HomeMy WebLinkAboutPermit Building 1994-05-05a-'l /L
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPr|I,{GFIELO
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 417
LOCATION OF PROPOSED WORK:837 South 44th Street SP 89
ASSESSORS MAP:78 02 05 2 I TL 5o0o
LOI:BLOCK
TAX LOT: _
Lucerne ,s
OWNER:Capstone Homes r fnc of Oreqon PHONE:6 89 -5 567
ADDRESS:P.O. Box 22636
g1y. Eugene, OR 974Q2 _ STATE ZIP:
DESCRIBE WORK:SingTe Famifu dence
NEW xx REMoDEL
CONTRACTOR'S NAME
Capstone Homes fnc.
ADDITION DEMOLISH OTHER
ADDRESS
of OR P.O.B. 2
CONST.
CONTRACTOFI #
7 402
EXPIRES PHONE
GENERAL:2536 Eu 62018 1 0-16-q4 69 9-5 567
PLUMBING FridLund pTunbing 95629 Dijfe g Lane Euq . ,oR 97405 51835 72-14-94 7 6-94 3 3
MECHANICAL:Garibag Heating 4207 W. 5th Ave.Eug.,OR 97402 70545 12-27-94 i44-2 48 I
ELECTRICAL:au 353 s. 68th Pf. S d oR 97478
(
E
\
)
_ OFFICE US
OCCY GROUP:
FLOOD PLAIN
ZONING CODE:
# OF BDFIMS
RANGEWATER HEATER
r OF STORIES:
r OF UNITS:
LAND USE:QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUABE FOOTAGE:
CONSTR. TYPE
HEAT SOURCE:
To request an inspection, you must call 726-37681. This is a24hour recording. All inspec,tions requeste,J before 7:00 a.m. will bemade the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[)1] Temporary Eleclric
l-- \l
Vfoofing - After trenches arelA{ excavated.
Si{e lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plurnbing/ Electrical /
Mechanical - Prior to cover.
Masonry - Steel location, bond
beams, grouting.
Foundalion - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Final Mechanical - When all
mechanical work is complete.
Final Building -- When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocki ng is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been approved
and the home is connected to
the service Panel.
ffifinat Electrical - When ailfelectiical work is cor-nplete.
Final - After all required
insDections are aPproved and
oorches, skirting, decks, and
ventinO have been installed'
tr
tr
K
ffi=ireptace - Prior to facingts malerials and framing lnsp.
.K
A
F
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain perm;lnent
electrical power.
Final Plumbing - When ailplumbing worl< is complete.
tr w
raming - Prior to cover
Wall/Ceiling lnsulation - Prior to
cover
[*nderlloor Plu mbing / Mechanical-t - Prior to lnsulation or decking.
Fil Post and Beam - Prlor to floor
7N insulation or decking.
ffiftoo. lnsulalion - Prior to
f decking.
p i*in: sewer - Prior to rirrins
rVl"storrn Sewer - Prior to filling
!Ntt"n"n.
fi7t Water Line - Prior to filling
)E.I trencn.
k 7l Roush Plumbing - Prior to
YJ coret.
'ffiOrVwall - Prior to taping.
Wood Stove - After installation.
lnserl - After firePlace aPProval
and installation of unit.
Street Trees - When all required
trees are Planted.
t
SUBDIVISION:
?,,,
tl
r
E
rl-7'Curbcut & Approach - After
rFLfurms are erected but Prior lo
Placement of concrete.
#i€fiewalk & DrivewaY - A{ter4 ur""rution is complete, torms
and sub'base material in Place'
f---'l Fence - When comPleted'll
E
PL.rsc GAR ACC
N
J
E
IS HE PROPOSED WOtlK IN TH E
HISTORICAL DISTRICT' OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED
rb
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
t{/oe
/ lnterior
-=-- Corner
-
Panhandle
-
Cul-de'sac
Plan Check Fee:
Date
NS Rev
E, l
PE
KcEcHPNLALUVAGDLNUBITMRNGUDLBDNA dsaihehatotincondiexthonpresenratedrmIShiTsSpeancetnotherdtonformcorests,al pectnalionshtruccon hdncnusnedSofprisCehvbyoadedpt
U ofotianndUCn strheoCatngreenodCgue,o pmDevel meatanykedrevoSeddSUbepennandmaybutdgs,
n ceanidSAordonofrovSoflonatanypviolUpon
r"beUm
eived B
Date Paid:
ReceiPt N
BUILDING PERMIT
(A)
b5
c
uilibSO. FT.ITEM
Main
Garage
CarPort
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'GE (sDc) g
frtfi82"
RHcANTEPLOMEDEVMSESYST
(B)
ADDITIONAL COMMENTS
/AI
ts+r a\nnaxl_
ITEM
Flxtures.
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
FT.
FT.
(c)
No!
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT L 0
1
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
informationhereonistrueandcorrect,andlfurthercertity
that any and all work performed shall be done in accordance
withtheordinancesoftheCityofSpringfield,andtheLaws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structurewithoutpermissionoftheBuildingSafetyDivision.
ltUrthercertifythatonlycontractorsandemployeeswho
are in compliance with ORS 701'055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom the street, that the permlt card is located at the f ront
of the property, and the approved set of plans will remain
constructiondurion the site at
Signatu re
Date
I ti
MISCELLANEOUS PERMITS
itsTotal Miscellaneous (E)
ft
ft
Demolition
u rch
Mobile Home
State lssuance
State Surcharge
Sidewalk
Curbcut
AMOUNT BECEIVED
RECEIVED BY
-
DATE PAID
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
CO
%
CITY OF SPNNGFIELD, ONECON
225 PTFrE SIT.BBT
SPRfNGFIELD' OREG0N 97477 zoni LD<
INSPBCTION REOTIEST:
OPFICE: 726-3759
Authc!.ized
1. LOCATION OP INSTALI,ATION
837 South 44th Street
I.^EGAL DESCRTPTION
l_8 02 05 2 I TL 5000
JOB DBSCRIPTION
Sin e FamiT Resr
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI|TRACTOR INSTALI,ATION ONLY
Electrical Contractor H cle<-?
Address 193 9- ef -n ?L
Ci ty sf+D O(phone ?4q'( | Q5
Supe
q'N17
rvisor Liteirsl Number 3S rr.9
Exp iration Date l}-l-1d
constr contr. Number 81q23:t
Expi ration Date
Signature ofzl
zzQr-?J_6e5i ::_q.r City Job Number
N.;43. COHPI..ETB FEB scmDI,Ia BELog
SPRt}IELE,
use
ELB TRICAL PERI{IT APP
A . Nev Residential-Single or
Multi-FamiIy per dvelling unit
Service Included:
f tems
The following.proJect as submitted haa thszontng, and does not require speci{ic landapproval.
h
ON
Cos t
s 8s.00
s 1s.00
s 40.00
$40
s40
$20
$so
lD,rt)
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular DveIling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
D
STETOTAL OF ABOVB
5Z State Surcharge
TOTAL
_l_
^b
w
#
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-401 amps to 500 amps
-601 amps to 1000 amps-
Over 1000 amps/vo1ts
Reconnect 0nly
200 amps or less I $
201 amps to 400 amps $
0ver 401 to 600 amps
-
$
0ver 600 amps or 1000ETfs se
Branch Circuits
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited Energy/Res
-Limited Energy/Comm
$ s0.00
$ 60.00
$100.00
s130.00
$300.00
$ 40.00
00
00
40
55
80
e
c
sing Electrician .00ilBil a56E
00
00
00
00
- -,\
-
t-1,
QwnerS Name Caps tone Homest Inc. of Ore gon
Address P.o. Box 226i6
Citleuqene, oa 97402 Phone 689-5557
OgNER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
ovners Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t $ 2.00
B. Hiscellaneous (Service/feeder not included)
5
RECEIVED
rt
Willamalane
Park & Recreation District qfltb
4mp
SYSTEMS DEVELOPMENT CHARC E
WORKSHEET
PHONE:
fob No.
0NAME:
ADDR t_srArE:W.^rftilA
LOCATION OF PROPOSED N
Street Address if
Platt Name:Tax Lot Number:
1 DEVETOPMENT TYPE (Check appropriate dwelling(s). sDC calculations and dwelling type
Eefini-ions are on the back-)
"taD 4{*
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
A. Single FamilY - Detached
I
\ Single FamilY home Manufactured home not in a Park
X $400 PER UNIT =
X $370 PER UNIT =
X fi277 PER UNIT =
X $280 PER UNIT =
$
$
$
$
OD
$
2.SDCCREDIT(lfapplicabte)SDC-payermustfurnishproofofWPRDCreditL'
;i;;t G sDt'Credit worksheet'
3. TOTAL WPRD NEt SDC ASSESSED (li SDC reduced for Credit)
b-,5-
$
$
Date
I
City o(
Services
------
JoB No. 14o lL6
a F )REGo
^l
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
T.IORKSHEET
(CoMHERCIAL & RESTDENTTAL)
C*rtTc N L mEe 'fnt cNAME OR COMPANY:
LOCATION: 87'7.s. 4 u4t-5r /8 -o'z -a5 -z I Seao
DEVELOPMENT TY
BUILDING SIZE:
PE: L R 5FlZ
LOT SiZ F sQ. Ft.I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
NO. OF PFU'S
(See Reverse)
2t1 0 x $0.203 PER SQ. FT.
2. SAN ITARY SEt,/ER-C ITY
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
Z X $42.08 PER PFU
x $424.31
x $424.31
x $424.31
X /. c
x
X
4. SANITARY SEWER-MWMC
$
$
NO. OF PFU'S
(Use PFU Tota I From Item 2
MI,,MC CREDIT IF APPLICABLE (SEE REVERSE)
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X .05
Kip Burdick
SDC Coordinator
$15.125 PER PFU + $10 MI./MC ADM FEE S V518J
Above)
r4
ZV
5
TOTAL-MWMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)S 2-t o G'5
o
5i44o
b1s4
TOTAL SDC 5 2?rg t9-
/
/t
FIXTURE UNIT,CALCUI-J ON TABLE:
For remodels, calculSie o"ty tn" NL{ additional fixtures)
Number of New Fixtures
NUN4BER OF
NEW FIXIURES
lnit Equivalent = Fixlure Units (NOTE:
FIXTURE
UNITS
UNIT
EOUIVALENT
FIKTURE TYPE
8athtub..-""
Drinking Fountain"""""'
Miscellaneous:
CREDIT
calculate
CALCUI.ATION
credits
Credit for Parcd or tand Only lf Applicable
lmprorement (rf after anne>cation date)
TABLE: Based on assessed value' lt improvem
2
TOTAL FIKI-URE UNITS
2'
ents occurred after annexation date in table'
3 ,ZI x$79 4 +,L
(Rate X assesJed Vatue)
x$
I
'1/
2
1
2
J
6
2
6
6
1
3
2
1/Head
2
?
1
6
4
-7Rate
X Assessed Value)
CREDIT TOTAL $ 449
Assessed Value
Rate Per $1'000Year
Annexed
Assessed Value
Rate Per $1'0O0Year
Annexed 1986
1987
19BB
1989
1990
1991
1*2
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
1979 or before
1980
1981
1982
1983
1984'1985
s.21
3.13
3.08
2-96
2.82
2.8
2-51
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Sink. Bar'
Urinal,
Wash
Water
Water