HomeMy WebLinkAboutPermit Building 1994-1-26
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RB;iDENTlAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORI<'
18 02 05
ASSESSORS MAP'
95
LOT'
SPRINGFIELD
WiLt@
,
4502 Glacier Street
1 2
BLOCK'
ADDRI=C:::~.
P.O. Box 22636
Capstone Homes, Inc. of Oregon
OWNER'
CITY'
Eugene, OR 97402
STAT'"
DESCRIBE WORK' Sina1e Fami1u Residence
NEW XX REMODEL ADDITION DEMOLISH
GENERA' ,Capstone Homes, lnc.
PLUMBING' Frid1 und P1 umbing
Garibay Heating
MECHANICAl'
"
ELECTRICAI.Hauck/Hammer Elect. 353 S. 68th Pl. Spi1d,OR
CONTRACTOR'S NAME
OUAD ARE;'~ '2JR~
\
OCCY GROUP: ~'3+ jJ\
\
. OF BLDGS:
. OF STORIES'
v
WATER HEATER:
OTHER
ADDRESS
of. OR P.O.B.
. "CONST.
CONTRACTOR'
.'
JOB NUMBER~3l~35
225 Fifth Slreel
Springfield, Oregon 97477
22636 E~g.,OR 97402
-> '
85628 Dilley Lane Eug:,OR-97405
4207 W. 5th Ave. Eug.,OR 97402
97478
- OFFICE USE -
LAND USE:~-iL1
. OF UNITS: {-.
CONSTR, TYPE:~ALJ
HEAT SOUR~E: t:'v
o
RANGF'
# SP 76
TAX LOT'
SUBDIVISION'
3700
Lucerne Meadows
PHONF'
689-5567
ZIP:
62018
51835
70545
EXPIRES
10-18-93
12-14-93
12-21-93
PHONE
689-5567
746-9433
344-2481
89423
3-5-94
744-1165
FLOOD PLAIN: '\
ZONING CODE: J...D!Z-/
-.3
SECONDARY HEAT: FfI
/ 1 {};-1~
. OF BDRMS:
SOUARE FOOTAGE:
To request an inspectlon, you must call 726.3769. This is a 24 hour recording. All inspections requested before 7:00 8.m. will be
made the same working day. inspections requested after 7:00 a.m. will be made the following work day.
m Temporary Electric
r---f Site Inspection - To be made
L-J after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
l')7f Fooling - After trenches are
~excavated.
D Masonry - Steel location, bond
beams, grouting.
~ Foundation - After forms are
~ erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
"fV1" Underfloqt r~umoln9~chanlcal
~- Prior to-tnsulation-or decking.
~Post and Beam - Prior to floor
~insulation or decking.
""C'"A Floor Insulalion -
!,.2SJ decking.
Prior to
I'V1 Sanitary Sewer - Prior to filling
~ trench.
T57f' Storm .sewer - Prior to filling
~trencl"'!.
~ Water Line - Prior to filling
~trench.
~Roug~ Plumbing - Prior to
~ cover.
...
REQUIRED INSPECTIONS
tV'( Rough Mechanical. - Prior to
?J..cover, ZIko tU,q. F-"'(,
~ Rough Electrical - Prior to
~cover.
rvf Electrical Service - Must be
~approved to obtain permanent
electrical power. .
D Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to c~ver.
~Wall/Ceiling Insulati'on' - Prior to
~ cover. .'
~ Drywall - Prior to ~a,?i~~.
D Wood Stove - After Installation.
D Insert - After fireplace approval
and installation of unit.
D Curbcut & Approach.,,- After
forms arc erected bUt -_prior to
placement of c'oncrete.
D Sidewalk & Driveway - After
excavation is complete, forms
and sub..base material In place.
D Fence - When completed. ~
C~j),treel Trees':'" When all required
rees are planted,.. .
~ Final Plumbing - When all
~ plumbing work is complete.
F:::A' Final Electrical - When all
I.,.ol.. electrical work is complete.
fVf Final Mechanical - When all
~mechanical work Is complete.
f'v'r Final Building - When all
LL.X.reQulred inspections have been
approved and building Is
completed.
DOther
.;'<'MOBILE HOME INSPECTIONS
D Blocking a~d Set.Up - When all
blocking is complete.
D Plumbing Connections - When
home has been connected to
water and sewer. .
," 1;...
D Electrical Conn'e~ction - When
blocking, set-up. and plumbing
inspections have been approved
and the home is connected to
the servtce_ p~m+~L
+-.. ..}\
D Final - After all required
inspections are approved and
porches. skirting, decks, and
venting have been Installed.
Lot faces ~ ~:~eri~ Setbacks 4IITHE PROPOSED WORK.N T~
~ I P.L. , HSE'GARIACcl
Lot sq, Itg. ISTORICAL DISTRICT, OR ON
IN I I THE HISTORICAL REGISTER?
Lot coverage /2;20 Corner If yes, this application must be signed
~Q,a J?__ '2.0 I and approved by the Historical
Topography Panhandle
,15.5' 10 ID I Coordinator prior to permit issuance.
Total height Cul-dc.sac W
IE ~I I APPROVED'
BUILDING PERMIT
so. FT. X $/SO. FT. = VALUE
JRCl~_ 0~ ~-a-oof.o
4,~ l tiJ.o- -Lo/YlJ
ITEM
Main
Garage
Carport
~_'[:1 ~
3.7-D,d-O
1'b,SO
(A) 3B8 ,:)0
SYSTEMS DEVELOPMENT CHARGE (SDC) ;#
:/1203002.
Total Value
Building Permit Fee
State Surcharge
Total Fee
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
NO ?,-
I~. DO
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
~,tPO..
.; di.';'()
_LbC/--!.-
Total Charge
(C)
MECHANICAL PERMIT
-~~-
_~SO
q.OO
.
-.L54 c-o
:S 0"'0
Furnace
Exhaust Hood
Vent Fan
N'
~
Wood Stovellnsert/Flreplace Un'it~
Dryer Vent
Mechanical Permit
_5$.~O
j 6),&10
_/,&8
dCJ.3~
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk !it!? It
Cu,bcut ?- 9 It
-P--ftO
-1-1..35
Demolition
State Surcharge
iJl.h.) k/laJ
ZofCo.SD
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
_2.'fI2-..~
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 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.
....., ./_ ,':5'.0
Plan Check Fee: ./~
Date Paid:
Receipt Number.
Received By:
~<"1 '^^-<- .
Plan;!.. Reviewed ~y .
~r/5'~
. o.!te-
Systems Development Charge is du-e on all undeveloped
properties within the City limits wh.ic~ are being Improved.
ADDITIONAL COMMENTS
-
~\I11 r)'~1rl 0_ ~QoO Q "ODD
\Q\A- I: \ " coe )
19\1\floi(, IYY~); \L\,r\5
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 that NO OCCUPANCY will be made of any
structuni'without permission of the Building Safety Division.
I further certify that only contractors and employees ,,:,ho
are in comp!iance 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 ~he front
of the property, and the approved set of plans will remain
on thc site at all times during construction.
Signature ~"7'i-L-..(
Date (7 9t::3 I - /j ,3.
VALIDATION: \1/\(\1)
RECEIPT NUMBER n ./~
DATE PAIl' I-/J..lo -Gf":::'r
AMOUNT RECE~ ~tJ7S: 1(3
RECEIV~D BY .\,0{) _ )
".
" ....
.'.
..
r't'":"ft-;:;~W~" : k ;',' f .
, ''L!
.OB NO. Q"?I'?'?6
,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
'." , WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: CA-f'STON e !-/-()fI/IE3- '::> r",C-. OF C;~r::.&6N
LOCATION: i-{rs.07- GLAG/EE.R.. ST. I ~ () 'Z- 05 17- - ~? 700
DEVELOPMENT TYPE: l-DIL ~ NP.W "SrI!!. .
BUILDING SIZE:
1. STORM DRAINAGE
LOT S~ZE
SQ. Ft.
IMPERVIOUS SQ. FT. z'!-roS x $0.203 PER SQ. FT. C;-500~)
........ .-/
2. SANITARY SEWER-CITY
NO. OF PFU'S J$ X $42.08 PER PFU Q51't:!:)
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/
X /,o( X $424.31
X X $424.31
~Z85~)
'- ./
$ -
X
X $424.31
$
--
4. SANITARY SEWER-MWMC
NO. OF PFU'S / 'if x $15.125 PER PFU + $10 MWMC ADM FEE $ '2~2. zs
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ ~5~
TOTAL-MWMC SDC ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Iq?"':J~.:z.
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~ 13. _L~ q/&J/13
. - () Kip Burdick '!
SDC Coordinator
C::9
60
TOTAL SDC $ '2-o~o-
r
FIXTURE U NIT',CALCU LA .N TABLE: Number of New Fixtures "'t Equivalent = Fixture Un~ts (NOTE:
For remodels, calculate only the NET additional fixtures) .. ", ~
NUMBER OF' UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
-z.
2
1
2
3
6
2
6
6.
1
3
2
1/Head
2
2
1
6
4
...{.
'Z.
Bathtub...........,..................,..............................,....... .
Drinking Fountain...................,.................,...............
Roor Drain....................................., ......... ............,....
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wa~h/Etc.................. .
Laundry Tub/Ootheswasher.....:......,....,............:.... '
Ootheswa~er - 3 Or More.....................................
Mobne Hdme Park Trap (1 'Per Trailer);..:..:...........
Receptor Fgr RefrigeratorfWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single'Stall..............., ................................,
Shower, Gang.............................., .......................'...,
Sink, Bar, COmmercia1.............................................
Urinal, StallfWall............................,..............,...........
Wash Basin/Lavatory, Single..................................
Water Ooset, Public Installation.............................
Water Ooset, Private..........................,..........,........,
Miscellaneous:
f . ....
2-
7.-
'2-
1.-
'is'
TOTAL FIXTURE UNiTS
=
('5
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
Assessed Value
Year
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
1968
1989
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
35~
Credit for Parcel or Land Only If Applicable
.3 . '7-/ X $ 11.0
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
-
Improvement (d after annexation date)
=
= $ ~S 3~
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