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Home My WebLink AboutPermit Building 1993-08-01#%c2 SPFt IELE'RESIDEi\iTlAL PERMIT APPLICATION lnspections: 726.3769 Off ice: 726.3759 JoB NUMBE " ?3ao?Z 2fr,225 Fifth Street Springfield, Oregon g7 471 LOCATION OF PROPOSED WORK:859 South 45th piace #sP7i ASSESSORS MAP: Lor: 142 A 18020572 C's1@ SUBD,V'S,ON. Zucerne MeadowsBLOCK of Oregon 689-5567PHONE STATE:ztP Capstone Homes, fnc. P.O. Box 22636 CITY: ADDRESS OWNER Eugene, OR 97402 NEW XX REMODEL ADDITION DEMOLISH OTHER Single Famij y ResidenceDESCRIBE WORK 746-qz?? 6 85-090 5 PLUMBING Lane Euq.,OR 97405 MECHANICAL: ELECTRICAL: G EN ERAL:Capstone Homes, Inc. of OR p.O.B. FridLund pTunbing 95629 DijLeq 51835 t 2-7 4-q7 Garibag Heating 4207 W. 5th Ave. Eug.,OR 97402 70545 L2-21-93 344_2487 Rose Corp. 89976 Dag Lane Eugene, OR 97402 54431 9-30-95 CONTRACTOR'S NAME ADDRESS EXPIRES 70 -1 8-9 3 PHONE 6 89-5 567 CONST. CONTRACTOR .T 22636 Eug.,OR 97402 620J9 HEAT SouR "., FG FIANGE: - a ?? tl, \LD - OFFICE USE _ LAND USE:FLOOD PLAIN I OF UNITS: WATER HEATER CONSTR. TYPE:tl rt/ ZONING CODE: OUAD AREA: r OF BLDGS: OCCY GROUP: g OF STOFIIES:SECONDARY HEAT SQUAFIE FOOTAGE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested beforeT:00 a.m. will bemade the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS p[ Rough Mechanical - Prior to4 cover. ZeD alR, F,P, X i#un,.t Electrical - Prior to E K tr Final Plumbing - When allplumbing work is complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Final Eleclrical - When all electrical work is complete. K K U ndersl rical I l{Electrical Service - Must benapproved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete.Mechanic r to cover, Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. [\7t-rinat Buildins - When ail ,ldrequired inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.X tr Framing - Prior to cover. E,Foundation - After forms are erected but prior to concrete placement. Olher Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping E, E MOBILE HOME INSPE TIONS Underf I - Prio rto NSU 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 atl blocking is complete. l-V'Floor lnsulation - Prior to J uecxing.X Curbcut & Approach - After forms are erected but prior to placement of concrete.E x. x, x Sanitary Sewer - Prior to filling trench.Electrical Connection - 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. x Sidewalk & Driveway -- After excavation is complete, forms and sub-base material in place. Water Line - Prior to fiiling trench. Fence - When contpleted Rough Plumbing - Prior to cover. Street Trees - When all required trees are plairted. Final - After all required inspections are approved and porches, skirting, decks, and venting trave been installed. mbin chan @ Qa q, rq S OF BDRMS: Temporary Electric E Plumbing Conneclions - When home has been connected to water and sewer. Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height z4o z2! Lot Type - Corner - Panhandle - Cul-de'sac dAo -Y ',,rc,to, ks GAR (z , THE PROPOSED WORK 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' APPBOVED: P.L HSE ACC N l2 S G b E BUILDING VALUE, PLAI! cHECK Aruo BUILDING PERMIT ewed ReceiPt Numbe PI ans on ss condition that the saidit is granted on the exPreThis perm onform to the Ordinanceion shall, in all resPects' cconstruct field, including theby the CitY of SPringadopted nstruction and use ofent Code, regulating the coDeveloPmr revoked at any timeand maY be susPended obuildings,,id ordinances.any provisions of sa Received upon violation of Plan Check Fee: Date Paid: BUILDING PERMIT VALUE (A) Lt ED 2pITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SO. FT. Systems Developrnent Charge is due on all undeveloped properties within the City limits which are being improved'RGE (SDC) flrEEL ATNHcMPEEEVLOSMDESYST # B) ADDITIONAL ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE /?2{"N0 FT. FT. FT. q6sviv(c) Plumbing Permit State Surcharge Total Charge place U a?"_Zgo MECHANICAL PERMIT (D) 4No oo /2 @ /)E 63 Fu rnace Exhaust Hood Vent Fan Wood Stove/lns Dryer Vent )EE-_3?_ -@.?-a -.2.? so -l ,rk .---Mechanical Permit lssuance State Surcharge Total Permit -) /3 --z t By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informationhereonistrueandcorrect,andlfurthercertify 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, anrl that NO OCCUPANCY will be made of any structurewithoutpermissicnoftheBuildingSafetyDivision' I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. 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 z-4?Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sia.*rtx b9 n Curbcut 30 tt Demolition State Surcharge Total Miscellaneous Permits (E) 3)Solloler f?wtEw 343-2" ??? /L5" VALIDATION RECEIPT NUMBER AMOUNT RECEIVED TOTAL AMOUNT DUE (excluding electric;',\ 3354,3-3 (A, B, C, D, and F Comt>ined)RECEIVED BY #s9 a DATE PAID * %225 FIFTB STREET SPRINGFIELD, ORTGON 97477 INSPECf,I0N REQUEST: 726_3769 e-OFFTCE: 726-3159 L- # SP 77 (( PERHTT APPLICATION City Job Number COHPLRTE PEE SCBEDULE BELOU A. Nev Resi den ial-Single or 1 LOCATTON OF869 Sou #1I+tSTI35 t - IJGAL DESCRTPTTONl-8 02 05 I 2 Lot 142 A JoB DESCnrgrroN MuI t i-Family per dvelling s ervice fncl uded: I tems I1000 sq.ft. or less Each additional 500sq. ft or portion t hereo f Each Hanufrd Home orHodular Dvelling Service or Feeder Services or FeedersInstallation, Alterations orRelocation: uni t. Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum r-< fuu?. 60,* SingJe FamiL g Residence Permits are non_transferable and expirelf vork is not started vtthin-i80 daysof issuance or if vork i" "u"p"nded for180 days. 2. CO}ITRACf,OR INSTALI^ATION OT{LY Electrical Contraclo, Rose Corp. 4 B Ci ty Eugene phone 6s6-0905 1568 S Address 89976 Dag Lane 200 amps or 1ess 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts -Reconnect 0n1y 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 amps or 1000 'v;Tt $ s0.00 $ 60.00 $100.00 $130.00 s300.00 s 40.00 Supervisor License Ntimber Expiration Date 10-1-93 Constr Contr. Number 544jj Expiration Date 9-30-9s Signa Temporary Services or FeedersInstallation, Alteration or Relocation C s1 Elec trician $ 40.00 $ ss.00 $ 80.00 s see rrBrr above ) Ovners Name Address P.O. Box 22636 Cily Eugene, oR Phone 6 89 -5 567 OgNER INSTALI.ATION The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. 0nners Signature: Capstone Hornes , Inc . of Or"gonD'Branch Circuits Nev, Alteration or Extension Per Pane1 one Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not include,l. -Each installation Pump or irrigation S Sign/0ut1ine Lighting_ $ Linri ted Energy/Res S Limi ted Energy/Comm S SI.,BTOTAL OF ABOVE 5Z State Surcharge TOTAL 40.00 40.00 20.00 36.00 DATE: RECEI PI RECEIVED BY: 5 D tfts ?ia 672 NAME OR COMPANY: LOCATION:s DEVELOPMENT TYPE: BUILDING SIZE: LPR, -*/ew STORM DRAINAGE IMPERVIOUS SQ. FT. 2 SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) Z5 SPORTA T ION NO OF UNITS X TRIP RATE X COST PER TRIP /.o'os x $401 .05 x $401 .05 x $401 .0s ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .0s 5. SANITARY SEWER-MI,JMC NO. OF PFU'S (Use PFU Tot Z5 OT SIZ sQ. Ft. Z 5tg x $0.192 PER SQ. FT. X $39.78 PER PFU $ $ SUBToTAL (ADD ITEMS 1,2, & 3)s lgzgoZ -,. JOB N0.s11 dzo 5tz -b TOT -ci IY SDC S /41 a*zt- 3t t2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGEWORKSHEET (coMf,tERCIAL & RESIDENTIAL) 4 I li,i 3 X X x 4 al From I tem 2 $13.62 PER PFU + $10 Ml,lMC ADMIN. FEE Above) s ?5o53 Mt,lMC CREDIT IF APPLICABLE (SIE REVERSE) V*R*L',L c/>o/rt U Kip Burdick SDC Coordinator TOTAL-MWMC SDC TOTAL SDC 5 ZZ?b 1q F*TURE uNtr GALculATr-rN TABLE: uumner of New Fitures x L '' Equivalent = Fixture Units (NorE For remodels, calculatel"'v in" NEi additional fixtures) NUMBER oF UNIT FIXTURE NEW FIXTURES EQUIVALENT UNITS fltrTURE TYPE Bathtub......- Drinking Fountain""' :""'-""':"""""""' b Shower, Gang.""""""" Sink, Bar, Commercial' Urinal, StallfNall"""""'^ :"". """" Wash Basin/Lavatory' slngle""" Wui"t Closet, Public lnstallation' I 2 1 2 nu 6 2 o 6 1 J 2 1/Head o 2 1 6 4 Water Closet' Private""""' Miscellaneous: 9 9 TOTAL FttrIURE UNITS calculate c redits CREDIT CALCULJ\TION TABLE: Based on assessed value' lf improve ments occurred after annexation date in table' 7/ !2 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) ,g x$//.0 (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL =$"t I RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.- Commercial lndustrial..... Governmental -...'.... -.. - -.' 0.4 0.9 0.45 0.5 Rate Per $1'000 Assessed ValueYear AnnexedRate Per $1,000 Assessed ValueYear Annexed 1985 1986 1987 19BB 1989 1990 1991 s2.16 1.90 1.60 o.25 0.87 0.50 0.16 1979 or before 1980 1981 1982 1983 1984 $2.83 2.76 2.71 2.60 2.46 2.33 IMPERVIoUSAREA=ToTALLoTSIZEXRUNOFFCoEFFICIENT I SPRIltGFIELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 o qr, JOB NUMBER 225 Fifrh street Springfield, Oregon 97 477 Z LoCATION OF. PROPOSED WORK: - ASSESSORS MAP: --/aeu a{ 12- /42_zt_ TAX LOT:OU1 SUBDIVISION:/i -qca</hey,.r.t LOT: -- BLOCK: PHONE: ZIP:STATE 7 CITY: ADDRESS: OWNER NEW -_-- REMODEL ADDITION DEMOLISH OTHER DESCR|BE woRK: - MECHANICAL: - -._=-- PHONEEXPI RESADDRESSouile--CONTRACTOR'S NAME GENERAL: - - PLUMBING CONST. CONTRACTOR'f , OF BLDGS.. _ --OCCY GROUP.. - # OF STORIES: .-- RANGE N OF BDRMS: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATEFI HEATER: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOUBCE: LAND USE: '' OF UNITS To request an inspection, you must call 726-3769. Thls is a 24 hour recording. All inspections requested before 7:00 a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day' REOUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Prior to 'Fay'Footing - After trenches are )A\excrr.ted. l--l temporary Electric Site lnspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Masonry - Steel location, bond beams, groutin0. ndation - After forms are cted but Pric)r to concrete placemen t Underground Plumbing - Prior to filling trench. Underlloor Pluinbing/ Mechanical - Prior to insulation or decking' Post and Beam - Prior to floor lrrsulation or decking. Floor lnsulation - Prior to decki ng. SanitarY Sewer - Prior to fillirrg trench. Storm Sewer - Prior to {illing trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to covcr. cover. Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and framing lnsP. Framing - Prior to cover' Wall/Ceiling lnsulalion - Prior to cover Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete. Piumbing Connections - When home has been connected to water and sewer. Eleclrical Connection - When blocking, set'uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. [-_l orywall - Prior to taPing Wood Stove - After installation lnsert - After f irePlace aPProval and installation of unit. Curbcut & APProach - A:ter forms are erected but Prior to placernent of concre!:. Sidewalk & DrivewaY - After excavation is cornPlete, forms and sub-base materia! in Place Fertce - Vvherr conlPietecl. Street Trees - t ihen all required trees are olanteci. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed. s\74D > OUAD AREA: E E il E r E E E tl tl tl E tl 'L-] tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type X rnterior - Corner - Panhandle - Cul-de-sac PL.HSE G R ACC IS THE PROPOSED WORK IN THE IIII]TOHICAL DISTRICT, OR ON THE HISTORICAL REGISTER? VW lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: N S E VALUE @(A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted (,n the express condition that thc said construction shall, in ail te:rpects, confoltn to the Ordinance adopted by the City of Springfield, including the Deveiopmcnt Code, regulating the construction and use of buildings, and may bc suspended or revoked at any time upon violation of any provisions of said ordrnances. Fleceipt Numbcr:-- Plans Reviewed By Date PIan Check Fee: -Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmenl Charge is due on all undeveloped properties within the City limits which are bcing improved. ADDITIONAL COMMENTS ITEM Fixtu res Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood 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 anci all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 f urther certify that only corltractors and ernployees who are in compliance with ORS 701.055 will be used on this pro,eGt. I f urther agree to ensure that all required inspectio.ns are requested at the propcr time, that each address is readable from the street, that the permit card is located at the front of the property, and tlre approved set of plans will remain ^.{-qZ on the site at al imes during construction Date ffi",,* MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combinecj) d0 VALIDATION: RECEIPT NUMBER - DArE PArD --4 OOAMOUNT RECEIVED RECEIVED BY - 47