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Home My WebLink AboutPermit Building 1992-8-26 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 18 02 05 2 4 ASSESSORS MAP' 62A LOT: . SPRINGFIELD 4471 Jessica Street # SP 44 . CHJ~ JOB NUMBER 225 Fiflh Street Springfield, Oregon 97477 Springfield, OR 97478 2400 BLOCK' ADDRESS: P,O. Box 22636 Capstone Homes, INc, of Oregon OWNER' CITY: Eugene, STAT'" OR Single Family Residence DESCRIBE WORK' NEW XX REMODEL ADDITION DEMOLISH OTHER TAX LOT' SUBDIVISION' Lucerne Meadows PHON'" 689-5567 ZIP: 97402 CONTRACTOR'S NAME Capstone Homes, Inc. GENERA' ' PLUMBING" Frid1und Plumbing MECHANICAl ,Garibay Heating ELECTRIC~" ,Rose Corp, 89976 CONST. ADDRESS CONTRACTOR # EXPIRES PHONE of OR P,O.B. 22636 Eug, ,OR 97402 62018 10-18-92 689-5567 85628 Dilley Lane Eug:,OR 97~05 51835 12-14-92 746-9433 4207 W, 5th Ave, Eug, ,OR .97402 70545 '12-21-92 344-2481 Day Lane Eugene, OR 97402 .54431 9- 30-92 686-0905 ...,. QUAD AREA:~~.R SO I l OCCY GROUP: R '2\-t- M d # OF BLDGS: # OF STORIES: WATER HEATER' - OFFICE USE - \ l \ \ \ VN ~<1 LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' FLOOD PLAIN: ZONING CODE: lI1V .~ SECONDARY HEAT:- ~ fJ SQUARE FOOTAGE: 4rn-::z.,_ # OF BDRMS: 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. I:El Temporary Electric D Site Inspection - To be made after excavation, but prJor to setting forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. [Xl Footing - After trenches are excavated. D Masonry - Steel location, bond beams, gr?uting. j m Foundation - After forms are erected but prior to concrete placement. [2] Underground Plumbing - Prior to filling trench. [4J [Xl Underfloor Plumbing/Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor Insulation or decking. rn Floor Insulation - Prior to decking. W Sanitary Sewer - Prior to filling trench. IV1 Storm Sewer - Prior to filling L.d.-J trench. rxl Water Line - Prior to filling lLf-J trench. ~ Rough Plul!'bing- Prior to cover. REQUIRED INSPECTIONS IV'l Rough Mechanical - Prior to W cover. rv1 Rough Electrical - Prior to ~ cover. rvl Electrical Service - Must be 74-J approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. Cll Wall/Ceiling Insulation - Prior to cover. [J] Drywall - Prior to taping, o Wood Stove - After lnstallatlo~. D Insert - After fireplace approval and Installation of unit. ri7l Curbcut & Approach - After !,.L...J forms are erected but prior to placement. of concrete. 171 Sidewalk & Driveway - After LAJ excavation Is complete, forms and. su.b.base material In place. o Fence - When completed. rl7l Street Trees - W~en all required l;LJ trees are planted., ., . '" .- ill Final Plumbing - When alt plumbing work is complete. r11I Final Electrical - When all t.p.J electrical work is complete. . [lJ Final Mechanical - When all mechanical work is complete. f7l Final Building - When all Lf\--J 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, cecks, and venting have been installed. Lot faces -P- Lot Type . 'i Interior LOl sq, ftg, Lot coverage Corner Topography Total height d.5: Panhandle .~ Cul-de-sac Main Garage Carport Total Value Building Permit Fee State Surcharge -Total Fee- (A) .... 'THE PROPOSED WORK IN THE HISTORICAL DISTRiCT, OR ON TH E HISTORICAL REGISTER? If yes, this application must be signed and approved by lhe Historical Coordinator prior to permit issuance. Selbacks HSE GAR ACC I P,L. IN Is Iw IE 92/7~~ .. ~S3=" ;:Jtt .!IL? asP , . 2t? ,6:;:>. : , fl:72u 'SYSTEMS DEVELOPMENT 'CHARGE (SDCJ ~ , ,. '" . -' (B) '* \ 1 'is' ,- PLUMBING PERMIT '2.q ~-:;/ 5'-1; ~////// . BUILDING PERMIT I ITEM SQ, FT, X $/SQ, FT, =, VALUE ~f5 " f4~ f8Bt1~~1 ITEM Fixtures Residential Bath(s) N" '2 Sanitary Sewer FT, Water FT, Storm Sewer FT, Mobiie Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" ~ Wood Stovellnsert<lFT'rePlace UIlII-.:.> Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ,?,--:) It aq ft Curbcut Demolition State Surcharge 1M-~ ??CW~ p~. Tolal Miscellaneous Permils (E) FEE /hZ? /6V'-~ ~ ...z> /~-- h.-, y.s.?> ~.-<:> /-;5:csP 7.- "5?;~ /C:>. - I.~~ L/q ?!zp . . /<S'Q,g- r?~ 7"'~ =? 6$?~ APPROVED: '. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permiris granted on the express condition"that the said construction shall, in all respects, conform to the Ordinance' adopted by the City o( 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: Date Paid: Receipt Number: Rec~ived By: _ _ /~"-~--7 ,"W'Reviewed BY ~-/7~2..... r .~r Date " .. . ". ., . , "Systems Development Charge is du"e on "all undeveloped properties within the City.limits which are being improved. ADDITIONAL COMMENTS '-~~.\: \ \ \~';:y) l~f\1\V{ \]1tO)'1 \C\'\?) ~~A""~ CAI.<.5 ~~-'-'~- 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 Ires during co uction. ~ignature Date - <-------- ~Z&j9~ VALIDATION: RECEIPT NUMBER /--/)') 7 tf5hi A-;J AMOUNT RECEIVEf' . ":2 C ~ g. -5"'/ ~~- DATE PAID I TOTAL AMOUNT DUE (excluding electrical) 'Z? (PC? () I ' (A, B. C. D. and E Combined) ... RECEIVED BY . . JOB NO. "'l2-IOe.'-I- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: CA-f'9IDNE.. U-t,UE::S , ~c.., of O~EC:rOlo\ LOCATION: """'-1-,1 -SE:~~'CA S-r 1~()'l.-O'=>'"2>-\- - 2)-+00 DEVELOPMENT TYPE: Lv~ -lJE:WSPg. BUILDING SIZE: 1, STORM DRAINAGE IMPERVIOUS SQ. FT. \""\0'1 X $0.192 PER SQ. FT. LOT SIZE 2. SANITARY SEWER-CITY NO. OF PFU' S I e, X $39.78 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1,60S X $401.05 X X X $401. 05 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 SQ, Ft. <:'?Co(P \~ ------------ C;\t"o-+:') --- ,/ ~D?b("'j - --- $ c( l'+~ --------------- TOTAL-CITY SDC $ l??"\ ~ 5, SANITARY SEWER-MWMC NO, OF PFU'S \B x $13,62 PER PFU + $10 MWMC ADMIN. FEE $ ZSS I~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) \~~L~ (j Kip Burdick SDC Coordinator <6 It, A-z.-..- I $ ?? -+'t. TOTAL-MWMC SDC~'2--\~ - -- .... TOTAL SDC $ \I t? \ ~ .' . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub....................................................................., Drinking Fountain...................................................., Floor Drain.. ............ ..............,.."."........,.....,...,... ...... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry 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: \ 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 "7_ L-- TOTAL FIXTURE UNITS FIXTURE UNITS '2..- 2- '2.. 2. z ~ 15 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 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 $2,16 1.90 1,60 0,25 0.87 0.50 0.16 Credit for Parcel or Land Only If Applicable 'Z ,'O? X $.1.' .P;2-, ~'0 ~ (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 ...................-............. h@ tOl/ow' ZOrtinn "'9 pr ' , appn'" ancJ cJo ~Jacl as . 225 FIITH STREET 01',0/' ~eonOlreq~lJbrnittedha" ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~nin . .pacit;ci~:,':i.;O~OWinp qf)IO~ INSPECTION REQUEST: 726-JJ<69 9 Ci ry Job Number ~ rJl' OFFICE: 726-3759 A . li/hortzocJS!snat ~ t LI3, COHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION lJra~ 4471 Jessica Street A~Ne~esidential-Single or Hulti~Family per dwelling unit.' LEGAL DESCRIPTION Service Included: 18 02 05 2 4 TL2400 Items Cost Sum JOB DESCRIPTION S F 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 INSTALLATION ONLY Electrical Contractor Rose Corp. Address 89976 Day Lane Ci ty Eugene 686-0905 Phone Supervisor License Number 1568 S Expiration Date 10-1-92 Constr Contr. Number 54431 Expiration Date 9-30-92 Signa~~~~~ Electrician D. Ollners Name Capstone Homes, Inc, of Oregon Address P.O'o.Box 22636 City Eugene, OR 97402phone 689-5567 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: -----------------------~~----------- DATE: ~/2&L ~ '2. ' RECEIPT 1I: ~';? 7 RECEIVED BY: ~.>:t;.1.. '. 1000 sq.ft. or less Each additional 500' sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder .....---- $ 85,00 ~-. :7 $ 15,00 ~-- $ 40.00 B. 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 $ 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 i 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80,00 see nB" above 4/&?, --> Nell, Alteration or Extension Per Panel One Circuit Each Additional Circuit or lIith Service or Feeder Permit $ 35.00 $ 2,00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40,00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20,00 Limited Energy/Comm $ 36.00 5, SUBTOTAL OF ABOVE 5% State Surcharge TOTAL /?.o .~ 5r_S= /~_,5'?