HomeMy WebLinkAboutPermit Building 1992-11-25LocATloN oF pnoposED woRK: - 9%5--14t-h Plesg--Sprrngtie7d*,eR 9747I
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86
# sP 53
JOB NUMEJER
ASSESSOBS MAP 18020527
BLOCK:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of fice: 726-3159
225 Fifth Street
Springf ir:ld, Oregon 97477
rAx Lor: --369! - -
o! _o999-o4Capstone trl lONt : 689=5567
P.O. Box 22636
1tP: g7 402STATE:, ORCITY:
ADDRESS
OWNEFI
NEW XX FIEMODEL ADDITION DEMOLISH OTI.IER --
Lp_teetselge _SingTe FamiDESCBIBE WOFIK
PHONE
689_-5567
7_46-_e*4 3 3
34L-24A7
6-36=8905
97 402
22536 Eug.,OR 97402GENERAL: fa,Pstone Horyes! .I!c. of OR. P.O.B.
97405
Garibag Heating 4207 t^t. 5th Ave. Eug.,ORMECHANICAL:
Lane E
ADDRESS
PLUMBING
CONTBACTOR'S NAME
ELECTFIICAL Rose
EXPIRES
62Q-78 _L0-L8=9 3
57835 12-74-92
70545- J2.-2_L=92
__544 3l _ 9-30-95
CONST.
CONTRACTOR #
Fridlund PTumbing 85628 Di77eg Lane
. 89976 Da
3Rtr
I
rp
sB__:::::::*:e?a'
ZONING CODE:
QUAD AFIEA:
"'i??'J'-
FLOOD PLAIN:
WATER HEATER
# oF UNITS, L
CONSTFI. TVT'U: V
LAND USE:
SECONDARY I-IIAI:
SQUARE FOOI'AGE:
# OF BDRMS: .-
# OF BLDGS: _
OCCY GFIOUP:
g OF STOFIIES:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspcctions requesled l-lcfore /:00 a.m. will be
macle the same working day, lnspections requested after 7:O0 a.m. will bc rnade the following work day.
REOUIRED INSPECTIONS
[---l Temporary Electrictt ,K
X
Rough Mechanical - Prior lo
cover.>(Final t'lumbing - Wlren all
plrrrrrlting worl( is cornlrletc.
Site lnspection - To be made
af ter excavation, but prior to
setting {ornrs.
Rough Electrical - Ptiot tr,r rx Final Electrical - \^r'hen all
electrical v,rork is conrplete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.,xL Electrical Service - Must br;
approvcd to obtain pcnnancnt
electrical power.
D<Final Mecl'ranical - When all
rneclranical work is complete.
,K Footing - Af ter trenches are
excavated.Fireplace - Prior lo facitrg
materials and fratning lnsp.
X Final Buildilrg - Wlren all
required inspections have becn
alrproved an<J building is
ccrtn pleted.Masonry - Steel location, botrd
beams, grouting.r
tr
,x.
Frarning - Prior lo (;ovc't.
X Foundalion - Aftcr forrns are
erected but prior to concrete
placement.
| | ottrer --
Wall/Ceilirrc, ltrsulatiotr -- [)t ior tcr
cover,
Underground Plumbing - Prior
to filling trench.Drywall - Prior to talring
MOBILE HOME INSPESTIONS
,K
x,
,x,
B
Underll Wood Slove - A{tcr irrstall;rliorr
- Prior t or ng
Post and Beam - Prior to floor
insulation or decking.
L]Blocking and Set-Up - Whcrr all
blocking is conrplcte.lnsert - Af ter f ircplace aPPtuval
and installation of unit.
Floor lnsulalion - Prior lo
decki ng,x.Curbcut & Approach - Af tcr
forms are erected but Prior trr
placement of concrete.
Plumbing Connections - Wlren
horne has been connected to
waler and sewer.
Sanilary Sewer - Prior to filling
trench.LJ Electrical Connection - Wlren
blocki ng, s€-.t-up, arrd plurttt-rin g
inspections lrave br:en approved
and-tlre horne is connected to
the service panel.K;:"J;,.sewer - Prior to rirrins
f/Side*alk & DrivewaY - A(tt-'rjAexcavation is completc, forttt:;
and sub-base ttlalcrial itt pl;.tco.
E Waler Line - Prior to filling
trench.
Fence - Whcn conrJrleled.
Il final - After all reqtriredt-J inspections are ap1;r<;ved and
porches, skirting, tlecks, an<!
venting have br:etr ittrrtalled.re;#,: Plumbirrs - Prior to f6\tr"ot Trees - Wht'rr all rr:rltttrrtrl
(glrees are plarrtcd.
S U RDtVt S tON : _IgqeIgt_e-_ I6eqdoya
Eugene,
r
tl
b
9/60
?-/%
I r.rl lY1,,r
lnlr.tt()t
4Lxrr,'r
[);tttitl,tttllt:
Ctt l-rlr:':;itc
Sr.: I trat; l<:;
L ot la<:t..:s
l-ot st1. ftg.
Lot coverage
TopograPltY
Total height
tr.t .L',., lcnn lnct: I
lr)'''l I
l__t__l___l
l_ _udl_ _l
IJ IHF. PtiOT'OSED WOI1K IN I HF.
IIISTORICAL DISTRICT, OR ON
1'I-IE I.1 ISTORICAL RECISTER?
l( yes, this applicatlon must be signed
and approved bY the Historical
Coordinalor prior to perrnit issuance.
APPROVED
I'l
1L_?on:
TOTAL AMOUNT DUE (exclurling electri<;;tl)
(A, n, C, [), ,rtrrl [: Cortlhittrlrl)
VALIDATION:
NECEIPT NUM
DATE PAID
NMOUNT N
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
tecl on the express condltion that the sald
in all respects, conform to the Ordinance
Receipt Number:--
cwctl []yPliirr
t/gAz-
d
Thls permit is gran
construction shall,
of Sprlngfield, lncluding theacloptecJ bY the CitY
ating the construction and use ofDevelopment Code, regul
spended or revoked at any timebuildings, and maY be su
sions of said ordinances.n violation of anY Proviupo
Rect':ivert
Date Paid
Plan Check Fee: -
BUILDING PERMIT
y'pj,oo'ru./g
(A)
, FT,
LO
X$so.
/,t
ITEM
Maln
Garage
Carport
Total Value
Builcling Pertrrit Fee
State Surctrarge
Total Fee
Systems Dcveloprrlent Charge is due on all trndeveloped
propcrties within tho City limlls whiclr are being improverl'
DDITIONAL COMMENTS
n
&
t_
A
SYSTEMS D EV ELo P r.*r,,i',
^* ff lt"B re
ITEM
Fixtures
Rpsidential Bath(s)
Sanitary Sewer
Water
'Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
/a,n
FT,
FT.
(c)
N0
FT.
Plunrbing Perrfllt
state surcflarge
Total Charge
b,@
/bb_o
Wooc! Stove/ lnsert/ Fireplace Utrit
Dryer Vent
o9047'
7,aol< to/ -l*
390z?o,
3?,€o
/ o,o_'
l,?b5/.4
Ox hpE
MECHANICAL PERMIT
N 3
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hootl
Vent Fan
By signature, I state and a0ree, that I have caref ully examined
ttre cr>mplete(l 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 Ordinat]ces of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, ancl tlrat NO OCCUPANCY will be made of any
structurc withor-rt pertnission of the Building Safety Division'
I further certity thal orlly contractors and employees who
are in compliance with ORS 701.055 will be used on this
pro ject.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom the street, that the permlt card is located at the front
of the property, and the approved set of plans will remain
on the' site at all times cluring construction.
Sigrratu re
e12-Datc ----
MISCELLAN EOUS PERIVI ITS
Mobile Honte
State lssuance
State Surcllarge
sidewark /81-,,
curbcttt 2{ ,,
Denrolitlot-t
Slal(,. Surcllar{lc
Total Miscellatreous Perrnits (F)
/ 3,6',
sbF
/h,, cfik/1 40.oo
%qs
%/2.+a llt:( )t lVl:
EI Gg
E
FxruRE UNtr GALCUI-ATIIJN TABLE: trumUer of New Fixtures X Urrrt Equivalent = Fixture Units (NOTE:
For remodets, calculate only theNf additional fixtures)
NUMBER OF UNIT FIKIURE
NEW FIXTURES EQUIVALENT UNITS
FIXTURE TYPE
Bathtub...----
L
Drinking Fountain'
Floor Drain-
i nl"t""p,ot" For G rease/Oil /Sol id s/ Etc"" " " " " " "'
i^i"t""'pa* For Sand/Auto Wash/Etc"""""""""
Laund ry Tub/Clotheswasher" " -"""" " " "'' " " " " " "'
Clotheswasher - 3 Or More"""""""""""':"
;ilil;i;.e Park Trap (1 Per Trailer)"";;"""""
n J""prot f or R ef ri geratorAVater Station/Etc" " " "
;;;6i;t For commerciai slnxToishwasher/Etc"
r+
L
L
?-
a
(8
eadH
2
1
2
J
6
2
o
6
1
3
2
1/
2
2
1
6
4
Shower, Single Sta||"""""""""'-'
Shower, Gang-..-"""'
Sink, Bar, Commercial
Urinal, StallflVall"'a
Wash Basin/Lavatory , Single.
Water Closet, Public I nstallation-,L
Water Closet, Private""""'
[/liscellaneous:
TOTAL FIXTURE UNITS
CREDIT cALcULATI.N TABLE: Based on assessed value, lf improvements occurred after annexation
calculate credits rates.
bl t?
date in table,
2.bb x$ll-oCredh for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL = $4l \b
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 985
1986
1987
19BB
1 989
1 990
'1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
1979 or before
1980
1 981
1982
1983
't984
$2.83
2.76
2.71
2.60
2.46
2.33
I
f
i
I
t
t
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
IMPERVIOUS AREA : TOTAL LOT S'ZE X RUNOFF COEFFICIENT
I
225 FIruE STREET
SPRINGFIELD 0REGoN 97477
INSPECf,ION REQIBSTT 726-3769
oPPICE: 726-3759
as su !.,
requ ELECTRICAL PER}'IT APPLICATTON
City Job Number
a
BBLOV
A. Nev Residential-Single or
MuIti-FamiIY Per dvelling unit.
Service Ineluded:Items Cost
sl,ril}J(;FtI:LC)
'fIS::lf",.''ii
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIling
Service or Feeder
# sP 53
Zonin
Date f-6Q-?
1. LOCATION OT INSTALTATION,...II : ']
892 S. 44th PLace
IJGAL DESCRIPTION
78 02 05 2 7 TL 3600
JOB DESCRIPTION
SingJe FamiTg Residence
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
ExP iration Date 9-30-95
Signature rvising trician
Ovners Name CaPstone Homes, Inc. of Oregon
Add ress P.O. Box 22636
Ci ty Eugene , oR 97402 Phone 5 89 -5567
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, Iease or rent.
Ovners Signature:
I
A
s 8s.00
$ 1s.00
Suma(w
@
$ 40.00
2. COMRACTOR INSTALI.ATION ONLY
Electrica 1 COntractOr Rose CorPoration
Address 89975 Dag Lane
Ci ty Eugene, OR Phone 686-0905
Supervisor License Number 1558 s
Expiration Pals Lo--z-93
Constr contr. Number 54431
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permi t
Miscellaneous (Service/feeder not included)
$ 3s.oo
$ 2.00
E
5. SINTOTAL OF ABOVB
5Z State Surcharge
TOTAL
-Each installation
Pump or irrigation $
signzoutrine Lighting- tLimited EnergY/Res $
40.00
40.00
20.00
36.00
DATE:
RECEIPT
RECEIVED BY:
'<5,@_' 4,?s-851t?=T
B. Services or Feeders
Installation, Alterations or
Relocat ion:
200 amps or less $ SO'99
201 amps to 400 amPs q q9'99
401 amps to 600 amps $100'99
601 amps to 1000 amPs- $tl9'99
over 1b00 amps/volts $300'99
C. TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
2oo amps or }ess v q 19'99 b-
201 amps to 400 amPs
-
q !:'99
over 4b1 to 5oo amps --
$ 8o.oo "-Over 600 amps or 1OO0 volts see rrB" above