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HomeMy WebLinkAboutPermit Building 1994-10-6 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORt<' 18 02 05 1 2 ASSESSORS MAP' 98 LOT' . SPRINGFIELD ,', 4548 Glacier Street TL 4000" .,! BLOCK' OWNER' ADDRESS' P.O. Box 22636 Capstone Homes, Inc. of Oreqon CITY: Eugene, OR 97402 STATF' ' DESCRIBE WORK' Single Family Residence NEW REMODEL ADDITION CONTRACTOR'S NAME DEMOLISH OTHER . qL\ ~.Cfl) JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 SP 95 TAX LOT' SUBDIVISION: Lucerne Meadows PHONF' 689-5567 ZIP: ADDRESS' CONST. CONTRACTOR' - OFFICE USE - \ t\ \ \V. I CONSTR. TYP'" IV HEAT SOURCE: ~(..., 'c:/l LAND USE: . OF UNITS' RANGE: REQUIRED INSPECTIONS .kR~U9h Mechanical - Prior to ~ cover. ~ROUghElectrlcal - Prlor'to cover. d"Electrfcal Service - Must be ~ ~pproved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. l8J Framing - Prior to cover. rvf Wail/Ceiling Insulation - Prior to Q"J cover. Ji:! Orywefl .,.. Prl,or to tapl ng, D Wood Stove - After I~stallatlon. D Insert - After fireplace approv.1 and Installation of unit. ' ~curbcut & Approach .,..After arms Bre erected but. 'prior to placement of concret,e. ItTl Sidewalk & Orlvewey - After ~ exc':lvatlon Is complete. forms and sub-base material In place. D Fen~e - When completed. o Street Trees - When all required trees are planted. GENERA" CaDstone Homes, Inc. of OR P.D.B. 22636 Euq..OR 97402 62018 PLUMBING' Fridlund Plumbinq 85628 Di11e~ Lane Euq"OR 97405 51835 MECHANICAl' Garibay Heating 4207 W. 5th Ave. Eug.,OR 97402 70545 ELECTRICA" Hauck/Hammer Elect. 353 S. 68th Pl. Spfld.,OR 97478 89423 EXPIRES PHONE 10-16-94 689-5567 12-14-94 746-9433 , i' 12-21-94 344-2481 3-5-96 744-1165 ./' QUAD AREA: \.. ~Q..~ .-' . OF BLDGS' _ \ _ OCCY GROUP: V\0tV\ . OF STORIES: .!..\ (~ WATER HEATER: =\ FLOOD PLAIN: ID - ZONING CODE: ' _~ . OF BDRMS: ::::, p SECONDARY HEAT: -~' SQUARE FOOTAGEQ):) 14:-.- 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, D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Undersleb Plumblng/Electrlcal/ Mechanical - Prior to cover. JFOOtlng - After trenches are 'b(J ~xcavated. . D Masonry - Steel location, bond ,beams. grouting. dFoundatlon - Atter forms are ~ ~rected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, r't>r"'Underfloor Plumbing/Mechanical ~ - Prior to Insulation or decking, r\:::I- Post and Beam - Prior to floor ~ Insulation or decking. rn Floor Insulation - PrIor to """" deckl ng, rxf"Senltary Sewer - Prior to filling ~ trench. ~Storm Sewer - Prior to tillIng ~ trench. . ..vweler Line - Prior to filling lL1"irench. ~' , : i-j '-:r..'i?7;,..' Rough Plumblng:- .Prlor:to cover. , M Final Plumbing - When all rPIUmblng Work Is complet,e. ~ Final Electrical - When all ~eJectrlcal work Is complete. ~Jnal Mechanical - When all r /meChanlC81 work Is complete. ~Inal Building - When all equlred Inspections have been approved and building Is, completed. D'O,lher MOBILE HOME INSPECTIONS D Blocking end Set. Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspectl_ons are approved and porches, skirting, decks, and venting have been Installed. Lot faces ,. -' !' {'.~' ;.. ,,"i,,^ ..,'.'i,,',,;. "~" " 'I;}\ "C;:l ~"t'{li-->''; t~'~'-A':.;~ ...tc~: '"./~i\L \:\::'~.> ":-. .:,"". ;;~'t""rt~t:l},"'~ ,t.:;, Lot sq. Itg. Lot TYpe. ..x Interior Corner Lot coverage Topography - 7'JZL" Total height q.{,) ITEM Main Garage . Carport Total Value Building Permit Fee State Surcha~ge '.,. Total Fee .... THEPROPOSED 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. " '"~. Setbacks . HSE GAR ACC Panhandla Cul.de.sac ..fp.L. . "'1 .' N' Is Iw IE BUILDING. PERMIT \~?,S X $/~Q. FT'=\C03V7 ,C={)G1_ ~'.~4~ '.~ 13.5"3~2.i.S5~tCr6 . (A).' + e/'i O~ . SYSTEMS DEVELOPMENT CHARGE (SDC) . ., :: '. . " .. - .. - ,'(B) ... f.21'9,';'2. PLUMBING PERMIT ITEM tq9,"~ o,l'iS ;-Cua '~:'1 I . (C) ~(jJ.q I . l() (JJ 4'3) 1\ cO \ rlI . (\ 71.0-/ ~.CO .~(P Lt~~ \ tJ .fXJ .3.lo5 5~.ify Fixtures ; Residential Bath(s) N' .~ Sanitary Sewer FT. Water' FT. Storm, Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stova"lnsert~e~laca unf) ~i\tA '-B" Me anlcal pe~~~ \ '-'.. .' Issuance :"\. FEE \C\9~) ~ .~6+ I.?>') State Surcharge Total Permit .' " MISCELLANEOUS PERMITS .(0) Mobile Home State Issuance Stata Surcharge Slde~ai~ :P-fJ It Curbcul .w It Demolition l sr\~ ~urchar~ - . llt0 \ . vuJ\ ~() ~l c9Q~ . / \ '7:f....) \\.. \\,\.LU . ' . Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) . (A, B, C, D, and E Combined) . APPROVED' . --I f 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 sald- ordinances. Plan Che9~. Fee' Date Paid: ) f\:'=~ B~ ~~e~lewed By ~ , /33oQ1 Date Systel)1.s Development Charge Is due. on all undeveloped . properties within the City limits which are being Improved. ADDITIONAL COMMENTS w\+l: ~ (/loO 00\ tr r nrO ): \ qr 1~ - . ^ l'uJ\bLWio ~ .'11' . .-r VL/ By signature, I stale and agree, that I have carefully examined tha completed application and. do hereby certify that all Info'rmatlon 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 oftha'State of Oregon pertaining to the work described heraln, 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 froin 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 atJJ2s during construction. SlgnaturD a~~C?r~~ Date l! -,:;;J., Lf - q L/. VALIDATION: ~~ RECEIPT NUMBER W M DATE PAID I D;,.~ _1- . AMOUNT RECEJ!j ~:40~1~f15 RECEIVED BY Li) I!\f) ) j . . fi !J.I!i!I'!~i!!t\!!~ ~ Job No. Cf\ Vt qO NAME: ADDRESS:~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET ~Q,\~U ~ 1113lo, h)~ G\~ l PJ O~D9 ~ O'\QX) PHONE: \Oq.,,~ . Q7J\!l ctftOz.... STATE: ~IP LOCATION OF li'ROPOSED BUI)H~G~IJffi . ~~~~ro 'T~ Platt Nam' . ~ Tax Lot Number: -/ 1. .DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Sin!1le Family - Detached \ Single Family home NO OF UNITS \ B. Sinl!le Family - Attached NO OF UNITS C. Multi-Family Aoartmen~ NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park /\ f\(\ (J)' X $400 PER UNIT _= $ \\A)., ' . X $370 PER UNIT = , $ X $277 PER UNIT = $ X $280 PER UNIT = $ $ 4\)0 ~ g $- $4GO~ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDE SESSED (If SDC reduced for Credit) \D I \0 Date I q+ .. ...--..--..-.-.-. . ATTACHMENT Bl . NO. q ~/2. 7tJ CITY OF SPRINGFIELD SYSTEMS' DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . , NAME OR COMPANY: ~.JA">'f..-L // ..'.. ~ LOCATION: /f5"-4'g a~ 5--1 DEVELOPMENT TYPE: 5r/) BUILDING SIZE: 1. SIQBM nRATN~ IMPERV IOUS SQ. FT. ;2.:2. 1- 3 I OT SI7F' SQ. Ft. X $0.209 PER SQ. FT. ~S;00 2, SANTTARY SFWFR-CTTY NO. OF PFU'S (See Reverse) 3. TRANSPORT(illill! NO OF UNITS X TRIP RATE X COST PER TRIP 24 X $43.26 PER PFU 'cC03_~'0 X X $436.19 CM.~~) $ $, SUBTOTAL (ADD ITEMS 1.2. & 3) $ /t'5"$. 8'S- / X 1,01 X $436.19 X X $436.19 4. SANlIARY SFWFR-MWMr. NO. OF PFU'S ~' x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ ,;f.22.5"~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $_?A. 7""';. IQIAI -MWMC SDC (,$ 3 9~, 7') SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2:5 S'/, b~ 5. ~nMTNTSTaLTVF FFFS Blf5HARGE ~S'TO~ ABOVE) X .05 ~ df . Date: ?-/3-7~ ~ ~arY}HDrnig~ ShV'Coordinator C! J/7'~ TOTAl SOC 0fG?.2Y B2.S0C . FIXTURE UNIT CALCULAaN T~.BLE: Number of New FixtU. Unit Equivalent c Fixture Units (NOTE: For remodels, calculate only th~ additional fixtures) .' ., NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTl,IRES EOUIVALENT UNITS Bathtub.,....,....................."...,..."......,...,..."......,....,.. . Drinking Fountain... ..,............,..,......,....,................... Floor Drain..................,....,......,........,.."...."....",....... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.................."... ............, Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Waler St.ation/Etc........ Receptor For Commerciai Sink/Dishwasher/Etc.. Shower, Single Stall...................~.;...:;.,..................... Shower, Gang.,., ............,...............: .......;..:.............,. Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall. ::,...... .......................,..................... ~ Wash Basin/Lavatory, Single............,....,........,....... Toilet, Public Installation...,..........,....., "..,.'..........,. Toilet . Private..",..,...,..,.,."....,.....,..,..,.....,............ Miscellaneous: ,TANI1C~S SoI"'~ / z. 2 1 2 3 6 2 6 6 1 3 2 lIHead 2 2 1 6' 4 ..l /2 I ;2.. / z. I z. "3 ~, ~ TOTAL FIXTURE UNITS 2.4 = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1 ,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 . $3.46 3,38 3,32 3.21 3.06 2.92 2.73 Year Annexed Rate per $1,000 Assessed Value 1985 .J986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1,77 1,37 0.97 0.61 0.44 . . 0.15 $.1(;, X $ 1i~o (Rate X Assessed Valuel X $ (Rate X Assessed Value) Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) .2-<1.77 ---- = = CREDIT TOTAL = $;2?, 77' .\ . . The following project as submitted has tho follo''i!illl_ zoning. and do.. not require speciHc land BLECTlUCAL PERMIT APPLICATIO 97477apprcvol, /J t:lA\lIn 726-3769 Zonlnp \....V'll--- City Job Number '-'ti 'l.X\ Ollie (,'j)-IJ-'iL.{ 3. COHPLETE PEE SCHEDULE BELOV 1. ~T~~F 6iB"t{t~~dSignaIU;e~ ~.'i<~~ 1:-~~ ~wr~~ &3\~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 2. CONTRACTOR INST~TION ONLY),.\.. _... _ .B~ Electrical contrac~o~~ _~. V\11ill'1\Q.Y Address..3~ ~ n LoR'"' Q..R - City ~_ Phone '):\4. n\r5 SuPervisor\iicense Number ~lf{) ~ \(). \ .Q.5 e,q~2.. ~ o.~.c\s Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician , ~ d. .-" Owners Nr\e ~ Addres~}J.\l. ~_1l0'?W City rnC:e 00-... Phone\.Q~.~fo7 OVNER I~TALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: -------------------------7~--~~~ 5. DATE: ~ In.w' RECEIPT j1: ...f' . , RECEIVED BY: ')JI"., -' . '- L'tl;::W AIC:.:l~J'Cu...:.al-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home' or Modular Dwelling Service or Feeder I 3 Services or Feeders Installation, Alterations or Relocation: 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 unit. Cost Sum 55 ~ $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps ----- ,Over 401 to 600 amps ----- . Over 600 amps or 1000-vorts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinp: '..' Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3%.Administrative Fee 'TOTAL' -- . .. .. $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \mp6 \~.:::u '.~r)~ ~