HomeMy WebLinkAboutPermit Building 1998-09-143PFINGFTELD
RESIDENTIAI, PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DTVISTON
BUILDING SAFETY
Page 1
ilob Nurnber: 980935
225 North Fi-fth Street
Springfield, OR 974'77
Location of Proposed Work: 6788 SIMEON DR
Assessors Map #: L7023411,
Lot : 1,4 Block:
Office:
Inspection Lj-ne:
726 -37 59
726 -37 59
Tax Lot #:
Subdivisi-on:
04500
LEVI LANDING
Owner: TOM WIRFS
Address: PO BOX 237
Descri-be Work: S. F. RESIDENCE
Phone #: 747-8704
City/State/ZLp: SPRINGFIELD, OREGON 974jj
NEW
General-:
Plumbing:
Mechanical-
Electrical
ConUractor
T WIRFS 0032947.J,275 S 2ND SPRINGFIELD OR 97477OOOO
B M C 0103570
548 W OREGON AVE CRESWELL OR 974260
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
BILLS 0021351
3170 W 11TH EUGENE OR 974020000
ConsE.
Contractor #Expires
05/28/eB
1,2/Ls/e8
L2/23/e8
04 /28 / ee
Phone
747-8704
895 - 457 5
7 4'7 -7 445
687-1851
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: SGC
FOOTING - After trenches are excavated.
FOIINDATION - Aft.er forms are erected but prior
ITNDERFLOOR PLITMBING - Prior to insulation or de
ITNDERFLOOR MECHANfCAL - Prior t.o insul-ation or
WATER LfNE - Prior to fill_ing trench.
SA.I{ITARY SEWER LINE - prior to fil_Iing trench.
STORM SEWER LINE - Prior to fil-l-j-ng trench.
To request an inspection, call- the 24 hour recordi-ng at 726-3769.
A11 inspecLions requested before 7:00 a.m. wil-I be made the sinspections requested after ?:00 a.m. wi-l_I be made the
REQUIRED TNSPECTIONS
to
cking
decking
POST AIiID BEAIi - Prior to floor insulation or decking.
rNsuLATroN - Floor; prior to decking wa1I/ceiling; prior to cover
ROUGH PIJITMBfNG - Prior to cover.
RoucH GAs - after line 1s instal-led and capped if not. attached to anappli-ance
ROUGH MECHANfCAL - prior to cover.
ROUGH EIJECTRICAL - prior to cover.
SHEAR WALL NAILING - Before covering sheathing with fini.sh materials
FRA.IT{ING - Prior to cover.
INSULATION Floor; prior to decking WalI/Cei_Iing;cover
GAS SERVICE After line is 1nstal1ed and line has be
minimum of one appli-ance. pressure test done at
CURBCUT After forms are erected but prior to p1
SIDEWALK After excavation is complete, forms and sub
Cu
\sl
A'i f i'-1"'rU0
in pJ-ace
ANY
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1-849
,'ri\<
SPRINGFIELD
Job Number: 980936
SPruNGflEA',
Page 2
FINAL PLITMBING - When all plumbing work is complete.
FINAT MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work i-s complete.
FINAL BUILDING - When all reguired inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5580
Total Height: 15
Lot T)pe: INTERIOR
Setbacks
SWE
L45
18
Lot Coverage: 34 %
Setbk From NPL: 35
N
15
ftem
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUTLDING PERMIT ---
Square Feet x
1395
454
$/Square Feet
64 .65
1,6.27
(A)
Val-ue
90 ,201, . O0
7,38'7.00
97, 588.00
46L.L6
--- PLIIMBING PERMIT
Item
Resldential Bath(s)
PJ-umbing Permit
Surcharge/admj-n
TOTAL CHARGE
2
Fee
150.00
150.00
12.80
L72 -80(c)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/InserE/Fireplace Unit
Dryer Vent
GAS PIPE
Mechanical Permlt
fssuance
Surcharge/Admin
TOTAL PERMIT
)
5.00
4.50
5.00
4.50
3.00
2.OO
26
10
00
00
08
(D)38-08
--- MISCELIJANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC FEE
PLAN REVIEW
ELECTRICAL PERMIT
WILLAI\4i\LA}]E
TOTAL MTSCELLANEOUS PERMITS
0.00
16.75
15.40
2,395.86
277.55
124.20
1, 000 . 00
3,830.76
(Excluding EIect,rical )
unless otherwise noted
--- TOTAL AIIIOI,NT DUE ---
(A, B, C, D, and E combined)
(E)
4 ,502 .80
427.OO
34.L5
SPRINGFIELD
.Tob Number: 980936
SPruNGFIELT',
Page 3
--- BUILDING VALUE, PLAIiI CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition Lhat the said construction
sha1l, in al-l- respects, conform to the Ordj-nance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buiJ-dings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Buildi-ng Site Rewiewed By: LfSA HOPPER
Date: o8/14/98
--- ADDITIONAI, COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I staEe and agree, that I have carefully examined
the completed applicati-on and do hereby certify that all information hereon
i-s true and correct, and f further certify that any and all work performed
shal1 be done in accordance with the Ordj-nances of the City of Springfi-eld,
and the Laws of the State of oregon pertaining to the work described herein,
and that NO OCCUPANCY will- be made of any struct.ure without permission of the
Community Servj-ces Divisj-on, Building Safety. f further certify that onJ-y
contracLors and employees who are in compliance with oRs 701.055 wil_l- be
used on this project.
I further agree to ensure that all- required inspecLions are requested at theproper time, that each address is readabLe from the street, that the permitcard is located at the front of the property, and the approved set of plans
the site aE al-I tj-mes during construction
-q
will remain on
6 m
t
rn-
?E
Signature Date
Receipt. Number
Date Paid
Amount Recei-ved
Received By
--- VALIDATION ---
to
5P. -GFIELI,
225 FIFTE STREET
SPRINGFTELD, oREGoN effifyiz*Signature /\^
INSPECTION REQTIEST:726-3769
OFFICE: 726-3759
1
Permits are non-transferable and expirelf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALI.ATTON ONLT
EI,ECTKTC,AL PERHIT APPIJCATION
ty Job Nunber
3. COUPUSTE FEE SCEEDT'I,E BELOV
A Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
$ 8s.00
f)^$ 1s.00
Each Hanuf'd Home. or
-Hodular 'DwelIing'
Service or Feeder $ 40.00
.8. Services or Feeders
InstalIation, Alterations
or Relocation:
C. Temporary Services or FeedersInstallation, Alteration or Relocation
tffiffiJH**n
Dtt
Sumb
b
,f/rff,Electrical Contractor
Add w a,rt-.4-
ci tv-Phone
Supervisor License Number ?trO -'
Expiration Date
200 amps or less
201 amps to 4O0 amps
-401 amps to.600 amps
-601 amfis to 1000 amps-
Over 1000 arnps/vo1ts
-Reconnect Only
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date t/- * t - ??
Constr Contr. Number
ture oft
Ovners Name
ci
OvnersESignature:
I
ng Electrician
Phone
200 amps"or less $ 40.00
over 401 to 600 amps
-
$ 80.00
over 600 amps or 1000EI-ts see nB, a566
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limited Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
s 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
I
RECETVED
5 @
not
JouRN,-'oR JoB No. 460?j6
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCATION
DEVELOPMENT TYPE
BUILDING SIZE SIZ Ft
1. STORM DRAINAGE
IMPERVIOUS SQ FT. 27to x $0.227 PER SQ. Fr. $ 660,57
2. SANITARY SEWER-CITY
NO. OF PFU'S ZO X $47.14 PER PFU $ q+o Bc
(See Reverse Side)
3. TMNSPORTATI0N
NO OF UNITS X TRIP RATE X COST PER TRIP
I x l,ol x$475.32
x $475.32
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
$X
DDI'
N0. 0F Ffr+€
B. IMPROVEMENT COST
D0t,
N0. 0F +EU5
DU
x zt- q4+ER FEtr
DdX 25.2,*ER FEII
s 1Eo,o7
$ ':7 +4
$ z;u)
< $ - ///, 4{>
s /t4.2
MI^J]'4C CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE $1 .00
T0TAL-M|^JMC SDC $ 7o I .t7
SUBToTAL (ADD ITEMS 1,2,3 & 4) $ 2tz8?. L'
5 ADMiNISTRATIVE FEES:
'*"'ffZ.BrorAL ABovE)'r.::
SDC Coot dinator
ATTACH 'A.I^JPD
.3 l.q
TOTAL SDC $ ' Z?6 ,86+f
D"H F.O,t-l
SFTL-
FIXTURE UNIT CALCUL'TION TABLE! Number of New Fixr
(NOTE: For remodels, calculate only:re NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub.....
Drinking Fountain....
Floor Drain.
Z
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 Sta11.....r....
Shower, Gang
Sink: Bar, Commercial, Residential Kitchen........
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single.......
Toilet, Public lnstallation.
Toilet, Private....
Miscellaneous:
TOTAL FIXTURE UNITS
; X Unit Equivalent : Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
--F--
Z.
Z-
dlHea
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
4
2-
1
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,
calculate credits rates.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
4, 27 -4{(Rate X Assessed Value)
(Rate X Assessed Value)
, CREDIT TOTAL : $ // /, 4{
x$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
$4.27 1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.B3
0.67
o.52
o.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRATNAGE
(For Estimating purposes Onlyl
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICTENT
4
c.--L_979-or-Sefors
Willamalane
Park & Recreation District Job. No.
q
$
$
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:NAME:
ADDRE SS
LOCATION OF PROPOSED BUI ING SITE:
Street
ZIP:
Tax Lot Number:
dwelling(s). SDC calculations and dwelling t
Manufactured home not in a Park
X $1,000 per unit = $tooo 90
STATE: gL
Plat Name:
1. DEVELOPMENT TYPE (check
ype definitio*
1*
on the back.)
A. Single-Family Detached
- L Single Family home
Develo
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. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALA,NE SDC
2. SDC CREDIT (if applicable) SDCpayer must fumish proof of
Wiltamalane Credit approval. See SOC Credt Wotlcsheel
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
(x)
$
$
$tD()ooo
o
-L rtL,2e
$
I
City of Springfield
Department Date
\1nn ?+il e4{dY\