HomeMy WebLinkAboutPermit Building 1992-11-09#sP48
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3169
Office: 726-3759
SP LD
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon g7 477
LOCATION OF PROPOSED WORK:849 S. 44th Street Sprin gfieTd, On 97478
ASSESSORS MAP:
LO'l: 26
18020521
SUBDIVISION Lucerue MeadowsBLOCK:
5 89-5 567PHONE:
STATE:
Capstone Hones Oregon
CITY:
fnc. of
Eugene,
ztP: 97402
OWNER:
ADDRESS P.O. Box 22636
NEW XX REMoDEL ADDITIoN DEMoLISH OTHER
ResidenceSing:7e FamifDESCRIBE WORK
344-2487
. ,oR 97405Euql-l-eg Lanenq 85628 DiFridLund pf unbi 5 -55
GENERAL:Ca
Ave. Eug.,OR 97402Garibag Hea ting 4207 W. Sth
6297In
70545 12_21_92
51835 I 2 - 14-92 746-9433
PLUMBING:
EXPIRES
-l_B-
PHONE
ELECTRICAL:9976
MECHANICAL:
CONTRACTOR'S NAME ADDRESS
.22D.ofe Homes
CONST.
CONTRACTOR #
F
\t \
- OFFICE USE -
LAND USE:
WATEFI HEATER
FLOOD PLAIN
ZONING CODE:
* OF BDRMS:
RANGE:
SECONDARY HEAT
SQUARE FOOTAG
* OF UNITS:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
To req UCS n NS pect on you mu St c 726-3769. This is a 24 hour recording. Ail
rs requested after 7:00 a.m. will be made
REQUIRED INSPECTIONS
p(lougir Mechanicat - prior to:-- cover.
f5d Rough Electricat _ prior toj_ cover.
made he SA m e WO rki n s day,lonnspect
X r"-oorary Etectric
F7L(inat ptumbins _ When ail'7.. plumbing work is complete.
I
I\yC finrt Etectrical _ When ail7---\electrical work is complete.
ffifinat Mechanical - When ail,/- Drechanical work is complete.
/
ff+ff ; i..3;'lf:?:
",, #i il,,x,, 0".,approved and building iscompleted.
Site lnspection - To be madeafter excavation, but prior tosetting forms.
l-l Underslab p!umbing/Etectricat/
-
Mechanical - prioi to cover.
F5:g;x1"- Arter trenches are
[-l Masonry - Steel tocation, bond
-
beams, grouting.
Ma,"",r,cal Service - Must be:- approved to obtain permanent
electrical power.
Et,ireplace - Prior to facingaterialiand framino lnso.-&yO (,j_e&A
ming - Prior to cover,tr Foundalion - After forms areerected but prior to concreteplacement.
Other
fi*alttCeiting tnsulation - prior to
-
cover.
,'JffilruHd Plumbins - Prior 'fioo*ru - prior to tapins
tr
x.
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.
MOBILE HOME INSPECTIONS
l--] Wood Stove - After instailation
Posl and Beam - prior to floorinsulation or decking.lnsert - After fireplace approval
and installation of unit.
[--l Blocking and Set.Up - When ail
-
blocking is complete.
ffi'o"t';sulation - Prior to
Curbcut &Approach - After
Plumbing Connections - Whenhome has been connected towater and sewer.are erected but prior to
Sanita ry Sewer - Prior to filling pl acement of concrete.
trench _)
t-,4Jidewalk & Driveway - After14 excavation is complete, forms
and sub-base material in place.JftStorm Sewer - Prior to fillinga trench.
fi Wut"t Line - Prior to filling
Lz-t trench.
Electrical Connection - Whenblocking, set-up, and plumbing
inspections have been approved
and the home is connected tothe service panel.
Fence - When completed
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are Planted'
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed's
TAX LOT 4900
np
inspections requested before 7100 a.m. will bethe following work day.
tl
r
rq
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR O
THE HISTORICAL REG
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
P.L.HSE GAR ACC
N
S
E
SetbackLc
w
Mf;
-
Corner
-
Panhandle
-
Cul'de-sac
'pe
lnterior
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
on the express condition that the said
Receipt Number:
Rec
Reviewed BY DPI
This permit is granted
ects, conform to the Ordinanceall respconstruction shall, in including theity of SPringfield,adopted bY the C ction and use ofulating the construDeveloPment Code, reg at any timesuspended or revokedbuildings, and may be
s of said ordinancesprovision of anYupon violati
Plan Check
Date Paid:
BUILDING PERMIT
(A)
FT. x$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'*)fl12DRAEGTNHc)cMPE (s BEEVLOSMDESYST
B)
MMADDIT
\
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
F--r.
(c)
FT.
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fifeplace Unit
MECHANICAL PERMIT
(D)
d)
Mechani cal
No
m
Dryer Vent
Fu rnace
Exhaust Hood
Vent Fan
lssuance
State Surcharge
Total Permit
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
informationhereonistrueandcorrect,andlfurthercertify
that any and all work performed shall be done in accordance
withtheOrdinancesoftheCityofSpr|ngfield,andtheLaWs
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'
lfurthercertifythatonlycontractorsandemployeeswho
are in compliance with ORS 701'055 will be used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom 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'
ignatu
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewark \B ,,
curbcut 33- ,,
Demolition
Total Miscellaneous Permits (E)
Su rcha
t,AMOUNT B E
DATE PAID
RECEIVED
VALIDATION:
RECEIPT NUMBE
TOTAL AMOUNT DUE (excluding electrical
(A, B, C, D, and E Combined)
;a-
.€ro--
ctfY
225 FIFTII STREET
SPRTNGFTELD, oREGoN 97477
INSPECTION REQUBSTI 126_3769OFPICE: 726-3759
1
*ro-9D9--',,\glko til'
SI,IIIN(;FIEL()
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Manufrd Home or
Modular Dvelling
Service or Feeder
fi
ELECTRICAL PERXIT APPLICATION
Job Number qL
PEB SCEEDULE BELOS
I tems Cos t
s 8s.00
SP 48
.t
TOCATION OF INSTALLATIOH849 S. 44th Street
nat'ds,
I.AGAL DESCRIPTION18 02 05 2 I TL 4g0o
Nev Residential-Single orMuIti-Family per Avelting unit.Service fncluded:
A
c
E
JOB DESCN,TPTION
Sing,Te FamiTg Resjdence
Sum
5e
+sPermits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days.
2. CONTRACTOR INSTALIiTION ONLY
Electrical Contractor Rose corp.
=a $ 1s.00
phone 686-0905
1568 S
Services or Feedersfnstallation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect 0n1y
SI,BTOTAL OF ABOVE
5Z State Surcharge
TOTAL
B
$ 40.00
$ s0.00
$ 60.00
$100. 00
$130.00
s300.00
$ 40.00
Address 89975 Dag Lane
City Eugene
Supervisor License Number
Expiration Date 10-1-93
Constr Contr. Number 54431
Expiration lals 9-30-95
Signat rv Electrician
gvnerS Name Capstone Homes, Inc. of Oregon
AddressP.o. Box 22535
Ci ty Eugene, OR 97402pyron" 689-5567
OIJNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
RECEIPT *:
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Arldi t ional
Circuit or vith Service
or Feeder Permit S 2.00
200 amps or less $
201. amps to 400 amps _ $
0ver 401 to 600 amps _ $
Over 600 amps or 1000 volts s
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utline Lighting_ $
Limi ted Energy/Res $
Limi ted Energy/Comm $
40.00
s5.00
80.00
ee ilBil a bove
not included)
40.00
40.00
20.00
RECEIVED
5 oo
-08 I nz I b5o
CITY OF SPRIf{GFIELD SYSTET''S DEVELOPI'IENT CHARGE
WORKSHEE:T
(coMt'tERCIAL & RESIDENTIAL)
*opte:,,{xtc . oF OFE-Gror'LNENAME OR COMPANY:
{tl-lboz ob 2t- L4
LOCATION:q
DEVELOPMENT TYPE:uoP- - sl ,??
SIZ sQ. Ft.
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIoUS SQ-FT'o14 x $0.192 PER SQ- FT'
SUBT0TAL (ADD ITEMS 1'2' & 3)
Z
?. SANITARY SEWER-CITY
NO. OF PFU'S X $39'78 PER PFU
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
.oo,x $401.05
x $401.05
x $401.05
x
X
x
4
NO. OF PFU'S
(Use PFU Tot
MbIMC CREDIT IF APPLICABLE (SEE REVERSE)
$13.62 PER PFU + $10 MI,IMC ADMIN
Above)
$
s
FEE z,
z-l
q. \6\1 -r-
v'
@
$ l5qj'9
5
ADMINISTRATIVE FEES
BASE CHARGE (suBToTAL AB0VE) x '05
SAN ITARY SEI^IER'MU}4E lb
tb
alF rom I tem 2 t>
Kip Bur di ck
LL lo
SDC CO
69
ordinator
4t-l0lAL sDC $\-1 z-l
TOTAL-CITY SDC
q
I
= Fi$ure un,ts (NSE'
Number of New Fixtures X Unit Equrvalent
FIXIURE
[S"5'1-,?'1"
UNIT
EOUIVALENI
UNITS
.{
Bathtub'--'---"'-: .-""""'.--..-..--.--..------..--.-"-"'-"""'-"
Drinking Fountatn'-"'
iioo, o-rai''i#;;il;; For Grease/oil /Solids/Eac""" -""" ""
i;i;;;;i;.= For sand /Auto wash/Etc""""" """"
Laund ry Tub/Clotheswasher" -" -
Clotheswasher - 3 Or More""""""
Mobile Home Park Trap ('l Per Trailer)""""""""'
FIXTURE TYPE
Receptor For RefrigeratorAVater Station/Etc""""
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall..-----------
Shower, Gang....-----.-
Sink, Bar, Commercial
Urinal, StallflVall....
Wash Basin/Lavatory, Single-.-.-"'-'
Water Closet, Public lnstallation--
Water Closet. Private.----.---
2
1
2
eU
6
2
6
o
'l
3
L
1
2
2
1
2
zlHead
t
z-7-
z ; --g--
Miscellaneous:
TOTAL FIKTURE UNITS to
cREDtr CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
2.b2,X$ll .oo vt taCredit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
GREDIT TOTAL = $7t ra
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
19BB
1 989
1 990
1991
$2.1 6
1.90
1.60
0.25
0.87
0.50
0.16
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Commercial.
lndustrial-....
Governmental-.-..--.--...---
0.9
0.45
0.5
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
I