HomeMy WebLinkAboutPermit Building 1993-8-31
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
011 ice: 726.3759
4536
LOCATION OF PROPOSED WORK: _
18 02 05 1 2
ASSESSORS MAP:
134 A
LOT:
OWNER:
Holly Street
BLOCK-
Capstone Homes, Inc. of Oregon
P.O. Box 22636
CITY:
ADDRESS:
Eugene
STArE:
OR
xx
Single Family Residence
DEMOLISH _____ on-I En.:..
NEW
DESCRIBE WORK:
REMODEL
ADDITION
CON~)T.
CONTHAC10H H
CONTRACTOR'S NAME ADDRESS
CENEF1AL: Capston=__Ho,":,s, Inc'9..Z.0R P,(J_.B_...2?636
Frid1und Plumbing 85628 Dilley Lane
PLUMBING:
Eug :_J_OR 9740_2
Eug. ,0.'1 97405
MECHANICAL: Garibay Heating 4207 W._~t~A,:e ,_~ug. ,OR 97402
'ELECTRICAL: Rose Corp. 89976 Day Lane Eugene, OR 97402
QUAD AREA: _0R~(l ./
. OF BLDGS: _ I
OCCY GRoupj3.3.:l::/Yl
. OF STORIES: ~
T_
WATER HEArER:
- OFFICE USE -
LAND USE: JllJ
· OF UNITS: ----;L-/l"\.- .. -.--
CONSTR. TYPE: _UJ V _ __.
HEAT SOURCE[ f0-.----..
RANGE: __
.
JOB NUMBE,,__q~'
22!) Fifth Street
Springfield. On.:g0n ~IY4Tl
# SP 58
"JA X LOT:
6900
SUBDIVISION:
Lucerne Headows
PHONE:
689-5567
ZIP: _----.27402
62018
51835
70545
544..~
EXPIHI~S
10-18-93
12-14-93
689-5567
746-9433
PHONE
12~21-93
3.~4-24.81
9-30-=.95 ____6.?_6=-Q~Q5_
FLOOD PLAIN: __---'-____
ZONING CODE: _~
H OF BDRMS: -d. --?JP---
SECONDARY HEAT:~. _L...L__
SQUARE FOOTAGE: J 5'l. ~
- --
To requesl all Inspection, you must call 726.3769. This Is a 24 hour ,acordill!). All inspections requested bcfOle 7:00 fun. will be
made the same worldng day, Inspections requested after 7:00 a.m. will be made tile following work day.
I~ Temporary Elcclric
o
Site Inspection - '10 be made
oftor excavation, but priQr (0
seltlng forms.
o
Underslab Plumbingl Electricall
Mechanical - Prior to cover.
~
Footing - After trenches arc
excavated.
o
Masonry - Steel locallon, bond
beams, groullng.
[]]
Foundation - AHer forms arc
erecled but prior to concrete
placement.
C!l
Underground Plumbing - Prior
to filling trench.
Ql
Underlleor Plumbingl Mechanical
- Prier to insulallon or decking.
GiJ
Post and Beam - PrIor to floor
insulation or uccldng.
r'VI Floor Insulalion - Prior to
L,.lCJ de.eklng.
C8I
SaniliUY Sewer - Prior to filling
trench.
I2J
Storm Sewer - Prior 10 fillin{l
Irench.
IAI
Water Line - PrilJ/ tv filllllO
tronell.
rY1 nou{Jh Plumbing -;- P!-ior to
I....LJ cover.
REQUIRED INSPECTIONS
fj7f Rough Mechanicnl - Plior In
~ cover. -
171 Rough Elccllical - Plior 11.1
~ cover.
rn
Electrical Service -. MlIt~1 IJU
approved to obtain permanent
electrical power.
o Fireplace - Prior to fncinu
materials and framing Insp.
[Zl. Framing - Prior 10 covel'.
[L!] Wall/Ceiling Insulation - PliN IlJ
cover.
ctJ Drywall - Prior to tapin~l~
o Wood Stove - After inst<.ll1alion.
o
Insert - After fireplace approval
and Installation of unit.
I2J
Curucul & Appro.ach - Aller
forms arc erected tJut Plior tLl
placement of concrete.
[ZJ
Sidewalk & Driveway - 'Af Illl
excavation is cOlTlplnle. form:;
and sub.base malerial III pl;lt:fJ.
o
Fence - When cOlllpl,;kd.
[J]
Slrecl Trees - Whim :l1l1/2flllip;r1
trees arc planted.
1--" Finnl Plulllbinq - Wh(2n all
-~ plullllJil1~1 woll{ is COlllpll:ltu.
,-.Il Final Eleclric.11 - Wilen ;111
j~ll CICl;I,ical \'Jolk i~; cUll1plelll.
'-4J
Final Mechanical - WI1~n all
mcGlwnical woll< is complete.
1]t:1
Final Building - Wh(m all
required Inspectlon:___ have been
appruved nnd building is
c.ornpietcd.
[J Olher
MOBILE HOME INSPECTIONS
[J
Blocking ..md Set.Up - When all
blocking ;s complete.
o
Plumbing Connections - When
home has been connected 10
water and sewer.
1.=1
Elccllical Connection - When
hlockinn. set-up, and plUlllhil1tl
inspections Ilave 1)IJfJtI .'lpploved
and tile hOllle is connected lu
tll(~ t\crvice p;mcL
1---1
Filial - Arter all rctPllrcd
inr.pcclions arc .'lpplOvcd flnd
pnrr:llcf.. !>ltil1inq, dl.ll:ks, <1nu
venting hLlve been inslallml.
Lol faces -6-
Lol sq. fig. 6?J2>l!.
Lot coverage ~~
Topography ~
Total height '&Q..5'.
Lot .'Vpc
_~ Interior
Canlur
Panllilndlc
Cul.de-sac
.
_~__f~__
~--;('&--
,
'THE PROPOSED WORK IN n':'
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
--
Setbacks
P.L. HSE GAR ACC
~/Z/ __
E 8/
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
, .. (8) ~ 2.0t./-tjoJ
PLUMBING PERMIT
I,EM
BUILDING PERMIT
ITEM sa.. ET. .X $/SQ. FT. VALUE
Main JJ~~ ~" .26- 6~<9<<.~.
Garage ttrlj trtlt:> -~--'iI2"
Carport
~ - .y'&> ~./~ 62'10/. e>#
,
Total Value ~~,~
Building Permit Fce 7;::1:>,--
State Surcharge __L$-5Z>
Total Fee (A) --:::HI ~ ~ ~
Fixtures
Residential Bnltl(:;) Nil
"?
~
Sanitary SOWCI FT.
Water
FT.
'Storm Sewer
FT.
Mobile Horne
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'~
Waoel StovoJIf1scrt~colacc ufli,t..>
Dryer Vent
~$~-tkdr?/
Mechanical Pefm] t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk 7'? 'ft
Curbclll _Z./~ It
Demolition
State Surcharge
11~""'r$.G,..('"~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exclu(llng electrical)
(A, B, C, D, <lml E Cornbined)
FEE
..I?Z5Z>
/9Z.5I:>
,
-~~
~r.-:O, f'3
~--
-~-~
b-~
_6": ~
""3"_0-
_=:>: 6t>
--,~-2. -:;::V
~
-/~.
--I.~
,:S/. ~~
-:z ~..2....-
L"?.~
,~.-
1/5: !.~
~6_.z7
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 the
Development Code, regulating the construction and use 01
buildings, and may be sLlspended or .revoked at any time
upon violation of any provisions of said ordinances.
Plan'C'heck'Fee:_"&A ~
Date Paid:
Receipt Number:
Receiv I By: _ ...-
% P ~,,--=>
Rev ewed~""./-
, . V-2:.:2-9?
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which arc being Improved.
ADDITIONAL COMMENTS
~mQ (~~%1~~J
sL\D+to...or -- -t\llltv 1 Xl ~
'-- ~ ill1JlO1.co; ~r15
ui-t T: If) ,~5l)
'\V(l/
By signature: J 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 9rdln<lnccs of tile City of Springfield, and the L3W~
of tlw State of Oregon pertalnlrg to the work described
herein, and 'Hlat NO OCCUPANCY will be made of any
structure wlltlOut permission of the Building Safely DivisIon.
I further certify that only contractors and employees who
arc In compliance with OAS 701.055 will be used on 1I1ls
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 duri construction.
r7
OalP
Signature
~:~:t:::N~~R I D (~\
DATE PAID ~ <.:3 \ . C{~
~~::'~:DR:~t5;uDY' ? . &:>2
'-
..--.. .....
.
_OB NO. q~o L(L(t.{
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: CItPS-rDIJE. UDM/!3.S Ii-Je.. (Jf" Of2E:&Ct-J
,
LOCATION: l/-'57:>f., J..-/-oL-L-Y S-r. /i{)ZOS 17.- - <.."10-0
DEVELOPMENT TYPE: LPfC. - JJe-IN SFR.
BUILDING SIZE:
LOT SIZE
1. STORM DRAINAGE.
IMPERVIOUS SQ. FT.
1<6'-1,
X $0.192 PER SQ. FT.
(~S?40
2. SANITARY SEWER-CITY
NO. OF PFU'S ?.~
(See Reverse)
X $39.78 PER PFU
.' "
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP,
/ X /. OilS X $401.05
X
X $401.05
X $401. 05
X
SQ. Ft.
-GCfI~-q~
--- ----
~
-- -
$
$
~
SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1""71 'f!-
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
C;-~"':> 15.2)
--. ---
TOTAL-CITY SD( $ 11??~
5. SANITARY SEWER-MWMC
NO. OF PFU'S "2..:~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ 32-:."2-~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~~L~
'0 Kip Burdick
SOC Coordinator
t/- It, /13
'/ /
"
$ '2'1 "]..'t
TOTAl-MWMC SDc~q?~
--- ---
TOTAL SDC $ -z.oL-j"l oj.
FIXTURE UNIT CALCULA~N TABLE: Number of New Fixtures X. Equivalent = Fixture Units (N;~E:-.
For remodels, calculate only the NET additional fIXtures)
FIXTURE lYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
?
2 .....
1
2
3
6
2 '2-
6
6
1
3
2 2-
l/Head
2 '1-
2
1 3-
6
4 I Z.
Bathtub. ..... ..... ...... ................. .......... ......... .................
Drinking Fountain. .............. ........... ......... ........ ... .......
Floor Drain.. ........................ ..... ...................... .....:.....
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc............\.....
Laund ry 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 Ctoset, Public Installation.............................
Water Closet, Private...............................................
Miscellaneous:
..,
TOTAL FIXTURE UNITS
=
'2-:'
CREDIT CALCULATION TABLE:
calculate credits separates.
r -
Year
Annexed
Based on assessed value. If improvements occurred af1er annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
I'
Improvement (if af1er annexation date)
7.<j(~ X $ In.'2;,t;
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
;
7-1 Z.,i
Credit for Parcel or Land Only If Applicable
=
= $
'2 'f 'Z'l
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