The URL can be used to link to this page

Home My WebLink AboutPermit Building 1992-7-31 RESIDENTIAL PERMIT APPLICATION Inspections: 726:3769 Office: 726,3759 LOCATION OF PROPOSED WORK' 18 02.05 2 4 ASSESSORS MAP' 60 B LOT: -. SPRINGFIELD 4434 Kalmia Springfield, OR TL 2900 BLOCK' OWNER.' Capstone Homes, Inc. of Oregon P.O. BOx 22636 ADDRESS' CITY' Eugene, STATF' OR REMODEL Single Family Residence' OTHER DESCRIBE WORK' NEW XX ADDITION DEMOLISH # SP 41 . 920'15""&; JOB NUMBER 225 Fifth Street. Springfield, Oregon 97477 97478 TAX LOT: SUBDIVISION' Lucerne Meadows PHON'" 689-5567 ZIP: 97402 _ A- ;;t 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.Fridlund Plumbing 85628 Dilley Lane Eug.,OR 97405 51835 12-14-92 MECHANICAl' Garibay Heating 4207 W. 5th Ave. Euq.; OR 97402 70545' '12-21-92 ELECTRICAl' Rose Corp. 89976 Day Lane Eugene, OR 97402 54431 9-30-92 QUAD AREA:.... ~ ~ ..J . OF BLDGS' \ OCCY GROUP:8,,?-t-t tJ\ . OF S~ORIES: '-~ WATER HEATER: C; - OFFICE USE - LAND USE:J 11.1 . OF UNITS' \ )- CONSTR. TYPE:.Jf...A HEAT SOURCE: F'('"] U RANGE: PHONE 689-5567 746-9433 344-2481 686-0905 FLOOD PLAIN: ZONING CODE: Jl),fU .~ SECONDARY HEAT:- . v: V SQUARE FOOTAGE: !g/~ . 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, o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. ~ Undersl~~lectricall ~ Mechal1l~--~~;~~':~ cover. ~ Footing - After trenches are ~ excavated. D Masonry .- Steel location, bond beams, grouting. '"'f;7( Foundation - After forms are ~ erected but prior to concrete placement. . D Underground Plumbing - Prior to filling trench, REQUIRED INSPECTIONS ~ Rough lV!,echanical - Prior to ~ cqver. ~ Rough Electrical - Prior to . ~cover. lVf' Electrical Service - Must be ~pproved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~raming - Prior to cover. ~ Wall/Ceiling Insulatl?n - Prior to ~cover. ~ryWall - Prior to taPIng'. )y7f Underflo6I Plumbl~ M"'c:h;mil"~ )8l . . ~ _ Prior to Tnsulatlon or decking. Wood Stove - After Installation. . ZERD"'/{>w.F-;>. 1';?f Post and Beam - Prior to floor ~tnsulation or decking. 0 Insert - After fireplace approval . and installation of unit. - 'F::7f Floor Insulation - Prior to ~ecklng. ~ Sanitary Sewer - Prior to filling ~ trench. 'K::7f Storm Sewer - 'Prlor to filling ~ trench. "K7r Water Line - .prior to filling ~ trench. I':/f Rough Plumbing - Prior to ~over. . ~ Curbcut & Approach - ~fter forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material In place, , \ D Fence - W~en completed. C" /f?1 Sheet Trees -'- When all required ~ees are planted. . '", , . ~Final Plumbing - When all ~ plumbing work is complete. ~ Final Electrical - When all ~Iectrjcal work is complete, ~ Final Mechanical - When all ~ mechanical work Is complete. ~inal Building - When all required' inspections have been pproved and building Is completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete, D Plumbing Connections - When home has been connected to water and sewer. D Electrical Conne~tion - 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 sq. ftg. ~? I~ Lot coverage 2"1 f?J Topography ~D Total height ~~' Lot Type .. J..-Interior Corner Panhandle Cul-de-sac BUILDING PERMIT (41<-1- /.11) () X $/SQ. FT. ITEM Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee '(A) Setbacks I P.L. HSE GAR IN Is zd I w' 5'.$" IE 5,$' VALUE 5~ 77, 1':0 '54.J!lr t:.22.30 ~22.~ /b!O a1f5./o SYSTEMS DEVELOPMENT CHARGE (SDC) .If . '(B) 1!.fl...'E I ~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' "<.. Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Su rcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 2... Wood Stovellnserttflreplace UI}!P Dryer Vent O~ LI.A'Ji: Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk &"0 ft Curbcut ';2."=l_ ft Demolition State Surcharge PLA.I) A1~..B,' Ft!;.;:' '} . I ~- Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, D, and E Combined) FEE --/32 ~o q.r;,~ Zd)'Z ./3 t'",~ 4. !i7o ~ ,6<10 IS~o 36>-0 zeD 30 .~cO 10 19-0 /,6~ 4~.33 --12.~ 13.4!: 4cJ. <IlC ~ 2. :1S - ~$ ACC 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, 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 Chec~ Feenl' e. . Date Paid: ~m - Receipt Number ~ R;~~ I"iabs Reviewed By . (;;,I/7 ~L .7 C:at;.( .'- Systems Develo'pment Charge is due' on all undeveloped properties within the City limits: which are being improved. ADDITIONAL COMMENTS .5. ,,'/, ~ ,5'_0.0'7'" 9// X / '2... C-41L(? '1 f,4/;.) ~.f\O}LjXUo ; ~~ --+ l \ \ ~CS{- ') \ I. I (~U ~ m rlJ> ) ~ ./f=x~1C'" OrfI".u.4pot-! 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 Ordinanc~s 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 times during construction, Signature .M~ Date (/;: h., h? / "/7 VALIDATION: P'\(\~ RECEIPT NUMBER ~ to;. ) DATE PAID 7/!:>L!19--- "" t...:. . , AMOUNT REC~IV~ 0J Pi.JU' t \" RECEIVED BY ~ 1m) - JOB NO, Cf2,fi,S'- CITY OF eRINGFIELO SYSTEMS OEVELOlen CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAHE OR COf.1PANY: C'/tPS-ro1Jr: I-IoMcS I",c.. (jr 6!<:EG-oAi LOCATION: t../.;.;~ ~LMIA J<t"'2-05"''-I~Z,'10() DEVELOPHENT TYPE: l-t>1Z- - Al15W 5p/Z.. BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. jfJ1--8 X SO.186 PER SQ. FT. b ?"O~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2, SANITARY SEWER-CITY NO. OF PFU'S Z~ , X S38.55 PER PFU (See Reverse To Determine Total PFU'S) 1$ 85G. t.~ I 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /1 trD 5 X $388.61 Is. 'Z.;,C/t>;!> I X' X $388.61 s - X X $388.1;1 $ - (See Attachment C To Determine Trip Rates) . SUBTOTAL'(ADD ITEKS 1.2. & 3) $ lfo(1~ 4, ADMINISTRATIVE FEES 'BASE CHARGE' (SUBTOTAl ABOVE) X :05 Is ~lJ~1 TOTAL-CITY SDCS /(.."''1, o:z. 5, SANITARY SEWER-MWMC NO. OF PFU'S Z~ ,5 x S13.25 PER PFU .+ S10MWMC ADMIN. FEE S ~ ''-1- (Use PFU' Total From Item 2 Above) HWMC CREDIT IF APPLICABLE (SEE REVERSE) ~.:..... ~L'..k.. ~ Kip Burdick. SDC Coordinator fo I, /1 2- f I s ,?/'fJ TOT Al- Mlo/MC SDC Is 'Z$"? ~ , TOTAL SDC S 1'1 g t'?2 FIXTURE UNIT CALCU~ON TABLE: Number 01 New Fi'1ures X Uni. EQuivalenl " Fi'1ure Units (I~OTE:. For remodels, calculate only the ~ddii.ion21 fi>..1ures) . . NUMBEfl OF UNIT FIXTURE .FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub........... ............. ........... .....o....... ......o....'"'--''''' Drinking Fountain..:...:...............:,.............:............... Roor Drain..........,:........:........,......................... ......... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For'Sand/Auto Wash/Etc.........,:....... Laundry Tub/Ootheswasher................................... Ootheswasher - 3 Or More.............,....................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher jEt c.: Shower, Single S'~" ...........................-............ Shower, Gang.....:_........,:,......,........ Sink, Bar, CommerciaL-...,..._,--,- . Urinal, StaDfWalL_,.....,.... . -..-,-........., Wash Basinflavatory, Single. Water Oose!. Public InstaIlatior Water Ooset. PMlo Miscellaneous:. "2- 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 I 7. '2, TOTAL FiXTURE UNITS = + '2. 2. ... /7.. "2.~ Based on -.....00 value. I(lmprovements occurred alter annexation date in .table, CREDIT CALCULATION TABLE: calculate cred'11S separates. I Year Aimexetf . Rate per S1.000. . Assessed Value Year Annexed 1985 1986 1987 1986 1989 1990 Rate per $1.000 Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 1979 or before 1980 1981 1982 1983 1984 Credit lor Parcel or Land Only If Applicable 2., (,0 (. X $ _JJ, og ~ '2, I "!2 (Rate X Assessed Value) Improvement (If after annEOOrtion date) . X S (Rate X Assessed Value) CREDIT TOTAL = S 3/ of.:!. $1,69 1.35 1.15 0,92 0,59 0.23 RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL....................................... .........,.... 0.4 COmmercicl.....m........................c............m...... 0.9 I ndustriaL...:.........mmum.................... .__.....m __ 0.45 Governmeot2.I.............--...---....--_u--...--...n--....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT :::.' 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALLATION 4434 Kalmia Springfield, OR 97478 LEGAL DESCRIPTION. 18 02 052 4 TL 2900. JOB DESCRIPTION S F Residence Permits are non-transferable and expire if work is not started wi thin 180 daYl> .' of issuance or if work is ~uspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Rose Corp. l. Address 89976 Day Lane City Eugene, OR Phone 686-0905 Supervisor License. Number 1568 S Expiration Date 10-1-92 Constr Contr. Number 54431 Expiration Date 9-30-92 Signat~Sup;rvising Electrician (~/?~ . . OVNER INSTALLATION Name Capstone Homes, Inc, of Oregon Address P,O. Box 22636 'Ci ty Eugene, OR 9740l!hone 689-5567 The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: . .L1rt?\///O 12 . --'-~~--~r\~~r-r1rt}------------~--~ DATE. .' I \ ) .'\ C7'- _ _ _ . RECEIFT ft :~!D&: ~'1...s2! RECEIVED BY: ' ./ . ~ . SPRINGFIELD ELECTRICAL PERMIT APPLICATION Ci ty Job Number 92,0 '75 r;, 3. COMPLETE FEE SCHEDULE BELOV. A. New Residential-Single or . I Hulti-Family per dwelling unit. Service Included: . Items Cost Sum 1500 sq.ft. or less ~ $ 85.00 ~ <;; fJD Each additional 500 sq. ft or portion thereof 2- $ 15.00 30 .8>0 Each.Hanuf'd Home or Hodular Dwelling Service or. Feeder $ 35.00 B. Services or Feeders .(10 Branch Ci rcui.ts included) . Installation, Alterations or Relocation: 100 amps or less $ 35.00 101 amps to 400 amps $ 60.00 401 amps to 600 amps $ 80;00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 40 40. of) 200 amps or less ~ $ 1-5--;00 201 amps to 400 amps $ 40.00 Over 401 to 600 amps $ 80.00 Over .600 amps 'or 1000 volts see liB" above D. Branch Circuits New, Alteration .or Extension Per Panel One Circuit $ 35.00 Two to ten Circuits $ 50.00 Each Addt'l. ten or portion thereof $ 15.00 'E. Miscellaneous (Service/feeder -Each installation Pump.or irrigation Sign/Outline Lightin~ Signal Circuit or. limited energy panel not included) $ 36.00 $ 36.00 5. $ 36.00 155,CJ~ . 7,7S' //,,-:1-.75' . SUBTOTAL OF ABOVE 5% State Surcharge' TOTAL