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Home My WebLink AboutPermit Building 1998-06-30!3PFI I ilGFIELCI h, RESIDENTTAL PERMIT APPLICATTON CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY t Page 1 ilob Number: 980670 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 5750 SIMEON DR Assessors Uap #: A702341-L Lot: 12 Block: Office: Inspection Line: 725 -37 59 725-3769 Tax Lot #: Subdiwision: 04400 LEVI LANDING OwneT: CHUCK,/KATHY DULAC AddrCSS: 37455 CAMP CREEK ROAD Describe Work: S.F. RESfDENCE Phone #: 747-7421 city/state/zip: SPRTNGFTELD, oREGON 9'7478 NEW General: Plumbing: Mechanical: Electrical: ConEract,or OWNER OWNER OWNER OWNER Const. Contractor #Expires Phone NOTICE THIS PERMITSHALL EXPIBE 'FTHE WORKAUIHORIZEDUNDER THIS PERM'T ,S NOTCOMMENCEDOR IS AEANDONED FORANY 1 QUAD AREA: 4RNE # OF TINITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 1900 -- oFFrcE usE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To request, an i-nspecEion, call the 24 lnovr recording aL 726-3769. A11 inspections requested before 7:00 a.m. will be made the same working d.ay,inspectj-ons requested after 7:00 a.m. will be made the following work 6ay. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. RoucH GAs - after rine is installed and capped if not attached to an appl j-ance UNDERFLOOR PLITUBfNG - prior to insul_ation or decking. ITNDERFLOOR IIECHANICAL - prior to insulation or decking. POST AIID BEAII - Prior to floor insulation or d.ecking. rNsutATroN - F1oor,' prior to decking wa1I/ceiling; prior Lo cover WATER LINE - prior to filling trench. SAI{ITARY SEWER LINE - prior to filling trench. STORM SEWER IJINE - prior to fill_ing trench. ROUGH PLI,MBING - Prior To cover. ROUGH MECHATiIICAL - Prj-or Lo cover. ROUGH ELECTRICAL - pri_or to cover. SHEAR WALIJ NATLING - Before covering sheathing with finish materials. FRAMfNG - Prior to cover. rNsuLATroN - Floor; prior to decking waII/ceiling; prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. STDEWALK - After excavation is comp]ete, forms and sub-base materialin p1ace. gPR!NGF'ELEl :h, Job Number: 980570 gwoF .ONEGON Page 2 FINAL PLITMBING - When all plumbi-ng work is complete. FINAL MECIIANICAL - When all mechanical work is complete. FINAL ETECTRICAL - When al-l electrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this poi-nt. riuAf. BUTLDING - When all required inspections have been approved and the building i-s complete. Lot Faces:. S Topography: 2 Solar Approved: Y House Garage Lot Sq. FE.: 5400 Total Height: 21 Lot Type: INTERIOR Lot Coverage: 35.2 % Setbk From NPL: 37 N )a Setbacks s 18 W 9 9 E 5 Item Main Garage Total- Vafue Building Permit Fee Surcharge/admin TOTAII FEE --- BUILDING PERMIT --- Square Feet x 1450 440 $/Square Feet 64 .66 L6.27 (A) Val-ue 94 ,404 .0O 7, 159 . 00 101, 553 . 00 437 35 50 01 47 2 .5L .-- PLIIMBTNG PERMIT --- Item Residential Bath(s) PJ-umbing Permj-t Surcharge/admin TOTAL CHARGE ) Fee 160.00 150.00 1-2 .80 L72.80(c) --- MECHANICAL PERMIT --- Furnace Exhaust Hood. Vent Fan Wood Stove / lnserL /Fireplace Unit Dryer Vent GAS LrNE &. W/H Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 3 5.00 4.50 9.00 15.00 3.00 5.00 (D) 42 .50 10.00 3 .4t 55.91 --- MISCELLAI{EOUS PERMITS --- Surcharge/admin Si-dewalk Curb Cut WLLLAIVU\LAI{E SDC C]TY SDC TEMP POWER TOTAL MISCEI,I.A}iIEOUS PERMITS 0.00 19.00 14.80 1, 000 . 00 2,234.78 43.20 3,311.78(E) 4,013.00(Excluding Electrical) unless otherwise noted --- TOTAT AMOI'NT DUE .-- (A, B, C, D, and E combined) gPR!^lGFIELE, h, ,Job Number: 980670 Page 3 Thj-s permit is grant.ed on the express condition that the said construction shaLl, in al-l- respects, conform to the Ordinance adopted by the City of Spri-ngfie1d, including the Development Code, regulat.ing the construction and use of buildings, and may be suspended or revoked at any time upon vj-oIati-on of any provisions of said ordinances. Pl-an Check Fee: 284.38 Date Paid Recei-ved By: Plans Revj-ewed By: DON MOORE Date Building Site Reviewed By: LISA HOPPER 06/os/e8 06/30/ee Recelpt Number: 30185 .-- ADDITIONAL COUITTEMTS A & T ESTIMATE ONLY FOR CITY SDC CREDIT PIIRPOSES PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUTRED DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I sEaEe and agree, that I have carefully examined t.he completed application and do hereby certify that al-I information hereon is true and correct, and I further certify that any and al-I work performed shal1 be done i-n accordance with t.he ordinances of t.he City of Springfield, and the Laws of the StaLe 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 thTt only contractors and employees who are in compliance with oRS 701.055 will be used on thj-s project. I further ag'ree to ensure Ehat all required inspections are reguested at the proper time, that each address is readable from the street, that the permit card is located at the front of Lhe property, and the approved set of plans wi-11- remain on the site at all times during construction. qq Signa ure Date --- VALIDATION --- 0306cReceipt Number: Date Paid: Amount Recei-ved Received By (O 0/). act --- BUILDING VALUE, PLAN CHECK A.I{D BUILDING PERMIT --- 'has it,*} ;lfB NOilGET 225 FIFTE STREET SPRINGFTEI."D OREGON TNSPECf,TON REQTIEST: OFFICE: 726-3759 1 o TNSTAIT,ATION t7o73.1It o!t'14) JOB DESCRTPTION 5F2 ELE n*,4 Ptu Permi,a "r" non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAILATION ONLY Electrical Contractor Addr""" City- Phone Supervisor License Number Exoiration Date Signature of Supervising Electrician Owners Name Address Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost_t -) SI ,IGFIELI] 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Service or Feeder Sum $ 1s.00 )o Sove $ 3s.00 $ 2.00 r not included) CATION +o A il_s 8s.00 Exoiration Date Constr Contr. Number Temporary Services or Feeders Installation, Alteration or Relocation s 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only 200 amps"or 201 amps to over 401 to D. Branch Circuits Nev, Alteration or Extension Per Panel c s s0.00 s 60.00 s100.00 $130.00 s300.00 s 40.00 less S 40.00 600 amps $ 80.00 ps or 1000 voTEs see rBr a s 40.00 s 40.00 $ 20.00 s 36.00 Over 600 am t Ci OVNER ALI.ATTON The installation is bei property I ovn vhich is for sa1e, lease or rent Ovne S DATE: Notitication Center. Those rules are set forth ional r vith Service Permi t SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL P irgOf,ftgsa'O0 1 -00 1 0 th rorgh @AfrLQXiL-OOd o u s ( Se rv i ce / f e ed e mOO. Youendpdbtain copies ett$druffi)61 la t i on . calling the center. (Note: thetsilgpband- r r i ga t i on . n umber f o r the Oregon UtilitFlilgtifl&tbti n e L i gh t i ng- do{.tt RECETVED B re: 5 , tZt{-Lo JOB NO.?Roe 7() ATTACHMENT A CITY OF SPRiNGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY LOCATION b76o 5r 1) ,\u! DEVELOPMENT TYPI ,I: R. , BUILDING SIZI 1 SIORM DRAiNAGI IMPERVIOUS SO FT 256+X $0.225 PER SQ. FT. $ S7q, 2. SANITARY SE'^IER-CiTY (See Reverse Side) 3. TRANSPORTAIiON NO OF UNITS X TRIP RATE X COST PER TRIP X l,ol X$472.49 x $472 49 X x $472.49 4. SANiTARY SE.NER-M!/JMC DU I' x $.16.86 PER PFU $ 843,48' $ +7- zl ) NO. OF PFU'S B $X NO. OF FEU:S X ^11,7GPER FEU + $10 MI,,JMC/ADM FEE $287, 7 G l.,lt^lMc CREDIT IF APPLiCABLE (SEE RTVERSE)3v, TOTAL-MWMC SDC $ zz8 , zI SUBTOTAL (ADD rTEMS 1,2,3 & 4) $ 4 tz\ ,7C 5. ADt',1iNISTRAIIVE FEES BASE CHARGT (SUBIOTAL ABOVE) X .05 $ /ob.4?-tl SDC Coordi nator Date G-q- ?8 TOIAL SDC $ 2,234.78 CT SIZE SO. Ft. . .n r rJ.ll- \-,tIt I reHr-tgrJL.P I l\., lY I ADLtr. Number Ot New FtXt X Unrt EqUivalent = FiXture Ul",its (NOTE: For remodels, calcuiate onl, e NET additional fixturesl FIXTURE TYPE Bathtub...... Drinking Fountain. Floor Drain........... lnterceptors For Grease/Oil/Sol idsiEtc lnterceptors For Sand/Auto WashlEtc Laundry Tuo/Clotheswasher... Clotheswasher - 3 Or More... Mobiie Home Park Trap (1 Per Trailer).... Receptor For Refrigeratoriwater Station/Etc...... Receptor For Commercial Sink,'Dishwasher/Etc.. Shower, Single Stall.... Shower, Gan9......... Sinr: Bar, Commercial, Residerrtial Kitchen........ Urinal, Stall/Wail... Wash Basinilavatory, Single. Toiiet, Pubiic lnstallation. Toiler, Private....... Misceilaneous NUMBER OF NEW FIXTURES Z 2_ aL TOTAL FIXTURE UNITS UNIT EOUIVALENT ') -2--- dHea 2 1 2 2 o Z b A 1 J 2 it 2 2 1 6 4 FIXTURE UNITS z- 2_ -T- ,E I CREDIT CALCUL,ATION TABLE: Based on assessed value lf improvements occurred after annexation date in rable,calculate credits s 3,q 7 X$)96auCredit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) XS (Rate X Assessed Value) CREDIT TOTAL = $ 3_7, 'f Year Annexed Rate per $ 1,000 Assessed Value Year Annexed Rate per s1,COO Assessed Value 1 980 1 981 1 982 1 983 1 984 1 985 1 986 3.83 3.70 2trtr 3.39 3.20 2.91 bef ore $3.97 1 987 1 988 1 989 1 990 199'l 1 992 1 993 1 994 1 995 1 996 $ 2.56 2.17 1.73 1.31 o.92 o.74 0.61 o.45 o.31 o.17 RUNOFF COEFFICTENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Hesioen iiai ....... 0.4 ...... o.9Commerical........... lndustrial.... Governmental........ lMPERVlous AREA : TorAL Lor stzE x RUNOFF coEFFtclENT I 5q, 3-r Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE EET PHONE: STATE:W,,P .t (. NAME: ADDRESS: LOCATION OF PROPOSED BUI G SITE: Street Address: a Plat Name: 1. DEVELOPMENT TYPE (check ype definitions are on the back.) A. Single-Family Detached I \ Single Family home e ax Lot Number: ate dwelling(s). SDC calctllations and dwelling t Manufactured home not in a Park X $1,000 per unit = $.00NO. OF UNITS B. Single-Family Attached NO. OF UNITS X $924 Per unit C. Multi-Family Apartment NO. OF UNITS X $692 Per unit D. Manufac-tured Home Park $ $ NO. OF UNITS X $699 per unit $ WILLAMALANE SDC 2. SDC CREDff (if applicable) SDC+ayer must fumish proof of Wiltamalane Credit approval. See SOC Credit Worksheet- 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) pment 00 $ $ $ d(; ,a 00 City of Springfield ent Date 7, I a ?r H5 Xi;3"ffi Hrtiffi g#i#.ro,iow,nr S! .\TGFIELI, 225 FIFTE STREET SPRINGFTELD, OREGON 97477 INSPECTI0N REQIiEST: 726-37 0FFICE z 726-3759 1 OF TNSTALLA tJ.,n ELECTRICAL PERHIT APPLICATION T^ETE FEE SCHEDTILE BELOV 69'.b Authorized S[nature , IJGAL DESCRIPTIONb+ le b,S, ktrd,^ JOB ION U Permits are non-transferable and expire if vork is not started vithin 1"80 days of issuance or if vork is suspended for LBO days. Nev Residential-Single or Multi-Family per dvelling unit. Service Tncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Sertice or Feeder $ 8s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: o A B Sum 2. CONTRACTOR ON ONLY $ 1s.00 s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 OuYeAElectrical Contracto 7 Add res s Ci ty_ Phone Supervi,sor License Number Expiration Date__ Constr Contr. Number Expir:ation Date Signature of Supervising Electrician Ovners Name C. Temporary Services or Feeders Installation, ALteration or Relocation 0. 00 5.00 0.00rBn amE- D. Branch Circuits 200 amps"or less 4 S t- 201 amps to 400 amps - $ 5 Over 401" to 600 amps - $ g Over 600 amps or 1000 voTts see r 200 amps or less 201 amps to 400 amps __401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect Only SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s trative Fee TOTAL d-2 Addr Ci ty ess 0'JNti.STALLATION The installation is being made on proper ty I ovn ruhi ch is no t in tended for sale, lease or rent. Signa DATE: RECEIPT Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Ad<ii t ional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) Phone 74 7 -74 )l -Each instal-lation Pump or irrigation _ S Sign/Outline Lighting- $ Limited Energy/Res - $ Limited Energy/Comm $ 40.00 40.00 20.00 36.00 5 RECEIVED BY: e City Job Nr V", ?FDZT