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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 r E tr ,x i] 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