HomeMy WebLinkAboutPermit Building 1999-05-27SPilNGFIELD.
SPHI'IGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nu.$ber: 990553
225 North Fift.h Street
Spri-ngfieJ-d, OR 97477
Location of Proposed Yilork: 6855 SfMEON DR.
Assessors t"tap #: 17023411,
Lot: 25 Block:
Of f i-ce:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
05700
LEVI LANDING
Owner: COZY HOMES
Address: P.O.BOX 237
Describe Work: S.F.RESIDENCE
Phone #: 747-8704
City/State/Zl-p: SPLFD OF., 97477
NEW
General-:
Plumbing:
Mechanical-:
Electrical:
QUAD AREA: 4RNE
OCCY GROUP: R3
HEAT SOURCE: FE
rNSUL PATH: P1
ORAfiW
8O O,9/S
Contractor
cozY HoMEs 0032947
1,275 S 2ND SPRINGFIELD OR 97477OOOO
BMC PLUMBING 4805
PO BOX 292 TERREBONNE 0
MARSHALLS 0
4110 OLYMPIC ST
BILLS ELECTRIC
3170 W 11TH EUGENE
ConsE.
Contractor #
VN
r
Expiree
02/oB/oo
o3 /1,3 / Oo
12 /23 / se
Phone
747-8704
548 - 7510
7 47 -7 445
0 0 341,- 8426
- - OFFICE USE - -
FB,LAND USE: 1111
CONSTR. TYPE:
WATER HEATER:
F BLDGS
# OF BDRMS
RANGE: E
26 -37 69 .
1
)
E
SQ FOOTAGE:
To request an inspection, call the 24
A11 inspect.ions requested before 7:00
inspections reguested after 7:00 a.m.
--- REQUTRED INS
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prio
working day,
day.
is
ITNDERFLOOR PLIIMBING - Prio r to insulat.ion or decking
ITNDERFLOOR DRAIN - Prior to cover or p1 acement of concre
ITNDERFLOOR MECIIANICAL - prior to insul_ation or decking
POST AND BEAl,t - Pri-or to floor insulation or decking.
INSULATfON - Floor; prior to decking Wall/Ceiling;
WATER LINE - Prior to filling trench.
SAI{ITARY SEWER LINE - prior to filling trench.
STORM SEWER LINE - prior to filfing trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECHANICAL - Prior To cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIfNG - Prior to cover.
rNsurJATroN - Floor; prior to decking wall/ceiling; prior to cover
DRYWALL - Prior to taping.
ELECTRTCAL sERvrcE - Must be approved to obtain permanenL power.
CURBcIllt - After forms are erected but prior to placement of concrete.
srDEwArJK - After excavation is complete, forms and. sub-base material
in place.
FINAL PLUIIBING - When all plumbing work is complet.e.
FINAL MECHANfCAL - When all mechanical work j_s compJ_ete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAIJ BUIIJDfNG - When all required inspections have been approved andthe building is complete.
o/
Prior to cover
b,
SPR!I{GFIELD
Job Number: 990553
SPRINGFIEII',
Page 2
Lot Faces: N
Topography: 2
House
Garage
Lot Sq. Ft.:
Total Height.:
544L
L7
Lot Coverage: 35 t
Lot Type: INTERIOR
N
Setbacks
SW
20 '7
E
7
18
ftem
Mai-n
Garage
Tot.al- Value
Building Permi-t Fee
Surcharge/Admin
TOTAI, FEE
-.- BUILDING PERMIT ---
Square Feet x
1519
400.
$/Square Feet
69 .54
18.34
(A)
Value
105, 783 . 00
7 ,336.00
113,119.00
462
36
25
9B
499.23
PLI'MBING PERMIT ---
ftem
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAIT CHARGE
2
Fee
150.00
160.00
L2 .80
L7 2 .80(c)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove / tnserL /Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAIJ PERMIT
2
5.00
4.50
5.00
4.50
3.00
(D)
24.OO
10.00
1 0a
35.92
--- MTSCEIJIJAI{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
PLAN CHECK FEE
WILLA}iIi\LANE
ELECT. PERMTT
TOTAL MISCELIJA}IEOUS PERMITS (E)
0.00
50.00
50.00
2,295 .69
100.00
1, 000 . 00
L67.40
3,584.09
(Excluding Electrical)
unless otsherwise noEed
--- TOTAL AII{OITNT DUE ---
(A, B, C, D, and E combined)4 ,392 . 03
SPR!?IGFIELD
.fob Number: 990553
SPilNGFIELI',
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in all respects, conform Lo the ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any ti-me upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By:
Date: o5/1,8/99
--- ADDITIONAI. COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I 6taEe 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 certify that any and all work performed
shal-1 be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building SafeLy. f further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
f 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 j-s located at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
Zz 7F
Si-gnature Da
--- VALIDATION ---
Receipt Number
Date Paid
Amount Recei-ved
Receiwed By
.B
g
SPRIHGFIELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAI.I REVIEW
RESIDENTIAL IMPROVED STREET
Developer: COZY HOMES
Mail Address: p.o.Box 237 spLFD oR,97477
Tax Lot #: L702341,1,05700 Project Address:
Subdivision: LEVI LANDING Lot: 25 Bl-k:
Job No
phone #:
5855 SIMEON DR.
Eng. Rev. No.:
. : 990553
747 -8704
Book:
Street Gravel
6865 SIMEON DR.
Existing Curbcut: N
EXISTING TMPROVEMENTS
Ac Mat Curb FuI1 Imp SW Width Curbside Setback
5 FEET 12:1 FLAfRS 5:1 FLAIRSY
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement AgreemenL: N
Easements: N
(
SA}ITTARY SEWER
CALL THE UTILITIES NOTTFICATION CENTER BEFORE YOU DIG 1-800.332-2344
Available: Y
Size of Line: B
Location From N,
Make ConnecLion:
Stubbed Out To Property Line: Y Depth: 4-G
In. Tee: 6 In.
S, E, W Property Line: 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
SIDEWALK AND DRIVEWAY INFORI{ATION
New Curbcut Appr.: y STANDARD width: 20 Ft Flairs: 6
Sidewalk Permj-t: y width: 5 Ft Length: 30 Ft
Curbcut Permit: y Width: 32 Ft
Ft
ENCROACHUENT A.T{D ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer fn Lieu Of Assessment: N
SPECIAL NOTES A}.ID REQUTRETTIENTS
A11 work within the public right of way shalL be in conformance with the cityof Springfield standard specifications for construction. AIl existing unusedcurbcuts or portions thereof shall be restored to ful1 curb height as directedby the city. The owner/developer i-s responsible to relocate any util-ities andestablish private or public easements when the utilities conflj-ct with thedevelopment, at their expense.
Reviewed By: MOLLy LINDBLOM Date:04/29/99
FURTHER IMPORTANT INFORMATIONsEE DR.A,WrNcs oN spEcrAL REQUIREMENTS FOR
CITY OF OREGON
apProval
225 FIFTE STREET zonlno
97 471
SPR'NGF!ELl,
ELECTRICAL PERUIT APPLICATION
City Jo b Nurnber ??O5,,
3. COHPI^ETE FEE SCffiDtII,E BELOTI
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:ftems Cost
l::,l"J.$l,JJ:1":i?f x3,91"1:n['L'"'J'l,'":'*
SPRINGFIEIO, OREGON
INSPECTION REOTIESqqIE
oFFrcE: 726-3759xuthorizeo signature
1 ,TIONcf OP ALLATION
.eoN A
Ci ty Phone
Supervisor License Number
Expiration Date
No
ANY t80D4 o4
3d/ t/z(-?ro s
7
or Relocat
200 amps or less
20L amps to 400 amps _40L amps to 600 amps _601 amps to L000 amPs_
Over 1000 amps/voIts
Reconnect Only
,4mps
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Manuf'd Home or
Dvelling
eder
rs
nst era
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Sum
s 8s.00 ?{
s ls.00 )o
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
/#"#)EscRrPrroN 65/oo
DESCRIPTION
Permits are non-transferable
if vork is not started vithin l-
of issuance or if vork is susp
180 days.
2 CONTRACTOR
I
L
t ions
Electri
Address
cal Cont
D
4
Constr Contr. Number
Expiration Date
s tur< of pe ct
Ovners Name
Address
ci Phone
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
0rners Signature:
DATE:
Temporary Services or Feeders
tallation, Alteration or Relocation
Iess $ 40.00 t/o e
amps s ss.00
a666s 80.00
'09
ft
000 -16-Fs see ,rBtr
of
by or Extension Per Panel
$ 3s.00One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-Limi ted Energy/Comm
s 40.00
s 40.00
$ 20.00
s 36.00
5
RECEIVED
{a)
(
-L
€$Willamalane
Park & Recreation District Job- No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:f .r1-
ADDRESS:STATE:ztP:q,1q1?
LOCATION OF PROPOSED BUILDING SITE:
Street Address: G?y^<\ a^^".'^
Plat Name: \Tax Lot Number:?Cn)
1. DEVEL9PI.ENT TYPE (Check appropriate dwelling(s). SDC calculations and dweling r
ype definitions
1e
on the back.)
A. Single-Family Detachecf
tr Single namiiy homri Manufactured home not in a park
@
NO. OF UNITS X $1,000 per unit = $(Cr.r)
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufac{ured Home park
NO. OF UNITS X $699 per unlt = $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduoed forCredit) $
WILLAMALANE SDC $
2- sDc cREDlr ([ appricabte] sDGpayer must furr{sh proof of
willamalane credit approvat. see sDC credir wo*sneet. $
oo
g)
Services
City of Springfield
;1,&,gi
(t
}?a
ATTACHMENT A
s JpuRI,lAL oR JoB No- '?1c'' 957
CITY OF
.SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
otb -q Sr**r>tLOCATION:
DEVELOPMENT TYPE:str
BUILDING SIZE t1 /?
(See Reverse Side)
3. TRANSPORTATiON
4. SANITARY SEt^lER-MI^,MC
A. REiMBURSEMENT COST:
SI
TOTAL-MhIMC SDC
.Ft
t!.01
s 211 .#
s 29.20
s /frift,
$ 10.00
s /59i'ZO
$ 7"- 9F
s /fr,37
1. Sr0RM DRAINAGE tq/? / zo 0f )r(fr*31 z
x $0.227 PER SQ. Fr. s5b1 /oIMPTRVIOUS SQ. FT.Z
2. SANITARY SEWER-CITY
NO. OF PFU'S Z x 547.14 PER PFU 5 m ,1+l
NO OF UNiTS X TRIP RATE X COST PER TRIP
X .o x $475.32
x $475.32X
NO. OF FEU'S x n1.# PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X 25.2OPER FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)-
MI^'MC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
tn,Q,
SDC Coordinator
ATI'ACH'A. tdPD
Date
TOTAL SDC 5 ZZqA,6E
(
FIXTURE UNtT CnfeUU IOt$ TABLE: Numberor NewFixtu' - X'unit Equivalent ; Fixture Units
(NorE: For remodets, catcutate onty tlie ffr;fr;;"";;;-':.;- uNrr FrxruRE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS+
Bathtub.....
Drinking Fountain.--. ' ."""""""
tl
Floor Drain-
lnterceptors For Grease/Oil/Solids/Etc'
lnterceptors For Sand/Auto Wash/Etc'
--
4
.T-
a-
v-
/Head
2
1
2
3
6
2
b
6
1
3
2
1
2
2
1
6
4
Clotheswasher - 3 Or More""'
Mobile Home Park Trap (1 Per Trailer)"':-""""""
n"""p,o, For Refrigerator/lvater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc"
Laundry Tub/Clotheswasher" " "
Credit for Parcei'or'Land Only lf Applicable
lmprovement (if after annexation date)
TOTAL FIXTURE UNITS
ments occurred after
4,27 x' s-
"1
%-
(Rate X Assessed Vralue)xs
i
Shower, Single Sta|l"""""
Showei, Gan9......:-.
Sink: Bar, Commercial, Residential Kitchen.
Urinal, StallMall..-
Wash Basin/Lavatory, Single""""
Toilet, Public lnstallation'
Toilet, Private...----
Miscellaneous:
CREDIT CALCULATIO N TABLE: Based on assessed value. lf imProve
calculate credits se
ZI'-----r'-----
annexation date in table,
i, ,(
(Rate X Assessed Value)
CREDIT TOTI\L
RUNOFF COEFFICIENTS FOR STO.RM DRAINAGE
(For Estimating PurPoses OnlY)
Residential"' """" O'4
Commerical""""""""""""' O'9
lndustrial:" O 5
Governmental""""""""""" O'5
X RUNOFF COEFFICIENTIMPERVIOUS AREA : TOTAL LOT SIZE
s
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
'r-r iL995
1 996
1 997
$1.98
1.55
1.15
o.96
o.B3
o.67
o.52
o.38
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1985',
$4.2-7
4.18
4.12
200
3.83
13.68
3.48
3.18
2.82
2.42
1 986
1 987
1 988
FIXUNIT.WPD
a
=-gr-
tl