HomeMy WebLinkAboutPermit Building 1992-12-22st,FIlI{(;t:tELt)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of f ice: 726-3759
q2tl6_
h,
JOB NUMBER-
225 Fifth Slreet
SpringlielcJ, Oreuon 974//
#
LOCATION OF PROPOSED WORK:896 S. 44th Street SpringfieLd, OR 97478
ASSESSORS MAI':78020521
17
5 800lAX LOI:
LOT:BLOCK:SU BDtVtStOru : _- _l_!l9era1 ae_eqoy e _
Pl-roNE: -- A-8-2:1567 -P.O. Box 22535
Eugene,STATE' OR..
Capstone Hofles, INc. of Oregon
CITY:
ADDRESS
OWNER
zw,
-
9740-2
NEW xx REMoDEL ADDIIoN DEMoLtsH orl-tER
1incLe FaniL g .Res:denceDESCRIBE WORK:
._..._ FridLund PTumbing 85628 DiTJeg Lane Eug.,OR 97405TJLUMBING:
-
PHONE
68e_ -:!97
-7 46-94 3 3
.344-2487
6 86--Q90 5
CENERAL:
'.q_ene
ve: Eug. rOR 97402Garibag Heating 4207 W. 5th A
Corp. 89975 Dag Lane Eu , oR 97402
MECFIANICAL
CONTRACTOR'S NAME ADDBESS EXPIFIES
70-1 8-92
72__-14-92
12:2 7=92
-9:30:95
70545
544 31ELECTRICAL. S:1
CONST.
CONTRACTOR '
2?_6)_Q- Eps..JQi 9_7402 620L5_Capstone Hoies, fnc. of OR p.O.B
51 I ?_s
_ OFFICE USE _
LANDUSE:-_ IITJ
,,t oF UNt'rS' I
coNSrFr. 'rvPe: _VM_
HEAT SOURCE: -. EA-
lOa
3.FPrsr3RANGE: --
*_A-
G
AUAD ARE.A
WATER HEATER:
SECONDARY I.IEAI
SOUARE FOOIAGE
FLOOD PLAIN:
./ONIIJG CODI::
# OF BDtlMS: . -
/ oF BL.DGS,---- -[-
occY GRou",-Q3-
/ Of: STORIES, -- 2
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspcctiorrs requested bcforc 7;00 a.m. will be
made the same working day, inspections requested atterT:OO a.m. will be made lhe following work day.
REQUIRED INSPECTIONS
tl
F
Fd
B.
rsJ
tl
Temporary Eleclric
Site lnspection - To be made
af ter excavation, l-.rut prior to
setting forms.
Underslab Plunrbing/ Electrical /
Mechanical - Prior to cover.
Footing - Af tcr trcnclres are
excavated.
Masonry - Stocl loc;rtion, Lrotrd
bearns, grouting.
Foundation - Aftcr fortns are
erected but prior to concrete
placctncn t.
Underground Plumbing - Prior
to filling trencl-t.
Underf loor Plumbing/ Mechanical
- Prior to insulation or deckirrg.
Post and Beam - Prior to floor
insulation or decking.
Rough Meclratrical - Prior lo
cover.ffi;g,y;;TJ?fl,;#ff"tj:
I
L--1fRough Electrical - Prior tcr
V cover.
Wood Stove - Af tcr install;tliott
lnsert - After fireplace approval
and installation of ut.tit.
ut&Approach-After
forms are erecled but prior tcr
placement of concrcle.
idewalk & Driveway - Aftcr
excavation is contplete, ltirttts
and sulr-base tnalerial itt placc.
Fence - Wllen cotrtplrrlr-'tl.
Slreot Trees - When ;rll reqtrirerl
trees are plante<J.
MOBILE HOME INSPE TIONS
Blocking arrd Set.Up - When all
blocking is completc.
Final Electrical - Wlren ;rll
electrical work is corrrplete.
Ollrer ..
Final - Altcr ;rll reqttired
inspections are approved ancl
porches, skirting, rlacks, an<l
venting have been installed.
I -ifinat Mechanical - When all4 mcchanical work is complete.
)offind Buildirrg - Wlrr:n allH required inspectiorrs lrave beert
approved and brrilrlinr; is
cor r r 1>letcd.
.fr*rr7Ceilirrg lnsulaliotr - Priot tt>s cover.
fforVwalt - Prior to taping.
#.]rroor lnsulation - Prior tol.! decking.
E
rl Plumbing Connecliotrs - When
horne has been connocted to
water and sovr'er.
| 'l Eloclrical Conrrection - Wlronl-l blocl.ing, set-up, anrl lrlurnbinq
inspections have bcr--,r.r approved
and the honte is conncctetl lo
tlre scrvice panel. .
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
rench.
H-\y;l*Llne - Prror to firrrng
E-ZGoush Ptumlring - Prior to? Cover.
L__l
sRm-_
I -*frleclrical Service - Must bc
4 ^pproved to obtairr r)erntanerrt
elcctrical power.
Pftteptace - Prior to facingozr ^^.n%t6",(!ilh^
W'u""ng - Prior lo covcr'
r_l
rFIE PROPOSED WORK IN THE
IIISTORICAL DISTRICT, OR O
I-HE I_.I ISTORICAL REGI
lf ye.s, this application must be signed
and approved try the Historical
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot'tyt)(l
lrttL'l lr)l
Colttqt
[)atlltirtlillt:
. .. Cul-tlr:':;;tc
Setbacks
t-l co"ACC
d&5'
PL.
N
E
BUILDTNG VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grante(i on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
the City of Springfielcl, including the
Cocle, regulatin0 the construclion and use of
may be suspended or revoked at any timc
Recei pt Number:-
Plarr
n(l
rovi
adopted bY
Dcvolopment
ons of said ordinatrces.ono iilly
Date Paicl
Rc<:civecl.
builclings, a
upor-r violatl
Plan Chccl<
BUILDING PERMIT
VALU
(A)
1
SQ.r.[:
\
SO. FT. X
t
\_-1
3lg
5
(-p
ITEM
Main
Garal;e
Carport
Total Value
tluiltling Pcr trtit [:ec
State Surcllitrgc
Total [=ee
Systems Developttrcrrt Charge is due on all undeveloped
properties within tlre City linrits whiclr are beirrg improved'SYSTEMS DEVELOPMENT C
(B)
HARGE (SDC) tF
Hzo'l$e
L COMMENTS , I
a.az-HIZ! KaltuAa)
AD ITIONA
A5
Residential Batlr(s)
Sanititry Sewcr
Water
Slorm Sewer
Mobile Home
FEf,
D-\,
l=T'
I
(c)
lq&5)
PLUMBING PERMIT
ITEM
Fixtures
N'
fr.
r.T.
Plumbing Permit
State Surcttarge
Total Charge
Fire p lar;e Urrit
MECHANICAL PERMIT
NO
(D)
Me anical Pcrrnit
Dryer Vent
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ lns
lssuance I
State Surclrarge
Total Permit
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 certity
that any and all work pcr(ormed shall be done in accordance
with the Orclinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, ancl that NO OCCUPANCY will be made of any
strLrcture wlthout perrnission of the Building Safety Division.
I further certify tltat orrly contractors and employees who
are in compliance with ORS 701.055 will be used on this
proicct.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
lrom lhe street, that the permlt card is located at ttle {ront
of the property, and the approved set of plans will remain
Sig natu re
Datc
on lhe site at I mes du construction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
state surcherr?
Sidewalk I 1--L-
^LCurbcut OL I-
Demolition
Total Miscellaneous Permits (E)
st,tsfr
fr
Su
J144.)(nTOTAL AMOUNT DUE (excluclittg; t-'lct;ttit;
(A, B, C, D, anrl E Cortrbincd)
VALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT REC
RECEIVED BY
r'{',.sb/xdl
@
,
5t'ruNGFlI:Lt)
Ail #sP49
225 FIFTB STREET
SPRINGFIEI,D, ORBGON
INSPBCTION RBQIIBST:
0FPICE: 726-3759
1. LOCATION OF
896 S. 44th Street
I,BGAL DESCRIPTIONl8 02 05 2 f TL 5800
ELBCTRICAL PERT{IT APPLICATION
City Job Nuurber 4a. 13 a-
3. COHPI.,ETE PEE SCEEDUIIE BELOV
A Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service fncluded:Items Cost
( g Bs.oo
97
7
477
26-3769
,'
DN
i
Sum
JOB DESCN PTION
SingTe FamiTg Residence \5\g 1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DveIIing
Service or Feeder
=a-
ffi
30Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$r30. 00
$300.00
$ 40.00
$ 2.00
2. COIITRACTOR INSTALT.^ATION ONLY
Electrical contraclor Rose cotporation
Address 89976 Dag Lane
Ci ty Eugene, OR Phone 686-0905
Supervisor License Number 1568 s
Exp iration Date 10-1-93
Constr Contr. Number 54431
Expiration Date e-30-?5
Ovners Name Capstone Homes, Inc. of Oregon
Address P.o. Box 22635
Ci ty Eugene, OR 97402 Phone 689-5567
OIJNER INSTALI.,ATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
0wners Signature:
DATE:
RECEIPT
c Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
$ 3s.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 Only
One Circui t
Each Addi tional
Circuit or with Service
or Feeder Permi t
B
Signa ture o-ffiUprerv i s ing_$Iec t r i ciant)t-z'/,i1r#'rr-
200 amps or less S 40.00
201. amps to 400 amps $ 55.00
Over 600 amps or 1000 volts see "B" above
E. Miscellaneous (Service/feeder not included)
-Each installation
Ptrmp or irrigation
Sign/outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OP ABOYB
5Z State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
s 36.00
,a OREGO'U
RECEIVED BY:
5
oc
\/
f,he,folto$tirl$
zonilra, srrrd I
l0B N0.lzr zvS
CITY OF SPRINGFIELD SI!II$1: DEVELOPMENT CHARGE
WORKSHEET
(C0MI'IERCIAL & RESIDENTIAL)
o O?Lc.o r{
NAME OR COMPANY:9T or-\E
7l - 68oC-
LOCATION:81t"+..{+r:J :r .18 oz ob
DEVELOPMENT TYPE:9??
BUILDING SiZE:T SIZ
i.STO RMD RAIN E
IMPERVIoUS SQ. FT-\bLq x $0.192 PER SQ- FT.
2
S a. Ft.
No. oF pFU,s 1-b x $39-78 PER PFU
(See Reverse)
3. T SPORT ATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1.oo5 x $401.0s
x $401.05
x $401.05
4 ADM INIST TIVE F EES
BASE CHARGE (SUBTOTAL AB0VE) X '05
5. SANITARY SEl,lER-M\^IMC
$
s
$13.62 PER PFU + $IO MhIMC ADMIN. FEE
Above)
SUBT0TAL (ADD iTEMS 1,2, & 3) S Itot'gLJ
TOTAL-CiTY SDC $\1r\b9
7z5zL
x
X
Y
NO. OF PFU'S
(Use PFU Tot
zb
al From Item 2 abg
Ml^lMC CREDIT IF APPLICABLE (SEE REVERSE)
L,L TOTAL-MWMC SDC
TOTAL SDCKip Burdick
-21%-
*o=o9
SDC Coordinator
lo-2-
$Zo4l 4o
SANITARY SEWER-CITY
S
FIXTURE UNIT CALCULATION TABLE: trumOer or New Fixrures X Unrt Equivalent = Fixture Units (NOTE
For remodels, calcutate only the NE additional fixtures)
Urinal, StallAvall...-
NUMBER OF
NEW FIXTURES
z.bb x $rt .g
(Rate X Assessed Value)
X$
UNIT
EOUIVALENT
FIXTURE
UNITS
FIXTURE TYPE
Bathtub.......
Drinking Fountain.----
Floor Drain.
I nterceptors For G rease/Oil/Solids/Etc""""""""'
I nterceptors For Sand/Auto Wash/Etc" " "" """""
Laund ry Tub/Clotheswasher" " "
Clotheswasher - 3 Or More."""""'
Mobile Home Park Trap (1 Per Trailer)"""""""""
Receptor For RefrigeratorAVater Station/Etc""''"
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall..---..-.....--."""'
Sink, Bar, Commercial-
---r-
Wash Basin/Lavatory' Single
-))b
,\L
Miscellaneous:
TOTAL FIXTURE UNITS Zb
CREDIT CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits seParates.
zt
2
1
2
.)
6
2
6
6
1
2
1
2
1
lHead
Water Closet, Public lnstallation"""-"'
Water Closet, Private-.....-.-
6
4
*s
Credit for Parcel or Land Only ll Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
CREDTT TOTAL = $
g
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 985
1 986
1987
19BB
1 989
1 990
1991
$2.1 6
1.90
1.60
0.25
0.87
0.50
0.16
'1979 or before
1980
198'l
1 982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
Residential..
Commercial..-....------.-.---
lndustrial
0.4
0.9
0.45
0.5
IMPERVIOUSAREA=ToTALLoTSIZEXRUNOFFCOEFFICIENT
+