HomeMy WebLinkAboutPermit Building 1993-4-30
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
18 02 05 1 2
ASSESSORS MAp.
135
LOT-
SPRINGFIELD . ..,,1 I
4550 Holly Street
.
,lOB NUMBER ~~? QL~
225 Fifth Strcet
Springlield, Orq)on 97<177
# SP 67
Sorinqfiel"d. OR 97478
TAX LOT'
7000
BLOCK'
ADDRESS:
Capstone Homes. Inc. of Ore~on
P.O. Box 22636
OWNER:
CITY.
Eugene,
STATE:
OR
DESCRIBE WORK:
Single Family Residence
COf>.J~:;T.
CONTRACTOR'S NAME AODHES~j CONTH^GIOH II EXP1HES
.. Ca.pstone Homes, Inc. of OR P.O,B. 22636 Eug.,OR 97402 62018 10-18-93
CI,NERAL: ._._
I'LUMBING: Frid1 und P1 umbing 85628 Dilley Dane E~g~J.CJ!I... 97405.. 518.35. ._J?-14-!i3
MECHANICAL: .~-:ribay Heating _ 4207 W. 5th A-"".:...!u.~: '()!l 97402 70545 12-21-93
'ELECTRICAL: Rose Corp. 89976 Day Lane Eugene, OR 97.402 54431 9-30-95
NEW
xx
REMODEL
ADDITION
QUAD AREA:0R.S~
I
OCCY GROUP 8 ~-+ M
. OF STORIES: O{.
01
H OF BLDGS:
WATER HEATER:
v
DEMOLlSII
OTHER _.
SUBDIVISION:
Lucerne Meadows
- OFFICE USE -
LAND USE _Uj I
. OF UNITS: __L~___
CONSTR. TYPE: _~1f.}__.~.
HEAT SOURCE: _C::fl" --
RANGE: _p ~
PHON E: _6.89.=55.6.7
ZIP: _92..4.QZ
PHONE
689-5567
._...?46..-:!i433
344-2481
686-0905
FLOOD PLAIN: .~[(J-tT."I--.
ZONINC CODE: .~_..f--/ _
. OF [,DRMS: ---S---
SECONDARY HEAT: J::'.}J
SQUARE FOOTAGE:.d ,q,40
TO request an inspection, you must call 726-3769, This is a 24 hour recording. All inspections requested before 7:00 ;l.rn. will uc
made the same working day. Inspections requested after 7:00 a.m. will be made the rollowing work day.
~TempOrary Electric'
1=1
Silo Inspcclion - To be mndc
after excavation, bul prior 10
setling forms.
o
Undcrslab Plumbing/Electrical/
Mechanical - Prior to cover.
~Footing - After trenctles arc
~ ~xcavatcd.
o Masomy - Steel locatlon, bond
beams, grouting.
k71' Foundation - After forms arc
~ erected but prior 10 concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
K/1' Underlloor(l'lumb~echanicaD
~ _ Prior to In::>u13110n 01 Ut;\,;l\lng.
'C7'l Post and Beam - Prior to floor
~ lnsulation or decking,
~ Floor Insulation - Prior to
~ decking.
K7f Sanitary Sewer - Prior to filling
~ trench.
'D1 Storm Sower - Prior 10 filling
~ trench.
~ Water Line - Prior to filling
~ trench.
~ Rough Plumbing - Prior to
~ cover.
REQUIRED INSPECTIONS
~ Rou'gh Mechanical - Prior to
~ cover.
I'\J1 nOllOh Elcctlicill - 1'11'.1l lu
~t:over.
K:A' Electricnl Service - MlJ~~1 IJC
~approved to oblain penllnrlCl11
electrical power.
o Fireplace - Prior 10 l<lcin~l
materials and framing Insp.
~ Framing - Prior lo cover.
KAWall/Ceiling Insulation' - Plior 10
~ cover.
~ Drywall - Prior to tapinv.
1""'7'1' Wood Stove'- After installatiun.
)CS Ze.w~. F-P.
o
Inserl - After fireplacc apPlOval
and installation of unit.
o
Curucut & Approach - Artel
forms me erected but p!iu1 tu
placcment of concrele.
I I Sidewalk & Dl'iveWi:IY - Aile!
excavation is complete, furrll~;
and sub-ba:;c material In place.
D Fellce - When complelcd.
~trcot Trees - When all rcq~Jil(]cl
(Yrecs Rrc planted':
MFinal Plumbing - WIlen all
-- plurnbino w(ll'l{ is cOlnplete.
l\,rf Filial Electric.1I - WIHm nIl
Y~le(;lli(;..1I wClIk i~; clllnplelu.
K-:7f Finill Mcch.lIlical - WIl(~11 :111
~lJlcchLlnic31 wallt j~; complete.
T'\7f Filial Uuildinq - v'VIHm all
Y~lcquilcd in~;pcction~, have IJucn
approved and buildinO is
cOll1plClcd.
[J Other
MOBILE HOME INSPECTIONS
l:::J
lJIocking and Set.Up - When all
blocking Is complete.
[J
Plumbing Connections - Wilen
Ilome has been connected 10
water and sewer.
[J
Elecll'ical Connection - When
blocking, set-up. and plumbing
in~lJections have been approved
;md tile homr: is connectcd to
tile service panel.
o
Final - After all mquircd
il15pections are approved and
porches. skirting, decks. i:1Ild
venting Ilave been installed.
.
Lot faces
~L
~3~
$/10
~Z~
&5'
Cul-de<i<1c
Lot Type
Lot sq. Ilg.
_ Interior
-'f! Corner
Panllilndlc
Lot coverage
Topography
Tolal heighl
BUILDING PERMIT
Setbacks
I I I I I
PL. HSE GAR ACC
IN
.
l
IStE PRO~OSED 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.
~_. 20___
~_/z.' _
E 22
--. -~~ ----
ITEM SO. FT. X $/SO. leT VALUE
.Lgj!-S_' - 2.0 /CS5Z'l
Main ..5~
Garaue .~-1f3g:J- _L1~() ~7~8
Carport .---
-.--
/;'.03-15
-457 7S"
1'7'" in .
--~.- f
d&2/~
SYSTEMS DEVELOPMENT CHARGE (SDC) W
. . JJ:. O~
(B) 11'2-1 ?~ -
Total Value
Building Permit Fee
State SlIrctlarge
Total Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential 8alll(s)
N'
"2.
Sanitary Sewer
FT.
Waler
FT.
'Storm Sewer
FT.
Mobile Home
PlumbJng Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
E!<haust Hooel
Vent Fan
N'
-i--
Wood Slove/lns~CirePlacc ~
Dryer Vent
MechanIcal Permi t
Issuance
State Surcll<H~Je
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
State Surcllarge
Sidewalk /.$:(2.. It
Curbcut _zi- It
Demolition
State Surcharge
Total Miscellaneous Permits (Ej
TOTAL AMOUNT DUE (excluding electricnl)
(A, B, C, D, nnd E Cornl)ined)
FEE
__1_92_,5'0
9&.)
?n2/3
--~,~
_1..5"0
-'--2~O-O
_'-5. 00
3~
dO.SO
_jt2~
_~c:3
C:;Z,$3
_31-.00
_/.'~ . €>o..
_S(),60
2123.'"
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition tllal tile saiel
construction shall, in nil respects, conform \0 tile Ordini1ncc
aclopted by the City of Springfield, Including tile
Development Code, rcglllatina the construction ancluse of
buildings, and may be suspended or rcvol<ed at any time
upon violation of any provisions of sa~rdlnances.
Plan Chccl< F~;': - . 'Z.. 9 7, ,S-
2-/2-'77
Receipt Number: '7-S:QJ
Received By: 4~
~csz:; .
PlanS'Revicwe~ ~
Date Paid:
.~::2-5(_
Dato
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
ApDITIONAL COMMENTS
I'tlD tlnn fI k' _ - \:11)1 L))
~[) l rlQ 4~%Q PJ..
lPu
~l: /I.COe)
\drlJlVL D'OTO ~ " I 4 r; R
j2J&.&Y CA'Cc:<</Ap~ 2 ('
By signature, I state and agree, that I tlave cmefully 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 Sprlngfield, and ttlC Laws
of the State of Oregon pertaining to the work descrIbed
herein, and that NO OCCUPANCY will be made of any
structure WltllOut permission cl'l-Qe Building Safety Division.
I further certtfy ttlal only contrat'tors and employees who
arc In compliance with ORS 701.055 will be used on tills
project.
I further agree to ensure thot all required Inspections are
requested at the proper time, that eacll 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 sitef?t I,times during c rucHon.
Signature_ _ C~ - ~"'_ 0
Date ( -;. - /2.. -43
-;;...- ----.
VALIDATION: ~f)
RECEIPT NUMBER' ~ t_
DATE PAID '"1:.,.3 . _~ "q
... :~;~~,'c":~\10 '1..'rr1. --
~
.. .OB NO. q':>oI(ptf-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: CA-f5'TtJJJf= J-/M1E.? I 'E.1e.-. OF {)f?-e&-ON
LOCATION: L-/S?o t-kL-L-Y S,. /~O'}..oS /1- -/~(}
DEVELOPMENT TYPE: '-'>12.. - f.../E:IN Sf/{
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE.
IMPERVIOUS SQ. FT. -z. 2.. "" 2- X $0.192 PER SQ. FT.
2. SANITARY SEWER-CITY
NO. OF PFU'S Z? X $39.7B PER PFU
(See Reverse)
3. TRANSPORTATION
~
C:q/y- 'ti)
-.... ---
NO OF UNITS X TRIP RATE X COST PER TRIP
I X I. ('r7J 5 X $401.05
G#o3tl("')
-- ----
X
.X
X $401.05
$
X $401.05 $ -
SUBTOTAL (ADD ITEMS 1,2, & 3) $ ,{C;'6~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
( <61~
TOTAL-CITY SDC $/'6'fS~
5. SANITARY SEWER-MWMC
NO. OF PFU'S ~ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ?'2.?~
(Use PFU Total From Item 2 Above)
~ ~LJ-~
U ' . Kip Burdick
SDC Coordinator
2-//1 /1'7
I 1
$ ~I'~
TOTAl-MWMC SDC~~~
-.... ---
TOTAL SDC $ '2..1 ~~ ,,~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
. ..
FIXTURE UNIT CALCULATlt)N TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fIXtures)
,
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
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 RefrigeratorfWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang..........................................................
Sink, Bar, CommerciaL..........................................
Urinal, StallfWaIL.....................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private...............................................
Miscellaneous:
"
2 "2-
1
2
3
6
2 '2..-
6
6
1
3
2 ']...
l/Head
2 "2-
2
1 ~
6
4 rz..
~
TOTAL FIXTURE UNITS
=
2:>
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
I
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
.-
Improvement (if after annexation date)
;,z<;?:z., X $ //.0
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
~I '3-
Credit for Parcel or Land Only If Applicable
=
= $ 2.71'~
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