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Home My WebLink AboutPermit Building 1998-10-13CITY OF -SPR!]{GFtELD ATTENTION:Oregon law requires you to lollow rules adopted by the Oregon Utility Notification Center. Those in OAR 952-001-0010 through 0090. You may obtain copies calling the center. (Note: the PERMIT APPLICATION SPRINGFIELD ERVICES DIVISION ING SAFETY Page 1 ilob Number: 98L223 C o Office: Inspection Line: 726-3759 7 26 -37 69 number for the Oregon Utility Notifi 2 2 5 Norrh ftffifi sJ6ggQ-p32-23M). Spri-ngfie1d, OR 97477 Location of Proposed Work: 5857 SIMEON DR Assessors Map #: 1-702341L Lot: 24 Block: Tax Lot # Subdivision 05500 LEVT LANDING Owner: QUALITY HOMESS Address: PO BOX 2220L Describe Work: S.F. RESIDENCE phone #: City/State/zip: EUGENE, oREGoN 97402 NEW General: Contractor ConsE. Cont,ractor #Expires 05/ot/ee Phone 543-5333 QUAD AREA: 4RNE # oF uNrTs: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 1898 -- oFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG rNSUL PATH: P1 To request, an inspecEion, call_Lhe 24 hour recording aL 72G-3759 A11 inspections requested before 7:00 a.m. will be made the same working day,inspecti-ons requested after 7:00 a.m. will be made the following work day. --- REQUTRED INSPECTIONS ___ FOOTfNG - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFLOOR MECIIANTCAL - prior to insulation or decking. ITNDERFLOOR PLIIMBING - prior to insul-ation or decking. POST AI{D BEA.II - prior to floor insu]_ation or decking. WATER LINE - prior to fil]ing trench. SAIiIITARY SEWER LINE - prior to filling trench. STORM SEWER LINE - prior to filling trench. rNsurJATroN - Floor; prior to decking wa1I/ceiling; prior to coverRoucH GAs - after line is instarled and capped if not attached. to anappliance ROUGH MECIIANICAT - prior to cover. ROUGH PLITIIBING - prior to cover. ROUGH ELECTRICAL - Prior Io cover. SHEAR WALL NAU,ING - Before covering sheathing with fi-nish materials -FR.A,MING - Prior to cover. rNsuLATroN - Floor; prior to decking wa1l/ceiling; prior to coverDRYWALIJ - Prior to taping. GAs sERvrCE - A'fter line is installed and line has been connected to aminimum of one appliance. pressure test done at this point. FTNATJ PLITMBTNG - when all plumbing work is complete.FrNAL MECHANTCAL - when ar-r mechanical work is complete.FrNAL ELECTRTCAL - when all e]ectrical work is compr_ete.cuRBcur - After forms are erected but prior to placement of concrete.STDEWALK - After excavation is complete, forms and sub-base materiali-n p1ace. "-*o".i3-llil3';r.i:".:iir::::"'u'1v,?tcE:' have been approved and TH'S PEBI,IITSHALL Au THo R,zEr, -ffiT35ffir: yflil ::l/llfNcEo on rs nanNDoNED FoRtt.t,t 1?n f)a,l plR,On QUALITY HOMES 0056307 PO BOX 22201_ EUGENE OR 97402oOOO SP]III\lIiF!ELD .lob Number: 98L223 CITY OF o Page 2 Lot Faces: W Total Height: 26 Lot Type: INTERIOR N House Garage Lot Sq. Ft.: 5300 Setbk From NPL: 29 Lot Coverage: 30 ? Solar Approved: Y 10 Setbackssw 20 18 E 4L ltem Mai-n Garage Total Value Buildi-ng Permit Fee Surcharge/admin TOTAL FEE --- BUII,DING PERMIT --- Square Feet x L49B 400 $/Square Feet 54 .66 1_6.27 (A) Value 96, 851. 00 5, 508 .00 103,359.00 442 .00 3s.35 477 .36 PLI'MBING PERMIT --- Item Residential Bath(s) Plumbing Permit Surcharge/admin TOTAL CHARGE 3 Fee 1,92 .50 t92 . so L5 .41 207.9L(c) --- MECHAIiIICAL PERMIT Furnace Exhaust Hood Vent Fan Wood Stove/InserL/Fireplace Unit Dryer Vent GAS PIPE/ W\H Mechanical Permit fssuance Surcharge/admin TOTAL PERMIT 3 6.00 4.50 9.00 4.50 3.00 4 .50 31.50 10.00 2 .53 (D)44.03 --- MISCEI,I.ANEOUS PERMITS Surcharge/admin Sidewalk Curb Cut CITY SDC WTLLAMALANE TEMP. ELECT. TOTAL MISCELLA.I{EOUS PERMITS 0.00 ].4.20 L4 .95 2 , L40 .85 1,000.00 43.20 (E)3 ,2L3 .20 (Excluding EIect,rical ) unless otherwise noEed --- TOTAIJ AIIIOI'NT DUE --- (A, B, C, D, and E combined)3,942.50 .SPFINGFIELD Job Number: 98L223 CITY OF SPruNGflEA', Page 3 --- BUILDING VALUE, PI,A}iI CHECK AIiID BUILDING PERMIT --- This permit j-s granted on the express condj-tion that the saj-d construction shal-I, i-n all respects, conform to the Ordinance adopted by the City of Springfj-e1d, includi-ng the Devel-opment Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provi-sions of said ordinances. Plan Check Fee: 287-30 Date Paid: Received By: AL WARD Plans Reviewed By: AL WARD DaLe: Buj-Iding Site Revi-ewed By: LISA HOPPER oe/30/e8 to/L2/e8 Receipt Number: 31,602 --- ADDITIONAI, COMMENTS A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES SEPERATE ELECTRICAL PERMIT REQUIRED DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signat,ure, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi-fy that any and all- work performed shaIl be done i-n accordance with the Ordinances of the City of Sprlngfield, and the Laws of t.he State of Oregon pertai-ning to the work described herein, and that NO OCCUPANCY wil-I be made of any structure without permission of the Community Services Divisj-on, Building Safety. I further certify that only contracLors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that al-I required inspectj-ons are requested at the proper ti-me, that each address is readable from the street, that the permi-t card is located at the front of the property, and the approved set. of plans will remain on the siLe at all- times during construction. le YS €8 Signa Date --- VALIDATION --- Recei-pt Number: Date Pai-d: Amount Received Recei-ved By: U /i 8 < c qt - f o1 ^I/trt O4r m/r7 0311L? CITY OF 225 FIFTE STREBT L INSPECTION JOB Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COITTRACTOR INSTALI..ATION ONLY Electrical Contractor ,&,5/<-{1,'c Address ('O Bot ?aao ( Q? Ci ty €r,ttC,nL, dqHA --t_____r Phone 59?.6371 Supervisor License Number 3aJ L/.5 Expiration Date Constr Contr. Number 7s?/c Exp iration Date 6 Signatrrre of SuPervis ing Electrician Ovners Address ci Phone INSTALI,,ATION rach additional 500 -sq. ft or Portionthereof .?- s 15.00 Each Hanuf 'd tiome. or -Modular Dvelling Service or Feeder $ 40.00 B. Servi.ces or Feeders Installation, Alterations or Relocation: 200 amps or 1 201 amps to 4 401 amps to 6 601 amps to 1 SI IGFIELD l49A BLBCTRTCAL PERHIT APPLICATION amps _000 amps_130 Itr lqt"rt?S.prclecr aa abmlncd hes th6zoilng, and cbs nd rBqu*Ewfrc hndapprdaL Sum fuo Ze@ Over 1000 Reconnect /volts $300.s 40.amPs Only 00 00 00. 00 00 00 50. 60. 100. psam ess 00 00 s s $ $ $ s $ s c.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less 201 amps to 400 amPs - Over 401 to 600 amPs - Over 600 amps or 1000 volts -Each installation Pump or irrigation Sign/0utIine Lighting- Limited EnergY/Res - Limited EnergY/Comm 40.00 55.00 80.00 ee rrB. a66 D Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 $ 2.00 E Miscellaneous (Service/feeder not included)The installation is being made on property I ovn vhiih is not intended for sa1e, lease or rent. Ovners Signature: $ 40.00 s 40.00 $ 20.00 $ 36.00 ,/ 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL DATE RECEIVED o f SPRINGFIELD, OREGON A. Nev Mu1 I tems PERMIT IS NOT SPRINGFIELD, OREGON 9747 INSPECTION RBQTIEST.. 726 OFFICE: 726-3759 SHAIt 1.0 UNOEA IH/S l, FEBlon Permi ts are non-transferable explre 0 daysif vork is not started vithin of issuance or if vork is suspended for days 2.INSTALLATION ONLY B Elec t r I Contractor Address Ci ty ln FlINGFIELE, BLE TRICAL PERHIT CATI Ci ty Job Nurnber SCEEDTILE BELOI{ tial-Single or ily per dvelling unit. Included: Items Cost $ 8s.00 Serv 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling SerVice or Feeder Services or Feeders Installation, Alterations or Relocation: talIat i D. Branch Circuits Dclr 225 FITTE STREET 1#,&1,,.#;, Sum -a0t or less 400 amps 600 amps 1000 amps p.rnps/vo1ts _ n1y Services or Feeders ort, Alteration or Relocation s 1s.00 $ 40.00 $ s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 s 40.00 s 40.00 $ 20.00 $ 36. O0 aSove Supervisor Licen Expiration Date Constr Contr. N tsI Expiration Signat ClEIN Ovners Address Ci ty Phone OVNER STALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: 2oo amps''or less L $ 4o.oo 201 amps to 400 amps : $ 55.00 over 4b1 to 600 amps - $ Bo.0o Over 600 amps or 1000 voTts see rrB* Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Out1ine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3Z Administrative Fee TOTAL 0 0 Phon Numb of Supervising EIec te r RECETVED B 5 ?l]o0n0- \.ruunlIl1L tJn \/UO iIU AITACHMENT A CITY OF SPK.I'IGFIELD SYSTEMS DEVELC WORKSHEET lg tZzZ .ENT CHARGE NAME OR CO|'4PANY LOCATION DEVEL0Pl'1Ei\lr IYPt BUiLDING SiZi ]. . STORM DRA iNAGI SiZ -LI U. x tr\ +1b4 -+ COr So+4n x $0.227 PER SQ. Fr. s 32o,30IMPERViOUS SQ 2. SANI rARY SErltR-CITY NC. OF PFU'S zl X S47. 14 PER PFU s 93?,7* (See Reverse S'iie) 3. TRANSPORNIION NO OF UNiTS X TP,IP R,I.IE X COST PER, TRIP ,ol v tAlc 1)A 4'1t e) . OL x _ x s475.32 SANITARY SIWER-MI,,JMC A. REIIIBURSIMENT COST: N0, 0F F[U'S r X 211,4* PER FEU B. iMPROVEMENT COST: NO. OF FEU'S X zs.zO PtR FEU MI^/MC CREDII IF APPLICABLE (SEE REVERSE) MI^/MC ADMINISTRATIVE FEE TOTAL-MI^/MC SDC SUBIOIAL (ADD ITEMS 1,2.3 & 4)5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 (. Fl. S #o, ca $ Zll ,4* SB, < $ o4,o5 > 00 S !. s1 Msv $ z+6,9t $ zoSe,qD $ lot,q5 SDC Coordinator AITACH'A.I^JPD Oate: tolt lqt TOTAL SDC $ 2-l +o't5 ^oir'i or remodels, FIXTUBE TYPE Barhrub...... Drinking Fountain.... Floor Drain. lnterceprors For Grease/Oil/Solids/Erc................. lnterceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher. Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 per Trailer.)...... Receptor For Hefrigerator/Water Starjon/Erc........ Receptor For Commercial Sink/Dishwasaer/Etc.. Shourer, Single Stall.....:.... Shower,, Gang........ Sink: Bar, Commercial, Residential Kiicren.. Urinai, Stall/Wall... Wash Basin lLavatory, Single....... Toilet. Public Instailation. Toilet, Private........ Miscellaneous: CREDIT CALCULATION TABLE:Easec on assessed value. lf im v^Lvv'r-''1 I r\r,.\' I /tDLE,. Number of Ne'ar Fixtures X Unit Equivalent = Fixtur.e Unitscalculate only the NET additional fixturesl NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTUPE UNITS 2 I L A 2 o A 1 J 2 l lhead 2 2 1 6 4 L -1L_ .2 TOTAL FIXTURE UNITS zl provennents occurred after annexation date ir::;oie. 2/ calcuiate creCits se rdtu5. Credit for Parcel or Land Onty lf Applicable lmprovement (if after aBnexation date) /-s 4,2 I (Rate X Assessed Value) lo4,as X$ (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,0O0 Assessed Value Year Annexed Hate per Sl,OOC Assessed Vaiue 1 979 or before 1 980 'r 981 1 982 1 983 1 984 1 985 1 986 1987 1 988 $4.27 4.18 4.12 'l oo 3.83 3.68 J.+t, 3.1 I 2.82 2.42 1 0po 1 00n 1 001 1 00, , oo2 100,1 1 995 1 996 1 997 $1.98 1.15 0.96 AOa 0.6 7 n tr, 0.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Only) Residential. Commerical lndustrial. . . . Governmental. 0.4 o.9 o5 o.5 FIXUNIT.WPO lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT ) X$ Willamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Add Plat Name:Tax Lot Number: PHONE: - STATE:IP: ate dwelling(s). SDC calculations and dwelling t Manufactured home not in a X $1,000 per unit = $ Job. No. q$tttb .t (. 1. DEVELOPMENT TYPE (Check ype definitions are on the back.) A. Single-Family Detached II\ Single Family home NO. OF UNITS NO. OF UNITS WILLAMALANE SDC (if SDC reduced for Credit) If B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park X $699 per unit = $ 2. SDC CREDff (af applicable) SDOaayer must fumish proof of Witlamatane Credit approvat. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED $ $ il tooO ,ad -(l) ,--, \ ?f Date City of Springfield I I I