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