ft or portion thereof 3 $ 15.00 +560 Each Manuf'd Home or Modular Owelling Service or Feeder $ 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 $ 35.00 $ 60.00 $ 80.00 $130.00 ' $300.00 $ 35.00 , I I I I I .I 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 $ 35.00 ~(Zt2 $ 40.00. $ 80.00 volts see "B" above D. Branch Circuits New, Alteration 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 -Each installation 'Pump or'irrigation Sign/Outline Lighting Signal, Circuit or limited energy panel not included) $ 36.00 $ 36.00, I i I I 5. $ 36,00 17/2.00 !l,,5o -' I,/-#-'. -Z;-o SUBTOTAL OF ABOVE 5% State Surcharge" TOTAL