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Home My WebLink AboutPermit Building 1992-7-31 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' 18 02 05 21 ASSESSORS MAP' 82 B LOT' . SPRINGFIELD 4467 Holly Street . JOB NUMBER 9//~ 225 Fifth Street Springfield, Oregon 97477 Springfield, OR 97478 TAX LOT' 7101 BLOCK' ADDRESS' P.O. Box 22636 Capstone Homes, Inc. of Oregon OWNER' CITY: Eugene I STATF' OR NEW REMODEL DESCRIBE WORK: Sinale Familu ResidAn~A XX OTHER ADDITION DEMOLISH SUBDIVISION: Lucerne Meadows PHON'" 689-5567 ZIP: 97402 ..tONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES GENERAl ,Capstone Homes, Inc. of OR P.O.B. 22636 Eug. ,OR 97402 62018 10-18-92 PLUMBING' Sonny Jones Pluinbing 1151 Quina1 t St. Spfld;OR 97477 78523 12-13-92 MECHANICAl,Garibay Heating 4207 W. 5th Ave. Eug. ,OR 97402 70545' 12-21-92 ELECTRICA" Rose Corp. 89976 Day Lane Eugene, OR 97402 54431 9-30-92 QUAD AREA: ~ l<. s e..- . OF BLDGS' I OCCY GROUP: _':R~ c;l. .N1 ~ WATER HEATER: &~ . OF STORIES: - OFFICE USE - LAND USE: UJ' \ VN' PHONE 689-5567 747-2596 344-2481 686-0905 FLOOD PLAIN' ZONING CODE: L-D~ , /)tclk1 'OFBDRMS:~~ SECONDARY HEAT: SQUARE FOOTAGE:dl (J:j_ To request an inspectton, 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. D Temporary Electric I'/~ o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prior to concrete placement. [l] Underground Plumbing - Prior to filling trench. ~ IAJ Underfloor Plumbing/Mechanical - Prior to insulatIon or decking. Post and Beam - Prior to floor insulation or decking. [lI Floor Insulation - Prior to decking. [K] Sanitary Sewer - Prior to filling trench. W Storm Sewer - Prior to filling" trench. 00 Water Line - Prior to filling trench. CKJ Rough plumbing' ....;. Prior to cover. . OF.UNITS' CONSTR. TYPE: HEAT SOURCE: ~ AA RANGF' CC .i!--..::7 ~ REQUIRED INSPECTIONS r7l Rough Mechanical - Prior to I...,llJ cover. rTl Rough Electrical - Prior to L,Ll.J cover. r71 Electrical Service - Must be LAJ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing. Insp. ~ Framing - Prior to c'over. r-1I Wall/Ceiling lnsulation~ ..:.. .p'rior to Lp, cover. Cil Drywall - Prior to tapi~g. . o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. ~ Curbcut & Approach -: After forms are erected but prior to placement of concrete. f7I Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material In place. o Fence - Whe"n completed. i2 Street Trees - When all required trees are planted... .~. IAl Final Plumbing - When all plumbing work is complete. r'i'I Final Electrical - When all ~ electrical work is complete. rA1 Final Mechanical - When all ~ mechanIcal work is complete. rJ;il 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. o ~!ectrical Connection - When blS>cking, 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 Lx'- Lot Type _-. Setbacks . . THE PROPOSED WORK IN THE Lot sq. Itg. 69ZL;'" X Interior I P.L. HSE GAR ACC HISTORICAL DISTRICT, OR ON ?'~7e> IN ~' THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed t>-2~ Panhandle Is fTI' I and approved by lhe Historical Topography Iw .-1 Coordinator prior to permit issuance. 62..' - g' Total height Cul-de-sac IE 10'1 I APPROVED: BUILDING PERMIT J ~r7~ X $/SQ. FT. ~ VALUE ?;q.?~ ~.?3?~ '2. ,1'? -I'f/P ~.",~'3.~ . ITEM Main Garage Carport Total Val ue ~.~~.1~ -..r'5'2.-- ,/ ?,~t:> '2L. 9.~ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC)~ - . (B) If 11 c,s 0.1 PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. ~ L6c.?"- Storm Sewer FT. Mobile Home Plumbing Permit /hP. .- Jt_~ /L;~. PO State Surcharge TOlal Charge (C) MECHANICAL PERMIT ~.- ~S-O tt;.40 / _~ CR:" ~~ ? _ --c;t .?6. :5~ /~- /.$?3 0/' ~ -;3'''3 Furnace Exhaust Hood Vent Fan N' "'2 Wood Stove/lnsert~c:~ U~ Dryer Vent ~,71p/~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ..c.o 20/ /"'7.-0 a.a;> It Curbcut ft Demolition , State Surcharge -.. . )?C~A ~~BV'/Z:::;::- Total Miscellaneous Permits (E) tf-i? ~ '"7'2 ,I(p TOTAL AMOUNT DUE (excluding electrical) -::z C;I'/5,~":::2. (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 lhe 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: _t/~. ~ Date Paid: Receipt Number' Received By: '/7,'-:8'-: ~tf'W? . p~eviewed By r . ~-Y-9"'2- Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ?~~ h /o?C;-5Q7'"S-~. lCiJ'i? 1loLuS /1,9,30 j).L-rho.-d o./VVV"v-U c2 . o.~,.p ~-"iOI .bit:. 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. eJt Slgnaturp DatI'" /1/2,4 VALIDATION: RECEIPT NUMBER 1..S:::;f).4~ DATE PAID--.0 'L~/.q~ :;:~~;DR:Of( ryj~) ~. . . JOB NO. ct 1151'? CITY OF SPRINGFIELD SYSTEMS DEV,fLOPMENT CHARGE WORKSHEET . (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: CARs\ot-JE. \-\.oM~S -'G..K. 01= Ol2-f:601\.1 , LOCATION: 4-'-IC",Uc,LL.Y Sr, DEVELOPMENT TYPE: L.De - t-.\~W BUILDING SIZE: l~O'2-0S'2-1 -1101 LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'l--o'-l-S X $0,186 PER SQ. FT. ~~P,o~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2: SANITARY SEWER-CITY NO. OF PFU'S . \9> X 538.55. PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION $ Coq?;, ~ NO OF UNITS X TRIP RATE X COST PER TRIP X l,ooS X $388.61 c::.<:> ..$~o- X X 5388.61 $ $ '62 & 3) $ It.k.,,-+ - x X S388.61 (See Attachment C To Determine Trip Rates) . SUBTOTAL (ADD ITEMS 1,2, 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 131:i. TOTAL-CITY SDC $1e;?B~ 5. SANITARY SEWER-MWMC NO. OF PFU'S 1b x 513.25 PER PFU + .S10 HW!-1C Am:IN. FEE SZ'-l9:> ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) lL D,^-"L~ \ - ~ - '1'1- . -(J Kip Burdick SOC Coordinator $ol~ TOTAl-MW~1C SDC $ 'l-n c)~ TOTAL SOC $ 11 sS 0..1. . I FIXTURE UNIT CALCULA~N TABLE: Number of NewFixtures.it Equivalent = Fix1ureUnits (NOTE: For remodels. calculate only the NET additional fixtures) . . NUMBER 'OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS FIXTURE TYPE 2. 2 1 . 2 3 '6 2 6 6 1 3 2 l/Head 2 2 1 6 4 * Bathtub............ ............... ................... ........................ Drinking Fountain.. ........ ..... ............. .... .......... ........... Roor Drain........ ........... ......................... .......... .........: Interceptors For Grease/Oil/Solids/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, StallfWall.........................:............................. Wash Basin/Lavatory, Single....;............................. Water Closet, Public Installation............................. Water Closet, Private............................................... Miscellaneous: z z. \ '2.. 2.. -z- b TOTAL FIXTURE UNITS = l~ CREDIT CALCULATiON TABLE: calculate credits separates. Ir--- Based on assessed value. If Improvements occurred after annexation date in table, = ---'1 Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per 51,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.66 2.64 2.53 2.41 2.i9 2.04 1985 1986 '1987 1988 1989 1990 $1.69 1.35 1.15 0.92 0.59 0.23 I -..J Credit for Parcel or Land Only If Applicable 1- ' (" C6 X $ ll, e;~ = '? \ ~ (Rate X Assessed Value) Improvement Cd after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = s ::0\ ~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL. .................... ................................. 0.4 CommerciaL.................................................... 0.9 Ind ustriai.. ......... ....... ..... .................................... 0.45 . , GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT SPRINGFIELD /~., , ., 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION' SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number ti/ /S?/~ OFFICE: 726-3759 3. COMPLETE FEE SCHEDULE BELOV, 1. LOCATION OF INSTALLATION 4467 Holly Street LEGAL DESCRIFTION. 18 02 05 2 1 TL 7101 JOB DESCRIPTION Single Family Residence 1500 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Permits are non-transferable and expire if vork is not started vi thin 180 day~ .' of issuance or if vork is ~uspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Sum .-- $ B5. 00 .fi:.2. ~ $ 15.00 qS $ 35.00 B. Services or Feeders .(10 Branch Circui.ts included). Installation, Alter~tions or Relocation: 100 amps or )less $ 35.00 101 amps t"0400 amps $ 60.00 401 amps to.600 amps $ 80,00 601 amps to 1000 amps $130.00 Over 1000 a'mps/vol ts $300.00 Reconnect Only $ 35.00 Elec trical Con trac tor Rose Corp. Address 89976 Day Lane Ci ty Eugene Phone686-0905 Supervisor License. Number 15685 Expiration Date 10-1-92 Constr Contr. Number . . 54431 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 9-30-92 200 amps or less 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps 'or 1000 Signatu~e~upervisi~lectrician f/A/br pl h:hP . D. Branch Circuits OVNER INSTALLATION $ 35.00 r ~&::') $ 40,00 $ 80,00 volts see "B"' above Nev, Alteration or Extension Per .Panel Name Capstone Homes, Inc. of Oregon Address P.O. Box 22636 One Circuit Tvo to ten Circults Each Addt'l. ten or portion thereof 'CityEugene, OR 97402Phone 689-5567 $ 35.00 $ 50,00 $ 15.00 'E. Miscellaneous (Service/feeder'not included) -Each installation 'Pumpor irrigation $ 36,00 Sign/Outline Lightin~ $ 36,00 Signal. Circuit or limited energy panel $ 36.00 The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovoers Signature: ~A~~~---~-7J-~~T~-l1r~=------~-~- RECEIPT I: / ~ f'i:'-1 RECEIVED BY!.. ~ll_ n./ . . 5. SUBTOTAL OF ABOVE 5% State Surcharge' TOTAL . 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