HomeMy WebLinkAboutPermit Building 1991-02-10RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
0ffice: 726-3759
-JOB NUMBER ?//goz
225 Fifth Street
Springfield, Oregon 97 477
7015 S. 44th Street Springfiel-d, OR 97478
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
35
18020524 TAX LOT:3800
BLOCK:SUBDIVISION Lucerne ltleadows
LOT
689-5567PHONE:
97402ZIP:STATE:OR
Capstone OreqonHorftes, Inc. of
226 36P.O
e,CITY:
ADDRESS:
OWNER
NEW XX FIEMODEL ADDITION DEMOLISH OTHEB
DESCRIBE WORK:SingTe FamiTg Resjdence
Rose Corp.ELECTRICAL
MECHANICAL:Garibag Heating 4207 W.
89976 Dag Lane Eugene
pstone Home9.GENERA
70545 72-27-92 344-2487Sth Ave. Eug.,OR 97402
544iL 9-30-92 686-0905, oR 97402
CONTRACTOR'S NAME
620 1B22636 Eug.,OR 97402
EXPIRES
70 -1 8-92
PHONE
6 89-5567
ADDRESS
Inc. of OR P.O.B.
CONST.
CONTRACTOR #
PLUMBING:
\/ lV
I 3
I4a
ilt I3RC
t-oe_-
a<6:<7.
QAH'
_ OFFICE USE _
# OF BDRMS
RANGE:
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
r OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
# OF BLDGS
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
I-l remporary Electric
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsP.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover,
Drywall - Prior to taping.
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
K
,K
x
K
Ex
E
E
X
E
B
x
x
F/Foundation - After forms arelAerected but prior to concrete
placement.
lvfund"tground Plumbing - Prior
F>( to filling trench.
Fy.,;'*liJm
]Vf Post and Beam - Prior to floorzAinsulation or decki ng.
ffif floor lnsulation - Prior to
/adecking.
l!'l Sanitary Sewer - Prior to fillingJaa trench.
lVf Stor- Sewer - Prior to filling,ld trench.
F7w"t.r Line - Prior to fillingtA trench.
T7 nougtr Plumbing - Prior to
,)4 cover.
Msio"*"lk & Driveway - AfterjA ercaration is compiete, forms
and sub-base material in place.
Wood Stove - After installation.
fre€-rAb f/E%lcz
lnsert - After fireplace aPproval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Fence - When completed
Trees - When all required
are planted.
Final 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.
Electrical Connection - When
blocking, set-up, and plumbing
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.
Underslab Plumbing/ Eleclrical /
Mechanical - Prior to cover.
r
r
r
Setbacks G rne , )PosED
HISTORICAL DISTRI
WOBK IN THE
CT, OR ONLot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot TYPI-
y/ lnterio,
-.
Corner
-
Panhandle
-
Cul-de'sac
05//"
Mo
<22,w
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
.nd "PProved bY the Historical
Coordinator prior to permit issuance'
APPROVED:
PL.HSE GAR ACC
N b
S la'
7D
E
(A)
X $/SQ. FT.
77/,"4
32?.r
/6p4e
VALUE
4n^<
Soar
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main \4:7
Garage
Carport
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
adopted by the City of Springfield, 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.
rzDatePI
Receipt Numbe
By
Date Paid
Received
Plan Check Fee:4>a
SYSTEMS DEVELOPMENT CHA
(B)
RG
$r T'p1
E(S
AA
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
r-9,9o
fr.e
(c)
/L nre
FT.
FT.
FT.
No,
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
a
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
vent Fan N' .e
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
qoo
-r'-/s,e
2,oo
$o
(D)
/@(e,
3q60/D@
Mechanical Permit
lssuance
State Surcharge
Total Permit
/9sh7;
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 70'1.055 will be used on this
project.
I further 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 sit
Signature
e at all time
{
"V"
construction'
/,,/2Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk /nO t/
curbcut 4 tt
Demolition
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
60
tq oo
w
(E)
o6Total Miscellaneous Permits
RECEIPT N
DATE PAID,
AMOUNT R
RECEIVED
ECEIV D
VALIDATION
UMBE
o/ z
/ l' r*.FA
CITY OF
%225 FTTTE SIREET
sPRrNcFrElD, 0REGoN 97477
INSPECTION REOIIBST: 726-3
OFFICE: 726-3759
1 LOCATION OP TNSTALI.ATI1015 S. 44th Street
ELECTRTCAL PERilTT APPLTCATTON
Number al I I
COHPIJTE FEE SCEEDULB BELOV
Residential-Single or
lti-FamiIy per dwelling unit.
ed:
Items Cost
4.6dgod
IJGAL DESCRIPTION
78 02 05 2 4 TL 3BOO
JOB DESCRTPTION
S F 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. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor Rose Corp.
Ci ty Eugene phone 586-0905
sup ervisor License Ntimber 7568s
Exp iration Date 10-7-92
Constr Contr. Number 544 37
Expr ration Date 9-30-92
Signat Supervi sing Electrician
Ovners Name Caps tone Homes, Inc- of OR
Address P.O. Box 22536
Ci ty Eugen e,OR 97402 Phon e 689-5567
?#,';iglgf#,g
0ut&te
a8
I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
/-- $ 8s.00
2 s 1s.00
s 40.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
%*
str
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-
0ver 1000 amps/volts
-
Reconnect 0n1Y
D
Temporary Services or Feeders
Insiallation, Alteration or Relocation
200 amps or less $ 40
iOt "rnp. to 400 amPs
-
I 15
over 4b1 to 600 amPs
-
$ 80
0ver 600 amPs or 1000 volts see
Branch Circuits
50$00
Nev, Alteration or Extension Per Panel
One Circui t
each Additional
Circuit or vith Service
or Feeder Permit
-
$ 3s.oo
E },liscellaneous(Service/feedernotincluded)
$ 2.00
aSoF
.00
.00
.00
ilBil
O\INER INSTALI,ATION
The installation is being made on
piop".ty I ovn vhich is not intended
ior sa1e, Iease or rent'
0wners Signature:
-Each installation
Pr.rmp or irrigation
Sign/OutIine Light ing-
Limited EnergY/Res
-
STIBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
s 36.00
DATE:
+
RECEIVED BY:
5
666r"ts 89976 Dag Lane
c.
//1,:i=ffi
JOB NO I rro oq
CITT OF SP}TINGFIELD SYSTEHS DEYELOPMENI CHARGE
WORKSHEET ,/
(coilttERcIAL & RESIDENTIAL)
NAME oR coMpANy, CneatoNe dor.rrg:, . Tr-rc . o( Oge6rot-t
LOCATION:\or5 - q .l t!'sr- tbozo c-l-4 -2aboo
OEVEL0PHENT TYPE: Loz-- t-ler^l
I. STORfi DRAINAGE
IMPERVI0US SQ. FT. albb X $0.186 PER sQ. FT.
(See Reverse For Runoff Coefficients If Actual Imperv. Are
2.. SANITARY SET.IER-CITY
NO. OF PFU'S lo X 538.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X CO5T PER TRIP
X l.oos X5388.61
x_x$388 .61
.61
(See Attachment C To Oeteruine
BUILDING SIZE:
4 ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X .0s
5. SANITARY SE[{,ER-H1.|MC
(Use PFU Total From Item 2 Above)
Hl.lMC CREDTT IF AppLICABLE (SEE REVERSE)
J*,L \-t -1-t-
Kip Burdick
SOC Coordinator
Trip Rates)
s[giorAt'1Roo ITEMS l,z, & 3) s l5q"]1
SIZ F sQ. Ft.
5 Sosji!
a Is Unknown)
S C,ate9
s aio52
s
s
I
s a1q
TOTAL-CiTY SDC S 1G]29
s z{E^So
S3t .+1
TOTAL-I.I'JI'IC SDC san I
s LobllL
t
N0- 0F PFU'S lb x 513.25 PER PFU + Sl0 1Jl1,,!.1C AD!':IN- FEt
TOTAL SDC
FIXTURE UNIT CALCUL/ ION T. -lLE: Number of New Fixtures
For remodels, calculate only the NEf addhional fixtures) ,
NUMBEHOF
FIXTURE TYPE NEW FXTURES
Jnit Equ, :nt = Fixlure Units (NOTE
UNIT FIXTURE
EOUIVALENT UNITS
Z
2
Bathtub.......L 2
1
2
6
2
6
6
1
2
1
2
2
1
6
4
Drinking Fountain...
Floor Draln. ............-.......
lnterceptors For Grease/Oil/Solids/Etc.......--.----.--
I nterceptors For Sand/Auto Wash/Etc..................
Laundry Tub,
Clotheswasher - 3 Or More..-.........
Mobile Home Park Trap ('l Per Trailer).....--.
R eceptor For Ref rigeratorAVater Statiorr/Etc-. - - -. - -
Receptor For Commercial Sink/Dishwasher/Etc--
Shower. Single Stal|.............
Shower, Gang.....---..-
Sink. Bar. Commercial
Urinal. StallflVall-,-...-...
Wash Basin/t-avatory. Singl e......-...
Water Closet. Puuic lnstallation-.
Water Closet. Priwte..-......
2-
/Head
2
L
Miscellaneous:
1A
CREDIT CALCUUION TABLE: Based on assessed rralUe. tf lmprOvements occurred after anno<ation date in table'
calcrdate credits seParates.
I1 ,83 bt5
a.
Credit for Parcel or l.and Only lf Applicable
lmprovement (if after anne)Gtion date)
?.bl- X S
(Rate
(Rate
X Assessed Value)x s_
X Assessed Value)
CREDIT TOTAL =5 Tt Lt1
Year
Annexed
Rate per 51.000
Assessed Value
Year
Annexed
Rate per 51.000
Assessed Value
1979 or before
1980
1981
1992.
1983
1984
sz66
L&
2.53
211
Li9
2.O4
1985
1986
1987
1g&ts
1989
1990
s1-@
1-35
1.15
o.9.
nio
0.23
RUNOFF COEFFTCTENTS FOR STORM DRAINAGE
Residential..
Commercial
lndustrial...--
0.4
0.9
0.45
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
TOTAL FIXTURE UNITS
t