HomeMy WebLinkAboutPermit Building 1993-11-09RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
SPFlINGFIELD
856 South 44th PLace
-)
2fr,
JOR NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
#sP79
78020521 TAX LOT:340 IASSESSORS MAP:
88A
LOT:BLOCK SUBDIVISION Lucerne Meadows
6 B9-5567
Eugene, OR 97402 ZIP:STATE:
Caps tone Homes, Inc. of Oregon PHONE
P .O. Box 226 36
CITY:
ADDRESS:
OWNER
NEW XX HEMODEL ADDITION DEMO!.ISH OTHER
denceSingJe FamiDESCRIBE WORK:
-
auck/Hamter Eiect. 353 S. 68th P1. SpfTd,OR 97478
CONTRACTOR'S NAME
oR 97405
Capstone Homes,
Fridl-und PTumbing 85628 Di77 Lane
ELECTRICAL:
oR 97402
7 44-1 165
EXPI RES
62078 10-18-93
PHONE
5 89-5567
ADDRESS
Inc. of OR P.O.B.
CONST.
CONTRACTOR '
22636 Eug.,oR 97402GEN EFIAL:
PLUMBING
MECHANICAL:
H,
_ll_q$__J2_14_23 ._7 46-e4 i3
70545 72-21-93 344-2487Garibag Heating 4207 W. 5th Ave.
89423 3-5-94
Q(,L(&q,("s',-)\-n,OUAD AREA:*3RP/
SOUARE FOOTAGE:
\
FLOOD PLAIN
_ OFFICE USE _
LAND USS:
OCCY GROUP:
# OF BLDGS ZONING CODE:
# OF BDRMS
SECONDARY HEAT:
,I OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:WATER HEATER:
* OF STORIES:
\tt \
To request an inspection, you must call 726-3769.'l-his is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
l-l Temporary Electric
L___l R'4
Rouoh Mechanical - Prior to l\7
"oro",. N/zAo 44 t,r'. i, -(Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to ffi finat Etectrical - When allQ.electricai work !s complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.V1 Electrical Service - Must be,)A\rpprorecl to obtain pcrmancnt
electrical power.
[aZ Final Mechanical - When alllA(mccnanical work is complete.
pl finat Building - When atl€required inspections have been
approved and building is
completed.
x.Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Masonry - Steel location, bond
beams, grouting.B
X
tr
Framing - Prior to cover.
,K,
OtherFoundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to f illing trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONS
[V Undertloor Plumbing / Mechanical
JA- Prior to insulation or decking.Wood Stove - After installation
K Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When ail
blocking is complete.
lVl Floor lnsulalion - Prior to]Adecxing.J\zl'Curbcut & Approach - After
)Atforms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.E
EI.
B
X
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
p| Sidewalk & Driveway - After
,,F{.gxcavation is complete, {orms
and sub-base material in place.
[-l Fence - When completed.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.@t""t Trees - when att required
tTtrees are Pianted.
Water Line - Prior to filling
trench.
r
tI
Lot faces
Lot sq, ftg.
Lot coverage
Topography
Total height
420
z_?90
.*1,
Lot Type
-)(nterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L HSE GAR ACC
N
S
I{ 'E PROPOSED WORK IN THE
IJIsI.ORICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER? ..-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVEDE18
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecl 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
n violation of any provisions of said ordinances'
Receipt Number:----
upo aa
Date Paid
Received By:
Plan Check Fee: --
BUILDING PERMIT
wu
(A)
tFTX$ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
state surcharge
Total Fee
45/P'' Z?.fs
4z:,Et
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT C
(B)
HARGE (SDC) Its#zz*fs
ADDITIONAL COMMENTS
ITEM
Fixtu res
Hesidential Bath(s)
Sanitary Sewer
Wate!'
Storm Sewer
Mobile Home
N' 5 /?z{o
FEE
FT.
FT.
FT.
(c)282-/b
a
PLUMBING PERMIT
d3Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
,__ -
19.2e(D)
Oroa
-lgafa-@
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
20soe+t
/QPO
/,9b
MECHANICAL PERM!T
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
information hereon is true and correct, and I further certify
that iny and allwork 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
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.
S ignatu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Total Miscellaneous Permits (E)
a@f ', fru^ {-;i- i
Sidewatk -@- t
curbcut 37 ,,
Demolition
State Surcharge
l?Pe-
//-uo
VALIDATION
RECEIPT NUMBE
DATE PAiD
ATVICUNT REC
013
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combinecl)
3asz?F RECEIVED BY
3b
?_
,fu /%*
/
2>o+Jt---
d-
JoB No. letcot
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
}IORKSHEET
(C0MMERCIAL & RESIDENTIAL)
NAME OR COMPANY:
LOCATION:b {S.+4Its a-\$o oq2r b{ot
DEVELOPMENT TYPE: LDg-- N.E\^I 5Fg-
BUILDING SIZE:OT SiZ sQ. Ft.
1. STORM DRAINAGE
IMPERVI0US SQ. FT.2to-1 x $0.203 PER SQ. FT-
2. SANITARY SEWER-CiTY
NO. OF PFU'S
(See Reverse)
z7 X $42.08 PER PFU
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x $424.31
x $424.31
x $424.31
x
x
x
ol
4 SANITARY SEI.IER-Mt,lMC
NO. OF PFU'S Z? X $15.125 PER PFU + $10 MtllMC ADM FEE
(Use PFU Totallrom Item 2 Above)
Mt.lMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL AB0VE) X .05
$
$
5 bnls)
5 7t
2 +le
5
Kip Burdick
SDC Coordinator
o1 b7
TOTAL SDC $ ?Zb+z
^ 6coZ-
FlxTuRE uNlT;cALcuLAT| - ITABLE:r'rumoerorNewFixruresxur-quivalent = FixlureUnits(N)T'E
;;;;";;"1s, calculSie only the Nf additional fixtures)
NUN4BER oF uNlT FlxruRE
NEW FIXTURES EOUIVALENT UNITS
FIKTURE TYPE
Bathtub....-.-
\z
Drinking Fountain--""
z
/Head
2
1
2
J
6
2
6
.6
1
3
2
1
2
?
1
2
z
\z
-, 2-
6
4
Gothes,waEher - 3 Or More...--..---.
Mobile Hdiie Park Trap (1 Per Traiter)"""""""""
Receptor For Ref rigeratorflVater Station/Etc" " " "
Receptor For Commerclal Sink/Dishwash e r/Etc-'
cREDlr CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
Shower, Single'Stalt-
Shower, Gang--.----..--
Sink. Bar, Commercial
Urinal, StaltflVall..--
Wash
Water
Water Closet, Private.-----.--.."'-'"
Miscellaneous:
calculate credits sepaGltes.
Credit for Parcd or tand Only lf Applicable
lmprwement (f after annexation date)
9
b
TOTAL FIXTURE UNITS
x$t.o 7 -71D-\
(Rate X Assessed Value)x $-
Assessed Value)
NAGE
v .2t
(Rate X
EDIT TOTAL = $b6CB
RUNOFF COEFFICIENTS FOR STORM DRAI
u
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate Per $1,00O
Assessed Value
1986
1987
19BB
1989
1990
1991
1992
s 2.24
1.93
1.57
1.18
0.79
o.44
0.28
1979 or before
1980
1981
1982
1983
1984
1985
s3.21
3.13
3.08
2.96
2.82
2.68
L51
IMPERVIoUSAREA=TOTALLoTSIZExRUNoFFCoEFFICIENT
CITY OF OFEGO'U
SPRI. JFIELE,
m #5P79
225 PTYTE SltsBET
SPRINGFIEID, OREGON
INSPECTION REQIIBST:
OPPICB: 726-3759
1 LOCATION OP855 South 4
9
4 th P I ?igfrtorized Signature
Ila[J:xl'.3:1?""1
r2ts':9eg
?ilxP$::,[r'Jl:
,nrro"ttt-*@
tollowin0U6€ ELECTRICAL PERHIT APPLICATION
3. COHPI..ETB PEE SCEEDT'I,B BELOS
es1 dential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
City Job Number q3l33lp
IJGAL DESCRIPTION18020521 TL 340 I
JOB DBSCRIPTION
Sin l-e Famil Residence
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT{ITACTOR INSTALI^ATION ONLY
Electrical Contractor f{AJc^(cle< Y
Address 3S3 g'c.Et* fe
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
SI'BTOTAL OP ABOVB
5Z State Surcharge
TOTAL
_L
-a
&
4s
Ci ty Or'phone /Llq1 | US
q1y.17
Supervisor License Number 3SrrS
Expiration Date /O- ,-?f
^ ::
Constr Contr. Number Y 1'123"
Expiration Date 3-5
Slgnature of sing Electrician
OwnerS Name Capstbne Hones, INc. of Oregon
,
Address P.O. Box 22636
Ci ty Eugene, OR 97402 Phone 689-5567
O9NER INSTALI,ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Sigpature:
DATE:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nly
sf+D
B
c
E
s 8s.00
s 1s.oo
s 40.00
$ s0.00
s 60.00
$100.00
$130.00
$300. o0
$ 40.00
$ 2.00
Sum
aSove-
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 amps or less L $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTts see rrB'r
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
s 3s.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utline Lighting S
l,imi ted Energy/Res
-
S
Limited Energy/Comm S
not included)
40.00
40. 00
20.00
5
RECBIVED
J1{"
/7+,',o
_tc