HomeMy WebLinkAboutPermit Building 1991-7-30
LOCATION OF PRO~OSED WORt<. (.p7'_"'~ I V7"
A~~ESSORSfI1AP: \ <)<.0A()~~ .
72A
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
LOT.
.
SPRINGFIELD
"?T,
>
BLOCK'
OWNER. Capstone Homes, Inc. of Oreqon.
ADDRESS: P.O. Box 22636
CITY' Euqene
STAT". OR
QESCRIBE W9RK.
. NEW XX REMODEL
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ADDITION
DEMOLISH
OTHER
.~~
.
9'/67 ')'q
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TJ>.X LOT:
SUBDIVISION.
o I( QDO
Lucerne Meadows
PHONF.
689-5567
ZIP:
97402
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
,
GENERAI.Capstone Homes, Inc. of OR P.O.B. 22636 Eug.,OR97402 62018
PLUMBING: 5-.1 P1umbina Cn. 7141}.; Main St.,'ipfld,m> 97477
MECHANICA' ,Garibay Heating 4207 W. 5th Ave.Euq. ,OR .97402.
ELECTRICA'. Rose Corp~ 89976 Da.j Lane Euq. .OR 97402
EXPIRES
10-18-91
PHONE
689-5567
4" .6Ji!l
..70545
.54431
?~lR_9? 747-5989
12-'21-91 344.-2481
9-30-91 686-0905
- OFFICE USE -
QUAD AREA: 0\?~(\ ./ LAND USE: \ \ \ \ FLOOD PLAIN'
. OF BLDGS: \ . OF UNIT~' . \ ZONING CODE: ill!Z..;.
OCCY GROUP: Q1~~ CONSTR, TYPE: VN : OF BDRMS' .. - ~
. OF STORIES: HEAT SOURCE: ~Cl SECONDARY HEAT:
WATER HEATER: RANG". SQUARE FOOTAGE: Iq{-~
To request an InspectIon, you must call 726.3769. This Is a 24 hour recording. AI/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.
I25t Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
~ Footing - After trenches are
excavated.
o Masonry - ~teel location, bond
beams, grouting.
~ Foundation - After forms are
. erected but prior to concrete
placement.
~ndergrOUnd Plumbing - Prior
to filling trench,
REQUIRED INSPECTIONS
aROU9h Mechanical - Prior to
cover.
~OU9h Electrical - Prior to
cove~ ,
~Iectrical Service - Must be
)6J ~pproved to obtain permanent
electrical power.
~irePlace - Prior to facing
materials and framing Insp.
~raming - Prior to cover.
~Wall/Ceiling Insulation - Prior to
~ cover.
&rywali - Prior to taping,
-r::;::::rUnd~rfloor:1'1umblngiMechanlcal...) ~ . .
~ _ Prior to insulation or decking Wood Stove - After Installation.
. , ':z et(o C~tJA~~4'
~Post and Beam :- Prior to floor
.k::::.J Insulation or decking.
~Ioor Insulation - Prior to
~ decking.
~anitary Sewer - Prior to filling
~ ~rench.
lvr"'Storm Sewer - Prior to filling
~ trench.
&Waler Line - Prior to flllln9
trench.
~ Rough Plumbing ,- Prior to
cover.
o Insert - After fireplace approval
and Installation of unit. '
~curbcul & Approach - After
forms are erected but prlor to
placement of concrete.
~Sidewalk & Driveway - After
excavation Is complete, forms
a~d sub.base material In place.
o Fence - When completed.
gg)' Street Trees - When 'all-requlred'
trees are plant,ed.
~inal Plumbing - When all
plumbing work Is complete.
0'Final Electrical - When all
electrical work is complete.
0!.inal Mechanical - When all
mechanical work Is complete.
~nal Building - When all
~~~~Ulred inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking is complete.
I
o Plumbing Connections - When
home has been con nected 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
, Ing,pectlons are approved and
-.. porches, skirting, decks, and
ventIng have been Installed:
BUILDINcr PERMIT
~X
$/SQ. FT. ~
J 1.70
11-,10
VALUE
51, 11 71 'It
r5 , "1;;1."],/t
ITEM
Main
Garage
Carport
A'c;, )i'1. st
') ')1,00
It,<;F
')'1:7,>7",
SYSTEMS DEVELOPMENT' CHARGE (SDC)'
--(Bf :\I 'Ulo1,'?S.
Total Val ue
Building Permit Fee
5tate- Surcharge-
Total.Fee _
. (A),
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N' '<,
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
/C/ 2.c;o
Plumbing Permit
State Surcharge
/t1J. ,t;c;
1,63
202.,/)
Total Charge
(C)
MECHANICAL PERMIT
;( , 00
4-.~o
q, CJeJ
/ f?,tJo
).00
Fu rnace
Exhaust Hood
Vent Fan
N'
3
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
'~7,>O
i (J) . tJo
:2 :H('
if'1 . "6f
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
'. Sidewalk 53 It /7, ?)
Curbcut Ol...tf: It ,3.10
Demolition
State Surcharge
Total Miscellaneous Permits (E) 1 r . gs:;
TOTAL AMOUNT DUE (excluding electrlcal~ 2., 6 3g', 7b
(A, B. C, D, and E Combined) ,
-I
. THE PROPOSED WORK IN THE
HISTORICAL DIST.RICT, OR O~ ........
THE HISTORICAL REGISTER?;\ ,J,J
If yes, this application ~ signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permiUs granted on.the express condition,that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springtleld. 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. q-p- -
7-<' -"9/
Receipt Number. ~I!P Sr:;;.b
ReCeiv~y: /f??~
#~~~
~.pfans.Reviewed By
?~~~s
1t?9':1. . S.e Y'S-71 ~
j~l!:J#~/d/tE
Date Paid:
- ~;~>~ar~
Systems' Development Charge is due on all undeveloped
. prope~ties within .the City limits Vo{~lch a~e 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 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 171 tir~ej dU'lng construction.
)( Signat":}IL(j; /,klu-oJ.
Date:J - 3tY1j
VALIDATION:
RECEIPT NUMBER
~6~C;d
7/31; Iq I
~<X6/.SI
~AAAJ
DATE PAin
AMOUNT RECEIVEr>
RECEiVED BY
S..'UNGt:IELD
---.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1.
L~~I~O~~N~(jTION A.
\ ~~~~41b\\orD
c-JO!LDES~PTION. ,..4.
~" "'A .()\I... J\.Q .A\10~
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 B,
Electrical contractor~~ ('~
Address BC\cC\ \n \h 9. ^ ~)
City Y.A ~ Q r\() Phonelo<(~, m(')S
Supervisor Li~nse Number \ ~ln K S
Expiration Date \D, \ .q ~
Constr Contr, Number ~31
C\.:\CJ ,~\
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
7/Jo/?1/
;109c'.;+
/,t7~
DATE:
RECEIPT t1:
RECEIVED BY:
3. COHPLETE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per dwelling unit,
Service Included:
Items Cost
1000 sq.ft. or less I
Each additional 500
sq. ft or portion ~
thereof A.
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
Sum
$ 85.00 tf. 00
$ 15.00 )~.tJ()
$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130,00
Over 1000 amps/volts $300.00
Reconnect Only $ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
I
74:?OO
Signature of Supervising Electrician
;;L2t// /2
Owners -Na~~ 0 f\ ()~~~
Address \) C) ~~. 6),Q l 0 ?,lo
(] - l (";{f I f\ One Ci rcui t
Ci ty T l...lDQ_K\OPhone 0 1'-.'-1' S~'-O I Each Addi tional .
l) Circuit or wi th Service
OVNER INSTALLATION or Feeder Permit
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
$ 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
5. SUBTOTAL DF ABDVE I >>,60
5% State Surcharge (, r(
TOTAL /~2. 7C:
do~ t\:.QICr5Cj
CITY OF4IfRINGFIElD SYSTEMS DEVElOP~T CHARGE
WORKSHEET .
NAME OR COMPANY: CAf's-ro/oJE: l-\oW\E:.<?.'- "-If, Of' O~E:.60N
LOCATION: Luc:..e.~i::. ~DOWc;. .- LoT 7'LA . Y'-I ~S T\l'l' ~-r,
DEVELOPMENT TYPE: L.,w \)Eo/-.1~I."-( -Re.~\De.f..lTIAL.
BUILDING SIZE: '?5" ,l<.fl>~"Z' 7-0.... U> PI'! LOT SIZE
I. STORM DRAINAGE
IMPERVIOUS SQ. FT. l~oo X $0.IB6 PER SQ. FT. i :??'f,~o
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S 'Z? X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
$ ~3'3Co, lOa;
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.00 s;;. X $388.61
$ S"Jo ,i?S
x
X $388.61
s
X X $388,61 $
(See Attachment C To Determine Trip Rates)
. SUBTOTAL (ADD ITEMS 1,2, & 3) $ lCoI'Z-.OD
4. ADMINISTRATIVE FEES
BASE,CHARGE (SUBTOTAL ABOVE) X .05
$ €;o.00
TOTAL-CITY sac $ lb'ti.(o()
5. CREDITS
IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL:
TOTAL-CITY.SDC X (50%) = ADJUSTED CITY sac ~ ~/A
6. SANITARY SfWER-MWMC
NO. OF PFU'S
2:2.>
x $13.25 PER PFU + $10 HWMC ADMIN. FEE $ ~I~"S
(Use PFU Total From Item 2 Above)
MWHC CREDIT IF APPLICABLE (SEE REVERSE)
$ fo..l/A
TOTAL-MWMC SDC ,$ '~H.7S
TOTAL SDC $ U>o1 :~S
y . _ ~L' J.:. 7 - <f - <; I
U Kip Burdick
SOC Coordinator
- I
FIXTURE UNIT CALCU~N TABLE: Number of New Fixtures.it Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET~ditlonal fIXtures) . ,.
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW RXTURES EQUIVALENT UNITS
Bathtub..............................,..,......,..............,....,..,..,..,
Drinking Fountain......,..........................................,...
Roor Drain.......,...,.....,..........,..............................,....
Interceptors For Grease/OII/SoIids/Etc,................
Interceptors For Sand/Auto Wash/Etc,..,.............,
Laundry Tub/Ootheswasher,........,.........................
Ootheswasher - 3 Or More..,.....,....,.......................
MobUe 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 Basln/Lavatory, Single,.......................,.........
Water Ooset, Public Installation..................,..........
Water Ooset, Private...........,..,...............,................
Miscellaneous:
2
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
t..j.
2
2
?
,.,
?
I ?_
TOTAL AXTURE UNITS
=
'2.'?
CREDIT CALCULATION TABLE:
calculate credits separates.
'I
Based on assessed value. If Improvements occurred after. annexation date In table,
Year
Annexed .
Rate per $1,000
Assessed Value
1979 Of before
1980
1981
1982
1983
1984
$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 (if 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