HomeMy WebLinkAboutPermit Building 1993-12-30S./4-,.u.n A 1 44q e
tf fl?sals,
JOB NUMBER cj z/rl
225 Fllth Strect
Sprlngflelcl, Oregon 97 477
'ltz
SPRTNGFIELE,
RESID ENTIAL
PERMIT APPLICATION
I rrs pcctions: 726'3709
Oflice: 726'3759 h,
858 S. 45th PTace #SP 8'1
I.OCAI'ION OF PNOPOSED WOFII(:
TAX LOT:602NSSESSOBS MAP:
737 B Lucerne MeadowsBLOCK: SUBDIVISION
P,HONE:589-5557CaostoneHofies,fnc. of Oregon
OWNEB: .
ADDRESS:P.O Box 22635
Eugene oR 97402 STATI-::ZIP:
CITY: -.--
I)ESCRIBE WORl('ami7 Residence
NEW -__ ,.-NEMODEL ADDITION DEMOLISH OTHER
()oN lllnclc)lt's nJn ME N DDFIESS
CONST.
CONTFINCTOR ,/EXPIRES
70-78-93
PHONE
6 89 -5557
(jjENE1AL: Capstone F9n??,-.-Ilc.- q
.
oR P.O.B"22636 Eug ",oR 97402 62018
85528 Di77eg Lan e Eug. PR 97405 51835 72-14-93 746-9433
I)I-UMBING Fridlund Plunbing
MF-cHn Nrcn.:1 Ga74b-4g -!t-eaFtrls--42.-0J- lr-' '\Ih- Ay-e''- E-pg "
4-2
Hauck/Hanwer E7ect" 353 S" 68th P7" SPfJd,oR 97478 89423 3-5-94 7 44-7.16 5
l:l-ECTRICAt-
_ OFFICE USE _
ouAD AnEA: a.Q-s c'
r oF BLDGS: .. I - - ----
OCCY GROUP: ?3-+
WATEfl HEATIIFI: ,2 G
[__l remnorarY Electric
Sitc lnsPeclion - To bc tnadc
;r(tcr cxcav;ttion, lltlt llrior to
scttirl0 lclrtrts'
LJ
6
FLOOD PLAINLAND USE:
Z OF UNITS:L
VN
ZONING CODE:
r OF BDRMS:3
SECONDARY IIEAT
SOUARE FOOTAGE:
CONSTR. TYPE:
HF:AT SOURCE:rG €Q
TorequestaninSpectlon,youmustcallT26.3T6g.Tlrlslsa24hourrecordln0.Alllnspectlonsreques
rnaclc llrc same worklng clay, lnspcctlons requested after 7:00 a'm' wlll be made the followinEJ work
REQUTRED INSPECTIONS
RANGE:
Rough Electrical - Prior to
(:ovcr.
lectrical Scrvice - Must bc
pproved to obtain l)el'manent
ted bcfore 7:00 a.m. wlll be
clay.
x
K
X:
tr
X
x
B
ISZ Final Building - Wlrcn alllA\.requlrecJ lrrspcctlons havc becn
approved and building is
comPlctecl.
Firral Plunrbing - When all
plumblng worl< ls comPletc.
Final Elcctrlcal - When all
r:lectrlcal worl( is contPlete.
Final Mcchanical - When all
rnechanical worl( is comPIetc.
Other
[--l Fircplace - Prior to {aclngu lrratorlals ancl framlng ltrsP.
K
Framlng - Prlor to covcr'
f,Z wall/Ceiling lnsulation - Prior to
!A\"ouot.
XLot,*u'l - Prlor to tapi.s'
[-l Wooc.l Stove - After ln$tallatlon'
X
lilsert - Aftcr flreplace approval
ancl lnstallatlon of unlt'
Curbcut & APProaclt ._ After
{ornl" ,t" erected but Prior to
1:lacement o[ concrctc'
siclowalk & DrlvewaY - Attcr
;;;;;;ii." ls comPretc' forms
l."J""i'r,^te material ln Place'
Fenco - When cornpleted'
Rouoh Mecltanical - Prlor to
<;ovc"r. ZE@ ehQ. FrA,
N
Unclersl:tb Plumbing/ Eleclrical /
Meclr:rnical - 1:'rior to cover.
Footlng - Allor trenches aro
excav;rtecl.
Masonry - Steol locatlon, lrotrtl
beatns, groutlng.
Foundatioll - After forms are
erected but Prlor to concretc
placcrllen t.
Undorgrourrcl Plumbing - Prlor
to lilling trench.
or lo on
Floor lnsulallon - Prlor to
decking.
trench
clectrlcal Power.
MOBILE HOME INSPE TIONS
l-l Blockirrg and Set'UP - Whcn all
I I blocking ls comPletc'
,Kr'""; ;,ls^",i,:xl;, IJr
or ro rroo r
E
f:,:l:lrY Scwer - Prior to rirrins
Storm Sewer - Prior to lilllng
Plumbing Connections - When
irome has been connected to
water and. sewer.
Elcctrical Connection - When
;i;;iii;;' set'uP, arrd Prumbins
i';;;;;ii;"" havc bcen approvcd
;;ii;; nomc is.connccted to
the service Panel'
XY*:lLlne - Prror to
'rrine
F::*l
Prumbino - Prior to @?,:::'"1$l;Hhen
ar I rcqur red [fft**i"n',:'m,*
3q
{
t tt I
I
I
tl
E
GAR
/zN
HSE
(.Q-s __
Lot laccs
Lot sq. ftg.
Lot c()verage
TopographY
Total lrelglrt
Lot Typc
_-- lntcrior
---- Corncr
-- Panltantllc
-X "r,-uo-"u"
GZAo
23?.
17%
a3s'
Sc t bac l(s
ACC
20
BUILDING VALUE, PLAN CHEC}(
AND BUILDING PERMIT
1'his perrrrit is grantc<J on the cxprcss conditir:n llr;rt tlrc saicl
construction sl-rall, in erll rcspccts, conforrn to tlrc Otdinance
:rrlo1'ltccJ by tlro City ot $prirrl;fir:ld, rrrclucling; tlrc
Dcv<lloptttctrt Co(Ic, r'oguIat i rrg tllc corls IrLlctiorl ;tncJ r'rsc oI
bullclinlys, arld lrlay bc suspcrrdcd or rcvol(cd at ally tiil]e
Rccoipt Ntttttbc
ou
ql
-+--
Rcccive
Pla
Datc Paic.l
o( said oldinarrccs.provisiupon violation of etnY
Plarr Clrccl< Feo: ---.
VALUE
-u2a{"
VO
4)i-z{(A)
g(,cjqt
q3
d-a
?s3,
su')Total Value
Building Permit [--ee
State Surchargo
Total Fec
x $/so. FT.
aL>o-_
lq,t)
BUILDING PERMIT
ITEM SQ. FT.
Main
G aragc
Carport
-t5*t -lqa---
Systcnrs Dcvclol.rttrcnt Clrar gc is due otr all urrdcvcloped
properties witlrin tlrc City lirnits wlrich arc being irnplovctJ'SYST EMS D EV ELO P * U*r,rl HARGE (sDc) #3
#zzsoEz
ADDITIONAL COMMENTS
-A=rT - # -[3*]5c--
Cuo^bts,rue-
TOC
l q19
ITEM
Fix t u res
Besidcntlal Uath(s)
Sanitary Sewcr
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
qez
/?
l_72_{o
FT.
FT.
FT.
%2-(c)
PlumLring Permlt
state surcharge
Total Charge
Wood Stovo/ lnscrt/ Flrepl;rce Unlt
Dryer Vent
MECHANICAL PERMIT
4,So
/.eP_
4?,3s
eo6a-
(D)
N0
/-5P-_3,y
Mcclrarrical Pcrrnil
lssuance
State Sulcharge
Total Permlt
21 so
1D_.o:
Fu rn ace
Exhaust Hood
Vent Fan
By signature, I statc alld a0rec, tha.t I llave carcf ully cxanrined
tlre complctecl aplllication ancj do lrereby certi[y that'all
information lrcreon is'truc arrcl corrcct, and I lurtlrcr certily
,
that any arrd all worl< pct'fortned slrall be dollc in ;lccordancc
with thc Ordlrrarrcos ot thc Ci ty of Springfiolcl, arrd tl'tc L;rws
oI tlrc Slatc of Orcl;on pcrt;rining to thc woll< dcscribccl )
lrcrcirr, ;rtttl tlr;tt NO OCCt.,PANCY will l-:r: trt;rtjc r"r[ ;rtry
structure witlror.rt pol ttri:;sion of tllo Buildirlg S"tfcty Divisiotr'
I furthel certity th;tt ortly contractors arrd r:rnployces who
arc irr corttplianco wil.h ORS 7O1'055 will be us;cd on tltis
proicc t.
I turtlrcr aglcc to onsutc tlrat all rccltrirccJ inspcctions aro
rcqucstecJ at tlrr: prr.rpcl tiltlc, that cach addrass is teadablc
from tlrc strcet, that thc pcrmit card is located at tllc front
oI tlrc property, and tlrc approvcd sct o( 1:lans will rctnain
on il-rc sito:rt all titncs durirrg construction.
Date -_-.--- --_.
Signaturc
MISCELLANEOUS PERMITS
Mobilc Hornc
Statc lssuance
Stato Surchargo
sr<Jcwark 4/- ,,,
curbcut 31 ,,
Dcrnolitlon
i**,AWu:
W/Llrv14r.LrvoE Sb g,
Total Mlscellancous Pcrmits (E)
@.e#oe
// /;--114*--/4,%
TOIAL AMOUNT DUE (oxcluc,ling elcctrical)
(A, B, C, Q and E ComblnecJ)
g4soto
i IS'Tl.{E I'FIOPOSE,D WORK IN TI'IE
HIS'TORICNL DISTRICI, OR ON
I-}.IE I-I ISIORICAL FIEGISTER?.-Xell ycs, tl'ris ;rpplication must bc si$ncd
;.rnrl ;rp1;tovccl by tllo l'listorlcal
Cot-rt<lirrlttor prior to pollnit issuancc'
API'I1OVEI)
VALI DATION:
I]ECE,IPI' NUMBEFI
DA]'E PAID
AMOUNT RECEIVED
Ill :tlt:.lVED D\' -_-____
ta
l^lr,*
nQ.NJ L2
€/
P.L.
t:
No?v
qao
I
I
'
,
Willamalane
Park & Recreation District
fob No. a'l?'q?n
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAME:PHONE:b?q-33L)
ADDRESS:STATE: OQ ZP
-
Q-lrto)
LOCATION OF PROPOSED BUILDINC SITE:
Street Address if Known:tj\)
PlattName: I ? Cf OS- / ) TaxLotNumber:n
DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Single Family - Detached
--4 Single Family home Manufactured home not in a park
NO OF UNITS I X $400 PER UNIT =
o0
$
B. Single Family - Attached
NO OF UNITS X $370 PER UNIT =
C. Multi-Family Apartment
NO OF UNITS X $277 PER UNIT =
1
+oo
$
$
D. Manufactured Home Park
NO OF UNITS 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. TOTAT WPRD NEf SDC ASSESSED (lf SDC reduced for Credit)
$
$
$
SB;rl,, *-\"-
Services Division
gfield
-9:-aYtSz_commrfiity
City of Sprin
Date
40aoo
roB No. lofitq
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
IIORKSHEET
(col'lt'IERcIAL & RESIDENTIAL)
NAME OR COMPANY:Oaesrolte e9 fxc o&E at,
LOCATION:g5e e.4 r Tlt
DEVELOPMENT TYPE : LPA. I'IEN SFK
BUILDING SIZE:OT SIZE sQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.2215 x $0.203 PER sQ. FT-
2. SANITARY SEWER-CITY
'21 X $42.08 PER PFU
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
NO. OF PFU'S
(See Reverse)
3
X
X
x
l.ot x $424.31
x $424.31
x $424.31
4. SANITARY SEt^lER-MWMC
NO. OF PFU'S ZV
s
$
$15.125 PER PFU + $10 Mt^lMC ADM FEE s 351 87
(Use PFU Total From I
Mt,lMC CREDIT IF APPLI
tem 2 Above)
CABLE (SEE REVERSE)
4
5 ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL AB0VE) X .0s
,2
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)9
p Burdick
Coordinator
K
sDc
7
TOTAL SDC S ZZSO 55
FIXTURE Utq'|TtCal-cU[A JN TABLE: r.rumoer or New Fixlures 'rit Equivalent = Fixture UnilS (NorE:
ioi r".oO"ls. calculAte only the A!fl additional fixtures)
NUN4BER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub..z
Drinking Fountain-.....
Floor Drain-.
lntercePtors For Grease/Oil/Sollds/Etc-'....--.---.."
lnterceptors For Sand/
Laundry Tub/Cl
n----........-...........-..
2
/Head
2
1
2
J
6
2
6
6
1
3
2
1
2
2
1
Park Trap (1 Per Trailer)
F6r RefrigeratorAVater Station/Etc.-..."'
For Commerclal Sink/Dishwasher/Etc"Receptor
Shower, Single'Stall..
Shower. Gang...----....
Urinal. StallflVall....
Wash Basin /L-avalory, Single---
Water Closet, Public lnstallatio
Water Closet, Private......,..-...-..
Miscellaneous:
TOTAL FIXTURE UNITS z7
cREDlr CALCUI-ATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in tabte'
calculate credits sepacttes.
tmprorement (rf after annexation date)
I
x $-
Assessed Value)
CREDIT TOTAL $+49
z
2
ta6
A2?
Credit for Parcd or tand Only tf ApplicaHe 1 'Z I X E I A |7 5
(Rate X Assessed Value)
4r/t!
(Rate X
Year
Annexed
Rate per $1,0O0
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
'1985
s.21
3.13
3.08
2-96
2.82
2.8
2.51
198,6
1987
1988
1989
1990
1991
1992
s 2.24
1.93
1.57
1.18
0.79
o.44
0.28
RUNOFF COEFFTCTENTS FOR STORM DRAINAGE
0.4
0.9
0.45
0.5
Besidential.
Commercial......-.......-.--.
lndustrial-...
Govemmental.....-.....-..-.
tMPERVtous AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
CITY OF
&
SPrlI 'tELt)
ELBCTRICAL PERHIT APPLICATION
City Job Nunber c|7 l.+31
COHPI,ETB EEE SCMDULE BELOS
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
# sP 83
225 PTYtfl STRBET ;., ' r 1\{l I
spRrNGFrELD, ORBGON 97477 , \"{-'lLa
INsPEcTToN REOUESTz 726-3769 \i\ il', ,("lt-toPPrcB: 726-3759 lll\''" )v 'un"\
1. LOCATION OF INSTALI,ATI& .'
.. . ':
\TT "
858 S. 45th pLace A.
LEGAL DESCRIPTION
78 02 05 7 2 TL 5300
JOB DBSCRTPTION 1000 sq.ft. or less
Each additional 50O
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular DveIIing
Service or Feeder
I $ 8s.oo
a g ls.oo
s 40.00
Sum
8S "'
_-3q"
t I
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. CONTRACTOR INSTALI.ATTON OI{LY
Electrical Contractor HAu**^i ila.?
Address 153 s- agri pt
Ci ty sfdo OR Phone 7'l'1'l I US
q'N17
Supervisor Licen-se Number 3sm S
Expiration Dat e lo=L -?r
constr contr . Number g 1tlz!:L
Exp iration Date 2 -* q+
Sigriture of ising Electrician
AddrescP .O" Box 22636
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or less
201 amps to 4OO amps
-401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nlY
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amos or less $ 40.00
0ver 401 to 600 amps
-
$ 80.00
Over 600 amps or fbOO voT[s see rrgn "f,[[
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35'00
Each Additional
Circuit or vith Service
oi reeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
B
D.
s s0.00
$ 60.00
s100.00
$130.00
s300.00
$ 40.00
$ 40.00
s 40.00
$ 20.00
$ 36.00
The installation is beirig made on
piop"tty I ovn vhich is not intended
ior- sale, lease or rent'
Otrners Signature:
Cit! auqene, on 97402Phone
O9NER INSTALI.ATION
DATB:
l>
-Each installation
Pump or irrigation
Sicn/OutIine Lighting-
t iilited EnergY/Res
-
Limited EnergY/Comm
SIIBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
6 89 -5557
E
5
RECBIVED
a
'22 rl)11
c.
Il6u:.;t<
0wnerS fi711g Capstone Homes, Iilc - of Oregon