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