HomeMy WebLinkAboutPermit Building 1992-07-07#sP42
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
x
K;:""A.sewer - Prior to rillins
tr
IVI Sidewalk & Driveway - AfterlAexcavation is compiete, forms
and sub-base material in place.
Wood Slove - After installation.
lnsert - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Fence - When completed.
reet Trees - When all required
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is complete.
Plumbing Conneclions - 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.
Temporary Electric
Site lnspection - To be made
after excavation, but prior,to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Sanitary Sewer - Prior to filling
trench.
Waler Line - Prior to filling
trench.
E
B
,x
4
E
KOrVwall - Prior to taping
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.
X.
,K
K.
lVzl Final Buildino - When allA\required insplctions have been
approved and building is
completed.
Final Plumbing - When all
plumbing work is complete.
Final Eleclrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
ryi?ll:ffi:
f,/ Posr and Beam - Pnor Io floor
A{ insulation or decking.
K5:""?1,1;suration - Prior to
,K,
SPRINGFIELE,
Lucerne lvleadowsBLOCK
h,
.41 SUBDIVISION
TAX LOII
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
LOT:
JOB NUMBER
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
7143 S. 44th Street Springfield, OR 97478
18 02 05 2 4 TL 3200
225 Fifth Street
Spri ngfield, Oregon 97 477
PHONE: 689-5557
97 402ztPSTATE:OR
Caps tone Hoiles, fnc. of Oregon
P.O. Box 22636
CITY:Eugene t
ADDRESS:
OWNER:
NEW XX REMODEL ADDITION DEMOLISH OTHER
SingJe FamiTg ResrdenceDESCRIBE WORK
G EN ERAL:Capstone Homes, Inc.of OR P.O.B.
ELECTRICAL:
MECHANICAL:
FridLund Plumbing 85628 Di77eq Lane Eug.,OR 97405
70545 72-27-92 344-2481Garibaq Heatinq 4207 W. 5th Ave. Eug.,OR 97402
Rose Corp. 89976 Dag Lane Eugene, OR 97402 54431 9-30-92 686-0905
ADDFIESSCONTRACTOR'S NAME
PLUMBING
EXPIRES
70-78-92
PHONE
6 89-5 567
CONST.
CONTRACTOR #
22636 Euq.,oR 97402 62078
51835 72-14-92 746-9433
I
RANGE:WATER HEATER:
FLOOD PLAIN
ZONING CODE:
# OF BDRMS
_ OFFI
* OF UNITS:
LAND USE:
SECONDABY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
OUAD AREA:
# OF BLDGS
,X-f*tl Plumbins - Prior to
trees are planted
E
r
E
PL.HSE GAR ACC
N d
S L
,b
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
@
"eL4o
n_5',
Lot Type
E mr"rto,
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks J THE PROPOSED WORK IN THE
HISTORICAL DISTRICI OR ON
THE HISTORICAL REGISTER? .-
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED:
/bF'
SS
--T*-
65,22 7
331.@
(A)
BU!LDING PERMIT
X $/SQ. FT.
31,70
/4,/o
VALUE
59 073-Z-=oE
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
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.
eviewedP
Plan Check Fee:
Date Paid
Recei
Flecei
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
140?
(c)
FT.
FT.
FT.
N"Z
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
___get/^A?
ADDITIONAL COMMENTS
7+amil/aWx ur- cdat@m,r
nn0,(.
.At tYtl
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
4so
/5.?9
h?o
?P
4q.€o
5L
/'//-
?o
(D)
e
AF
q'3Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood
No3
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
proiect.
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 5
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewark 60 t
Curbcut 23 I
Demolition
State Surcharge
Total Miscellaneous Permits
/4)iar, t@ r(E)
1o.*
25?7.72TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
VALIDATION
RECEIPT NUMB
DATE PAID
AMOUNT RECEIV
RECEIVED
, i=;z i
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) {Bio4
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
/?^20
/.3 /c
CITY OFSPB OBEGO'U
SPFINGFIELO #sP42
225 FITTIj STREET
SPRTNGFTELO, OREGON 97477
INSPEC;TI 0N REQUEST: 72.6-3
OFFICE: 726-3759
LOCATION OF INSTALI"ATION
f143 S. 44th Street Spf7d.
LEGAL DESCRIPTION
18020524 TL32 00
JOB DESCRIPTION
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
Electr.ical Contractor Rose C or t)
Address 89976 Daq Lane
Ci ty Eugene Phone 686-0905
Supervisor License Number 1568 S
Expiration Date 70- 7-92
Constr Contr. Number 544 31
Expiration Date 9-i0-92
fsnl
PERHIT APPLICATION
City Job Nunber QruZ S7
FEB SCMDULB BELOS
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Ihcluded:Items Cost
t/ $85.00 gsoo
J.
has the %
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Peeder
100 amps or less
101 amps to 400 amps _
401 amps to 600 amPs _
601 amps to 1000 amPs
0ver 1000 amps/volts _
Reconnect only
200 amps or less
201 amps to 400 amps
-Over /101 to 600 amps _
Over 600 amps or 1000 volt
SIIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
es
1
A
B
L $ 1s.00 w
s 3s.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
Sutn
00
$130.00
$300.00
$ 3s.00
$ 3s.00
$ 40.00
$ 80.00
s see rrBrr above
S
s
$
.00
00
35
60
80
C. Temporary Services or Feeders
Installation, Alteratlon or Relocation
Slgna ture
lL /
OVNER INSTALI.ATION
Name Capstone Homes, Inc. of Oregon
Address P.O. Box 22636
'C!1y Eugene' oP Phone 6 89 -5 557
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
t:
D. Branch Clrcuits
Nev, Alteration or Extension Per Panel
./L> z'u / -
'ne
Circuit ir g 3!;€0 1k) ul-t
Each Addt'1. ten or
E. HisceLlaneous (Service/feeder not included)
-Each installation
Sign/Outline Lighting_ S 36.00' Signal Circuit or
limited energy panel_ S 36.00
isigflectriclan
/r/lz
RECEIVED
5 t55,@o- .r.?5-/62-T
225 FIETE STREEf,
SPRINGFIELD OREGON 97
INSPBCTION REQIIBST: 7
0FFTCE: 726-3759
B;?*tix[]$'"tfi3i
ttroto\iowili!AAl!
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
InstaIIation, Alterations or
Relocation:
OP
IJGAL DESCRIPTION/?ctToS'Y vl a 370 a
JOB DESCRIPTIONiu5'h// C""7r,/ t/n.
Ovners Signature:
DATE:
RECEIPT *:
nn ,D& - *e-City Job Nusrber q a,e 1rr7
_-Qlrr*\qa 3. COHPLETE PEE SCEEDULE BELOII
,"&ev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service fneluded:
I tems Cos t
rrr rli TJELECTRICAL PBRHIT APPLICATION
s 8s.00
477''": . ,. ,r
26-376s
1
Permits are non-transferable and expire
if vork is not started vithin L80 days
of issuance or if vork is suspended for
180 days.
2. CONTRAC:rOR INSTALI.ATION ONLY
Electrical Contractor
Address
city- Phone
Supervisor License Number
Expiration Date
C
Constr Contr. Number
Expiration D"te
Signature of Supervising Electrician
Owners Name B,L /:/ c E/" / /
Address t-13 ct Nu b 2 7/
city,hrtrfr"t,/Phone ),/2-6>ta{v
OITNER INSTALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circui ts
One Ci rcui t S 35.00
Eaeh Addi t ional
Circuit or with Service
or Feeder Permit S 2.00
200 amps or less S 40.00
Over 401 to 500 amps _ $ 80.00
0ver 600 amps or 1000 volts see .B'r above
200 amps or less
201. amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
Hiscellaneous (Service/feeder
-Each installation
Pump or i rriga t i on $
Sign/outline Lighting- S
Limi ted Energy/Res $
Limi ted Energy/Comm S
SI.MTOTAL OP ABOVE
5Z State Surcharge
TOTAL
B
s 1s.00
s 40.00
s s0.00
s 60.00
$100. 00
$130.00
s300. 00
s 40.00
E not included)
40. 00
40.00
20.oo 7
36. OO
&
RECEIVED BY:
7/5
oo
Sum
Nev, Alteration or Extension Per Panel
JoB tio- 92-0-7-5:1
CITY OF STIRINGFiELD SYSTEI{S DEVELOPMb't. CHARGE
WORKSHEET
(C0HHERCIAL & RESIDENTiAL)
NAI'IE OR COI'IPANY:Car;oilE 5 C o
LOCATiON:usr
Lpr - New 9FKDEVELOPI'IENT TYPE:
BUILDING SIZE:
i. STORH DRAINAGE
IMPERVIOUS SQ. FT.21b1
(See Reverse For Runoff Coefficients
?-SANI RY SEI.'ER -CITY
3
LOT SI
x 50.186 PER SQ- FT-
If Actua'l ImPerv- Are
S a- Ft.
oB
a Is Unknown)
NO. OF PFU'S / 8 X 538.55 PER PFU
(See Reverse To Oetermine Total PFU'S)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x I ,oo5 X s388-61
x x s388-61
x s38s-61x_
(Use PFU Total From ltem 2 Above)
t'll.lt'lc CREDIT IF APPLICABLE (SEE REVERSE)
,/-
Kip Burdick
SDC Coordinator
raine t'lfirlSiiilt*o
rrEms r,z, &, s tslbL
s 6q bq9
s alo 22
s
(See Attachment C To Dete
4. ADI'IIN ISTRATIVE FEES
BASE. CHARGE (SUBToTAL A80VE) X .05 s <a G$ll-
TOTAL-CiTY SDC (.b
5. SANITARY SEI.'ER-MWMC
N0. 0F pFU,s lg
-xS13.25
PER PFU.+ Slc Hw'tc AITHIN- FEE s24862
7t
4ts 3l
TOTAL-HWMC SDC
TOTAL SDC
s ztl*
L
s /9104
I
cALcuL,a, lN l-ABLE: r,rrrmber of NervFi(uresX ii Equn'alcrrt = [:ixlure ur)ils (l'JolE
Forrenlodels.calculaleonlytheNETadcjii'ional{ixtures)
FIXTURE TYPE
NUMBEF OF
NEW FITTURES
UNIT
EOUIVALENT
3t
FIXTURE
Ut.llTS
Eathtub-.
2
Credit for Parcel or tand Only li Applicable Z.t C X S
(Rate X Assessed Vatue)
L'll
2
1
2
6
2
6
6
1
3
2
1/
2
2
'l
6
+
I
Drinking Fountain-
fl oor Drain-------.----------'-'
t nterceptors For Grease/Oil/Sotids/Etc--'--"""'--' -'
I nrerceptors For Sand/Auto wash/Etc--"' --" "-"--- -
Laundry Tub/Gotheswasher'
Clotheswasher - 3 Or More"'
Mobile Home Park Trap (1 Per Trailer)'-'--"'
R eceptor For RefrigeratorflVater Station/Elc-'-"- "
Receptor For Commercial Sink/Dishruasher/Etc"
Shower. Single Stall---------."
Shower. Gang-..-------
5iptq Bar. Commercial
'7/Wash Basin/tavatory. Sing lo
Water Goset Public lnstallation-'
Water Closel, Priuate----L
Miscetlaneous:-
TOTAL FIXTURE UNiTS tb
CREDIT cALcUt-ATtoN TAB| tr. Based on ass€ss€d vatue lf.irnprorements occljrrd after annexation date in table'
calcdate credits
4t
ead
lmproremer[ [f after annocat'xxr date)
Residenrial--
CommercLl-
n,b
x s-
X Assessed Value)
CREDIT TOTAL
(Rate
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
-s 3t 4t
'------"""'--'--"' 0-4
.-..-.---..-.-....-..-- 0.9
Year
Annered
Rate per 51.000
Assbssed ValueYear
Anns<ed
Rate perS1,0OO
Assessed Value
1985
1986
1987
19BB
1989
I oorl
s1-69
1-35
1-15
o.92
o-59
o.23
1979 or before
1980
1981
1982
1983
1984
sz66
2-&
2_3
247
z^19
ZM
IMPERVIOUSAREA=TOTALLoTSIZEXRUNOFFCOEFFICIENT
4
.--.-----.-
a-
tb
1-
arJ,
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