HomeMy WebLinkAboutPermit Building 1991-02-11RESIDENTIAL
PERMIT APPLICATTON
lnspections: 726-3769
Office: 726-3759
LOT:36
IELD
JOB NUMBER ?//,a/6
225 Fifth Street
Springf ield, Oregon g7 427
LOCATION OF PROPOSED WORK;t037 s.44th s treet C Ld,974 7B
ASSESSORS MAP:18020524
TAx LOT 3700
-
BLOCK SUBDIVTSION: Lucerne Meadows
To request an inspection, you must call 726-3769. This is amade the same working day, inspections requested after ,
.24 hour recording. All inspections requested before 7:00 a.m7;00 a.m. will be made the following work day.
will be
l-wl remporary Etectric
l-l Underslab ptumbing / Electricat /
-
Mechanical - prioi to cover.
ffi Footing - After trenches are
-
excavated.
[-l fUasonry - Steet tocation, bond
-
oeams, grouting.
w Foundation - After forms areerected but prior to concreteplacement.
)(Underground plumbing - prior
to filling trench.
ill:":,"#"".ti'*,;,frnffito- Wl#"r,.1 Erecrricar - prior to
setting forms.
REQUIRED INSPECTIONS
E f;;;rr: Mechanicat - prior to A
a Electrical Service - Must beapproved to obtain permanent
electrical power.
[-l Fireptace - prior to facing.- materials and framing tnspi
l7l Framing - prior to cover.
fl WalltCeiling lnsulation _ prior to
-
cover.
W'o*"1 - Prior to taping.
t(l Ited-Sle*- After instailation.
- f/DaF/z€?27/7
l-_l lnsert - After fireptace approvat
-
and installation of unit.
ffi Curbcut & Approach - After.a forms are erected but prior toplacement of concrete.
a
Final Plumbing - When ailplumbing work is complete.
m
a
e
a
tZ
w
Underlloor plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - prior to floorinsulation or decking.
Floor lnsulation - prior to
deckl ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When comPleted.
Street Trees - When all required
trees are Planted'
MOBILE HOME INSPECTIONS
f-l Blocking and Ser.Up - When ail
-
btocking is compleie.
Plumbing Conneclions _ Whenhome has been connected towater and sewer.
Electrical Connection - Whenblocking, set-up, and ptumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed'
589.-5567PHONE:
97402zlPORSTATE
Capstone Homes,Oreoonfnc. of
CITY:
ADDRESS
OWNER:
Euqene,
P.O. Box 22636
NEW XX REMODEL ADDITION DEMOLISH OTHER
ResidenceSingle ?amiLDESCRIBE WORK
89976 Da 02e9
of OR p.O.B
7B-92,oR 9740222636Euq.Capstone
344-2 48 IELECTRICAL:Rose Cor
Homes, fnc.52018 10_
ADDRESS EXPIRES
CONTRACTOFI'S NAME
12-2 1-92
- 30--09
MECHANICAL:
PHONE
689-5567
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
I \
Q
a
L
R sc,
# OF BDRMS
_ OFFICE USE _
LAND USE:lnl
# OF UNITS
WATER HEATER:RANGE:
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN:
ZONING CODE:
SECONDARY HEAI:
SQUARE FOOTAGE:
-)coNSrR. rypE: VA/
HEAr souR s1.. Qaa Fr4
OCCY GROUP:
* OF STORIES:
E e
Qr
ff Finat Electrical - When ail
-
electrical work is complete.
[Jl rtnrt Mechanicat _ When ail
-
mechanical work is complete.
ffl rinat Building - When ail'*- required inspections have beenapproved and building iscompleted.
[--l ottrer
rr
Set ks .S THE PROPOSED WOHK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
--lf yes, this application must be signed
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
68r'/.A 4 rnterior
<A corner
dtfu
-
Panhandle
'AV -
cul-de-sac
P.L.HSE GAR ACC
N ?/
S /d'
za
E *4
I I L4
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
"O.p,"O by the City of Spri ngfield' including the
bevetopment Code, rejulating the construction and use of
Iriloi"'g", and may bJsuspended or revoked at any time
upon viotation of any provisions of said ordinances'
Date
AO
Plans Reviewed By
Receipt Numbe
Plan Check Fee:
Date Paid
Received BY:
BUILDING PERMIT
FT.
?412?,?
-e,
(A)
4 {3 /4.
6,4
ITEM
Main
Garage
Carport
VALUE
caffi
SB?3-7o
Total Value
Building Permit Fee
State Surcharge
Total Fee
x $/so. FT.
37'2o
782-63
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CH
(B)
FPARGE (sDc)
\g72{2p
NAL COMMENTSADDITI
6
ITEM
Fixtu res
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0 /?.2-f,4
FT.
FT.
FT
(c)
/?z-se
?.67
7a2./7
Plumbing Permit
State Surcharge
Total Charge
Fu rn ace
Exhaust Hood
Vent Fan
Wood Stove/lnse
Dryer Vent
place
MECHANICAL PERMIT
N0
.c527
4-Jt
u2-Fe
6e
__2.12
.<?.65(D)
_p
/-e2r.
/s,*
:-+
Mechanical Permit
lssuance
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
informationhereonistrueandcorrect,andlfurthercertify
that any and all work performed shall be done in accordance
withtheordinancesoftheCityofSpringfield,andtheLaws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structureWithoutpermissionoftheBuildingsafetyDivision'
lfurthercertifythatonlycontractorsandemployeesWho
are in compliance with ORS 70'1'055 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
ng construction.on the site at all tim
Signatu
Date
d
Z
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
sidewark 4V *
curbcut z ( tt
Demolition
State Surcharge
Total Miscellaneous Permits (E)
/?- r{
/3-40
-oo
r05
VALIDATION
RECEIPT NUMB
DATE PAID
AMOUNT FIECEIVE
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
27lL7/
BECEIVED BY
b
,2
4D-
,/a,
Pl*, cz rc
qN OE
225 FIYTfl STR.EET
SPRTNGFTELD, OREGON 97 471
INSPECTI0N REQUEST:. 726-3769
0FFICE: 126-3759
1. LOCATION OF INST
1037 S. 44th Street
I,EGAL DESCRIPTI
1Q 0524
JOB DESCRIPTION
5 _t,iden
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. CONTRACTOR INSTALI.,ATION ONLY
Electrical Cont ractor Rose CorP
Address 89976 Dag Lane
Ci ty Eugene phone 686-0905
Supervisor License Number 15585
Expiration Date,10-1-92
Constr Contr . Number 54431
Expiration Date 9-30-92
Signa o Electrician
OVNER INSTALI,ATION
Name Capston e Hofies, Inc. of Oregon
Address P.O. Box 22636
Ci tY Eugene, OR Phone 689-5567
7402
SPFlINGFIELE,
J.
EIJCTRTCAL PERHTT APPLTCATION
Ci ty JobNunbe= Qll ln
3 COHPIIETE
enti
-Family
Service Ihcluded:Items Cost
SCMDULE BELOS
al-Single or
per dvelling unit.A.N
/ZOAAlsoesq.ft. or less "// $ 85.00
Each additional 500
sq. ft or portionthereof ? s 15'oo
Each Manuf'd Home or
Hodular DveIling
Service or Feeder $ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
Sutn
*
ffi
B
100 amps or lessioi "rp" to 4oo amps
-401 amps to 600 amPs
-
601 amps to 1000 amPs
0ver 1000 amPs/volts
-
Reconnect 0n1Y
$
S
$
00
00
00
00
00
00
35.
60
BO
$130.
s300.
$ 3s.
C TemporarY Services or Peeders
ir"i"ff"iion, Alteration or Relocation
le
200 amps or ress -4 $ :eoo E
;oi ;;;; io aoo a*Ps
- i 19'99o""r-qbr to 500 amPs = $ 80'00
over 600 amps or tdOOE-fts see "B" above
Branch Circuits
Nev, Alteration or Extension Per Panel
D
One Circuit
Tvo to ten Circuits
Each Addt'I ten or
portion thereof $ 1s.00
E Hiscellaneous (Service/feeder not included)
$
$
s
$
00
00
35.
50.
00
00
36
36
The installation is being made on
property I ovn vhich is not intended
ior-sa1e, lease or rent'
O'rners Signature:
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Signal Circuit or
limited energy Panel-
SUBTOTAL OP A3OVE
5Z State Surcharge
TOTAI
$ 36.00
2A."'
DATE:
*
RECEIVED BY:
5 8,fa
/ 79" fA
JOB N0. jirtgro
CIIY OF SPRII{GFIELO SYSIEHS DEV,ELOPIIETr CUANEE
WORKSHEET "
(clttltE(cl AL & RESIDENT I AL)
NAME 0R COMPANY' QApz'fot-\u l+ov\e5 , Ar-\(-' oF 03-€6od
LOCATI0N : \out 5, 44a, 3t - l*oaoc,tq'910-o
DEVELOPMENT TYPE:Lb e-r-I
BUILDING SIZE:OT SI
I. STORH DRAINAGE
IMPERVIOUS SQ. FT.o2-
(See Reverse For Runoff Coefficients
2.. SANITARY SEI,IER-CITY
N0. oF PFU',S
-
a-b
-
x $38'55 PER PFU
G;"-h.;;"'" ffi PFU'S)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X CCST PER TRIP
. o-os x s388.51
x x $388.61
4
NO. OF PFU,S nb
sQ. Ft.
*1x $0.186 PER SQ- FT-
If Actual ImPerv. Are a is Unknown)
S UZG6=-
5
c>5
'7lo -tx
S
t5ffi6#nffi oEtermine "13rT6iii)to* rrEHS 1,2, & 3)
ADI'IINISIRATIVE FEES
BASE CHARGE (SUBTOTAL ABovE) x 'os
i
s1 G4q:1
s gL*9
s l1aLo>
5. SANITARY SEI'IER-MI.IMC
513.25 PER PFU + S10 l'll'll'lc ADI1IN' FEE S bl'+19
(Use PFU Total From Item 2 Above)
MuMc CREDIT IF APPLICABLE (sEE REVERSE)
5 ?t{
ToTAL-l'1'Ii'1C SDC 5 L 2,cbb-
,9*-!*t
Kip Burd ick
natorSDC Coo rdi
- +'1v T.TAL SpC s Zot5bZ
lz
TOTAL.CITY SDC
FlxTuRE uNlr cAlcut-A-r .JN TABLE: Number of New Fixlures X -rrit Equivalerrt = Fixlure Units (NorE
For remodets, catculate onty ttreNEJ additionalfixrures) NUMBEC@F_^ uNlT FlxruRE
NEW FXTURES EOUIVALENT UNITS
FIXTURE TYPE
Bathtub....-.-
Drinking Fountain""" "'."""""-""-"""'
Floor Drain-
i nt.r""ptors For Grease/Oil/Solids/Etc"""""""'-'
i ni"r."pto.s For Sand/Auto Wash/Etc"" " " "' - " - "'
t-aundry Tub/Clotheswasher-------.---
Clotheswasher - 3 Or More-.--....-..
Mobile Home Park Trap (1 Per Trailer).....--...-.......
Receptor For Refrigeratorr/W'ater Station/Elc---..---
Receptor For Commercial Sink/Dishwasher/Elc..
Shower, Single Stall....-........
Shower. Gang..--.---.-
Sink. Bar. Commercial
Urinal. StaltflVall.---
Wash Basin /l-avatory, Single..---.-...
Water Closet. PUH'rc lnstallation..
Water Closet. Prirate-.--.-.-.
Miscellaneous:
.L
/Head
2
1
2
J
6
2
6
6
1
J
2
1
2
2
1
6
4
7
.>
TOTAL FDCTURE UNITS
2-
'5
\?-
Zb
CBEDIT CALCULANON TABT.E:
calcrlate crdits sepaEtes.
Based on assessed rralue. lf lmprorements occurred after annexation date in tablq
Credit for Parcel or l-and Onty lf Appticable
lmprovement (if after annexation date)
lndustrial...---....
Governmenlal-.-.-..
Z,t-XS t t.b3 g
(Rate X Assessed Vatue)xs
(Bate X Assessed Vatue)
CREDIT TOTAL _ s %r*L
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residentiat..0.4
0.9
0-45
0.5
Commercial-.-
Year
Anne(ed
Rate per S1.(X)0
Assessed Value
Year i
Annexed
Rate per 51.000
Assessed Value
1979 or before
1980
1981
r982
1-og3
r984
s2-66
L&
z.3J
2.11
2-i9
2.04
1985
1986
1987
1988
r989
1990
sl_@
t-J.)
r.15
o.92
0.59
0-23
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFT;COETTICIENT