HomeMy WebLinkAboutPermit Building 1992-11-26SPFlIh.(;}:tELL)
LOCATION OF PHOPOSED WOFIK:.-,
ASSESSOFIS MAP:78020521
L-OT:19
?zt/<--
h,
JOB NUMBE-H.
225 Fif th Street
lipri rrof leld, Or c't1ott 1) /'t7 /
#sP57860 S. 44th Street 'ingf ie7d, OR
BLOCK {]U BDI
974-7I _ __
IAX r-or: -5690
VlsroN: .!J9-"!n:e Meadows
6 89-5567rrl-toN E:
ztp: 92492 __STATtr: Or
Capstone Homes, Inc. of Oregon
OWNER
226 36
CITY:Eugene I
ADDRESS: -::9:_
BOX
DEMOLISI{ OI IIE.FI ,-
DESCRIBE WOFIK: --
xxNEW _--=.-REMODEL ADDITION -
SingTe FaniTg Residence
CONST.ADDFIESS CONTRACTOF'I 'uolu"ttr9. 9l_eL?_r_QrB, 226?9_ *E_V7.,e_R 974_02 620i9
' PTunbing 85628 Di77eg Lane Euq.,OR 97405 5t535
EXPIRES
70-18-9 3
_l_2:14:e2
_7-2 -2 1-? 2
?:30=9-5
PHONE
5 89 -5567
7-45-94 i 3
34 4-2 4 81
6_8_6-0gQ sELECTRICAL:
MECHANIcA r,9?:-ib's !"-"!::9 -70 545
544 31
4207 W. 5th Ave. Eug.,OR 97402
Rose Corp. 89976 Dag Lane Eugene, OR 97402
CONTRACTOFI'S NAME
GENERAL: sg-eg-lone
rridJundPLUMBING:
s OF UNITS:. \ |
CONSTI-I. T'PE: V fV
HEAr souFr cE fu H.
FTANGE:
- - L
FLOOD PLAIN:
--
L _
zoNrNG coDE: !D f,
c OF BDRMS: 3
c6_r
, OF RLDC
OCCY GRO
/ OF STOFII
OUAD AREA
WATER HEATER:
SECOI'lDAFlY l-IEAI:
SOUARE FOOIAGE,:
LAND USE:
OFFICE USE _
\\\ \
To request an inspection, you must call 726-3769. This is a 24 hour recording. All insper;lions requested before /:OO a.trt. will be
made the samc working day, inspections reguested after 7:00 a.m. will be rnaclo the following work day.
REQUIRED INSPECTIONS
[-l Temporary Eleclricit
Site lnspection - To be madc
aIter excavatiorr, but prior to
setting forms.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover,
Footing - Af ter trenches are
excavaled.
Masonry - Slcel location, botrd
beatns, grouting.
Foundation - Af tcr fortns are
erected but prior to concrete
placement.
Undergrourrd Plumbing - Prior
lo filling trench.
Underlloor Plurrrbing / Mechanical
- Prior to insulirtion or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lrrsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Scwer - Prior to filling
trench.
Rough Mechanical - Prior lo
cover.
Bough Electrical - Prior t<-r
cover,
Electrical Service - Must be
approved to obtain Pcrtnanenl
electrical power.
Fireplace - I)rior lo facittg
materials arrrJ fratttitrg lttslr.
Fralrritrg - Priot [() (;()vt)1.
Wall/Ceilirtg lnsulaliot-t - [)t.tot Icr
cover.
Wood Stove - Af tor inslallatiotr
lnsert - Af ter fircplace apl.rroval
and lnstallation of unit.
Curbcut & Approaclr - Aftet
forms are erected but prior to
placement of concrete.
Streel Ttocs - Whr'rl ;rll te<lrtit':rl
trees are Planted.
Final Plumbing - Wtten all 'plunrbing worl( is r:ornplete.
Final Electrical - Wlren all
electrical worl< is cotrrplete.
Fin;rl Mcchanical - When all
mechanical work is complete.
w
P
w
fr
'Ffl
V
[l
#
w
#
F
(
Final Builditrg - Wlrctr all
rr-.quired inspcctions have bcen
approved antl builtlitill is
cornpletr:rl.
l_l Otlre.r.
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
blocking is complete.
L:]Plunrbing Conneclions - Wlren
horne has been corrnected lo
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections lrave been approved
an(l thc horne is conneclcd to
the service pranel.
| | Final - Altr:r all rctlrtiredL-r inspcr:lions are approved attrl
Irorr:ltcs, skittin(t, rlrtr:l<s, and
venling ltave been installed.
Lf
f,
@
Water Line - Ptior lo fillingl
trench.
Rough Plurnbing - Prirrl 19
cover.
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3760
Office: 726-3759
t
SRSC-
fi ory*rtl - Prior to tapirrg.
-
t-l
F
P
6
P
fl
-_z)'l7 Sidewalk & DrivewaY - Alttrr
T) e*"uuation is compietc, forrtrr;- and sub'base material itr plar:c.
l-l Fence - Wltr:n r:orrtpletrlrl'
fl
Lot {ar:r-'s
Lot sq. ftg.
Lot coverage
Topography
Total height
Itrterior
Corner
Panhart<.lle
Cul-de-sac
I ol Iylrr-,
A55
E
ACC
Set
PL.
N
ilst:GAR
ks
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
ed by the City of Springfielcl, including the
Devr:lopment Code, regulating the constructi
ay
on'at any tirnebuilclings, and may be susPe ncled or revo
upon violation of anY P rovis ion s
adopt
nd use of
Plan Check Fee: -
D:rte P;rid
Fleccilrt Nttnt
Received
I nances.
BUILDING PERMIT
VALUE
q5;l
4\
w
B
(^)
so.l-T.x $/so.
"5bWI
1_
ITEM
Main
Garage
Carporl
Total Value
Buildirrg Perrrrit Fee
State Surcharge
Total Fee
Systems Developrnent Charge is due on all undeveloped
properties within the City linrits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)#
(B)
lszr+oL
ADDITIONAL COMMENTS
rLw{_
I\OoQ_
I
+
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
(c)
N
FT.
FT.
FT.
3 lQa,.=o
Plumbing Pernlit
stale surcharoe
Total Charge
Wood Stove/ lr'rsert/ Fireplace Unit
Dryer Vent
(D)
p
I
I
5
3
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hootl
Vent Fan
rL
No =J
m--do
_-
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 further certify
that any and all worl< performecl shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the vrorl< described
hcrein, and that NO OCCUPANCY will be made of any
structure without perrrtission of the Building Safety Division.
I further cert,fy that only contractors and employees who
are in compliance with OFIS 701.055 will be trsed 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, that the permlt carrl ls locatecl at the front
of llre property, an(l ttle approved set of plans will remain
on the site at all tirrtes cltrring construction.
Dtttt:
Signatturr-'
MISCELLANEOUS PERMITS
Moblle Hottte
State lssuance
Statc Surclralge
sidewark .k-O- t,
itsTotal Miscellaneous (E)
rl 6S
Curbcttt
Dcntolition
Su rc lt
0m-I l-:- -- -[3K_-- It
MDOV
,S THE PROPOSED WORK IN THE
IJISTORICAL DISTFIICT, OR ON
]'I.IE H ISTORICAL REGISTEN? ---. -,
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALIDATION:
RECEIPT NU
DATE PAID
AMOUNT R
NECTIVEI)
U,R
TOTAL AMOUNT DUE (cxclucling electrit;
(4, B, C, f), ;rtrtl E Corrrbinecl)
eftgPz
3r_5
'oB No . nzt*zt'
crrY 0F SPRINGFIELq ll:rE$l, DEVEL0PMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
c.G
NAME OR COMPANY:o
o2 0b 2-\ -b l@o o
LOCATION:6o 1.q.+ rf a;T \s
1.
2
DEVELOPMENT TYPE:Vo?EW
LOT SIZ S a. Fr.
D RAI E
IMPERVIOUS SQ. FT.Lb o'?-X $0.192 PER SQ. FT
SANITARY SEI'IER-CITY
NO. OF PFU'S Zb X $39'78 PER PFU
(See Reverse)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
.b6 9 x $401.0s
x $401.05
x $401.0s
SUBT0TAL (ADD ITEMS 1,2, & 3)$l t>q1e
S iV E
BASE CHARGE (SUBT0TAL AB0VE) x '05 qB
$ \ 6'+-1
NO. OF PFU'S Z $13.62 PER PFU + $10 MbIMC ADMiN. FEE $ bZVL9
3
X
X
X
S
4
5. SANITARY SEl,lER.Ml^lMC
(Use PFU Total From
MhlMC CREDIT IF APPL
l^J.-
Item 2 Above)
ICABLE (SEE REVERSE)
btt?-
TOTAL-MI,IMC SDC
TOTAL SDC
Ki p Burd
SDC Coordi
ick
nator
+.{ t 96
6bv
oo
o LI o t\
s
TOTAL-CiTY SDC
FIXTURE UNIT CALCUI-ATION TABLE: ruumner of New Fixtures X u,,,( Equivalent = Fixture Units (NorE
For remodels, calculate only the NET additional lixtures)
Sink, Bar, Commercial
Shower, Single Stall.
Shower, Gang...
Urinal, StallAVall.
Wash Basin/Lavatory, Single...---""
Water Closet, Public lnstallation.
Water Closet, Private..-.------.-.--'
lrliscellaneous:
CREDIT CALCULATION TABLE
calculate credits separates.
NUMBER OF
NEW FIXTURES
+2
(Rate X Assessed Value)x$
UNIT
EQUIVALENT
FIXTURE
UNITS
FIXTURE TYPE
Bathtub.......
Drinking Fountain.-.--
Floor Drain.
I nterceptors For Grease/Oil/Solids/Etc""""""""'
Interceptors For Sand/Auto Wash/Etc"""""""""
Laund ry Tub/Clotheswasher.- ----
Clotheswasher - 3 Or More-----.".'"""'
H
2
1
2
.)
6
2
b
6
1
3
2
1/
2
2
1
6
4
z
Mobile Home Park Trap (1 Per Trailer)"""""""""
Receptor For RefrigeratorAVater Station/Etc""""
Receptor For Commercial Sink/Dishwasher/Etc"
ead z
2
w?
TOTAL FIXTURE UNITS 29
Based on assessed value. lf improvements occurred after annexation date in table'
?l t>2.\a x $tt.o
Residential..
Commercial
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
4t\2
0.9
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1 981
1982
1 983
1 984
$2.8s
2.76
2.71
2.60
2.46
2.33
1 985
1986
1987
19BB
1989
1990
1991
$2,1 6
1.90
1.60
0.25
0.87
0,50
0.16
rN/IPERVIOUS AREA : TOTAL LoT SlzE x RUNOFF COEFFICIENT
*
Credit for Parcel or land Only lf Applicable
lmprovement (if after annexation date)
The following project as submitteC
sr"llNGFTELI)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
#sP5t
zoning, end doesnot rsquire spec APPLICATION
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:Items Cost
$ Bs.oo
225 FIFTE STREET
SPRINGFIELD, ORBGON 97477
INSPECTI0N REQUBST:. 726-3769
OFPICE: 726-3759
approval
Deto
. . ,:: : ,t DQ city Job Number qZ
IJTB FEB SCEEDULE BELOS
1. LOCATION OT INSTALI,ATION
860 S. 44th Street
Authorized Si gnature
A.
IJGAL DESCRIPTION
18 02 05 2 I TL 5600
JOB DESCRTPTION
qi e 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.
2. COIITRACf,OR INSTALI,ATION ONLY
Electrical ContractOr Rose Corp.
Address 89976 Dag Lane
Ci ty Eugenet OR Phone 686-0905
Supervisor License Number
Expiration Date !o-L-?1
1568 S
c
Constr Contr. Number 54431
ExPirationPals 9-30-95
Signat Supervi Blectrician
gwners Name Capstone Homes, Inc. of Otegon
Address P.O. Box 22636
Ci ty Eugene, OR 97402 phone 689-5567
OVNER INSTALI..ATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 4oo amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
Sum
w
3 $ls.oo{S
B
$ 40.00
$ s0.00
$ 60.00
$100. 00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
Over 401 to 500 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBrr above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E Hiscellaneous ( Service/feeder
-Each installation
Pump or irrigation S
Sign/0utIine Lighting_ $
Limi ted Energy/Res $
Limi ted Energy/Comm : $
not included)
40.00
40. o0
20.00
DATE:
STETOTAL OT' ABOVE
5Z State Surcharge
TOTAL
,a
----------------EGOTU
RECEIVED B
5 CD