HomeMy WebLinkAboutPermit 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