HomeMy WebLinkAboutPermit Building 1993-06-23SPrlINGFIELr)
RESID ENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759 ?ft,
JOB NUMBER
225 Filth Street
Springfield, Oregon 97477
#sP70844 South 45th piace
LOCATION OF PROPOSED WORK:
18020512 TAX LOT 22
ASSESSOBS MAP:
138 A SUBDIVISION Lucerne l4eadows
LOT:BLOCK
' P.O. Box 22636
ADDRESS:
6 89-5 557PIlONE:
97402ztPORSTATE:
Capstone Homes, Inc. of Oregon
CITY:Eugene,
OWNER:
NEW xx REMoDEL ADDlrloN DEMoLISH orHER
FamiTq ResjdenceDESCRIBE WORK:SingJe
FridTund PTumbing 85628 Di77eg Lane Eug.,OR 97405 5j835 jz-j
Garibag Heating 4207 w. 5th Ave. Eug.,oR 97402 70545 jz-2L-93 344-24g1
4_e1 746-9433
Rose Corp. 89976 Dag Lane Eugene, OR 97402 54437 9-30-95 686-0905
PLUMBING
GENEBAL:
MECHANICAL
ELECTRICAL:
CONTRACTOR'S NAME ADDRESS PHONE
6 89-5567
EXPIRES
70-78-9 3
CONST.
CONTFIACTOR #
.,oR 97402 62078Capstone Hoilles, Inc- of OR P.O.B. 22636 Eu
WATER HEATER:-
# OF UNITS
CONSTR. TYPE
HEAT SOURCE:
RANGE:SOUARE FOOTAGE:
SECONDARY HEAT:
FLOOD PLAIN
ZONING CODE:
r OF BDRMS:
OUAD AREA
_ OFFICE USE _
LAND USE
# OF BLDGS:
OCCY GROUP:
* OF STORIES:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requesteC before 7:00 a.m. will be
made the same vroi.king day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
wWr"^o"rarY
Electric
w
M
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to f illing trench.
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Fireplace - Prior to facing
materials and lraming lnsp.
Framing - Prior to cover,
Wall/Ceiling lnsulalion - Prior to
cover.
Drywall - Prior to taping
Wood Stove - After installationz*o-r'64tn
lnsert - After f ireplace aPProval
and installation of unit.
Curbcrrt & Approach - After
forms are erected but pri9l 1o
placement of concrete.
Sidewalk & Driveway - After
excavation is comPlete, forms
and sub-base matcrial in place.
Street Trees - When all required
rrees are plarited.
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work ls complete.
w
w
w
w
w
M
W
m
W
w
W Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
ano the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
f-7 Post and Beam - Prior to floor
L4J insulation or decking.
f-y'| Ftoor lnsulation - Prior tol4J decking.
ffi Sanitary Sewer - Prior to fillingFU trench.
ffi Storm Sewer - Prior to filling+lJ trench.
l-71 Water Llne - Prior to filling
{J trencn.
1-l'l Roush Plumbing - Prior to@ cover.
r
tl
tl
E[--l Fence - \ /hen comPleteci.
P.L.HSE GAR ACC
N /a'
S /2
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot;ype
Y',n,"r'o,
-
Corner
-
Panhandle
+
Setbac ks&227&
3$Cul-de-sac
A DITION C
rS THE PROPOSED WOBK IN THE
HrsToRlcAL DrsTRtcT, oR ON h ;-
THE HISTORICAL REGISTERP TL,&J
lf yes, this application -u"t F(ign"o
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
ME
J[TSi',/s*P-eza38,4
SQ.
(A)
X
u
BUILDING PERMIT
VALU E
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrmit is granted on the express condition that the said
construction shall, in all respects, conform tc the Ordinance
adopted by the City of Springfield, including
Developrrrent Code, regulating the construction an
buildings, and may be suspended or revoke
_G_7e
P Date
tb{
upon violation of any provisions
Plan Check Fee
Date Paid
Receipt Numbe
Received By
eof
time
ances.
SYSTEMS DEVELOPMENT CHA
(B)
RG
#
E (sDc) B
Ltbt s3
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
EZP
(c)
FT.
FT.
Fi.
N0 1
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ez6?9G
ZE
Dryer Vent
Zfu-ttz =/(fu
a?
(D)
6
,/*a--T
fr*
_9fl2
/a-7
Wood Stove/ln
Vent Fan
/'2-
,/2 _a
Mechanical Permit
lssuance
State Surcharge
Total Permit
2.4F
{7.7A
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
in{ormation 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 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 f urther agree to ensure that all reguired inspections are
requested at the proper time, that each address is readable
frorn the street, that the permit card is located at the f ront
of the property, and the approved set of plans will remain
on the site at all times during construction.MFre?-)reSignatu
Date {-r2^12
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewatk y'Z t,
Curbcut ?? I
Demolition
State Surcharge
Total Miscellaneous Permits (E)
?-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
z4a/
RECEIVED BY
21882AMOUNT RECEIVED.
DATE PAID .23 .
VALIDATION:
RECEIPT NUMBER -
omh!
t
Nrr
r..l
4a:4'7a.*
v+-T:l
JoB No . 9go Glt
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(coMmERCIAL & RESIDENTIAL)
NAME OR COMPANY t4 To Intc aF Oee
4.1 5.uct*/9 ozoE I z - c.4ooLOCATION:8
rIe 9f-RDEVELOPMENT TYPE:L
SIZ S a. Ft
BUILDING SIZE:
1. STORM DRAINAGE
Z
IMPERVI0US SQ. FT.Zztol x $0.192 PER sQ. FT.
SAN IT ARY SEWER -CITY
No. oF PFU'I Zb x $39.78 PER PFU
(See Reverse)
3. TRANSPO RTA ION
NO OF UNITS X TRIP RATE X COST PER TRIP
I x l-o-oE- x $4ol .05
sX
X
x $40I.05
x $401.05 s
4. ADMINISTRATiVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .05
5. SANITARY SEl/lER-MhlMC
NO. OF PFU'S 29 X
(Use PFU Total From Item 2
suBToTAL (ADD ITEMS 1,2, & 3) s l15z'!
TOTAL-CITY SDC
$13.62 PER PFU + $10 MI,JMC ADMIN. FEE s ?z*9
Above)
3tt9
MI,JMC CREDIT IF APPLICABLE (SEE REVERSE)
Kip Burdick
SDC Coord'inator
TOTAL-MI,'IMC SDC Z zt2
1
TOTAL SDC $? IbIry
I
,t
.I
,fiURE UNIT CALCUI-ATIUN TABLE: ruumuer of New Fixtures X U,
or remodels, calculate only the NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
-quivalent = Fixture Units (NOTE:
UNIT FIXTURE
EQUIVALENT UNITS
L +
DrinkingFountain.............,...........:
Floor Drain..
I nterceptors For Grease/Oil/Solids/Etc..'.'-'......-..
I nterceptors For Sand/Auto Wash/Etc..........---....
Laund ry Tub/Clotheswasher
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 Per Trailer)......--.....-....
Receptor For RefrigeratorAVater Station/Etc.....'..
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.
Bathtub.......2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
I
Head
Sink, Bar, Commercial.
Urinal, Stall/Wall....1Wash Basin/Lavatory, Sin91e..........
Water Closet, Public lnstallation..
Water Closet, Private...-.z
lr4iscellaneous
TOTAL FIXTURE UNITS L3
CREDIT CALCULATTON TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
2.7 x s ll.oo 3 t'2
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL _ $
L
5
ru
x$
7t'2
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1 981
1982
1983
.:1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1 986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
..---_-
CITY
ILLU
225 FTFTE STREET
SPRINGFIELD, oREGON 97477
TNSPECf,ION REQUEST| 726-3769
OPFICE: 726-3759
1
ELECTRICAL PERHIT CATI
City Job Number
VD %COHPLETE FEE SCEEDULB BELOV
Nev Resitlehtial-Sing1e orHuIti-Family per dvelling unit.Service Included:
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/OutIine Lighting- S
Limited Energy/Res S
Limited Energy/Comm S
# sP 70
$ 1s.00
not included )
40.00
40.00
20. oo
LocATIoN 0F INSTALLATTON \t\1s,\;72844 S. 45th pLace - l/'
I.EGAL
18 02
+l}A
ft
B2. COT{TRACTOR INSTALI.ATTON ONLY
Electrical Contractor Rose Corp.
Address 89976 Dag Lane
Ci ty Eugene phone 586-0905
Supervisor License Ndmber 1568 s
Expiration Date 10-1-93
Constr Contr. Number 544jJ
ExPiration Date 9-30-95
Signature o lsrng tri cian
Ovners Name ca e Hores, Inc. of Oregon
Address P.o. Box 22636
city Eurene, OR 97402 phone 689-5567
OVNER INSTALI"ATION
The installation is being made on
property I own vhich is not intendedfor sa1e, Iease or rent.
Ovners Signature:
DATE:
RECEIPT *:
I tems Cos t
$ 8s.001000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manufrd Home or
Modular DveIling
Service or Feeder $ 40.00
Services or FeedersInstallation, Alterations or
Relocation:
200 amps or less
20L amps to 400 arps
-401 amps to 500 amps
-601 amps to 1000 amps-
over 1000 amps/vo1ts
-Reconneet 0n1y
Temporary Services or FeeCersfnstallation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
200 amps or less S 40.00
0ver 401 to 600 amps g 80.00
0ver 600 amps or 1000 vofEs see uBn aEIF
JOB DESCRIPTION
SingTe FamiTg Residence
Sum
8S
#Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days.
s s0.00
$ 60.00
$100.00
s130.00
s300. 00
$ 40.00
c
E
53 SUBTOTAL OF ABOVE
5f State Surcharge
TOTAL
/?-@--*-'E=
-/79:FRECEIVED BY:
Ia