HomeMy WebLinkAboutPermit Building 1993-8-31
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.376D
Office: 720,3759
LOCATION OF PROPOSED WORK'
18 02 05 1 2
ASSESSORS MAP:
LOT: 132 A
.
SPRINGFIELD
4496 Holly Street
BLOCK:
ADDRESS:
P.O. Box 22636
Capstone Homes, Inc. of Oregon
OWNER: __
CITY: ._...
Eugene
DESCRIBE WORK' Sir.,T1e
XX
STATE:
OR
NEW
REMODEL
Family Residence
ADDITION
DEMOLISH
OTHER
.
q~411_
JOB NUMBER
225 Fifth Streot
Springfield, Oregon 97477
# SP 60
. TAX LOT' 6800
SUBDIVISION: Lucerne Meadows
PHONE: 689-5567
ZIP: _9'Z-402u
CONTRACTon's NAME
GENERAL:~~pstone Homes,
ADDRESS
Inc. of OR P.O.B.
CONST.
CONTRACTOR'
2263~~uq. ,OR 97402
__9_89-556.7-
746-9433
PLUMBING' Frid1und P1umbinq 85628 DilleI.' Lane Eua.'_OI? 97405
MECHANICAL' Garibay Heating 4207 W. 5th Ave. Fuq. ,OR 97402
ELECrRICAL' Rose Corp. 89976 Day Lane Euqene. OR 97402
EXPIRES
62018 10-18-93
,7R" 12-14-93
70545 12-21..93
54431 9-30-95
PHONE
344-2487
686-0905
- OFFICE USE -
QUAD AREA:~0R~~ LAND USE:_~ l \ FLOQD PLAIN:
. OF BLDGS: l \ . OF UNITS: \ ,) ZONING CODE: I DV
OCCY GROUP: nn--t[V CONSl R. TYPE: _ \I N . OF BDRMS: '- ~
. 0.. STORIES: -c-b) HEAT SOURCE: l=' (1 SECONDARY HEAT: ~
WATER HEATER:' RANG~' \ SQUARE FOOTAGE: k~
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 salllC working day. Inspections requested after 7:00 a.m. will be made the followIng work day.
o Temporary Electric
o Site Inspection - To be made
aile' excavation. hut prior to
selling lorflls.
D Undcrsl,lb Plurnbing/ElectricalJ
Mechanical - Prior to cover.
~AFoOling - After trenc~es are
~eXCaVal()(I.
o Masonry - Steel location, bond
beams, grouting.
IVr Foundation - After forms are
~ erected but prior to concrete
placement.
D Underground Plumbing - Prior
to fillino Hench.
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
'.~ cover. .
~ Rough Electrical - Prior to
cover.
c"7f Electrical Service - Mus t be
~ approved to obtain permanen.t
electrical power.
.0
Fireplace - Prior to facing
materials ami framing Insp.
~ Framing - Prior to cover.
~ Wall/Ceiling Insulation - Prior 10
~ cover.
~ Drywall - Prior to taping.
'r\:;7f Undcrtloo Plumbin J~chanic~ .
r-~_ Prior In In II allon or (lOCKing. ~w,,;,~o~~flF,;d~tallatlon.
~ Post and Deam - Prior 10 floor
~J insulalion or d(!(:I~ing. 0 Insert - Arter fireplace approval
and Installation of unit.
~ Floor Insulation - Prior 10
~ deckino.
"'T"'2f Sanitary Sewer - Prior to filling
~trench.
l':71 Storm Sewer - Prior to filling
~ trench.
K7l Water Lino - Prior to filling
J,...AJ trench.
~ Rouah Plumbing - Prior to
~ cover.
'1'Vf Curbcut & Approach - After
~ forms are erected but prior to
placement of concrete.
~ Sidewalk & Driveway - Aft~r
~excavatlon is complete, forms
anej sub-base material In place.
D Fence - When comple~ed.
~Stroot Trees - When all ;eq~'ired
~ trees are planted.. . , ". .
~ Final Plumbing - When all
~ plumbing work Is complete.
~ Final Electrical - When all
electrical work is complele.
K7l" Final Mechanical - When all
~ mechanical work is complete.
'f':A"Final Building - When all
~ required inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When LIlt
blocking Is complete.
D Plumbing Connections - Wilen
home has been connected 10
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
porches, skirting, decks, and
venting have been installed.
. /-
IS THE I'ROPOSED WORI< IN THE
HISTOlllCAl DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. tllis application must be signed
and npprovcd by the Historlc.,1
Coordinator prIor to pennit IS$t1:U1c,~.
....:L .
Lot fnccs Wype Setbacks
lot sq. fig. cPL2tJ Interior I PL. HSE GAR ACC
Lol coverage 2{;~ Corner IN
Topowaplly L2?~ Panhandle S "20
--.----
Total height ~S' CuI-dc-sac ~/7 ___
E 1
--
BUILDING PERMIT ~/'/lq.A I
ITEM 15f7. SO FT. X $/SO. FT ~ t';(~ II)
Main ~ ~,:::X.o ~() Lv \ o.CIq'
Garage 4-~ . \4 . \() k::Mt
Carport
q37~S t:cf0/7Q1:p
4-1C, ."0
"2D, '?s
1-35,75
SYSTEMS DEVELOPMENT CHA~~E (SDC) tfS
-- (6) ff _ '2-t <I- 15 '?!!-
Tolal Value
Building Permi I Fec
Slale Surchargc~
Total Fec
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N' 2,
Sanitary Sewer FT.
Waler FT.
Storm Sewer FT.
Mobile Home
42 ?,O
Plumbing Permit
q,~3
'202 13
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
_ Co~
~.so
900
/5.00
~_3,t:TO
Furnace
Extlaust Hood
Vent Fan
N'
-:s
Wood Slove/lnsert/Fireplace Unit
Drym Vent
Mr..:clwnicnl Penni I
::<'7. 5""0
Jo.OO
/.ee
-#1.3e.
IS$ui:mce
SI<1te Surcharge
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mouile Home
Stale Issuance
Stale Surcharge
Sidewalk ~? It
Curbcut ~ It
?fi.3S
J3.75'
Demolition
Stale Surcharge
-P-~ I&VIH.L)
....1r,()'O
714/0
/.ifYi,)~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, 6, C, D, and E Combined)
APPROVED: -
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditIon lhalthe said
construction shaH,ln all respects, conform to the Ordinance
adopted by the City of Springfield, including Ihe
Development Code, regulnting the construction and use 01
buildings, and may be suspended or revoked at any time
upon violation of any provjsi~~ of said ordinances.
Plan Check Fee:~ )~ ~
Date Paid:
Receipt Number'
- _~/a2/5'.J
. 7Dat7'
Systems Development Charge Is due on all undeveloped
properties withIn the City limits which arc being improvecL
AQDITIONAL COMMENJS, ~ 44C/0
,-0(1 M 0 (l!J..' -n[Q _ 60
- . cp. 1-72.&
,--d.;*, \: \1 \~c;::{)
.dn Y'- Q N" j Y\iQ): \ q f)~ ----
\1)r )
",~th~ ~~Lt~
~~-=:.~~4U-
By signature, I stale and agree, that I have carerully examined
the completed application and do hereby ccrli Iy that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordnnce
with the ordina1fccs of the City of Springfield. ilnd lhe l;IWS
of the Stale of Orc{1on pCllalnlng 10 the worl\ lh;::;cribud
hereIn, and thai NO OCCUPANCY will be Ilwde of any
f;lructurc without permission of the Building Safely Divi:;ion.
I further ccrtHy Ihal only conlractors and clllployecs who
.'
are In compliance with ORS 701.055 will be used on Ihis
project.
I further agree to ensure tl1al all required inspections arc
requested at the proper time, that each address is readable
from the street, thai the permit card Is located at the front
of the property, and Ihe approved set of plam; will remain
on the site at all times during construction.
, (). /> /J
Slgnaturez:;>"~~""""'- ~
Dale # -'?-'7~
VALIDATION:
RECEIPT NUM~R ID[ 19
DATE PAID ~3\ .q~
AMOUNT RE~D_34 _~ C':), it
RECEIVED 6Q[J')0
.O!_ .
- 'co.
-JOB NO. 1~--I11
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
.
NAME OR COMPANY: CAP5T01-lE:.. J-/oME:.S . Il-ic. OF O~€-&ON
LOCATION: '-I-41ft:, I-IolA..-Y Sr 1'60?--05(1 ..- &,';((50
DEVELOPMENT TYPE: L/:)~ - NEw 5r--;<
BUILDING SIZE: LOT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. '2-?~'2-- X $0.192 PER SQ. FT. C;lf'f7~
--- --
2. ~ANITARY SEWER-CITY
NO. OF PFU'S 2-1:7 X 539.78 PER PFU G 9, '-I q?)
(See Reverse) --- --
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1
X j,(To5 X $401.05
C:tfo~O")
""--. -
X
X $401.05
$
X
X $401.05 $
SUBTOTAL (ADD ITEMS 1,2, & 3) $ 17IdS':::!..
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ 8'~ 2-.1)
--- .....
TOTAL-CITY SDC $ 1't5'-10~
5. SANITARY SEWER-MWMC
NO. OF PFU'S v~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 3'Z-?~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
f/.~f ~ ~
'0 Kip Burdick
SDC Coordinator
1/7H~
I /
$ 2.'11:1-
TOTAl-MWMC SDC~:' ~
-------
TOTAL SDC $ 2-/'-/-5S~
. . /.....
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X uiI"Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
1,
2 '-f
1
2
3
6
2 '2-
6
6
1
3
2
l/Head
2 ....
2
1 ?
6
4 I~
1..-
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 (1 Per Trailer)..................
Receptor For Refrigerator fWater Station/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:
:7
TOTAL FIXTURE UNITS
'2.~
CREDIT CALCULATION TABLE:
ralCUlate cred::~~~ates
Based on assessed value. If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1985
1986
1987
1988
1989
1990
199t
$2.t6
1.90
1.60
0.25
0.87
0.50
0.16
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.7t
2.60
2.46
2.33
Improvement (if after annexation date)
2.g':, X $ /0,'$5 ~qvj
(Rate X Assessed Value)
X $
(Rate X Assessed Value) '1
CREDIT TOTAL = $ ?-q 1:.-
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL .... ....... .... .......... .... ... ..... .......... ....... 0.4
Commercia1...................................................... 0.9
I ndustrial.......... ...... .............. ............. ..... ........... 0.45
Governmenta1................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT