HomeMy WebLinkAboutPermit Building 1991-8-13
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RESIDENTIAL
PERMlr APPLICATION
Inspections: 726,3769
Office: 726,3759
.
SPRINGFIELD
ASSESSORS MAP'
76A
LOCATION OF PROPOSED WOAl<' 4436 Ivy
, q,O~l)~ ~ \
Street
LOT
..
-.C\.\rs:\s\
JOB NUMBER
225 Fifth Street .'
Springfield, Oregon ~7477
Springfield, OR 97477
"T1'1< LOT: f:ilW)
BLOCK.
P.O_ Box 22636
Capstone Homes, Inc. of Oregon
OWNER:
ADDRESS'
~uge~e,
CITY:
STATF.
NEW XX
ADDITION
Single Family Home
OTI:IER
DESCRIBE WORK.
REMODEL
DEMOLISH
SUBDIVISION.
Lucerne Meadows
PHON".
689-5567
OR
ZIP'
97402
CONST.
CONTRACTOR'S NAME ADDRESS 'CONTRACTOR #
GENERAl' Capstone Homes, Inc. of OR P.O.B. 22636 Eug.,OR 97402
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PLUMBING: S-J P1umbi~g Co, 1147!f Main St .Spfld,OR' 97477
MECHANICA'. Garibay Heating 4207 W. 5th Ave. Euq. ,OR 97402.
ELECTRICAL. "Rose CorD. 89976 Dal/ Lane. Eiiqene. OR 97402
.
(~~'{0
\
I2~TM
'A
QUAD AREA'
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER: ~
- OFFICE USE -
LAND USE: -II I I
# OF UNITS: \ I
CONSTA. TYPE: V /IJ
HEAT SOURCE:
F6
EXPIRES
62018 10-18-91
PHONE
689-5567
747-5989
344-2481
46664
'70545'
54431
3-18-92
12-21-91
9-30-91 686-0905
RAN~I='
FLOOD PLAIN.
ZONING CODE:-1.iJ-f2../
# OF BDRMS: ~
SECONDARY HEAT:
SQUARE FOOTAGE: -Sl))<:.3
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 m.ade the followIng work day.
[lJ Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
settIng forms. .
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
rn Footing - After trenches are
excavated. .
o Masonry - Steel location, bond
beams, grouting.
[ZJ
Foundation - After forms are
erected but prior to concrete
placement.
~ Underground Plumbing - Prior
to filling trench.
~
Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
IZl
Post and Beam - Prior to floor
Insulation or decking.
r\II Floor Insulation - Prior to
L....AJ decking.
[ZJ Sanitary Sewer - Prior to filling
trench.
lXJ Storm Sewer - Prior to filling
trench. .
rYl Water Line - Prior to filling
l,lLJ trench. "
[l] Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
~ Rough Mechanical" - Prior to
~ cover. ' .
'.
rVI Rough Electrical - Prior -to'
Lp cover.
~ Electrical Service - Must be
~ approved to obtain permanent
electrical power.
rn Fireplace - Prior to facing
materials and framing Insp.
t:' :'~~.,.,<<fi;-
~ Framing - Prior to cover. -
rr1 Wall/Ceilhlg Insulation - Prior to
LpJ cover.
[!l Drywall - Prior to .taplng,
"- ......
o Wood Stove - After Inst~l/a."ilon.
o Insert"- After fireplace approval
and Installation of unit.
~ Curbcut & Approach - After
forms are erected but prior. to
placement of concrete.
[R] Sidewalk & Driveway - After"
excavation is complete, forms
and sub-base material In place.
D Fence - When co~pleteq.
o Street Trees - - Wilen' al I "refiul red .'
trees are planted, -::z. . .
[21
Final Plumbing - When all
plumbing work is complete.
'12] Final Electrical - When all
electrical work Is complete.
~ Final Mechanical - When all
mechanical work Is complete.
111 Final Building - When all
required Inspections have been
approved and building is .
completed.
o Other
MOBILE HOME INSPECTIONS.
o Blocking and 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 -r After all required
" inspections are approved and
~. porches: skirting, decks, and'
venting have been Installed.
Lot faces -2- Lot Type . Setbacks IS~ PROPOSED WORK IN TH
Lot sq, ftg. . ~p Interior I PL. HSE GAR ACC I HIS ORICAL DISTRICT,
IN I THE HISTORICAL I
Lot coverage ~ Corner e signed
Topography o-.:('~ Panhandle S '7t:> I the Historical
Total height ~( 0" ..~ 1.,- ermit issuance.
--,Li "~C~I.de's.ac W
IE ,g I APPROVED'
BUILDING PERMIT'
ITEM SQ. FT.
X $/ SQ. FT.
~ 7t!>
/9-/17
Main
/ ~ A;:::>
w/?
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
VALUE
~~,~I>
~J2:Z'!l. ~
??.~.~
',,>. /'
. .~i:>..c..~
/7.~
~"1':~
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perm[t is gran.ted 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.
"
Plan Check Fee' '.41/), - '
Date Paid:
Receipt Number:
Received By:
~' '~..P"
-~ ~"."'
. p -ReViewe~" /-,
Date
SYSTEMS'DEVEl:OPMENT CHARGE (SDC)~.
, .' ... (B) $1~~I\11-
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' '::?
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
.Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
N' "3 X --r
Vent Fan
Wood Stove/lnsert~Place Unj!)
~ent
~ V4"'~r
~ ?L.0.~
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
~ft
~
Curbcut
ft
Demolition
State Surcharge
,0 A><7 l?.EY/~ ~~
Total Miscellaneous Permits (E)
FEE
/t:9Z_ SO
/"9:<. s-e>
~"'"?
~2.n
~.,b
]I,,~
/"7. ---
/5';-
"7--
~-;;:.,
<;1:< _~
.
/0 _ CiofS
'2.-h--:!
5~/"?
/5":?>
/~.~
~~. "-=
69'. /?
TOTAL AMOUNT DUE (excluding electrical) -:1&:;77,7$
(A, B, C, D, and E Combined)
Systems Development Charge is due"on all undeveloped
properties within the City limits which are being improved.
AQ.PITI~O~~~NTS
\ 'H H'UL> ')
~ _ m.9- Q..LJ/
tc'\. /\: '~~ &\) I ~. ~
"\.1\ 4 <1 l\
\ cA~CSJ)f)QQr\...,\ n\uu C{\ffi
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~ru\Q )lJ)(t V=\' -I~
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
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.
l-_lL
..
Signature
Date
Ph~1
VALIDATION:
RECEIPT NUMBER Zt2-Q2-
DATE PAID q-(3-1'/
AMOUNT RECEIVED 2.kJ 77. 7if
Il~
RECEIVED BY
CITY <eSPRINGFIELD SYSTEMS DEVE.ENT CHARGE #'=\\095\:
WORKSHEET . . .
NAME OR COMPANY: QI'<P~"ioNE: l-\otv\1:-S . INC Oi=- O~60\.l
LOCATION: ~~c.. 1.'1'( ST"
DEVELOPMENT TYPE: L-t>~
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. n. \ '( q?;, ,
(See Reverse For. Runoff Coefficients
\ <6o"z..OS""l-1 - 0-,<600
. LOT SIZE
SQ. Ft.
X SO.186 PER SQ. FT. ~'~?7~~
If Actual Imperv". Area Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S "Z-~ X S38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION,
NO OF UNITS X TRIP RATE X COST PER TRIP
$ 'It:8c.. ~
x
- X $388.61
.$ ~()s~
$
1
X l.001? X $388.61
X X S388.61 $
(See Attachment C To Determine Trip Rates)
." ...- 'CO' . SUBTOTAL (ADD ITEMS 1,2, &-'3tSlc.,\o~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
s 'Oo~
TOTAL-CITY SDC S \lo9 \"':2
5. CREDITS
, IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL:
TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC $ N.,~
6. SANITARY SEWER-MWMC
NO. OF PFU'S
'2~
,s
x S13.25 PER PFU + S10 MWMC ADMIN. FEE S -::,\<.4 -
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
( $ '2-4 ~ )
TOTAL-MWMC SDC .S -z,qO ~
TOTAL SDC S l"ItOl'U.
V' ~Ltk. ~ _"2.-0 -"\ I
'-J i(ip Burdick
SDC,Coordinator
FIXTURE UNIT CALCULA TI~ T ~BLE: Number of New Fixtures X u.uivalent = Fixture Units (NOTE:
For remodels, calculate only the NET add1ronal fixtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
~
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
It-
Bathtub...............................................:..........,...........
Drinking Fountain..,...,..,...."..,...,........."......,.,....,..,.,
Floor Drain,....,........,.,....""'.."..."..,......,.,..............."
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc......,....,:.....
laundrY Tub /Ootheswasher"""".; ,..,..".."...,.. ...,...
Clotheswasher - 3 Or More..,............,....,......,........,
Mobile Home Park Trap (1 Per Trailer)................,.
Receptor For 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 Closet, Public Installation....,......,.......,.........
Water Closet, Private.....,..."..,...."...".",.,.,.,.........."
Miscellaneous: .
-2-
2-
'2.-
?
"!>
\'2...
TOTAL FIXTURE UNITS
=
"Z2:7
CREDIT CALCULATION TABLE:
calculate credits separates,
r Year.
I Annexed
Based on assessed, value. If improvements occurred after annexation date in table,
Rate per S 1,000
Assessed Value
Yeai
A~nexed
Rate per $1,000
Assessed Value
l
i~7
S1.69
1,35
1.15
0,92
0,59
0,23
_.-- ~,
"
"
~ =:=- .:.. :-;f.:r=?
f"'r-""""
... ~ ....,..
'--.--
4'~'::
1980
1%1
. 1982
1983
1984
2,64
2,53
2.41
2.19
2,04
1986
1988
1989
1990
Credit for Parcel or Land Only If Applicable
"2..<0<0 X s 9. t
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
7.J-l~
Improvement (~ afte.r annexation date)
=
-
= $ 2.-c.+ ~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential............ ....... .:. ...... ......, .....,..... ..... _.
Commercia1............................................... ...... (: S
Industrial.......,.............,....,.,.....,........"...,.......... C.';5
Governmental..,.......". ,.""...............".,..,..,....... 0.5
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT