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Home My WebLink AboutPermit Building 1993-11-3 @ .W ~SI'3ENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORt<. 18 02 05 1 2 ASSESSORS MAP' LOT' 121 B SPRINGFIELD 4487 Glacier Street BLOCK' OWNER' ADDRESS' Capstone Homes, Inc. of Oregon P.O. Box 22636 CITY' Eugene, OR 97402 , , Sin 1e DESCRIBE WORK' g NEW XX REMODEL STAT'" Family Residence ADDITION DEMOLISH OTHER .. JOB NUMBER. .~ ~ \ ~ ':2A- 225 Fifth Street ' I 1 Springfield, Oregon 97477 # SP 81 TAX LOT' 6000 SUBDIVISION' Lucerne Meadows PHONF' 689-5567 ZIP' CbNST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE GENERA." Capstone Homes,. Inc: of OR P.O.B. 22636 Eug. ,OR 97402 62018 10-18-93 689-5567 PLUMBING: Frid1und Plumbing 85628 Dilley Lane 'E~q. ',OR 97405 51835 12-14-93 746-9433 MECHANICAL' Garibay Heating 4207 W. 5th Ave. Eug. ,OR 97402 70545 12-21-93 344-2481 4'~ , _. . ELECTRtCA" Hauck/Hammer Elect. 353 S. 68th Pl. 'Sofld, OR 97478 89423 3-5-94 744-.1.765 OUAD AREA: _~ S \( ~~ . OF BLDGS: n\?--+ \ f\ OCCY GROUP: ~ \.) N\. a 6 . OF STORIES: WATER HEATER: - OFFICE USE - \ \ \ \ ;\\!:. } CONSTR. TYPE: IV HEAT SOURCE: l="t-::::l T-.-- LAND USE: # OF UNITS' RANGF' FLOOD PLAIN: 'ZONING CODE: IDV ~ OF BDRMS: . ~ SECONDARY HEAT: r=:-p SQUARE FOOTAGE: s::!) ~.~~ To request an inspection, 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 ~Site Inspection - To be made ~~fler excavation, but prior to setting forms. o Underslab Plumbing/Eleclricall Mechanical - Prior to cover. ~ Footing - After trenches are ~xcavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms arc ~rected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~ Underlloo(!'lumbin~hanic~ ~- Prior to"insulall0n or oe~Klng. ~ Post and Beam - Prior to floor ~insulatlon or decking. ~ Floor Insulation - Prior to ~decking. . K:;(Sanitary Sewer - Prior to filling I..6.l trench. ~Storm Sewer - Prior to filling ~ trench. t"'Vf Waler Line - Prior to filting ~trench. 'f\?f Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS r'V( Rough M!chanical~ Prior to ~over.~,"<"'~, FY". ~ Rough Electrical - Prior to ~ cover. '1Vr Electrical Service - Must be ~ approved to obtain permanent electrical power. . o Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to ~over, ~WallJCeiling Insulation -.Prlor to ~ cover. 4. ~ Drywall - Prior to ~aPi~.9.. o Wood Stove - After installation. o Insert - After fireplac.e approval and installation of unit. ~ Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. Kx Sidewalk & Driveway - After ~excavation is complete, forms and sub..base material in place. o Fence - When completed. ~treet Trees. - Wh~n .all'reqUired ~ees are planted. . 1Vf Final Plumbing - When all ~ plumbIng work is complet,e. "fV1 Final Electrical - When all ~ electrical work is complete. 1v('Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all )6o.J required inspections have been approved and building is completed. ~Othcr ~ I-I.,()E 8'\C cw.,"~J:~ ~ MOBILE HOME IN~~;S o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required inspections are approved and porches, skIrting, decks, and venting have been Installed. ,,;,l: . Lot faces .-W.. Lot Type Setbacks tHE PROPOSED WORK IN THE Lot sq, ftg. ~O Interior I P.L. HSE GAR ACC I STORICAL DISTRICT, OR ON " 2..5 ?.. IN 5 I THE HISTORICAL REGISTER? Lot coverage Corner Is I If yes, this application must be signed ~ $" and a p proved by the Historical Topography Panhandle Iw Coordinator prior to permit issuance. - ~(O/ ~ Cul-de-sac 25 Total height IE APPROVED: BUILDING PERMIr- 'I~ x~ ~~Qjb = ID?;u~mCl 4Pf) \ 4. It) (p~ '7fdS ITEM Main Garage Carport (Jq..~,* #-5Z.~r ;;22.9>9 . ~iiM2; 61 SYSTEMS DEVELOPMENT CHARGE (SDC),~ - ..' (B)" f1301"'!.!: _. Total Value Building Perml t Fee . State Surcharge. Total Fcc (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. 9 _L9-2fO W3tcr FT. Storm Sewer FT. Mobile Home Plumbing Permit q~3 . "..,'" . I tl .-....2.. . State Surcharge Total Charge (C) :- MECHANICAL PERMIT -0 (rD 4.1io j 2 ,?O -/5.- l.OV 5.- 4S~ J .rJ, t;-o ? 2.9. ..F7 78 Furnace Exhaust Hood Vent Fan NO 4- Wood Stovellnser~lace uni0 Dryer Vent , -4!1'f>~.o.( r Pb2L Mech'anical Permi t Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ Z- It Curbcut "2. fh It .1fa ,:;0 --Lf.~O Demolition State Surcharge P/ A~' ;f'~/~) ~tn _'1-O_.~O .1>J3~17 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted.on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the Cityoi. Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of s.aid ordinances. ."'="-_ J ~ _,. . Plan Check Fee:-' ~_ ""~L4tU Date Paid: Receipt Number' Recei ve~)~r .~q~~ Plans. Reviewed By ~ J/)~.2/"} j / Dare Systems Development Charge is due on all undeveloped . . P!operti~~ ,:,ithin the.City limits which are being improved. ADDITIONAL COMMENTS \ c;A-\-T~ \\ ,(JUU. " (2$\\\0 ~. 1.''0. rQ.; I F\ f)'C) \$l\~ (\Ul\bD\QQJ 6c1Qi~yq()9 " '1Y.mL U Lv 45ttRS tJ.(')Ut 1) . rQ2IYo98\ (J By signatu~e, 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 furthe~ 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, a"~ that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. 1 further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. 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 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. Signature~.' ~ C-/O ~-~ Date . 5?-3/ -4--.. VALIDATION: \./\ RECEIPT NUI,1BE~, \I\ ~ \ DATE PAID -11 ;(~-. y 3 "MOUNT. REC~ErJ . ~:20:7 5. Z 7 RECEIVED B.,..( ~ [m ~ ) ;, -. --. . JOB NO. 9~133'4- CITY OF SPRINGFIELD SYS~EMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) J', NAME OR COMPANY: CAP51'Dt-lE. .!-k,""E.S I 'It-JC . OF- Ol2.E:.&olo.l LOCATION: 44~" &l...Aue.2.... ~1'. \'607_0'S\"2. - (n.r]00 DEVELOPMENT TVPE:.lne.. - "'\~J"I <;1='12... BUILDING SIZE: LOT SiZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. L.??'" X $0.203 PER SQ. FT. ("'-\1'2>~) --- -- 2. SANITARY SEWER-CITY ~ NO. OF PFU'S ~ '2; X $42.08 PER PFU (See Reverse) 3. TRANSPORTATION r-qb\~~ ............ .-/ NO OF UNITS X TRIP RATE X COST PER TRIP X 1.0\ X $424.31 X X $424.31 ~ $ X 4. ~ANITARY SEWER-MWMC NO. OF PFU'S 2? x $15.125 PER PFU + $10 MWMC ADM FEE $ ~?1 ~ (Use PFU Total From Item 2 Above) . $ -; C; "3J. MWMC 'CREDIT IF APPL~CABLE (SEE REVERSE) TOTAL-MWMC SDC ~ '- ../ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ -Z1,,{1~' X $424.31 $ 5. ADMINISTRATIVE FEES G\09~ .......... ---- TOTAL SDC $ -Z ?OI""'.!.. BASE CHARGE (SUBTOTAL ABOVE) X .05 _k~- ',p ~L)"" 9 /3/<:;~ U Kip Burdick I I SDC Coordinator FIXTURE UNIt,'CALCU LAI~ TABLE: Number of New Fix1ures X. Equivalent ~ Fix1ure Units ~OTE: For remodels. calcuUlte only the NET additional fix1ures) . " NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS ~ 2 1 2 3 6 2 6 .6 1 3 2 I/Head 2 2 1 6 4 7. Bathtub..,.. ...... ......................,.................................... Drinking Fountain...........,..................................,...... Roor Drain.......... ..............,............................,....,..... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto,Wash/Etc.:..........,..... Laundry Tub /C1otheswasher....... :...:..:..... ............:,. C1otheswa~er - 3 Or More..................;...............;.... . Mobile Hdme Park Trap (1 Per Trailer)..............'... Receptor F9r RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.StaIL.............................,................ Shower, Gang.................................................,......... Sink, Bar, Commercia!............................................. Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private..........................................,.... Miscellaneous: I- ; " ':" 'L 7. '2. '2;. ...., \"l. TOTAL FIXTURE UNITS z'? CREDIT CALCULATION TABLE: calculate credits separates. '1. Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per S 1,000 Assessed Value .1 I 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 S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 I Credit for Parcel or Land Only If Applicable ~.'2.\ X $ \\.0 = ~?~~ (Rate X Assessed Value) X $ = (Rate X Assessed Value) "2-'::: '3_' CREDIT TOTAL = $ -;;>-:::> J!1lprovement (If after annexation date) t."-" RUNOFF COEFFICIENTS FOR. STORM DRAINAGE ResidentiaL.............................:..:.............:........ 0.4 . CommerciaL.............................:.............:........ 0.9 IndustriaL........................................................ 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT