HomeMy WebLinkAboutPermit Building 1994-06-14SPFrINGFIELr)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Olfice: 726'3759 qr,
JoB NUMBE " ? 72) ?6
225 Fifth Street
Springlield, Oregon 97 477
#sP92
South 46th Street Springfield,oR 97478
LOCATION OF PROPOSED WORK:R?
460078020512TAX LOT:
ASSESSORS MAP:
l_03 B
Lucerne Meadows
BLOCK: ---suaDlvlslor.l
LOT:
589-5567Capstone Hofies,Inc. of Otegon PHONE:
OWNER
ADDRESS:P .O. Box 226 36
Eugenet OR 97402 STATE:ztP
CITY:
SingJe FamiTg Residence
DESCRIBE WORK:
NEW XX REMODEL ADDITION DEMOLISH OTHEB
CONTRACTOR'S NAME ADDRE,SS
Inc . of OR P .O.B -
CONST.
CONTRACTOR #
22535 Eug.,OR 97402 62018
EXPIRES
I 0- 16-9 4
PHONE
689-5567
Capstone Homes,
GENERAL:
PLUMBING 5628 Di77eg Lane Eug . toR 97405 57835 12-14-94 7 46-9433Fridlund Pfumbing I
Heating 4207 W.5th Avenue Eug.,oR 97402 70545 12-21-94 344-2481
MECHANICAL Garibaq 744-1155
Hauck/Hammer El-ec.353 S. 68th Pl-. SPfLQ.,OR 97.478 s942 3 3-5-96
t
SRSA-
HEAT SOURCE
RANGE:
# OF UNITS
CONSTR. TYPE:
ZONING CODE:
* OF BDRMS:OCCY GROUP:
WATER HEATER:
g OF STORIES:
LAND USE:
""'iiTi-
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
* OF BLDGS:
ELECTRICAL:
To request an inspection, you must catl 726-3769. Thls is a 24 hour recording' All inspecticns requested before
made the same working day, lnspections requested after 7:00 a.m. will be made the followin0 work day'
REQUIRED INSPECTIONS
Rough Mechanical - Pricr to Final Plumbing - When all
ffi'"^'"'arY Electric
X
COVef. .-fJn: \erv\e<,
7:O0 a.rn. will be
lumbing work is complete.
el
inal Electrical - When all
ectrical work is complete.
Final Mechanical - When all
chanical work is comPlete.
al 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.
Plumbing 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.
Final - After ail required
inspections are aPProved and
porclres, skirting, decks, and
venting have been installed.
Ii( Foundation - After forms are
@ cted but prior to concrete
placement.
Site lnsPection - To be made
alter excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - P(ior 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.
Post and Beam - Prior to floor
insulertion or decking.
Floor lnsulation - Prior to
deckitrg.
Sanilary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
A/Etectricat Servlce - Must be
lAJ "pprored
to obtain Permanent
electrical Power.
\-/ Fireolace - Prior to iacingtYJ mati;rials and framlng lnsP.
I
Ttt',ntng - Prior to cover'
f,71 wattlceiling lnsulation - Prior to
FLcover.
("r*u'l - Prior to ta,ino'
I
Rough Electrical - Prior to
cover
Wood Stove - After installation
lnserl - After firePlace approval
arld installation of unit.
Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - Aftcr
avation is comPlete, fornts
I sub-base material in Placc.
K
x
w
and
Fence - When comPleted.
Street Trees - When all recluiredRough Plumbing - Prior to
cover.rees are Planted
€
FLOOD PLAIN:
E
E
I
\
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot trype
X tn,urio,
-
Corner
-
Panhandle
-
Cul-de-sac
ks
P.L.HSE GAR ACC
N
S
IS THE PROPOSED WOFIK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Hlstorical
Coordinator prior to permit issuance.
APPROVED:IE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permi.t is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spri ngfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
b.B,q{
Date-ans Reviewed 8y
cei
Plan Check Fee
Date Paid
Recei pt Nu
SQ. FT.VALUEX
(A)
Grsu-,)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) tpAa
ADDITIONAL COMMENTS a.g>ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
Gs?s)
g
(c)
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
No
Wood Stove/ lnsert/ Fireplace Unit
0 sr)
oo
0arur
(D)
rm t
NO
Vent
Vent Fan
anical
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
lssu ance
State Surcharge
Total Permit
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 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, 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 701.055 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.
7
Sig natu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Total Miscellaneous Permits (E)
,)c
A
S
State Surc
Demolition
ft
ft
Sidewalk
Curbcut
TOTAL AMOUNT DUE (excluding electric
(A, B, q D, and E Combined)
VALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT REC
RECEIVED BY
D
h
-\J3
C'TY OF ORF,GOTV
225 FITTfl SIREET
SPRINGFIELD, OREG0N 97477 oa'.o
INSPECTION REQTIEST
OFPICE: 726-3759
z 726-37
SPIIINGFIELD
EI,ECIRICAL PERI{IT APPLICATION
Ci ty Job Nunber
3. COMPI,HIE TEE SCffiDUIJ BEIOII
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
s 8s.00
$ 1s.00
$ 40.00
B. 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
zoning, and
approval.
Zcni
not
1 LOCATIONBet 0r
S+
Sum
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. COMRACTOR INSTALI,ATTON ONIY
Electrical Contractor ADT
Address t5or ?',eger- st
A2# Drre- pho n"311 - 13raCi ty
$ s0.00
$ 60.00
s100.00
s130.00
$300.00
$ 40.00supervisor License Number 5\P- Eq)
Exp iration Date l/'7( -?{
Constr Contr. Number ?b Qo ?
Expiration Date /l-2t q{
of Supervising Electrician
c.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000 voTT ee nBx aSoF
$
$
$ss
40.00
55.00
80.00
Ovners Name t*e L.G Wl/^
Address &:t t(,t{*s1Soorr+
Ci ty Phone '11 l- tboL
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Onners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional-cii"ult or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)E
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limi ted EnergY/Res ILimited EnergY/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00 ry
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRECEIVED
5
@
^JOB DESCRI{IION O (
SecrRrrY l'IAam \vrl.rtre
Willamalane
Park & Recreation District
fob No.
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF FROPOSED BUI NC SITE:
Street Address Known:
Platt N
1
B. Single Family - Attached
NO OF UNITS
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
STATE:W,,,W
a
PHONE:
Tax Lot Number:
PEVE!-OPMENT fYfE .
(9heck appropriate dwellingG). SDC Catculations and dwellingtype
definitions are on the back.)
A. Single Farnily - Detached
It Single Family home Manufactured home not in a park
NO OF UNITS I x $400 PE: uNrr -=
X $370 PER UNIT =
x fi?77 PER UNlr =
X $280 PER UNIT =
$
$
$
$
WPRD SDC
2. SDC CREDTT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Workshet
$
$
$3. TOTAT WPRD NET ASSESSED (lf SDC reduced for Credit)
Community Services
City of SPringfield
lon Date
rrvo tru.
?1o7sc
CITY OF SPRINGFIELD SYSTEHS DEVTLOPMENT CIIARGE
I,IORKSH EET' (cor4MERCIAL & RESTDENITAL)
NAI'IE OR CO|'IPAI{Y:
LOCAT IOI{:
DEvELOPI.IENI TYPE 6FR
,24
BUILDiNG SIZE:
I. STORH DRAINAGE
THPERVIoUS SQ. FT.
?. SANITARY SEl1|ER-CITY
NO. OF PFU'S
(See Reverse)
LoT SiZ
"4o1,
z{x s0.203 PER SQ. FT.
X 542.08 PER PFU
. Fr.
s 3t7,FV
28.3
3 TRANSPORTATION
NO OF UNTTS X TRIP RATE X COST PER TRIP
I x /,o/x s424.31
x s424.31
x s424.31
(su8T
x
x
s
S
4 SAN I TARY S Eh'ER-l'lll'l'lc
N0.0F PFU'S 23 x Sl5.t25 PER PFU + Sl0 Ml'lMC ADM FEE
(Use PFU Total From ltem 2 Above)
l'ltrrl'lC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4l S zzts,Go
5. ADHINISTRATIVE FEES
BASE ) x .os
6-z-
7.oC
>{
oord i nato
ToTAL SDC S 2321, z8
23
FtXTUREUNII UALLULI\llUN IAULL:l.ftrnr!rc'1 olNcrvl:irlrrrcsXLlrrilEtiun';trcrrt=rr.\'lt,,cLrtrrrs\rtvrL'
For rcmodcls. cllculirlc only IIrc NELntl.Jiiit-'rull lii'lrrru:')
FIXIURE N'PE
Bathlub.......
Drinking Fourrllirt......
Floor Drain. ...'......:..-.....
lnlerceplors For Grease/Oil/So1idsiEtc.................
lnl erceplors For Sand//ruto \(a sh/E1c..................
La undry Tub/Oothesrva sher..................... ;.............
Ootheswaqher - 3 Or More.....
llobile Hdme Park Trap (l Per Trailer)........
Becep.t or Fgr Retrigeral orAVat er S tat ion/Elc........
B eceptor For Comm erclal Sink/Dishrta sh er/Et c..
Shower, Single'Stall.
Shower. Gang...........
Slnk Bar, Commercial.........
' Urinal. StallTl\'a11....
Wash Basin/l-avatory, Single.
\\'ater 0ose[ Public lnstallation.
Vy'ater Closet. Private........
lliscellaneous:
3
TOTF.L FITTUNE Ui{ITS
t,'ut.lDE,l ol:
t.,lE\i, fl,\lU'iE5
L':{ll
l: OLrl\!iL t: I'JT
TIXTUNE
UI.JI tS
--z-
,L
-.--.--I
3
l7
z?
z-
-', /
/Hezd
I
.:
3
6
.,
6
6
I
3,
I
2
2
1
6
q
I
3
I
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate cred?is
Credit for Parcd or taM Only lf Applicable
tmprovement (if after annexation date)
(Rate X Assessed Value)xs
(Rate X Assessed Value)
CREDIT TOTAL = $
3.21- x s v.?ro 2tr,7 t
2tr,73
Year
Annexed
Fale per S1,0OO
AssesseC Value
Year
Annexed
Rate per 51,O00
Assessed Value
1936
r987
198
1989
1990
199I
1992
s 2.24
1.93
1.57
1.1 I
0.79
0.44
o.2B
1979 or before
1939
1981
1W2
1983
19S4
'1995
s3.21
3.13
3.08
2.X;
2.82
2.63
2.51
a RUNOFF COEFFICIENTS FOR STORM DRAINAGE
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
OFEGO'UCITY OF SPB"VGFIELD,
SPRIf\lGFIELO
The lollowing Proioc't as submitted h* tho
zoning, and does not
epproval.
require sPocific larrij use
225 ETrr,E STREEf,EI.BCTRICAL PERHIT APPLICATION
SPRrIGFIBLD,0RBGON 97477
INSPBCrION REOTIEST z 726-3769 zonins. QQ City Job Nunbet ?7-74
OFEICE: 726-3759 oaeJt'/4-44-
COHPI,ETE FEB SCEEDULB BBLOS
1.ITCATIsO*oF rNsrAll$TrdlShorized signaturo rt^
#sP92
ll3
I,EGAL DBSCRTPTION
l_8 02 05 I 2 TL 4600
New Residential-Single or
Multi-Family Per dvelling unit'
Service Included:Items Cost
South 45th Street A.
B
I
SumB
45
Blectrical Contracto r Hauck/Hanmer ELec.
Address 353 S. 68th Pl-.
Citv sofld, oR 97478 Phone 744-1165
Supervisor Licen-se Numb er 35 7S
Expiration Date 70-1-9 5 c
Constr Contr.Number 89423
Expiration Date i-5-96
Slgnature of Electrician
D.
Owner s Name Capstone Homes, Inc " of Oregon
Address P.O. Box 22536
City Euqene, oR 97402Phone ag9-ssaz
OSNER INSTALI.ATION
The installation is beirig made on E'
piop.tty I ovn vhich is not intended
for sa1e, lease or rent'
Onners Signature:
DATE:
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Modular Dvel}ing
Service or Feeder
5. SUBTOTAL OF ABOVE
5I State Surcharge
TOTAL
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
iOr "ri" to 400 amPs
-401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect onIY
JOB DESCRTPTToN ASingTe FamiTg Residence Ut
$ 8s.00
$ 1s.00
$ 40.00
3_Permits are non-transferable and expire
ii vortc is not started within 180 days
oi i""u"nce or lf vork is suspended for
180 daYs.
2. CONTR,AC,IOR INSTALI,ATION ONLY
$ s0.00
$ 60.00
$100.00
$r30.00
$300.00
$ 40.00
TemoorarY Services or Feeders
Installaiion, Alteration or Relocation
200 amps or ress
-f
q 19.00
201 amfs to 400 amPs
-
q l?.00
over 4b1 to 600 amps I $ 80.00
Over 600 amps or 1000 v6Tts see rrB"
Branch Circuits
a56E
i
Nev, Alteration or Extension Per Panel
One Circuit S 35'00
e""n eaaitional
Circuit or with Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
$ 40.00
s 20.00
$ 36.00
t
RBCBIVED ?
%r5'to
$3\p