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Home My WebLink AboutPermit Building 1993-12-7 ~ # )31/-8 . ': - ..., ~ESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: 18 02 05 1 2 ASSESSORS MAP' 119 A LOT: SPRINGFIELD 4513 Glacier Street BLOCK' ADDRESS' CITY: Capstone Homes, Inc. of Oregon P.O. Box 22636 Eugene, OR 97402 OWNER' STATe' NEW XX REMODEL Sinq1e Familu Residence DEMOLISH DESCRIBE WORK' CONTRACTOR'S NAME ADDITION OTHER . JOB NUMBER q3\3~2- 225 Fifth Street " Springfield, Oregon 97477 # SP 75, TAX LOT' 5701 SUBDIVISION: Lucerne Meadows PHONF' 689-55f;7 ZIP: ADDRESS CONST. CONTRACTOR' 62018 PLUMBING' MECHANICAl' Garibay Heating 4207 W. 5th Ave. ELECTRICA" Hauck/Hammer Elect. 353 S. 68th ElJg. ,OR 97402 ~"~ l Pl. Spfld,OR:,97478 - OFFICE USE - LAND USE: \ \ \ \ \vJ CONSTR, TYPE: HEAT SOURCE: ~C, cr/ . OF UNITS: , RANGF' REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~cover, ZQe.o c/.JfJ. F.rJ, ~Rough Electrical - Prior to ~cover. ~Electrical Scrvic~ - M.ust be ~ approved to obtaIn permanent electrical power. o Fireplace - Prior to (uclng materials and framing Insp. ~Framing - Prior to cover. 1'V1 Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and installation of unit. ~ Curbcut & Approach - After )6l.. forms are erected but prior to placement of concrete. ~Sidewalk & Driveway - After ,;o...Lcxcavation is complete, forms and sub.base material in place. o Fence - When compr~led. ~treet Trees - When all required ~rees are planted. 51835 70545 89423 EXPIRES PHONE 10-18-93 689-5567 12-14-93 746-9433 12-21-93 344-2481 3-5-94 744-1165 GENERA" yaps tone Homes, Inc. of OR P.O.B. 22636 Eug.;OR 97402 Fridlund Plumbinq 85628 Dille~ Lane Euq..OR 97405 OUAD AREA: .... ~~0..J . OF BLDGS: " OCCY GROUP: ~ rn- A,/\ . OF STORIES: . \ ' WATER HEATER: h - 1 FLOOD PLAIN' ZONING CODE: J,D\2.- ....:~ SECONDARY HEAT: ~.{-J SQUARE FOOTAGE: IPS) . OF BDRMS: To request an inspection, you must call 726-3769. This Is .1 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, inspectlons requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. l':7I' Footing - After trenches are )6J excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. 'K;:;r Underlloaf'""Plumb~echanis;!l) ~- Prior t..... "....~....tlOli ~r ut:l.:Kmg. ~ Post and Beam - Prior to floor )L-='rnsulation or decking. f':/rFloor Insulation - Prior to ~decking. ~ Sanitary Sewer - Prior to fltling ~ trench. l':7f Storm Sewer - Prior to filling ~trench. rs?f Water Une - Prior to filling ~trench. 1':7\ Rough Plumbing - Prior to ~cover. f\:/t Final Plumbing - When all ~ plumbing work is complete. ~ Final Electrical - When all electrical work is complete. 1'::/r Final Mechanical - When all ~mechanica[ work is complete. r\A Final Building - When all ~ required Inspections have been approved and building is completed. 8J Olhc,' aJ/.. F<Ye ~ I 6'''{ MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to waler and sewer. o Electrical Conhection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the servIce panel. o Final - After all reqLiired inspections are approved and porches, skIrting, decks, and ventIng have been Installed. Lot faGes 1:L. Lot Type . Setbacks . THE PROPOSED WORK IN <rHE -. Lot sq, ltg, ~ .x Interior I :L_I HSE _C;;_'.ACC HtSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? Lot coverage :2MP Corner If yes, this application must be signed L2~ Is 27 and approved by the His torical Topography Panhandle lw 1. Coordinator prior to permit issuance. Total height XL Cul.de.sac 9 IE 7 7 I APPROVED: - BUILDING PERMIT SQ, FT, L::1f\\ 4P9\ x l$~.W ~ ~~L4 -\~ y) to~ ITEM Main Garage Carport Total Value A:) A;JD, J 3_~2.. ~ /&J/O do T /0 Building Permit Fee State Surcharge . OTotal" Fee (A) SYSTEMS' DEVELOPMENT CHARGE (SDC) ~ - . . (B) J "Z- L9>01.! . PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ? -/-~.~ Sanitary Sewer FT. VVater FT, Storm Sewer FT, Mobile Home Plumbing Permit 5?J~ /0% I%) . '-L-- State Surcharge Total Charge (C) MECHANICAL PERMIT ~6.00 _-{.S 0 -<,Z &-0 /S,~ _3.Ov .,s:C*O 42.5"0 -,,~'C2r 6>0 _2:/3 5-f:(;.?> Furnace Exhaust Hood Vent Fan N'~ Wood Stove/Insert/FIreplace Unit Dryer Vent C~ tlliH I>>/N Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~S '?Ll /17S ,--if.SO It Curbcut It Demolition State Surcharge ?~ #f/rv/Et-d '2..f~ -pO Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 3022..7. dP BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction sheW, 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. Plan Check Fee: _ ,24f!~. 3.0 Date Paid: Receipt Number' Received By: #~~ pianl-'Reviewed B~ ~/-9 ~ Date Systt~ms Development Charge is due on all undeveloped properties within the.City limitsll.!hlch are being improved. ADDITIONAL COMMENTS l\wtbsili J~\r\OR lnit) ,=-9\--+,: y rllU L.&\rdIO >(, ~ Yif 9..;>: \C\ f")~ (l.J~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th~ all information hereon is true and correct, and 1 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 worl( 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 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 JJ~ ~~( Tl ~ Date Pr' -.31- t>;~ VALIDATION: \ \ (j Rl DATE PAIr> \ ? ~ I-J :. <1, ~ AMOUNT RECEIVED ;:P .1\. C\ . ?, \ L \ sA RECEtPT NUMBER RECEIVED BY ~ ;.,... . .08 NO. ~I~~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: QAf"'&-rOJ-lE:. \-.\-oM.e:.c" L...1c... 01=- O~E:<:rOf..1 LOCATION: 4?\~ ('..,Lp.,c..\E:C- 'S-r . DEVELOPMENT TYPE: LDI2- - NE:.v.J Sf-~ BUILDING SIZE: 1. STORM DRAINAGE \'bO?o?\?_ _0:.'10\ LOT StZF SQ. Ft. IMPERVIOUS SQ. FT. ?\ ..,..,- X $0.203 PER SQ. FT. ~{,.?>q €2 '- ~ 2. SANITARY SEWER-CITY NO. OF PFU'S \~ X $42.08 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \ ,I) \ X $424.31 X X $424.31 ~ X X $424.31 4. SANITARY SEWER-MWMC 06'~ ~2~?i) '- ~ $ $ NO. OF PFU'S \~ x $15.125 PER PFU + $10 MWMC ADM FEE $ ~&~~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ?\ ~ ,TOTAL-MWMC sac 0"<:, \ os) SUBTOTAL (ADO ITEMS 1,2,3 & 4) $ 2.0' t. ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 Vr <> rs. _ J~ Jc.- 9 I'? 1'17:7 ~icl< 1/ . SDC Coordinator ~/n~~ '- ..-/ TOTAL SDC $ 7_1'00 1.!- FIXTURE UNIT,CALCU LA~N TABLE: Number of New Fixtures .it Equivalent = Fixture Units.P'l~:)T1t For remodels, calculate only the NET additional ftxlures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub... ............. ..........,........... ,.................... ........... Drinking Fountain..................................................... Floor Drain.... ......... ................................................... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto.Wash/E1c.................. Laundry Tub /Ootheswasner......:. ..: ........ ... ..: ...:.....: Ootheswa~er . 3 Or More................................:.... Mobile Hdme Park Trap (1 Per Trailer)....:...:......... Receptor F"gr Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.Stall................................................. Shower, Gang..............................:............................ Sink, Bar, CommerciaL.......................................... Urinal, StallfWall....................................................... Wash Basin/Lavatory, Single.................................. Water Ooset Public Installation............................. Water Ooset, Private............................................... Miscellaneous: 7- 2 1 2 3 6 2 6 .'.6';'.' : t 3 2 l/Head 2 2 1 6 4 .t..; . ;. !\. "" . . . "2.. '2- TOTAL FIXTURE UNITS lot- "2. '1.. '2.. ~ \9; Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. 11 Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 Rate per $1,000 Assessed Value Year' Annexed -----' R-ate per $1,000 ~ Assessed Value $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 ":7."2..' X $ q .'1' "?\ ,] (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ ~ \ ,! Cr~it for Parcel or Land Only If Applicable Improvement (rt after annexation date) S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 J RUNOFF COEFFICIENTS FOR. STORM DRAINAGE Residential....................:......::..:.......:.......'.......... 0.4. . Commercial...................................................... 0.9 I ndustrial........................................................... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT