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Home My WebLink AboutPermit Building 1991-11-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORI<' 18 02 05 21 ASSESSORS MAP' 77A LOc . SPRINGFIELD SP18 ..,. JOB NUMBER 2/L/3g 225 Fifth Street , Springfield. Or~gon 97477 4452 Ivy Street Springfield, OR 97478 7700 BLOCK. . OWNER. ADDRESS' P.O. Box 22636 Capstone Homes, Inc, of Oregon CITY' Eugene, STAT~. OR DESCRIBE WORK' Singie Family Residence NEW XX REMODEL ADDITION DEMOLISH OTHER TAX LOT' SUBDIVISION. Lucerne Meadows PHONF. 689-5567 ' ZIP: 97402 ADDRESS Inc. of OR P.O.B. 22636 CONST. CONTRACTOR' Eug:.,OR 97402 62018 EXPIRES 10-18-91 PHONE 689-5567 747-5989 344-2481 686-0905 PLUMBING:S-J P1umbing'Co. 1147!f Main St. Svfld,OR 97477 MECHANICA" Garibay Heating 4207 W. 5th Ave. Euq. ,OR .97402' ELECTRICA" Rose Corvo 89976 Dal:/ Lane Euqene, OR 97402 QUAD AREA: ,~RS(' ..- ~ 1 \-\~~-+ "^ ~ T ...--J . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER. ~ OFFICE USE - LAND USE: t II I . OF UNITS' _' / CONSTR, TYPE: \/ /S... . , HEAT SOURCE: ~p-", ~./ RANGE: 46664 3-18-92 .. 70545 12-21-91 54431 9-30-92 FLOOD PLAIN: ~ - ZONING CODE:~ . OF BDRMS: '- -q ..- SECONDARY HEAT: ~ V SQUARE FOOTAGE:.cfJ0 ~ L To request an Inspectlol'). you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.".1. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. . ""\ \ [Xl Temporary Electric ~ D.Slte Inspection - To be,made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. [l] Footing - After trenches are excavated, o ,Masonry - Steel location, bond beams, grouting. [KI" Foundation:"" After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, ~ Underfloor PlumbingJ Mechanical - Prior .to Insulation or decking. [!] Post and Beam - Prior to floor Insulation or decking. 1XJ Floor Insulation - Prlor'to decking. 11l Sanitary Sewer - Prior to filling trench. rn Storm Sewer --:- Prior to filling trench. 1ZI Waler Line - Prior to filling trench, [l) Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS [Xl Rough Mechanical - Prior to cove~ . rVl Rough Electrlcal.- Prior to L,.LJ cover. . r7l Electrical Service - Must be l-,A-J approved to obtain permanent electrical power, IKJ Fireplace - Prior to facing materials and framing Insp. . , [AJ Framing - Prior to cover. ILl Wail/Ceiling Insulation - Prior to cover, " " ~ Drywall - Prior to tapjng~. o WC?od ~tove ~ After fn~tallatlon, o Insert - After fireplace approval and Installation of unit. .'. C{] Curbcut & Approach, - After forms are erected but. prior to placement of concr,:te, ~ ,Sidewalk & Driveway - After LA.J excavation Is complete, forms and su~:base material In place, . 0 Fence - When completed. tal Street Trees""; Wh'eri'I'"arl' required trees are planted. . r17l Final Plumbing - When all ?D-J plumbing work Is complete. ~ Final Electrical - When alt L..,.dJ electrical work Is complete. . [1J Final Mechanlcal"'- When all mechanical work Is complete. [XI 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 - After all required Inspectlon"s are approved and , porches, skirting: d"ecks, arid venting have been Installed. . Lot faces --2.. Lot Type . Setbacks . THE PROPOSED WORK IN THE Lot sq, ftg. "Z2-60 Interior I PL HSE GAR ACC HISTORICAL DISTRICT, OR ON ~ IN 3'1 THE HISTORICAL REGIST ? Lot coverage 2~ Corner signed ~-;2.9c::::> S ;tp and a p proved b e Historical Topography Panhandle i.- Coordinator prior to permit issuance. Total height ~8' -1S' C~I~de.sac W '/2/ IE Ii?' I€!:/ I I APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT. ~9.7o -.L,4/0 Main /547 flB4- Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee' ... . (A) VALUE 01-1lh ;;, tg 2.:1 - ,- ~240 g "cG:/ 4e> /700 ~ 5:7. .-:> SYSTEMS DEVELOPMENT CHARGE (SDC)&:e: - ,- . (B) ~ "Zo"l b '!!. . 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 Fu rnace ... Exhaust Hood Vent Fan N' ~ Wood Stove/lnsert~eDlace Unit~ Dryer Vent Mechanical Permit Issuance State Surcharge Total PermIt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ -:21S ft ft Curbcut Demolition State Surcharge 2}.J9.N Jl5.CW,Bi;..> ;:-~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE /~-5Z',:> /"""2_.:;l? ~. tf.;r ~:z. ~ b.~ ~~5?:> 9_~O /~ ....,. 3. -0 ~7..~e> /&>._e> " '::2'_~ _'/9. SCj5 I "i', 'I R 10/. ;;2..,:::) -Z-:2,/. c:rO .::::z,~- tt:~ -;z9s~_o:z. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permj~ is grant.ed 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. . .~..,/ CD Plan CheckFee:~'~ - . Date Paid: Recei pt Number' ReceIved By: '~":'--I~~ /07~~ --.pI~viewedBI ~- . -,-,r" .., Dale o Systems' Develo'pment Charge is due' on,oall undeveloped proper,ties: within the City limits w:hich are being improved. ADDITIONAL COMMENTS rwlJ)simu ~rJ P llXliLt-) \, O\.'S2mrll nO J1 0.: L1 /fl) - - - - - I \ciMQJLrlo.t~:, \G\ \0 By signature, I state and agree, that 1 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 constructlon, Signature. LJJ:l~_~ff,a. ~ t?' Date VALIDATION: RECEIPT NUMBER "7/4' I' //-I'5l. -j / :3~9 2.,/) '/ ~~ DATE PAID AMOUNT RECEIVEr> RECEIVED BY JOB NO. Cj \ \ \ '?f', CITY OF ~UNGFIELD .S~;';.~~~'DEVELOptNT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NANE OR COHPANY: QA-P<;""o~t: UtlMI'=..'? "L...\C., 01'= OR-E:.GoN LOCATION: Lf'-l S L. I:vY S" DEVELOPMENT TYPE: L.. DR. - t-...I. E:v...\ BUILDING. SIZE: I, STORM DRAINAGE IHPERVIOUS SQ. FT. '2-? '0 0 X SO.186 PER SQ. FT. S '-\'-\-'2-~ (See Reverse For Runoff Coefficients If Actual Imperv, Area Is Unknown) \<60-z.0<?'2-\ -,loa LOT SIZE SQ, F t. 2. SANITARY SEWER-CITY NO. OF PFU'S '2-?? X $38,55 PER PFU (See Reverse To Determine Total PFU'S) S SBCo ~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \,oo,? X $388.61 $ ~,"\o '='2, x X $388.61 X X $388.61 (See Attachment C To Determine Trip Rates) . SUBTOTAL (ADD ITEMS $ S 1,2, & 3) S n \ "1 86 4, ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 S 'DC? 9J TOTAL-CITY SDC SIt>o-:,S,1 5, SANITARY SEWER-MWMC rlO. OF PFU'S 'Z..'? x S13,25 PER PFU + S10 "1\mC ADMIN, FEE S ?I'_\-'s (Use PFU Total From Item 2 Above) ~ ~.LcL ~ Kfp Burdick SDC Coordinator (0-4-"\1 $ -z..+"~ TOTAL-MWMC SDC $ "2-905....1. . TOTAL SDC $ "Z-o"lt.> ~ 'MWMC CREDIT IF APPLICABLE (SEE REVERSE) FIXTURE UNIT CALCU~ON TABLE: Number of New Fi~1ure.nit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Batht ub.,...,.""..,..."" ,...... ,.,.,..""" ,........ ,.,......,.......... Drinking Fountain..."".....",.".,."...."...""......,."",.,., Floor Drain".............,.""...,.........."..,...".,......"...,...,. Interceptors For Grease/Oil/Solids/Etc................, Interceptors For Sand/Auto Wash/Etc.................. la undry Tub /Clotheswasher,......,...,.....,..",.....,...." 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 1 2 3 6 2 6 6 1 3 2 . 1 /Head 2 2 1 6 4 ?, ~ TOTAL FIXTURE UNITS = 4- '2. "2- ? \'2. '27;:> Based on assessed value. If improvements occurred alter annexation date in table, CREDIT CALCULATION TABLE: r~alculate credtts separates, Year Annexed Rate per $1,000 l Assessed Vatue Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 $2,66 2,64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 1989 1990 S1.69 1.35 1.15 0,92 0.59 0,23 IJ Credtt for Parcel or Land Only If Applicable -Z,l."c, X $ G\. \ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL --z.c..+~ = Improvement (H alter annexation date) = ,L'( = $ -z..'-r~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid entia!..."" ,..,...""....,..,..,.,....",............ ,..... 0.4 Commercia!.."",.,..,.,. ..",.....""""" .""",.., ,..."" 0.9 I nd ustrial.....,.,..,.....,....",........", '.',..................., 0.45 Governmental..."........ ,.".,........"."...,......".,...,. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT S'-UINCPIELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 .City Job Number OFFICE: 726-3759 1. LOCATION OF INSTALLATION 4452 Ivy Street LEGAL DESCRIPTION 18 02 05 21 TL 7700 JOB DESCRIPTION S F Residence 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 INSTALLATION ONLY Electrical Contractor Rose Corp. Address 89976 Day Lane Ci ty Eugene . Phone 686-0905 Supervisor License Number 1568S Expiration Date 10-1-92 Constr Contr. Number 54431 Expiration Date 9-30-92 Signat~ luper;vi~ Electrician ( /:-;&. ./ /lcru:' Owners Name D, Capstone Homes, Inc. of Oregon Address P_O_ Box 22636 Ci ty Eugene, OR 974D1hone. 689-556:77 OWER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: I h')( PJ I RECEIPT t1: ~ l'-t I RECEIVED BY: 1) #\ 3. COHPLETE FEE SCHEDULE BELOII A, New Residential-Single or Hulti-Family per dwelling Service Included: unit, Cost Sum ?6 Items 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof ~ach Hanuf'd Home or Hodular Dwelling Service or Feeder I '-~ $ 85.00 $ 15.0045 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40,00 C, Temporary Services or Feeders Installation, Alteration.or Relocation B. 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 200 amps or less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see. "B" above New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36,00 One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit /7C? ~~ /'3t;.. S&>