HomeMy WebLinkAboutPermit Building 1993-8-24
I _ .
--REsTo ENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORt<.
18 02 05 2 1
LOT:
ASSESSORS MAP'
126
OWNER'
ADDRESS'
CITY:
4459 Glacier Street
.
JOB NUMBERq~l1~
225 Fifth Street
Springfield, Oregon 97477
" '
# SP 74
BLOCK'
SUBDIVISION' Lucerne Meadows
TAX LOT'
4100
Capstone Homes, Inc. of Oregon
P.O. Box 22636 Eugene, OR
97402
STATF'
DESCRIBE WORt<.
NEW XX
REMODEL
Single Family Residence
ADDITION
DEMOLISH
, OTHER
,
',.
PHONF'" 689-5567
\, "
ZIP:
".- ,"CONST.
CONTRACTOR'S NAME ADDRESS ,CONTRACTOR'
'.
G~NERAi.Capstone-l[omes, 'Inc. of,OR P.O.B. 22636,Eug.)JR 97402
,
PLUMBING: Fridlund Plumbing 85628 Dilley Lane Eug: ,OR 97405
MECHANICAI.Garibay Heating 4207 W. 5th Ave. Eug.,OR 97402
ELECTRICA" Hauck/Hammer Electric 353 S. 68th Place Spfld 97478
~R sc-
\
OCCY GROUP: 3~ f.- M
')
<r
QUAD AREA:
. OF BLDGS:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
U.lJ
. OF UNITS: !.: .
CONSTR. TYPE: ~J /IJ
F"~
f
LAND USE:
HEAT SOURCE:
RANGF'
EXPI RES PHONE
62018 10-18-93 689-5567
51835 12-14-93 746-9433
70545 12-21-93 344-2481
89423 3-5-94 744-1165
"
FLOOD PLAIN'
ZONING CODE: LDe
. OF BDRMS: L-/
SECONDARY HEAT:
SQUARE FOOTAGE: ~dSO
To request an Inspectlon, 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 after 7:00 a.m. will be made the following work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D
Underslab Plumbingl Electrical/
Mechanical - Prior to cover.
IX]
Footing - After trenches are
exc~vated.
D
Masonry - Steel location, bond
beams, grouting.
CZJ
Foundation - Afler forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
IKl
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
Qa
!Xl
Post and Beam - Prior to floor
insulation or decking.
Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
3J Storm Sewer - Prior to filling
trench.
o
Water Line - Prior to filling
trench.
~
Rough Plumbing- Prior to
cover.
REQUIRED INSPECTIONS
rt71 Rough Mechanic~ - ~rlor to
L41 cover.
:"-..,
ILl Rough Electrical - Prior to
, cover,
-.
[X] Electrical Service:::::. Must be
approved to obtaiQ permanent
electrical power. .
D
Fireplace - Prior to facing
materials and frailllng Insp.
"
ILl
Framing - Prior to cover.
[Xl Wall/Ceiling Insulation '- Prior to
cover.
[Jl Drywall - Prior_ i~.-'a~~~g..
lXJ W':'.ILJ ::l'O"I"e"'- After installation.
<~ tC~~/,?
D Insert - After tlreplace approval
and installation of unit.
Ixl Curbcut & Appro~c.h - After
forms are erected but prior to
placement of concrete.
I1J Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material In place.
D Fence - When completed.
~treet Trees....,., ~hen-a'[I ~.eqUired
~rees are planted,. ....
(Xl
Final Plumbing - VVhen all
plumbing work is complete.
rn Final Electrical - When all
electrical work is complete.
[Xl Final Mechanical - When all
mechanical work Is complete.
r1Il Final Building - When all
~ 'required inspections hav~becn
approved and building Is
completed.
DOther
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.
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.
Lot Type .
.. THE PROPOSED WORK IN TJ;lE _...
""II!'i'ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
~
Setbacks
I P.L. HSE GAR I ACC
N /S'
S
Iw /~ , I,
IE 2$; I
Lot faces
Lot sq. ftg. ,Ii:. ~ ~r
Lot coverage2~
Interior
X- Corner
~~
ti!
Panhandle
Topography
Total height
Cul.de.sac
.APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
This permit is granted o.n the express condition that the said
construction shall, in all respects, conform lathe Ordinance
adopted by the City of Springfield. including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
-'56~
/y'p
A:>/ 772
,
6_-;21$ Y
I~I()
LJ'-JO
Main
Garage
Carport
Plan Check Fee: . .
Date Paid: .
Receipt Number: -0}""" ~
Receiv d By: -
" "/:"~"'7 L/.urh,
eview~- '. ? _."7 ;at6 ~
/i!);?9~
,
q57. --
~2-SS-__',
(A) ,- if 73'.S-S'
SYSTEMS'DEVEL:OPMENT CHARGE'(SDC) ~
-- ' . - (B) ,1/ Z1..t.f3'JJ. .
Total Value
Building Permit fee
Slate Surcharge
Total Fec
System"s Development Charge is due-on all undeveloped
properties .withi~ tl:1e City limits wJ1ich are being improved.
, . PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO ':2,
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
ADDITIONAL COMMENTS
()vvvv-.JfY.P.oL I ,q 7 <;<>
Jul... A~ ,O..f2A< l' A..I/"\.b..5.; d...
A f. TII,oor,
FEE
/92..5"2:>
,.-- +> wtt...J
!J~ an, 1-fi.f 1,,"7 t1Pa.('J R/J
/'9~.sz>
q.~Jf1
2~:2./3'
,c, ~ &'0
t,I ~ 5Z?
~.-
/"S:'-
"3'- ....",.
By slgnatiJre, I state and agree. that I have carefully examined
the completed application and do hereby certify that all
Information hereon 15 true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinanct:s of th,e City of Springfield, and the Law's
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify ttlat only contractors and employees who
are In compl1ance with ORS 701.055 will be used on this
project.
--:;s'
NO
Vent Fan
Wood Stovellnser~pr~ce urll:".:)
Dryer Vent
7?.-, ~
-
/eP.""'7>
/.B8
7"9- 38
Mechanical Permit
Issuance
State Surcharge
Total Permit
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 c~rd is located at the front
of' the property, and the approved set of plans will remain
on the site at all times during construction.
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Signature -f/:.L ~~~
Datp 7_ 7 - '1 ...
State Surcharge
Sidewalk /ffi2 ft
Curbcut 9"'2- ft
"? ?_ 3'e$
/9_9.0
Demolition
~:~;:::~MBER .:J \9J~~~l1rf~r.r7_
DATEPAIP p.;s.,q,,4-q~' .
AMOUNT REC1flv~n -;:;;: /"'7 /.~.s-
RECEIVED BY 'rj,\,ryy.:../
State Surcharge
<7J. c--- r-
P"~ ~
, ~,' /--
Total Miscellaneous Permits (E)
,~-
92_/e!>
,~.6/~
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and E Combined)
"
r ,'i:
.
, _OB NO. 130"/7 'i(
CITY OF SPRINGFIELO'SYSTEMS OEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
. ,
NAME OR COMPANY: CAf'f>-rONE: I-/ONltf:.~ .-LNG. Or ORE-boON
LOCATION: L/L/5q ('.,u"GJE-R. S-r,
DEVELOPMENT TYPE: LOI2 - Alew Sr.2..
/'l0-z.oS7.-f- t.//oo
BUILDING SIZE:
I. STORM DRAINAG~
IMPERVIOUS SQ. FT,
LOT SiOZF
SQ. Ft.
"2- () Co 0
("IO'~
X $0.203 PER SQ, FT, or >> ~ l
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse)
2:'
X $42,08 PER PFU
~ 1(,7 'ii)
'- ..-/
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $424.31
(('t./-1-8 ih
--........ .-/
$
$
/
X /.01 X $424.31
X X $424.31
4. SANITARY SEWER-MWMC
NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ ~5 79,3
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ 35~
TOTAL-MWMC SDC ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ "2.171 ~
5. ADMINISTRATIVE FEE~
BASE CHARGE (SUBTOTAL ABOVE) X .05
~~L'~ 7/Hh3
Kip Burdick I' I
SDC Coordinator
( IO~~
<lq
TOTAL SDC $ 22'-1-3-
FIXTU RE UNIT ,CALCU LA~N TABLE: Number of New Fixtures e,it Equivalent = Fixture Units ~~T~
For remodels, calculate only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub....."............,....,.. ..,. "...' ""',,,... ......., ,.
Drinking Founta in..."........"...,..."....,..........,.............
Roor Drain.....,.......................,.....,.""..."...............".
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /C1otheswasher........................... ........
C1otheswa~~er - 3 Or More.........................:...........
Mobile Hdme Park Trap (1 Per Trailer)..................
Receptor F9r ReIrigerator [Water Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single'Stall.................................................
Shower, Gang............................,........................-.....
Sink, Bar, COmmercial.............................................
Urinal, Stall[Wall.....................................,.................
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
1
6
4
I
I
/
:;
;
TOTAL FIXTURE UNiTS
1..
'Z-
2-
z
~
It..
1~
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred alter annexation date in table,
calculate credits separates.
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
'1985
$3.21
3,13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1,18
0.79
0,44
0.28
"=
"S5~
Credit for Parcel or Land Only If Applicable
;.'2-1 X $ /1.0
(Rate X Assessed Value)'
X $
(Rate X Assessed Value)
CREDIT TOTAL
= $ 3--5 3~
=
Improvement [If alter annexation date)
=
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residential..,......,........,.;...................,......,.....,.. 0,4
Commercial.,.,.....,.......,.........,................,......... 0,9
IndustriaL.........,...,................,........,.......,..,...... 0.45
GovernmentaL.,....................,........................., 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT