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HomeMy WebLinkAboutPermit Building 1999-05-27 (2)SPR!I\lGFIELD RESTDENTIAL PERMIT APPTICATION CITY OF SPRINGFIELD COMMUNTTY SERVICES DIVTSTON BUILDING SAFETY o Page 1 ilob Number: 990555 225 North Fifth Street Springfield, OR 97477 tocat,ion of Proposed Work: 6841 SIMEON ST Assessors Map #: l-702341"1 Lot: 22 Bfock: Office: Inspection Line: 725 - 37 59 726-3769 Tax Lot # Subdivision 05400 LEVI LANDING SPruNGFIEII', Owner: COZY HOMES Address: P.O.BOX 237 Describe Work: S.F.RESIDENCE Phone #: 747-8704 City/State/Zrp: SPLFD OR, 97477 NEW General: Plumbing: MechanicaL Electrical Cont,ractor COZY HOMES 00 1.275 S 2ND SPRTNGFIELD OR 974 BMC 0 PO BOX 292 TERREBONNE OR 977 MARSHALLS 4110 OLYMPIC ST SPRINGFIELD BILLS ELECTRIC OO21 3170 W 11TH EUGENE OR 974020000 Con6t. Contractor # Expires Phone Trce 02/08/oo 147-8704 548-7510 ,FIruS oB 5 ilaeEAY Nor 0t/oo &E-t:-.sg351 QUAD AREA: 4RNE OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: P1 -- OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 173{i # OF UNITS: 1 # OF BDRMS: 3 RANGE: E 6-3759. taw nV\, To request an inspection, call the 24 A11 inspections request.ed before 7:00 a. inspections requested after 7:00 a.m. wi )o. day REQUIRED INS FOOTING After trenches are excavated FOI'NDATION After forms are erected but T'NDERFLOOR PI,IIMBING Prior to insul-ation or decking ITNDERFLOOR DRAIN - Prior to cover or placement of concrete ITNDERFLOOR MECHANICAL - prior to insul_ation or deeking. POST AND BEA.IT{ - Prior to floor insulation or decking. rNsuLATroN - Floor; prj-or to decking wal-1/cej-1ing; prior to cover WATER LfNE - Prior to fi1ling trench. SAI{ITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - prior to filling trench. ROUGH PLIIMBING - Pri_or to cover - ROUGH MECHAI{fCAL - prior to cover. ROUGH ELECTRICAL - pri_or to cover. SHEAR WALL NAIIJING - Before covering sheathing with finish materials. FRAMING - Prior to cover. rNsuLATroN - Floor; prior to decking wall/ceiling; pri_or to cover DRYWALL - Prior to taping. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power. CURBCUT - After forms are erect.ed but prior to placement of concrete. STDEWALK - After excavation is complete, forms and sub-base mater1a1in place. FINAL PLITMBING - When all plumbing work is complete. FrNAL MEcrrANrcAL - when all mechanical work is complete. FrNAL ErJEcrRrcAL - when al-l electrica] work is complete. FrNAL BUTLDTNG - when all required inspections have been approved andthe building is complete. se/ I by SPRIIrlGF!ELD .fob Number: 990555 SPilNGFIELD,a Page 2 Lot Faces: W Topography: 2 House Garage Lot Sq. Ft.: Total Height 9458 15 Lot Coverage: 19 Z Lot Type: INTERIOR N 5 Setbacks s 10 W 00 1B E 10 Item Main Garage Total Va]ue Building Permit Fee Surcharge/admin TOTAL FEE BUILDING PERMIT --- Square Feet x 1263 472 $,/Square Feet 59 .64 18 .34 (A) Value 87, 955.00 8,655. 00 95, 511.00 424 .00 33 .92 4s7.92 PLIIMBING PERMIT --- Item Resident.ia] Bath (s) Plumbing Permit Surcharge/admin TOTAL CHARGE 2 Fee 160.00 160.00 1,2 . BO L7 2 .80(c) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove / tnserL / Fireplace Unit Dryer Vent GAS PrPE / W/tt Mechanical Permi-t fssuance Surcharge/Admin TOTAL PERMTT 6.00 4 .50 6.00 4.50 3.00 5.00 (D) 29 .00 10.00 )1' 4L.32 --- MISCELLANEOUS PERMITS Surcharge/admin Curb Cut CTTY SDC WILLAMALANE ELECT. PLAN CHECK FEE TOTAL MISCELIJAI{EOUS PERMITS (E) 0.00 50.00 2 ,299 .59 1, 000 . 00 1_24.20 80.00 3 ,562 .7 g (Excluding Electrical ) unless otherwise noted --- TOTAIJ AIIIOITNT DUE --- (A, B, C, D, and E combined)4 ,234 .82 SPRI]'IGFIELD ,Job Number: 990555 SPilNGFIELT',a Page 3 --- BUTLDING VALUE, PLAIiI 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 Springfield, including the Development Code, regulating the construction and use of bui-1dings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Pl-ans Reviewed By: AL WARD Bui-Iding Site Reviewed By: Date: O5/1,9/99 --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUTRED By signature, I st,ate and agree, that I have carefully examinedthe completed applicatj-on and do hereby certify that al-I information hereonis true and correct, and f further certify that 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 t.o the work described herein,and that No OCCUPANCY w111 be made of any structure without permission of the Community Services Divisj-on, Building Safety. I further certify that onlycontractors and employees who are in compliance with oRs 701.055 will beused on this project. r further agree to ensure that all required inspections are requested at theproper time, that each address is readable from the sLreet, that the permitcard is focated at the front. of the property, and the approved set of planswil-l remain on the site at al-l times during construction. Signature Da --- VALIDATION --- Receipt Number Dat.e paid Amount Received Received By SPRINGFIELD o ENGTNEERING DTVTSTON DEVELOPMENT PLAIV REVTEW RESTDENTTAL TMPROVED STREET Page 1 Developer COZY HOMES Street Grave1 6841 SIMEON ST Exlsting Curbcut: N CALL THE UTTLTTIES NOTTF Avail-ab1e: y Size of Line: g Location From N, Make Connection: EXIST,ING TMPROVEMENTSAc Mat Curb Fu11 rmp SW Width Y 5 FEET ENGTNEERTNG REQUTRE}TENTS . : 990555 747-8704 Book Curbside Setback 12:1 FLAIRS 6:1 FLAfRS FI irs: 6 FI Mail Address: p.o.Box 237 spLFD oR,97477 Job No Tax Lot #: 1-7o2341l_os4oo project Address: 6B4t rrr"Oin3i" O, Subdivision: LEVf LANDTNG Lot: 22 B1k: Eng. Rev. No.: Addj-tional Right of Way: Nfmprovement Agreement: N Easements: N SANTTARY SEWER ICATTON CENTER BEFORE YOU DrG 1-8OO-332 -2344 Stubbed Out To property Line: y Depth: 4_6fn. Tee: 5 fn.s, E, w property Line: AS sHOWN oN DRAWTNG oR AS_BUTLTPER PLTMBING CODE Avail-abre: y sroRM sEwER Pipe Downspouts And Drains To: CURBS & GUTTERSPipe Parklng Lot Drainage To: N,/A New Curbcut Appr.: Sidewa]k permit: NCurbcut permit: y Width: 12 Ft Y STDEWALK A.T{D STANDARD DRTVEWA' widrh: Y INFORMATION 6 Ft F1a Encroachment permit nequirlNcRoAcIfiENTSanitary Sewer In Lieu Of Assessment: N AI{D ASSESSMENT SPECIAL NOTES AND REQUTREITTENTSpub1ic right of way s haLl be in conformance with the Citof Springfield s tandard specifications fo A11 work within the vr construction. Al1 existi ng unusedcurbcuts or portions the reof shal_l be res tored to full curb he ight as directedby the City. The owner,/developer is resp onsible to relocate any utilities andestablish private or public easements when the uti]ities conf lict with thedevelopmenL, at their expense Reviewed By: MoLLy LTNDBLOM Date: 04/29/99 SEE DRAWTNGS ON SPECTAL REQUTREMENTS FOR FURTHER TMPOR?AN? TNFORII{ATTON DESCRIPTION '/r2 7 .1n 19 Yoo JOB DESCRIPTIONtrz Permits are non-transferable and expire i f vork is no t s tar ted vi. thin 180 days of issuance ot- if vork is sus ded for 180 days. 2. COMRACTOR INSTALLATION Electrical Contractor CAL PBRHIT APPLICATION Ci Job Numbe, ?70555 Nev Residential-Single or Multi-FamiIy per dvelling uni't Service Includedt ,,"r" 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling Service or Feeder Cos t s 8s.00 SPFlINGFlELO it tional or vith Service or Feeder Permit qfi, 225 FIFTS STRXET SPRINGFTELD, oREGON 97477 INSPECf,ION REQUEST: 726$fi$ LOCATION O b?q r F INSTALLATION Srm ml *e-?-c4 4 A Zoning OFFICE z 726-3759 Authorized Signature 3. COHPLETE FEE SCMDULE BELOV 1 I;EGALt7 Sum8' L s ls.oo Expiration Date /a -/- ail Constr Contr. Number .2 Expiration Date ture of Supe rvls s 40.00 Services or Feeders Instaflation, Alterations l-ocation: rae u&g&u"" amps amps 60L amps to 1000 amps_ Over 1"000 amps/vo1ts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less to 400 amps to 600 ampsr 1000-voITamps o rcui ts ration or Extension Per Panel B Address Ci ty Supe oq /s s s0.00 s 60.00 s100.00 s130. 00 $300.00 $ 40.00 $ 3s.00 s 2.00 s 40.00 s 40.00 $ 20.00 $ 36.00 /6* rv1 r License N Phon umber ?flc s C aSove $ 40.00 $ ss.00 $ 80.00 s see rrBrt Ovners Name a Zq Address 6 d/ 5n/ // PhoneCi ty OVNER TNSTALI^ATION The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. 0vners Signature: DATE: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL 5 RECEIVED B use 3a 201,amps 40Lby fzo of 600 Willamalane Park & Recreation District Job. No. PHONE: 1 I STATE: OC ZIp. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address:G&rt \ ti,,."r,,. .\& Plat Name: 1. DEVELOPMENT TYPE (check ype definitions 1e on the back.) A. Single-Family Detachect Ic Single Family home BR De\dlopment Services Departrnent City of Springfield Tax Lot Number:OSCT(D appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a park etEr NO. OF UNITS \X $1,000 per unit = $L CJr5 B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Apartment NO. OF UNITS x $692 per unlt $ D. Manufac{ured Home Park NO. OF UNiTS X $699 per unlt WILLAMALANE SDC $ 2. SDC CREDff (r appncaUte) SDOpayer must fur(sh proof of Willamalane Credit approval. See SOC Credit Wor4sheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (f SDC reduced for Credit) $ $ coq 00 #-{LI? flr?I ttnsSs , JOURNAL OR JOts NU. OnO,5S ATTACHMENT A CITY OF 'SPRINGFIELD SYSTEMS DEVELOTTIENT CHARGE WORKSHEET NAME OR COMPANY:G"v DEVELOPMENT TYPE:SFD BUILDING SIZE:SI 1 IMPERVIOUS SQ. FT erbn 2. SANITARY SEWER-CITY NO. OF PFU'S J (See Reverse Side) TRANSPORTATiON NO OF UNITS X TRIP RATE X COST PER TRIP [.o x $475.32 x $475.32 4. SANITARY SEhlER-MhlMC A. REIMBURSEMENT COST: NO. OF FEU'S X Nl,4+PER FEU B. IMPROVEMENT COST NO. OF FEU'S 25.2OPER FEUX |'4l^lMC CREDIT IF APPLICABLE (SEE REVERSE) l.,lI^JMC ADMINISTRATIVE FEE 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 /44 SDC Coord'inator ATI'ACH'A.l^lPD Ft ST0RM DRAINAGE r*6 f bo4D{s7 r*o,E X X X $0.227 PER SQ. FT -l X $47.14 PER PFU $ 8+9,9L $ 4tb,o-7 $ zl1 .4 s 25.20 . s lb4,b(, ,f $ $ 10.00 TOTAL-I",1|^JMC SDC l+1 SUBTOTAL (AOD ITEMS 1.2.3 & 4) $ZI?7,/3 Date 7 TOTAL SDC 's zZ?8, SE L0CATI0N: bK4l 5D4roil /( FixTURE uNlT cnlctrtprloN TABLE: Number of New Fixtur^< X'Unit Equivalent = Fixture Units (NOTE: For remodels, cclculate only'- ' NET additional fixtures) r' NUMBER OF J UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 2- ..tt I Bathtub..... 2 1 2 3 b 2 6 6 1 3 2 1/Head 2 2 1 6 4 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 RefrigeratorArVater Statio n/Etc....... Receptor For Commercial Sink/Dishwas her/Etc. Shower, .single Stall-.."""' Showei, Gang.-..-.:-. Sink: Bar, Commercial, Residential Kitchen"" Urinal, Stall/Wall.-. Wash Basin/Lavatory, Single"""' Toilet, Public lnstallation. Toilet, Private-.-...-.- Miscellaneous CREDIT CALCULATION TABLE:Based on assessed value calculate credits rates Credit for Parcei'or'Land Only lf Applicable lmprovement (if after annexation date) TOTAL FIXTURE UNITS lf improvements occurred after an 4,L+x tr Vg,Ao = t& ,hS (Rate X Assessed Valu e) vA:/\Y (Rate X Assessed Value) CREDIT TOTAL = $ Z .)+ -z- T- // nexation date in table, BUNOFF COEFFTCIENTS FOR STO.RM DRAINAGE (For Estimating PurPoses OnlYl Year Annexed Rate per $1,OOO Assdssed ValueYear'. Annexed Rate per $1,OOO Assessed Value 1 989 1 990 1 991 1 992 1 993 1 994 'i", .1995 1 996 1 997 $1.98 1.55 1.15 0.96 o.83 o.67 o.52 o.3B o.21 1979 or before 1 980 1 981 1982 1 983 1 984 1985', $4.27 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 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -_-_7- --g- --7r-