HomeMy WebLinkAboutPermit Building 1999-04-07SPilNGFIELT',
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RESIDENTIAL PERMIT APPLTCATTON
CTTY OF SPRINGFIELD
COMMI'NITY SERVTCES DIVISION
Page 1
ilob Number: 990301
BUILDTNG SAFETY
225 North Fifth Street office: '126-3i59
Springf j-e1d, OR 9747"/ Inspection Lrne: 126-3't6g
Location of Proposed Workz 6729 SIMEON DR
Assessors Map #: 1-'70234LL Tax Lot #: O37OO
Lot: 5 Block: Subdivi_sion: LEVI LANDING
Owrrer: TOM WIRFS/COZY HOMES
Address: PO BOX 237
Describe Work: S.F. RESIDENCE
Phone #: 747-8704
cit.y/state/zip: SpRINGFIELD, OREGON 97477
NEW
General-:
Plumbing:
Mechanical:
Electrical:
Conat.
Cont,ract,or Corrtractor # Expires
TOM WrRFS 0032947 06/28/99
1,275 S 2ND SPRINGFTELD OR 9747?OOOO
BMC ir^Ttfntrp1O357O 1,2/tS/99
648 W OREGON AVE CRE.SWELLVU|H 974250MARSHALLS .*aubE8lrabl EXptRE tEIItry/SK
4]-10 OLYMPIC ST SPRINGFIELD"..OR'qy?F YUIS DEPIUIT IS :',:CT
:};t., 1r-rH EUGENE oR ,rnoroo|Zl'u' "'-JP"lLzuae
Phone
747 -8704
47 3 -2827
7 47 -7 445
587-1851
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
SQ FOOTAGE: 1834
-- OFFICE USE .-
LAND USE: 1111
ZONTNG CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To request an inspection,call the 24 }:ovr recording at 726-3769.
A11 inspections requested before 7:00 a.m. wil-l be made the same working day,inspections request.ed after 7:00 a.m. wil1 be made t.he following work day.
--- REQUTRED TNSPECTTONS ___
FOOTING - After trenches are excavated.
FoITNDATTON - After forms are erected but prior to concrete placement
tNDERFLooR pLIndBrNc - prior to insul-ation or decking.
ITNDERFLoOR IrIECHANTCAL - prior to insul-ation or decking.
POST AND BEAII - prior to floor insul_ation or d.eckj_ng.
rNsuLATroN - Floor; prior to decking walI/ceiling; prior to cover
WATER LINE - prior to filling trench.
SAMTARY SEWER LINE - prior to fiIling trench.
STORM SEWER LrNE - pri_or to filling trench.
ROUGH MECIIAI{f CAL - pri_or to cover.
ROUGH PIJI,MBTNG - Prior Io cover.
ROUGH EI.ECTRICAL - Prior Io Cover.
ELECTRTCAL sERvrcE - Must be approwed to obtai-n permanent power.
SHEAR WALL NATLTNG - Before covering sheathing with finish materj-a1s.FRA,MING - Prior to cover.
rNsuLATroN - Floor; prlor to decking wall/ceiring; prior to coverDRYWATL - Prior to taping.
cuRBcur - After forms are erected but prior to placement of concrete.STDEWALK - After excavation is complete, forms and sub-base material_in p1ace.
FINAL PLITMBING - When all plumbing work i_s complete.FrNAL MECHA.I{rCAL - when ar-r mechanical work is complete.FrNAL EtEcrRrcAL - when all erectricar- work is complete.FrNAL BUTLDTNG - when all required inspections have been approved andthe building is complete.
CPFIiIGFIELD
Lfob Number : 9903 O1
SPilNGFIELD
Page 2
Lot Faces: N
Solar Approved: y Total Height: 20
Lot Type: INTERTOR
Setbacks
SWE
2855
5
Setbk From NpL: 70
N
25
18
Item
Main
Garage
Total Val-ue
Buildlng permit Fee
Surcharg.e/admin
TOTAL FEE
ftem
Resldential Bath(s)
Plumbing permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical permit
fssuance
Surcharge/admin
TOTAL PERMIT
Surcharge/admin
Sidewal-k
Curb Cut
WILLAMALANE SDC
C]TY SYS DEVEL CHG
ELECTRICAL PERMIT
PLAN REVTEW FEE
TO"AL MISCELTANEOUS PERMTTS
House
Garage
(Excluding Electrical)
unless oEherwise noEed
--- BUTLDTNG VALUE,
--- BUTLDTNG PERIIfIT ---
Sguare Feet x
L205
400
--- PLIIMBTNG PERMIT ---
- - - MECIIANICAL PERMIT ---
2
- - - MISCELLA.IVEOUS PERMTTS
AIIIOUNT DUE ---(A, B, C, D, and E combined)
$,/Square Feet
69 .64
18.34
Val_ue
83, 985. 00
7 ,335 . O0
91, ,322 . OO
409 . OO
32.72
44L .7 2
Fee
150.00
160.00
L2 .80
t7 2 .80
6.00
4.50
6.00
3.00
19.50
10.00
I .57
31.07
(A)
2
(c)
(D)
(E)
0.00
13.50
14. B0
1, 000. 00
2 ,1-2l- . 05
l-24.20
50.00
3,333.65
3,979.24
--- TOTAL
PLAN CHECK AT{D BUTLDTNG PERMIT
This permlt is granted on the express condition that the said constructioniiiii;'ilr;l'j:i:ffff' j:T:;:rto rhe ordi.nance adopred bv rhe Cirv or
:: "":; i::ltlii; :f. :li"::;il#:ffi :: ::'::":;il' ::'13,'l;-:THr:: i:. i::
FPB!]rlcFIELD
Job Number: 990301
a
Page 3
Received By:
P1ans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOppER
Date: 03/29/99
--- ADDITTONAT COMMENTS
SAME AS 4013 FORSYTHTA STREET
DRTVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I st,aEe and agree,that f have carefully examinedthe completed application and do hereby certify that aI1 information hereonis true and correct, and I furthe r certify that any and a1l_ work performedshal] be done i_n accordance with the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work described herein,and that NO OCCUPANCY wi]l be made o f any structure without permission of theCommunity Servj_ces Division, Buildi ng Safety. f further certify that onlycontractors and employees who are in compJ_iance with oRS 701.055 will beused on this project
r further agree to ensure that aIl- required inspections are requested at theproper time' that each address is readabl-e from the street, trrat trre permitcard is located at the front of the property, and the approved set of planswill remain on the site at all times auring-constructi_on.
f 7Signature
Da
Receipt Number:
Date paid:
AmounL Received:
Received By:
--- VALTDATToN ___
d 33 L
7r
'7
&
aJL/U^lltlL vl\ uvu ltu '
crry 0F spRI,..iFI ELfl$:i+'JL\EVEL0pr,,tr .ffifl.?' /
WORKSHEET
NAME OR COMPANY \-{orve:
LOCATION:t"1Ac1 3't rv€<s-r-t
DEVELOPMENT TYPE StrD
+-SIZE 5???- SQ FtBUILDiNG SIZE
1. STORM DRAiNAGE Ro+
IMPERVIOUS SQ. FT
2. SANiTARY SEI,JER-CITY
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X .o x $475.32
x $475.32
SANITARY SEWER-Mt^lMC
A. REIMBURSEMENT COST
N0. 0F FEU'S I X 211,++PER FEU
B. IMPROVEMENT COST:
NO. 0F FEU'S t X z|.zoPER FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)"
MI^IMC ADMINISTRATIVE FEE
SDC Coordihator
ATTACH'A.t^lPD
ru (u) '1 t?e*
2z't+ x $0.227 PER sQ. FT s 53(,9o
l( x $47.14 PER PFU $ 8+(,EL
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
Mst-
$ 4%,o1
$z .1+
$ 29..20
< $ lbo,aa
$l .00
TOTAL-I,I[^,MC SDC $ 152,=<.
$,OS
s)n /" oo
$X
4
5
Date: 3lB- fiq
TOTAL SDC zt 7l
Co.v
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent : Fixture Units
(NOTE: For remodels, calcutate only the l"trT additional fixtures) '- NUMBER OF UN]T FIXTURE
FTXTURE TypE NEW FIXTURES 'EoUtVnterur UNITS
ll
Bathtub....... -.
Drinking Fountain....
Floor Drain.......
lnterceptors For Grease/Oil/Solids/Etc'
lnterceptors For Sand/Auto Wash/Etc'_.--L
Laundry Tub/Clotheswasher" " "
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
_k_
Clotheswasher - 3 Or More""'
Mobile Home Park Trap (1 Per Trailer)"""
Receptor For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc"
Credit for Parcei'or'iind Only lf Applicable
lmprovement (if after annexation date)
Shower, .Single Stall.-."""'
Showei, Gang......:.-
Sink: Bar, Commercial, Residential Kitchen""
Urinal, Stall/}Vatl...
Wash Basin/Lavatory, Single""""
Toilet, Public lnstallation'
Toilet , Private..
Miscellaneous:
CREDIT CALCULATI ON TABLE: Based on assessed value. lf imProve
calculate credits rates
4,zl x.$
TOTAL FIXTURE UNITS )(
ments occurred after a nnexation date in tabte,
3-1 ,4q .lGo,oz
----=-
-z-
_<--
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL -$
Year
Annexed
Rate Per $
Assdssed
1,OOO
ValueYear.
Annexed Assessed Value
Rate Per S1,OOO
1 989
1 990
1 991
1 992
1 993
1 994
',i", 1,995
1996
1 997
$1.98
1.55
1.15
o.96
o.83
o.67
. o.52
o.38
o.21
1979 or before
1 980
1 981
1 982
1 983
1 984
1985'"i ': ' --'
$4.27
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
1986
1 987
1 988
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlYl
o.4
0.9
o5
o.5
Residential.-.--.
Commerical.-...
lndustrial. -.. -.. -
Governmental'
HXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
l
_-r---
-ft
--Tr
Ci tY
SPFINGFIELD
-{
ET^ECTRICAL PERHIT
Job Nurnber
ON
I tems Cos t
$ 1s.00
s 40.00
.00
.00
.00
rrBll
r
o-ot"
225 FIFTE STREET
SPRINGFIEI,D, OREGON 974
INSPECTION REQTIEST " 72 6
0FFICE: 726-3759
1.INSTALLA
DE
Permits are non-transferable
if vork is not started vithin
A.,
COMPI.,ETE FEE SCBEDITLE BELO\{
Residential-Single or
-Family per dve1lj.ng unit.
rkqb*dedir
by the Oregon UtilitY
es set ro
por
I s Bs.oo
L_
Sum
g6
3D
htion
010
cbtai n
the
SS
bi0010n
and expire
180 days icai.rcnd Home
of issuance or i f vork is suspended f,b-rr;i:
180 days.
2. CONTRACTOR INSTALLATION ONLY
Erectrical con r, ^.rorg-/lb/ F.4&L
eddress9/ 7D W //-fu
()
orrislling
Sertice or Feeder
B. Services or Feeders
lnsta1lation, Alterations
or Relocation:
C
200 amps or less
20L amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
D
s
$r
ST
50
60
00
30
00
00
00
00
00
00
Ci ty Pho
i Supervi r License Number ?@€
Expiration Date
Constr Contr. Number
Expiration Date / D- /-?7
ture Supe ing Electrician
Owners
Address
cir one
INST
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Orners Signature:
DATE: 4
200 amps''or less $
201- amps to 400 amps
-
$
over 401 to 6oo amps
-
$
0ver 600 amps or 1000-volTs se
$300
S400-/-
40
55
BO
r€a5ove
D. Branch Circuits
Nev, Alteration or Exterrsion Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2.0O
E. Miscel-Ianeous (Service/feeder not included)
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAI
$40
s40
$20
s36
00
00
00
5
RECEIVED
q4
.00
nfr
-Each instal-lation
Pump or irrigation _Sign/0ut1ine Lighting_
Limited Energy/Res
Limi ted Energy/Comm
,-
NAME:
ADDRESS:
LOCATION OF P D BUI
Street SS:
Plat Name:
NO. OF UNITS
WILLAMALANE SDC
(if SDC reduced for Credit)
Deve pment
2- sDc CREDIT (if appricabre) sDCaayer must tumish proof ofwillamalane credit approvar. see sDC credit wo*ineet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
-
X $699 per unit = $
WillarnalanePark & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
KSHEET
NE:
STATE:ztP
S
Tax Lot Number:
dwelling(s). SDC calcutations and dwelling r
Manufactured home not in a park
X $1,000 per unit = $
B. Single-Family Attached
NO. OF UNTTS X $SZ+ per unit
C. Multi-Family Apartment
NO. OF UNITS X $6ge per unlt = $
D. Manufactured Home park
7
1. pEVELOFMENT TYPE (checkype definirions
:re
on the 6ack.)
A. Single-Family Detached
t\ Single Family home
NO. OF UNITS t
$
m$
$
$
7
/
,ra
City of Springfietd
ent Date
I
,a
M
OD