HomeMy WebLinkAboutPermit Building 1999-04-07SPFINGFIELD
a
RESIDENTIAL PERMIT APPLTCATION
CITY OF SPRINGFIEI,D
COMMT]NITY SERVICES DIVTSION
BUII,DING SAFETY
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ilob Number: 990300
225 North Fifth Street
Springf ie1d, OR 9'7 477
LocaEion of Proposed work: 5715 SIMEON DR
Assessors Map #: L'702341-1-
Lot: 6 Block:
Off ice
Inspection Line
726 -37 s9
726 -37 69
Tax Lot #:
Subdivision:
03800
LEVI LANDTNG
owner: ToM WIRFS/COZY HOMES Phone #: 747-8704
Address: PO BOX 237 City/State/Zip: SPRTNGFTELD, OREGON 97477
Describe Work: S
1'Ul: tarr''''t1
OT NEWrrlr I
SPilNGFIEIT',
i.N}ON;D
Const.
Cont,ractor #ConEractor
TOM WIRFS 0032947
)-275 S 2ND SPRINGFIELD OR 97477OOOO
BMC
648 W
0103570
OREGON AVE CRESWELL OR 9'742
MARSHALLS
4110 OLYMP]C ST SPRINGFIELD
BfLLS
3170 W 11TH EUGENE OR 97402
Expires Phone
06/28/99 747-8704
L2/ts/99 473-2821
Generaf:
Plumbing:
Mechanical:
El-ectrical:
-- OFFICE USE
11
LDR
the
tn
iliry Noti'
QUAD AREA: 4RNE
# OF IINITS : 1
CONSTR. TYPE: VN
WATER HEATER: E
LAND USE: 11
ZONING CODE:
# OF BDRMS:
RANGE: E
# OF BLDGS:
OCCY GROUP:
HEAT SOURCE:
SQ FOOTAGE:
1
R3
FE
].849
To request an inspection, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:OO a.m. will- be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but pri-or to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR DRAIN - Prior to cover or placement of concrete -
ITNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insul-ation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
ROUGH PTIIMBING - Prior to cover.
ROUGH GAS - after line is installed and capped if not att.ached to an
appliance
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Pri-or to cover.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover
DRYWALL - Prior to taPing.
cAS SERVICE - After line is installed and line has been connected to a
minimum of one applj-ance. Pressure test done at Lhis point.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
WATER LINE - Prior to fill-ing trench-
SANITARY SEWER IJINE - Prior to fll-ling trench.
STORM SEWER LINE - Prior to fil-ling trench-
CURBCUT - After forms are erected but prior to placemenL of concrete.
SIDEWALK - After excavaLion is complete, forms and sub-base material
in p1ace.
a
of the
10ne
SPRINGFIELD
rTob Number : 9903 00
SPilNGFIELD,a a
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FINAL PLITMBfNG - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAIJ ELECTRICAL - When all electrj-caf work is complete.
FrNAL BUTLDTNG - when all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Sofar Approved: Y
House
Garage
Lot Sq. Ft.: 57L5
Total Height: 16
Lot Type: INTER]OR
Setbacks
SWE
20510
Lot Coveragie: 34 Z
Setbk From NPL: 52
N
18
Item
Main
Garage
Total Val-ue
Building Permit Fee
Surcharge/edmin
TOTAL FEE
BUITDING PERMIT ..-
Square Feet x
1,491,
454
$/Square Feet
59 .54
L6.34
(A)
Value
103, 833.00
7,41_8.O0
111,251. 00
460.00
35.80
496.80
Item
Fixtures
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
PLIIMBING PERMIT
000
a
Fee
0.00
160.00
160
),2
00
BO
(c)L72 -80
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ tnsert/Fireplace Unit
Dryer Vent
GAS P]PEI W/H
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
MECHANICAL PERMTT
a
5.00
4 .50
6.00
4.50
3.00
5.00
(D)
29.OO
10.00
z.52
4L.32
MISCELTAT,{EOUS PERMITS
Surcharge/admin
Sidewal-k
Curb Cut
C]TY SDC
WILLAiVIALANE
ELECT. PERMIT
PLAN CHECK
TOTAL MISCELTA.I{EOUS PERMITS
0.00
L3 .45
14. B0
2,265.65
1,000.00
L24.20
80.00
3,498.10(E)
4 ,209 .02(Excluding Electrical )
unless otherwise notsed
TOTAL AMOI]NT DUE - - -
(A, B, C, D, and E combined)
SPRINGFIELD
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ENGINEERING DIVISION DEVELOPMENT PLA.I.I REVIEW
RESIDENTIAT IMPROVED STREET
Developer: TOM WIRFS/COZY HOMES Job
Mail Address: PO BOX 237 SPRINGFIELD, OREGON 9741'7 Phone #
Tax Lot #: 1702341103800 Project Address: 671-5 SIMEON DR
Subdivision: LEVI LANDING Lot: 5 Blk: Eng. Rev. No.:
No.: 990300
: '7 4'7 -87 04
Book
Street Gravel Ac Mat
5715 SIMEON DR
Existing Curbcut: N
EXISTING IMPROVEMENTS
Curb Fu11 Imp SW Width Curbside
5 FEET 12:1 FLAIRS 6 :1 FLAIRS
Setback
Y
ENGINEERING REQUIREMENTS
Additional Right. of Way
Improvement Agreement
EasemenLs
N
N
N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATTON CENTER BEFORE YOU DIG ].-8OO-332-2344
Available: Y
Size of Line: B
Location From N,
Make Connecti-on:
Stubbed Out To ProperLy Line: Y Depth: 4-6
E, W PTopeTTy Line: AS SHOWN ON DRAWTNG OR AS-BUILT
, PLUMBING CODE
In
PER
STORM SEWER
-A.wailable: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS
Pipe Parking Lot Draj-nage To: N/A
SIDEWATK AND DRIVEWAY INFORMATION
New Curbcut Appr.: Y STANDARD width: 20 Ft Flaj-rs
Sidewalk Permit: Y Width: 5 Ft Length: 23 Ft
Curbcut Permit: Y Width: 32 Ft
6 FI
ENCROACHMENT AND ASSESSMENT
EncroachmenL Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AIVD REQUIREMENTS
A11 work within the public rlght of way sha11 be in conformance with the Clty
of Springfield standard specifications for construction. A11 existing unused
curbcuts or portions thereof shalI be restored to fufl curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establ-ish privat.e or public easements when the utillties conflict with the
development, at their expense.
Reviewed By: MOLLY LINDBLOM Date: 03/08/99
FOR FURTHER IMPORTANT INFORMATIONSEE DRAWINGS ON SPECIAI, REQUIREMENTS
FT
SPFTNGFIELD
.Tob Number: 990300
SPilNGFIELT',C a
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--- BUILDING VALUE, PLAI{ CHECK AND BUTLDING PERMIT ---
This permit is granted on the express condition that the said constructionshal-l, in all respects, conform to the ordinance adopted by the City ofSpringfield, including the Devel-opment Code, regulatj-ng the construction and
use of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Received By:
P1ans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date:03/29/99
--- ADDITIONAL COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I stat,e and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shall- be done in accordance with the Ordinances of the City of Sprlngfield,
and the Laws of the Stat.e of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Communit.y Services Division, Building Safety. I further certify that only
contractors and employees who are 1n compliance with oRs 701.055 will be
used on this project.
f further agree to ensure that all required inspections are requesLed at the
proper time, that. each address is readable from the street, that the permi-t
card is located at the front of the properLy, and the approved set of plans
will remain on the sit.e at al-l times during constructi-on.
?
Signature Date
--- VALIDATION ---
7qzRecei-pt Number
Date Paid
Amount Received
Received By
q
07"a
UUillamalane MJob. No.Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
HONE:NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
DEVELOPMENT TYPE (Check
ype detinitions are on the back.)
A. Single-Family Detached
t Sinsle namiiy homd
NO. OF UNITS
Development Se
srArE: $Q- ,,r'
1
Tax Lot Number:
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
X $1,000 per unit = $\MDp,
B. Single-Family Aftached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNTTS X $699 per unit
WILLAMALANE SDC
2. SDC CREDff (if applicable) SDCaayer must fumish proot of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduoed for Credit)
$
$
$
@$
$
$
City of Springfield
s Department
t{t
Da[F-3 &
,{
o-9r"
225 FIFTB STR.EET
SPRTNGFTELD, oREGoN 97 477
INSPECTI0N REQUEST: 726-3769
0FFICE z 726-3759
l-t 'BHBoo
\t
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. CONTRACTOR INSTALI.-ATION ONLY
Electrical Contracto
Addres
SPRINGFIELE'
l
ELECTRICAL PBRHIT APPLICATION
eo
.{qo
/b@ Ci ty
FEE
Res iden t i
i-Fami Iy
rvice Included:
Job Number
SCMDULE BELOIJ
a1-Single or
per dvelling unit.
I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Services or Feeders
', 6ft i[E ],]FI*E ffi Ai wonsi o n s
. , \,F,-- ri-rtC OrD..lrT lF 'CT
200 amps op Iess, ,p
201 amps tt)'/r406'rl.irif s
200 amps''or less
to 400 amps _
am
I
c-_
&a
3D
Items Cost Sum
$ 8s.00
s 1s.00
s 40.00
nTl B.
Ci ty
Supe rv sor License Number J
Expiration Date /o -l-oa
Constr Contr. Number 4r/
Expiration Date //-i- ?7
S ,ture of Su ng Electrici
Pho"" 3ryknllo 401 amps to 600 amPS
--601 amps to 1000 amPs-
Over 1000 arnPs/volts
-
Reconnect 0n1Y
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
C.Temporary Services or Feeders
Insiallation, Alteration or Relocation
an
vo
$
$
$sst
40. 00
55. OO
80. oo
ee ,'8" a56ve-
.00
.00
.00
.00
e rules are set forth
D Branch Circuits ,-'. 1.
Nev, Alteration or Extbnsion Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.00
s 2.00
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting--
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
0wners
Add
cir
D
Phone
ALLATION
The installation is being made on
property I ovn which is not intended
for saIe, lease or rent.
0vners Signature:
$40
s40
$20
s36
5
DATE:
RBCEIVED B
OO
1
I s \