HomeMy WebLinkAboutPermit Building 1999-04-07SPRTIIGFIELE'
225
spr
Loca
Asse
Lot
Owner: TOM s/cozv HoMEs
Address: PO BOX 237
Describe Work: S.F. RESIDENCE
RESIDENTIAI, PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
Page 1
ilob Nurnber: 990302
Office
Inspection Line
726-3159
126 -31 69
Tax Lot #:
Subdivision:
03600
LEV] LANDING
Phone # : '7 47 - 87 04
ciry/srate/zip: SPRTNGFTELD, OREGON 9747'7
NEW
SPilNGFIEA',
General:
Plumbing:
Mechanicaf:
Electrical-:
ConEractor
Const.
Contractor #Expires
o6/2e/ee
a2/ls/9e
i. /a) / ooLZ/ LJ/
"
o4/28/ee
Phone
I
747-8704
47 3 -282'7
741 -1445
687-1851
TOM WIRFS 0032947
]-275 S 2ND SPRINGFIELD OR 97477OOOO
B M C 0103570
648 w OREGON AVE CRESWELL.,pF ,9.74260; i 'ii!r{l
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 974'7
BrLLS 0021351
3170 W 11TH EUGENE OR 9'74020000
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
SQ FOOTAGE: 1968
- - OFFICE USE - -
LAND USE: 1111
ZONING 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 l:ro:ur. recording aL 726-3759.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made Lhe following work day.
--- REQUIRED INSPECTIONS -.-
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLIIMBING - Prior to insulation or decking-
ITNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Ftoor; prior to decking Wa1]/Ceiling; Prior to cover
WATER LINE - Prior Lo fil-ling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PTIIMBING _ PriOT TO COVET.
ROUGH MECHAIiIICAL . PTiOT TO COVCT.
ROUGH ELECTRICAL . PT1OT TO COVCT.
SHEAR WALL NAILING - Before covering sheaLhing with finish materials.
FRA.MING - Prior to cover.
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
DRYWALL - Prior to taping.
GAS SERVICE - After fine is installed and Ii-ne has been connected to a
minimum of one appliance. Pressure test done at this point.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erecLed but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
-0010
number tcr the Oregon
SAFETY
DR
- ISPRI!{,GFIELD
.Tob Number: 990302
SPilNGFIELI',o
Page 2
FINAL PLIIMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the bui-Iding is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 572L
Total Height: 15
Lot Type: TNTERIOR
Setbacks
SWE
20 10 5
Lot Coverage: 34 *
Setbk From NPL: 45
N
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUII,DING PERMIT ---
Square Feet x
L534
452
$/Square Feet
69 .64
18.34
(A)
Value
106,828.00
8,290.00
115, 118.00
469 .00
37.52
s06.52
PLIruBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CIIARGE
2
Fee
160.00
150.00
12.80
L72.80(c)
--- MECHAI{ICAI. PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove / tnsert /Fireplace Unit
Dryer Vent
GAS PIPE
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
2
6.00
4.50
6.00
4 .50
3.00
5.00
(D)
29.O0
10.00
a1a
4L.32
--- MISCEI.LA}iIEOUS PERMITS ---
surcharge/admin
Sidewalk
Curb Cut
Demol-ition
CITY SDC
WILLAIVIALANE
ELECT. PERMIT
PLAN REVIEW
TOTAL MISCELLANEOUS PERMITS
i.Yt(-zt'ffi I7?o
2,263 .98
1, 000 . 00
L24.20
304.85
3 ,8L4 .7 L(E)
LH10 t7(Exctuding Electrical)
unless otherwise noted
--- TOTAL AIITOI,NT DUE ---
(A, B, C, D, and E combined)<,55ff
SPFTNGF!ELD
,Job Number: 990302
SPruNGFIEIT',
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the consLruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Buildi-ng Site Reviewed By: LISA HOPPER
Date:04/05/99
--- ADDITIONAT COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I staEe and agree, that I have carefully examined
the completed appllcation and do hereby certify that all information hereon
is true and correct, and I further certsify that any and all work performed
shalI 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 will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with oRS 701.055 wil-l- be
used on this projecL.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permi-t
card is located at the front of the property, and the approved set of plans
will remain on the si-te at all times during construction'
fi/rz
Signature ;;J,{-7
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By:
033{1 o
q
+ra, 6
SPRINGFIELI,
a a
Page 1
ENGINEERING DIVISTON DEVELOPMENT PLAN REVIEW
RESIDENTIAI, IMPROVED STREET
Developer: TOM WIRFS/COZY HOMES ,.fob No. : 990302
Mail Address: PO BOX 237 SPRINGFIELD, OREGON 97477 Phone #: 747-8704
Tax Lot #: 1702341-1,03600 Project Address: 6743 SIMEON DR
Subdivision: LEVI LANDING Lot: 4 B1k: Eng. Rew. No.: Book
Street Gravel
6743 SIMEON DR
EXISTING IMPROVEMENTS
Ac Mat Curb Fu11 Imp SW Width Curbside Setback
Y 5 FEET 12:1 FLAIRS 5:1 FLAIRS
Existrng Curbcut: N
SPilNGFIELI',
ENGINEERING REQUIREMENTS
Additional Right of way: N
Improvement Agreement: N
Easements: N
SAIiIITARY SEWER
CALL THE UTILITIES NOTIFICATTON CENTER BEFORE YOU DIG 1-8OO-332 -2344
Available: Y Stubbed out To Property Li-ne: Y Depth: 4-6
Size of Line: B In. Tee: 6 In.
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: PER PLUMBING CODE
STORM SEWER
Avai-Iab1e: Y
Pipe DownspouLs And Drains To: cuRBs & GUTTERS OR STORM SEWER
Pipe Parking Lot Drainage To: N/A
FT
SIDEWALK A}iID DRIVEWAY INFORMATION
New Curbcut Appr.: Y STANDARD width: 20 Ft Flairs: 5
Sidewal-k Permit: Y Width: 5 Ft Length: 28 Ft
Curbcut Permit: Y Width: 32 Ft
FT
ENCROACHMENT AI.ID ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AI{D REQUIREMENTS
A11 work wiLhin the public right of way shall be in conformance with the City
of Springfleld standard specifications for construction. A11 existing unused
curbcuts or portions thereof shal-I be restored to fulf curb height as dj-rected
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at thej-r expense.
Reviewed By: MOLLY LINDBLOM Date:03/08/99
FOR FURTHER IMPORTA}IT INFOR},IATIONSEE DRAWINGS ON SPECIAI, REQUIREMENTS
a,ruunllftL va\ uve ltv.
ATTACHMENT A
CITY OF SPRI,.UFIELD SYSTEMS DEVELOPI ..IT CHARGE
WORKSHEET
Cnzv !-[orves
74 Z S) rmao'rt Dr(,LOCATION b
SQ. Ft.
7 ?o so?
DEVELOPMENT TYPE:5F
BUiLDING SIZE SI
1 ***1% +*7)r rfiq) + /0/u) | r?cY
IMPERVIOUS SQ. FT.
2. SANI ARY SEWER -CITY
NO. OF PFU'S
3
.o
ACE X $0.227 PER SQ. FT $ 627,F{
X $47.14 PER PFU S g?S.CC
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRiP RATE X COST PER TRIP
x s475.32
SANITARY SEt,JER-Mt^ll'4C
A. REIMBURSEMENT COST
N0. 0F FEU'S _ I X 211,++PER FEU
N0. 0F FEU'S I X ZS.ZOp1R FEU
Mt^ll,lc CREDIT IF APPLICABLE (SEE REVERSE).
Mt^lMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
SL
SDC Coordinator
ATTACH'A.WPD
$ 4b,o-l
$ 211.4
$ 25.2o
tbo.
$ 10.00
TOTAL-MWMC SDC s l52,sa
$zt5( -
s /o7,tr /
X
X
x $475.32
$
4
Date:sBtqq
TOTAL SDC S 2Zb3,qF
NAME OR COMPANY:
H
III
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent : Fixture Units
(NOTE: For remodels, calculate only the l',8T. additional fixturesl '
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES mUIVRUETT UNITS
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 Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall
Shower, Gang.........
Sink: Bar, Commercial, Residential Kitchen...'
Urinal, Stall/YVall...lil-Wash Basin/Lavatory, Single-.-.....
Toilet, Public lnstallation.
Toilet, Private.......It
Miscellaneous
TOTAL FIXTURE UNITS
Z-2
1
2
3
6
2
b
6
1
3
2
1/Head
2
2
1
6
4
Z
o
- 2,u
-<-
-T--
I
fi-
CREDIT CA,LCULATION TABLE: Based on asse ssed va lue. lf improvements occurred after annexation date in table,
calculate credits
' -. . .:.
Credit for Parcel or Land Only tf Applicable
lmprovement (if after annexation date)
4,Zl x g 3],4q.
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL $
Year'.
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
1979 or before
1 980
1 981
1 982
1 983
1 984
1ggs'"i ',t , --
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
1 989
1990
1 991
1 992
1 993
1 994
'i"; .1.995
1 996
1 997
$1.98
1.55
1.15
o.96
o.B3
o.67
. o.52
o.3B
o.21
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating Purposes OnlYl
Residential.o.4
o.9
o5
o.5
Commerical....
lndustrial.
Governmental
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
lbo,oZ
Rate per $1,OOO
Asietsed Value
225 FIFTE STREET
SPRINGI'IELD,
INSPECf,ION
oFPICE: 726-3759
L
4
INSTALLA
3
5PFl!NGFIELD
{
ELECTRICAL PERHIT LICATION
City Job Number
COHPLETE FEE SCBEDTILE BELOV
N:O la uires
A.i aI-
0
thereo f
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
||$fts1*'ni t.
u tc,
!iPrye
$
_q,f.l
90 You rnay obtain copies of
Iting rf
Cos t
s 8s.00
s 1s.00
Sum
%b
UrJB nurn LPermits 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
Erec tricar con r'^.ro, 6Zhl /%tht,l
Addres
Ci ty Ph"^"3//-F/e6
Supe rv i o r License Number
Expiration Date
Constr Contr. Number
Expirat ion Date /,0-/- 7?
S ture of Supe rv1 Electrician
Owners Name
s 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps -l
40L amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nIY
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps
-
Over 40L to 600 amPs
Over 600 amps or 1000T58s
Branch Circuits
Nev, Alteration or Exterrsion Per Panel
One Circuit S 35.00
Each additional-Ci.-cui t or vi th Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
--
Sign/Out1ine Lightitg-
Limi ted EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
a
B
C
s s0.00
$ 60.00
s100.00
s130.00
s300.00s 40.00
Sovea
s 40.00
$ ss.00
$ 80.00
see tlBtt
D
Add
cit
re
Phone
INST TION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
0wners Signature:
DATE:
RECEI
E
$ 40.00
s 40.00
$ 20.00
s 36.00
5
RECEIVED B
,t(
AJILg
&
/,-/- po
p/3
ls, s
-
NAME:
ADDRE
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
B. Single-Family Attached
NO. OF UNITS X $924 Per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
srArE:Ngzrp'h3il1
NO. OF UNITS I X $1,000 per unit = S \ hC CD
SS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Narne:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctlalions and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
\ Single Family homei Manufactured home not in a park
D. Manufac'tured Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unlt = $
oo
2. SDC CREDff (if applicable) SDCiayer must fumish proof of
Willamalane Credit approval. See SOC Credit Workshoot. $
$
$
V
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduced for Credit)TD oo
(f
lo
SpringfieldCityof
Department
I
rax Lot Number: \-] b$fAil\ n3lonf '