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HomeMy WebLinkAboutPermit Building 1991-09-13SPRINGFIELD q \mqRESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office; 726-3759 JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PRO 992 S. 44th Street S 7 ie7d, OR 97477 ASSESSORS MAP:TAX LOT: LOT:12 BLOCK:SUBDIVISION Lucerne Meadows OWNER Capstone Homes,Inc. of Oregon PHONE:6 89-5 567 ADDRESS:P.O. Box 22536 CITY:Eugene ,STATE:OR ZIP:97 402 DESCRIBE WORK:Single FamiTg Home NEW X'X REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS Inc. of OR P.O.B- CONST. CONTRACTOR # 226i6 tug.,on 97402 EXPIRES 62078 10-18-97 PHONE 5 89-5567GENERAL:Capstone Homes, PLUMBING S-J PTumbing Co. 1747t Main St.SpfTd,OR 97477 46664 3-78-92 747-5989 MECHANICAL:Garibag Heating 4207 W. 5th Ave. Eug.,OR 97402 70545 12-21-97 344-2481_ ELECTRICAL:Rose Corp. 89976 Dag Lane Eugene, OR 97402 54431 9-30-97 686-0905 _ OFFICE U T_LAND USE:l\1,FLOOD PLAIN * OF UNITS:ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOUFTCE: # OF BDRMSASECONDARY HEAT SQUARE FOOTAGE:WATER HEATER a RANGE:€. To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same worklng day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS B Temporary Electric a Rough Mechanical - Prior to cover.a Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. a Rough Electrical - Prior to A Final Electrical - When all electrical work is complete.cover, Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover.a Electrical Service - Must be approved to obtain permanent electrical power. m Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.B a a Fireplace - Prior to facing materials and framing lnsp. a zZ€*U,lrK€ Framing - Prior to cover. r Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Olher ,x Wall/Ceiling lnsulation - Prior to cover, a a a a tr E 6 e Underground Plumbing - Prior to filling trench.[7 Drywall - Prior to taping. MOBILE HOME !NSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Posl and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulalion - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete.Sanitary Sewer - Prior to filling trench.Electrical Conneclion - 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. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.l---l Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planled. 421 Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.a OUAD AREA: * OF BLDGS: F6- r E E r f_l Plumbing Connections - WhenlJ home has been connected to water and sewer.a r Lot faces Lot sq. ftg. Lot coverage Topography Total height Tav 4e2z* OE' Lot Type rt tnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N /a S /o E za J E PROPOSED WORK IN TH H ISTORICAL DISTRICT, OR THE HISTORICAL REGISTE lf yes, this application must signed and approved by t Coordinator prior to pe istorical rm t issuance. APPROVED: Main Garage Carport X $/SO. FT. 3a-3 BUILDING PERM!T ITEM SQ. FT. /3ta VALUE ?4,3f7 4n, a/la Total Value Building Permit Fee State Su rcharge Total Fee TBEf 4>Z /a'e 38*.&(A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted 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 upon violation of any provisions of said ordinances.* Plan Check Fee Date Paid Receipt Numbe Recei By: 4 ewed Date '^fir!qW,'"SYSTEMS DEVELOPMENT C (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No4 /az-5e FT. FT. FT. (c) /?z-;P 7ae2,o2.8 ADDITIONAL COMMENTS MECHANICAL PERM!T Fu rnace Exhaust Hood Vent Fan Wood Stove/ lnsert No- a aPe' 4..se q- -o CE ?-*? t>1-e:* /?-<a /o-4 --2r,6j_65.1" Mechanical Permit lssuance State Surcharge Total Permit (D) ace Un By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information 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 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. Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk 62 ,, curbcut 26; fi Demolition State Surcharge 7>-€ /e.-o Total Miscellaneous Permits (E)"3.& RECEIPT NUMBER RECEIVED BY VALIDATION DATE PAID AMOUNT RECEIVED ZI ToTAL AMouNT DUE (excludins electricaO 27/635 (A, B, C, D, and E Combined) /"=' t t/-zo 225 FIFTB STREEf, sPRrNGrrEID, ORBGON 97477 INSPBCTION RBOUBST: 726-3769 OFFICE: 726-3759 1 LOCATION OF INSTALLATION 992 S. 44th Street IJGAL DES(N,IPTION 18020521 06300 JOB DESCTIPTTON S F 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. COIiITRACTOR INSTALI.ATION ONLY Electrical Contractor Rose corp- Address 89976 Dag Lane Ci Eugene Phone 686-0905 Supervisor License Number 156 8S Expiration Date 70-1-92 Constr Contr. Number 54431 Expiration Date 9- 30-91 Signat Electrician gvners 11"r" Capstone Homes, Inc. of Oregon Address P.O. Box 22636 city Eugene, OR 9740Qyron" 689-5557 OIINER INSTALI.ATION The installation is being made on property I own vhich is not intended for sale, lease or rent. 0nners Signature: BI..BCTRICAL PERI{IT APPLICATI ON Ci ty Job Number qtogq 3. COHPIJTB PEE SCEEDULE BELOS A 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 1s.00 $ 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/volts Reconnect Only Nev REs.idential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost I g Bs.oo 5 55 0b -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limited Energy/Res S Limited Energy/Comm S st,ttrN(;FtELo ST'BTOTAL OP ABOVE 5Z State Surcharge TOTAT Sun B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 s 40.00 c. D. Branch Circuits Nev, Alteration or Extension Per Panel one Ci.rcuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps or ress t g 4o.oo 4D Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrB" above 40.00 40.00 20.00 36.00 DATE: RECEI PT OF SPRc, RECETVED BY: 5 CD %g CITY ' -SPRINGFIELD SYSTEHS DEVE WORKSHEET * -,{ENT CHARGE 1t o q+l NAME OR COMPANY:L 5 Irrc . of 6Pec-oxl LOCAT I ON :nnu 3 . L^+t! E+I kc'>oq:-ut - OtlVoo DEVELOPHEN T TYPE: LDE_ BUILDING SIZE: I. SIORM DRAINAGE NO. OF PFU'S Zb 3 OT SIZ X $38.55 PER PFU $ 3+B- a Is Unknown) s e,P,Ggj s 3to sj sQ. Ft. ? rHpERvrous sQ. tr. t&-?+ x $0.185 PER SQ. FT. (See Reverse For Runoff Cbefficients If Actua'l Imperv. Are SANITARY SEWER-CITY (See Reverse To Determine Total PFU'S) TRANSPORTATION IiO OF UNITS X TRIP RATE X COST PER TRIP I x [.oo5 X$388.61 x s388.51 S- x _ x $388.61 (See Attachment C To Determine Trip Rates) -1LSUBT0TAL (ADD ITEMS 1,2, & 3) S ltot->- 4. ADHINISTRATIVE FEES sBl '2-q BASE CHARGE (SUBToTAL ABoVE) X .05 s- TOTAL-CITY SDC S I?OT 9 5. CREDITS IF DEVELOPHENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: T0TAL-CITY SDC X (50%) = ADJUSTED CITY SDC s 1.1/* 5. SANITARY SEt.lER.}.II{I'IC NO. OF PFU'S ,?.t $13.25 PER PFU + 510 Ht.lHC ADHIN. FEE s2rlq12Y (Use PFU Total From Item 2 Above) HI{HC CREDIT IF APPLICABLE (SEE REVERSE)r (z+'J) T0TAL-H MC SDC S.,4o*a Kip Burd ck SDC Coordinator V-yo-I $ lq11 gTOTAL SDC FIXTURE UNIT CALCUI-ATIO. I TABLE: Number or New Fixtures X Un, For remodels, calculate only the NEI additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub.2- Drinking Fountain. Floor Drain. I nterceptors For Grease/Oil/Solids/Etc............... I nterceptors For Sand/Auto Wash/Etc................. Laundry 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. Shower, Gang................. Sink, Bar, Commercial........... Urinal, Stallfffall. Wash Basin/Lavatory, Sin91e.......... lVater Closet, Public lnstallation.. Water Closet, Private...... Miscellaneous: 't, TOTAL FI)CTURE UNITS t .luivalent = Fixture Units (NOTE: UNIT FITTURE EOUIVALENT UNITS + 7 l?- Zb ? ead 2 1 2 3 6 2 6 6 1 3 2 1/H 2 2 1 6 4 CREDIT CALCUI.ATION TABLE calculate credits separates. -13-9 19BO 196r 1982 1 983 1gtr Based on assessed value. lf improvemenis occurred after annexation date in table. Yeai' Annex:d Rate per 51,000 Assessed Value il 52 5c 2.U 2.53 2.41 2.19 2.04 '3S: 1986 1987 1988 19@ 1990 s,.a: 1.35 1.15 0.92 0.59 0.23 I Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) 'L,bb X$1.t (Bate X Assessed Value)x $_ (Rate X Assessed Value) CREDIT TOTAL = g Lr+LI '?-4': Year Annexed Rate per 51,000 Assessed Value RUNOFF COEFFICIENTS FOR STORIVI DRAINAGE Residential.. Cornnrercial............ lndustrial..... Governmental......... C.: C3 0..:5 0.5 ItuIPERV|OUS AREA = TOTAL LOI' SIZE X RUNOFF COEFFICIENT t b