HomeMy WebLinkAboutPermit Building 1993-03-09SPrlINGFIELD
RESIDENT'AL
PERMIT APPLICATION
I rrs pections: 7 26'37 69
OIfice: 726'3759
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JO[' NUMBER -__
22li Fif th StIeet
lilrring{iclrj, Orcgon 3/47 /
#5P55
LocAloN oF pnoposED woRK: - -!?:*x'-491L pl-el9-spqllgftell, -o3- e747-
ASSESSORS MAP 78020527 lAX I-OT:nttcr.)
Iat 730 ALOr'BLOCK suuDIvtsloN: -. -ruq-elr?,e
Meadows
' P.O. Box 22636
ADDFIESS:
6 89- 5567F'l.l () N F_:Capstone Homest Inc. of Oregon
CITY:
OWNER
srArE: -9! --?tP:.- 97402 -
NEW xx REMODEL ADDtTtoN DEMOLISH oTl lER
7q Residence
D ESC R I B E Wo R K: - - 9-ils-19-! *!i
Fridl-und PTumbing 85628 Di77eg Lane Eug.,OR 97405
6 85 -090 5544 3l__--L-30_-. 358997 6
Garibag Heating
MECHANICAL: ------
GENEFIAL:
ELECTRICAL Rose Co
Capstone Homes, fnc.
PLUMBING:70545 72-27-93 i44-2487
oR 97402Lane E
EXtrlRt':sCONTBACTOR'S NAME PHONE
_58e-556-7
745-943i
ADDRESS
of OR P.O.B.22536 E_ug.,OR 97402 62018 J0-.18:9i
57835 12-14-93
CON:JI.coNrHncl()n /
4207 W. 5th Ave. Eug.,OR 97402
l i?CONSTR.
HEAT SO
RANGE:
_ OFFICE USE _
WATER HEATER: ---
, OF BDRMS
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
# oF ul.,llTS
F LOOD PLAIN: -
ZONING CODE:
OCCY GROUP:
A OF STORIES:
OUAD AREA:
Y OF BLDGS:
To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:oo a'm' will be
made the same working cJay, inspections requested after 7:00 a.m. will be made the following work day'
REOUIRED INSPECTIONS
N/r"-oorarv Erecrric X:;J:1: Mecrranicar - Pri.r t, D< ffffil$l'Jtt|?fl,;#X;?"iJl,{
E ln::r Electtical * Priot r. ><
t:]
'l=/Foundation - Aftcr lorms areJA{ erected but prior to concrete
placement.
(t'o-'ng - Prior lo covcr' '
[-7 walllCeilinq lnsulation - l)rior to
JA\cover.
E OrVwall - Prior to t;rPing.
l!7f Wood Stove - Af tor installirti(\rl)a' 75ap c/Drutud F/Q,
|
-_l ottrer
X
Site lnsPectiotr -
-l-o be rnacle
af ter excavation, but Prior tr:
sotting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to covcr.
Footing - After trenches are
excavated.
Masonty - Ste-'el location, bond
beams, grouting.
Underground Plumbing - Prior
to filling trench.
Electrical Service - Mttsi ltrl
approved lo obtairr l)ellllilriorlt
clectrical power.
Fireplace - Prior to fat;ittt1
rnatcrials ;rntl f ratttinl; ltts;p.
lnserl - After fircplace alrproval
and Installation of unit.
Curbcut & APProach - Aftet
forms are erected but Plior to
placement of concrete.
Sidewalk & DrivewaY - Af lcr
excavation is comPlcle, [ottns
antl sub-b;rse tnaterial in lrlai:rr'
Ferrce - Wlren cornPlcted.
treet Trees - WIit-'tt all rt"'tlttit':'l
rees are Planted
Firral Electlical - Wlrr:rr all
r:leott ical wc.rtl< il; t:<.rttllllt:lt;.
Fir-ral Mechanical - Whcn all
rncclranical work is t;otnPlele.
Final Buildirrg - Wlron all
roqtrirecl inspectic;trs ltave bectr
;rprproved arrd builclirrg is
cornpleted.
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tf
MOBILE HOME INSPE TIONS
_l Blockirrg arrd Set-UP - Wlren all
i:locking is complete.
Plunrbing Connecliotrs - Wlten
home has been corrnected to
water and sewer,B
B tJ Electrical Connecliot't - When
blocking, set-up, ancl Lrlurrrbing
inspcctions have ber:n approvo(J
arrtl tlto hotne is c(,rlnocte(l t()
thr., l;crvicc 1r;rrtel.
| - I Firral - Af lr:t all l()(ltlirDdI
-l in"l'r.,,ti<.rns ;rrc apl.rrovecl arr<J
1:orches, skirtino, decks, and
venting have been irrslalled.
'3RlL
I
tl
Kvt;11ffffi
]Vf Post and Beam - Prior to tloor
]A insulation or decking.
]s7 Floot lnsulation - Prior to
JA{ decking.
lVf Sanitarv Sewer - Prior to filling
,J \trencn.
Vf stot- Sewer - Prior to filling
A{ 1vsn6h.
IVf wrter Line - Prior to lillingZ\ trench.
'lVf nough Plumbirrg - Prior to
.Agorut
Lot faces
Lot sq. ftg.
Lot coverage
TopograPltY
Tdtal height
Lot -fype Setbacks
P.L.H GAR
HE PROPOSED WORK IN THE
}1 ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? --
lf yes, this application must be signe<J
and approved bY the Historlcal
Ooordinator prior to permit issuance.
APPNOVED
&o
ze%
ZZ?,
lq_
*
lnterior
Corncr
Pan lt arr cllc
N
- -,- Cul'<le-sac
ACC
/o /o'
23
/ol
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecJ on tlre express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Cocie, regulating the construction and use of
bUildings, and may be suspended or revoked at any time
PI s Reviewed By #L
of said ordinancests ton
Date Paid
Receipt Number
Received
upon violation of
IL-.Plan Checl<
37<
(A)
/40
BUILDING PERMIT
VALLJE
78b-24
s5// -
Total Value
Building Perrrtit [:ee
State Surcltargrl
Total Fee
sy'ue
3%-P
/?@
fuq,lo
SQ. FT, X $/SQ 'T.ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CI.IA
(B)W,|,f'&)*
ADDITIONAL COMMENTS
EhlPot,
Residcntial Bath(s) No ?
tr!.'_E
/69-*
FT.
FT.
ao
(c)
FT.
PLUMBING PERMIT
,/60,@
Plumbing Perntit
State Surcharge
Total Charge
ITEM
Fixtu res
Sanitary Sewer
Water
Storm Sewer
Mobile Home
,/ eo(e,
4Fo
/,ao
l5,uo
3aoffi3A,o
N0
(D)
[)lace U
-J
8e
MECHANICAL PERMIT
rc
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust I looti
Vent Fan
Wood Stovt:/ lnser
I f urther agree to ensure that all required Inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all tirnes during construction.Az{akSignature
t r4<Date 7*
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
sidewark /53- t
curbcut -3D n
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)9a,4s
/,5t90
sz?€
)2,50t 4, ___
VALIDATION:
RECEIPT NUMBER ;'7'f1l
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
-_
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, irncl E Cornbinerl)
262<.e
3lq lqz
T4-
E
/3"?_
427u
By signature, I state and ;r0ree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
that any and all work performed shall be done in accordance '
with tlle Ordinances <.lf the City of Springf ield, and the Laws
r:f the State of Oregon pertaining to the worl< described
herein, and that NO OCCLIPANCY will be rnade of any
:ilructure witlror.rt grcrrnissir:n of the Building Safety Division.
I further certify that orrly contractors and employees who
are in cornpliance with ORS 701.055 will be used on this
project.
P/*O {r;' A---
JoB No. Q$oo1z-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(cot'IMERcIAL & RESIDENTIAL)
NAME OR COMPANY:oNE c- oF OKEGo^i
LOCATION:8,1" 5 44 rl Vt 8oz o5z-l - 037od
DEVELOPMENT TYPE:5F<
:1-l sQ. Ft.
EE S Z5'I?
t?
BUILDING SIZE:SIZ
3
1.STORM D RAINAGE
IMPERVIOUS SQ. FT.759o x $0.192 PER SQ. FT
2. SANITAR Y SEI^IER -CiTY
NO. OF PFU,S iY X $39.78 PER PFU
(See Reverse)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X /,aab X $401.05
X x $401 .05 S
Y x $401 .0s $
s lbo'a19
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .05
TOTAL-CITY SDC
5 SANITARY SE!{ER-MWMC
N0.0F pFU,S /g x $13.62 PER PFU + $10 Mt,tMC ADMIN. F
4
(Use PFU Total From Item 2 Above)
MhlMC CREDIT IF APPLICABLE (SEE REVERSE)
L-,L
ip Burdick
TOTAL-MWMC SDC
TOTAL SDC
SDC Coordinator
I
LPE.
SUBT0TAL (ADD ITEMS 1,2, & 3)
FIXTURE UNIT CALCUI-AT. -N TABLE: t'tumuer of New Fixtures X I
For remodels, calculate only the NE additional fixtures)
NUMBER OF
FTXTURE tYpE NEW FITTURES
Equivalent = Fixture Units (NOTE
UNIT FIXTURE
EQUIVALENT UNITS
,Z
Z-
Z 2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
4
7
Drinking Fountain.
Floor Drain..
lnterceptors For Grease/Oil/Solids/Etc.-...-...."""'
I nterceptors For Sand/Auto Wash/Etc'.. --.-.-....---.'
Laundry
Shower, Single Stall.
Shower, Gang.
Sink, Bar, Commercial.
Urinal, StallflVall....
Wash Basin/Lavatory, Single......-..-
Water Closet, Public lnstallation-.
Water Closet, Private.....
Miscellaneous:
I
Clotheswasher - 3 Or More..---......-.....,i......--.......--.
Mobile Home Park Trap (1 Per Trailer).....--....-...... l'''
Receptor For RefrigeratorAVater Station/Etc.....-..
Receptor For Commercial Sink/Dishwasher/Etc"
/-
'2---B-
_ETOTAL FIKTURE UNITS
CREDIT CALCULATION TABLE
calculate credits separates.
Based on assessed value. lf improvements occurred after annexation date in table,
t3
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x$// , o 3t
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL _ $
.Z ,Y3
Stte
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
198'l
1 982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1 985
1 986
1987
1988
1989
1 990
1991
$2.1 6
1.90
't.60
o.25
0.87
0.50
0.16
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential..
Governmental..
.4
.9
.45
0
0
0
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
7Y OF OREGO'U
225 FIFTE STRBEf,
SPRTNGFTELD, oREGoN 97477 ,: LDtl
S'DIITNGFII:L(,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
eb
l- $ Bs.oo
A g 1s.oo
s 40.00
$ s0.00
$ 60.00
$100.00
$r30.00
$300. 00
$ 40.00
BLECTRICAL PERHIT APPLICATION
Ci ty Job Number
3. COHPLBTR PEE SCHEDULE BBLOS
A . Nev Residential-Single or
MuIti-FamiIy per dwelling unit.
Service fncluded:
Items Cost
#sP65
INSPBCTIoN REQLIBSTI 726-3769 ? .tlo 730FFICE: 726-3759 (r
Ss
1. LOCATION OF INSTAL;'UN
893 South 44th Pl-ace
IJGAL DESCRIPTIONrs 02 05 2 r ii t3o A C32G)
JOB DESC?IPTION
SingTe FamiTq Residence l,lclA0
Sum
%
q)
Supervisor License Number
ExPiration Date 10-1-93
Constr Contr. Number 54431
Exp iration Date 9-30-95
Signatu
C. Temporary Services or Feeders
Insta}lation, Alteration or Relocation
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Z. CONTRACf,OR INSTALI,ATION ONLY
Electrical Contraclss Rose Corporation
Address 89976 Dag Lane
city Eugene, OR Phone 685-0905
B. Services or Feeders
Installationr Alterations or
Relocat ion:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
SUBTOTAT OF ABOVE
5Z State Surcharge
TOTAL
1568 S
Supervi Electrician
D.Capstone Homes, Inc. of Oregon
200 amps or less i $ 4O.OO
20L amps to 400 amps _ $ 55.00
0ver 401 to 600 amps _ $ 80.00
0ver 600 amps or L000 volts see ilB[
Branch Circuits
g
aEffi
Ovners Name
Address P.O. Box 22636
Ci ug:ene I OR 97402 phone 689-5567
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
Owners Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Arlditional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Ptrmp or i rrigat ion
Sign/outline Light ing-
Limited Energy/Res
Limi ted Energy/Comm
$ 40.00
$ 40.00
s 20.00
$ 36.00
Z
RECEIVED BY:rOA,
5 l<.,<,&- -7s
/ e^* .^r
Thelcr,fowing prroiect er-e su$rn!{ied has the following
RECEIPT *: