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-
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