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Home My WebLink AboutPermit Building 1992-5-4 rJ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 18 02 05 2 1 . ASSESSORS MAP' 83 A LOT: . SPRINGFIELD 4453 Holly Street Springfield, OR BLOCK' ADDRESS: P.O. Box 22636 Capstone Homes, Inc. of Oreqori '-' OWNER' CITY: Eugene, STAT~' OR DESCRIBE WORK: Single Family RAsidpn,..p NEW XX REMODEL ADDITION DEMOLISH OTHER . JOB NUMBER 9#R/~ 225 Fifth Street. Springfield, Oregon 97477 97478 TAX LOT: SUBDIVISION: 7100 Lucerne Meadows PHON~' 689-5567 '.' ZIP' 97402 '.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' Garibal/ Heatinq 4207 W. 5th Ave. Euq. ,OR 97402' ELECTRIC~,.Rose Cora. 89976 Dau Lane Euaene. OR '97402 QUAD AREA: --3 Q 5> C I OCCY GROUP: ~~ ~1Vl 9- WATER HEATER: ~~ ,.., ,- . OF BLOGS' . OF STORIES: - OFFICE USE - LAND USE: IIII L VN EXPIRES 62018 10-18-92 PHONE 689-5567 747-2596 344-2481 686-0905 78523 12-13-92 70545 .12-21-92 54431 9-30-92 . OF UNITS' CONSTR. TYPE: HEAT SOURCE: ~ fi.# - RANGE: ~c....==-, FLOOD PLAIN: ZONING CODE:-Jrn12.. . OF BORMS' ~ SECONDARY HEAT: SQUARE FOOTAG E: c:!) 6) tt::l. To request an inspection, you must call 726.3769. This Is '! 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 ;V.ea D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. rJ;1 Footing - After trenches are J,L..:J excavated. o Masonry - Steel location, bond beams, grouting. f\7'l Foundation - After forms are ~ erected but prior to concrete placement. [l] Underground Plumbing - Prior to filling trench. lZl Underfloor Plumbing/Mechanical - Prior to Insulation or decking. rY1 Post and Beam - Prior to floor ~ Insulation or decking. Il'1 Floor Ins~latlon - Prior to lL!J decking. CL!J Sanitary Sewer - Prior to filling trench. 171 Storm Sewer - Prior to filling ~ trench. r71 Water Line - Prior to filling 7'-\ trench. [B ROU9.h Plumbin~ - F?rlor to - cover. REQUIRED INSPECTIONS [A] Rough Mechanical - :rlor to cover. ~ Rough Electrical - Prior to ?A-J cover. f"""7I Electrical Service - Must be L..4J approved to obtain permanent electrical power. o Fireplace - Prior to f~clng materials and framing.lnsp,. [L() Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. . err Drywall - Prior to taping. . . .0 Wood Stove - After installation. o Insert - After fireplace approval and Installation of unit. [4] Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. o ~ence - When completed. , . . l2J Street Tr~es -:When all required trees are planted. - _. I4J Final Plumbing - When all plumbing work Is complete. rvl Final Electrical - When all J..q-J electrical work Is cOll!pJete. rn Final Mechanical - When all ~ mechanical work Is complete. [/Xl Final Building - When all required inspections have been approved and building is completed, o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete. o Plumbing Connections - When home has been connected to water. and sewer. ,0 o 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, decks, and venting have been installed. , f' 7' , \ 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. Lot faces P- Lot Type. Setbacks Lot sq. ftg. ?dJ(t!$ -/K- Interior I PL. HSE GAR ACC I Lot coverage ~ Corner IN -:iJ?? I Topography o--;:'~t:' Panhandle :-1 S S,g I -) Total hei ght A4.h Cul.de-sac W ,8 E liP BUILDING PERMIT ::i~ \~. (0 44U X $/so. FT. -:::5'9.?P /~/J> VALUE -?/~'!5'7 ,c2~Y Garage Carport Total Value Building Permit Fee State Surcharge 1" Total. Fee ...,~ / -::3~_ ~ IKsD...,. . -q~_~' (A) SYSTEMS DEVEtOPMENT CHARGE(SDC)~ . '(B) *"2-0 '-l '? 1j: PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Totar Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO "'=?' Wood Stove/lnsertJttireol~.ce IJ:lJ,L) Dryer Vent ~ /5'?1~oz:::? Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk _~ ft Curbcut -::z.h ft Demolition State SurCha~_ ~ p~~.Y?~7~ Total Miscellaneous Permits (E) FEE "<' 1'9250 19.Z 50 q~ s:....,pl;:- ~.:::?/?? ~ ~~ 9.6D /~ ..- ..::;r. - '2.,~ ~50 /0.- /~ , , $"'/.'7"~ /9.6't:> /-;Z9L? y' /p -7)1 "7"2. 9p ~' -- TOTAL AMOUNT DUE (excluding electrical)' >, .iI'~ (A, B, C, D, and E Combined) 1'E'S .4lt? I 'APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantee? onthe 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: ~~~ Date Paid: Receipt Number: Receive By: - 'R ~:ed BY(~~ ?~"""'~9"'::2. Date Systems Development Ctiarge is due 'on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~?1:;/4~ ~ ~oAlJcL ~r-' luL~ ,07X' VaLL .E; JI, 51~ A+hc.,d< : 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 wilt 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 ttm..eS}~lng constructlon. Signature ~.JI:- / /:? /mi Date VALIDATION: ~", RECEIPT NUMBER I\.. HS ~ .4.42..- DATE PAID ~ .-;-> -- r AMOUNT RE~I D.,"" - .- RECEIVED B \ rf) J - -- - - /) ?So/! , q~' 0;-;; ~ ' ' ~ "..t: Wjii....pro.~ct at'> . 0:,1'1g, 3r.d do€'sJ n~t r~qS~i~:~'tted'f~as the tollowina ~ . 225 FIITH STREET ,;'prov.l. "peCI eland ubCTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning L{)(2.. INSPECTION REQUEST: 726,,~.269 "5/llh OFFICE: 726-3759 1\1l1horized Signature 1. LOCATION OF INSTALLATION 4453 Holly, street LEGAL DESCRIPTION 18 02 05 2 1 TL 7100 JOB DESCRIPTION Sinq1e Fami1~ Residence Permits are non-~ransferable 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 tv Eugene Phone 686-0905 Supervisor License Number 15685 Expiration Date 10-1-92 Constr Contr. Number 54431 Expiration Date 9-30-92 Signa~~~~~lectrician Owners Name Capstone Homes, Inc. of OR Address P.O. Box 22636 Ci ty Eugene, OR 97402 Phone 689-5567 OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------------~-rt~-,---~-------------- DATE: ~, "l . ':'1o.J RECEIPT II: 4~1 ; . RECEIVED BY: '4 Yl ) SI.',INGt=IELD C'l11,><,Lf City Job Number WL.,""""- R8 3. COMPLETE FEE. SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder --- $ 85. 00 ~ ""'0 "::<> $ 15.00 .vs: e>O $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits New, Alteration or Extension Per Panel One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40:00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5%'State Surcharge TOTAL /3c>. _'1:>- h.5>tt> -4.i. . Sc> JOB NO. 0, \ \ 8 \ t..\ CITY OF tRINGFIELO SYSTEMS OEv,ELOpln CHARGE WORKSHEET j (COMMERCIAL & RESIDENTIAL) NAl-1E OR COMPANY: Q""p So"- 0 t-\ E;. H-OMEi:.'=>. 1.>-1C- . Or 0\2.8&01--\ LOCATION: 4Lj.Sb W-oLL.'1' S,. l '1'.>0'2-0 '5').-1 - 0.\00 DEVELOPMENT TYPE: l-t>Q. - ~.Ho.w BUILDING SIZE: LOT SIZE SQ. F t. 1. STORM DRAINAGE IMPERVIOUS SQ.. FT. '2-\4<0 X SO.186 PER SQ. FT. ~?:f1~ ~ (See Reverse For Runoff Coefficients If Actual Imperv. Area. Is Unknown) 2: SANITARY SEWER-CITY NO. OF PFU.' S -Z? X 538.55 PER PFU (See Reverse To Dete~ine Total PFU'S) 3. TRANSPORTATION s f,e,G ~ NO OF UNITS X TRIP RATE X COST PER TRIP X t. 0-0'5> X 5388.61 5; "';:A 0 <;os x X 5388.61 . .. Xu . X 5388.61 (See Attachment C To Determine Trip Rates) SUBTOTAL (ADD ITEMS 1,2, S S. & 3) $ \(PI(P~ 4. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 $ B~&2 TOTAL-CiTY SDC S (f("o'-+,:- 5. SANITARY SEWER-MWMC NO. OF.PFU'S ?. ==-. .5 x 513.25 PER PFU + SID MWl-lC AD~:IN. FEE S :'1'4-- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~_~L~ IJ Ki p Burdick SOC Coordinator \ -:z, - 97--- s ~ \ 'f] TOTAl-MlmC soc s 2,p>.,,"l...!. TOTAL SDC S '1..o'fb 1':!:- FIXTURE UNIT CALCULA.N TABLE: Number 01 New Fixtures.t Equivalent = Fix1ure Units (NOTE For remodels. calculate only the NET additional fixtures) . NUMBER ~F UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..u.....u........................................................... Drinking Fountain... ... ..............:................................ Floor Drain.......................................:........................ Interceptors For Grease/Oil/SoIids/Etc................. Interceptors For Sand/Auto Wash/Etc..........:....... Laundry Tub /Clotheswasher................................... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator fWater Statiorr/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL............................................... Shower, Gang.......................................................... Sink. Bar, COmmerciaL........................................... Urinal, StaUfWaU....................................................... Wash BasinfLavatory, Single.:................................ Water Closet, Public InstaUation............................. Water Closet, Private................................- MisceUaneous: ?- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ..., ~ TOTAL FIXTURE UNITS = ...j .... 'Z- ::. \ '2- _?~~ Based on assessed value. If improvements occurred alter annexation date in ~ble, Year Annexed Rate per 51,000 Assessed Value S2.66 2.64 2.53 2.41 2. i9 2.04 . Rate per 51,000 Assessed Value 51.69 1.35 1.15 0.92 l!.S9 023 Year Annexed 1985 1986 1987 1988 1989 1990 1979 or before 1980 1981 1992 1983 1984 CREDIT CALCUUTlON TABLE: calculate credits separates. I I i . ----,i Credit for Parcel or Land Only If Applicable "2- , c., (.,. X S l \ . f> ~ ?, \ '-!l (Rate X Assessed Value) Improvement Crt after annexatiilndate) X 5 = (Rate X Assessed Value) CREDIT TOTAL = S :,\ 'i1 RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL................. .................... .......... ...... 0.4 COmmerciaL.................................................... 0.9 InqustriaL........................................................ 0.45 Gdvemmental..........................:........................ 0.5 , IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT