HomeMy WebLinkAboutPermit Building 1992-02-12SPTTIFrGFIELT)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of fice: 726-3759
_qAtr15_
Zfr,
JOB NI.JMBER
225 Fifttr Street
tipringlicld, Oregotr 974i//
LOCATION OF PROPOSED WORK:889 S. 45th PTace Sprinqfield, OR 97478
18020512 ,- IAX t-O'f: -
SP 55
Lucerne ltleadows
ASSESSORS MAP:
144LOT:BLOCK: SUBDIVISION
6 89-5 567PIIONE:
97402STATE: --gB- -ZIP
Capstone Homes, Inc. of Oregon
P .O. Box 225 35
CITY:Eug'ene,
ADDRESS:
OWNER
SingTe FamiTg ResjdenceDL.SCBIBE WORK: --
ADDITION DEMOLIS}] OTTII-RNEW -Ir - REMoDEL
pLU M Br NG: r ri d7 und !1:9:lq_? 5 6
?_B _Di ! 7 9u_ Lane E ug ., oR 97 4 O 5
t-_xt,l t lt..i;
10-18-9 3
12 -14-9 3
12-2 1-9 3
9- 30-9 5
PHONE
6 89 -5 567
746-9433
34_4_=2 4I7
6 86-090 5
lve, Eqg.,OR 97402Garibag Heating 4207 W. 5thME,CHANICAL:
CONTRACTOR'S NAME
tone Hones,
ELECTRICAL
ADDRESS
Inc. of OR P.O.B.
51835
7054s
544 31
CONST.
CONTRACTOI] '
22636 Eag.,OR97402 62078CaosGENERAL: .. -i-
Rose Corp. 89976 Dag Lane Eugene, OR 97402
A OF BLDGS:
OCCY GROUP: -
r OF STORIES: *
WATER HEATER:
LAND LISiT:: \\
/ OF UNITS, '
coNSTll. r'Yt,t::
I'IEAT SOLlRCt:: -/*/?
EJ
UY-t
_ OFFICE USE _
/i OF t]DFIMS:
OUAD AREA:3RSC.,\l
\znz
FTANGE: --U-
Si:CONIIARY llt:nT:
9OUAtlE FOOTAGE:
FLOOD PLAIN:
ZOi'JING CODE:_
f-l Temporary EleclricLI
Site lnspection - To be made
af ter excavation, but prior to
setting forms.
Unde Electrical/
to cover.
Footing - Af ter trenches are
excavated.
Masonry - Steel location, boncl
beams, grouting.
l(TElectrical Service - Must [)(:
JAloppr.rcd to olrtairr f)cnn.rncnt
electrical power.
Rough Mechanical - Prior l()
cover.
COVET
Fireplace - Prlor to faclntl
rnaterlals ;rrrd f rautltrg lnstrr.
lnserl - After lireplace ap1-ltrrval
and installation of unit.
Curbcul & Approach - Af tet
forms are erected bttt prlor t<-r
placement of concrete.
Sidewalk & Driveway - Aftr:t
excavation is cotrtltlete, lortrrl;
and sub-ba:;o tnatt:tial it.t ;.tlat:r:.
Fence - Wltcrr cotnPlctctl
treet nees - Wtter'r all rerlrrircrl
D<
,<
.D(
l'-,Zffinat Buildino - wlrr:n allIf requirecl insp"octi<-rrrs lrave lreen
;rpprovcd antl [rtrilrlirtg is
r:ompletecl.
I -l Firral - n f tcr all roquirr-'dlJ insLlcctions are apg.rroved and
Final Plumbing - When all
plumbing work is corrrplele.
Final Eleclrical - When :rll
elcctrical work is t;ornplctc.
Firral Mechanical - When all
tncr;ltanic;al worl( i:i cotnplete.
porches, skirling, clccks, and
venling trave been installed.
To request an inspectiorr, you must call 726-3769. This is a24hour rccording. All irrspcctiorts requested before 7:00 a.rn. will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
E
r_l
E
Eg
E
E
.K
,K
F
Underground Plumbing - Prior
to filling trench.
UrO"rtlo@
- Prior to-ihsute{ion or decking.
-Kir:lfry
sewer - Prior to rilling
B
K
Foundalion - Aftcr forrns arc
crected but prior to concrete
placement.
Post and Beam - Prior to {loor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to {illing
trench.
ffiFtt"titrg - frli.r lo covcr'
tsTWrltlCnilirro lrrsulatiorr - Ptirrt tc>JAL"orur.
ff "r*"ll - Prior to t;rPi.g'..
NTWooO Slove - Af tcr install;rri,.r,r.A *c, elAF- F./.
| -l otlrcr
MOBILE HOME INSPESTIONS
Blockirrg and Sel-Up - Wlren all
blocking is cornplcte.
L]
I
Plunrbing Corrnections - When
horne has ber-'n connected to
water and sewer.
r_l Eleclrical Connecliorr - When
blocking, sel-up, and plurnbing
irrspoctions have been approved
:-rrrt.l the horne is corrnocled t<.r
thc servicc panel.
ff;grt Plumbins - Prior lo
lunrb
,::
E
Rough Eleclrical - Prior to
r:l
trees are planted.
Lot laces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot -lypc Setbacks IS ,..IE PROPOSED WORK IN THE
I-IISTORICAL DISTRICT, OR ON
TI-IE HISTORICAL REGISTER?
--_-lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
do
4o
lnteriot
Corner
Panhan<.lle
/
1Z1oW -- Cul-cje-sac
E
N
HSE
ls
27
GAR ACC
oJ
ZD
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express concjition that the said
construction shall, in all rcspects, conform to tlre Ordinance
;rrloplecl by ttre City of SIlrin0field, incltrc!ing the
Dcv{)lol)rllcnt Coclc, rr--gulating tlle constructiorr and trse of
lttrildings, ancl fllay be suspenclecl or rcvol(ed at any tirne
upon violation of any provisions of s:rirl orciinanccs'
Ptan checl< Fce:- 2 e %- -3 y' O
Date Pairl: * Str a?fdul
Flcr:eigrI Ntttrtbcr:
Rcccivcd By:
BUILDING PERMIT
(A)0,r_5
ITEM
Main
Garagc
C;rrport
VN LU F.
fu310
5477
SO. FT.
//z?s?o
f otal V.rltte
tluil<lrrig Putrtlit F()c
lltartc Stlrcll;lr tl{)
Total Fee
2-O
/o*-
/4.
856 o7'gtr
/?.5;
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.SYSTEMS DEVELOPMENT C
(B)
HARGE (SDC) ,l+
#zo4q13
ADDITIONAL COMMENTS
?zo ? fC
)
I
:I U
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewr:r
Water
Storm Sewer
Mobile Hottte
PLUMBING PERMIT
FEE
/?25-o
FT.
FT.
(c)
3\f_
FT.
Plurnbing Pcrrlrit
State Surcharge
Total Charge
9ogzi7.rz
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
vent Fan ft: ---+-- -
Dryer Vent
(D)
{o4,
re plat;t: UtrWood Stove/ lnse
z3
, Ceb,
.y' 9oF-+ --
a_-_
/s.o-'
300
Mechanical Permit
lssuance
State Surcharge
Total Permit
/O,@
/-.7 s
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 Ordlnances 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 perrnission 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
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
frorn the street, tltat the permlt card ls located at the f ront
of the property, and the approved set of plans will retrtain
ignat
2-q -r
D ate __--2.::L
on the site at all tirttes during construct ion
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stale Surcharge
Sidewark /9Q t
curbcut 3o-* tt
Demolition
State Surcharge
Total Miscellaneous Permits
,/hr<l t- - "
s'o(E)
fu-r
37 ?-"
/1 ,50
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, arrcl E Combined)
DATE PAID
AMOUNT RECEIVED --------?e3*!E
RECEIVED BY _-.
_ P!.__
X $iSO. FT.
VALIDATION:
RECEIPT NUMBER
NAME OR COMPANY:
JoB N0. 4t-t-t4c
crTy or JpunGFIELD SYSTEMS DEVELoPMTNT CHARGE
WORKSHEET
(coMt'IERcIAL & RESIDENTIAL)
ksroue e5 . 0F D<&oil
LOCATION:88q s 4sryfi /{oz o9t7- - Olzoo
DEVELOPMENT TYPE:LDR - Neu Spn
BUILDING SIZE:OT SIZ
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.a,o1-?- X $0.192 PER SQ. FT
2. SANITARY SEt,lER-CITY
sQ. Ft
NO. OF PFU'S
(See Reverse)
2?X $39.78 PER PFU
3 TRANSPORTAT ION
NO OF UNITS X TRIP RATE X COST PER TRIP
x 1 ,rys x $401 .05
x
X
x $401.05
x $401.0s
$
4 ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .0s
5. SANITARY SEhlER-Mt^lMC
NO. OF PFU'S x
$
SUBToTAL (ADD ITEMS 1,2, & 3)$ 11t5s2
TOTAL-CITY SDC s lSot bl
$13.62 PER PFU + $IO MhlMC ADMIN. F re sbzzz9
(Use PFU Total From Item 2 Above)
MhIMC CREDIT IF APPLICABLE (SEE REVERSE)
L'"1-
Ki p Burd'ick
SDC Coordinator
z-t lb
TOTAL-MWMC SDC
8Lbq1
ob
xE1
e4L t)
.7
TOTA SDC $ zoq
I
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
Bathtub.......
Drinking Fountain......
Floor Drain..
I nterceptors For Grease/Oil/Solids/Etc......" """"'
Interceptors For Sand/Auto Wash/Etc.""""""""'
Laund ry Tub/Clotheswasher
Shower, Single Stall.
Shower, Gang....
Sink, Bar, Commercial
Urinal, StallflVall.
Wash Basin/Lavatory, Single---.--.-..
Water Closet, Public lnstallation-.
Water Closet, Private...--
tr/iscellaneous:
CREDIT CALCULATION TABLE
calculate credits seParates.
NUMBER OF
NEW FITTURES
7
(Rate X Assessed Value)x$
UNIT
EQUIVALENT
=$vrt2
FIXTURE
UNITS
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
Clotheswasher - 3 Or More..---...-.-..-- ..r..-'..""""""'
Mobile Home Park Trap (1 Per Trailer)"""""""""
R ece ptor For R ef rigeratorAVater Station/Etc" " " "
Receptor For Commercial Sink/Dishwasher/Etc"
?
TOTAL FIKI'URE UNITS
Based on assessed value. lf improvements occurred after annexation date in table'
7l tb2.Xb X$ll-oCredit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed
CREDIT
Value)
TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Governmental................ 0.5
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1 985
1986
1 987
1988
1 989
1 990
199'l
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
FIXTURE UNIT CALCUI-ATI( I TABLET Number of New Fixtures X Ur --'quivalent = Fixture Units (NOTE:
,
L
z
Z
_^-
/-
-?-
l2'
Zb
t
l
a ,a a
>T'I'NLru
1
225 FIFTE STREET
SPRINGFIELD, OREGON 97477
INSPECf,ION REQUESTz 726-3769
0FPICE: 726-3759
LOCATION OF TNSTALI,ATION
889 S. 45th Pl-ace
ELECTRICAL PER}IIT APPLICATION
City Job Number
COHPI.^ETE PEE SCEEDULE BELOV
Nev Residential-Sing1e or
HuIti-Family per dwelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 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_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
ab #spsa
Sum
t/ g 8s.00 85po
2- $ 1s. oo ?o3,
&{a-hPfl'lx:
A
IJGAL DESCRIPTION78020572 7ot#744 DNao
JOB DESCRIETIONSingTe FamiTg Residence
Permits are non-transferable and expireif vork is not started vlthin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor Rose cotP'
Address 89975 Dag Lane
Ci ty Eugene phone 686-0905
B
7568 S
$ s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
Supervisor License Ntimber
Expiration Date 70-1-93
Constr Contr. Number 54431
ExPiration Date 9-30-95 200 amps or }ess L--
201 amps to 400 amps _0ver 401 to 600 amps
Over 600 amps or 1000
s 40.00
$ ss.00
$ 80.00
-,'ts see ,,Btr a6ilE_
c
&,e
Signatg.rerqf22/,/
Superv 1S Electrician
Ovners Name Capstone Homes, Inc. of Oregon
Address P.o. Box 22636
city Eug, OR 97402 Phone 689-5567
OIINER INSTALI.ATION
The installation is being made on
property I onn vhich ls not intended
for sale, lease or rent.
Ovners Signature:
DATE:
D. Braneh Cireuits
Nev, Alteration or Extension Per Pane1
One Circui t
Each Additional
Circuir or vith Service
or Feeder Permit
s 35.00
s 2.00
F Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation _ S
Sign/OutIine Lighting_ $
Limited Energy/Res _ $
Limited Energy/Comm S
not included )
40.00
40.00
20. oo
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
BRECEIVED
5 '(s,ood=*