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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