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Home My WebLink AboutPermit Building 1994-4-8 .... . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 18 02 05 1 2 ASSESSORS MAP' LOT' 120 . SPRINGFIELD ~~ 4499 Glacier Street TL 5800 BLOCK' OWNER' ADDRESS: Capstone Homes, Inc. of Oregon P.O. Box 22636 Eugene, OR 97402 CITY: STAT'" DESCRIBE WORK' NEW XX Single Family Residence DEMOLISH OTHER REMODEL ADDITION 1 , . C\4rYVL~ , " JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ,. , ' '.. ; :<. '~: f..... SP 91 , .. :,1 ,', TAX LOT: SUBDIVISION' Lucerne Meadows " :, ,t PHONE: 689-5567 ZIP: ...1. CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERA' paps tone Homes, Inc. of OR P.O.B. 22636 Eug.,OR 97402 62018 PLUMBING' Frid1und Plumbing 85628 Dilley Lane Eug. ,OR' 97405 51835 MECHANICAl' Garibay Heating 4207 W. 5th Ave. Eug. ,OR 97402 70545 Hauck/Hammer Elect. 353 S. 68th PI. Spfld. ,OR 97478 89423 ELECTRICAl' EXPIRES PHONE 10-16-94 689-5567 12-14-94 746-9433 12-21-94 344-2481 3-5-96 744-1165 ~~~~ - OFFICE USE - QUAD AREA: LAND USE: III I ' FLOOD PLAIN: . OF BLDGS' ( . OF UNITS' \ ZONING CODE: U)!Z OCCY GROUP: R'0-\- kA CONSTR. TYPE: VtJ . OF BDRMS: .~ . OF STORIES: ~ HEAT SOURCE: ~6 SECONDARY HEAT:~M WATER HEATER: ~ RANGF' E...- SQUARE FOOTAGE: .I':'~ .. To request an Inspection, you must call 726-3769. This Is a 24 hour recordIng, All Inspections rCQuosted before 7:00 a.m, will be made the same working day, Inspections requested after 7:00 a.m. will be macle the following work day, tRf Temporary Electric D Site Inspectlon - To be made after excavation, but prlor to setting forms. . D Underslab Plumbing/Electrical I Mechanical - PrIor to cover. ~Footing - After trenches are ~ excavated. D Masonry - Steel location. bond beams, groutlng. ~oundation - After forms are ~rected but prior to concrete placement. REQUIRED INSPECTIONS I\7f Rough Mechanical - Prior to J<!S....!..cover. %i!Nc etA.. r.,.:1. ~ Rough Electrical - Prior to ~cover. ~ Electrical Service - Must be J6...!.. approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. !Vf"'Wall/Ceiling Insulation - Prior to ~cover. . D Underground Plumbing - Prior f'S(7'f to filling trench. ~ Drywall - Prior to t~ping. K71'"underl1o<(f1'lumbln~hanIC"t-/ . . ~ _ Prior tv ",~\..uo..~ D Wood Stove - After installatIon. " I'\:A Post and Beam - Prior to floor ~lnsulation or deckIng. I ~ ....Ioor Insulation - Prior to r=-decklng. 1\/"T Sanitary Sewer - Prior to filling ~ trench. rt7f Storm Sewer - Prior to filling ~ trench. f\/r"Water Line - Prior to filling ~ trench, lV'1 Rough Plumbing' - Prior to ~cover. D Insert - After fireplace approval ~d Installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete. forms and sub-base material In place. D Fence - When completed. D Street Trees - Wh~n all required trees are planted; V Final Plumbing - When all ~IUmblng work Is complet.o. J Final Elccldcal _ When all ~electrICa[ work Is complete. ~ Final Mechanical - When all ~ ~mechanlcal work Is complete, I'\Ii Final Building - When all ~ required Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Sel-Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Conne'cllon - When blocking, set-up. and plumbing inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed, . -{? Lot sq. ftg. ~7 Lot coverage ~ Top'ography .:::2 ~tl . JTI1 / Total heir;:; ) '-' BUILDING PERMIT fQ, FT. . X $ISQ.~^ ~ qV0lfCv1,S 109 ~I?:LJ-./ ,LJt 7(>1- }g.10 9 qtCo J Lot faces Lot Type Selbacks I P.L. IN Is Iw IE HSE GAR _ Interior X Corner 2-1 go 1/61 Panhandle Cul-de-sac ITEM Main Garage Carport Total Val ue !ns92/ ~ZO 1.t;.7.3. 42. ,'2.'> ~ ., Building Permit Fee ,13. 4'tt'-(. 2:2....33 ., '! State Surcharge Total Fee (A) ; .oj , , SYSrErylS DEVI;:LOP!VIE,NT CHA~GE (SDC) $. (B) 1h'l;,'501:d. PLUMBING PERMIT ITEM FEE - Fixtures Residential Bath(s) N' '< /92[-; Sanitary Sewer FT. Water FT. " Storm Sewer FT. ., " Mobile Home Plumbing Permit S. 7'e +- 9'.t:. 'J /S.f( 2iL7.5'1 , " , State Surcharge Total Charge (C) : MECHANICAL PERMIT -~ (),p Furnace Exhaust Hood 4_5-Q f , Van t Fan N' /26'"0 Wood Stoveflnscrt/Fireplace Unit JC::.tI'~ Dryer Vent 3 ."'" Mechanical Permit 4IJ,~ Issuance //),00 State Surcharge /.22 -I- 2P" ~.'-5 Tolal Permit (D) ~3_1S MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge .! Sidewalk It Curbcut 1~ It /e;;~t) Demolition State Surcharge PI ~ /lI!vlhl . -:?9Yl 2 1 '? t!)~" ') 32n.7f1t . Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) Zoo ACC I I I I I . \.. IS THE PROPOSED WORK IN THE '.HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditiqn t11at the said construe lion shall, in all respects, conform to the Ordinance adopted by the City ol-Sprlngfield, 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 said ordinances. Plan ChecK Fee: 27'a? ::2....1 , 1 \ Date Paid: Receipt Number: Recelve~ Plan eviewcd By h~ (/ ,. ,,' ~J/~f Systems' Development Charge is duc.o-n all undeveloped ~ properties within the City limits which are being improved. ADDITIONAL COMMENTS , l'J j Jlj...."iLlv ~ nOr') \ ci+T; /0/ J'KlJ . ~MoWJ1t o~'. 14/};V; ~ 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, and 1I1al NO OCCUPANCY will be made 01 any structure wiUlOut permission of the Building Safety Division. I 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 SitC~t I times during.. construction. Signature. Q L J2" tJ (/ -.. . " Date ~~ J? ~ cf4 VALIDATION: J "~'~ RECEIPT N~MB fOl ""' . '1/1 . DATE PAID ~-" AMOUNT RECE~ 35' e> s '. -;r f&> RECEIVED BY CA'~.......) . . '.. SPRINGFIELD SP 91 bmllled hBS the following The following project as G\e G eoilic land use 225 ~~~.&.u ':>>.1.1\.66.1. zoning, and does not requl P SPRINGFIELD, OREGON 971i'lrlN.1. 'Da-- INSPECTION REQUEST: 726-37~ina I-' Ci ty Job Number OFFICE: 726-3759 tJ ~'{ . O.le .c;.. 'J..,-I ~ tJ ,P-I\. COHPLETE PEE SCHEDULE BELOV 1. LOCATION OF INSTAI.UtTJ.~ Signalure . 4499 Glacier street U II ".. A. New Residential-Single or Hulti~Family per dwelling LEGAL DESCRIPTION Service Included: 18 02 05 1 2 TL 5800 Items JOB DESCRIPTION ^Alr.J. g Single Famil" Residence ~.'-l Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less --1l- Each additional 500 sq. ft or portion ~ thereof , <=J . Each Hanuf'd Home or Hodular Dwelling Service or Feeder unit. Cost Sum $ 85.00 Ps - $ 15.00 15 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Hauch/Hammer Elect.. or Relocation: Address 353 S. 68th Place , City Spfld, OR 97478 Phone 744.,J.165 Supervisor License Number 3577 S Expiration Date 10~1~95 Constr Contr. Number 89423 Expiration Date 3~5~96 Signature of s~perv .ing Eiectrician d C'k!a,- - . Owners Name Capstone Homes~, Ine..' of OX':9gon '.AddressP,o. Box 22636 'City Eugene. OR 97402Phone 689-5567 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~\ DATE~~------~~~~~~---------~ RECEIPT. 11:. -~. . ~. RECEIVED BY: :~ - Temporary Services or.Feeders Installation, Alteration or Relocation .() -L $ 40.00 4li $ 55.00 $ 80.00 volts see "B" above 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 C. 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 100u D.. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5.. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 If)f)~ . 0 ~'-:{h:!-~" /$,3.~ . _ NO. 9"10'173 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: CA-P~-r()NE f-kMes . 'LNG, Of' ()I!-E.CTO'" LOCATION: j.I4'f~ (.,I-A-C-,/E.R. 5..,.. /<6lJ?-Or:.,z. - 59()O DEVELOPMENT TYPE: Lt:>!!- - N1=.VlI Sl=-~ BUILDING SIZE: l. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S '2.'; (See Reverse) 3. TRANSPORTATION LOT SIZE SQ. Ft. zc;oz.. X $0.203 PER SQ. FT. ~z,..0 X $42.08 PER PFU ~q(.,7"l~ '- ,.../ NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 X $424.31 X $424.31 ~ <./2-856~ ........... .-/ i I X /,()/ X 4. SANITARY SEWER-MWMC NO. OF PFU'S '2 -; x $15.125 PER PFU + $10 MWMC ADM FEE $ 357 S'7 (Use PFU Total From Item 2 Above) $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ t./&/- '::l. TOTAL-MWMC SDC ~ ......... ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2-2.'?B.~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~/. ~~Lc.L LJ. /,r!qy (j Kip Burd i ck I I SDC Coordinator ~I/Iq!) ............ ...-/ 2-'-1 TOTAL sac $ 2..2;,'50 ~ , FIXTURE UNIT ,CALCU LA ~N TABLE: Number of New Fix1Ures .t Equivalent = Fixture Units (NOTE: For remcx:lels, calcul~te only the NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS ,FIXTURE TYPE 2- 2 1 2 .;. Bathtub.................. ............... ............. Drinking Fountain....... ............. ....................... Roar Drain...................................... ......................... Interceptors For GreasejOil/SolldsjEtc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Ootheswasher...........:.,..........., ......... Ootheswa~er - 3 Or More..................................... . Mobile Home Park Trap (1 Per Trailer).............:.... Receptor F!>r Refrigerator JWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single' Stall....,............................................ Shower, Gang............................... .............. .............. Sink, Bar, COmmercial............................................. Urinal, StaIlJWall....................................................... Wash Basin/Lavatory, Single.................................. Water Oose~ Public Installation............................. Water Ooset, Private............................................... Miscellaneous: ~ 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 2.. 2- ~ -; 11- TOTAL FIXTURE UNITS 'Z.:~ CREDIT CALCULATION TABLE: _ calculate credits separates. I Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Year Assessed Value Annexed Rate per $1,000 Assessed Value -~ ..- --."-- - - ... 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. 3.")...1 X $ 1'3,7'5 +1''1 (Rate X Assessed Value) X S = (Rate X Assessed Value) CREDIT TOTAL = $ '-14 ':1 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential, ..............,...... .......... ........,........ ....... 0.4 CommerciaL.................................................... 0.9 I nd ustrial.............,............................................. 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -~ . fi y!i!I.1!!.!!!!~!!!; . JObNO.~ SYSTEMS DEVELOPMENT CHARGE V10RKSHEET NAMe rfl pstBt1~ ( iJ''){}J O/-'v PHONE loRQ "c::....e::J. 07 ADDRESS:JJ rQ S(){ ~Ql()a( 0 F. STATE:Q0IP -9W~ J G\nflLfJ ~ Tax Lot Number: _/ ~fJ !\.C:)! Q Dc;gc/) LOCATION OF IiROPOSED BU~I,P~~ Street Addr:nnown: - \ .' \' 1'-1 Platt Nam~l_ Ii I /'~ ...J 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.) A. Sinl!le Familv - Detached ~ Single Family home NO OF UNITS I B. SinQle Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC _ Manufactured home not in a park (J) $ .:9W ,_ X $400 PER UNIT _= X $370 PER UNIT = . $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4IYl,GO $ft $ 4fY) ,cO 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) \~~~~ ~<\ lili City of Springfield