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ASSESSOFIS MAP:1802052
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JOB NUML}EFI
27
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e7d, OR 9747g
SPRII\.GF IE,LI)
LOT:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Otfice: t26.St\g
LOCATTON OF pRoposED WOFIK: 861 S. 44th St
SUBDIVISION: Lucerne Meadows
7 TL 4800
225 Fi{t-r Street
Springfietd, Oregon 97 477
6 89-5567PFIONE:Box 22636
STATE: *OR_
Capstone Homes 90n! Inc. of ote
P.o
ZtP: _ 97402
CITY:Eugene.,
ADDRtrSS:
OWNER:
Single FarhiJ y Residence
ADDITION DEMOLISH OTIJER
DESCR'BE WORK
NEW xx REMoDEL
EXPIRES PHONE
--9---3-0_:9 5 - G,a-ogps
10-1 I -92 Q32.s167
l-Z-=J L- 92_ _ _Z4G =9_4j 3
12-2 1-92 34
RANGE: ___
14__
,-
I
['LOOD pLAtN: .,,
QUAD AREA:
s OF BLDGS: *_
WATER HEATER:
,{ OF UNTTS: _---_ __Q3,
SOLJARE FOOTAGE
OCCY GROUP:
Z OF STOBIES:
coNSrR. rvpe: V N-__t
HEAr SouRCE, -__F__6.- __
zoNrNG coDE: _ L4=_E-____
# oF BDRMS,_.-__3_
SECONDAFIY HEAT .
[-l Understab ptumbing
-
Mechanical - prior ffi.;,:fi fl ;"#i.: ; #X: l, :;,electrical power.
To request an inspectior-r, you must cma(,c the same workin-q day, irrspect
I -l Tarnnorary Etectr.ir:
Site lnspection - To bg rns4.
af ter excavalion, but prior tosetting [orrrrs.
all 726-3769. This is a 24 l.tour rcccirding. Allions requested after 7:0O a.nr. will bc irarlc
REQUIRED TNSPECTIONS
ffi::::r Mectranicar - t)rir>r r.
nslror;tions requestecl before 7:O0 a.m. will be:hc follc-rwing work day.
Firral Plurtrbirrr; *
1llunrbing wor k is ,
Wlrcn ;rll
<:orrrplctc.
Plutnbing Connecliorrs - Wlten
home has been connectcd to
waler and sewcr.
inspections have becn a77raved
and llre horne is connected to
lhc service panel.
Final - After all teqttired
inspcctions are approved and
porches, skirling, decks, and
venling have beert installecJ.
ugh Eloctrical - l)rir.rr. lr,r
COVCT,
Fireplace - Prior to f,acingmaterials and frarni
Fitrat Electrical - \Ay11gn 311clectrical work is corrrplete.
1 fii^^t Mechanicat - Wtrerr atl
T
rttcchanical work is complete.
@ ;;31,g ;'l*;ffi #, it,,x,, o o o.approved and builcling iscornplcted.
Footing - Af ter trcnches are
excavated.
Undergrouncl Plunrbirrg - Prior
to illing trench
Underlloor Plumbing/ Mechanical
- Prior to insulation or deckin g
/ Eleclrical/
to cover.
I--| Masonry - Stcet tocation, bondLJ bca,tns, glouting.
--J-/lrdFoundation - Aftcr forms areE erecled but prior lo concrete
placement.
Z),{t)"(LXn v
ffi::,and Beam - Prior to floor
ation or decl<ing.
excavation is complete, (ortrtr;
and sub-base rnalerial itt Plact:.
Fence - Whon comPletecl
Franring - I)r ir,tl to oov(]r,
| -f ottrer
Wall/Ceilirrg lnsulalion - [)rirrr tr.r
covcr.
wall - I'r ior to tapirrg.
MOBILE HOME INSPE TIONS
Wood Stove - Af tcr installatiorr
lnsert - After firelrlacer a;;lrrrrvirl
and irrst;rllation of ur-rit.
Blockirrg and Set'Up - When all
blocking is cornplcte.
Curbcut & Approach - Af ter
{orms are erected bul prrior to
placcment of concrete.
LJ
Sidewalk &DrivewaY - A f lur | |Etectrical Corrrrcction - \Nh(lntJ blocking, sel-uP, and Plutnbing
W:X:;suration - Pri.r to
ffi!:lrY sewer - Prior to lillins
ff;;;SSewer - Prior to rirrins
l-fl Water Line - Prior to filling
ffencn.
cover.
Plumbing - Prior to [-fi1 Street Trees - tl/hen all reqr..rirccl4trees are planted.
TAX t_o-[
_ OFFICE USE _
LANDUSE: _llt t_
Lol f:rccs
t-gt st1. ftg'
Lot coverage
ToPograPltY
Total treight
vi:",,,,,
Cortttlt
Sctba()l(s
Pt-.H5E Gnnt\@
Ate'
-. Pattlt:rtltilt:
C u l'tl t.r "';;tc;
N
(1
I I IS'TORICAL DISTRICT'
1'I'IE, IlISTORICAL REGI
APPROVED:
1I-iE PROPOSED WORK IN THF-
lf yes, this aP
:rnd aPProv
u
to
plication
bvt
si gnecl
Coordinator
H is toric a I
it issuance.
any
fleceiPt Numbe
PLAN CHECKVALUE,BU ILDIN G
RMITDING PEAND BUIL
s condition that the sairJ
ranted on the exPresThis Permit is g ntorm to the Ordinancein all resPects, coall,construction sh including thef ield,CitY of SPringted bY the ction and use ofadoPstruregulating the con
Lre susPencled orlopment Cocle,revoked at any timeDeve
buildings, and maY ordinances'provisions o{ s
L'lyReviewe
Rcct-'iv
upon violation of
Plan Check Fee:
Date Paitl:
BUILDING PERMIT
*W\iflbNlD-
l-
4g(A)
$/
q
ITEM
Main
Garage
CarPort
Total Value
Building Pernrit Fee
:;titt(-' :;llr(:llitl (l(l
Total Fce CVCrrdalLI loPetlnouccl()lri:tt-l r0Cil l(lopt)evclI I:;CIsys nbei mProvedIrCIaretrnriCinIttyhiESrtpepro^9,\f#'uAt-lCTNEMPLOEEVDSMEYSTS
(B)
ITEM
F ixtu res
Residcnti:tl t3;rtlr(s)
SanitarY Sewcr
Water
'Storm Sewer
Mobile Hottre
FEE
/b(c)
e
&
-@
PLUMBING PER MIT
Plumbing Pertlrit
Statc Surclrar(le
Total Charge
No__
r-Il
FT.
Wood Stove/ lnsert / Fireplace Unit
DrYer Vent
N
N
(D)
MECHANICAL PERMI T
Furnace
Exhaust Hootl
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
By signature, I state atrcl agree' that I have caref ully exantined
the completed applicatiJn u'td <1o hereby certify that all
information hereon is true and correct' and I turther certify
that arry anci all worl< performe<J shall be <lone in accordance
witlr tlre Ordinances ol the City of Springfield' and the Laws
o{ the State of Oregon pertaining to the work <lescribed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission ol the Building safety Division'
I further certify that only contractors and ernployees who
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 ls located at the front
of the property, and the approved set of plans will remain
ring construction.on the site at
Signature
ti
Date L
MTSCELLANEOUS PERMITS
Mobile Home
State lssuance
state surcT,"ob
.Sidewalk ri^-, - lt
curbcut 4t_ t,
Demolitlon
Tgtal Miscellaneous Permits
u
(E)
VALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT R
TOTAL AMOUNT DUE (exclucling elcctric
tA, B, C, f), a'1(t E CotttDlne<l)RECF.IVED
IV
Lt/zo/z-/ Dat{
ENTSMMCONALDITIOAD
tu6e
FT.
I
a
4D-oo
1ffi,
a ,a a
sr,r llN(;l: tr:L(J
f.
225 FIFTN STREET ::.
spRrNGFrELD, ORBGON 97477
r:ri'r 1 ". .,'':'i'ELEqTRICAL
#sP47
INSPECTION REQUBSTz 126-3169
OFFTCE: 726-3759 -.,. I
1. LOCATION OP INSTALI^ATION' '85f S. 44th Street
&_*
PERTTT APPLICATION
City Job Number q f, t7bb
COHPI.BTE PEE SCMDULB BELOg
t ial-Si ng
IJGAL DESCRIPTION
18 02 05 2 I rL 4800
HuI t i-F per dwe
Service fncluded:
Ie orlling unit.
Items Cost
/ s Bs.oo
-L s 1s.oo
2. CONTRACTOR INSTALITTION ONLY
EIeCtrical COntractor Rose Corporation
Address 89976 Dag Lane
City Eugene I oR phone 686-0905
Supervisor License Number 1568 s
ExPiration Date 1o-1-9i
Constr Contr. Number 54431
Expiration Date 9-30-95
Signature trician
gvners 1r1"mg Capstone Homes, Inc. of Oregon
Address P.O. Box 22536
ciryE:g:n:: 9!:74?2 phone 6? 291
OVNER INSTALINTION
The installation is being made on
property I ovn vhich is not intended
for safe, lease or rent.
0nners Signature:
DATE:
RECEIPT
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manufrd Home or
Hodular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/voIts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
JOB DESCN.TPTION
SingTe FamiT g Residence 3 tr
Sum&
45Permits are non-transferable and expireif work is not started vithin 190 daysof issuance or if vork is suspended ior
180 days.
B
c
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
0ver 600 amps or 1000 volts see rrB'r above
$ s0.00
$ 60.00
$100. 00
s130.00
$300.00
$ 40.00
s
$
$
$
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E Miscellaneous (Service/feeder not included)
-Each installation
40_oo
40.00
20.00
36.00
Ptrmp or i rrigat ion
Sign/Ou tline Lighting_
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
RECEIVED BY:
5 OO
i0B N0 -1't-tbub
CITY OT SPNTNGFIELD SYSTEI''IS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
C*egTo^le 4"ra* , T;tc .oF OF-ecraN
NAME OR COMPANY:
- 4goo g t9 .+4 r! ,T
LOCATION:8 ozoq 7lI
.N 9FPDEVELOPMENT TYPE:LDE
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIoUS SQ- FT-
2. SANITARY SEl^lER-CITY
3
NO. OF PFU'S l8
(See Reverse).
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
SIZ
q5+x $0.i92 PER SQ- FT.
X $39.78 PER PFU
x $40i.05
x $401.05
x $401.0s
SUBT0TAL (ADD ITEMS 1 ,2, & 3 )
S a. Ft.
I
X
x
.oo
NO. OF PFU'S
(Use PFU Tot
$I3.62 PER PFU
Above )
s
TOTAL-MI^,MC SDC
TOTAL SDC
L1
I
4 ADMi ISTRATIVE FEES
BASE CHARGE (SUBTOTAL AB0VE) X -0s
5. SANITARY SEt^lER-Mt,lMC
TOTAL-CiTY SDC
+ $10 MI{MC ADMIN. FEE 525519
b e
g
al From Item 2
MI,JMC CREDIT IF APPLICABLE (SEE REVERSE)
LJ--
Ki p Burdick
SDC Coordinator
ol
v15 tL
Z L+o2
o ,L $l 11b
/
s
o(,
FIXTUREUNITGALGUI.ATIoNTABLE:uumnerofNewFixtures
For remodels, calcutate only the NET additional lixtures)
NUMBER OF
NEW FIXTURES
FIXTURE fiPE
'?-
X tJ.,rt Equivalent = Fixt
UNIT
EOUIVALENT
ure Units (NOTE
FIXTURE
UNITS
4
Bathtub...-..-
Drinking Fountain""'
Floor Drain--....---
tntercePtors For G rease/Oil /Solid s/Etc"
lntercePtors Sand/Auto Wash/Etc'For
Laundry Tub /Clotheswasher
2
1
2
J
6
2
o
t)
1
3
2
t /Head
2
2
1
6
4
Clotheswasher - 3 Or More""""""
frll"Uifl Home Park Trap (1 Per Trailer)""'-"""""'
R eceptor For Ref rigeratorAVater-Station/ ttc" " " "
n"""p,ot For Commerciai Sint<TOishwasher/Etc"
/-
L
Wash Basin/t-avatory, Single"""""
Water Closet, Public lnstallation"
Shower, Single Stall"""'-"""""""
Shower, Gang-..--.-""
Sink, Bar, Commercial
Urinal, StallflVall-.7-z
---g-2-
Water Closet, Private"
Miscellaneous:
TOTAL FIXTURE UNITS a
cREDrr .ALCULATT.N TABLE: Based on assessed value. rf improvements occurred after annexation date in table,
calculate credits separates-
Z.AV x $/l,uo b ttz
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed
CREDIT
Value)
TOTAL =$tt2?
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1985
1986
1 987
1988
1989
1990
1991
$2.1 6
1.90
1.60
o.25
0.87
0.50
0.16
1979 or before
1980
1981
1982
1 983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential--
Commercial
lndustrial
0.4
0.9
0.45
0.5
IMPERVIoUSAREA=TOTALLoTSIZEXRUNOFFCOEFFICIENT
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