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HomeMy WebLinkAboutPermit Building 1992-11-25 I ~i ~j ," :i " " ., . ~ -I :1 SPRINGFIELD .. fJLl Vln~~ ' JOB NUMBER -':::1c.zU:,-L _ ~ .. RESIDENTIAL . PERMIT APPLICATION ~.~. 225 Firth Street Springfield, Oregon 97477 Inspections: 726.3769 Office: 726.3759 # SP 54 4481 Glacier Street LOCATION OF PROPOSED WORK: 18 02 05 6100 \ 1 2 TAX LOT: ASSESSORS MAP' 122 A Lucerne Meadows SUBDIVISION. BLOCK' LOT' Capstone Homes, Inc. of Oregon 68"...55(:7 PHONE: OWNER' P.O. Box 22636 ADDRESS' Eugene, OIL__ ...___ Zlp:_.9.7..402._.__._ __._. STATE: CITY: DESCRIBE WORK: Sinqle Fami1u Residence XX NEW REMODEL ADDITION DEMOLISH .___ Ol"l-IER CONST. CONTRACTOR'S NAME ADDRESS CONTRACfOn P EXPIriES GENERAL:Capstone Homes', Inc. of.OR P.O.B. 22636 Eug.,Ol!...97402 _gQJJ!. 10-18_::}_3 PLUMBING: Frid1und Plumbing 85628 Dilley Lane Eug",OR. 97~~__..51.~35 12-14-92 MECHANICAL: Garibay Heating 4207 w. 5th Ave. Eug. ,OR 97402 _ ....19545 .-J2-:.2.k:'!2.. 'ELECTRICAI' Rose Corp. 89976 Day Lane Eugene, OR 97402 54431 9-30-95 PHONE 689-5~Q.7 746-9433 344-2481 686-0905 - OFFICE U1E - LAND US~: \ L\ P OF UNITS: \ CONSTR, TYPE: __~~ HEAT SOUFICE: __._r: r-; E. . QUAD AREA: ~~ \ OCCY GROUP \J-~~~_tJ\ '\ FLOOD PLAIN' I ZONING CO[)~JW P OF BDRMS: ~~~A-- SECONDARY HEAT: L~~Q-' SQUARE FOOlAGE: _ ~lt2'i.~ i I P OF BLDGS: . OF STORIES: G RANGF' WATER HEATER: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All inspections requested before 7:00 .un. will be made the same working day. Inspections requested after 7:00 a.m. will be macle the following work d;JY. REQUIRED INSPECTIONS ~Rough Mechanic...1 - Prior 10 )QJ cover. ~TempOrary Electric 1V1 Final Plul11billlJ - When all ~"" (Jlumbin{J worl~ Is COlllplclc. "'F::71 Rough Elcchical - Prior Iv ;.cs... cover. ~..A"'Fin~1I Electrical - When all ~ clccllical worl<. is CQlllplCle. o Site Inspection - To be made after excavation, but prior to setting forms. j . t;;:;,;;1' Final Mechanical - Wtl'Jn all ~rncchanic<ll work is complete. ~ Electrical Service - Must be ~approvcd to obtain permanent electrical power. o Underslab Plumbingl Electricall Mechanical - Prior to cover. d Footing - After trenches arc ~excavated. ~il1al Ouildinu - When all - required inspections have been < pprovcd nnd buildinu is compluled. o Fireplace - Prior to faclno materials and framing Insp. o Masonry - Steel location, bond beams. grouting. ~ Framing - Prior to cover. 1=IOlher ~ Foundation - Afler forms are ~ erected but prior to concrete placement. rvr Wall/Cciliny Insulalioil - "litH to ~over. .'. Underground Plumbing - Prior to filling trench. tg( Underlloo(Plumbin~cnanlc.J!> r - Prior tol't.)u,udon-S, U......""'~. o ~ Drywal~ - Prior to lilpillfl. MOBILE HOME INSPECTIONS o Wood Stove - After inst3/laliull. (~ Blocking and Set.Up - When all blockIng is complete, r;::;r Post and Beam - Prior to floor ~Insulatlon or decking, o Insert - After fireplace approval and installation of unit. o Plumbing Connections - Wilen home has been connected to waler and sewer. R:/r Floor Insulation - Prior to )oCS..decklng. 1':71 Curbcul & Approach - Aller ~ forms arc erected but prior to placement of concreto. ~ S,:mltary Sewer - Prior to filling ~trench. [ 1 Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service pt'lnel. 1\/1 Sidewalk & O.-lveway - AHer '"' excavation is complete. forms and sub.base material in place. 'f':/f Storm Sewer - Prior to filling ~ trench. o Fence - Wilen completed. ~ Water line - ~rlor to filling ~ trench. o Final - Arter all required Inspections me apPloved and porches, skirting, cJcck~. and venting have been insltl/led. ~rcot Trees - When all required ~ees are planted. . . .. I'\:A Rough Plumbing - Prior to ~ cover. Lol faces .NJf!i lot Type" lot sq. Itg. I~t: Interior Lot coverage 1lfo Corner Topography <21'_ ~ Panll;UH.IIc: Tolal Ileighl .~_. Cul-(je'~lac j "HE P.OSED WORK IN THE -1~TORIClr'DISTRICT, OR ON m'7'\ THE HISTORICAL REGISTERI"'JLlJ If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuancc. . Setbacks J:L .HSE GAR i'C~ 'Ztf _IL.____ ~ ~---- _v:L.-IZ.~ ~_ L- BUILDING PERMIT ::i: J4~ ;j/S~_ 0 Vj}~ Garaue ~D: \~ t8 __ j~frt en w!.u ~~~ ....,,,/S --~.- - ~3!!" SYSTEMS DEVELOPMENT CHARGE (SDC) $ '. -' (B) *\q4-?~'- Carpark Tolal Value BulldinU Permit Fee Statc Surcharge Total Fee - -. '(A) PLUMBING PERMIT ITEM Fixtures Resldenlial Bath(s} N' ? Sanitary Sewer FT. Water FT. 'Storm Sewer FT. Mobile Home Plumbing PermIt State Surchmuo Total Charge (C) MECHANICAL PERMIT Furnace ", Exhaust Hooel Vent Fan N' Wood Stove/Insert I Fireplace Unit Dryer Vent ~dL/..;,(}r Mechanical Pcrllli t Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Slate ISSllanGf~ State Surcharge Sidewalk _-1.:.:2.. It Curbcut -';21{- ft Demolition ~al'( ~ Total Miscellaneous pe\~ts (E) TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, 0, ;1f1(J E Comblnecl) FEE _L60.~ f;f!!J _/~.~O __~f"D _ _4S"0 -1 (jO _15~ _'J_~_ 2&D _3~..ra __/_o.,~ _~L:7g .-5.L.1S _/.(o7S -----L3~ 4rJ.~ _in,3S' ~5t",-!g 19' I APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is 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 Cocle, regulating the construction and Lise 01 buildings, and may be susponded or revol<ed ;11 any time upon violation of any provlsio 5 of said ordinances. Plan CheckFe' Dale Paid: Receipt Number' _ -:-41(~z.- Systems Development ell-argo is due .on all undeveloped properties withIn the City limits which arc being Improved. " ADDITIONAL COMMENTS JUJLe. (9'\~ (L4,~.dJ 44i~ \clq.,: \\\Uoo \0\11 nOr, \ _ n to ):\ C\ r I Cf) (-~ J it rur ru \ 01.rl tuJi'UU - \ 9l' ., ; ,. I .1 By signature, I state and agrec, that I have carefully examIned the completed applicatton and do hereby certify that alt information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordancq . with the Ordinances of the City of SprIngfield, and the L<1wS 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 that only contractors and employees who are In compliance with GRS 701.055 will be llsed on this project. I further agree to ensure that all required Inspections arc requested at the proper time. that each address is readable frolll t.he streot, that the permit card Is locateel at the front of the property, and the approved set of plans wltl remain on the site at all limes during construction. Signature ~~0-f ap; Date (;; /~ jz-~ /4~ VALIDATION: r 110'r / ) RECEIPT NUMHR ( \l! ~-~ DATE PAIr' \ \ -~_S..q ~ "- AMOUNT RIi~Ep~9>/'7 "3:1 RECEWEO~~ ) . .. . ..B NO. q'LI'-I",y CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Cl>ol"~\ot-.\E: \-\OM.E:~ 1 1:t-.lc.. 0':: O~E:C:.O\J LOCATION: '-N'1. I Gl.-PIq E:.R. S""t. I <t:: 0'2.- 0 '=> 1'- - U> \CO DEVELOPMENT TYPE: L-De. - N.E:..vJ ~F~ \, BUILDING SIZE: 1. STORM DRAINAGE LOT S IZF SQ. Ft. IMPERVIOUS SQ. FT. '2--,0\ X $0.192 PER SQ. FT, C<;)Ie,~ -- - 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) IE':> X $39.78 PER PFU G-r!c,,:;; "'-- -- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \. oor:, X $401. 05 C4-D~O~ -- -- X X $401.05 $ X X $401. 05 $ c..9 SUBTOTAL (ADD ITEMS 1,2, & 3) $ \ Co?:>! - 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ p,,8~ - -- TOTAL-CITY SDC Ll.J 19 '=>1 5. SANITARY SEWER-MWMC NO. OF PFU'S Ie, x $13.62 PER PFU + $10 MWMC ADMIN. FEE $1..??I~ (Use PFU Total From Item 2 Above) V'~.k <J Kip Burdfck SDC Coordinator 10 /'2-B /q7- I I $ ~I 'z. TOTAL-MWMC SDC~<+~ TOTAL SDC $ Iq4-?~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) , , FIXTURE UNIT CAlCU.... TelE: Numbe~OfNeWFixtur~Equ.nt = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..... ........ ...... .............. ........ ........................ ..... Drinking Fountain,........................... ,.. ........,...... ......, Floor Drain.... ...............,..,....................."................,' Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laund ry 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, Commercia!........,.............,....................., Urinai, StallfWall.......,.........."..........,........................ Wash Basin/Lavatory, Single.........,.............,.......... Water Closet, Public Installation............................. Water Closet, Private........,...........,..........,............... Miscellaneous: \ 2 1 2 3 6 2 6 6 1 3 2 1 /Head 2 2 1 6 4 1.- 7- TOTAL FIXTURE UNITS = '2. 2. 2. "2.. 'Z- 8 l~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separa~es. Rate per $1,000 'I Assessed Value $2.16 1.90 1.60 0.25 0.87 0.50 0.16 = ?\1:2 = = $ ~\\~ Year Annexed Rate per $1,000 Assessed Value Year Annexed " 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 Credtt for Parcel or Land Only If Applicable -z. . '6~ X $ 1\.0 (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residentia1.,..................,.....,.....,.......,.,..........,.. 0.4 Commercia1.................,........,.....,...........,..,...... 0.9 Ind ustrial....."....,...,........................,..............,... 0.45 Governmental..................................,............,... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT