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Home My WebLink AboutPermit Building 1991-8-13 RESIDENTIAL PERMIT APPLICATION :. :-:1 Inspections: 726,3769 Office: 726,3759 '.- . , , ..,ro' SPRINGFIELD , . .,.: .!' . . ..' 4433 Ivy LOCATION OF PROPOSED WORK:.. r-../~ ASSESSORS MAP: \9-,D~{)S'c*r . - . ., LOT' 73A , 'BLOCK. Street Springfield, OR ADDRESS' P.O. Box 22636 OWNER: " Capstone Homes, Inc.. of. Oreqon CITY' Eugene STATF' OR DESCRIBE WORK. Single family home NEW XX REMODEL ADDITION CONTRACTOR'S NAME DEMOLISH OTHER . I ",JOB NUMBER3-/~ 225 Fifth Street , Springfield, Oregon 97477 , , 97477 TAX LOLn \1CJ \ SUBDIVISION. Lucerne. Meadows PHON~. 689-5567 ZIp. 97402 ADDRESS CONST. CONTRACTOR # PHONE EXPIRES GENERAl' Capstone Homes, Inc. of OR P.O.B. 22636 Eud'. .OR 97402 PLUM.BING: S-J Plumbing Co. 1l47~ Main SLSpfld,OR 97477. . MECHANICA'. Garibay Heatinq 4207 W. 5th Ave. Euq. ;OR .97402 ELECTRICAl' Rose Corvo 89976 :Dau Lane Euqene. OR 97402 ."-, - QUAD AREA: l~e..SC-': :\:~;~ # OF BLDGS:---.!1 ~CCY GROUP~IC;::) ~ f1", ~ # OF STORIES: WATER HEATER. f~;"i~ ," . - OFFICE USE - J LAND USE: ! II \ V,^ 'J. CONSTR. TYPE: I V f"& # OF UNITS' HEAT SOURCE: RANGE: 62018 46664 10-18-91 689-5567 3-18-92 747-5989 12~21-91 344-2481 9-30-91 686-0905 70545 54431 FLOOD PLAIN' ZONING CODE: illf~ # OF BDRMS. .c:r SECONDARY HEAT: SQUARE FOOTAGE:c9 f"fi<6 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. o Temporary Electric " D.site Inspection - To be made after excavation, but prior to settln~ forms. O Underslab Plumbing/Electrical I Mechanical - Prior to cover. ';!: Footing - After trenches are ~ excavated. I Masonry - Steel location, bond beams, grouting. ~undation - Aff;!3r. forms are rected but prior tb concrete placement. ~derground Plumbing - Prior filling trench, . . Unde~'loor PIU~blng/MeChanic'al - Prior to Insulation or decking. ost and Beam - Prior to floor Insulation or decking. loor Insulation - Prior to decking. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. ough Plumbing - Prior to cover. REQUIRED INSPECTIONS (I-rY Rough Mechanical - _~rl~r' to ~ cove~ . ~ Rough Electrical -.prlo;.to ~ .. \ cover. ~Iectrical Service - Must be approved to obtain permanent electrical power. . . Drywall - Prior to taping. Wood Stove - After Installation. .\ o Insert - After fireplace approval and Installation of unit. . ~ Curbcut & Approach - After forms are erected but prior to placement of concrete.~ , / ~Sidewalk & Driveway - After excavation Is complete, forms ~nd sub-base material In place. o Fence.-'When completed. <, fl. Street Trees ....;.Wtien all reclulred ~ trees are plant,ed. .. ~ Final Plumbing - When all plumbing work I~ comptete. Final Electrical - When all electrical ,":,ork Is complete. rIA Final Mechanical - When all ~ mechanical work is complete. ~ Final Building --" When all required Inspectlo.ns have been , approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking end Set,Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved >and ., porches, skirting, decks, and -venting have been Installed: Lot faces Lot Type . Setbacks Lot sq. ftg. Interior I P.L. HSE GAR ACC IN Lot coverage Corner \S Topography _ Panhandle Total height ~ Cul-de-sac I'w" IE BUILDING-PERMIT ISQ,'i ~rlTlJ~ ~~LW -4<xx '\4.10 in ~80 , ITEM Main Garage Carport Total Value 7(1f}yj) 310,00 /. 7,30 3h.~.- ~a Building Permit Fee State Surcharge ., Total Fee - . '(A) ISlE PROPOSED WORK IN TH HI ,ORICAL DISTRICT, OR THE HISTORICAL REGISTE If yes, this apPlication' u t gned and approved ~~_n~~! istorical Coordinator prior 0 ~~.t issuance. 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 prOVI7\onwa1d ordinances. Plan Check Fee: _~~4 . Date Paid: ~ . \::;; , \ ReceiPt~umber:~\C'f'( ) _ Received: l ~ --PI~n t1evie~~~ f#a/ SYSTEMS DEVELOPMENT CHARGE-(SDC)~,. 'Systems Development ctia'rge isdue'onall undeveloped . .. _ ,_. -(B) elf. \"1 €:.....~ prop"rties within the City limits which arebeing improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO . Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home \ \ Plumbing Permit , State Surcharge Total Charge FEE ~ jc;2.S"O (C) /92 >0 7~3 202.13 MECHANICAL PERMIT t:-..co 4~O ~fO I&; 670 Furnace Exhaust Hood Vent Fan NO 4- Wood Stove/lns~Place Unl(:> Dryer Vent lj,K V~7;C. '2.. 00 '2,q ,!io' ., /1/,00 2..(8 6/.918 Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge 'J<':::,. Sidewalk ., J ft ~~ ft \ S ,2--",\ \ L\ ,'2.1) Curbcut Demolition State Surcharge Total Miscellaneous Permits (El TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) "? J,,?/'J 1'8" ADDITIONAL COMMENTS C~\\j) h~\a--L ,-J\s~ DDQ..Ll \. 'b Ii \ .~ ~ \(Y'). ~ _~\N). XU) CL ~ \XJ 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 certtfy 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 structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with GRS 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 -L-.-U_- Date J1~~~, VALIDATION: RECEIPT NUMBER 2J.:z-.,q,f DATE PAin "7-/3-7/ . AMOUNT RECEI~ED U 'Ot:> _ 755' ().;NvL- RECEIVED BY CITY. SPRINGFIELD SYSTEMS DEVE~ENT CHARGE 1i:-9 \ o'1L{. ~ -- WORKSHEET . . ! .. NAME OR {OMPANY: C'A-PS-rONE. -W..oME:.S "J:.t-lc.. 0'1=- O~6<>U LOCATION: t+....'?:, "T...V-< ST. DEVELOPMENT TYPE: Log BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. ~T. l'OeLt X SO.186 PER SQ. FT. i':Z.:,.~.,~ (See Reverse For. Runoff €oefficients If Actual Imperv. Area Is Unknown) I~O~oS-z..I- Olro \ LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S '2- ~ X S38.55 PER PFU (See Reverse To Determine Total PFU'S) ,5 BB<O ~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X 5388.61 5 ::AO~ 5 \ x 1.001;:> X S388.61 x X S388.6I (See Attachment C To Determine Trip Rates) " SUBTOTAL (ADD ITEMS 1,2, 5 & 3) S 1<o\1."1j;. . 4, ADMINISTRATIVE-FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 TOTAL-CITY SDC 5 P>6~ :SICo9?~~ 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: I TOTAL-CITY SDC X (50%) = ADJUSTED.CITY SDC 5 ~./~ 6. SANITARY SEWER-MWMC NO. OF PFU'S ~~ 15 x S13.25 PER PFU + SIO MWMC ADMIN. FEE S ?I~ -- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~~~ '6-1.-0-,\1 \I Kip Burdick SDC Coordinator (s '2-4:=!) TOTAL-MWMC SDC 5 1-'lo~. TOTAL SDC S 1 '" 'O~ ~ FIXTURE UNIT CALCULA TIQIl TABLE: Number of New Fixtures X u.qUivalent = Fixture Units (NOTE: For remodels, calculate only the NET adcBnal fixtures) . : NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT 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 jWater Station/Etc...,.... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single Stall"....""".....,.......,.....,..,.."....,..... Shower, Gang,..,.....,............,..,..",...........,.,......,...,.. Sink, Bar, CommerciaL........."..".,.,..,.........."........, Urinal, StalljWaIL..,..,.."...."".,........,..,..",..........,..,.., Wash Basin/Lavatory, Single...,.........,...............,.... Water Closet, Public Installation...,..........,...,........., Water Closet, Private.............",...,.,.,.........",.,......,.. Miscellaneous: -1-- I ? '? TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 = y. 2.- 2, ? 1'Z- "Z~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table; calculate cred~ separates. _ Year AnnexeC . Rate per $1,000 . Assessed Value d ii 1 ;~? Ci b.::fC':"-= S2.3~ 2.64 2,53 2.41 2.19 2,04 ;'; 1980 .- 1981 1982 1983 1984 Year Annexed 1986 1987 1988 1989 1990 Rate per $ 1,000 Assessed Value 51.'3:: 1,35 1,15 0,92 0.59 0,23 " , I , Credit for Parcel or Land Only If Applicable Improvement Qf after annexation date) -Z ,loG::> X $ q - I (Rate X Assessed Value) X $ (Rate X Assessed Value) . CREDIT TOTAL = 1..-0.+ ::.. = = $ 2-4-!::. RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL............. ............... ..... .;......:. ............ o. ~ Commercial.. ... ... .... ..... .......... ...,. ........ ...... .,...... 0.9 I nd ustriaL"..,............,.... ,.......,.,. ,.,.,.........., ,....... 0.45 GovernmentaL.,.......................,........................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -