HomeMy WebLinkAboutPermit Building 1994-05-05-r-r >€rt z
SPTTIr{GFIELE)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 h,
JOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
SP B7824 South 44th Street
LOCATION OF PROPOSED WORK:
18 02 05 2 I TL 5400
ASSESSOFIS MAP:
2
LOT:
-
I BLOCK: - .-,--
TAX LOT:
SUBDIVISION LtJeerne Meadows
6 89 -5 557Capstone Hames r.PHONE:
ZIP:STATE:
.Inc. of O
P "O. Box 226 36
Eugene, OR 97402CITY:
ADDRESS:
OWNER
NEW XX REMODEL
-
ADDITION DEMOLISH OTHER
-Z u Resi'denr:pDESCRIBE WORK SinqJe F
Fridluncl Plunbing 85528 Di77eg Lane Eug',OR 97405
353 S. 68th P1. Spf7d. OR 97478 89423 3-5-94 744-1155Hauck/Hananer Efec.
51835 12-74-94 745-9433
70545 12-21-94 344-2481Garibag Heating 4207 W. 5th Ave- Eug.,OR 97402
PLUMBING
CONTRACTOR'S NAME
GENERAL:Capstone Homes,
MECHANICAL
ELECTRICAL:
CONST.
CONTRACTOB # EXPIRES
,oR 97402 62OLB 10-16-94
ADDRESS
Inc. of oR P.o.B. 226j5 Eugr
r
LD
t\il
\NATER HEATER:
_ OFFICE USE _
FLOOD PLAINLAND USE:
ZONING CODE:
# OF BDRMS:
RANGE
* OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
# OF STORIES
QUAD AREA:
g OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a 24 hour recordirrg. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Eleclric r"
E
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to 7 Final Electrical - When all
electrical work is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.x Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
E Footing - After trenches are
excavated.ffirireplace - Prior to facing
/4 materials and framing lnsp.F Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
x'Other
Foundation - After forms are
erected but prior to concrete
placement.M Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to filling trench.ffiotr*'tl - Prior to ta'ing
MOBILE HOME INSPE TIONSN
x
E'
4
N
&
&
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnserl - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulalion - Prior to
decki ng.X Curbcul & Approach - Aiter
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway ,- Af ter
excavation is complete, forms
and sub-base material in place.
Waler Line - Prior to filling
trench.
Fence - When completed.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
rc
PHONE
6 89 -5567
)
I
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tr
,x
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r
-------
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
2( lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
HSE GAB
N
a
PL.ACC
IHE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER? --
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:a
BUILDING VALUE, PLAN CHECK
AND BUILD]NG PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopteci tty the City of Springfield, including the
Development Cocle, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances'
DatePlarrs Reviewed BY
1
PIan Check Fee
Date Paid
Receipt Nurnber:
\_-/Received BY:
(A)
(€
X $/SO. FT. : VALUE
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
Systems Development Charge is due'on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) xb(B) *74a6?9"
ADDITIONAL COMMENTS
L
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
FT.
(c)
N0
FT.
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
MECHANICAL PERMIT
1
&nf
(D)
Dryer Vent
N0
Mechani
Furnace
Exhaust Hood
Vent Fan
lssuance
State Surcharge
Total Permit
By signature, I state:rnd agree, that I have caref ully examined
the completecl application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all worl< performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, ancl that NO OCCUPANCY will be made of any
structure without pcrmission of the Building Safety Division'
I f urther certif y that only contractors and employees who
are in cornpl iance with ORS 701'055 vrill be used on this
proiect.
I f urtlrer agree to ensure that all required inspcctions 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'
Signature
Date -5
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State SurcharggLlrSidewatk \Ll fta.\Curbcut -) \ ft
Demolition
Itr-m)4Et
(E)Total Miscellaneous Permits
\Su 17G3o
".5 *
AMOUNT RECEIVED
RECEIVED BY - -
DATE PAID
VALIDATION:
RECEIPT NUMBEFI
TOTAL AMOUNT DUE (excluding electrical) '-
(A, B, C, D, and E Combined)
1:
q_
ffi
-4
@
ffi
Hu"ill.emelAnS
lob No.q
SYSTEMS DEVELOPMENT CHARCE
EET
NAME:
PHONE:
X $400 PER UNIT =
X $370 PER UNIT =
X $277 PER UNIT =
$
ADDRESS:t STATE:
LOCATION OF PROPOSED BUIL 1
Street Address if Known:
Platt Name:Tax Lot Number:
1 DEVETOPMENT TypE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A- Sinsle Familv - Detached
II Single Family home Manufactured home not in a park
w"
NO OF UNITS
B- Sinsle Familv - Attached
NO OF UNITS
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
$
$
WPRD SDC $
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC CreditWorksheet. $
3. TOTAT WPRD NEf SDC ASSESSED (tf SDC reduced for Credi0 $
CD
)
Community Services
City of Springfietd
Date
-{)
)
X $280 PER UNIT =
CD
(f,
5b-g
d{
JoB N0. 1l-+ ol'L1
CITY OF SPRINGFIELD SYSTEI.'IS DEVELOPMENT CHARGE
}IORKSHEET
(C0I'IMERCIAL & RESIDENTIAL)
NAME OR COMPANY:0 er<,'f oi.\€e>L. C)C7
B -aL - O, '' Ll o
LOCATION:
- t-leurt 9FRDEVELOPMENT TYPE:w3
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVI0US SQ. FT.
2. SANITARY SEl,lER_CITY
Kip Burd ck
OT SIZ
2266 x $0.203 PER sQ. FT.
X $42.08 PER PFU
sQ. Ft.
NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
( x t,o[ x$424.31
4. SANITARY SEl.lER-Ml,lMC
NO. OF PFU'S
Zb
X x $424.31
x -- x $424.31
Zb $15.125 PER PFU + $10 Ml,lMC ADM FEE
(Use PFU Total From Item 2 Above )
MI,IMC CREDiT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL ABoVE) X .05
r4
I
z\€1
oobS
SDC Coordinator
TOT SDC s ZZluzZ
s
$
s \q-e]
7a'2
FIXTURE UNIT CALCULA )N TABLE: Number of New Fixtures'
-*
rir Equivalent = Fixlure Units (NoTE
For remodets. catculAie onty the NET additional fixtures)
FIXTURE TYPE
Bathtub.......
Drinking Fountairt...--.
Floor Drain..
lnterceptors For Grease/Oil/Sol lds/Etc.. ---.. -.......-.
lnterceptors For Sand/Auto Wash/Etc..............-.-.
Laundry Tub/CIotheswasher....,........
NUN4BER OF
NEW FIXTURES
1')
UNIT
EOUIVALENT
FIXTURE
UNITS
.1
.)-
,
,l
I
6
2
6
6
1
2
1
2
2
1
6
L
Clothes'waqher - 3 Or More...........
Mobile Hdme Park Trap (1 Per Trailer)......--
Receptor For RefrigeratorflVate r Station/Etc-...-. - -
Receptor For Commerclal Sink/Dishwasher/Etc--
Shower, Single'Stall..
Sink Bar, Commercial
Urinal, Stall7lVall....
Wash Basin/Lavatory, Sin91e.........
Water Closet, Pubtic lnstallation....l'LWater Closet, Private.
Miscellaneous:
j
TOTAL FIXTURE UNITS
,Zh
CREDIT CALCUI-ATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits
Credit for Parcd or Land Only lf Applicable
lmprwement (rf after annexation date)
b.zl x $ l'b,1,.r4
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL = $,{+l-4
ead/H Z
x $..-
Year
Annexed
Rate per $1,0O0
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
19BO
1981
19B2
1983
1984
1985
s.21
3.13
3.08
,2-S
2.82
2.68
2.51
1986
1 987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1-18
0.79
0.44
o.2B
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Commercial......-.....-........0.9
IMPERVTOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
i
C'TY OF OFEGO'U
'7
SPrrI' IELO
225 FTFIE SIBBET
SPRTNGFTELD, ORBGoN
INSPEC;TION REQIIEST:
OFFICE: 726-3759
gzSr--5_:_s-tv
z16r#7f.3 s,snaiure ' l,
not require specifie iand use
l-O
A
ELECTRICAL PERHIT AP CATION
Ci ty Job Number
SCEEDTILE BELOS
New Residential-Single or
HuIti-Fanily per dvelling unit.
Service Included:Items Cost
apprcval,%
SP 87
Sum
1 LOCATION OP INSTALI,ATION
824 South 44th Street
IJGAL DESCRIPTION
LB 02 05 2 I rL 5400
JOB DESCRIPTION
Sin fe FamiL Resi
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. CONIBACTOR INSTALI,ATION ONLY
Eleetrical Contractor ilAr.^<cle+-?
Address 3S3 9. otr^ fe
eity sf{o Or-Phone ?qq< t u5'
97ltY
Supervisor License Number 3slt s
E;xpiration Date -7
Cons
. ::tr contr. Number Y iulz3"
Expiration Date ?*5:9{
Slgnature of sing Electrician
5(
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular DvelIing
Service or Feeder
Services or Feeders
fnstallation, Alterations
or Relocation:
200 amps or less
201 amps to 4OO amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nIy
3_
ffi
15
B
c
D
I s Bs.oo
$ 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voT[s see t'B'r
Branch Circuits
@
aSove
0viners Name Capstone Homes Inc - of
I
Address P.o" Box 22535
UN Eugene I OR 97402 phone 589-5557
OSNER INSTATI,ATION
The installatioir is beirig made on
property I ovn vhich is not intended
for sale, Iease or rent.
&rrrers Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permi t S 2.00
E. Miseellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Light ing-
Limited Energy/Res
Limited Energy/Comm
0.00
0.00
0. 00
6.006)
4
4
2
3
$
$
s
$
5. STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
RECEIVED