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HomeMy WebLinkAboutPermit Building 1999-01-13 (3)CITY SPruNGFIEII', SPlrINGFIELD RESIDENTIAL PERMIT APPIJICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISTON BUILDING SAFETY a Page 1 ilob Number: 981551 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work: 5783 SIMEON DR Assessors Map #: L7023411, Lot : 19 Bl-ock: Office: Inspection Line: 7 26 -37 59 725 -3'7 59 Tax Lot #: Subdi-vision: 03300 LEVI LANDING Owner: MCKENZIE VALLEY HOME Address: 130 FIELDS COURT Describe Work: S.F. RESIDENCE Phone #: 541-465-3288 City/State/Zip: BROWNSVTLLE, OR 97327 NEW Contractor Const. Cont,racEor # 0l-231,56 Expires 0s /28 / ee Phone 466 -3288General' Nd8fffi':r;"il:ilsvr,,'E oR IS PERMIT SHALL EXPIRE IF THE 97 327 0628 WORKTt{ QUAD AREA: # OF UNITS CONSTR. TYPE: VN WATER HEATER: G 4RNE - - OFFTCE USE - - :1 LAND USE: 1 ZONING CODE 111 : LDR 3 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG SQ FOOTAGE: 1777 # OF BDRMS RANGE: E To request an inspection, call the 24 hour recordj-ng at 725-3759. AlI inspections requested before 7:00 a.m. wil-I be made the same workj-ng d.ay,inspectj-ons requested after 7:00 a.m. wilL be made the fol-lowinq work day. --- REQUTRED TNSPECTTONS --- I3l,HIi, ;*":'il. : :'?: H: : :: ::: :ll 5'3;. p r i o r,Effiffi ##iiflfli$j ,{.-"r,:Ufl Xh UNDERFLOOR PLII{BING - Prior to insulation or defi ffi ;.ffi "X,lf 1", ;, : :' :: :;"::"i;" :1": I :;':ent toArstszabar oo r 6'tnroush oAR gse.oo i - ffi:rlffi - I:i:l;.!'i:l,::,;::*:; wal, /"'m;ffi?.,$+ ar*Et;lili'iliix' :ililT;,;x"ff ,,: -:',., 1 1' i l : :, l iif ::" : :;:"' n u m be r ro r,'#:1""r"J"'#[]hffi ,; ROUGH PIJITI{BING - Prior to cover. RoucH cAs - after l-ine is instal]ed and capped if not attached to an appliance ROUGH MECHANfCAL - prior to cover. ROUGH ELECTRfCAL - Prior to cover. SHEAR wArJL NATLING - Before covering sheathing with finish material_s. FRADIING - Prior to cover. rNsurJATroN - Floor,' prior to decking wa11/Ceiling; prior to cover DRYWALL - Prior t.o taping. ELECTRTCAL sERvrcE - Must be approved to obt.ain permanent power. GAs SERVICE - After line is installed and line has been connected to aminimum of one appliance. pressure test done at this point.cuRBcur - After forms are erected but prior to placement of concrete. STDEWALK - After excavation is complete, forms and sub-base material-in place. FfNAL PLITMBING - When all plumbing work J_s complete. FTNATJ MECHANTCAL - Irlhen all mechanical work is complete.FrNAt ELECTRTCAL - when a1r electrical work is complete. FrNAL BUTLDTNG - when all required inspections have been approved andthe building is complete. 5PE!NGFIELD Job Number: 981561 OF SPilNGFIELD, Page 2 Lot Faces: N Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5598 Total Height: 17 Lot Type: CORNER Setbacks SWE 1,7 19 5 Lot Coverage: 3L + Setbk From NPL: 42 N 20 Item Main Garage Total Value Buildi-ng Permit Fee Surcharge/admin TOTAL FEE --- BUTLDING PERMIT --- Square Feet x 1,332 445 $/Sguare Feet 64 .56 1,5.27 (A) Value 86,L27 .O0 7 ,240.0O 93,357.00 415.00 33.20 448.20 PIJI'MBING PERMIT --- Item Residential Bath (s) Plumbing Permit Surcharge/admin TOTAL CHARGE 2 Fee 160.00 150.00 1,2 .80 L7 2 .80(c) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS PIPE W/H Mechani-cal- Permit fssuance Surcharge/Admin TOTAL PERMIT 2 6.00 4.50 6.00 3.00 5.00 24 10 1 50 00 97 (D)36.47 --- MTSCELLANEOUS PERMTTS Surcharge/Admj_n Sidewalk Curb Cut. CTTY SDC WILLA]V1i\LA1{E PLAN CHECK TOTAL MISCELLAI{EOUS PERMITS (E) 0.00 28 .30 14. B0 2 ,1,82 .47 1, 000 . 00 80.00 3,30s.57 (Excluding Electrical) unless otherwise not,ed --- TOTAL AMOUNT DUE --- (A, B, c, D, and E combined)3,963.04 SPRINGFIELD rTob Number: 981561 OF Page 3 BUILDING VALUE, PLAN CHECK AIiID BUILDING PERMIT --- This permit 1s grantsed on the express condition that the saj-d construction sha11, in aI1 respects, conform to the Ordinance adopted by the City of Springfield, includi-ng t.he Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon vi-olation of any provisions of said ordinances. Received By: Plans Rewiewed By: AL WARD Building Site Reviewed By: LISA HOPPER Date: oa/at/99 --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMTT IS REQUIRED. DRTVEWAY REQU]RED TO BE PAVED 3 STREET TREES REQUIRED By eignature, I st,ate and agree, that I have carefully examinedthe completed application and do hereby certj-fy that all information hereoni-s true and correct, and I furLher cert.ify that any and al-I work performed sha11 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. f further certify that onlycontractors and employees who are in compliance with ORS ?01.055 wilt be used on this project. I further agree to ensure that all required inspections are requested at theproper time, that each address is readable from the sLreet, that the permit card is located at t.he front. of the property, and the approved set of plans w1l- I on the site at all times during constructj_on 5I ure Dat.e --- VALIDATION --- CgzY t{Receipt Number Date Paid Amount Recei-ved: Recej-ved By 3 04 /-ts- z7 II es ,NGFIELO EI,ECTRICAL ob Nunber SCEEDTILE BELOV idential-Single or amily per dvelling unit. Included:Items Cost 225 TIFTE STREET SPRINGFIELD oREGoN 97477 INSPECf,ION REQUEST:726-376 OFFICE: 726-3759 1 .INST rmif vork Constr Contr. Number ? Expiration Date 1 ce are non-transferable and exPire is not started vithin 180 daYs 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder _L A $ 8s.00 s 1s.00 $ 40.00 Sum @o of issuance or if vork is suspended for 180 days. 2. CONTTRACTOR INSTALLATION O}g,Y Erectricar con..".,o, I fs ,/$ Address V/ 7A ltt iT / /e €Phone 3 //f/21 B Services or Feeders Installation, Alterations or Relocation: i Ci ty Supervi-sor License Number Zfro S Expiration Date o 200 amps or less ' 20L amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 0ver 401 to 600 amps - S 80.00 0ver 600 amps or fbOO voT[s see rrB" a5t6 $ s0.00 s 60.00 s100.00 s130. 00 s300.00s 40.00 Ovners Address ty OIINER INSTALI.,ATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. 0vners Signature: DATE: C D. Branch Circuits , Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Serviceor Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Light ing- Limited Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3Z Administrative Fee TOTAI _oo ElectricianSignature of Supe,j! s 40.00 s 40.00 $ 20.00 $ 36.00 RECETVED B 5 Cf) o-o/e Ci ty I CITY OF SPF OFEGO'V SPFIi.GFIELI, , . , {nlllwinE prol8ct as submitted has the followlng .:.- , ,!r ?Qd doec not require specific land use approvel 225 FIFTE STREET ZONiNg SPRINGFIEI"D, OREGOIb{IA ELECTRICAL PERHIT APPLICATION Ci ty Job Nunber 3. COHPTETE FEE SCMDUI,E BELOS A. Nev Residential-Single or MuIti-Family per dvelling unit. Service fncluded:Items Cost L000 sq.ft. or less Bach additional 500 sq. ft or portion thereof Each Hanuf'd Home- or $ 8s.00 $ 15.00 4 ular Dvelling ce or Feeder s 40.00 ers terat ions c/6 6 0ver Reconnec t o vo ts seg rrBlt aE&e Branch teration or Extension Per Panel E One Circuit $ 35.00 g""h eaaitional-cii"uit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utIine Lighting- -q INSPECTI 0N PGQIIE sr' o*[o2,[;l Etn?u,r,"OFFICE: 726-375 1 Permi ts re non-transferable and exPir if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI.ITRACTOR INSTALI,ATION ONLY ctrical Contractor Add Ci ty hone Supervisor e Number Expiration te N6 Sum h or aI Temp Ins t oJ* errrvices or , Alterat less ary Se Iation s"or Feed ion ol s s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 Reloca t i $ 40.00 s ss.00 $ 80.00 s 40.00 40. oo 20. oo 36-00 AO 81 Cons t r tr. Numb Exp at ion Date ture of Supervising trician Ovners s Ci Phone OIINER INSTALI.,ATION The installation is being made on property I ovn which is not intended for sale, 400to amPs t. Limited EnergY Limited EnergY /Res /Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL JOB Ovne lease 5 $ s $ $ ch,, c. 'n ATIACHMENT A_ ?g /Su tCIW OF SPRI'' -tr'IELD SYSTEMS DEVELOPI^\T CHARGE WORKSHEET NAME OR COMPANY Z LOCATiON b 7f 3 Sin,-t /7'7 TraJ DEiELCPI'1E)I, I YPt 3rD BUiLDING SIZt LOT SIZ SQ FiF 1 IMPTRVIOUS SQ. FT 2 . SAN I I ARY SE,^/ER -C ITY 111 r eo/zo t * (a=, seb1,* ) X $0.22l PER SQ. FT s 5q7, 3 7 x $41. 14 PER PFu S 74 V , 57 q 4-# .74twtvl S 2:11,++ $ 25,20 NO. OF PFU'S (See Reverse Side) 3. TRANSPORT-AIiON NO OF UNITS X TRIP RiiE X COSI PER TRIP x t,ot r 54/5. JZ y q,L7q ?? SAN ITARY ST],,/ER-MI,./MC A. REIMBURSEMINT COSI NO. OF FEU'S I X N1,++PER FEU B. iMPROVEMENT COST: NO. OF FEU'S I X Z.,ZC PER FTU M[^/MC CREDiT iF APPLICABLE (SEE REVERSE) MI,,/MC ADMINISTRATIVE FTI TOTAL-MI^JMC SDC SUBTOIAL (ADD iTEMS 1.2,3 & 4)ADMINiSIRATiVt FEES: BASE CHARGE (SUETOIAL ABOVE) X .05 $X 4 q . $ //./.of , $ i0.00 $ /r2 5G s J479*a9 2o 7 e 't L $'').a { L SOC Coordinator ATTACH'A.I^JPD TOIAL SDC $ ^'F ^ 'I_ +l 6> .,tJ Date:I (NorE: For remodels, calculate onry the NET additionat rixturest '- ' r^rurer '\ vr'r( -rqrvqrslrL = rlxture Units NUMBER OF UTIIT FIxTURSFIXTURE TypE NEW FIXTURES _ EOU|\/ALENT UNTTS Barhtub..... Drinking Fountain... Floor Drain. lnterceprors For Grease/OiliSolids/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/Dishwas,rerlErc.. Shourer, Single Stall.....:.... Shower, Gang. Sink: Bar, Commerciai, Residential Kircnen........ Urinal, Stall/Wall. Wash Basin lLavatory , Single....... Toiler, Public lnstallation. Toilet , Private. Miscellaneous: TOTAL FIXTURE UNITS /7- '7 2 1 2 6 2 6 6 1 2 1i Fiead 2 2 a I 4 aZl --Cr -l- x -lllllill_- /F CREDIT C,ALCULATION TABLE: Basec on assessed value. lf i calcuiate credits seoarates. rnprovements occurred after annexation daie in:ecle, Year Annexed fiate per $1,OOO Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1987 1 988 $4.27 4.1 8 4.12 200 .r.oJ J.b6 J. +6 110u,ra 2.82 2.42 1 0ao 1 00n 1 991 I YYZ 't oo2 100,, t ootr 1 996 '1997 $1.98 1.15 0.96 0.83 o.67 o.52 0.38 o.21 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) ZI, Z1 X $ (Rate X Assessed Value)xs - (Rate X Assessed Value) CREDIT TOTAL _ $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential. Commerica1................. lndustrial... Governmental... ....0.4 ... 0.9 05 o.5 FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCIENT I I I Willamalane Park & Recreation District 08 PHONE: $ Date Job. No.tt.l NA SYSTEM DEVELOPMENT CHARGE woR EET ADDRESS: LOCATION OF PROPOSED ING SITE: srArE: 81Lr,,& Street Add Plat Name:t 1. DEVELOPMENT TYPE (check ype definitions are on the back) A. Single-Family Detachecr I \ Single Family home lo NO. 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. Manufadured Home Park , NO. OF UNITS X $699 per unit WLLAMALANE SDC 2. SDC CREDff (if applicable) SDOaayer must fumish proof of Willamalane Credit approval. See SOC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduoed for Tax Lot Number: dwelling(s). SDC calculations and dwelling t Manufactured home not in a park X $1,000 per unit = $]OCD tr) $ $ $ $ $ City of Springfield S partment .oo