HomeMy WebLinkAboutPermit Building 1998-09-14OF SPRINGFIEIT',
SPFINGFIELD
RESIDENTIAL PERMIT APPTICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nr:rnber: 980938
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 6819 SIMEON DR
Assessors Map #: 17O2347-L
Lot: 20 Block:
Office
Inspection Line
7 26 -37 59
726 -37 59
Tax Lot #
Subdivision
05200
LEVI LANDING
Owner: TOM WIRFS - COZY HOM
Address: PO BOX 237
Descri-be Work: S. F. RESIDENCE
Phone #: 747-8704
city/state/zip: SPRTNGFTELD, OREGON 97477
NEW
General:
Plumbing:
Mechanica]
El-ectrical
ContracEor
TOM WrRFS 0032947
]275 S 2ND SPRTNGFTELD OR 974770000
BMC 0103570
548 W OREGON AVE CRESWELI, OR 974250
MA.RSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
BILLS 0021351
3170 W 11TH EUGENE OR 974020000
Const.
ConEractor #Expires
05 /28 / ee
1-2/Ls/e8
t2/23/e8
04 /28 / ee
Phone
147-8704
895 - 457 5
'74'7-1445
587-1851
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2240
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# oP gnruqs: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
To reguest an inspection, call the 24 hour recording at 72
A11 inspections requested before 7:00 a.m. will be made
inspections reques Led after 7:00 a.m. will be made the fo1
REQUIRED INSPECTIONS
FOOTING After trenches are excavaLed
FOI'NDATION After forms are erected but prj-or to concrete
ITNDERFLOOR PLITMBING - Prior to i-nsulation or deck j-ng '
WATER LINE - Prj-or to filling trench.
SA.I{ITARY SEWER IJINE - Prior to filling trench.
STORM SEWER IJINE - Prior to filling trench.
ITNDERFLOOR MECHATiIICAL - Prior to insulation or decking.
POST AIID BEN{ - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wal1/ceiling; Prior to cover
ROUGH PLITMBING - Prior to cover.
ROUGH MECHAI'IICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FR.AITIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceili-ng; Prior to cover
DRYwALL - Prior to taping -',trNORK
FrNAL PLITITIBTNG - when all plumbing work is complete. -rFE.- . .vp\RE\t ttl"-,"tto1
FINAL MECHAI{ICAL - When all mechanical work is complete NO-\lU-'.,.r qHhLLt^'..^ OfR\J\\t t' '-
:il##":"#l!1";,H":,:':,:::::';:1":::I i: ;;::*!i; ".iu,rBEkHo--:lllil*o**tonSTDEwALK - After excavation is complete, forms and sub-b"t" pBTBYI?J.6OQHr'J'-
in prace CO\l\lE*:;; pLH\OD'
NN\ rot "'
\(\\he \he \etto(
bJ
si \he
\he
SPFINGF!ELD
Job Number: 980938
CITY OF SPilNGFIELD,
Page 2
FINAL BUILDING - 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.: 6572
Total Height: 18
Lot T)pe: INTERIOR
Setbacks
SWE
22 5 1,2
Lot Coverage: 35 ?
Setbk From NPL: 55
N
1B
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
1780
460
$/Square Feet
64 .66
]-5.27
(A)
VaIue
115, 095.00
7 ,484.O0
L22,579.0O
484.75
38.78
523.53
--- PLU}TBING PERMIT ---
Item
ResidentiaL Bath(s)
Plumbing Permit
surcharge/admin
TOTAL CHARGE
2
Fee
160.00
150
L2
00
BO
(c)L7 2 .80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
surcharge/admin
TOTAL PERMIT
)
6.00
4 .50
5.00
3.00
L9
10
1
50
00
57
(D)31.07
--- MISCELLANEOUS PERMITS ---
Surcharge/admin
Sidewal-k
Curb Cu!
CITY SDC
ELECTRICAL PERMIT
WILLA}4J\LA}]E
PLAN REVTEW FEE
TOTAL MISCELLA}iIEOUS PERMITS (E)
0.00
L9 .90
15.40
2,3OO.70
183.60
1,000.00
315.09
3,834.59
(Excluding EIectsrical )
unless otherwise noEed
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,562 . 09
SP]lINGFIELD
rTob Number: 980938
SPruNGFIELI',CITY OF
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express conditj-on that t.he said construction
shall, in all respects, conform to the ordj-nance adopted by the city of
Springfield, including the Development Code, regulating the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Rece j-ved By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOppER
Date:08/Lt/98
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I stat,e and agree, thaL f have carefully examj-ned
the completed applicat.ion and do hereby certify that all informat.ion hereon
is true and correct, and I further certify t.hat any and a1l- work performed
shal-I be done in accordance with the ordlnances 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. I further certj-fy that only
contractors and employees who are in compliance wlth ORS 701.055 will be
used on this project.
I further agree to ensure that. al-l- required inspections are requested at the
proper time, that each address is readabfe from Lhe street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all- times during construction.
-o
lll=E 4,d/"/
Signature n
-
,
nl
Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Recei-ved:
Received By:
jty'ro
o2
OF SPRINGFIELI',
SPFI]t.GFIELD
Page 1
ENGINEERTNG DTVISION DEVELOPMENT PLAI{ REVIEW
RESTDENTIAL IMPROVED STREET
Developer: TOM WIRFS - COzy HOM .Tob No
Maif Address: pO BOX 237 SPRfNGFIELD, OREGON 97477 phone #:
Tax Lot #: L7023411,05200 Project Address: 6819 STMEON DR
Subdivision: LEVI LANDING Lot: 20 Blk: Eng. Rew. No.:
. : 980938
747-8104
Book:
Street Grave] Ac
6819 SIMEON DR
Existing Curbcut: N
EXISTING IMPROVEMENTS
Mat Curb Fu11 fmp SW Width Curbside
Y 5 FEET 12:1 FLAfRS
Setback
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTTFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344
Available: Y
Size of Line: 8
Locataon t rom N
Make Connection
Stubbed Out To Property Line: Y Depth z 4-6
Tee: 5 In.
E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
, PLUMBING CODE
FT
In
PER
STORM SEWER
Available: Y
Pipe Downspouts And Draj-ns To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
Ft,
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment.: N
SPECIAL NOTES A.}ID REQUIREMENTS
A11 work within the public right of way sha11 be in conformance with the City
of Springfield standard specifications for construction. A11 existing unused
curbcuts or portions thereof shall be restored to fufl curb height as directed
by the City. The owner/developer is responsible to rel-ocaLe any utsilities and
establish private or public easements when the util-ities confl-ict with the
development, at their expense.
Reviewed By: DENNIS ERNST Date: o7 /3L/98
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
SIDEWALK AND DRIVEWAY INFORMATION
New Curbcut Appr.: Y STANDARD Width: 24 Ft Flairs: 6
Sidewalk Permit: Y width: 5 Ft Lengt.h: 55 Ft
Curbcut Permit: Y Width: 36 Ft
aPProval.
225 FTFTH SlREEf,
SPRINGFTELD, OREGoN 97477
INSPECTION REQUESIz 726-3
OFEICE: 726-3759 Authorized Signature
1.INST
2 COIITRACTOR INSTALT,ATION O[{LY
ical Contractor ,/rJ,
u8A
EIJGTRTCAL PERHIT
u City Job Nurnber
COMPI,ETE FEE SCEEDT'I,E BELOV
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
!SP ;FIELO
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf 'd llome- or
Hodular.'DvelIing'
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
lHl"J'$l%#*tffi**.,'s;
n
3
A
.8.
c.
D.
E
Cos t
$ 8s.00 85
Sum
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of issu"nce or if vork is suspended for
180 days
3 g D.oo 35-
s 40.00
-aEF
EIectr
Addres t^)*-L4-
Phone
rvisor License Number ?tro s
Expiration Dat " /O
Constr Co ntr. Number
Expi ration Date -i f,'-
of sing Electrician
200 amps or less
201 amps to 400 amPs
-
401 amps to.600 amPs
-
601 amfs to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect OnIY
Temporary Services or Feeders -i.t["ii"ii"", Alteration or Relocati ons-200 amps"or less t
201 amps to 400 anPs
-
Over 401 to 600 amPs
--Over 600 amPs or 1000 volts
Branch Circuits
s 50.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
$ 40.00
$ ss.oo
$ 8o.oo
see nBt'
s 40.00
$ 40.00
s 20.00
s 36.00
City
Supe
Ovners
Addr
ci
Nev, Alteration or Extension Per Panel
Phone
Hiscellaneous (Service/feeder not included)
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
--Each installation
Pumo or irrigation
-
Sisn/OutIine Lighting-
Litited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
$ 3s.00
$ 2.00
The installation is being made on
piop"tty I ovn vhibh is not intended
ior-sale, lease or rent'
Ovneri+Signature:
DATE:
RBCEIVED
5.
cx)
a
tjs I
JOURN'' OR JOB NO q8
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY -,/ u.n, k )trzr5
LOCATION
DEVELOPMENT TYPE 1,tr. L,
BUILDING SIZE:SIZ Ft
1. STORM DRAINAGE
IMPERVIOUS SQ FT. 3, t 6r X $0.227 PER SQ. FT -7Pt,+
2. SANITARY SEWER-CITY
NO. OF PFU'S l8 X $47.14 PER PFU $ 8+B ,{z--
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
l,at x $475.32 $ 480,o7
x $475.32 $
4. SANITARY SE|^IER-1"1WMC
A, REIMBURSEMENT COST:purt Du
N0. 0F Fftf'S I X u77.44PER FtU $ ^?^ +f
B. IMPROVEMENT COST:
DdI, Dd
N0. 0F FEU'S I X Z5,?aPER fEtr $ -nzo
Mt^l]'4C CREDIT IF APPLICABLE (SEE REVERSE)
Mt^lMC ADMINISTRATIVE FEE
< $ -/61,22>
$ 10.00
TOTAL-MWMC SDC $/ 43 .4L
c/39
X
X
5. AD1'4INISTRATIVE FEES
BASE C (SUBTOTAL ABOVE) X .05
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ zr t1l. tf
$ ro4, {f
SDC Coordinator
ATTACH'A.I,JPD
Date 7-3t-?8
TOTAL SDC $ 2,3oo,70
FIXTURE UNIT cALcUL^TION TABLET Number or New Fixr
(NOTE: For remodels, calculate only --.e NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
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 Sta11.....r....
; X Unit Equivalent : Fixture Units
UNIT
EOUIVALENT
FIXTURE
UNITS
Z
t--
2--
a*
-3-
2
1
2
3
6
2
6
6
,l
3
2
1
2
2
1
6
4
u
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Toilet, Public lnstallation.
Toilet, Private.....
Miscellaneous:
ad/He
7
TOTAL FIXTURE UNITS tg
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,calculate credits se arates.
4. zt X$,1'A)/bQ, Z7
(Rate X Assessed Value)x$
(Rate X Assessed Value)
. CREDIT TOTAL = $ /6q,E>
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
or before $4.2
BO
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1 .15
o.96
0.83
o.67
o.52
o.38
o.21
RUNOFF COEFFICTENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential.
Commerical...
lndustrial.......
Governmental
o.4
o.9
o5
o.5
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS STATE:
LOCATION OF P EDB ILDING
Street Add
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
Willamalane
Park & Recreation District
A. Single-Family Detached
\ ,,ngle Family home
qL0q3(
Manufactured home not in a Park
No. oF UNITS t x $1,ooo Per unit = $r00 CY)
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDff (if applicable) SDGpayer must tumish proof ot
Willamatane iredit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
-L rJA 7b
$
$
@
$
$
$
d
t
d)0
\
City of
e
field
epartment Date
aP,qYTl