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Home My WebLink AboutPermit Building 1991-8-13 LOCAT;O.N ~F PROPOSI'D WO~~1-.--tj Y...~~ /vy A~SESSORS ty1AP. \ 'I< u d. l) () rl,-\ . 72B ", RESIDENTIAL PERMI1: APPLICATION Inspections:.726.3769 Office: 726-3759 LOT: . SPRINGFIELD "5r . BLOCK: OWNER' Capstone Homes, Inc. of Oregon , ADDRESS: P.O. BOx 22636 CITY. Eugene STAT'" OR DESCRIBE WORK' NEW XX REMODEL S''\= \. .kJ 0 J:\ 1 N ~ fL('Q ) ADDITION DEMOLl5.H .oTHER . JOB NUMBER q/O 75""/ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION. ()(,()() Lucerne Meadows PHONF' 689-5567 ZIP: 97402 CONTRACTOR'S NAME ADDRESS GENERAI.Capstone Homes, Inc. of OR P_O.B. 22636 Eug.,OR 97402 CONST. CONTRACTOR # PLUMBING:S-J Plumbing Co. 1147!f Main St. Spfld,OR 97477 MECHANICAI.Garibay Heating 4207 W.5th Ave. Euq., OR 97402. ELECTRICA" Rose Corp_ 89976 Va" Lane Euq.. OR 97402 QUAD AREA- (~~ cs,Q... \ OCCY GROUP: ''2. 3 ~ # OF BLDGS: # OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \. \ \ \ CONSTR. TYPE: \/ tJ ~g # OF UNITS: HEAT SOURCE: RANG'" 62018 46664 . ,. 70545' 54431 EXPIRES PHONE 10-18-91 689-5567 3-18-92 747-5989 12-21-91 344';'2481 9-30-91 686-0905 FLOOD PLAIN' ZONING CODE: UJfL '-3 . # OF BDRMS: SECONDARY HEAT: SQUAREFOOTAGE:~~ 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 made the following work day. @Temporary Electric o Site Inspection - To be made, after excavatIon, but prior to setting forms. o Underslab Plumbing/Electrlcal/ Mechanical - Prior to cover. NFooting - After trenches are' excavated. o M.asonry - Steel location, bond beams, grouting. NFoundatlon - 'After' forms are erected but prior to concrete placement. ~ndergrOUnd Plumbing - Prior to filling trench. . ~ Underfloor~p.JJ..I~btiag/~ch~~i9D - Prior. to Insu a Ion oraecKlng. ~ Post and Beam - Prior to floor Insulation or decking. rvr'Floor Insulation - Prior to ~ decking. rc:ri'Sanltary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling trench. \ I 2Sf Waler Line - Prior to filling trench. I ~ Rough Plumbi~g.- Prior to cover. REQUIRED INSPECTIONS ~Rough Mechanical - Prior to ~ ~over. r;:::;;( Rough Electrical - Prior to ~ cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. J2Sf Framing - Prior to cover. ~Wall/Ceiling Insulation - Prior to , cover. ~ Drywall - Prior to taping. ~WoQd Stove - After In~tallation. JL:j :ZliM c.I..eAf'Jli"CE. . 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' .and ~ub-~ase material In ~Iace. '0 Fence - When complet~d. [7Jl'Street Trees - When allre'quired ~ trees are planted. ~inal Plumbing - When all ~ ~IUmblng work Is complete. 0;lnal Electrical - When all, ~ electr,icar work Is complete. . , ~inal Mechanical - When all mechanical work Is complete. ~:Inal Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking andSet.Up - When all blocking 15 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, sklitlng, decks, and- venting have been Installed. ) Lot Type. . THE PROPOSED WORK IN THE Lot faces ,v Setbacks Lot sq.,ftg. ~o Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON~ IN , I THE HISTORICAL REGISTER? ~ Corner .<0 Lot coverage Is /;(0 i I If yes, this application must be signed and approved by the Historical Topography _ Panhandle Iw 6' I Coordinator prior to permit issuance. dLo' ~ul.de'sac Total height IE ,e; I I I APPROVED: BUILDING PERMIT- ITEM SO. FT, X $/SO. FT. VALUE ~2~ 5~2?-;;ik~ Main Jk, 7.i? L//-=3 ~.... >::" /&7./":> Garage Carport Total Value 7'2./'22- ~. '3 ~:(,OO t 7, roO. <?'C.cr.C; 0 Building Permit Fee 'State Surcharge Total Fee.. . -' '(A) SYSTEMS .DEVELOPMENTCHARGE (SDC) "^ . . (B) . 'U>1-q, (p I PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' 2, Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home / f,{'. ;;0 Plumbing Permit t1;(J;r) Cj,G "5 202., I> State Surcharge Total Charge (C) !VtECHANICAL PERMIT Furnace t5" &0 q, t;c) q,&O ie;, t!)O > ,00 Exhaust Hood Vent Fan N' 3 Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit 37,>0 /o,c:;o .7 1~ 41.$8 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 5':3 Curbcut ?<I It /7.?5 /s .~o ft Demolition -- State Surcharge Total Miscellaneous Permits ') /,>> (E) TOTAL AMOUNT DUE (excluding electricarf! :JIG 8 J., 77 (A, B, C, D, and E Combined) , BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit.is grante.d-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' '"7--?<fl,-'SC:> Date Paid: 7'':7~/ Receipt Number: 2b<>=-~ Received~~ ? . '/~,,?'(~~ ~- prc!n.s~Reviewed By .: . . .-~~ ,"' Systems' Development Charge is due' on all undeveloped , prope~ties within tre City limits 'v'!!1lch are being improved. ADDITIONAL COMMENTS 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 GRS 701.055 wilt 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 ~t the front of the property, and the approved set of plans will remain on the site at all times during construction. Slgnatur<=> Date VALIDATION: f\I1 on RECEIPT NUMBER r'\) Crl 0 I DATE PAID ~ . c:a I AMOUNT RECEIVEt#p' '\ ~<7SloJ RECEIVED BY J J ( A....-/ - - ,C)..11 .;:t: q \0'1 'SI CITY OFtlfRINGFIELD SYSTEMS DEVELO~NT CHARGE - WORKSHEET. , NAME OR COMPANY: OOS-rciJ.E. 1-6M.E.S. :r~c. 01'=- OlLE:.6<l/o..\ LOCATION: 4y~q T\}o.{ 'S.. , L-UC.E:lL/o..\E fv\f::ADDWS- LD.- 'Tz g DEYELOPMENT TYPE: La""l \)~':>\,-< \2..e7\PIe:.\..lIlAL BUILDING SIZE: \';\4<;0 H l.ft>o ""'.Ff ow LOT SIZE /oJ IA SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. \'\ \Y X $0.186 PER SQ. FT. $ '?'JIP ~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S 1.? X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION s ~e(., 0 NO OF UNITS X TRIP RATE X COST PER TRIP I X !,o-<>c; X $388.61 S "11QD.s.s. x X $388.61 s X X $388.61 S (See Attachment C To Detennine Trip Rates) _ SUBTOTAL (ADD ITEMS 1,2, & 3) S l~~~~ 4. ADMINISTRATIVE FEES BASE,CHARGE (SUBTOTAL ABOVE) X .05 S AI"~ TOTAL-CITY SOC S nl'4 ~ 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: I TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC 1-Jbl/A 6. SANITARY SEWER-MWMC NO. OF PFU'S 1-'7 x $13.25 PER PFU + $10 MWMC ADMIN. FEE S -; 1'-\ ~ (Use PFU .Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) S tJ /~ TOTAL-MWMC SDC S 2;, \'-+ 1Z TOTAL SDC S '2.01-'i~ ~~L'ub .7-q-&;/ GI Kip Burdick SOC Coordinator FIXTURE UNIT CALCULA_N TABLE: Number of New Fixtures xe Equivalent = Fixture Units (NOTE: For remodels. calculate only the NET a~itional fIXtures) . NUMBER OF UNIT RXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.......,......,.................................................,...., Drinking Fountain......,...................,.......................... Roor Drain,............."......,..........,..,..........,.............,.. Interceptors For Grease/Oil/Solids/Etc,........,....... Interceptors For Sand/Auto WashfEtc,...,............, laundry Tub/Ootheswasher,..",.",....,.,..,.....,..,..,.., Clotheswasher - 3 Or More..,..,............................... Mobile Home Park Trap (1 Per Trailer),................. Receptor For Refrigerator fWater Station/Etc,......, Receptor For Commercial Sink/Dlshwasher/Etc.. Shower, Single Stall.......,..,.......,.............................. Shower, Gang,................,............................,........... Sink, Bar, Commercial,....,.............,.............,........... Urinal, StallfWall....................................................... Wash Basin/lavatory, Single.................................. Water Ooset, Public Installation............................. Water Closet, Private........................,...................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 :r, ? TOTAL AXTURE UNITS = -z. 'Z "2. 1_ ~ 1'2.. "'Z~ CREDIT CALCULATION TABLE: Based on assessed value; If Improvements occurred after annexation date In table. calculate credits separates, Year Annexed 1979 or before 1980 1981 1982 1983 1984 Rate per $1,000 Assessed Value $2.66 2.64. 2.53 2.41 2.19 2,04 Year Annexed 1985 1986 1987 1988 1989 1990 Rate per $1,000 Assessed Value $1.69 1.35 1.15 0.92 0,59 0,23 Credit for Parcel or land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement flf after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential,....,....,..,.,..,..""..,.......,.,...............,.. 0,4 CommerciaL..,........,..,........,........,.................. 0,9 Industrial,....,......,...... .....................,.....,......,...., 0,45 Governmental..................,..,..,................,........, .0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT