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Home My WebLink AboutPermit Building 1994-7-13 'Ji' I'~-.- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORt<. 7 . ASSESSqRS MAP' 18 02 05 147 A LOT' . 4577 Holly Street 1 2 BLOCt<. ADORE"'" OWNEP' Capstone Homes, Inc. of Oregon CITY' P.O. Box 22636 Eugene, OR 97402 STATF' . DESCRIBE WORK' Single Family Residence NEW XX REMODEL ADDITION CONTRACTOR'S NAME DEMOLISH OTHER ----- .". . . JOB NUMBER ~4C1lLltL 225 Fifth Street '1110 9/~ Springfield, Oregon 97477 # SP 93 TAX LOT' 8400 SUBDIVISION' Lucerne Meadows:: PHONF' 689-5567 ZIP' ADDRESS' CONST. CONTRACTOR' 62018 EXPIRES PHONE 10-16-94 689:"5567 12-14-94. 746-9433 , 12-21-94 344-2481 3-5-96 744-1165 GENERA" Caostone Homes, Inc. of OR P.O.B. 22636 Euo. .OR 97402 51835 Frid1und P1umbino 85628 Di11eu Lane Euq.,OR 97405 PLUMBING: MECHANICAl' Garibay Heating 4207 W. 5th Ave. Eug. ,OR 97402 70545 ELECTRICAL' Hauck/Hammer Electric 353 S. 68th Pl. Sof1d, OR 97478 89423 QUAD ARE~: ~~~~ . \ - R'~~ . OF BLDGS' OCCY GROUP: . OF STORIES:-!). WATER HEATER: (, - OFFICE USE - \\\ I . OF UNITS' I) CONSTR. TYPE: V ~ (("') LAND USE: HEAT SOURCE: ~ RANGE: FLOOD PLAIN: ZO~'NG CODE:~ ' . ,- . OF BDRMS' SECONDARY HEAT: :~r-V SQUARE FOOTAGE: ~g.~ ~ 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 same working day, Inspections requested ~fter 7:00 a.m. will be made the following work day. \~emporary Electric \: Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. ~rfIj ~ootlng - After trenches are " excavated. . D Masonry - Steel location. bond ,beams, grouting. . 'P Foundation - After forms are erected-but prior to'concrete placement. D Underground Plumbing - Prior to filling trench. ~Underfloor Plumbing/Mechanical T: - Prior to Insulation or decking. ~ Post and Beam - Prior to floor T-: Insulation or decking. . ~ Floor Insulation - Prior to ~ decking. ~anltary Sewer - PrIor to filling r~ trench. .rZ91 Storm Sewer - Prior to filling r trench. j:;tf Water Line - Prior to filling r, trench. tzj)ROU9h Plumbing - Prior to ( cover. REQUIRED INSPECTIONS Q1ROU9h Mechanical ~ Prior to ( cover. Q Rough Electrical - Prior' to T cover. ~ Electrical Service - Must be approved. to obtain permanent electr,lcal power. D Fireplace - Prior to facing materials and framing Insp. f Fremlng - Prior to cover. mWall/cefllng Insulation - Prior to ( cover. ~D~wall - Prl,or to taping. D Wood Stove - After I~stallatlon. D Insert - After fireplace approv~1 and Installation of unit. Fcurbcut & Approach - After forms, ~re erected but prior to placement of caMera I.e. fSldewalk & Driveway - Alter exc~vatlon Is complete. forms and sub-base material In place. D Fen~e - When completed. D Street Trees - When all required trees are planted. ~Inal Plumbing - When all C~'Plumblng w9rk Is complete. ~ Final Electrical - When all l electrical work Is complete. ~ Final Mechanical - When all ( mechanical work Is complete. ~'nal Building - When all required Inspections have been approved and building Is completed. D O.ther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. . D Plumbing Connections - When home has been connected to water and sewer. ,. o 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 Bre approved and porches, skirting; decks, and venting have been Installed. .~. ' " ...._,-;,. ....: "'.._~.':l~~ \:'~?!.~ ~ 'J;~~f!Yl;:fA ~:~..'~ ~~~:~~)~~:..~'. \ ...... f_ ~>.:., Lot lYpe. -t Interior Corner Lot faces Lot Sq,"f,~g. '1 Lot coverage Topography _ Total hel? ~\ / BUILDING PERMIT ITEM SO. FT. ,FP.L. ::"1 . . N Is Iw IE HSE GAR ACC I Setb Icks . .., THE PROPOSED WORK tN THE" . ~ISTOI;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. Panhandle Cul'de'sac X $/SO. FT. = VALUE Main Garage . " Carport Total Value ~ '. ./a.qq~ rQ \ .05 . " (A)' 4WJJd::.' . Building Permit Fee Stale Surcharge Total Fee SYSTEMS DEVELo"PMEN'T CHARGE (SDC) 1.2 2-i3,,2S (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ,~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home BA .Z:D Plumbing Permit . ~'d.:O' 5.r\84- q.lQ3 (.)()7...9J \.D.CO 4,':D . tf.) .~.~ _~oo 41-.50 10.aJ /,26+A,L3 (TI~ State Surcharge , . Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/insert/Fireplace Unit ~~~~'\-\lo l\T Mechanical Permit Issuance State Surcharge Total Permit . (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sldewa'II<' "M Curbcut A lOll \~ .V;U \:6 .ct7) II Demolition SI"\:' Surchar~. ~ ----.... ,~\r:tf\ \<0 ()lQ.J LJ Total Miscellaneous Permits (E) ~ L\U~ TOTAL AMOUNT DUE (excluding electrical) . (~.! .8, C, 0, and E Combined) . ~~,L\ I ul APPROVED: . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . This permit Is granted on the express condition lhallhe said construction shall, In all. respects, conform 10 lhe Ordinance adopted by the Clty.of Springfield, Including the Development Code, regulating the construction and use 01 buildings, and may be suspended or revoked al any time upon violation of any provisions of said ordinances. Plan Check Fee: l Oat; paid:' , . "I) .: - JY Recelpl Number:\"~ Y ~ ~ Received By~r( \. \.Y\\1\L ' . ~HJ pians Review ci By W- ~ f '. ... . r ~.~~ Dale Systems Development Charge Is due on all undeveloped pro'pertles within lhe City limits which are being Improved. ~~T70q)~Q) ffi\ ~~O-'\0*' ~\l , .~~~r/~(1Qr-D- ~ T: !'\':).'1'Sr) \.~(\q~/J ~" \C\,,~ By signature, I stale 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 wllhout permission of the Building Safely Division. I further certify that only contractors and employees who are In com'pllance with ORS 701.055 will be used on this project. I further agree to ensure thai all required Inspections are requested at the proper time; ~hat 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 limes during construction. Signature ~ C...::.. ~_---.f" V/~ . ~ Dato . r: - .2 0 - 4 4 VALIDATION: RECEIPT NUMBER / :5 19 ~ z:. DATE PAID 7/r 5,/1-1 AMOUNT RECEIVED .~\ ()~\ .rs \ RECE'IVED BY ~ ,.. . . .@ y!i!I!!!!!!l!.!!~ Job No. q~\lo SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~ 00\0 -' \bG~) PHONE: \O~Q .f)c&D LOCATION OF IiROPOSED BUnpl,tJF. SITE: "",L \\ E=f-n -l- '. Street Address if Known: ~f\ f\ \. .ru\ ii, \.. 'iJll 01 . (j. H______ . PI.. N,~ ~'><'Irt1L T~ '0< Nomb<< \ 'i< M On\ 9. ()g4(i) 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back,) A. Sinl1le Familv - Detache<:! l Single Family home NO OF UNITS \ B. Sinl1le Familv - Attached NO OF UNITS Manufactured home not in a park Cf.) X $400 PER UNIT _= $1t{\, . X $370 PER UNIT = '$ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit> V ~ $ $~~ :~aJ I \~ /11 NO OF UNITS X $280 PER UNIT = Community Servic City of Springfield Date . . JOB NO. ~9/t. CITY OF SPRI NGF I ELD SYSTEMS DEVELOPMENT CIlARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NMlE OR COMPANY: ~ L~ .LOCATION: 4-S'7:{ /I.r!L ..;~. - t/ DEVELOPNENT TYPE; 5FR BUILDING SIZE: ~ LOT SiZE - SQ. Ft. I. STORM DRAINAGE INPERVIOUS SQ. FT. :21t:>-tl X SO,203 PER SQ. FT. ~4-~c..3~ <......... ......... 2. SANITARY SEWER-CITY NO. OF PFU'S 23 X 542~08 PER PFU r- 9(, '1!. rl> (See R.everse) ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X I,~/ X S424.31 X X S424.31 ('" 4.2rs ~ '- ,./ $ X X 5424.31 s 4, SANITARY SEWER-MWMC NO. OF PFU'S :2.3> x 515.125 PER PFU + 510 NWMC ADM FEE S 3$"1. y-y (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL s #./fl TOTAL-MWMC SOC ~ '--- ../ (ADD ITEMS 1,2,3 & 4) S 2/'(r_.4:? 5. ADMINISTRATIVE FEES r BASE ~' Wl.)6TAl ABOVE) X .OS ~Lft /I~ J1-;r- 77< ~ D~~c~;~~~~or (('"'I ~~,~ '-- ..-/ . TOTAL SDC S 2.2.~S..2s- FIxTuRE UNIT,CALCUeTION TABLE: Nllmt'c< 01 NCwFi'lleX UIl;t EQuh.;tlell\ = Fix1ulC UnilS (NOiE: For remodels, c.1lcul~:Q only the NET 11\kfi:iOI\.11 ri\11l11.::.) NUI.'.GER OF L':-III fiXTURE FIXTURE TYPE NEW flX,Uf1ES EOUIVi,LEIH UNITS Bathtub................ ............. ..-......... ........ ..... .... ........ _.. Drinking F OUIlI:till..... ....... _........ ..' ............ ................. Floor Drain.................. ...... ...... .,... ....... ... ............. ...... Inlerceptorn For Grcasc/Oil/Sollds/Etc................. Interceptorn For Sand/Auto Wash/Etc.................. Laundry Tub /Dotheswasher... ...... ....... ...... ... ..... ..... DOlheswa~er . 3 Or More..................................... MobDe Home Park Trap (1 Per Trailer).................. Recep!or F9r Refrigerator /Water Station/Elc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single.Stall................................................. Shower, Gang........................................................... Sink, Bar, CommerciaL.......................................... , Urinal, Slall(Wall....................................................... Wash Basin/Lavatory, Single.................................. Water Dose!. Public Installation............................. Water Closet. Prr..ate............................................... Miscellaneous: I ., z.. 3 3 G 2 6 6 t 3 2 l/Head 2 2 1 6 <: ~ .J I 'Z. I '2., 3 3 1.2. TOT;.L FIXTURE Ut"'S = ~.3 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred aller annexation date in table, calculate credits separates. Rate per $1,000 'I Assessed Value $ 2.24 I 1.93 1.57 I 1.18 I 0.79 I 0.44 I 0.28 j = H,/~ = ----- = $ 4-4./1- Year Annexed Rate per S 1,000 Assessed Value Year Annexed t 979 or before 1980 1981 .1982 1983 1984 '1935 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 t987 1938 1939 1993 1991 1992 Credit for Parcel or Land Only If Applicable Improvement [If after annexation date) 3..2/ X s /3. ~56 (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL '. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residenlial. ............... ............ .............. .............. 0.4 Commercial...................................................... 0.9 I nd ustrial... ............... .......... ...... ........ ........... ...... 0.45 GovernmcnlaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT