HomeMy WebLinkAboutPermit Building 1994-03-15I t?-
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK
SPrIINGFTELO
830 South 45th PTace
q4DADA
JOB NUMBER
225 Fi fth Street
Spri ngf i eld, Oregon 97 477
SP 85
78 02 05 I 2 TL 6400ASSESSORS MAP:
l_39 A
TAX LOT:
LOT:BLOCK:SUBDIVISION:Lucerne Meadows
6 89-5567
OWNER:Capstone Hones, fnc. of Oregon P}]ON E
ADDRESS:P.O. Box 22636
CITY:Eugene, OR 97402 STATE ZIP:
DESCRIBE WORK:SingJe FamiTg Residence
NEW XX REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
Homes, Inc
ADDRESS
of ')R P .O.8.
EXPI RES
10-16-94
PHONE
5 89 -5567
CONST.
CONTNACTOR #
22536 Eug.,OR 97402 52018GENE
PLUMBING Fridlund Pl-umbing 85628 Di77eg Lane Eug.,OR 97405
-
57835 12-14-s4 745-9431
MECHANICAL Garibag Heating 4207 W. 5th Ave. Eug.,OR 97402 70545 72-21-94 34 4-2 48 7
ELECTRICAL:Hauck/Haruner El-ect. 353 S. 68th p7. SpfJd. ,OR 97478 8942 j 3-5-94 7 44-1765
- OFFICE USE
1 FLOOD PLAIN:
ZONING CODE
I OF BDRMS:
SECONDARY HEAT
SQUARE FOOTAGE:
OUAD AREA:
, OF BLDGS
OCCY GROUP:
Y OF STORIES:
WATER HEATER:
LAND USE:
g OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE
To request an inspection, you must call 726-3769. This is a24hour recording. Ali inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Sr"-norary Etectric
M
Site tnspection - To be made
after cxcavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanilary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
lrTf Rouoh Mechanical - Prior toA{cove-r. u/za<t dl, F,Z
ffruh Electrical - Prior to
f,7 Electrical Service - Must beA\<pprored to obtain permanent
electrical power.
Final Plumbing - When all
plumbing work is comPlete.
Final Electrical - When all
electrical work is complete.
K
K
VFoundation - After forms are
l*u""t.o but prlor to concrete
placement.
fftu-tng - Prior to cover'
K,iliteilins lnsulation - Prior to
Rtr*ull - Prior to taning'
Fireplace - Prior to facing
materials and framing lnsP.
Wood Stove - After installation
lnsert - After firePlace aPProval
and installation of unit.
Curbcut & APProach - After'
forrns are erected but Prior to
placement of concrete.
Slreet Trees - When all required
trees are Planted.
IVf rinat Mechanical - When all
lAmecnanical work is complete.
[F finat Building - When all
,frrequired inspeclions have been-approved and building is
completed.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.
Other
MOBILE HOME INSPE TIONS
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.
,x,
,E;"f *S,,'.",:X1,;, I,ji
or to rI oor
K K
&1 ,,ru*rlk & DrivewaY - A(terAx"aration is compiete, forms
and sub-base material in Place'
F
E
trr tl
[-l Blocking and Set'UP - When alllJ blockino is complete.r
l-_l Fence - When comnleted'
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Tvoe
Y,n,ur,o,
-_
Corner
-- Panhandle
-- Cul-de-sac
Set ks
6252
Z?O
IS THE PROPOSED WOFIK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
ZZ?O-f,s
P.L.HSE GAR ACC
N /5b
S 2/
5a
E t3
BUILDING VALUE, PLAN CHECK
AND BUTLDING PERMIT
ranted on the express condition that the said
in all respects, conform to the Ordinance
adopted bY the CitY of SPring
eviewed BY 4#/P
mbe
This permit is g
construction shall,field, including the
nstruction and use ofnt Cocie, regulating the coDevelopme revoked at any timeay be susPended or
s of said ordinances.any provisi
Received
buildings, and m
upon violation of
Plan Check Fee:
Date Paid:
Fleceipt Nu
BUILDTNG PERMIT
ZS
"/
xFT.
i
I
(A)
2z 6h
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) B
(B) t'z+os'J- '-'
ADDITIONAL COMMENTS
st z
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
FT.
FT.
(c)
/q'2 ra
Plumbing Permit
State Surcharge
Total Charge -2e:2e-Lf
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
N0
213.h,
54,c3(D)
5r_
ao
3.*/69o
a.o
@
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
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 certif y
that any and all work performed shall be done in accordance
with the Orclinances of the City of Springfield, and the Laws
of the State of Oregon pertai ning 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 70'1.055 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.
Sig natu re
Date
MISCELLANEOUS PERMITS
Total Miscellaneous Permits (E)
4o,@p/*t /aza<l ftt
Mobile Home
State lssuance
State Surcharge
Sidewalk fle n
curbcut 3b tt
Demolition
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
32/Of7
(-
(lVALI DATION
AMOUNT RECEIVED
UMBERRECEIPT N
DATE PAID 4
U !,-0,
y'2,ao
-td39t 1lo-l- d,
NAME OR COMPANY:
- JOB NO.14o 202
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
}IORKSHEET
(cot'tMERcIAL & RESIDENTIAL)
xlc. O F ORL@NoA,
LOCATION:Xqo 9. +5 rt 7t-. lSozo5tz-Tt 4oo
DEVELOPMENT TYPE:LDZ - NCW 5re
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT
2. SANITARY SEWER-CiTY
NO. OF PFU'S
(See Reverse)
LOT SiZ
2lr-Y x $0.203 PER SQ. FT.
X $42.08 PER PFU
x $424.31
. Ft.
7,
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/..olxi
x
--
x $424.31
x x $424.31
4. SANiTARY SEl,lER-t'4h|MC
NO. OF PFU'S 27 X $15.125 PER PFU + $IO MI.JMC ADM FEE
(Use PFU Total From Item 2 Above
Mt.lMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
ADl\4iNISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X .0s
$
$
s Tst tJ
4.1 ,J
5
O'L
L859
Kip Burdick
SDC Coordinator
.L Z3
TOTAL SDC $2 b85
tblz
FIXTURE UNIT CALCUI-A' )N TABLE:
i"i r",n"O",s, calculSie only the Nfl additional fixtures)
FIKTURE TYPE
Credit for Parcd or tand Only lf Applicable
lmprovement (rf after annexation date)
Number of New Fixtures ) it Equivalent = Fixture Units (NOIE:
UNIT
EOUIVALENT
Z3
annexation date in table'
4'L x$t'3 '15
(Rate X Assessed Valu e)x$
NU|\{BER OF
NEW FIXTURES
(Rate X Assessed Value)
CREDIT TOTAL
FIXTURE
UNITS
I,-+
Z
7
2
1
2
J
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
n-
Bathtub--.-----
Drinking Fountain"'-"
Shower. Gang------""'
Sink, Bar. Commercial
Urinal,4
Wash
Water 4
Water Closet, Private""""" """'
Miscellaneous:
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value' lf improvements occurred after
calculate credits
7-
$44
Year
Annexed
Rate Per $1,000
Assessed ValueYear
Annexed
Rate Per $1,00O
Assessed Value
1986
'1987
19BB
1989
1990
1991
1992
s 2.24
1.93
1.57
1-18
0.79
o.44
0.28
1979 or before
19BO
1981
1982
198s
1984
'1985
s.21
3.13
3.OB
2.96
2.82
2.68
2.51
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
0.4
0.9
0.45
0.5
Residential.
Commercial...........-.----.-
lndustrial-...
lMpERvlous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
+4 t
t!
Willamalane
Park & Recreation District
fob No.
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS:
LOCATION OF PROPOSED BU!LDINC S
Strea Address own:
Platt Na Tax Lot Number:
1. DEVETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Sinsle Familv - Detached
II Single Family home Manufactured home not in a park
srnrr:1Q[- ztP qC'\CC)
s4t)o,oc,NO OF UNITS
B. Sinsle Familv - Attached
NO OF UNITS
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
X $400 PER UNIT =
X $370 PER UNIT =
X $277 PER UNIT =
X $280 PER UNIT =
WPRD SDC $
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet. $
3. TOTAL WPRD NEt SDC ASSESSED (lf SDC reduced for Credit) $
$
$
$
Community Services
City of Springfield
on Date
6
:)fuJ-l!.-
CITY OF OREGO'U
5P .FIELI,
The lollowlng pro]ec.t ae eubmitted haa the
zonlng, and does not require epecific iancl
approral.SP 85
225 PTFtg STRBET
SPRTNGPIELD, oREGoN 97477
INSPBCTION REQUEST: 726-
OPPICB: 726-3759
376ed,s 3-lb-.qq City Job Nunber
Adhorized srgn'*"" 3\iQoxp- -rE -EB scmDUIJ BELoII
A.
1. LOCATION OF INSTALI.ATION830 South 45th Pface
LEGAL DESCRTPTION
18 02 05 I 2 TL 5400
JOB DBSCRTPTION
SingTe Fanilg Residence
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONI?ACTOR INSTALI.ATTON ONLY
Elec t rical Contractor t{4./q(HA,**ui Ae..?
Address 393 S-. tot"* ?e
sfh eL phone /qq', t 65
EIJ TRICAL PERI{IT APPLTCATION
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
I tems Cos t Sum
1000 sq. f t. or less t--- S 85.00
Each additional 500
es lo
sq. ft or portionthereof 3 Sls.oo 4,5:aoEach Hanuf'd Home or
Hodular Dvelling
Service or Feeder S 40.00
Ci ty
q111Y
Supervisor License, Number 3Srrg
Expi ration Date IO-l -9f
Constr Contr. Number 81r,lzit
Exp iration Date 3 -5-g+
B. Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OP ABOVE5f State Surcharge
TOTAL
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
Temporary Services or Feeders
Installation, Alteratlon or Relocation
2oo amps or ress / s 4o.oo 4{)
201 amps to 400 amps
-
S 55.00
-over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTts see rrB, a6dt
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
-Limited Energy/Comm Jtgg
) rya^ ra
$ s0.00
s 60.00
s100.00
s130.00
$300.00
s 40.00
Slgnature of
*
sing Blectrician
QwnerS ll4111g Capstone Homes , fnc. of Oregon
Address P.O. Box 22636
ci Eugene, OR 97402 phone 689-5567
OgNER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATB:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
s 40.00
$ 40.00
$ 20.00
s 36.00
5
v\tr-RBCEIVED 7--Tva
zonins.!)A-
rt
c.