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Home My WebLink AboutPermit Building 1994-05-053f rtz SPN!NGFIELc, RESID ENTIAL PERMTT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATI'JN OF PROPOSED WORK: h, JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 SP 888l-2 South 44th Street ASSESSOFIS MAP l_8 02 05 2 L TL 5300 TAX LOT: LOT:22 BLOCK:SUBDIVISION:Lucerne Meadows OWNER:Capstone Homes, Inc. of Oregon PHONE:6 89-5 567 ADDRESS P.O. Box 22636 CITY:Eugene, OR 97402 STATE:ZIP SingJe EaniTq Resjdence CONTRACTOFI'S NAME GENEFIAL Capstone Homes PLUMBING Fridiund Pfumbi 85628 MECHANICAL Gariba Heatin ADDRESS Inc. of CR P.O.B. 226 CONST. CONTRACTOR #EXPIRES PHONE 36 Euo - .OR _92492 _62018 10-15-94 6s9- 7 f2 -t4-94 746-9433 4207 lrt. 5th Ave. Euq.,OR 97402-70545 7 2-7 -qz ?zt-2t91 Hauck/Hammer Elect. 35i S.68th Pl-.. Sof 7d. oR 97478 8942 3 3-5-94 7 4 4-1165ELECTRICAL: _ OFFICE USE _ QUAD AREA: # OF BLDGS OCCY GROUP: # OF STORIES: --WATER HEATER: - LAND USE , OF UNITS CONSTR. TYPE HEAT SOURCE: RANGE: V FLOOD PLAIN ZONING CODE: # OF BDRMS SECONDARY HEAT SOUARE FOOTAGE: To request an inspecilon, 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, lnspections requeste,J after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS ffi f"-P"rarY Eleclric Rx Rough Mechanical - Prior to cover.fr Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Y4 Pinat Electrlcal - When all ,,Aetectrical work is comPlete.cover. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. Electrical Service - lVlust be approved to obtain Perrnanerrt electrical Power. Final Mechanical - When all mechanicai work is comPlete. ffl_footing - After trenches areu excavateo.& X Fireplace - Prior to facing materials and lramlnq lnsp' '- f/rinrl Building - When all Yt'equired inspections have been approved and building is comPleted.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover, I ff-foundation - After forms are Ferecled but Prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS 8 tr F F Underlloor Plumbing/ Mechanical - Prior to insulation or decking'Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After firePlace aPproval and installation of unit. Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior to Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench. lacement of concrete. Slorm Sewer - Prior to filling trench. fu ;g;,: ^u 3'::"#;,'" ; Ai';: and sub'base material in Place Electrical Connection - When blocking, set'up, and Plumbing inspections have been aPProved and the home is connected to the service Panel. tr Waler Line - Prior to filling trench. Fence - When completed' Street Trees - When all required trees are Planted' Final - Alter all required insoections are approved and oorches, skirting, decks' and ventinq have been installed.f,Z Rougtr Plumbing - Prior to Bcover. I ,7 DESCRIBE WORK: NEW xx REMoDEL ADDlrloN DEMoLISH orHEFl *3RS 0 tr r r Lot faces Lot sq. ftg. Lot coverage Topography Total height Vd,ee - / tnlenor -- Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR N S E ACC ,O THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted 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' Plans Reviewed BY &r./{*w Plan Clreck Fee: Date Paid Fleceipt Numbe i ved LU ,:/ (A) X$/SQ. FT.o. BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHA DC) +d!(B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. FT. FT. No PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Wood Siove/ lnsert/ Fireplace Unit Drver Vent I Orru ltttL-ffi;; lssuance State Surcharge Total Permit (D) CD NoVent Fan By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther 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 pertainlng 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 tl-rat only contractors and employees who are in compliance with OFIS 701.055 will be used on this proiect. I f urther 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. Signature Date l--' { - t-Q4 MTSCELLANEOUS PERMITS Mobile Home State lssuance Total Miscellaneous (E) rc tS Demolition State Surch ft ft Sidewalk Curbcut TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /LG7/ f- t"f4 .dr--->t* DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBEB lW@ I ctrY ot onEGOil I require 225 PTFIH STREBT SPRTNGFTELD, ORBGoN 97477 LD< INSPECTfON REQUESTz 726*?169 Sr S-q !0PPICB: 726-3759 Authorized Signatu N.1. LgcATroN OP INSTALT^A,TION8f2 South 44th Street LEGAL DESCRTPTION LB 02 05 2 I TL 53oO JOB DESCRTPTIONSingJe FamiLg Residence Jl;,49r*fj:,;:l Permits are non-transferable and expireif vork is not starred vithin 1g0 diysof issuance or if vork is suspended for180 days. SPRI :IELE'; SP 88 ELECTRICAL PERHTT A?PLTCATION City Job Nunber q DIZ ,1 tr. . coxplrtg PEE SCEEDT.ILE BELOV A. spec#ic land 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 as subm rtted hm the Nev Residential-Single orMuIti-Family per dvelling unit.Service fncluded: 2. COIIIBACTOR INSTALI.ATION OIILY B Electrical Contractor H clQ ? Address 353 g_ tot'* {e Ci ty Sf{o O(Phone /'t'l-t 11"5 supervisor Li?"l*: Number 3srrg Expiration Date -?r constr contr. Number 81,,lzi;c Signature of sing Electrieian Owners Name Capstone Homes , fnc. of Oregon , Address P.o. Box 22636 Ci ty Eugene, OR 97402 phone 689-5557 OgNER INSTALI,ATTON The installation is beirig made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: Items Cos t s 8s.001000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf,d Home or Hodular Dvelling Service or Feeder s 15.00 s 40.00 Services or Feedersfnstallation, Alterationsor Relocation: $ s0.00 s 60.00 s100.00 $130.00 s300.00 $ 40.00 Temporary Services or FeedersInstallation, Alteratlon or Relocation Sum On--f,) *d,200 amps or less i S 4O.OO 201 amps to 400 amps T $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000loTts see I'8, D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2,00 E. Miscellaneous (Service/feeder not inc -Each installation s40 $40 S20 S36 aSovf luded ) Pump or irrigation Sign/Out1ine Lighting- Limi ted Energy/Res -Limited Energy/Comm 00 00 00 00 5 SUBTOTAL OP ABOVE 5f State Surcharge TOTAL DATE: RBCEIVED d0 t + Expiration Date .?-5j4_ x, Will-amalanePark & Recreation DiJtTi& hb uo.6,7 SYSTEMS DEVELOPMENT CHARCE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUI NC Street Address if Platt Name: PHONE: STATE: )f\ Tax Lot Number: Manufactured home not in a park X $400 PER UNIT = X $370 PER UNIT = X $277 PER UNIT = X $280 PER UNIT = $ $ P / 1 PEVF!-OPMENT TY|E , (9heck appropriate dwelling(s). SDC Calculations and dwelting typedefinitions are on the back.) A. Single Family - Detached I( Single Family home I 4lDd)NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS $ $ $ WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAT WPRD N SDC ASSESSED (lf SDC reduced for Credit) Community \ City of Springfield D tvl Date $440 4to oo CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (cot'tMERCIAL & RESIDENTIAL) NAME OR COMPANY , Ca,,',o xiE wt €> ^JLOCATION:8rz S,4 DEVELOPMENT TYPE: L BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CiTY NO. OF PFU'S (See Reverse) 3 o 'z/ 5'bc o x $0.203 PER SQ. FT X $42.08 PER PFU $ $ LOT SIZ F SQ. Ft. t8 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X x X /,c x $424.31 x $424.31 x $424.31 4. SANITARY SEWER-MWMC N0' 0F PFU'S l8 =, , $15-lz5 pER pFU + $r0 MWMC ADM FEE s zgzz:(Use PFU total-from-Ttem Z-nUovel 'rw.^' nulr rEr ]-----...- MI,IMC CREDIT iF APPLICABLE (SET REVERSE)t4 TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4)$ ta1 )5 5. ADMTNISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .0s L&_ Kip Burdick SDC Coordinator 5-7t TOTAL SDC s 2o-t4* _- JoB uo. 14o tz7 vJ tre x21 t !l' 155 FIXTURE UNIT.CALCULA'' ^lI TABLE: Number of New Fixtures x ,-"it Equivalent = Fixture units (NorE For remoderr, "ur"urailfiri;;iil additional rixtures) NUN'IBER oF uo'llr'l.r*t lff'J' NEW FIXTURES FIXTURE TYPE Eathtub--."" .L ,7 I (Rate (Rate X c FO x $-<- Assessed Value) BEDIT TOTAL 2 1 2 J 6 2 6 6 1 3, 1 2. ct Z L L g tg /Head 2 1 6 47 Miscellaneous: CREDIT CALCULATION TABLE: calculate credits TOTAL FIKTURE UNITS Based on assessed value' lf improvements x $ (3.14 X Assessed Value) occurred after annexation date in table' 44'j Credit for Parcd or t'and only lt Applicable lmprovement Qf after annexation date) RUNOFF COEFFICIENTS Residential.. $ /9 R STORM DRAINAGE Commercial"' lndustrial.--.-..--." Governmental"" ............... 0.4 --.-.-..-.-..-"" 0'9 ........ 0.45 ................. 0.5 ,000$1Rateper ValueAssessedYear Annexed Assessed Value Rate Per $1'0OO Year Annexed 1986 1SB7 19BB 1989 1990 1991 1992 5 2.24 1.93 1.57 1.18 0.79 0.44 0.28 1979 or before 19BO 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.ffi 2-51 IMPERVIOUS AREA =TOTAL LOT SIZE X RUNOFF COEFFICIENT Shower' Sink, Bar. Urinal. Wash Water Water Closet, Private""""""""' -L t 4rl