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HomeMy WebLinkAboutPermit Building 1992-7-31 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769, Office: 726.3759 .' SPRINGFIELD . 9b/,g/2... JOB NUMBER 225 Fifth Street Springfield, Or.egon 97477 LOCATION OF PROPOSED WORK' 4425 Holl1./ Street SDrinafie1d. OR 97478 ASSESSORS MAP' 18 02 05 2 1 TAX LOT: 6900 LOT' 85 A BLOCK' SUBDIVISION' Lucerne: Meadows ADDRESS' CaDstone Homes. Inc. of'Oreaon P.O. Box 22636 OWNER' CITY' E~gene, STATF' OR DESCRIBE WORK: Sinq1e Fami11./ Residence NEW XX REMODEL ADDITION DEMOLISH CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # GENERAl.Capstone Homes, Inc. of OR P.O.B. 22636 Eug.,OR 97402 pLUMBING' Sonny Jones Plumbing 1151- Quina1t St. Spfld, .OR 97477 MECHANICAl' Garibay Heating 4207 W. 5th Ave. Eug. ,OR:97402 ELECTRICAL' 'Rose Corp. 89976 Dal./ Lane Euqene, OR 97402 QUAD AREA: :2., Q's.c., I ~'t./V\ # OF BLDGS: OCCY GROUP: # OF STORIES:_~ WATER HEATER: ~ . OTHER - OFFICE USE - j.AND USE: # OF UNITS' 1111 I V;v' PHON'" 6R9-5567 CONSTR. TYPE: HEAT SOURCE: ~_~ ~ RANGE: ~C EC7. ZIP: 97402 EXPIRES 62018 10-18~92 PHONE 689-5567 78523 12-13-92 747-2596 705,45' '12-21':92, 344'-2481 54431 9-30-92 686-0905 FLOOD PLAIN: ZONING CODE: L-Oe... -~ # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: J.Y I D){ 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 Inspectlon.-:- To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrlcall Mechanical - Prior to cover. r\;l Footing - After t~enches are l.6-J excavated. o Masonry - Steel location, bond beams, grouting. IA Foundation - After forms are erected but prior to concrete placement. ~ Underground Plumbing - Prior ~ to flllln.g trench. Qj (4] Underfloor Plumbing/Mechanical - Prior to Insulation or decking. Post and Beam - Prior to floor Insulation or decking. [Z] Floor Insulation - Prior ,to deckl ng. I"] Sanitary Sewer - Prior to filling ~ trench. . ~ Storm Sewer - Prior to filling ~ trench. r-z;;t Water Line - Prior to filling ~ trench. C2J Rough Plumbing -' F:'rior tp cover. REQUIRED INSPECTIONS 17l. Rough Mechanical - Prior to LLt-J cover. r7I Rough Electrical - Prior .to - ~ cover. ~ Electrical Service -Must be W approved to obtain permanent electrical power. . - D Fireplace - Prior to facing materials and framing Insp. [A] Framing - Prior to cover. 1M Wall/Ceiling Insulation - Prior to W cover. ... li!J Drywall - Prior to taping.. D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. [2J Curbcut & Approach - After forms are erected 'but prIor to placement of concrete. '.< ~ Sidewalk. & Driveway - After W excavation is complete, forms and ,sub.base material in place. - D -Fence - When cO~:lete'd. ~ Street Trees - Whe'n'all 'required trees are planted. ... " C1} Final Plumbing - When all plumbing work Is complete. r:-::il Final Electrical - When all ~ electrical work is complete. ~ Final Mechanical - When all t.,..CJ mechanical work Is complete. IJ7I Final Building - When all ~ 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. D Final - After all required inspections are approved and . .' p'orches, skirting, decks, and venting have been installed. t ' I . . THE ~ROPOSEO WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prJor to permit issuance. Lot faces .AL- Lot Type. Setbacks Lot sq. Itg. /-"", ..is- Interior p.L. HSE GAR ACC I Lot coverage ~p Corner N ::2~ I Topography ~~ Panhandle Is ~' Total hei ght ~5r .Cul-de-sac .lw..9' IE t!$' BUILDING PERMIT ,SJJ.';T:.., -+=tlL 4Ci-'- X $/SQ. FT. ~9.. 7 L':,I'-/o ITEM Main Garage Carport Total Val ue Building Permit Fee . State Surcharge - Total Fee (A) . VALUE ~;::::~.9''-' > 6_o/;l~./?> , ?~~ ;;. ~;;iJ/_ ..-.:::0 .:..L6. -ss . - --=3S1'7% . - SYSTEMS DEVELOPMENT CHARGE (SDC) $ - .. - (B) $,qqo::;':!:!- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' "6 Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home PlumbIng Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' ~ Wood Stove! Insert<(freolace unit) Dryer Vent 6-r>.;;}h"~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk -'7/ It Curbcut "7t1; ft Demolition State surc~arg ~'P ~/~-;-, ( -,/...... Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eiectrlcai) (A, B, C, D, and E Combined) FEE /~.::? 5'i!? /?:::?.. SC!> 96,3 702 .I ~ ....a. .- '-/. S'C> ~__iJ> /5' -=- ~ .'P 7.- -=39 5.0 /0 /.9$ ~./. 9"~ -2a~ /?9o ijt::J. I:> i? 7~.~'!> 2b 7/. /2 . APPROVED: . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permltis 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: ---.!/O.e:>'" Date Paid: Receipt Number' By: .~.~-~ Revievie.d e-r " ~- 9S9"2.... Date .Systems. Development Charge is due' on all undeveloped properties wlthinJhe City limits which are being improved. ADDITIONAL COMMENTS ~~,~ c;V,>,j- /yy~_ '1/0769 ()^^ M fI.AR..-2. 1O[:LS? ..JJfl./1P~cP \~'-'2. -$ I/, S&J .1: J rL .u.JcJ! t' j\.elJsOl.e.K 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 GRS 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 tim~s puy~g construction. SignaturE" C ~' !Zh7/{ Date VALIDATION: RECEIPT NUMBER ~ ~,q f) '- ~;. Gf!l) - DATE PAID AMOUNT RE<fuy~ ;Z 79/. ~ :? RECEIVED ~"/'l {j l:1J ) . - '.... J08 NO. 9 \ \ e, \ 1. CITY OF '~INGFIELD SYSTEMS DEV,ELOP~T CHARGE WORKSHEET } (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ~-rouE. \-\oMSS. "TtJ.c.. Of- O~E:C:>otJ. LOCATION: 4Y'7-S 1-\.0\..."-'1 S,. DEVELOPMENT TYPE: LDl2-- t-lE:.W BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 1""100 X $0.186 PER SQ. FT. ~"2::>S~~ (See Reverse For Runoff Coefficients If Actual Imperv. Area' Is Unknown) \30'2.DS'2-1 - 0(,,"100 LOT SIZE SQ. Ft. 2: SANITARY SEWER-CITY NO. OF PFU'S t..'? X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION $ ~B& (,,2, NO OF UNITS X TRIP RATE X COST PER TRIP X \. oo'? X $388.61 S 7,,9o~ X X $388.61 , .' X ' . X $388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, & 3) $ $ ~.., S \ lo?O~ 1 . 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 9>\~ TOTAL-CiTl' SDC S nn--L2. 5. SANITARY SEWER-MWMC NO. OF PFU'S '2.-? x S13.25 PER PFU + SIO MWHC .~D~:IN. FEE S?\Y'2.. (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) I~ ~L..k.. ~ Kl P Burdi ck SDC Coordinator \--'>:.....9.... $ ?\"'2 TOTAL-MWMC SDC S~5~~ TOTAL SDC $ \ "14 c:, ~ ....' FIXTURE UNIT CALCU ~N TABLE: Number of New Fixtures .it Equivalent = Fi>.1ure Units (NOTE: For remodels, 'calculate only the NET additional fixtures) . NUMBER OF UNIT FIXTURE' FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS I 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 '-I- 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 (t Per Trailer).................. Receptor For Refrigerator/Water Statiorr/Et~........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall................................................. Shower. Gang.......................................................... Sink, Bar. CommerciaL........................................... Urinal. Stall/Wall....................................................... Wash Basin/Lavatory. Single.................................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: 'Z- '1- '2. ~ ? ~ 't'l- TOTAL AXTURE UNITS = -z:=- CREDIT CALCULATION TABLE: Based on o~~o~"ed value. If Improvements occurred after annexation date In table. calculate credits separates. Year Annexed 1979 or before 1980 1981 : 1982 1983 1984 Rate Per $1,000 Assessed Value Year Annexed Rate per Sl.000 Assessed Value -, 52.66 2.64 2.53 2.41 2.19 2.04 , 1985 1986 '1987 1988 1989 1990 51.69 1.35 1.15 0.92 0.59 0.23 I ,I Improvement (if after annexation date) 'Z-.tDc" X 5 \ ~,'b~ (Rate X Assessed Value) X 5 (Rate X Assessed Value) CREDIT TOTAL = ~\ 'tl Credit for Parcel or Land Only If Applicable = = s ?\-+.:!. 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