HomeMy WebLinkAboutPermit Building 1993-4-8
..i
RESIDENTIAL.
-?ERIVtIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
.-
, (] C(jM
JOB NUMBEH -.::/3 - ct-
225 Fifth Stroet
SIHinu1lcld. OIO{1on U74TI
# SP 64
Sprinqfield~OR??478 _~
TAX LOT:~""'" ~Lt3000
4475 Glacier Street
LOCATION OF PHOPOSED WOHKi_,
ASSESSOHS MAP: 18 02 05 ~ Lot # 123 A
123 A
LOT:
BLOCK'
ADDHESS:
P.O. Box 22636
Capstone Homes, Inc. of Oreqon
OWNER:
CITY:
Eugene
STATE:
OR
DESCHIBE WOHl<:
NEW XX
Single Family Residence
HEMODEL
SUBDIVISION:
Lucerne Meadows
PHONE:
689-5567
ZIP: 97402
ADDITION
DEMOLISH
OTHEfl. _ _.
CONST
CONTHACTOH'S NAME ADDRESS " CONTflACIOIl H EXPIRES PHONE
GENERAl' Capstone Homes, Inc. of ,OR P.O.B. 22636 Euq.,OR 974Q~.El.g..1.8-.10-18...-.3.L..~.89-5567
'- ,
PLUMBING.Frid1und Plumbing 85628 Dilley Lane Eug. ,OR 97.'405 51835 12-14-93 746-9433
MECHANICAl' Garibay Heating 4207 W. 5th Ave. Euq. ,OR 97402 70545 12-21-93 344-2481
'ELECTHICAI' Rose Corp. 89976 Day Lane Eugene, OR 97402 54431 9-30-95 68F=.Q9..Q5._
I'
QUAD AREA: ~ ~R~
H OF OLDGS: I .
OCCY GHOup~3.:/-JA-.
H OF STORIES: ~
WATER H EATEH: - ("'1'
- OFFICE USE -
t If I
H OF UNITS: \. ~
CONSHl. TYPE: V A/' -.
HEAT SOUHCE: _~
HANGE:_'>="" J
LAND USE:
FLOOD PLAIN: L{j
~pNING CODE '-3"~
H OF IJDRMS: ---B-!-1
SECONDMlY HEM' . '.?::.
SQUAIlE FOOl"flGmJ9
To request an inspectlon, you must call 726.3769. This Is a 24 hour recordin~J. All inspcclions requested IJl:dolc 7:00 .un. will be
made the same working day, Inspections requested aHor 7:00 a.m. will be mado the rollowlntl worl< dny.
!~ . J Temporary Electric
I.
,
o Site lnspcclion - -TQ be made
after excavation. but Pi.jor to
settlng forms.
I'
o Underslab Plumbing/Electrical/
Mechanical - Prior 10 cover.
,:::
rs<1""Fooling - After trenches are
~cxcavated.
o Masonry - Sleel localion, bond
beams, grouting.
/
I~ t"oundation - Arter rorms are
~ erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
REQUIRED INSPECTIONS
.......
~ Rough Mechanical - Prior 10
J:6J. cover.
~Rough Elcctlicitl - 'Prior 10
~ cover.
1\:71 Electrical Scrvice - Musl be
~ approvcd to obtain penn,1nont
elcctrical power.
o Fireplace - Prior to racing
mnlcrlals and framIng Insp.
~ Framing - Prlor 10 cover.
~ Wall/Ceiling Insulation - Prior to
~ cover,
~ Drywall - Prior to lapin~l,
18:l ~~~r~I~';'ll~;~t\~~~=~~li~~? lV1' Wood Stovf} - After Installation.
~ zl!>(O CLtnt. F,A
'K':/r Post and Beam - Prior to floor
~ insulation or decl<ing.
K71" Floor Insulation - Prior to
~ decking.
rvr Sanitary Sewer - Prior to filling
~ trench.
C7f Storm Sewer - Prior to filling
~ trench.
M Water Line - Prior to filling
~ trench.
rv1 Rough'Plumbing - Prior to
~cover.
o Insert - After fireplace appruvul
and Installation of unll.
'f':/( Curbcul & Approach - After
~ forms arc erected but prior to
. placement of concrete.
~ Sidewalk & Driveway - After
~ excavation is complete. forms
and sub-base material in place.
o Fence - Wilen ~OlTlpICIC~J.
. .
@)treel Trees -,Wilen" aL!rr.quilP.d
trees are planted. .
. - ,
1\-;.1 Fillal PIUlllbillU - Whell nil
l6J plUllllJinO worl( Is cumplete.
f'V1" Fin...1 Elcchical - Whcn nil
~1)lcClfical WOllt i~ cOlllplete.
1V'f Final Mechanical - Wilen nil
~ mechanical work is complete.
,
I'g""Fillal Buildinn - Wilen all
~required inspections hnvc beell
approved and buildin{l is
cOlnlJlctcd.
001110r
MOBILE HOME INSPECTIONS
I~ Blocking .md Sel.Up - WIH.m all
blocking Is complete.
o Plumbing Connections - When
home 11as been connected to
water and sewer.
[J Electrical COllllCCtiOll - Wilen
blocl<ing, scl.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - AHer all Icquircd
Inspections ale approved and
porches. skirting, decks. nnd
venting l1ave been installed.
Lot f3c.es
JL
(ddO
2k~
.0.%
~
.
c ISeE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON..
THE HISTORICAL REGISTER?
LOI sq. Ilg.
__ lnlt.:liol
"._.___ ~et!?~_~...L_
.l:L J:~5- GAR ACC
.J}___n~:?tJ' __
Lot Type
Lot c()vora~Jt.:
__._ C()II\l~1
-.
If yes, this application lTIu~1 1)0 ~;lfJne<l
and approved by the Hi$torlcal
Coordinntor prior to permit hj5Uancc.
.rOpO!j,.I,)tIY
____ P;JIlIl;tfHlh..:
-''f! CIII.tll!..:;;:t';
Iv'
.~- ~:= -it? :=~
1!-1-' _--=-
"
..
Total hvlUllt
IE
BUILDING PERMIT
ITEM SO. FT.
VALUE
X $/50. FT.
_ti6..?'O
/1./0
-/OD-SL7
-Z~5...'1
Main
_/7f35
~2-"
Garage
Carport
.I02/l7.~
_~51..(J'O
_22E'
~~~_S"S"
SYSTEMS DEV~LOPM~NT CHAR,E (SD~~;.
(B) _'Z-.J!:/...~-
Total Value
Building Permil Fee
Slate Surcharge
Total Fcc
(A)
PLUMBING PERMIT
ITEM
FEE
FIxtures
~L9'2-~
Residential 8ath(s)
N' 3
-_._- - -
Sanitary SOWUI
FT. _ _ .__.
FT.
Water
'S'orm Sewer
FT.
Mobile Home
Plumbing Permit
~c,3
~/S
State Surctlarge
Total Charge
(C)
MECHANICAL PERMIT
-t;_tfO
_.4-5'0
j2.~O
_)f2~
.____S.t?'?~
26-<)
,-
_+2_~o
_1-0, 00
2-'3
51:t~- - -'-.
I:' _ J /?
4-- .-
~ -1-.-
Furnace
Exhaust Hood
Vent Fan NO 4~
Wooej StovC/I.1S~
Dryer Vent
_~dS_1-d1J j;.
Mechanical Perrlli I
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk -4:L II
Cu,bclll _3_0_ II
../~,~
_1~.SO
Demolition
Slate Surctlm{le
_pLA.u.~evJ..8..0-
__c:.n ~
--9-D.,wS"
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excludill~J eJl:t;IIi(:;d~.~i
(A, n, C, D, ,1I1d r:. COlllllilled)
APPROVED:
I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT .
ThiS permllls 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 of
buildIngs, and may be suspended or revoked at any time
upon violation of an proVisions of said ordinances.
Plan Check Fcc:
3(!3...;30;
.>8"00
Date Paid:
Receipt Number.
7/.8"JLL
-r~t~
Systems Development Charge Is due on all undeveloped
proper(les within the City limits which me being Improvec!.
ADDITIONAL COMMENTS
jtUJ\L Cl!:JLl3-C[/ / d)~'
t s!-+ T " I I /,nn
~'\'J\Q.}[, \.lltQ): \Cl.l ~
-rv~
~dD,/)jtfO~
eN~y (7~~~.~-
,
By signature, I state nnd agree, that I have carefully exnmlned
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 Ordlnanct:!s of tile City of Springfield, and the Laws
of tile State of Orcnon pertaining to the work <lescribed
herein, and 1I1<lt NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
arc In compliance with cRS 701.055 will be used on thIs
project.
I further agree to ensure ttwt all required Inspections are
requested al 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 construcllon.
Slgnatur~ Cd~
Date t_::.L3>......::...t.....
VALIDATION: (){-:b~
RECEIPT NUMB;rR '(}--/ I J
DATE PAIr> 4'"' F).-El.."'\,
:;,~,:;"":~~~~ 5'l3iff 51_
.
"".
. JOB NO.. q"?-Dc.>t '--I
..- . "
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: CAPS/Of.Jf:- I-IoMf..S
LOCATION: '-14-7'0 GLAc-IEf?- St.
DEVELOPMENT TYPE: !-/)P- - NF-A.' SFIZ
,-r r'
U,ic- . 0 r
Of<.€:bON
I 'if <1 '2-(' S ,'2- -66/00
.:\~.' :...
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
"l? , t--
X $0.192 PER SQ. FT.
G'N?;,9;;
---- --
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
"Z-3
X $39.78 PER PFU
Gc(;4'0)
------------
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $401.05
c; L/6 'b "i0
-----
s
i
x 1.0-0 S X $401.05
X
X $401.05 $ -
SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1'7 (., I 'Is..
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~
---------
TOTAL-CITY SDC $ 1'6"::>0 ~~
5. SANITARY SEWER-MWMC
NO. OF PFU'S ?-'7 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ !/'t?7.-~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~~~~ (,/~'/93
SDC Coordinator
"Z.. /3
$-::>' .-
TOTAL-MWMC SDC~1-~
--- --
TOTAL SDC $ Z I <.j '2- I]:.
,.
, .. a
FIXTURE UNIT CALCULATION 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
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 Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StalL.......".,!..,..........,...................."
Shower, Gang...,.......,.................,.,.................,........
Sink, Bar, Commercial...,."................,.........,..........,
Urinal, StallfWall.,.,.........,........,........,...........,...........
Wash Basin/Lavatory, Sil)gle.......,.,..........,.............
Water Closet, Public Installation.............................
Water Closet, Private...,.................,......................,..
Miscellaneous:
:.:,
2 '2-
1
2
3
6
2 2_
6
6
1
3
2 "2-
l/Head
2 2.-
2
1 .."
6
4 /'J-
'3
TOTAL FIXTURE UNITS
=
'2.:~
;
CREDIT CALCULATION TABLE:
calculate credits separates.
I
I
Based on assessed value. If improvements occurred after annexation date in table,
II
Year
Annexed
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
Improvement (if after annexation date)
'2 . '33 X $ / / . ()
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
I?
'7;,;-
Credit for Parcel or Land Only If Applicable
= $ 3, i I~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
., '
Residential....,.................,...,.....,.......,..... ,..,...... 0.4
Commercia1............,...,.......................,.....,..,.... 0.9
IndustriaL.............,...............,...,.....,............."... 0.45
GovernmentaL,........,..........,.............,..,............ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
~ :
(c'-''')' >~\I'.V.
(.. - , ~~(
~ \,,::C\ . . 4.o"l\~
....':.'?O'(;O~IV .
225 FIITH STREET "i': . . ~~d ,-0;" ~'(l ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 47/1,"'" .~. V 4
INSPECTION REQUEST: 7i6gSj'7'69z.or>if,'i> \.. "'~Crt;'JOb Number Q3CXYJ
OFFICE: 726-3759 4-\~V .
, \e'------: 0\1.1,3 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATI(lN (a..o s\<~,,-
4475 Glacier Street "I,.~",o
'"
, .
LEGAL DESCRIPTION
18 02 05 ;!J... 1,,1; 113 t. nLofaf)
si;g:e D::;:fyPT;eO~dence A~ 14 tr
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Rose Corporation
Address 89976 Day Lane
Ci ty Eugene
Phone
686-0905
super~isor' License Number
1568 S
Expira Hon Date
10-1-93
Constr Contr. Number 54431
Expiration Date 9-30-95
..
Signature of Supervising Electrician
. WJ;{~
'~''1., D.
Ovners Name Capstone Homes, Inc. of Oregon
Addre;s P.O. Box 22636
. Ci ty Eugene, OR 97402 Phone 68.9;:5567
O~~ INSTAL)..ATION
.The .installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-----------------/1.-~-.. -----------
DATE:, ~ T?"J 'Cf...,~ . .
RECEIPT #: {I/ \ H J:J--:J
RECEIVED 8~j <)a / -
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
# SP64
unit .
Cost
Sum
8S
45
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
-L
3
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Instaliatfon, Alteration or Relocation
8. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600'amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
'200 amp~' .or less ;'/(
201 amps to 400 amps jE/
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circu~ts
$ 40.00
$ 55.00
$ 80.00
see 1I"B"
f?5
,
above
" "
Nev, Alteration or Extension Per Panel
One Ci.rcui,t
Each Additional
Circuit or vith Service
or Feeder Permit.
E.
..' .....,
Miscellane~us (Servic~/feeder
-E~c~ installation
Pump.or irrigation
~ignJOutline Lighting
Limited ~nergy /Res
Limit~d Energy/Co~m
'. i ,.
5.
SUBTOTAL OF .ABOVE
5% State Surcharge
TOTAL
" "
$ 35.00
."
$ 2.00
not included)
$ 40,.00
$ 40:00
$ 20,00
.$ 36.00
I~D.{)O
1'_ 50
/ ~0 ;::>0