HomeMy WebLinkAboutPermit Building 1999-05-27 (3)SPilNGFIELD,
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990551
RESIDENTIAL PERMIT APPLIEATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97471
Location of Proposed Work: 5833 SIMEON ST.
Assessors ttap #: 1-70234LL
Lot : 2L Bl-ock:
726-3159
126 -37 69
Tax Lot #
Subdivision
05300
LEV] LANDING
Owner: COZY HOITIES
Address: P.O.BOX 237
Describe Work: S.F.RESIDENCE
Phone #: 747-8704
citylstate/zip: sPLFD oR, 97477
NEW
Expires Phone
747-8704
548 - 7510
SPRINGFIELD
01 04
TERREBONNE OR 9775OOOOO
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
BTLLS ELECTRIC 0021351
3170 W 11TH EUGENE OR 974020000
No
t.
ANY
I,8O rHBGeneral:
Plumbing:
Mechanical
Electrical
Contractor
COZY HOMES
1275 S 2ND
BMC
PO BOX 292
12 /23 / ee
1.0/ot/00
747 -7445
34L-8426
QUAD AREA: 4RNE
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
- - OFFICE US
LAND
CONS
WATE,
SQ
rs?
# OF UNITS: 1
# OF BDRMS: 3
RANGE: E
)routhq
the
0
To request an inspection, call the
AJ-1 inspections requested before 7:00 a.
inspections requested after 7:00 a.m. wi 11 be
ng day,
&ork day.
--- REQUTRED INSPECTTONS
FOOTING - After trenches are excavated.
FOIINDATION - After forms are erected but prior to concrete placement,
ITNDERFIJOOR PLITIIBING - Prior to insulation or decking.
ITNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ITNDERFLOOR MECI{AI{ICAL - prj_or to insul-ation or decking.
POST N.ID BEAM - Prior to floor insulation or decking.
rNsuLATroN - Fl-oor,' prior to decking wa11/ceiJ_ing; prior to cover
WATER LfNE - Prior to filling trench.
SATiIITARY SEWER LINE - prior to filling trench.
STORM SEWER LINE - prior to filling trench.
ROUGH PLI,MBING - Prior Io cover.
ROUGH MECHANICAL - prior Lo cover.
ROUGH ELECTRICAL - prior to cover.
SHEAR wAIrL NATLING - Before coveri-ng sheathing wlth finish materials.
FF-AMING - Prior to cover.
rNsuLATroN - Ffoor; prior to decklng waI1/ceiling; prior to cover
DRYWALL - Prior to tapi_ng.
ELEC?RrCAL sERvrcE - Must be approved to obtai-n permanent power.cuRBcur - After forms are erected but prior to placement of concrete.
STDEWALK - After excavation is compl_ete, forms and sub-base materialin p1ace.
FfNAL PtITMBING - When all plumbing work is complete.
FrNAr, MECHANTCAL - when all mechanical- work i-s complete.rrNAt EtEcrRrcAL - when all electrical work i-s complete.
FrNAL BUTLDTNG - when all required inspections have been approved andthe building is complete.
CITY SPruNGFIELT',
SPR!Ir.GfIELD
.Tob Number: 990551
Ja
Page 2
Lot Faces: N
Topography: 2
House
Garage
Lot Sq. Ft.: 5075
Lot Type: INTERIOR
Setbacks
SWE
10115
Lot Coverage: 32 %
N
18
ftem
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUTI,DING PERMIT ---
Square FeeE x
]-49L
440
$,/square Feet
69 .54
18.34
(A)
Value
103, 833 . 00
8, 070.00
111,903.00
460.00
36. B0
495.80
--- PLI'MBING PERMIT ---
Item
Resldential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAT CHARGE
2
Fee
160.00
160.00
1,2 .80
L7 2 .80(c)
--- MECHAIiIICAIJ PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/tnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
fssuance
Surcharge/Admin
TOTAL PERMIT
2
5.00
4.50
5.00
4 .50
3.00
(D)
24.O0
10.00
1, .92
35 .92
Surcharge/Admin
Sidewal,k
Curb Cut
CITY SDC
WTLLAMALANE
ELECT. PERMIT
PLAN CHECK FEE
TOTAT MTSCELLA.I{EOUS PERMITS (E)
0.00
50.00
50.00
2 , L93 .53
L, 000 . 00
1,57 .40
100.00
3,580.93
(Excluding Electrical)
unless otherwise not,ed
--- TOTAL AIITOI,NT DUE ---
(A, B, C, D, and E combined)4 ,285 .45
--- MISCEI,TAIiIEOUS PERMITS ---
SPRINGF!ELD
.fob Number: 990551
a SPHNGFIEU',C a
Page 3
--- BUILDING VALUE, PLAIiI CHECK A}iID BUTLDING PERMIT ---
This permit is granted on the express condition that the said construction
shall-, in all respects, conform to the Ordinance adopted by the City of
Springfleld, includj-ng 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.
Received By:
Plans Reviewed By: AL WARD Date: 05/24/99
Building Site Reviewed By: BOB BARNIART
--- ADDITIONAL COMMENTS
DRIVEWAY REQUTRED TO BE PAVED
2 STREET TREES REQUIRED
By Eignature, I 6t,ate and agree, that I have carefully examined
the completed applicatj-on and do hereby certify that aL1 information hereonis true and correct, and I furtsher certify that any and all work performed
shaI1 be done in accordance wi-th the ordinances of the City of Springfield,
and t.he Laws of the State of Oregon pertaining to the work d.escribed herej-n,
and that NO OCCUPANCY will- be made of any structure without permission of the
Community Services Division, Building Safetsy. I further certify that onlycontractors and employees who are in compliance with ORs 701.055 will be
used on this project.
I further agree to ensure that aLl required inspections are reguested 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 planswill remai-n on the s at all times during construction
27 ??
Signature Da
Receipt Number:
Date Paid:
Amount Received:
Received By:
SPFINGFIELD
a
ENGINEERING DIVISTON DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
c o
Page 1
SPruNGFIELD,
Developer: COZY HOMES
Mail Address: P.O.BOX 237 SPLFD OR,97477
Tax Lot #: 1702341105300 Project Address:
Subdivision: LEVI LANDING Lot: 2L 81k:
Job No
phone #:
6833 STMEON ST.
Eng. Rev. No.:
. : 990551
747-8704
Book
Street Gravel Ac Mat
6833 STMEON ST.
Existing Curbcut: N
EXTSTTNG IMPROVEMENTS
Curb Fu1I Imp SW Wldth Curbside
5 FEET 12:1 FLAIRS 5:1 FLAIRS
Setback
Y
ENGINEERING REQUIREMENTS
Additional Ri-ght of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NoTIFICATToN CENTER BEFORE YOU DIG 1-8OO -332-2344
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out To property Li_ne: y Depth: 4-6
fn. Tee: 5 fn.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUTLT
PER PLUMBTNG CODE
FT
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS
Pipe Parking Lot Drainage To: N/A
SIDEWALK AI{D DRTVEWAY INFORI{ATTON
New Curbcut Appr.: y STANDARD Width: 22 Ft Flairs: 6Sidewalk permit: y Width: 5 Ft Length: 25 Ft
Curbcut permit: y width: 34 Ft
FI
ENCROACHUENT A}ID ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer fn Lieu Of Assessment: N
SPECTAL NOTES Ar{D REQUTREMENTSAll- work within the public right of way shall be in conformance with the cityof springfleld standard specifications for construct.ion. A11 existing unusedcurbcuts or portions thereof shall- be restored to ful-l- curb height as directedby the City. The owner,/d.eveloper is responsibl-e t.o rel-ocate any utilities andestablish private or public easemenLs when the utilities conflict with thedevelopment, at their expense.
Rewiewed By: MOLLy LINDBLOM Date: 04/29/99
SEE DRAWTNGS ON SPECTAL REQUTREMENTS FOR FURTHER TMPORTANT INFORIi{ATION
Date
225 FIFTE STREET Authorized Signature
SPRINGFIELD, OREGON 97 477
INSPECTION REQIESTz 726-3769
OFFICE: 726-3759
1 ON
,
OP INSTALI,ATION
Srm Arl
3. COHPIJTE FEE SCEEDTIIJ BELOI'
S TGFIELE,
PERUIT APPLICATION
Ci ty Job Nunbe , 7/o 5s/
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00sq.ft. or lessitional 500
10n
zoning and does
approval I brlZoning5--c-1 et
I.EGAL DESCRTPTI/7oz3tttr
JOB
Address D
oD ssoo N,
IH,s
/u,A
Permits are non-transfer
if vork is not started vith
of issuance or if vork is susPended
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
cElectrical Contractor .s
A
ome. orlIing
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
amps or
sto
Z $ ls.oo
$ 40.00
or Feeders
ation or Relocation
$ 40.00
l
Sum
.f
7a
I
4
6
amps
amps
amps
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
Ci ty
Supe
Expiration Date
Constr Contr. Number 7/7
Phone
rvlsor cense Number
1S1 Electrician
ts
for
/{o'
20L
0ver 401 to 600
Over 600 amps o
D. Branch Circuits
E
ampsr 1000EfEs
s 5s.00
$ 80.00
see rrB" aE66
amps
Signature
0vners Name ()
Address /.0 x )3?
Ci ty S Phone 7Y7" t 7o(
OVNER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2.00 '-
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited Energy/Res _Limited Energy/Comm
S
s 40.00
$ 40.00
$ 20.00
s 36.00
-CZ/.'JSUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRECEIVED B
5
2;.q
1000
I
t /r>-/-/-'rlta-,-.r /.S
Expirationoare (*2 E- O o
-*?Tltr/l 7 "/d
Willamalane
Park & Recreation District Job. No.t1 SS I
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
PHoNE: :ltt-t-B't a1
srArE:oA zP: t1{1?
1. DEVELOPMENT TYPE (Check
ype definitions
1e
on the back.)
A. Singte-Family Dptaehecr
II Single Family home
NO. OF UNITS
Tax Lot Number:OS 3CTD
appropriate dwelling(s). SDC calcrlations and dwelling t
Manufactured home not in a park
(X $1,000 per unit = $(om
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
X $692 per unlt = $
D. Manufac.tured Home Park
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (ir appticaOte) SDO-payermusr (ur(sh proof of
Wiltamalane Credit approvat. See SOC Credit Wotkshoot. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
_ 0fsoc
X $699 Per unlt E
$o.oo
a)
City of
Se
/,
SMLI
$
NO. OF UNITS
$
g
\
JOURNAL OR JOts NU . qloss/
i
ATTACHMENT A
CITY OF
.SPRINGFIELD SYSTEMS DEVELOTMENT CHARGE
WORKSHEET
NAME OR COMPANY Azv
LOCATION
DEVELOPMENT TYPE:StrD
BUILDING SIZE t7 zt SI Ft
IMPERVIOUS SQ. FT.25t+X $0.227 PER SQ FT. s ho,6{
2. SANIT.ARY SEt^ltR -CITY
NO. OF PFU'S X 547.14 PER PFU s ffiS,r-b
J
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
.ol x $475.32 s 4tu.o-7
x s475.32
4. SANITARY SEl,lER-Mi^Jl'4C
A. REiMBURSEMENT COST:
X
X $
N0. 0F FEU'S I X n1.#PER FEU
B. IMPROVEMENT COST:
N0. 0F FEU'S I X 25.2OPER FEU
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
l',lt^lMc ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
TOIAL-MWMC SDC
$ 2,5.20
< $ /btr,07 ,
s 10.00
5
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
SDC Coord'inator
ATTACH'A. l^lPD
$ ZO?O,ar
$ p+. tP
/h:*- Date
TOTAL SDC s "t15,
53
I
$ zl1 .4
FIXTURE UNIT-CAlcuupTloN TABLE: Number of New, Fixtu'^s X'Unit Equivalent = Fixture units '
(NOTE: For remodels, calculate only. ,lH,Jd't'onal.fixturdsl t
--- ^- (TURENUMBER OF UN]T FI}
FIXTURE TYPE NEW FIXTURES EOUIVALENT UN]TS
Bathtub.....
Drinking Fountain.-.-
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc
lnterceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher" " "
Clotheswasher
Mobile Home P'ark TraP (1 Per Trailer)
Receptor For Refrige rator/Water Station/Etc'
Receptor For Commerci al Sink/Dishwasher/Etc'
Shower, Single Stall-.."""'
Shower, Gang.--..-:..
Sink: Bar, Commercial, Residential
Urinal, Stall/Wall..'
Wash Basin/LavatorY, Single'
Toilet, Public lnstallation'
Toilet, Private-..-...
Miscellaneous:
TOTAL FIXTURE UNITS
N TABLE:Based on assessed value. lf improvem ents occurred after
CREDIT CALCULATIO
calcuIate credits
adlHe
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
T_
-
<_-€--
a
a1tt
6
4
Z
2-
,J
Credit for Parcei-or'Land Only lf Applicable
lmprovement (if after annexation date)
Kitchen......
(Rate X
Residential'
Commerical.....-....""'
lndustrial...
1,?Tx $ 4?b =
(Rate X Assessed Value)
annexation date in table,
xs
Assessed Value)
CREDIT TOTAL -$
RUNOFF COEFFTCIENTS FOR STO.RM DRATNAGE
(For Estimating Purposes Onlyl
o.4
o.9
o5
0.5Governmental
Year
Annexed
Rate per S1,OOO
Assdssed ValueYear'.
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
.t.r .1995
1 996
1 997
$1.98
1.55
1.15
o.96
o.83
o.67
o.52
o.3B
o.21
1979 or before
1 980
1 981
1 982
1 983
1 984
1985'"; ,' ' "-
s4.27
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
1 986
1 987
1 988
FIXUNIT.WPD IMPERVTOUS AREA = TOTAL LOT SlzE X RUNOFF COEFFICIENT
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