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Home My WebLink AboutPermit Building 1994-3-8 @ ,*SIIJENTIAL PERMIT APPLICATION W:/251 . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' 18 02 05 1 2 ASSESSORS MAP' ll8B LOT: SPIllNGFIELD ... ~~ 4529 Glacier Street BLOCI" ADDRESS: P.O. Box 22636 Capstone Homes, Inc. of Oregon OWNER: CITY' Eugene, OR 97402 STAT~' DESCRIBE WORK' Single Family Residence DEMOLISH ___ OTHER NEW ~ REMODEL ADDITION ~-Pl./I-z.. . JOB NUMBER C{3 \ ~~3 225 Fifth Street, Springfield, Oregon 97477 # SP 82 TAX LOT' 5700 SUBDIVISION' Lucerne Meadows PHON~' 689-5567 ZIP: CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES GENERAl' Capstone Homes, Inc. of OR P.O.B. 22636 Eug. ,OR 97402 62018 10-18-93 PLUMBING' Fridlund Plumbing 85628 Dilley Lane Eug. ,OR 97405 51835 12-14-93 MECHANICA" Garibay Heating 4207 W. 5th Ave. Eug. ,OR 97402 70545 12-21-93 ELECTRICA" Hauck/Hammer Elect. 353 S. 68th Pl. Spfld~OR 97478 89423 3-5-94 OUAD AREA: .2:lf?{' / . OF BLDGS' \ k 31 JV\ I OCCY GROUP: . OF STORIES: E, WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS: 1 CONSTR, TYPE:__~~ HEAT SOURCE: _F'u 7. RANGE: PHONE 689-5567 746-9433 344-2481 744-1165 FLOOD PLAIN' ZONING CODE:' \D"\2.- . OF BDRMS: ,~ .,p{J SECONDARY HEAT: SOUARE FOOTAGE: ~ 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 worklng"day. Inspections requested after 7:00 a.m. wlll be made the following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbingl Electricall Mechanical - Prior to cover. ~ Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. 1D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. Underfloor Plumbingl Mechanical - Prior to Insulation or decking. Post and Beam - Prior to floor Insulation or decking. .woor Insulation - Prior to T ~eCking. OOanitary Sewer - Prior to filling ~ trench. ~torm Sewer - Prior to filling ~ _trenCh. T71'water Line - Prior to filling l trench. L'AJRough Plumbing - Prior to T cover. ~EQUIRED INSPECTIONS ROU9~~~~Cal - Prior to cover~LJ ~~ ~OU9h Electrical - Prior to ~ ~over. t(lElectrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~ramlng Prior to cover. wall/~eil:g Insulation - Prior to cover. -f Drywall - Prior to taping, D Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. ~urbcut & Approach - After forms are erected but prior to placement of concrete. ridewalk & Driveway - After excavation Is complete, forms and sub-base material'jn place. D Fence '- When completed. D Street Trees - When all required trees are planted. '. ina! Plumbing - When all plumbing work is complet.e. ,Inal Electrical - When all electrical work Is complete. rWinal Mechanical - When all r mechanical work Is complete. ~nal Building - When all required inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When . home has been connected to water and sewer. .' D Electrical Conn~ction - When .blocklng, set.up, and plumbing . inspections have been approved I-and the home is' connected to .the service pan.e!. D Final - After all required . inspections are approved and porches, sklr.tlng, decks, and venting have been installed. . THE PROPOSED WORK INOFHE ~ISTORICAL DISTRICT, OR ON "' THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot (,tces ~pe. Setbacks I PoL. HSE GAR ACC I Lot sq, ltg, Interior Lot coverage Corner I i~ -- Is Topography Panhandle :n~) Iw I Total height Cul.dc.sac IE I BUILDING PERMIT ,lbQ3' X 5L~.~(j _mI.M&; ~ 14 . to _loLlI_ 'l ITEM Main Garage Carport Total Value Building Permit Foe Slate Surcharge (A) SYSTEMS' DEVELOPMENT CHARGE (SDC) ~ It Ul '2- '2;~ 3- Totat Fce (8) PLUMBING PERMIT ITEM FEE Fixtures N' I::J \\ (f) ,00 Residential Bath(s) Sanitary Sewer FT, \/Vater FT. Storm Sewer FT, Mobile Home Plumbing Permit llo( ),OU Lli2~'~ iPPO 4.50 iL,_D~ r=':>.o ~~ .oU State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovcllnsertlFireplace Unit Dryer Vent Mechanical Perml t :J..7.3J _LO (50 --1~~ 4q.3~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk L~ Curbcut ~ ft fEli ~35 It Demolition ~te~urclJ"lge ' , )/VI H,Y nO.....1 00 0.) 4tyv Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding electric31~ :-4. ) (A, 8, C, D, and E Combined) 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 Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisi~o~l)ordlnances, Plan Check ~OA '_ . Date Paid: - r"". Receipt Number' Received By: - Plans -Reviewed By Dale Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \ ~"T'. \\\OOU \~~ ~9.-.'tDtt-(L;) " \C\ f\~ ~ r\%c\ Q___ ~ 0 0 \'Yo.~t'- ~ m Q ni") J 4-~6f) (~Inolot-.. 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 Springfleld, and the Laws 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 t1w.t 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 -d,d_C~ -u? ~ ~ Datn t!['- - 4 I - 9 ~ VALIDATION: RECEIPT NUMMR , ( =-l IIAb6 DATE PAID-C )'~'\ T AMOUNT ~D /;{?5'1.,... :3 05 RECEIVED'eV-)l f)'J\. j ..,;. .; . .B NO. 't~/??? CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /lAP5-rOIJf:; HOM~. r",c.. of ()~e&()tJ LOCATION: L.f.52. G} GL.AGIE!.fi?- &I, DEVELOPMENT TYPE: l-Pfi?- - NE::.N SF1<- BUILDING SIZE: It () '2- 05 1'2- - S7tJO ,LOT SIZE SQ, Ft. 1. STORM DRAINAG( IMPERVIOUS SQ. FT, -z'f-Z-q X $0.203 PER SQ. FT. ~ Lfq,?Ol) ........... ----- 2. SANITARY SEWER-CITY NO. OF PFU'S /~ X $42.08 PER PFU (257~ (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /.01 X $424,31 X X $424.31 ~'-I-'Le si) '- ----- $ - X 4. SANITARY SEWER-MWMC X $424.31 $ , NO. OF PFU'S / 'b x $15.125 PER PFU + $10 MWMC ADM FEE $ 'Z-1JZ'lS (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -;S';...!. , , , TOTAL-MWMC SDC ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ I Cf 1. c.. "-= 5. ADMINISTRATIVE FEE~ BASE CHARGE (SUBTOTAL ABOVE) X .05 ~ ~ ,(...--.'ck q /1 jq ~ , (l Kip Burdick 1 / SDC Coordinator ~ ~2- TOTAL SDC $ -Z 0 '2- 'Z- - FIXTURE UN rr, CALCU LaJN TABLE: Number of New FiXlUreenit Equivalent = Fixture UnitsJNOTE: For remodels, calculate only the ~ditional fixtures) .... NUMBER OF UNIT FIXTURE FIXTURE TYpE NEW FIXTURES EQUIVALENT UNITS Bathtub.. ........... ......................... -... ........................... Drinking Fountain....................................... .............. Roor Drain............. ......................... -......................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto yva.sh/Etc.................. Laundry Tub/Ootheswasher.............:..:.........:.:...... Ootheswa~her - 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, CommerciaL........................................... Urinal. StallfWall............................................ ........... Wash Basin/Lavatory, Single.................................. Water Ooset, Public Instaliation............................. Water Ooset, Private............................................... Miscellaneous: 1. I" . .....::. , :z.. '2..- TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 :' .6 1 3 2 l/Head 2 2 1 6 4 = l./- '2.. ''2. "2- 5r JS CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credit~ separates. Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Year . Annexed $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 19B7 1988 1989 1990 1991 1992 ~.~, X $ J/,O (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Credit for Parcel or land Only If Applicable . Improvement [If after annexation date) Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 ~:Ul.: 0.44 0.28 3S~ = = $ 3 5 ~~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE. Residential................................::......... .:............ 0.4 CommerciaL.................................................... 0.9 IndustriaL........................................................ 0.45 GovemmentaL................................................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT