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Home My WebLink AboutPermit Building 1991-11-18 I RESIDENTIAL PERMIT APPLICATION Inspections: 7.26,3769 Office: 726-3759 .' SPRINGFIELD SP19 . JOB NUMBERftllls 7 . 225. Fifth Street Springfield, Or,ego,; 97477 . - ASSESSORS MAp. 71. A 18 02 05 24 4467 Ivy Street Springfield, OR 97478 TAX LOT. 1500 LOCATION OF PROPOSED WORK' LOT: ,- BLOCK. OWNER. Capstone Homes, Inc.. of. Oregon P.O. Box 22636 AODRl:c:.c:::.. CITY. Euqene, STAT~' OR DESCRIBE WORK. ~ ~. Single'. Fa;,illl Residence NEW REMODEL ADDITION CONTRACTOR'S NAME DEMOLISH OTHER SUBDIVISION. Lucerne Meadows PHONF. 689-5567 ZIP: 97402 ADDRESS CONST. CONTRACTOR' PHONE 689-5567 - OFrlri U~E -: LAND USE: ~I . OF UNITS: I CONSTR. TYPE: ~f\J HEAT S6URCE: . f:" S y../ RANGE: REQUIRED INSPECTIONS .- I'Vl Rough Mechanical -; ,Prior to l."Cj coveT. .. I7l Rough Electrical":'" .prior to L.L1J cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. [Ll Fireplace - Prior to facing materials and framing Insp. l.2J Framing - Prior to cover. _ C!5I Wall/Ceiling Insula~lon ..:....Prlor to cover. ~ Drywall - Prior to taping. . 62018 46664 ., 70545. EXPiRES 10-18-91 GENERAl ,Capstone Homes, Inc:,of OR P.O.B. 22636 Eug:,OR 97402 ". ..' ...... pLUMBING: S-J Plumbing Co. 1147Jt Main St':' Spf1d,OR 97477 MECHANICAl. Garibay Heating 4207 W. 5th Ave. Eug. ,OR'97.402 ELECTRICAl.. Rose Corp. 89976 Dall Lane Euoene-:OR 97402. Rf6 ~ .~-\-W-. QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER: f-../ 3-18-92 747-5989 12-:21-91 344-2481 9-30-92 686-0905 54431 ., FLOOD PLAIN' ZONING CODE: (,\ )~ . OF BDRMS: ~~ SECONDARY HEAT: . ~ SQUARE FOOTAGE: c98W) 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. ~ Temporary Electric D.,Slte Inspection -, To be made after excavation, but prior to settlng forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. [X] Footing - After trenches are excavated. . , o ,Masonry - Steel location, bond beams, grouting. . IJl Foundation - After forms are LA-J erected but prior to concrete p!acement. I2'J Underground Plumbing - Prior to filling trench. [l] Underfloor Plumbing I Mechanical -' Prior to I~sulation or decking. rJl Post and Beam.- Prior to floor L,.LJ Insulatlon or decking. l1J Floor Insulation - Prior to decking, ILl Sanitary Sewer - Prior to filling trench. !Al Storm Sewer - Prior to fllllng trench. Ihl Water Line - Prior to filling LA.J trench. I2J Rough Plumbing - Prior to cover. ~t D Wo~d Stove - After installation. o Insert - After flreplace approval and installation of unit. [::KI Curbcut & Approach - After forms are erected but -prior to placement of concre~e. [Xl Sidewalk & Driveway - After excavation is complete, forms and sub.base material in place. D Fence -'Whe~ c~mplete~. [aJ Stree.t 1'rees - W~'eh' all niqulreci' trees are planted:. i__.. _' I.Tl Final Plumbing - When all ~ plumbing work Is complete. IJi'I Final ElectrIcal - When all ~ ele<;:trl7al work..is complete. ~ Final Mechanical - When all L..,AJ 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 Sel'Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. D Electrical Conn~ction ~ When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service paf'!el. ., o Final - After all required inspections are' approved and .. .. porches: ~sklrtlng, decks, and venting have been installed. Lot faces ~ Lot sq. ftg, ~ Lot coverage -'..Z!7'e? Topography ~-<~ Total height A41' BUILDIN'G PERMlr- ITEM so. FT. FBi (t'"J ' , 4'4'0 .' Main Garage Carport Total Value Building Permit Fee State Surcharge' Total Fee.' Lot Type . K Interior Corner Panhandle Cul-de-sac X $/SO. FT. ~9.70 /d 1'0 ., . (A) Setbacks HSE GARIACC C"~ '1 Is ?;' 1 I W'- g!. ,I 1 E IS', 1 I PL. IN VALUE 7/9~~ -~ 7tfb/5"2- -37~ I~ .-s:c -- 9&15.5"'0 SYSTEMS DEVELOPMENrCHARGE.(SDC~ . . - ,.. . '(B) 'fI>-z.O\'-f-~.. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ?;> Sanitary Sewer FT. Water FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan (C) Dryer Vent Wood Stovellnsert(l!"freolace UnJ!> N' -:.'f Mechanical Permit Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk s-3 ft ~S It Curbcut Demolition ;;;;;'#WB'P /2e Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE 14~ /~z '"n::> "'7: ~ 7c.:Z./'3' L:.o.....- ~ "'?5if:> -:7. ...,:> /' S"- 0..:.. "3'- ..... ':?7~/SC:> /tY."""" /,~ ii_"7L ~9 .:fb3 /7-9~ j~-~ y~- 7? ./-S- ""27:2~" ~ . THE PROPOSED WORK IN TH HISTORICAL DISTRICT, OR THE HISTORICAL REGISTE If yes, this application mu and approved by t Historical Coordinator prior permit issuance. . , APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perm~t is"granJed on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Sprl.ngfield,' 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. 4o.~ Plan Check Fee: Date Paid: Receipt Number: Received y: - ... ;..:P~' . ----~ .Plafj eviewed F61 - - . .. /-" '/6-9/ ...... Date . , , Systems Development Charg'e Is due on all undeveloped propert,ies within the City. limits wJ:llch are being improved. ADDITIONAL COMMENTS \'hJ\rb\n. 0, S\(\QQ,Q1l)t- sA+i ( n VJ~' C( I()r') \ I I O\nnQJC r0to J IY--riS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information h.ereon Is true and correct, and I further certify that any and all work performed shall be done in accordance with the 9rdinances of th~ City of Sprlngfleld, and:the Laws of the State of Oreg~n pertaining to the w'ork described ,"' . herein, and that NO OCCUPANCY will be made of any structure without permission of th.e Building Safety Division. I further certify that only contractors and employees who are In compl1ance 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. Sign~tur~(//dO ~. - -. Date VALIDATION: RECEIPT NUMBER <;/4.rr:J /(-i*, -'JI ?~20(n /p'~ DATE PAID AMOUNT RECEIVED RECEIVED BY ~ . ' . . JOB NO. q\\I~1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: C.A;f>S-ro~E. l4oME.~ . -:::Ct..K" OF O~ON. .. LOCATION: '-+'-\-(.., I:vY 'S"T DEVELOPMENT TYPE: L.v l2- - !-oJ ~v..i BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. l"'S€> X SO.186 PER SQ. FT. $. '?:><Dy.\~ (See Reverse For Runoff" Coeffi ci ents If Actual Imperv. Area I s Unknown) I<bO"2..0c:::,-z.,'-I- - \Soo LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S 2-~ X $38,55.PER PFU (See Reverse To Determine Total PFU'S) . , S '2>BCo"~ 3, TRANSPORTATION NO OF UNITS X TRIP ,RATE X COST PER TRIP X \, OO? X $38B.61 S 7;;,"'l 0 <;2-. X X $3BB.61 s X X $388.61 (See Attachment C To Determin~ Trip Rates) SUBTOTAL (ADD ITEMS 1,2, S ~ & 3) S \ Ioq\ ~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE)} .05 S ~"2- 0..J. TOTAL"CITY SDC S \I'2:~-+~ 5. SANITARY SEWER-MWMC. NO. OF PFU'S 'Z.'? x S13. 25 PER PFU + 510 MWMC ADf1IN. FEE S ~\'-\ ~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) V'.~ }J-~ ~ Kip Burdick SDC Coordinator /0 -4--"1 I s -Z '-l- ,! TOTAL-MWMC SDC S 'Z"lO~ TOTAL SDC S '2..0 \4- ~ \1 FIXTURE UNIT CALCU~N TABLE: Number of New ;ixtures.nit Equivalent = Fix1ure Units (NOTE: For remodels, calculate only the NET additional fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.......... .......... '.............., ,.. .......... ............... ,..... Drinking Fountain...........,.." ,.... ,......., ..,. ..... ..,.....,..... Roor 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 /Water Station/Etc....,... Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL....,......,..",..,....,..,........,....,..,.... Shower, Gang."..,...."..",....,.........."..,..,..,......,..".." Sink, Bar, CommerciaL......"""..,.....,;..,..,...,..,........ Urinal, Stall/WaIL...,....,.........,..".................,......,..., Wash Basin/Lavatory, Single....,............................. Water Closet, Public Installation...........,....,............ Water Closet, .Private...."......,...."............"....,......,.. Miscellaneous: '2- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 <-+ 7- \ 7- .., ? ? \"2.. TOTAL FIXTURE UNITS = 7..~ CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credtts separates, l Year . Annexed 1979 or before 1980 1981 1982 1983 19S4 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $2.66 2,64 2,53 2.41 2,19 2,04 t985 t986 1987 1988 1989 1990 51.69 1.35 1.15 0.92 0.59 0.23 Credtt for Parcel or Land Only If Applicable -Z,(.,t.. X 5 C;. \.. (Rate X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = i4-.z.J. Improvement (if after annexation date) = ..,.I"Z;:,!. = s '-, 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