HomeMy WebLinkAboutPermit Building 1999-05-27SPFINGFIELD
General:
Plumbing:
Mechanical:
Electricaf:
RESIDENTIAL PERMTT APPLICATION
CITY OF SPRINGFIEI.D
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 990554
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 5849 S
Assessors tttap #: L702341L
Lot: 23 Block:
Ownerz COZY HOMES
Address: P. O . BOX 23'7 C
Describe Work: S.F.RESIDENCE
ContracEor -
Office:
Inspection Lj-ne:
726 -37 59
726 -37 69
rMEoN/[/U
Tttg Tax Lot #
Subdivision
05500
LEVI LANDING
Const.
Contractor #
oo32947
74'170000
747-8104
741 '1
Expires
02/oB/oo
03/L3/OO
1-2/23/ee
1"0/oL/oo
Phone
'747 -8704
548 - 7510
7 47 -7 445
34L-8425
# OF UNITS: 1
# OF BDRMS: 3
RANGE: E
v,
oq/g rHE
COZY
1,2'7 5 S
BMC
PO BOX 2
4110 OLYMP
B]LLS ELE
3170 W 11TH
e\a 805
/6 )rou
0
QUAD AREA: 4RNE
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
-- OFFICE
LAND USE: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2230
1
SPruNGFIELT',
To request an inspection, call the 24 hour recording at 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 erected but prior to concrete placement.
ITNDERFLoOR PtITMBING - Prior to insulation or decking-
ITNDERFLOOR DRLIN - Prior to cover or placement of concrete.
ITNDERFITOOR MECHA.MCAL - Prior to insulation or decking.
POST AIiID BEAII - Prior to floor insufation or decking.
INSULATION - Floor; prior to decking wa11/ceiling; Prior to cover
WATER LINE - Prior to filling trench-
SA.I{ITARY SEWER LINE - Prior to fill-ing trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to eover.
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIING - Pri-or to cover.
INSULATION - Ffoor; prior Lo decking wa1I/ceiling; Prior to cover
DRYWALL - Prior to taPi-ng.
ELECTRICAL SERVICE - Must be approved Lo obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLITMBING - When all pJ-umbing work is complete.
FINAL MECIIAIiIICAL - When all mechani-ca1 work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is comPlete.
,t.
SPRINGFIELD
.fob Number: 990554
SPruNGFIELT',
Page 2
Lot Faces: W
Topography: 2
House
Garage
Setbacks
SW
5
18
LoL Sq. Ft.: 9249
Total Height: 1B
Lot Coverage: 24 Z
LoL T)pe: INTERIOR
N
10
E
10
ftem
Main
Garage
Total Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMIT
Square Feet x
1780
450
$/Square Feet
69 .64
18-34
(A)
Val-ue
]-23,959.OO
8,2s3 .00
1,32 ,2L2 . OO
501 .25
40.58
s47 .83
PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI, CHARGE
2
Fee
160.00
150.00
1,2 .80
L7 2 .80(c)
--- MECHAIiIICAI, PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ Insert/Fireplace Unit
Dryer VenL
Mechanical Permit
Issuance
surcharge/admin
TOTAL PERMIT
2
5.00
4.50
5.00
4.50
3.00
24
10
1
00
00
9)
(D)35 .92
--- MISCELLANEOUS PERMITS ---
Surcharge/admin
Curb Cut
CITY SDC
WILLAIVT\LA}IE
PLAN CHECK FEE
ELECT/TEMP
TOTAL MISCELLA}IEOUS PERMITS
0.00
50.00
2,221 .L3
1,000.00
80.00
183.50
(E)3,544.73
(Exctuding Electrical)
unless oEherwise noEed
--- TOTAL AMOI'NT DUE ---
(a, B, c, D, and E combined)4 ,30L.28
SPRII{GFIELD
.fob Number: 990554 Page 3
--- BUILDING VAI,UE, PLAN CHECK AND BUII,DING PERMIT ---
This permit j,s granted on the express condition that the said construction
sha1I, in all respects, conform to the ordinance adopted by the City of
Spri-ngfie1d, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon viofation
of any provi-sions of said ordinances.
Received By:
Plans Reviewed By: AL WARD Date: 05/1"9/99
Building Site Revj-ewed By: BOB BARNHART
--- ADDITIONAL COUMENTS
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I aEate and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
i-s true and correct, and I further certify that any and all work performed
shal-l be done j-n accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and LhaL NO OCCUPANCY will be made of any structure without permission of the
CommuniEy Services Di-vision, Building Safety. I further certify that only
contractors and employees who are 1n compliance with ORS 701.055 will be
used on Ehis project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is l-ocated at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
Signature Da
--- VAI.IDATION ---
,oReceipt Number:
Date Paid:
Amount Received
Received By:
SPRIltlGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: COZY HOMES
Mail Address: P.O. BOX 237 SPLFD OF.,97417
Tax Lot #: 1702341105500 Project. Address
Subdivision: LEVI LANDING Lot: 23 B1k:
,Iob
Phone
5849 SIMEON DR.
Eng. Rev. No.:
No. : 990554
#: 747-8704
Book:
Street Gravel Ac
6849 SIMEON DR.
Existing Curbcut: N
EXISTING IMPROVEMENTS
Mat Curb Fu11 Imp Sw width Curbside
Y 5 FEET 12:1 FLAIRS 6:1 FLAIRS
Setback
ENGINEERING REQUIREMENTS
Additlonal Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344
Avaifable: Y
Size of Line: I
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee: 5 In.
s, E, w Property Lj-ne: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
FI
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr.: Y
Sidewal-k Permit: N
CurbcuL Permit: Y
SIDEWALK AND DRIVEWAY INFORMATION
STANDARD WrdIh: OB FT FIAiTS
Width: 14 FT
6 FT
CommenLs: 27, .fOINT USE DRIVEWAY EASEMENT BETWEEN LOT 23 &.22
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
A1l- work wi-thin the public right of way sha1l be in conformance with the City
of Springfleld standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to fuI1 curb height as directed
by the City. The owner/developer i-s responsible Lo relocate any utilities and
esLablish private or public easements when the utilities conffict with the
development, at their expense.
Reviewed By: MOLLY LINDBLOM Date: 04/29/99
sEE DRAWTNGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTA.I{T INFORMATION
: NGFIELO
nol requlre sPtrciiiL land use
,4-
Zoning
Date225 FIFTE STPGET
SPRINGFTELD, oREGoN 97 4}Forized Signature
INSPECf,ION REQUEST. 726-3769
OFFICE z 726-3759
F INSTALI..ATION
u
CAL PERUIT APPLICATION
City Job Nunber ??os s a
COMPI,ETE FEE SCMDULE BELOIJ
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
3
A
1
D/2
LEGAL DESSRIPTION
/7n z e/tt pSfo o Sumef1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
the
N
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
3Z Admini.strative Fee
TOTAL
J-
-L $ 1s.oo /)-Permits are non-transferable
if vork is not started vithin
of issuance or if vork is sus
180 days.
2. CoI{TRACToR
Electrical Con
Address
$ 8s.00
$ 40.00
ces or Feeders
ion, Alterations
2
20L am
401 amps to
to 4
6 amps _
601 amps to 1000 amPs
Over 1000 amps/volts
Reconnect OnIy
tQt rary Services or Feeders
llation, Alteration or Relocation
t.'09 Iess
Supervisor icense Number
Expiration Date tivi
constr contr. Number
Expiration Date
Signature of rvls
rbr
Ovners Name z
Address /o r 2 3)
Ci ty Phone 7 T7- t 707
OVNER TNSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
JOBfr-ON
INSTALI..A
t rac tor
lre
/8
e s s0.00
s 60.00
s100.00
s 130. 00
s300.00s 40.00
$ 2.00
I
Phone
amPs
ses
00
00Ci ty
,C,
ler o)
tg
qo
amps _
amDsr 1000 volts ee trBtr aEiF
ts
tion or Extension Per Panel
$ 3s.00
s
$
$
s
40.00
55.00
80.00
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
S 40'00
sign/outline Lightins- E 19.99
SUBTOTAL OF ABOVE / f,.:.
5% State Surcharge -
K'So5
RECEIVED B
f'/ o-t76-
Willamalane
A. Single-Family Detached
\r Single Family home
No. oF uNrrs t
Job. No. q,105Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:?
STATE: ON, .,,.
Manufactured home not in a park
ADDRESS:
LOCATION OF PROPOSED BUILDTNG SITE:
Street Address:
Plat Name: t-tOl-3cttt Tax Lot Number: OSS
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwetting t
ype definitions are on the back.)
x $1,ooo per unit = g ( C.J(I) E
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Familv Aoartment
NO. OF UNITS X $692 per unlt
D. Manufac'tured Home Park
NO. OF UNITS X $699 per unlt
WILLAMALANE SDC
2. SDC CREDIT ([ applicable) SDOpayermust fur(sh proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
$
.oo$
$
$
/
00
?B-L3J_,
City of Springfield
Date
t
ocl
t1{?'I
' ';G..*
ATTACHMENT A
$ JpuRML oR JoB no. '?foE#-
CITY OF
.SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
bf4o)Sr,re*?"
DEVELOPMENT TYPE:5F D
BUILDING SIZE:Z"z3 a LOT SIZ
LOCATION:
J
. Ft.
1. SroRN onntmneE tt(rc) + @n+
IMPERVIOUS SQ. FT.Z8 t+
2. SANiTARY SEI^JER-CITY
)K
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRiP RATE X COST PER TRIP
58)z r tt To-41-o
x $0.227 PER sQ. ,r. t L3?,1(
x s41.14 PER PFU s (aK, -f-
$ 4*.o-7
s ztl .4
5,
s |N,77
NO. OF PFU'S
X
X
t.ot x $475.32
x $475.32 $
4. SANITARY SEI^,ER-Mt^lMC
A. REIMBURSEMENT COST:
5
SDC Coordinator
ATIACH'A. hlPD
NO. OF FEU'S X 211.#PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X ZS.ZOPER FEU
MI^IMC CREDiT IF APPLICABLE (SEE REVERSE)-
MI^IMC ADMINISTRATIVE FEE
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
(hA u Date:
s 23.20
. $Jb fib{,
$10. 0
TOTAL-MWMC SDC S /*7,*9
SUBTOTAL (ADD ITEMS 1,2.3 & 4)$Lil
TOTAL SDC $ZzZ-44qq
. CAEeUL 'lON TABLE: Number of New Fixtu'-- X'unit Equivalent ; Fixture Units
(NOTE: For remodels, catcutate only tarre EI additional fixturisl'r"" '
NUMBER OF UNIT FIXTURE
FlxruRE TYPE NEw FlxruRES EoUIvALENT uNlrs
Bathtub.....
Drinking Fountain.-.-
Floor Drain.
lntercePto rs For Grease/Oil/Solids/Etc
lntercepto rs For Sand/Auto Wash/Etc'
Laundry Tub/Clotheswasher"" "
2
1
2
3
6
2
6
6
1
3
2
l iHead
2
2
1
6
4
.2,
2
>
)
q_
Clotheswasher - 3 Or More""
Mobile Home Park Trap (1 Per Trailer)"""""""""
R"""p,o, For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, .Single Stall-.--.'""
Showei, Gang.-.--.'---
Sink: Bar, Commercial, Residential Kitchen""""
Urinal, Stall/YVall...
Wash Basin/Lavatory, Singte.'"'-'
Toilet, Public lnstallation'
Toilet, Private-..--.-
Miscellaneous:
. CREDIT CALCULATION TABLE:Based on assessed value. lf im
calculate credits
I
//
TOTAL FIXTURE UNITS
provements occurred
1,21 x' 5-3?,Sb
(Rate X Assessed Value)x s- :
after annexation date in table,
4,b f
--a-
-tK-
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
CREDITTOTAL = $.-_--
RUNOFF COEFFICTENTS FOR STO.RM DRAINAGE
(For Estimating PurPoses OnlYl
Residential. """"" O'4
Commerical---..."""""""""' O'9
lndustrial:-. O 5
Governmental"""""".'"""" O'5
X RUNOFF COEFFICIENTIMPERVIOUS AREA : TOTAL LOT SIZE
Year
Annexed
Rate per $1,OOO
Asidssed ValueYear'.
Annexed
Rate per S1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
_r"; .1995
1 996
1 997
s1.98
1.55
1.15
0.96
o.83
0.67
o.52
0.38
o.21
1979 or before
1 9BO
1 981
1 982
1 983
1 984
1gB5'"; " ' --
1 986
1 987
1 9BB
54.27
4.'lB
4.12
3.99
3.83
:3-68
3.48
3.18
2.82
2.42
FIXUNIT.WPD
I