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Home My WebLink AboutPermit Building 1993-8-24 K #/~/~ . ~~--" . RESIDENTIAL PERMIT APPLICATION Inspeclions: 726.3769 Orfice: 726.3759 LOCATION OF PROPOSED WORK: 18 02 05 1 2 ASSESSORS MAP' LOT: 133 A SPRINGFIELD 4512 Holly Street BLOCK: P.O. Box 22636 Capstone Homes, Inc. of Oregon OWNER: ADDRESS: CITY' Eugene STATE: OR NEW XX REMODEL ADDITION DESCRIBE WORK' Sinqle !"amilu Residence DEMOLISH OTHER . CBJ4B JOB NUMBER 225 Fifth Street Springfield, Oregon fJ7477 (I SP 59 "fAX LOT: 6801 SUBDIVISION: Lucerne Meadows PHONE: 689-5567 _ ZIP: 97402 CONTRACTOR'S NAME Capstone Homes, GENERAl' ADDRESS Inc. of OR P.O.Box 22636 CONST CONTRACTOR' Eug. 97402 62018 PHONE 689-5567 EXplllES 10-18-93 PLUMBING: Fridlund Plumbinq 85628 Dill"s_I;,ane EU<1~,~Q1L2Z405_5.1.8.35~...--.---l2~lA~_' 746-9433 MECHANICAL: Garibay Heatinq 4207 rv. 5th _AveJ'dg~;Q!L2X40?~.._]Q5~45 1.2~21,.9 < 3.4-4,.2.481_ 'ELECTRICAL: Rose Corp. 89976 Day Lane Euqene. OR 97402 544J) 9-'O-'t5_.__6.86=D9.oL QUAD AREA: .3'Qj)~ :~;y8~:::pj~~--t M _ . OF STOF1IES: i WATER HEATER: , - OFFICE USE - III ] LAND USE: # OF UNITS: --J.....-r-J\J-.--.. CONSTR. TYPE: _.J.' .....' 1-IEAr sour,cr:: F="' 8.. ---.. - V RANGE: FLOOD PLAIN: , V---- ZONING CODE: 1'?f_-._...._- II OF DDRMS: __ __ . <;ECONDAIW 1.1 10 AI: .. F-P .. . SQUARE FOO1'AGE:CQ~~'\ -- - To request an inspection, you must call 726-3769. This Is a 24 hour rccordin~J. All inspections requested before "1:00 <J.In. will be made the same working day. Inspections requested after 7:00 a.m. will be maclc the followin~J work day. ~emporary Electric b ~ile Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. !Xl Fooling - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. [Xl Foundation - After forms are crected bu I prior to concrete placcment. ~ CEJ Underground Plumbin~J - Prior to filling trench. Underlloor Plumbing/Mechanical - Prior to Insulalion or decking. 00 Post and Beam - Prior to floor Insulation or dccl~ing. lZl Floor Insulation - Prior to decking. r-YI Sanitary Sewer - Prior to filfing l..L\J trench. ~ Storm Sewer - Prior to fifling l.,LlI trench. rT7f Water Line - Prior to filling L..4-J trench. ru Rough Plumbing. -~'prior to ~ cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to L...4J cover. IVl Rough Electrical -= Prior to I:f\---J cover. rv1 Electrical Service - Must be l..LlJ approved to obtain permanent electrical power. o Fireplace - Prior 10 facing materials ;)Ild framing Insp. lL!J Framing - Prior 10 covel. CiI Wall/Ceilill~J Insulation - Prjor to cover. lAJ Drywall - Prior tu 100pinU. o Wood Slave - After In:;tallnlion. o Insert - After fireplace appruval and Installation of unit. 0J Curbcut & Approach - After forms are erected but prior 10 placement of concreto. Wl Sidewalk & Driveway - After' ~ excavation is complete. forfl1~; and sub-base material in place. o Fence - When completed. [X] Slreot Trees """'7 WI19n nil required . Irees arc planted. l--y.f Final Plumbing - When all -AI plumbing worl< is complete. I.".3J Final Electrical - Wilen all electrical work is complete. I---vr Final Mechanical - When all . LA! mechanical work is complete. 1--u1 Final Building - Wilen all ~ required inspections have been approved and buildirlf! is cornplete'c!. - 1=1 Oilier MOBILE HOME INSPECTIONS l--.J OIocking emu Sel.Up - When <111 - blocl<ing is complete. o Plumbing Connections - When - home 113S been connected to waler and sewer. [~ Electrical Connection - When blocking, sel-up. and plumbing inspections have been approved and tile home is connected to the service panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been in~",laffcd. J . Lot faces ~ Lot Type '. Lot sq. fig. &..Y..Btt>.c. s{J Interior Lot coverage "2/~ _ Corner ~O-:s"'- = Topography c;;;i"""" Panhandle Total height Cul.de.sac BUILDING PERMIT ~ X $/SQ. FT. a.:4> L~/C::> ITEM Main Garage C~rport Total Value Building Permit Fec Stale Surcharge Total Fcc (A)' l .HE PROPOSED WORK IN T:E -, '.. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, lhls application must be signed and approved by the Hlslorlcal Coordinator prior to permit Issuance. Setbacks ---- I ~ HSE GAR ACC '/' .l!..-L __ .,-' ~_......... .::!:L- /6' __ 7' E VALUE /~2_~ _~,;2~~:-7!. /~? "9..2'6 .7!:5Z -~ '2~-~ 'L23J. ~ SYSTEMS DEVELOPMENT CHARGE (SDC\ ~ . -. "(B) Ifr Z-'DI~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO 5 SanItary Sewer FT. FT. Water 'Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' "<(' , Wood Stove/lnscrt~cC1Jrm::> Dryer Vent /. ~-I/~~. Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 69 2'~ ft ft Curbcut Demolition State Surcharge ~ .,..- /C:.:=: - t-; Total Miscellaneous Permlls (E) , TOTAL AMOUNT DUE (excludlnu eleetrical) (A, e, C, D, and E Combined) FEE .!9,z-.5P Lq2-~ __9..t:3 -.-.:./3 _ t::--p _.r-sP ..., . ~p _.t~d/l&> ~-~ _%.-o ~2;'."50 /0. ce:> _zGi' _?'7.hY' :g::> .:?3~ j3~ y~ c:e> -;z:.r./O ~ttP:2:.Pc; , APPROVED: 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 the City of Springfield, Including lhe Development Code, regulatlng 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 Fe~PY) hr')\'j ^'-.. Date Paid: Receipt Number. ~. Re/.~~. y: /./~ -7':-~''9;:' 7~ ~evlewed B ~. Date Systems Development Charge Is due on all undeveloped properties within the Cily limits which are being Improved. ADDITIONAL COMMENTS S\.~m 1- ()[y) L,l.~ ~~A ~ /jl) 4-4~~- ~Ago.A ( L{914g,S) IlJr/ ,-9PJ\~JLlnto)~ \yqn c Y-\-~ T: \n\:3~) c-..tx trYl t\L ~iru unSLt.L0 By signature, I state and agree, that I have carefully examined Ole completed application and do hereby certify thaI 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 Witllout permission of the Building Safely Division. I further certify that only contractors and employees who arc 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 lhe permit card Is located at lhe front ot the property, and the approved set ot plans will remain on the site at a0.11 t1mes during construction. JU.. --- ~~ / __ rl' //. Signature _ ~ --- ;..1 . - Date v;;~ -t~ . VALIDATION: ~ \~ . /; RECEIPT NUMBER c{).S/IO(J1!Q. DATE PAIr> ~ ,~L.\" .S::L~ ~ -:('~q It/_ AMOUNT REC VE ..~.~ - RECEIVED BY __. __ __ ~ . .c..-. .- . 4PJOB NO. Q30 <-I-q:, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NAME OR COMPANY: CAp '!?-ro fJ e. t-IoNl~S. ING. OF Ot<:.IE6-0N lOCATION: l/5/7. !-Iot..t..Y 57'. I fj 02-0'5' -z.. - to 5Jo / DEVELOPMENT TYPE: LD~ - "/f:w SF~ BUILDING SIZE: LOT SIZE 1. STORM DRAINAGE. IMPERVIOUS SQ. FT. 2100 X $0.192 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S 2:' X $39.78 PER PFU (See Reverse) 3. TRANSPORT A TI ON SQ. Ft. C;-~D? ~) ------------- - C:91~'lj) '-.. ---- NO OF UNITS X TRIP RATE X COST PER TRIP I X /.oot; X $401.05 c:+03 c~ ') -- -- X X $401.05 X $401.05 $ X $ - SUBTOTAL (ADD ITEMS 1,2, & 3) $ Ill-'~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 (( g", €) ------------ :TOTAL-CITY SDC $ /<60/ ~ 5. SANITARY SEWER-MWMC '2." NO. OF PFU'S -z.-; x $13.62 PER PFU + $10 MWMC ADMIN. FEE $:''2-~- (Use PFU Total From Item 2 Above) ~ ~L..k d Kip Burdick SDC Coordinator Y- / ~/q~ ( $ Zq '2-,j TOTAl-MWMC SDC~~~ ~ .-- TOTAL SDC$ '"2-IO/~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA TIN TABLE: Numbe; of New Fixtures X _EqUiValent = Fixture Units (NOT!::' .... For remodels, calculate only the NET additional lixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT , Bathtub............. ........ ........ ..... ...... .......... ........... ......... Drinking Fountain......... ............................................ Floor Drain........... .................................... ...... ........... Interceptors For Grease/OifjSolids/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: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 t 6 4. , I 3 "2;> TOTAL FIXTURE UNITS = FIXTURE UNITS '2- '2- 1- 1- ~ . . I '2- 'Z~ Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. II I Year Annexed Rate per $t ,000 Assessed Value Year Annexed. $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 1979 or before 1980 1981 1982 1983 1984 7.t:i 2...:!. Credit for Parcel or Land Only If Applicable '2-.n, X $ /O.?,t; (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL =$ 2'i2;! = Improvement (if after annexation date) = l Rate per $1,000 Assessed Value $2.16 1.90 1.60 0.25 0.87 0.50 0.16 ,I RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.. .......... ............... .... ....... ..... ......... .... 0.4 CommerciaL................................................... 0.9 I nd ustriaL.. ............. .......... ......... ............... ........ 0.45 GovernmentaL.................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT