HomeMy WebLinkAboutPermit Building 1991-09-13RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
l-070 S. 44th StreetLOCATION OF PBO
ASSESSORS MAP:
71
TAX LOT:
Lucerne MeadowsLOT:BLOCK:SUBDIVISION
689-5567PHON E:
Eugene I 97402ZIP:STATE OR
Capstone Homes, Inc. of Oregon
P.O. Box 22635
CITY:
ADDRESS:
OWNER:
NEW XX REMODEL ADDITION DEMOLISH OTHER
Single FamiTg HomeDESCRIBE WORK:
Garibag Heating 4207 W. 5th Ave. Eug.,OR 97402 70545 72-21-91 344-2487
PLU M BI NG:
GENERAL:
544 31 9-30-97 685-0905Rose Corp. 89976 Dag Lane Eugene, OR 97402
MECHANICAL:
ELECTRICAL:
CONTRACTOR'S NAME ADDRESS
46664 3-18-92 747-5989S-J Pl-umbing Co. 11472 Main St. Spf7d, OR 97477
EXPIRES
10-18-91
PHONE
6 89-5567
CONST.
CONTRACTOR #
oR 97402 62018Capstone Homes, Inc. of OR P.O.B. 22636 Eu
FG
_ OFFICE USE _
WATER HEATER:RANGE
FLOOD PLAIN
* OF UNITS:
LAND USE:
ZONING CODE:
S OF BDRMS:
SLSC-,
-\
OCCY GROUP:
S OF STORIES:
QUAD AREA:
# OF BLDGS
SECONDARY HEA'II
SOUARE FOOTAGE:
CONSTFI. TYPE:
HEAT SOUFICE:
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 working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
E] t"-ootarY Electric w
a
B
4
a
B
a
a
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
COVCT,
Electrical Service - Must be
approved to obtain permanent
electrical power.
l-! Final Plumbing - When alll.# plumbing work is complete.
fl Final Electrical - When all!# electrical work is complete.
q
;4
Final Mechanical - When all
mechanical work is complete.
Fireptace - Prior to facing
materials and framing lnsp.o ar-ffi?Fn
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover,
Final Building - When all
required inspections have been
approved and building is
completed.
Olher
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
T7| Underlloor Plumbing/Mechanical| 4r - Prior to insulation or decking.
ru Post and Beam - Prior to floorLAl insulation or decking.
ffi Floor lnsulation - Prior toL+J decking.
ffi Sanitary Sewer - Prior to filling
'4 trench.
E
q
V
V OrVwall - Prior to taping.
a
a
Wood Stove - After installation
lnsert - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Street Trees - When all required
trees are planted.
E
E
[-l Fence - When completed.
w
Lot faces
Lot sq. ftg.
Lot coverage
Topography
rotar heisht N
Lot Type
lnterior
L;orner
Panhandle
Cul-de-sac
: PROPOSED WORK lN TH
H ISTORICAL DISTRICT, OR
APPROVED:
IST R?
permit issuance.
si gn ed
Coord in prior
the Historical
THE HISTORICAL
lf yes, this applica
and approved
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
v4-*
65141e7zt-*
/6.7f,
(A)
VALUE
44 Z,? ?4
67927-/D
Total Value
Building Permit Fee
State Surcharge -
Total Fee
Main
Garage
Carport
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.
Plans Reviewed By Date
PIan Check Fee:c>e
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT C
(B)
HARGE (SDC).",rr
& tqra.1 19(E'
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
Plumbing Permit
Fzp
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
/?2'Fq_6v
?o2. /7State Surcharge
Total Charge
replace Un
MECHANICAL PERMIT
o?
At€eq-57
N0 v 7
(D)
./r-P
r VentL/,//7/€ !'a-7-
Fu rnace
Exhaust Hood
Vent Fan
Wood Stove/ lnsert
Mechanical Permit
I ssuance
State Surcharge
Total Permit
/?-*7z=5€|V
:_z:
=
.4-7'n
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 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 dqring constructionrlL-Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewark 6f, t
Curbcut -28 t
Demolition
Total Miscellaneous Permits (E)
?Ak
/7 2*
/ {.20
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
2'4{8-6?.
I
(
RECEIPT NUMB R
VALIDATION
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
PL.HSE GAR ACC
N
5
E
/Ie-
Su rcharge
C'|Y OF
%
225 FIrrfl Sfi.EET
SPRINGFIELD, OREGON 97477
INSPECUON REOI BSTt 726-3
OFFICE: 726-3759
1 LOCATION OP
1010 S. 44th Street
IJGAL DESCRTPTION
18020524 03900
ELECTRICAL PERHTT APPLICATION
Ci ty Job Numbe. 4 lOq
3. COHPIJTE FEE SCEEDUIJ BELOV
A. Nev Residential-Single or
HuIti-Family per dvelling unit.
Service fncluded:Items Cost Sum
JOB DESCtIPTION
5 I' RCSJ-QCNCC
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
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-
Over 1000 amPs/volts
-
Reconneet 0nIY
200 amPs or less
201 amPs to 400 amPs
-
Over 401 to 500 amPs .--
0ver 600 amPs or 1000 voltr
D. Branch Circuits
E
l,-
A
es
B)\q\D3d s 8s.oo
s 1s.00
$ 40.00
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
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. CONTRACf,OR INSTALLATION ONLY
Electrical Contractor Rose CorP.
CitV Eugene phone 586-0905
Supervisor License Number 15685
Exp iration Date 9- 30-9 I
Signa ing Electrician
B
gllssss 89976 Dag Lane
Expi ration g71s 70-J-92
c.
Constr Contr. 5um5s1 54431
TemporarY Services or Feeders
in.i"ff"iion, Alteration or Relocation
80
$
$
$ss
40
55
.00
.00
.00
Ovners Name
Address P.O. Box 22536
Ci ty Eugene OR 97402 Phone 6 89 -5 557
DATE:
Capstone Homes, rnc of Oregon
ee ilBtr above
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit _-
s 3s.oo
l'liseellaneous (Service/feeder not included)
s 2.00
OIINER INSTATI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Ovners Signature:
-Each installation
Prrmp or irrigation
SignZOuttine Light itg--
Limi ted EnergY/Res .-
Limited EnergY/Comm
$ 40.00
s 4o.oo
$ 20.00
s 36.00
5 SIDTOTAL OP ABOVE
5Z State Surcharge
TOTAL
BRECEIVED
d)
CITY nr SPRI.NGFI ELD SYSTEIIS DEVEI ^n\ENT CHARGE + q t o Q 5 o
WORKSHEET
NAHE OR COHPANY:.o
LOCAT I ON :tt5\o a,a4tL e.t TlcLob7q - O'+c1OO
DEVELOPHENT TYPE: !*D?
BUILDING SIZE:
1. STORI.I DRAINAGE
IHPERVIoUS SQ. FT.
(See Reverse For R unoff Coe icients I
OT SIZ
x $0.186 PER SQ. FT.f Actual Imperv. Are
. Ft.
$9tu12
a Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S Zb X $38.55 PER PFU s 8,8,=,(-2
s 3qo6J
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
t x [.bog x s388. 61
x $388.61 Sx
x s-x $388.61
(See Attachment C To Determine Trip Rates) - t€.aozb
SUBToTAL (ADD ITEMS 1,2, & 3) S (5-r-r -
4
s-lq q1
TOTAL-CITY SDC s Vo11a3
5. CREDITS
IF DEVELOPHENT IS PROFESSIONAL OFFICES OR INDUSTRIAL:
ToTAL-CITY SDC X (507,) = ADJUSTED CITY SDC s u/&
5. SANITARY SEt.lER-Mt.lMC
NO. OF PFU'S 2-b SI3.25 PER PFU + $IO HI.IHC ADHIN. FEE s ?r.{13
ADI.IINISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X .os
(Use PFU Total From Item 2 Above)
HI'IHC CREDIT IF APPLICABLE (SEE REVERSE)
I
p Burdick
Coordi nator
TOTAL-HI.,MC SDC $ Zqo
(s z+'J )
9,4
K
sDc
Z- Lct - 7\
TOTAL SDC s lab1 <(.,
FIXTURE UNIT CALCUI-ATla l TABLE: t,tumoer of New Fixtures f, Llsit-Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET au-,....,nal fixtures)
NUMBER OF UNIT FI}CTURE
FI}'TURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.......
Drinking Fountain.....
L +
Floor Drain.
I nterceptors For Grease/Oil/Sol ids/Etc...............
lnterceptors For Sand/Auto Wash/Etc.................
LauMry Tub/Clotheswasher.
Clotheswasher - 3 Or More...
Mobile Home Park Trap (1 Per Trailer).................
Receptor For RefrigeratorflVater Station/Etc.......
Receptor For Commercial Sink/Dishwasher/Etc.
Sink, Bar, Commercial.1-
Urinal, StallflVall....
Wash Basin/Lavatory, Single.v
Water Closet, Public lnstallation
L 2-
ead/H
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4Water Cioset, Private.......
Miscellaneous:
2 1?-
TOTAL FIXTURE UNITS '7-7
CREDIT CALCUT-ATION TABLE: Based on assessed value. lf improverirents occurred after annexation date in table,
calculate credits sepai'ates.
Credit for Parcel or Land Only lf Applicable Z'b lo X S
(Rate X Assessed Value)
lmprovement (if after annexation date)x$
.;::
r986
1957
i98S
1989
r99l
R.l L.+!
(Rate X Assessed Value)
CREDIT TOTAL = g Z'IZ)
rsso
-
19S i
1982
1983
198,+
';a
2.53
2.41
2.'.t9
2.04
s! 63
t..rc
't.15
0.92
0.59
0.23
ri
Year
Annexai
Rate per S1,000
A.ssessed Value
Year
A.nnexed
Rate per $1,000
Assessed Value
HUNOFF COEFFICIENTS FOH STOHTVT DRATNAGE
R esidentlaI.....
Commercial...
lndustrial........
Governmental
ne
045
n<
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
t