HomeMy WebLinkAboutPermit Building 1998-09-14SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNTTY SERVTCES DIVISION
BUILDING SAFETY
Page 1
.Iob Nu.urber: 980937
225 North Fifth Street
Springfleld, OR 97477
Location of Proposed Work: 5800 SIMEON DR
Assessors Map #: 1102341,1
Lot: 15 Block:
Office
Inspect.ion Line
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
047 00
LEV] LANDING
SPilNGFIELD,
Owner: TOM WIRFS - COZY HOM
Address: pO BOX 237
Phone #: 74i-8704
city/state/zip: SpRTNGFIELD, OREGON 97477
NEWDescri-be Work: S.F. RESIDENCE
Contractor
TOM WIRFS OO32947
].275 S 2ND SPRTNGFIELD OR 97477OOOO
B M C o1o357o
548 W OREGON AVE CRESWELL OR 974250
MARSIIALLS 00257 90
4110 OLYMPIC ST SPRINGFIELD OR 9747
BILLS 0021351
3170 W 11TH EUGENE OR 974o2oOOO
Const.
Cont.ractor #Expires
06 /28 / ee
1,2/1,s/e8
1,2 /23 / ee
04/28/es
Phone
747-8704
895 - 457 s
747 -7445
587-1851
QUAD AREA: 4RNE
# OF UNrTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1,979
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
fNSUL PATH: P1
To reguest an inspection,call the 24 lnour recording at 72G-37G9.
#**;;;ffiiffiI
I'NDERFLooR PLIffBTNG - Prior to insulation or decking. nurnDe'i-gnterisl'o""
-
LNDERFT'OOR IIECHANTCAL - prior to insu]-ation or decking.POST AND BEAM - prior to floor insulation or decking.rNsuLATroN - Froor; prior to decking wall/ceiling; prior to coverWATER LINE - prior to filling trench.
SAI{ITARY SEWER LINE _ prior to fill_ing t.rench.
STORM SEWER LINE - prior to filling trench.
ROUGH PLITMBING - prior to cover.
ROUGH MECHANfCAL - prior to cover.
ROUGH ETECTRfCAL - prior Lo cover.
ELECTRTCAL SERVTCE - Must be approved. to obtain permanent. power.SHEAR wALrJ NArLrNc - Before covering sheathing with finish materlals.
Iffifili-;*n:';i"::,'ilil; ro deckins wal,/ceilins; prior ." ";;; zrr",Re,r.s1_[o$DRYWALL - prior to taping .
----J eerrrrrv i rLroL t" t"]F: .vp\fl
:HffH-
; _:: i:.':;::,:li":'::.::_:l:.::.;:i: :::":ffi :;"::
ht[Hur'"- -^ oS\?''
^..^r.tgNoE" itq\00'
General:
Plumbing:
Mechanical:
El-ectrical:
SPRINGFIELD
Job Number: 980937
OF SPilNGFIELT',
Page 2
FINAIT PLIIMBING - When all plumbing work is complete.
FINAL MECHANICAL - When al-l mechanical work is complet.e.
GAS SERVICE - After line is installed and line has been connected to a
minj-mum of one applj-ance. Pressure test done at this point.
FfNAL ELECTRICAL - When all electrical work is complete.
FINAL BUITDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Sol-ar Approved: Y
House
Garage
Lot Sq. Ft.: 5580
Total Height: 25
Lot Coverage: 35.5 ?,
Setbk From NPL: 38
Lot Type
Setbackssw
INTERIOR
N
23 6
E
5
618
It.em
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUIIJDTNG PERMIT ---
Square Feet x
1 519
460
$/Square Feet
54 .55
L6.27
Value
98 ,2a9 . OO
7 ,484 .00
105,703.00
446
35
50
73
(A)482.23
--- PLIIMBING PERMIT ---
Item
Resident.ial Bat.h (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
12.80
L7 2 .80(c)
--- MECHANICAL PERMTT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE s, w/H
GAS F.P,
Mechanical permit
Issuance
Surcharge/edmin
TOTAL PERMIT
3
6.00
4.50
9.00
3.00
5.00
4.50
32.00
10.00
2 .56
44.56(D)
--- MISCELLANEOUS PERMTTSSurcharge/Admin
Sidewalk
Curb Cut
PLAN REVTEW FEE
WfLLAMALANE SDC
CTTY SDC
ELECT. PERMTT
0.00
19.30
14.80
, on ,2
1, 000 . 00
2,245.Otrs2-
L67.40
373 7,zf4+3ft.+++TOTAL MTSCELLAI{EOUS PERMITS (E)
/
siPBI1l.GFIELD
Job Number: 980937
OF SPilNGFIELD,
Page 3
(Excluding Electrical)
unless otsherwise noted
TOTAL A}TOI'NT DUE - - -
(A, B, C, D, and E combined)4 ,435 .* ey'
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the saj-d construction
shaIl, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Recei-ved By:
Pl-ans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOppER
Date: O9/1,4/98
--- ADDITTONAL COMMEMTS
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, r state and agree, that r have carefuJ-Iy examinedthe compJ-eted application and do hereby cert.ify t.hat al-I informati-on hereoni-s true and correct, and I further certify t.hat any and all work performedshall 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 wi-l-1 be made of any structure without permission of the
Community Servi-ces Division, Building Safety. I further certify that onlycontractors and employees who are j-n compliance with oRs 201.055 will beused on this project.
I further agree Lo ensure that all required inspecti-ons are requested. at theproper time, that each address is readable from the street, that the permitcard i-s l-ocated at the front of the property, and the approved set of pJ-answil-I remain on the site a t all ti mes during construction
t 4 /11 48SignatureDate!
ltt z
oN-
Receipt Number:
Date Pald:
Amount Received
Received By
/
;FIEL.,
1 INST.
Perm 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,ATION ONLT
sPr
,tg croy:<r!,*e $ubrfriilsd he8 thr,,is not requlre epecillc lond use
ELECTRTCAL PERHTT APPTJCATION
ob Number
3. COHPI,ETE FBE SCEEDT'I.E BEIOV
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
Each Hanuf'd Home. or
-HoduIar.'DveIIing'
Service or Feeder $ 40.00
Services or FeedersInstallation, Alterations
or Relocation:
Temporary Services or Feeders
Installation, Alteration or Relocation
Th
\
t/q
(o97477
726-37
I $ Bs.oo 35
0- $ ls.oo 3D
Sum
nBu a66
0w erL.1-
.B
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
-401 amps to.600 amps
-601 amfs to 1000 amps-
Over 1000 amps/volts
Reconnect Only
,,/zJ,Electrical Contractor
Add t s
s
s
$
00
00
00
00
00
00
50.
60.
100.
.00
.00
.00
$40
$ss
S80
see
city- Phone
Supervisor License Number ?ro s
ExP iration Date
130
$300
$40
Constr Contr. Number alssl
Expiration Date -7 f--
ture of Electrician
Ovners Name
Add
ci Phone
Osneri.iSignature:
200 amps"or |99s (
201 amps to 400 amps
0ver 401 to 600 amps
over 600 amps or 1000-rao'Ilts
rtl
c
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.OO
E. Hiscellaneous (Service/feeder not included)The installation is being made onproperty I ovn vhiih is not intendedfor sale, Iease or rent.-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited Energy/Res
-
Limited Energy/Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
5
DATE:
RECETVED B
?o
oo
\
225 FIFTE STREEf,
SPRINGFIELD, OREmN
INSPECTION REQTIEST:
OFEICE: 726-3759
JouRN, oR JoB uo. 7 8O?<7
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
T*, C n 7Y
LOCATION c8 @ 1 tn Fott De-
DEVELOPMENT TYPE
Ft
1. STORM DRAINAGE
IMPERVIOUS SQ FT. Z?BZ x $0.227 PER SQ. FT. $ 60B,8l
2. SANiTARY SEWER-CITY
NO. OF PFU'S rA X $47.14 PER PFU S 848 , <Z_
(See Reverse Side)
3. TMNSP0RTATi0N
NO OF UNITS X TRIP RATE X COST PER TRIP
x l,ol x$475.32 L 48op 7
x $475.32 (
4. SANITARY SEWER-]{WMC
A. REIMBURSEMENT COST
D0t5 Dd
N0. 0F fEFS / X 277 ,++ PER fEt -$ 217,4+
B. IMPROVEMENT COST:
Dtl'i DU
N0. 0F fEU*S I X Zq.z:lPER ff$$ 25, ?/)
|,1I^JMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ -ilt.4{>
$ 10.00
TOTAL-MWMC SDC $ Zal,
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2,1 3E,fl
X
5 ADMINISTRATIVE FEES:
BASE cHARn2JBrorAL ABOVE) x .05
A)(:. Date: 7'3/'78
/oc.
SDC Coordi nator
ATTACH 'A. I^JPD
TOTAL SDC $ 2,2+5-,L
NAME OR COMPANY:
BUILDING SIZE: LOT SIZE-SQ
FIXTURE UNIT cALcUL^ TloN TABLET Number or New Fixr
(NOTE: For remodels, calculate only--,e NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
2_
Z
z-
TOTAL FIXTURE UNITS
: X Unit Equivalent : Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
L
--T-
tY
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, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...
Wash Basin/Lavatory, Sing|e..........
Toilet, Public lnstallation.
Toilet , Private
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
__3_
Z_
/Head
?--
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,
calculate credits se arates
4,2 x $ -c.loD :4Credit for Parcel or Land Only lf Applicabte
lmprovement (if after annexation date)
(Rate X Assessed Val ue)X$
(Rate X Assessed Value)
. CREDIT TOTAL = $ ///,+f
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
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
or before
1 980
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1997
$1.98
1.55
1.15
o.96
0.83
o.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Residential....
Commerical...
lndustrial.......
Governmental
o.4
o.9
o5
o.5
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFTCTENT
$4.27
Willamalane
Park & Recreation District Job. No.
qrcq (
SYSTEM DEVELOPMENT CHARGE. WORKSHEET
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions are on lhe back.)
A. Single-Family Detached
( single Family home
NO. OF UNITS
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Addre
PHONE:B1
STATE:
Tax Lot Number:
dwelling(s). SDC calculations and dwelling t
Manufactured home not in a Park
X $1,000 per unit = $n00,q)
t o@
ou
t
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home Park
NO. OF UNITS
X $692 per unit = $
X $699 per unit = $
WILLAMALA,NE SDC
2. SDC CREDTT (it applicabte) SDCaayermust fumish proof of
Wllamalane Credit approval. See SDC Credit Wotksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
$
/L,76
City of Springfield
ate
-0R=,'
6