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Home My WebLink AboutPermit Building 1993-2-22 RESIDENTIAL . PERMIT APPLICATION Inspeelions: 726.3769 Olliec: 726.3759 LOCATION OF PROPOSED WORK: 18 02 ASSESSORS MAP: 124 A LOT: SPRINGFIELD 4467 Glacier Street 05 2 1 JOBNUMBER~~\~__ 225 Flfttl Street Springfield. OlC~IOIl U14"17 # SP 55 Springfield, OR 97478 TAX 1.01: '()6fb\---- BLOCi'"' ADDRESS: Eugene, OWNER: Capstone Homes, Inc. of Orer,on P.O. Box 22636 CITY: STATI" OR DESCRIBE WORI<: Single Family Residence NEW XX REMODEL QUADARE^' ~~ . OF BLDGS. .-\ OCCY GROUP: ' t<. ~ -\ JJ\. . OF STORIES: --& - r--, WATER HEATER: SUBDIVISION: Lucerne Meadows PHONE: 689-5567 ZIP: 97402 ADDITION DEMOLISH OTHEH __ - OFFICE USE - \ \ \ \ LAND USE: . OF UNITS:_~ CONSTR. TYPE: V . HEAT SOURCE: __ S F..J RANGE: EXPI f1ES I'HONE CONST. CONTRACTOR'S NAME ADDRESS CONTlMCIOH . GENERAL: ,capstone Homes, Inc. of OR P.O.B. 22636 .E,!g-'J9R974QL~ /i2Q1_8~ Frid1und Plumbing 85628 Dilley Lane Eug.;OR ~7405 51835 PLUMBING: .- - Garibay Heating 4207 W. 5th Ave. Eug.,OR 97402 70545 MECHANICA' . ELECTRICAl' Rose Corp. 89976 Day Lane Eugene, OR 97402 54431 ._.~1!J.-18-:93 12-14-93 12-21-93 9-30-95 686-0905 __.6.8.9.-:5567 746-9433 344-2481 FLOOD PLAIN: ZONING CODE: _m.K-J . OF I1DRMS: _2f" SECONDArW HEAT: SQUAIlE FOOTAGE: _22- '5 D To request an Inspection, you must call 726.3769. This Is a 24 hour recordln~l. All inspections requested belore 7:00 8.111. will be made the same working day. Inspections requested aftor 7:00 a.m. will be made the following work day. D Temporary Electric o Site Inspection - To be made afler excavation. but prior to setting torms. D Undcrslab Plumbingl Eleclricall Mechanical - Prior to cover. Nf Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting. ~Foundation - After forms are ~ erected but prior 10 concrete placement. o Underground Plumbing - Prior ~o filling trench. REQUIRED INSPECTIONS r5C1 Rough Mechanical - Prior 10 ~ cover. ~ Rough Electrical - Prior 10 ~ cover. K'/'( Electrical Sel'vice - Musl IJc ).A...! approved to obtain permanenl electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prlo.' to cover. ~ Wall/Ceiling Insul;llion - Pdt)' 10 ~ cover. ~ Drywall - Prior to lapino. K71'" Undorfloorc;rlllmbi.nqf'VfC'chan~ JC71"' ' . . . ~ _ Prior to 1ilSl.Jlation VI 0o.;....."'mg. ~ ~~SI~~;-~~h~F~:illltll'''Il. r.::2f ~OSI and Boam - Prior to floor ~nsulalion or decl.;:ing. "io..-::7T Floor Insulation - Prior to ~ decking. ~ Sanitary Sewer - Prior to filling ~rcnch. .c7l Storm Sower - Prior to filling ~ trench. ..c:7f Water L1no - ~Ior to filling ~ trench. . ~ Rough Plumbing - 'Prior to ~cover. D Insorl - Artor fheplace ;lpPllwal nnd Inslallatioll of llllit. ~ Curbcul & Appl'Oach - AIl'~1 forms are erecletl blJI priur- 10 placement of concrele. ~Sidewalk & Driveway - AHcl ~excavation Is complete, forlTls and sub.basc material in place. D Fence - When completed. @Streol Troes - When ill! rcq.1iro:::d trees are planted. . . ~ Final Plumbing - When nil J.6J plumbing worl( is complele. c-.A' Finnl Electricnl - Wilen all ~clcctric;)1 wOlk is complete. ..c.7'1 Final Mochanical - When all ~ mcchanical worl.;: is complete. ~Final Buildinu - Wilen nil required Im,pccliolls have been approved anti buildinU is cOlnplclcd. [J Other / ~- MOBILE HOME INSPECTIONS I~ Olocking amI Sel.Up - When nIl IJloGldng Is cOlllplutl.!. '-I Plumbing Connections - Whcn - home hns been connf~cled 10 water ilnd sewer. [--I Elecllical Connection, - When blocldng, sel-up. and plumblno Inspections hove been npplQvotl ami the home 15 connect cd to the service panel. - D Final - Alter all required inspections arc approved nnd porches. sklrllng. (leeks, find venting have becn In~.Ii1l1ed, Lot f <lees -J;:c- ~+ _~~o L,2. /0 ~_.- Lot sq. Ilg. Lot coverage Topouraphy Total height BUILDING PERMIT ITEM SO. FT,._ Main j~/t'J ~#O_ Gurage Carport Total Value Building Permit Fee Suite Surcharge Total F'ce PLUMBING PERMIT ITEM Fixtures Lot Type Interior Cornol _ Panll,uHllu .p. Cui.c1c.sac X $/SO. FT. -5b~~ _L4/'U . (A) N' ;:2, -_.-i;;/~- - Residential Bath(s} SanltiJrY Sewer Water 'Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan FT. FT. FT. (C) Dryer Vent Wood Stovu/lnscrl/Fireplaf:e Unit N' :'? Mectwnical Punllit Issuance Stale Surchmue Total Permit Mobile Horne MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk .4l:J _..a.~ It II Curbcut DemolItIon State Surcharge P.6w_~ew Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (oxcludlno ulnclrit:ill) (A, 0, C, D, ,HId E ConllJlned) . Setbacks P.L. HSE GAR ACC ----- C is 1.PROPOSED WORK IN THE '.HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? N /2 -.- -~. --~-- --- 5_ _,_ ______ Y'L_ _ _ ---- E ~.t --~ -- ~I--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT VALUE /OJrlZZ. G ? tLf. FEI, 19-z,F(J -/.-9'2 'SO 9-~!> '2CtJ".,I3 _~,oo _~:~O -~.(j1O j-'5f~ -S-t!i?_. 37-.?O /FJ. (} 0_ _J ile, 48.~0 _/t':-.po ---1-4_'90 If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: This permit Is granted on the express condition that the said constructIon shall, in all respects, conform to the Ordinance adopled by Ihe City ot' Springfield, including the Development Coeje, regulating 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 Fee' "2 e 26"& ~ C) t. /tl'l9-2.fe. _4:5L D'O _~_'7~;;!> 4:'Z8,~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . " It" 1'!> (8) ff r/ 11 - Date Paid: Receipt Number: ". , __i'il. 4- ~ ?l-/~: i. Systems Development Charge is due on all undeveloped properties within the City li'mlts which are being improved. ADDITIONAL COMMENTS I '~ (l [V py,g dJ 44fr-i . 9:J-1 42.. 5' I ~T/ ~\ CY'fJ (Q\rvtQ;(rnio' ); '\C\ 'l5 ~-/ . ::fltJ jJ Jf):st./1-i; jS+i fuJ1.a..) By signature, I 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 Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, ancl that NO OCCUPANCY will be made of any structure without permission of the BuIlding Safety Division, I furttler certify tllat only contractors and employees who are In compliance Winl ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections arc 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 during construction. ~Ignature Date .~ 6-lJ 7n~o 2.1/3,'5'"'1 VALIDATION: n RD RECEtPT NU;;gR I ~ . DATE PAID N/.2 . Gf'3 AMOUNT RE~,::}'l~ ' {)t nECEIVED [J .I ___._.___ ~___ -C:...~___~_ -- -_.-----.-~-~- ~6" . . JOB NO. q 2- I '1 '-/-1, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: CA-PS-rOM€:. .1.-kJ//\~~ :DJL. 6F ()P...f!:.&<;,.} LOCATION: 44(.1 WC-/f-J!- ~..,... /g D 'l- C '5'l-1 - 0";'>;,0 I DEVELOPMENT TYPE: L/)}2.. - klf<.uJ ~~ BUILDING SIZE: 1. STORM DRAINAGE LOT SIZF SQ. Ft. IMPERVIOUS SQ. FT. '2-1 "II 2. SANITARY SEWER-CITY NO. OF PFU'S 2-'7 (See Reverse) 3. TRANSPORTATION , X $0.192 PER SQ. FT. G'-f'J-D ~?) -- -- X $39.78 PER PFU Gq,L/!:!) ----- -- NO OF UNITS X TRIP RATE X COST PER TRIP I X I,()T)S X $401.05 c;03~ ') ...... -- X X X $401. 05 $ X $401.05 $ -- SUBTOTAL (ADD ITEMS 1,2, & 3) $ 17?> ''t/' 7. 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 G8r.,"Ib -------- TOTAL-CITY SDC $ 1'i5'l-S~ 5. SANITARY SEWER-MWMC NO. OF PFU'S x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ,?2-,?1-J:. (Use PFU Total From Item 2 Above) ~B u Lk Kip Burdick SDC Coordinator /2-/t~/'i2- $ 31 '.l. TOTAL-MWMC SDC~9'l-~ -------- TOTAL SDC $ 7-, n~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCULA TltI TABLE: Number of New Fixtures X u.qUivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS .., 2 7- 1 2 3 6 2 2- 6 6 1 3 2 2- I/Head 2 2- 2 1 ? 6 4 /"l- 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, Commercia!..,........,.......,..........,.....,......., Urinal, StallfWall.......................,.......,................"..... Wash Basin/Lavatory, Single..,.......,.................,..... Water Closet, Public Installation............................. Water Closet, Private,.....,...................,........,........... Miscellaneous: ? TOTAL FIXTURE UNITS = '2-" CREDIT CALCULATION TABLE: calculate credits separates, r I Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value L 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0,25 0.87 0.50 0.16 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2,33 Credit for Parcel or Land Only If Applicable 7-. ~'!> X $ 1/. b (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL 3/ '':;:'' - 13 = $ 3/ - RUNOFF COEFFICIENTS FOR STORM DRAINAGE I f ! I Residential...............,."....,........................."..... 0.4 Commercial........,..........,.................................. 0.9 I nd ustrial.,...................,..........................,.,........ 0.45 Governmental.......,........,..................,.......,....... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT