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Home My WebLink AboutPermit Building 1999-03-04CITY OF SPruNGFIELT', SPFINGFIELD o RESIDENTIAIJ PERMIT APPTICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUIIJDING SAFETY Page 1 .Iob Number: 990050 225 North Fifth Street Springfield, OR 97477 LocaEion of Proposed Work: 635 S 4l-ST CT Assessors Map #: 1-8020522 Lot: 104 Bfock: Office: Inspection Line: '7 26 -37 59 7 26 -37 59 Tax Lot #: Subdi-vision: 01900 WYATT MEADOWS 2 Owner: TOM WIRFS/COZY HOMES Address: PO BOX 237 Describe Work: S.F. RESIDENCE Phone #: 747-8704 Cj-ty/State/Zj-p: SPRINGFIELD, OREGON 974'7'l NEW General: Plumbing: Mechanical Electrical ConEractor T WIRFS 0032947 1.275 S 2ND SPRINGFIELD OR 97477OOOO B M C 0103570 548 W OREGON AVE CRESWELL OR 974260 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 BILLS 0021351 ConsE. Contractor #Expires 06/28/ee L2/1,s/ee t2 /23 / ee 04/28/ee Phone 747-8104 473 -2827 747-7445 687-1851 3170 w l-1rH EUGENE OR e7402hg QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E DRYWALI. -- OFFICE USE -- LAND USE: ZONING #oF # OF BLDGS: GROUP: cover 11 1 R3 WH 15 15RANGE: E /s To request an inspect,ion, call the 24 hour record aL 72 A11 inspections requested before 7:00 a.m. will be mad.e the same working d.ay,inspections requested after 7:00 a.m. will be mad.e the following work day. --- REQUTRED TNSPECTTONS ___srrE - To be made after excavation but prior to setting forms.FOOTING - After trenches are excavated. INSULATION Iryls sQ - Floor; prior to decking Wa1l/Ceiling; prior toPrior to taping. .URBCUT - After forms are erected but prior to placement of concreLe.STDEWALK - After excavaLion is compleLe, forms and sub-base materialin p1ace. FrNAL PLUMBTNG _ When all plumbing work is complete.FINAL MECITANTCAL _ When all mechanical_ work is complete.FINAL ELECTRICAL _ When afl el_ectrical_ work is complete."'*o".il'o'Xil5r,n'[".:*i, :iun]t "u inspect ions have been approved and "qryeu CI$osp f fl6ls SPR!NGFIELD Job Number: 990050 ctTr oF SPruNGFIELD, Page 2 Lot Faces: W TopograPhY: 2 So1ar APProved: Y House Garage Lot Sq. Ft.: 5001 Total Height: 14 Lot TYPe: CORNER Setbacks SWE 10 10 18 Lot Coverage: 32.3 Z Setbk From NPL: 11 N 5 Item Main Garage Tota1 Value Building Permit Fee surcharge/admin TOTAL FEE --- BUILDING PERMIT Square Feet x L17 5 440 $/Square Feet 69 .64 18.34 (A) Value 8L,827.00 8, 070.00 89, 897 . 00 403 32 00 )4 43s.24 -.- PLIIMBING PERMIT .-- Item Residentlal Bath(s) Plumbj-ng Permit Surcharge/admin TOTAI, CHARGE 2 Fee 150.00 150.00 L2 .80 L7 2 .80(c) --- MECHANICAL PERMIT .-- Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance surcharge/admin TOTAI, PERMIT 2 4.50 5.00 3.00 15.00 10.00 1,.20 (D)26.20 --- MISCELLANEOUS PERMITS --- surcharge/admin Sidewalk Curb Cut. PLAN REVIEW FEE WILLAMALANE SDC CITY SDC ELECTRICAL PERMIT TOTAL MISCELTANEOUS PERMITS \q g3.14 4o-s.67 0.00 28.75 15.10 26L .95 1, 000 . 00 L67.40 (E)H+6;41 (Excluding Electrical) unless otherwise notsed --- TOTAL AIIIOITNT DUE --- (4, B, C, D, and E combined)HjLL]l- IE --- BUILDING VALUE, PLAIiI CHECK AND BUILDING PERMIT --- This permit is grant.ed on the express condition that the said construction shaI1, in aII respects, conform to the Ordinance adopLed by the Cj-ty of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any prowisions of said ordinances. SPRIITIGFIELD Job Number: 990050 ctrv oF Page 3 Recei-ved BY: Pfans Reviewed BY: DON MOORE Buj-ld.ing Site Reviewed By: LISA HOPPER Date: 03 / 03 / 99 --- ADDITIONAT COMUENTS --- PATH 1 DRIVEWAY REQUIRED TO BE PAVED 3 STREET TREES REQUIRED By signature, I state and Lhe completed aPPlication is true and correct, and I alrree, that I have carefully examined and do hereby certify that all information hereon further certj-fy that any and a1f work performed sha11 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 that No occuPANCY will be made of any structure without permission of the Communi-Ly Services Division, Buj-tding Safety. I further certify that only contractors and employees who are in compliance with ORS 701'055 will be used on Lhis Project. I furEher agree to ensure that all required inspecti-ons are requested at the proper time, t.hat each address is readable from the street, that the permit card is located at t.he front of the property, and the approved set of plans will remain on the site aL all ti-mes during construction. 3 -ct -?? Signature Date --- VALIDATION --- Recei-pt Number Date Paid Amount Received Received By: AITACHMENT A ?o, rn<-^ CITY OF SPRIN .--IELD SYSTEMS DEVELOPIT''T CHARGE I I W')\J WORKSHEET NAME OR COMPANY LOCAIION St DEVELOPMENI TYPE +D BUILDING SiZE LOT SiZ Ft. 1 STORM DRAiNAGE /t-ri * 2(toz* zs) + /g (ao) sofr sP 0p x s475.32 4 5. ADMiNISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 tMu SDC Coord'inator ATTACH'A. WPD IMPERVIOUS SQ FT 2r51 X $0.227 PER 2. SAN ITARY SEI'ER-C ITY NO. OF PFU'S (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRiP RI E X COSI PER TRIP x s47.14 PtR PFU g t5*.2* s @,o+ $ a1 ,4+ $b20 < $ tz+.qo > $ i0.00 7 ,06 TorAL sDC s ffi I X r.ot x $475.32 SAN ITARY SEIJER -|'4ITJMC A. REIMBURSEMENT COST: NO. OF FTU'S I X N1A+PER FEU B. IMPROVEMENT COST: NO. OF FEU'S Z.,ZO PER FEU l'1l^JMC CREDIT IF APPLICABLE (SEE REVERSE) MI^JMC ADMINiSTRATIVE FEE $ TOIAL-MWMC SDC $lEa.1+ SUBTOTAL (ADD ITEMS 1,2,3 & 4)st(57.0 Date: \q9311 -.-'g=wffi gi g€_rei lb q"4q (NOTE: For remodels, calculate only the NET additional rixturesl " " !srsJ n urrr! Lsurvdrent = Fixture Units FIXTURE TYPE NUMBER OF NEw FrxrunEs eo,Y,UT.en r i,',X,l!t= Bathtub..... Drrnking Fountain... Floor Drain. rnrerceptorsF".c;;;;;/oliii.,iJ"rI;;..' lnterceptors For Sand/Auto Wash/Etc.. Laundry Tub/Clotheswasher...,............ Clotheswasher - 3 Or More.......----..-... Mobile Home park Trap (1 per Trailer).. Receptor For Refrigerator/wate, stationiii;........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....:.... Shower, Gang........ Sink: Bar, Commercial, Residential Kitcren................... Urinal, Stall/Wall.. Wash Basin /Lav atory,'Singte.................................. Toilet, Public lnstallation. Toilet, Private...... Miscellaneous: 2 1 2 ? 6 2 6 6 1 3 2 l ll{ead 2 2 I I 6 4 z- _z- - TOTAL FIXTURE UNITS = 16 lf improvements occurred afte z 2- R CRED IT CALCULATION TABLE:Basec on assessed valuecalculate credits SE rates. Credit for Parcel or Land Only lf Appticable lmprovement (if after acnexation date) Commerical.. r annexation date in :eole, -zs =lu,no CREDIT TOTAL RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Only) Residential 4'Z1 X$ (Rate X Assessed Value)X$ (Ra te X Assessed Value) o.4 o.9 $ Year Annexed fiate per S1,0OO Assessed Value Year Annexed Rate per $t,OCO Assessed Value $4.27 4.18 4.12 ?oo 3.83 3.68 3.48 3.18 2.82 2.42 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 1 997 $1.98 1.15 o.96 0.83 o.67 o.52 0.38 o.21 FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I -7- u 1979 or before 1 9BO 1 981 1 982 1 983 1 984 1 985 1 986 1987 1 9BB CITY OF SPR OREGON 225 TIFTE STREET SPRINGFIEI."D INSPECTION REQIIEST 726-3759.s-50 1 rm are non-transferable and exPire is not started vithin 180 daYs SPFlINGFIELl' Residential-Single or ulti-FamilY dvelling un Service Incl per uded: I tems OFFI 1 ON it. Cos t $ 8s.00 $ 1s.00 $ 40.00 if of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI..ATION ONLY lElectrical Contractor t-Address o Ci ty Phone Supervisor cense Number ?S Expiration Date 0-o Constr Contr. Number ? Expiration Date 10-? Signature of 1S Ovners Name Add s Ci TI The installati.on is property I ovn vhich for sa1e, lease or r 0vners Signature: DATE: 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder Temporary Servi Installation, A Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -40L amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect 0n1Y s s0.00 s 60.00 $100.00 s130. 00 s300.00 $ 40.00 ces or Feeders lteration or Relocation l_ & aps_ps_ 000 volt Sum 65 s_ B Over 401 Over 600 $ $ $ss 40.00 5s.00 80.00 ee I'Bil a56ve D. Branch Circuits r Extension $ Service $ rvice/ feeder n n Sign/Outline Lighting- Limited Energy/Res Limited EnergY/Comm Per Panel 35.00 . 2.00 not included) s 40.00 s 40.00 $ 20.00 s 36.00p IIBCEIVED 5 q6 ,fO BLECTRICAL PERHIT City Job Nunber FBE SCffiDTILE BELOV3 M L or rtri gglP SUBTOTAL OF ABOVE 5% State Surcharge 32 Administrative Fee TOTAL :Dl Nev' law requlres by the Willamalane Part' & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE. WORKSHEET PHONE:NAME: ADDRESS: LOCATION OF PROPOSED BUILDING S Street Plat Name: 1 ype definitions are on the A. Single-Family Detached I\ Single Family home srnrc:KztP:1 4 5tef T Lot Number: (Check appropriate dwelling(s). SDC calcttlations and dwelling t back.) NO. OF UNITS l X $1,000 Per unit = $ B. Single-Family Aftached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 Per unit = $ D. Manufac'tured Home Park NO. OF UNITS X $699 Per unit =$ Manufactured home not in a Park \tm.a, I 000WILLAMALANE SDC $ 2. SDC CRED[T ([ applicable) SDC+ayer must funrlsh proof of Wiltamalane iteaiiapproval. See doc creat Worlcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED \ (if SDC reduced for 00 City of epartment Date $ ?,A-,