HomeMy WebLinkAboutPermit Building 1992-11-25
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SPRINGFIELD
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JOB NUMBER -':::1c.zU:,-L _
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RESIDENTIAL .
PERMIT APPLICATION
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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
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"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~
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_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.~
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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.
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ADDITIONAL COMMENTS
JUJLe. (9'\~ (L4,~.dJ 44i~
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\0\11 nOr, \ _ n to ):\ C\ r I Cf)
(-~ J it rur ru \ 01.rl tuJi'UU
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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~
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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
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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