HomeMy WebLinkAboutPermit Building 1999-05-27SPruNGFIELq
SPRINGFIELD
Page 1
ilob Number: 990550
225 North Fifth Street
Springfield, OR 97477
Locat.ion of proposed Work: O7O1 SIMEON ST.Assessors Map #: 1"70234LLLot: 7 glock:
Office:
fnspection Line:
725 -3759
725 -37 59
Tax Lot #
Subdivision
03900
LEVI LANDTNG
Owner: COZY HOMES
Address: p.O. BOX 237 C
Phone #: 747-A704
Zip: SPLFD oR,
Describe Work: S.F.RESfDENCE
Contract,or 4NY t80
NEW
03 /13 / oo
L2 /23 / ee
ao / oa/ oo
Phone
00 873-2444
General-:
Plumbing:
Mechanical:
Electrical_:
COZY HOMES 007 506PO Box 317 Silverton OR 973810317BMC 0104805
PO BOX 292 TERREBONNE OR 9775OOOOOMARSHALLS oo257go4110 OLYMPIC ST SPRINGFTELD OR 9747BILLS ELECTRIC 00734621195 Crowley Ave SE Salem OR 973020
548 - 7510
747 -7445
352-71,69
BLDGS
bJ.
4r
QUAD AREA: 4RNE LAND USE: 1111 hOCCY GROUp: R3 CONSTR. TYPEHEAT SOURCE: FE WATER HEATER:fNSUL PATH: p1 SQ FOOTAGE: L7
To request an inspeetion, .J f the 24 hour record
A11 inspections re que sted before 7:00 a.m. will be made
1i
insp ecti_ons requested after 7:00 a.m. will be made the fol
REQUTRED rNsPECTroNsFOOTTNGAfter trenches are excavatedFOUNDATIONAfter forms are
1
3
Of,
,,.
UNDERFLOOR PL IIMBING Prior tUNDERFLOOR DRATN Prior to cover or placement of concre teUNDERFLOORIT'ECHANTcAL Prio r to insul_ation or deck ingPOST AND BEAIT Prlor to fl oor insulation or deck ingINSULATTONFloor,.prior to decking Wa11/Ceiling; prior to coverWATER LINE Pri-or to fill ing trenchSANTTARYSEWER LINE Prior to filling trenchSTORM SEWER LINE Pri or to filling trenchROUGH PLUMBTNG Prior to coverROUGH }IECHANICAL Prior to coverROUGH ELECTRTCAL Prior to coverROUGH GAS after line is installed and capped if not attached to anappflance
erected but. prior to concrete placemento insul_ation or decking. - --'
;Xffl"Xl"rXil:'l: ;"::::'" coverins sheathins wirh rinish mareriar.s.
iifitrl':"r;r5i"!l'.:;iff to deckins wal./ceilins; prior ro cover
ELECTRICAIJ SERVT
cAs sERvrcE - Af::. 'H]"3"::iil:S::."ffi:""::Tr"l"ffIli;d ro aminimum of one appliance. pressure test done aL thls point..
RESIDENTIAL PERMTT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVTCES DIVISION
BUILDING SAFETY
-- oFFrcE USE __
SPRTNGFIELD
Job Number: 990550
SPilNGFIEID,
Page 2
cuRBcur - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material-in pIace.
FINAL PLIIMBING - When aJ_1 plumbing work is complete.
FrNAL MECHANTCAL - when all mechanical work is complete.FrNAL ELECTRTCAL - when all electrical work i-s complete.FrNAL BUTLDTNG - when a1l required inspecti_ons have been approved andthe building is complete.
Lot Faces: N
Topography: 2
Lot Type: CORNER
Lot Sq. Ft.:
Total Height:
552L
15
Lot Coverage: 31 ?
Solar Approved: y
N
Setbacks
SW
15 10
E
5House
Garage
ftem
Main
Garage
Total Value
Building permit Fee
Surcharge,/Admin
TOTAT FEE
BUTLDING PERMTT --.
Square Feet x
L263
472
$/Square Feet
69 .64
18.34
18
(A)
Val-ue
87, 955 . 00
8,556.00
95, 511 . 00
424 . O0
33 .92
4s7.92
Fee
150.00
150.00
12.80
L72.80
6.00
4 .50
5.00
4.50
3.00
5.00
29 .00
10.00
2 .32
41.32
Item
Residential Bath(s)
Plumbing permit
Surcharge/Admin
TO"AL CHARGE
--- MECHANTFurnace
Exhaust Hood
Vent Fan
Wood Stove / tnsert /Fireplace UnitDryer Vent
GAS PIPE W/H
Mechanical permit
fssuance
Surcharge/admin
TOTAL PERMIT
Surcharge,/Admin
Sidewalk
Curb Cut
CITY SDC
WILLA]VT\LA}IE
PLAN CHECK
ELECT/TEMP
- - - MISCELLA.I{EOUS
PLUMBTNG PERMTT ---
CAL PERMTT ---
2
PERMTTS ---
2
(c)
(D)
0.00
63.00
50.00
2,LLa.76
1, 000 . 00
275.50
l-57.40
TOTAL MISCELLANEOUS PERMTTS
(E)3 ,677 .7 6
SPRII{GFIELD
.Tob Nurnber: 990550 Page 3
(Excluding Electrical)
unless oEherwise noted
--- TOTAL A}!OI'NT DUE ---
(A, B, C, D, and E combined)4,349.80
BUIIJDING VALUE, PIAI{ CHECK AND BUTLDTNG PERMIT
This permi-t is granted on the express conditi-on that the said construction
sharl, in all respects, conform to the ordinance adopted by the ci-ty ofSpringfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD Date: O5/LB/99
Building Site Reviewed By: BOB BARNHART
--- ADDITTONAI, COMMENTS ---
DRTVEWAY REQUIRED TO BE PAVED
4 STREET TREES REQUIRED
By signature,I state and agree, that f have carefully examinedthe complet.ed application and do hereby certify that all i-nformation hereonj-s true and correct, and I further certify that any and all- work performedsha11 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 wi-II be made of any structure without permission of theCommunity Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with oRs 701.055 will beused on this project.
I further agree to ensu
proper time, that each
card is located at t.he
wifl remain on the s
Signature 7 ?f
Da
re that all required inspections are requested at theaddress is readabl-e from the street, that the permitfront of the properLy, and the approved set of plansat. all times during construction.
--- VALIDATION ---vReceipt Number:
Date paid:
Amount Received:
Received By:
SPRINGFIELE,
Page 1
ENGTNEERTNG DIVTSION DEVELOPMENT PLA.I{ REVIEW
RESIDENTIAL IMPROVED STREET
Developer:. COZY HOMES
Mail Address: P.O. BOX 237 SPLFD OR,
Tax Lot #: 1702341103900 Project Address
Subdivi-sion: LEVI LANDING Lot: 7 Blk:
Job
phone #
6701 SIMEON ST.
Eng. Rev. No.:
No.: 990550
: 747 -8704
Book:
SEreet Gravel Ac
5701 SIMEON ST.
Existi-ng CurbcuE: N
EXTSTING IMPROVEMENTS
Mat Curb Fu11 Imp SW Width Curbside
Y 5 FEET 12:1 FLAIRS 5:1 FLAIRS
Setback
ENGINEERTNG REQUIREMENTS
Addltional- Right of Way
Improvement Agreement
Easements
N
N
N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATTON CENTER BEFORE YOU DIG 1.-8OO -332-2344
Avail-abl-e: Y
Size of Line: I
Locatj-on From N,
Make Connection:
Stubbed Out To Propert.y Line: y Depth: 4-G
In. Tee: 5 In.
S, E, W Property Lj-ne: AS SHOWN ON DRAWfNG OR AS-BUILT
PER PLUMBING CODE
FT
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS
Pipe Parking Lot Drai-nage To: N/A
SIDEWALK AI{D DRTVEWAY INFOR}{ATION
New Curbcut Appr.: Y STANDARD Widt.h: 22 Ft Flairs: 5
Sidewalk Permit: Y Width: 5 Ft Length: 140 Ft
Curbcut Permi-t : Y Width: 34 Ft
FT
ENCROACHMENT AND ASSESSMENT
Encroachment Permj-t Required: N
Sanitary Sewer In Lj-eu Of Assessment: N
SPECIAT NOTES A}ID REQUIREMENTS
Al-1 work wj-thin the public right of way shall be in conformance with the Cityof springfield standard specifications for const.ruction. AIf existing unusedcurbcuts or portions thereof shal-l be restored t.o full- curb height as directedby the City. The owner/developer is responsible to rel-ocate any utilit.ies andestablish prlvate or pubJ-ic easements when the util-ities conflict with thedevelopment, at their expense.
Reviewed By: MOLLy LINDBLOM Date:04/29/99
FURTHER IIIIPORTANT INFoRMATIONsEE DRAWINGS ON SPECTAL REQUIREMENTS FOR
S NGFIELO
225 FIFTE STREET The tollowing project as subrflllted has the lollowihg BLECTRICAL PERHTT APPLICATIONnot require specific land u6e
INSPEqTION
OFFICE: 726-3759
City Job Nunber
FEE SCEEDTILE BELOV
A:----Ne\,,Residential-Single or
MuIti-Family per dvelling unit.
Service Included
Items Cost
1000 sq.ft. or less /
Each additional 500
$ 8s.00 fr
sq. ft or portion
JOB DESCRIPTION
Permits are non-transferable and
if vork is not started vithin 180
of issuance or if vork is suspend
180 days.
2. COMRACTOR INSTALLATION ONLY
Electrical Con trac tor
Address (D
769 ,tu
Date
1 LOCATTON OF[7o/ Cr
l(t,rl
LEGAI DESCRTPTI/7o7 3,r rt oN'
O Sfoo
4
Zr-
lo!
Sum
on
?D
aEove
eof
d
tg
/btz
207
Phone 3Y/ 3f 401 amps to
ps- sps $r
601 amps to 1000 amps- $f
over 1000 amps/voIts
-
$g
Reconnect 0n1y
f'd Home. o
11i ng
0ver 40L to 600
0ver 600 amps o
Branch Circuits
S 1s.oo ) o
$ 40.00r
JnOt,
Ci ty
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date \8 SDny
t ions
by s
$
es or Feeders
teration or
amps
Reloca t i
s 40.00
s ss.00
$ 80.00
see rBr
$ 3s.00
$ 2.00
50.00
60.00
00.00
30.00
00.00
40.00
1S1 ElectricianSignature of
0vners Name
ampsr 10008-Fs
D
Nev, Alteration or Extension Per Panel
0tzAddress
Ci ty Phone - E?,
OVNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0rners Signature:
DATE:
One Circuit
Each Additional
Circuit or vith Serviceor Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
00
00
00
00
s40
$40
$20
S36
5
RECEIVED
f{
SPRINGFIELD,
,S
400
a.L Lr'-\i
Willamalane
Park & Recreation District Job- No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHoNE: ltt'l -8't
-CF(
ADDRESS:STATE ZlP:
LOCATION OF PROPOSED BUILDING SITE:
Street Address: tI o\\
Plat Name:Tax Lot Number:o tqo
1. DEVEL9FIVIENT TYPE (Check appropriate dwelling(s). SDC calculations and dweling r
1pe definitions are on the badc)
A. Single-Family Detached
f Single Family home
NO. OF UNITS T
@
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
tq'
Manufactured home not in a park
X $1,000 per unit = $t cjlro
C. Multi-Family Apartment
NO. OF UNITS x $692 per unit
D. Manufac{ured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
I2. SDC CREDIT (r appticaOte! SDOaayer must funl[sh proof of
Wllamalane Credit approval. See SDC Credit Wotlcsheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(f SDC reduced for Credit)
pment
Spring
rvices Department
$
$
oo$
$
$OIDP
City of field
Date
q+
[x
tz(\5 tt
d
RFI\
JOURNAL OR JOts NU.d
ATTACHMENT A
CITY OF 'SPRINGFIELD SYSTEMS DEVELOTMENT CHARGE
WORKSHEET
NAME OR COMPANY:G77
LOCATION tjTp t 4*o,,
DEVELOPMENT TYPE:StrD
BUILDING SIZE
i. STORM DRAINAGE
IMPERVIOUS SQ
2. SANITARY SEI^JER-CITY
NO. OF PFU'S /(
3
4
OT SIZ F
X $47.14 PER PFU
TOTAL-MWMC SDC
5tl tr,SZ
$ 4tu.o-7
$ 211 .#
$25 .20
. s /00,Otr
SQ. Ft.
/745 + rcGr) + q7e )
FT . z?z( x $0 .227 PER SQ. FI . $ 53o .O{
(See Reverse Side)
TRANSPORTATION
NO OF UNiTS X TRIP RATE X COST PER TRIP
t.o I X $475.32
x s475.32
SANITARY SEWER-MhJMC
A. REiMBURSEMENT COST:
NO. OF FEU'S X 211,4+PER FEU
B. IMPROVTMENT COST
NO. OF FEU'S X Z5.?OPER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE).
MhlMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
ilrit-
SDC Coordinator
ATTACH'A.t^lPD
X
X $
$ 10.00
s ^{6
t /00, s{*
Date
ToTAL SDC s z-l/t , 7(
t.FIXTURE UNIT CALCULATION TABLE: Nuqrogl of New Fixturcs
(NOTE: For remodels, calculate only' ': NET additional fixtures)
MBER OF
FIXTURE TYPE NEW FIXTURES
{'Unit Equivalent : Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
4
Bathtub.....
Drinking Fountain.-.-
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc'
lnterceptors For Sand/Auto Wash/Etc'
Laundry Tub/Clotheswasher" " "
Clotheswasher - 3 Or More""'
Mobile Home Park TraP (1 Per Trailer)
Receptor For
Receptor For
Shower, Single Stall"""""
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single"""'
Toilet, Public lnstallation'
Miscellaneous
CREDIT CALCULATION TABLE:Based on assessed value
cal culate credits
Ref rigeratorAVater Station/Etc" "
Commercial Sink/Dishwasher/Etc
Credit for Parcei'or'Land Only lf Applicable
lmprovement (if after annexation date)
lf improvements occurred after an nexation date in table,
x 's- v1m'/Co,otr
(Rate X Assessed Vralue)x $- :
(Rate X Assessed Value)
CREDITTOTAL = $-
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
-2
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen"
Z
aL_
Z
g
Toilet, Private...--.-
t{TOTAL FIXTURE UNITS
4
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlYl
Governmental o.5
Year
Annexed
Rate per $1,OOO
Asse'ssed ValueYear'.
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
'i": .1995
1 996
1 997
$1.98
1.55
1.15
0.96
o.B3
0.67
o.52
o.38
o.21
1979 or before
1 9BO
1 981
1982
1 983
1 984
1985'"i 'r ' --
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
'3.68
3.48
3.18
2.A2
2.42
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
*r
___r-
:
-7r