HomeMy WebLinkAboutPermit Building 1999-01-13SPRT.,JGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nr:rnber: 981-550
225 North Fifth Street
Springf ieId, OR 97 41'/
Location of Proposed Work: 5805 SIMEON DR
Assessors Map #: 1-702341-1-
Lot:19 Block:
Office
Inspection Line
7 26 -37 59
7 26 -37 69
Tax Lot #:
Subdivision:
05100
LEVI LANDING
SPilNGFIELT',OF
OwneT: MCKENZIE VALTEY HOME
Address: 130 FIELDS COURT
Describe Work: S.F. RESIDENCE
Phone #: 54L-466-3288
city/state/zip: BRoITINSVILLE, OR 97327
NEW
General
Electrical
Contractor
MCKENZIE VALLEY 01231.66
PO BOX 628 BROWNSVILLE OR 973270628
NORM 0092s50
ConsE.
Cont,ractor #Expires
os /28 / ee
o7 /2e / e8
Phone
466 -3288
549 -3540
QUAD AREA: 4RNE
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: G
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
SQ FOOTAGE: a777
To request an inspection, cafl the 24 hour recordi,ng aL 726-3769.
A11 inspections requested before 7:00 a.m. will- be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erecLed but prior Lo concrete placement.
ITNDERFLOOR PLITMBING - Prlor to j-nsulation or decki-ng.
TNDERFITOOR UECIIAI{ICAL - Prior to insulation or decking.
ITNDERFLOOR DRAIN - Prior to cover or placement of concrete.
POST AND BEAU - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wal-f/Ceifing; Prior to cover
WATER LINE - Prior to fill-ing trench.
SANITARY SEWER LINE - Prj-or to fi-lIing trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLITMBING - Pri-or to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior Io cover.
SHEAR wALt NAILING - Before covering sheathing with finish materials.
FR.AMING - Prior to cover.
INSUIJATION - Fl-oor; prior to decking Wal1/Ceiling; prior to cover
DRYWALL - Prior to taping.
GAS SERVfCE - After l-ine is installed and l-ine has been connecLed to a
mini-mum of one appliance. pressure test done at this point.
EtEcrRrcAL sERvrcE - Must be approwed to obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concreLe.
STDEWALK - After excavation j-s complete, forms and sub-base material
i-n p1ace.
!iPRTflGFIELD
Job Number: 981550
OF SPruNGFIEI^D,
Page 2
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIIAI'IICAL - When a1l- mechanical work is complete.
FINAIJ ELECTRICAL - When all electrical work is complete.
FINAIJ BUIIJDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5709
Total Height: 17
LoL Type: CORNER
Setbacks
SWE
15195
Lot Coverage: 31 ?
Setbk From NPL: 42
N
20
Item
Main
Garage
Tot.al Value
Buj-1ding Permit. Fee
Surcharge/admin
TOTAL FEE
BUII,DING PERMIT ---
Square Feet x
L332
445
$/Square Feet
64 .66
1-6.27
(A)
VaIue
86,L27 .OO
7 ,240.00
93,357.00
415.00
33.20
448.20
PLIIMBING PERMIT ---
Item
ResidentiaL Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
160.00
12.80
L72.80(c)
--- MECHA}IICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS PIPE W/H
Mechanical Permit
Issuance
Surcharge/admj-n
TOTAL PERMIT
2
5.00
4.50
5.00
3.00
s.00
(D)
24 .50
10.00
L .97
36 .47
--- MISCELLA.I{EOUS PERMITS
Surcharge/admin
Sidewal-k
Curb Cut
CITY SDC
WILLAMALNE
TOTAL MISCELLANEOUS PERMTTS (E)
0.00
29.20
14.80
2 ,1,82 .47
1, 000 . 00
3,226.47
(Excluding Electrical )
unless otherwise noEed
--- TOTAL AITOI'NT DUE ---
(A, B, C, D, and E combined)3, 883 . 94
SPR'{GFIELD
Job Number: 981550 Page 3
--- BUILDTNG VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in all respects, conform to the Ordinance adopted by the City of
Spri-ngfie1d, including t.he Devel-opment Code, regulating the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon violation
of any provisions of saj-d ordinances.
Plan Check Fee: 259.75 Date Paid:
Received By:
Plans Reviewed By: AL WARD Date:
Building Site Reviewed By: LrSA HOPPER
t2 /21, / ee
oL/1,L/ee
Recelpt Number: 32362
--- ADDTTIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT TS REQUIRED
DRTVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I aEaEe and agree, that I have carefully examined
the completed application and do hereby certify that all- information hereonis true and correct, and I further certi-fy that any and all work performed.
shaIl be done in accordance wi-t.h the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and thaL NO OCCUPANCY will- be made of any structure without. permission of the
Communlty Services Division, Building Safety. I further certify that onlycontractors 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 inspections are requested at theproper time, that each address is readable from the street, that the permj-t
card is located at the front of the property, and the approved. set of plans
wilI remai on the site at a1l- tj-mes during construction.
677
e Date
--- VALIDATION ---
Recelpt Number
Date Paid
032{rf
Amount Received 3e 3.qq
Received By
lsPFi'T'(iFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
SPilNGFIELT',OF
Developer: MCKENZIE VALLEY HOME Job No
Mail Address: 130 FTELDS COURT BROWNSVILLE, OR 97327 phone #:
Tax Lot #: L702341105100 Project Address: 5805 SIMEON DR
Subdivision: LEVI LANDING Lot: i-9 BIk: Eng. Rev. No.:
. : 981560
54l- 466 -3288
Book:
Street Gravel
5805 SIMEON DR
Existing Curbcut: N
EXISTING IMPROVEMENTS
Ac Mat Curb Full Imp SW Width Curbside
Y 5 FEET 12:1 FLAIRS 5:1 FLAIRS
Setback
ENGTNEERTNG REQUIREMENTS
Addj-t.iona1 Right of Way:
Improvement Agreement :
Easements:
A1 i
CALL THE UTI
ru,es
in OAR 9s2-oo,
0
rn. callingqhe
S, NHry]
PER PLutOHflJFr
N
N
N
res you to
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Drc 1-800 -332-2344
Depth: 4-6
DRAWING OR AS_BU]LT
FT
STORM SEWER
Avai]able: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER
Pipe Parking Lot. Drainage To: N/A
SIDEWALK AND DRIVEWAY INFORI{ATION
New Curbcut Appr
Sidewalk Permit:
Curbcut Permit:
Handi-cap Ramp:
Wrdth: 20
Length: 12 Frnr-utftPrnE lr THE \r{oRK
:Y
Y
I
Y
STANDARD
Wi-dth: 5 Ft
width: 32 Ft
SEE DRAWTNGS
Ft Flairs: 5 FT
AUTTTOHIZED U NDEHTHIS PEBMIT IS NOT
NED FOR
ENCROACHMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment:
SMENT
N
SPECIAL NOTES AIID REQUTREMENTS
A11 work within the public right of way shaI1 be in conformance with the Cityof Spri-ngfield standard specifications for constructj-on. A11 existing unusedcurbcuts or portions thereof sha1l be restored to fu11 curb height as dj_rected.by the City' The owner/developer j-s responsible to relocate any utilities andestablish priwate or public easements when the utilities conflict with thedevelopment, at their expense.
Reviewed By: MOLLY LINDBLOM Date: 01,/05/99
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
ru,es are
C'TY OF OREGO'"
SPRTNqFIELO
ELECTRICAL PBRHIT APPLICATION
Ci ty Job Nurnber
LETE FEE SCffiDI'LE BELOV
sidential-Single or
Multi-Family per dvelling unit
rvice Included:Items Cost
d
Sum
FSv-
3D
c
225 FIFTE STREET
sPRrNGFrELD, OREGON
INSPECTTON REQTIEST:
0FFICE: 726-3759
1
o-o/"
7
7
eo
9
6-2
\q (
Pe
if vo
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI..ATION
Electrical Contractor -'
Address D
Ci ty vn,".S// f,/z(:
Supervisor License Number
Expiration Date ?
are non-transferable and expire
is not started vithin 1B0 daYs
Y
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular DweIIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
$ 8s.00
s 1s.00
$ 40.00
B
C
200 amps
201- amps
40L amps
601 amps
0ver 1000
Reconnec t
Branch Circuits
or fess
to 400 amps
-to 600 amps _to 1000 amps_
amps/volts _
OnIy
s s0.00
$ 60.00
s100.00
s 130. 00
$300.00
$ 40.00
Constr Contr. Number 2 o rYC-
Expiration Date -7
S ture Supe rv]'s Electrician
0wners Name
Address
cit ne
Temporary Services or Feeders
Installation, Alteration or Relocation
C
200 amps''or less
201 amps to 400 amps _
Over 40L to 600 amps
over 600 amps or 1000 voT[
s 40.
$ ss.
$ eo.
s see tt
00
00
o0
B" a5ffi
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
, Alteration or Extension Per Pane1
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
6!-98
$
s
$
$
00
00
00
00
40
40
20
36
RECEIVED
5 m
?r oJ,
JOURNAL OR JOB NO. C:)t /-;c, o -ID
ATTACHMENT A
CITY OF SPI..iNGFIELD SYSTEMS DEVELUTMENT CHARGE
WORKSHEET
NAME OR COMPANY 7
d-905 Sb',.p-aa* Tr"rl
DEVELoPMTNT TYPE )r D
BUILDING SiZE OT SIZ lL
I L.
i. STORM DRAiNAGE (cazalaft.t) + Ao(rc) r /777
IMPERViOUS SQ. FT I 634 x $0.222 PER sQ. FT. s5c;7, 37
2. SANITARY SEWER-CITY
NO. OF PFU'S /r x $47.14 PER PFU s{z(,57--
(SeE Rever^se Si ce)
3. TRANSPORTAIION
NO OF UNITS X TRIP Rq;i X COST PER TRIP
x x $475.32
x $475.32
4 SANITARY STWER-M!/MC
A. REIMBURSEMENT COST
No. oF FEU's I x z1/.f+PER FEU s Zt- +*
B. IMPROVEMTNT COST
NO. OF FEU'S
It y/5" tcr PER FEU S Z5,Z{)
$
l',lt^JMC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^lMC ADMINISTRATIVE FEE
<b
$ 10.00
$ /52s0
sZeffitr 2o-77.f2-
s n3.7r
TOTAL-MWMC SDC
5. ADMiNiSTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
fhst-
SDC Coordi nator
ATTACH 'A. I^IPD
,urr, /, /t
'J
TOTAL SDC
717 L.q 7
LOCATION
s 480 .cs7
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
FIXTURE UNIT CALCULA
(NOTE: For remodels, calculate only
TION TABLEI Number of New Fixtures X Unit Equivatent = Fixt ure Unitsr NET additional fixturesl
NUMBER OF
NEW FIXTURES
Ul.ilT
EOUIVALENTFIXTURE TYPE
Bathtub......
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc............
lnterceptors For Sand/Auto Wash/Etc............
LaunCry TubiClotheswasher.
Clotheswasher - 3 Or More....
Mobiie Home Park Trap (1 per Trailer)............
Receptor For Refrigerator/Water Station/Etc...,
Receptor For Commercial Sink/Dishwasner/Etc..
Shower, Single Stall.....:....
Shower, Gang..
Sink: Bar, Commercial, Residential Kircnen....
Urinal, Stall/Wall..
Wash Basin lLavatory, Single.......
Toilet, Public lnstallation.
Toilet, Private........
Miscellaneous:
CREDIT CALCULATION TABLE Basec on assessed value. lf im
2
I
2
b
2
o
6
1
2
1ltsead
2
2
'l
o
^it
TOTAL FIXTURE UNITS
provements occurred after annexation date in table,calcuiate credits se arates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after arTnexation date)
4,zn x$31 4q
(Rate X Assessed Value)X$
lu-o(
(Flate X Assessed Value)
. CREDIT TOTAL
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating purposes Onlyl
Residential. .......... O.4Commerical ......... O.g
lndustrial.o5
Governmental ... o.5
s
Year
Annexed
Hate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1987
1 988
s4.27
4.18
4.12
3.99
3.83
3.68
J,+(]
3.18
2.82
2.42
1 989
1 990
1 991
't oo,
1 002
'1994
1 995
1 996
1 997
$1.98
1.15
0.96
0.83
o.67
o.52
0.38
o.21
FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT S|ZE X RUNOFF COEFFTCTENT
FIXTURE
UNITS
L--
bU
-
---
_-4--
12
*1
/-z
{_
itr
WiltamalaneF"?riEh;&eition District Job. No.
SYSTEM DEVELOPMENT CHARGE
RKSH
ADDRESS:
LOCATION OF PROPOSED LDING SITE:
Street Add
Plat Name:
1
ype definitions are on
Tax Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
PHONE:
srArE: -[)@=t,t,
05
A. Singte-Family Detached
I\ Single Family home
NO. OF UNITS
Manufactured
,-\x $1,000 per unit
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
WILLA,MALANE SDC
X $699 per unit = $
$
2. SDC CREDTT (if applicable) SD0aayer must fumish proof of
Willamatane Credit approval. See SOC Credit Woksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
a)
d)
(if SDC reduced for
Datelo
SpringfiCityof
Department
$