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Home My WebLink AboutPermit Building 1997-9-11 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' 18 02 05 2 4 ASSESSORS MAP' 60 A LOT: . SPRINGFIELD SP 43 . 92/ /<ZJ'2 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 4462 Kalmia Springfield, OR 97478 2801 BLOCK' OWNER' ADDRESS' Capstone Homes, Inc, of Oregon P.O. Box 22636 CITY' Eugene, STATF' OR DESCRIBE WORK' NEW XX REMODEL ADDITION Single Family Residence OTHER DEMOLISH TAX L01' SUBDIVISiON' Lucerne Meadows PHON'" 689-5567 ZIP: "'* EXPiRES PHONE 62018 10-18-92 689~5567 51835 12-14-92 746-9433 70545 12-21-92 344:"'2481 . 54431 9-30-92 686-0905 CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # GENERAl' Capstone Homes, Inc. of OR P.O.B.. 22636 Eug. ,OR 97402 PLUMBING' Fdd1 und Plumbing 85628 Dilley Lane Eug, ;OR 97405 MECHANICAl' Garibay Heating 4207 W. 5th Ave. Euq. .OR 97402 ELECTRICAl' Rose Corp. 89976 Day Lane Eugene, OR 97402 QUAD AREA: ~Q~ ./ \ OCCY GROUP: R 0-\- M ~ (''1 . OF BLDGS' . OF STORIES: WATER HEATER: - OFFICE USE - I \ \ \ . OF UNITS' \ .) CONSTR. TYPE: \/ IV HEAT SOURCE: t=='G r.E- LAND USE: RANGE: FLOOD PLAIN: ZONING CODE: . OF BDRMS: t I\fd...J 3~ SECONDARY HEAT: SQUARE FOOTAGE: c!:2f'R0_ 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, inspectlons requested after 7:00 a.m. will be made the following work day. ~ TempOra;y Ele~tric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electricall Mechanical - Pri or to cover. ~Footing - After,trenches are L.lSJ. excavated. ' o Masonry.- Steer location, bond beams, grouti ng. . ~ Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. %un~~~~~~e~~:,~,i~ 1"I\:7i' Post and Beam - Prior to floor ~ insu1atlon or decking. K:7( Floor Insulation - Prior to ~decklng, ~Sanitary Sewer - Prior to filling ~rench. K7f Storm Sewer - Prior to filling ~ trench. 1":A'Water Line - Prior to filling ~ trench, f'::/(Rough Plumbing 7 Prior to ~cover. REQUIRED INSPECTIONS r1\:7f Rough Mechanical - Prior to ~cover. K7I Rough Electrical - Prior to ~ cover. ~ Electrical Service - Must be ~approved to obtain permanent electrical power, D Fireplace - Prior to facing materials and framing Insp. ~raming - Prior to cover. 1':71' V:'all/Ceiling Insulation - Prior to ~over. J2{( Drywall - Prior to taping. ~WOOd Stove - After installation. . D Insert - After fireplace approval and installation of unit, )v7( Curbcut & Approach - After ~forms are erected but prior to placement of concrete. 'K/r Sidewalk & Driveway - After ~excavation Is complete, forms and sub-base material in place. D Fence - Wh-:n completed. , .&"ktreet Trees - When ail required ~rees are planted. ~ Final Plumbing - When all ~plumbing work is complete, f':trFinal Electrical - When all / electrical work is complete, "K7f' Final Mechanical - When all ~ mechanical work is complete.' ~inal Building - When all ~equlred inspections have been approved and building is completed. ~ Other 4frE [./j)9::; 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, jnspections have been approved and the home'is connected to the service panel. o Final - After all required inspections are approved and porches, skirting; decks, and venting have been installed, Lot faces ..:::L Lot Type. Setbacks I . THE PROPOSED WORK IN THE Lot sq. ftg. &o/9?:> .$ Interior I P.L HSE GAR ACC I HISTORICAL DISTRICT, OR Ow , IN I THE HISTORICAL REGISTER? Lot coverage ~ Corner If yes, this application m,U signed Is , I Topography L:-?:%/ 20 and approved by the Historical Panhandle Iw I Coordinator prior to permit issuance. Total height d.ltz Cul.de.sac . q' IE &:,' I APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT: s&:2.0 14/0 qV~~5 f . 5::823 Main Ib7D 4/5 Garage Carport Total Val ue 1-~~t?c Building Permit Fee . - "2/.(i~ . (A) 4.::;1.c.~ SYSTEMS DEVELOPMENT CHARGE (SDC) * - .. (B) 1J."Z01?~' . State Surcharge Total Fee PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home -I-97.s-a Plumbing Permit State Surcharge qc.? 202. ~3 Total Charge (C) MECHANICAL PERMIT Capo 4~O C;,tJttJ ~~,oa -=? () 0 '201) ?, 9. 5tJ 10.0-0 / ,)'f> .5"/.48 Furnace Exhaust Hood Vent Fan N' '=<' Wood Stovellnser!1Fireplace Unit ~ Ct.-i??W., F.t", Dryer Vent qA-~ LINE, Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMnS Mobile Home State Issuance State Surcharge Sidewalk I... / ft , Curbcut ;;..4 ft jq/S /3.t:-o Demolition State Surcharge __pbv') A!Ft//M .~ -fDOO Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ?~. '27- (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 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, A ..,.. _810 7X/ -n.<; d~._ Plan Check Fee: 9'r;) -7 /"~ /a;~ Date Paid: Recei pt Number. Rece~ /.1Y2..Z... p~Reviewed 8y '. -- . . .CY;~2- Systems Development Charge is due' on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS 5~r-- /fj' f'f'Gc:f ~--s'.r'Y...J!:5 r l1JLh~.rt Q ,)6W. QLr.X1.JLO \ <A~ T: \.o\ruw )[,: IljRm 16f '7 ~ FUbPU'1 rA4/cc ?'.J(/!.d7/~) 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 times during construction. Signature~C4 12 -6 Date ?' I:> <./ () .? VALIDATION: RECEIPT NUMBER N')( _ \ (..... J DATE PAIr> e,\ - \ \ - ~\\ . . .~ '77 AMOUNT RECEIVED ~ 2.. . RECEIVED BY ~"', . . JOIl NO, q 2- I \ 9 7..... CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) j I NAME OR COMPANY: LOCATION: '-\-LH,2.. CAP~IO~E Wo~SS ~NC. O~ OeE~~ I KALMIA \'00"2.0<:>"24 - z.€:,O\ , DEVELOPMENT TYPE: Lpg. - ~E:,^, ,,::>p~ BUILDING SIZE: 1, STORM DRAINAGE IMPERVIOUS SQ. FT, \9~i . X $0.192 PER SQ. FT. .LOT SIZE_ SQ, Ft. ~B 2.. 4-~ ---- --- 2. SANITARY SEWER-CITY NO. OF PFU' S -Z? X $39, 7B PER PFU (See Reverse) G9\y-q~ ------------ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X l.ooS X$401.0S C;:O?O~) '-- --- X X $401.05 X $401.05 $ .X $ SUIlTOTAL (ADD ITE~lS I, Z, & 3) $ Ii 00 ~ 4, ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL AIlOVE) X ,05 .. ~ ---- ---- TOTAL-CITY SDC $ n'Os~ 5, SANITARY SEWER-MWMC NO. OF PFU'S 'Z."? x $13.62 PER PFU + $10 MWMC ADMIN. FEE $"'77.::'"2.1.. (Use PFU Total From Item 2 Above) .~~L~ Kip Burdick SDC Coordinator 9/L/:/f1'2.- $ ??~ TOTAL-MWMC SDC~f>4~ "''-.. -- TOTAL SDC $ 2.01 S"2.fo MWMC CREDIT IF APPLICABLE (SEE .REVERSE) . . FIXTURE UNIT CALCULATION TABLE: Number 01 New Fixtures X Unit Equivalenl = Fixlure Unils (NOTE: For remodels, calculate only the NET addilional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE TYPE Bathtub..................................................... ................. Drinking Fountain........... .......................................... Floor Drain.................................... ............................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/E1C.................. Laundry Tub /Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Slation/Etc........ .Receptor For Commercial Sink/Dishwasher /Etc.. Shower. Single Slall................................................. Shower, Gang......................... ........ ....... ...... ...... ...... Sink, Bar, Commercial...........................................,. Urinal, StalljWall.......................... .......... ............ ....... Wasl;1 Basin/Lavatory. Single.................................. Water Closet, Public Installation............................. Water Closet. Private............................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 I/Hcad 2 2 1 6 4 ~ ~ TOTAL FIXTURE UNITS = FIXTURE UNITS 2. 'Z -z. 'Z ~ \7. '2"? CREDIT CALCULATION TABLE: Based on assessed value, If improvemenls occurred after annexation date in table. calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 198<1 $2.83 2.76 2.71 2.60 2A6 2.33 1985 1986 1987 1988 1989 1990 1991 ?? '!! Credit for Parcel or Land Only If Applicable. '2-.'6" X $ \l,f>~ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL '-l-'iI = $. ::>? - = Improvement (if after annexation date) Rale per $1,000 Assessed Value $2.16 1.90 1.60 0.25 0.87 0.50 0.16 - RUNOFF COEFFICIENTS FOR STORM DRAINAGE "jll', '. ;. " ResidentiaL..................................................... OA Commercial...................................................... 0.9 IndustriaL..,..... ............ ...... ..... ......... ..... ............ OA5 GovernmentaL................................................ 0.5 ,', ...., IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT