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