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Home My WebLink AboutPermit Building 1998-09-14SPllINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDTNG SAFETY Page 1 Job Number: 980939 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 6866 SIMEON DR Assessors Map #: 1-702341-1- Lot: 18 Block: Office fnspection Line 726 - 31 59 725-3769 Tax Lot #: Subdivision: 05000 LEVI LANDING SPilNGFIEID, Owner: TOM WIRFS - COZY HOM Address: PO BOX 237 Describe Work: S.F. RESIDENCE Phone #: 747-8704 city/state/zj-p: SPRTNGFTELD, oREGON 97477 NEW General: Plumbing: Mechanical: Efectricaf: ConEractor TOM WrRFS 0032947 L275 S 2ND SPRINGFIELD OR 97477OOOO BMC 0103570 548 W OREGON AVE CRESWELL OR 974260 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 BrLLS 0021351 3170 W 11TH EUGENE OR 974020000 Expires o5 /28 / ee t2 /1,s / e8 t2 /23 / e8 04 /2e / ee Phone 147-8704 895-45'7 5 7 47 -7 445 687-1851 QUAD AREA: 4RNE # OF IINITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: L9B7 - - OFFICE USE - - LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 To request an inspecEion, call the 24 hour recording aL 726-3769. AIJ- i-nspections 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 Lo conc ITNDERFLOOR PLITMBING - Prior to insulatj-on or decking. WATER LINE - Prior to fil-l-ing trench. SAI.IITARY SEWER LINE - Pri-or to fil-Iing trench. STORM SEWER LINE - Prior to filling trench. POST AND BEA.M - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wa11/Cej-ling; ROUGH PLITUBING - Prior to cover. ROUGH MECHA.I{ICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAITIING - Pri-or to cover. INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover DRYWAIt - Prior to taping. CITRBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in p1ace. FINAL PLIIMBING - When all plumbing work is compl, i i *l.ili **-:";,;- : l}, i i* iii' i*,,,,,1 " : : i;*' : $f;#fuq16kt$I$ Const. ConEracEor # SPEIIi.GFIELD Job Number: 980939 OF SPruNGFIELD, Page 2 Lot Faces: E Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5LL7 Total Height: 18 Lot Type: INTERIOR Set.backs SWE 520 18 Lot Cowerage: 32 Z Setbk From NPL: 19 N 9 ILem Main Garage Total- Val-ue Building Permit Fee Surcharge/admin TOTAL FEE --- BUIIJDING PERMIT Square Feet x 1504 483 $/Square Feet 64 .56 1,6.21 (A) Val-ue 97 ,249.OO 7, 858.00 105, 107.00 446 .50 35.73 482.23 --- PLIIMBING PERMIT --- ftem Resident.ial Bath (s) Plumbing Permit Surcharge/admin TOTAL CHARGE 2 Fee 150.00 150 L2 00 BO (c)L72.80 --- MECHAIVICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer VenL Mechani-ca1 Permi-t Issuance Surcharge/admin TOTAL PERMIT ) 6.00 4.50 6.00 3 .00 (D) 19.50 10.00 a .57 3l_ . 07 MISCELLANEOUS PERMTTS Surcharge/admin Sidewal-k Curb Cut CITY SDC ELECTR]CAL PERMIT WILLAMALANE PLAN REVIEW FEE TOTAL MISCELLANEOUS PERMITS 0.00 L9 .45 14.80 2 , L83 .57 1_57 .40 1,000.00 290.23 (E)3,675.45 (Excluding Electrical) unless otherwise noted TOTAL AMOI'NT DUE - - - (A, B, C, D, and E combined)4, 361_. 55 SPRINGFIELD .lob Number: 980939 OF SPruNGFIELT', Page 3 --- BUITDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said constructionshaII, in all respects, conform to the ordinance adopted by the city ofSpringfield, including the Dewelopment Code, regulati-ng the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances. Receiwed By: Pl-ans Reviewed By: AL WARD Building Site Reviewed By: LISA HOppER Date: 09/Lr/98 --- ADDTTIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUTRED By signaEure, I state and agree, that I have carefully examined the completed application and do hereby certify that al-I informati-on hereon is true and correct, and I further certi-fy that any and all work performed shaI1 be done in accordance with the Ordj-nances of the City of Springfield, and t.he Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any sLructure without permission of the Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 701.055 will be used on this project.. r further agree to ensure that all required inspectj-ons are requested at the proper time, that each address is readable from the street, t.hat the permit card is located at the front of the property, and the approved seL of plans will remain on the site ,"!.".1].t_i1ngs. during construction. -o 4iq, Signature lll u m- Dat Receipt Number Date Paid Amount Received Received By --- VALIDATION --- 3/b ,rr 225 FTFTS STR,EET SPRINGFTELD, OREGON 97 INSPECf,ION REQIIEST: 7 OFEICE: 726-3759 4 1 Permi are non-transferable expirelf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTALI.,ATION ONLT SPr GFIELO ELECTRTCd,L PERHIT ty Job Nunber 3. COHPT,ETE FEE SCEEDT'I,E BELOS 11t.lolio1virU.prorecr as subnrilred hus tho foltowhrBzcnrng. and cioss not requlrs epecmc hflJ r#""',r nproveJ, A .B c Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Cos t $ 8s.00 11-$ 1s.00 $ 40.00 Sum 6sc ,f/rl, Each Hanuf'd Home. or -tlodular.'Dve1ling' Service or Feeder Services or Feeders Installation, Alterations or Relocation:Electrical Contractor Add t^)e4-4-- ci ty-Phone Supervisor License Number ?trO -s Expi ration Date 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 anps to 1000 amps_ Over 1000 amps/voIts Reconnect OnIy s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 Constr Contr.Number A I 3 Expiration Date -7 f-- Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less -l- $ 201 amps to 400 amps q Over 401 to 600 amps $ over 600 amps or fbOO vol[-ts s 4L of ing Electrician 40.00 5s.00 80.00 Ovners Name Phone ALIIITION The installation is being made on property I ovn vhibh is not intended for sale, lease or rent. Ovners*$ignature: DATE: ee nBn aE66 D. Branch Circuits Nev, Alteration or Extension Per Pane1 one circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.OO ci E Miscellaneous (Service/feeder. not included) -Each installation Pump or irrigation Sign/OutIine Lightitg_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL s 40.00 $ 40.00 $ 20.00 $ 36.00 5 BRECETVED d) Willamalane Park & Recreation District -Nnn \r SYSTEM DEVELOPMENT CHARGE Job. No. tlAltE. . WORKSHEET \rn Ix .0n{\n,r tAn q.nA4 A' 'AT IF JOURffiIoR JoB No. qSoq<q ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY LOCATION cfr L 4rnEon) DZ, DEVELOPMENT TYPE < .tr,2 , BUILDING SIZE SIZ Ft i. STORM DRAINAGE IMPERVIOUS SQ. FT x $0.227 PER SQ. FT. $ tqq,<-t 2. SANITARY SEWER-CITY NO. OF PFU'S (See Revense Side) 3. TMNSPoRTATIoN NO OF UNITS X TRIP RATE X COST PER TRIP l,o t X $475.32 x $475.32 4. SANiTARY SEI^JER-MI,JMC A. REIMBURSEMENT COST cd X $47.14 PER PFU $ ?zlft'E>-I D,J,, N0. 0FfEU'S I Pr,) x 277,*PtR FE+ s4 80, a 7 $ $27 ?,1+ $ ?s,Q <$ -/6/,/<-> $ 10.00 $ /T/,+1 $ -., r- 74 ,!J o .qtr X X B. IMPROVEMENT COST: D)'1 ___ -B.QN0. 0F FEU-S | * zq,epPER FE+- ]',IWMC CREDIT IF APPLICABLE (SEE REVERSE) Ml^lt'4c ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES: BASE CHARGE 6UB}OTAL ABOVE) X()4U"'' TOTAL-].4hJMC SDC 05 SDC Coordinator ATTACH 'A. I^JPD Date: 7-"t-47 TOTAL SDC $ Z, I 83, 57 \ $ t FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFrcrENT !----) RUNOFF COEFFTCIENTS FOR STORM DRAINAGE (For Estimating purposes Only) Residential....... Commerical...... o.4 o.9 Industrial o5 Governmental o.5