HomeMy WebLinkAboutPermit Building 2018-09-10SPRINGfIELD
'ln Building Permit
Residential 'l & 2 Fam Dwelling (New Only)
Permit Number: 81 1 -18-001927-DWL
IVR Number: 81 1 013676628
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-7 26-37 53
Email Add.ess, permrtcenter@sprngneld or.gov
OREGO N
web Address: rrww.springn€ld or.gov
Permit lssued: September 10, 2018
TYPE OF WORK
Calegory o, Construction: Single Family Dwelling
Calculated Job Value: $249,829.00
Oescription of Work: New Single Family Residence (Osprey Park Lot#34)
Type of Work: New
JOB SITE INFORMATION
Worksite address
805 LUPINE ST
Springfield, OR 97477
Parcel
1703342106900
Owner:
Address
ANSLOW &
DEGENEAULT INC
1953 GARDEN AVE
EUGENE, OR 97403
LICENSED PROFESSIONAL INFORMATION
Business name
ANSLOW & DEGENEAULT INC -
Primary
License
ccB
License number
49169
Phone
541-484-0070
PENDING INSPECTIONS
Permits must be posted in clear viow on the worksite. Permits expire if work is not started within 180 Oays of issuance or if work is
suspended for 180 Days or longer depending on the issuing agency's polacy.
All provisions of laws and ordinances governing this t pe of work will be complied with whether s pecified herein or not. Granting of
a permit does not presume to give aulhority to violate or cancel the provisions of any other state or local law regulaiing construction
or the performance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952{0'14010 through OAR 952-001-0090. You may obtain copies ot the rules by calling the Center at
(877) 6684001 or dial 811.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/lt echanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing).
Pinted on: 9/10/1E Page 1 of 5 sld_BurldrngPermil_pr
Permit Number: 8'l 1 -1 8-00'l 927-DWL
lnspection
2999 Final Mechanacal
3999 Final Plumbing
4999 Final Electrical
1060 Driveway Approach
1065 Srdewalk
1530 Exterior Shearwall
1260 Framing
2300 Rough Mechanical
3170 Underfloor Plumbing
4500 Rough Electrical
1020 Zoning/setbacks
'1090 Street Trees
1'110 Footing
'1118 Footrng Drain
'1 120 Foundation
1160 UFER Ground
1220 Underfloor framjng
1370 Masonry Veneer
14'10 Underfloor insulataon
1420 lnsulation Vapor Barrier
1430 lnsulatron Wall
1440 lnsulation Ceiling
1520 lnterior Shearwall
2200 Underfl oor lvlechanical
2210 lJnderfloor Gas
2255 Gas Pressure Test
2310 Rough Gas
2995 Final Gas
3'l 30 Footing/Foundation Drains
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
3500 Rough Plumbing
4000 Temporary Power Servrce
4225 Service or Feeder
Pnnled on 9/10/18
lnspection group
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
'l-2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
'1_2 Famdwell
'1_2 Famdwell
1-2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
'l_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
'1 2 Famdwell
Page 2 of 5
lnspection status
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pendrng
Pending
Pending
Pending
std_BuildinsPermil_prPage 2 ol5
Permit Number: 81I -18-001927-DWL Page 3 of 5
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon gov
Schedule by phone call 1-888-299-2821 use IVR number: 81 1013676628
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
sld Burld,ngPermrl-pr
SCHEDULING INSPECTIONS
Permit Number: 81't-1 8-00'l 927-OWL Page 4 of 5
PERMIT FEES
Fee Description
Residential wiring
Technology Fee
Clothes dryer exhaust
Furnace - up to 100,000 BTU
Other fuel appliance
Range hood/other kitchen equipment
Ventilation fan connected to sinqle duct
Water heater
Plan Review - I'4aror, City
Single Family Residence - Baths
Address assignment - each new or change requested externally, per each
SDC: lmprovement - Transportation SDC
SDC: Total MWi,4C Administration Fee - Local
SDC: Total Transportation Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Storm Administration Fee
SDC: Administrative Fee - f4wMC Regional Wastewater SDC
SDC: MWMC Credit - Regional Wastewater SDC
SDC: Comoliance Cost - MWMC Reqional Wastewater SDC
SDC: lmprovement Cost - MWMC Regional Wastewater SDC
SDC: Reimbursement Cost - MWt4C Regional Wastewater SDC
SDC: Reimbursement - Transportation SDC
SDC: Reimbursement Cost - Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Local wastewater
SDC: Improvement Cost - Local Wastewater
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural building permit fee
Structural plan review fee
willamalane fees - Single Family Detached, per unit
State of Oregon Surcharge - Bldg Gzo/o of applicable fees)
State of Oregon Surcharge - Elec (12o/o of applicable fees)
State of Oregon Surcharge - Mech (12olo of applicable fees)
State of Oreoon Surcharge - Plumb (12olo of applicable fees)
Curb cut fee - enter # of cuts
Curb cut and Sidewalk construction - multiple permit discount
Sidewalk construction permrt, farst 90 linear feet
Quantity
27 0a
Fee Amount
$321.00
$2t9.7 5
$ 13.00
$22.00
$72.0O
$18.00
$52.00
$18.00
$244.00
$506.00
$52.00
$3,506.54
$71.73
$184.55
$247 .OA
$124.50
$ 10.00
$-327 .52
$22.42
$1,597.44
$131.89
$ 184.51
$1,019.55
$1,470.37
$3,310.80
$1,630.80
$162.48
$1,743.06
$1,132.99
$3,721.00
$209.17
$38.52
$23.4O
$60.72
$121.00
$-41.00
$121.00
$22,015. 1s
1
1
4
1
4
1
1
2
1
3506.54
71.73
184.5 5
247 .O8
124.5
10
-327.52
22.a2
1597 .44
131.89
184.51
1019.5 5
1470.37
3 310.8
1630.8
270A
1
1
1
Total Fees:
1
sld Bu di.gPermrt_pr
Permit Number: 81 1 -1 8-001 927-DWL Page 5 of 5
Construction type
VB
VB
VB
Occupancy type
R-3 1 & 2 family
U Utility, misc.
U Utility, misc. - half
rate
Unil amounl
1 796 00
640 00
272 00
Unit
Sq Ft
Sq Ft
Sq Ft
Unil cost
$118.45
$47.80
$23.90
Total job value:
Job value
$212.736.20
$30.592.00
$6,500.80
$249.829.00
sld_Bu drngPermrl-p.Page 5 ol5
VALUATION INFORMATION
SPRINGFIELD
tt
otl€G0N
www.springfield-or.gov
Worksite address: 805 LUPINE ST, Springfield, OR 97477
Parcel: 1703342106900
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
permitcenter@springfield-or,gov
Transaction Receipt
8't 1-'t 8-001927-DWL
Receipt Number: 467973
Receipt Date: 9/10/18
City of Springfleld
Fees Paid
Transactlon dale Units Descriptlon
9/10/18 1.00 Ea Structural building permit fee
9/10/'18 2,708.00 SqFt Residential wiring
9/10/18 2.00 Qty Single Family Residence - Baths
9/10/18 1.00 Ea Furnace - up to 100,000 BTU
9/10/18 1.00 Ea Water heater
9/10/18 4.00 Ea Other fuel appliance
Fee Nolesi Furnace, Range, Water Heater and Stub for BBQ
9/10/18 1.00 Ea Range hood/other k(chen equipment
9/10/18 4.00 Ea Ventilation fan connecled to single duct
9/10/18 1.00 Ea Clothes dryer exhaust
9/10/18 1.00 Ea State ot Oregon Surcharge - Elec (12% of
applicable fees)
9/10/18 1.00 Ea State of Oregon Surcharge - Mech (12% of
applicable fees)
9/10/18 1.00 Ea State of Oregon Surcharge - Plumb ('12% ol
applicable fees)
9/10/18 100 Ea State of Oregon Surcharge - Bldg (12%of
applicable fees)
9/10/'18 1,019.55 Amount SDC: Reimbursement Cost - Storm Drainage
Pnnied 9/10/18 lrllpm Page 1ol3
Accounl code
22 4 -OOOOO - 425602 -'t 030
22 4 -OOOO 0 426',1 O 2 - 1 033
22 4 -OOOOO - 42560 3 - I 03 4
224-00000425604-1031
224-00000-425604-1 03 1
22 4 -OOOOO 42560 4 -
-t 03 1
22 4 - 00 000 - 425604 - 1 03 1
22 4 -OOO OO 425604 -',t O3'l
224-OOOOO425604-1031
821-00000-215004-0000
Fee amount
$'1,743.06
$321.00
$506.00
$22.00
$18.00
$72.O0
Paid amount
$1,743.06
$321.00
$506.00
$22.O0
$18.00
$72.00
$18.00
$52 00
$13.00
$38.52
$18.00
$52.00
$13.00
$38.52
821 00000-215004-0000
821-00000-215004-0000
$23 40
$60 72
$209 17
$23.40
$60 72
$209.17
$1,019.s5
FIN_TransaclionReceipl_pr
61 7-00000-448029-8800 $1,019.55
821-00000-215004,0000
Transactlon Recelpt
8tt-18.001927-DWL
REcaipt number: 467973
Transaction date Unils
9l1ol18 1,470.37 Amount
9/10/18 3,310.80 Amount
9/10/'18 '1,630.80 Amount
9/10118 184.51 Amount
9/'10/18 3,506.54 Amount
9/10/18 131.89 Amount
S/10/18 1,597.44 Amount
9/10/18 22.82 Amount
9/10/18 -327.52 Amount
9l11l18 10.00 Amount
9/10/18 124.50 Amount
9/10/18 247.08 Amount
9110118 184.55 Amount
9i 10/18 71.73 Amount
s/10/18 1.00 Qty
9/10/18 1.00 Ea
Prinledr9/10/18 1:11 pm
Account code
61 7-00000-448028-8800
61 1-00000-448024-8800
6 1 1 -00000-448025-8800
434-00000-448026-8800
434-00000-448027-8800
433-00000-448024-881 0
433-00000-448025-881 0
433-00000-426607-881 0
433-00000448025-88 1 0
61 1 -00000-426604-8800
71 9-00000-426604-8800
7'1 9-00000-426604-8800
7 1 9-00000-426604-8800
71 9-00000-426604-8800
20't-00000-428060-1069
201-00000-428060-1069
Fees Paid
Dgscription
SDC: lmprovement Cost - Storm Drainage
SDC: Reimbursement Cost - Local
Wastewater
SDC: lmprovement Cost - Local Wastewater
SDC: Reimbursement - Transportation SDC
SDC: lmprovement - Transportation SDC
SDC: Reimbursement Cost - NIWN,4C
Regional Wastewater SDC
SDCi lmprovement Cost - l\,4WMC Regional
Wastewater SDC
SDC: Compliance Cost - MWI.IC Regional
Wastewater SDC
SDC: MWMC Credit - Regional Wastewater
SDC
SDC: Adminiskative Fee - MWMC Regional
Wastewater SDC
SDC: Total Storm Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
Fog amount
$1,470.37
$3.310.80
$1,630.80
$ 184.51
$3,506.54
$131.89
$1,597.44
$22.82
$(327.52)
$10.00
$124.50
$247.0A
$184.55
$71.73
$121.00
$(41.00)
Pald amount
$1,470.37
$3,310.80
$1,630.80
$'184.5'1
$3,506.54
$'131.89
$1,597.44
$22.82
$(327.52)
$10.00
$124.50
$247.04
$184.55
$71.73
$121.00
$(41.00)
SDC: Total MWMC Administration Fee -
Local
Curb cut fee - enter # of cuts
Curb cut and Sidewalk construction - multiple
permit discount
Page 2 of3 FIN_Transa€tionReceipl_pr
Transaction Receipt
811-'t 8-00't927-OWL
Recqipt numb6r:467973
Fees Paid
Transactlon date
9t10t18
9/10/18
st10l18
9/10/18
9/10/18
9/10/18
Accounl codo
201-00000-428060-1069
1 00-00000-425002-1 039
224-00000-425602-0000
1 00-00000-425605-0000
821-00000-21 5023-0000
100-00000424005-1091
Fe9 amount
$121.00
$244.OO
$s2.00
$219.75
$3,72'1.00
$162.48
Pald amount
$121.00
$244.00
$s2.00
$219.75
$3,72'1.00
$162.48
Units
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Automatic
1.00 Qty
2 708.00 SqFt
Description
Sidewalk construction - permit, first 90 linear
feet
Plan Review - Major, Crty
Address assignment - each new or change
requested externally, per each
Technology Fee
Willamalane fees - Single Family Detached,
per unit
Fire SOC - New Res Construction Sq Ft fee -
enter sq ftg
Payment Nrethod
Payment Method
Payer: david kelsay
Payer. anslow and degeneault
Payment Amount
Payment Amount
$9,500.00
$11,382.16
Cashier Katrina Anderson Recelpt Total:$20,882.r6
Printed 9/10/18 1:11pm Page 3 or 3 FIN_TransactionReceeljr
Credit card authorization:
00373d
Check number: 41643
Structural Fermit,{ppXication
225 Fifth Str.et c Springricl4 OR 9747 r PE(541)726-3753 | FtAO4l)726-3689
DEPARTMENlT USE ONLY
Date:slc lqe
Lffi
This permit is issuetl uuder OAR 918-460-0030. P€rmits expire if work is not started withitl 160 days ofissuance or if work is
suspeuiled for 180 days,
Buildiug Ouaer ttris applicatioa:
FEE SCHEDULE
1. Valuatiotr informatiotr
(a) Job desciptios:t 9F
Occupaicy
Coffhuctioa tJ?o:hJ
Square feet:I
Cost pe! square foot:11,9
Other fuformatioa:
Typ€ ofEeat:afrg
.Erers.Path: Ql&A 1aZ uoAKSqSf
flalter*ioa I addition
(b) Foundatio!-ody pereit?fl Yes No
Total valuation:$1-L1,5oc
2. Building fees
(a) Pe!@it fee (use valuatioa table):
(b) Iuvestig*ive fee (equaf to [2a]):S
(c) Reiospeotion ($ p€r hour):
(auobet ofhows x fee per hour)
(d) Enter 12% suqharge (.12 x pa+2b+2c'j)S
(e) Subtotat offe€s above (2a through 2d):s
3. Platr review fees
(a) Plaa review (65% x peroit fee [2a]):s
,(b) Fne atrd l.ife safety (40% x perEit fee [2a]):5
(c) Subtotsl offees above (3a and 3b):ls
4. Miscellaneous fees
(a) Seisoic fee, 1% (.01 x permit fee [2aD:s
@) Tecbaologr fee, 5% (.05 x perait fec[za])S
(c) Contiouiag Educatior Fce $2.50
s
Sign here:
?hone:
Qwnut-
Pt^,-^5
bt+C
a\.-
?k-
bL
LOCAL GOVERNMENT APPROVAT
this projea has final lald-usc approval.
SigmtEe:Date
This poject has DEQ approval
SiSBatule:Date:
Zodng apFoyal velified: [Yes [No
Ploperty is within flood plaio: IYes ENo
El Resideatial E Goveameot E Com.aoercial
JOB SITE INFORMATION AND LOCATION
Job site addrcss gYY
rih +iLtCity State: (J Q zE, q+uT
farKSLrbdivisiotr:5 I,ot ,lo.:7+
Reference Taxlot:
PROPERTY OWNER
pl,Ut/rAavi+Name
Address:
i1tl0wq5)a(da\ Av
city: Eu q€ h &State: 0 f.zrPt q+lqnz
ci
-6i- 0{rVu
E-oail: I ll o
Iax:)?hore:
0n\es. rcrn
0Y oo?o
\LJI-L7\
U rbjs ilstLrjfion hicrue da" oJiia*tia. -t -t.-Ec or a dcdbe( of Ey iEEedqljbtoily, and is
requireacots uadcr ORS 701.010.
o! faim Fop€rty ol.,!ed by
cxeapt from licrosiag
CONTRACTOR INSTALLATION
Anslow & D.ehaleavlt
l$\ CtLrd%tt Avet
sta", 0R m,q+q$'3ctty 'Vt119hQ;
UV
a 0 rn0r. c0 rn
0031?
CCB iicetrse no
E-mail
Pntt",-e: /t'/tr 011 tE
UB.CO RACTO R INFORMATION
Phone NumberNameCCB LiceNe #
Uryr,1/rpg |=VEL.
Electrical -ZooAog qqi aLl:atol
wb" l ultPluEbitrg
L&K fwt^lb+a ts
? L{? '}Lit'!'lsvx{)Mechadcal
Mqrsh{ttl'J Hemy
5
C;rtit-- ? e'rL S'w-=
Permitno.:f I"n?1
CATEGORY OF CONSTRUCTION
/'r'-__2
Business naare:
Address:
r*,5t{l {
Sigmture:
s2.s0
TOTAI, fEes atril suicharges (2e+3cl4a+4b+4c):
]ilectrieal Fermit Applieation
LOCA.L GOVERNMENT APPROVAL
Zoning approval verified? E Yes n No
CATEGORY OF CO NSTRUCTION
lX Residential n Goverument n Conmercial
JOB SITE INFORIUATION AND LOCATION
Job site addr-ess go5 t uPrPd ,r.
Giry: 9fupCaan State: Or,.ZfP:1711')
Reference: Lot 74,o51&eY tL**Taxlot.
DES6RIPT.oN oF WoFK
pa/J 5F? *rcy. fa,J*L biB
PROPERTY OWNER
Nane; |,p5p6.r 4 0z (g. ,g1Wtr, lXc.
Address: llrj G*Aa..t AUZ
ciry: 6) $€ltt6 State: OL ZIP: 11+o1
Phone: 5{( 461 ooZO Fax
E-mai_l: 6OAOoll e ROW4|AS. Coln
This iastallation is being made on residential or farm property
omed by me or a member of my immediate farrily. This
properry is not intended for sale, exchange, lease, or rent. OAR
47 9.s 40 (1) nd 47 9.s 60 (1).
Signahrre:
CONTRACTOR INSTALLA.T!ONct{l w$€ a.EQu c
Ad&essr ?o goi 11 6l
ciq: 5f
^tNG?Gn
State: 0P-ZtP: 11 -115
phone: t ll L.t-l LeG,Fax;
E-mail
CCB license no.: 4-01. OOO BCD license no.: ClOol
Signing supervisor's license no.: 5 7ZS S
Prilt name of sigdng supervlsor: 5^ +ev. ,-lo"*
a /-.
225 Fifth Street.Spdngfield, OR 9 7477 6 PE(s 41)726-3153 nFAX(541)126-3689
This permit is issued under OA-R 918-309-0000, Perrnits are lontrarrsfarohl. Pormite pnivc if n^Fl, ic trot started within 180
days oI issuatrce or if work is suspended for 180 days.
l{umber of inspections Fsr iten ( )Qty Cost
ea.
Total
cost
Residential, per unit, se.yice includEdi
1,000 sq. ft. or less (4)$171.00 s
Each adCitional 500 sq. It. or portion
thereof $.33.00
Limited energy (2)$ 41.00 $
Each marufactured home or modular
dwelling service or feeder (2)$ 81.00 s
Services or feeders: installation, alteration, relocatian
200 amps or less (2)$ 103.00 _(
201 to 400 amps (2)$'120.00 s
401 to 600 amps (2)$203.00
601 to 1,000 amps (2)s26'1.00 S
Over 1,000 amps or Yolts (2)$599.00
Reco.nect only (2)$ Bl.oo
Temporary services or feedersi installation alteratioh, rclocation
200 amps or less (2)$ 81.00 s
201 to 400 alIlps (2)$ 111.00 $
401 to 600 ampq (2)$162.00 $
Over 600 amps or 1,000 vol-rs, see services or feedeE sectiofl above
Branch circuits; new, alteration, extension per panel
a- Fee for branch circuits wi-,i purchase of a service or feeder fee
$ 7.oo $
b. Fce for bralch circuits wittrout puchase of a service or feeder fee:
FiIst bratrch ctcuit (2)$ 81.00 $
$ 7.oo
Miscellaneous fees: senice or feeder nat incl ded
Each pump or irrigatioa circie (2)$ 81.00
Each sign or outlirc liglting (2)$ 93.00 $
Signal circuit or a limited-energlr panei,
a-lteratioo, or extemion (2)s 93.00 $
Each additional inspection: (1)$93.00 $
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $93.00)
$
(B) Erter 12% surcharge (.12 x [A])S
(C) TcchnologrFee (s% of [A]):
@) Coatinr,ing Education Fee $2-50 $2.s0
TOTAL fees and surcharges (A through D)l S
DEPARTIIIEI{T USE ONILY
6- n21Permit no.:
8lq toDate
Lasi edited 5-5-S2017 BJones
FE= SCHEDULE
I Each bmnch circuit
I Each additional brarch circEit
Busiaess name:
l
Signature of signing supewisor:I
SPRINGFIiLD
0RtG0d
www.spri ngfield-or. gov
Worksite address: 805 LUPINE ST, Springfield, OR 97477
Parcel:'1703342'106900
Oevelopment and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3153
permitcenter@sprinqfield-or.qov
Transaction Receipt
81 1-18-001927-DWL
Receipt Number: 467654
Receipt Oate: 8/9/'18
City oI Springfield
Transaction date
8/9i 18
Units
'1.00 Ea
Descrlption
Struclural plan review fee
Account code
224-00000-425602- 1 030
Fee amount
$ 1,132.9S
Paid amount
$ 1 ,1 32.99
Paymenl l\rethod Credit card authorization
00737G
Paymenl Amount:$'1,132.99
Cashier: Toste Muniz Receipt Tolal:$1,132.99
Pnnled 8/9/18 1 26 pm Page 1 of 1 FIN_TransactronReceipt pr
Fees Paid
Payer: Gordon Anslow
JOURNAIOR JOB NUMBER
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
I8-1927
ANSLOW AND DECEAULT
805 LUPINE ST
1701t.12106900
Single Fmily Resid€nce
NAME OR COMPAITYI
LOCATION:
TAX LOT NU[-,IBER:
DEVELOPMENT TYPE:
NEW DWELLING LINTIS
IMPERVIOUS AREA
ITEIIT I TOTAI - STOR}I DRAIIiAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COSTI
I STORM DRAINAGE
DIRECT RI]NOFF TO Y STORM SYSTEM
COST PLR S I]
s0 29.1
COST PhR S Ij
s0 {t{
COSTPER D}JU
$16i.5.1
COST PLR DITU
s8l 51
NUMBER OF UNITS
l
COST PER FEU
$11L89
COST PERFEU
s1.597.,11
ADM. FEE R,\ IIJ
AREA DRAININGTO
DRYWELL
0
CHARCE
$1,019.55
CIIAR(]I'
$'t,470 37
NI]W'IRIP FACTOR
100
NEW TRIP FACTOR
t00
NUMBER OFDFU'S
:0
B IMPROIEMENTCOST
NUMBER OFDFLtS
t0
ADT TRIP RATE
957
II'[}I 2 TOT.\I-- CITY S{\I'T,\RY SE\TTR SDC
s2,.1E9.92
s1,9{1.60
COSI'PLIi IRIP
l9 l3
COST PER ]'RIP
9i66 .r I
s3,691.05
sl,l3l.6l
$r2,557.20
a AIt(it,
$627 E6
3, TRANSPORTATION
A. RIJIMBURSEMENT COST
MWMC CREDIT II APPLICABLE (SEE RE\ERSE)
MWMC ADMIN]STRATIVE FEE
A, IMPROVEMENTCOST
ADTTR]P RATE
9.57
IIE}T 3'I'O'TAL - TR{\SPORTAI'IO:{ SDC
4 SAN]IARY SEWER, MWMC
A RTJIMBIJRSEMENI COST
NLMBER OF FEUS
1
B IMPRO\EMENT COST
NUMBER OF FEtIs
I
C COMPLI,ANCE COST:
I I I\I ] TOT1I-. }I\\ \lC SA\I I,\RY Sf\\ ER SDC
sr BTOTAL (ADD rTE\rS l,2,l, & {)
5 AI)Itl IN ISTRATNE FEE:
SUBTOTAL
$12.557.20
TOTAL STORM ADMINISTRATION FEE
TOTAL SEWER ADMIMSTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
TOTAL MWMC ADMINISTRATION TEE , LOCAI-
2746 LOT SZE (SF)5663
rdAx.tsd,;t'rAx 35%
st,019.55
sl3t.89
s1,597.t.t
s22.82
($127.s2)
st2J.50
u7,oa
st6{.55
s71,7.)
st.].!85.06
I
l09l
l09l
t093
1091
1051
1055
105,t
1056
t079
1077
t078
c
U
F2o
E
@
@
Gil
@
0
PREPARED BY Sleven Pelersen DAI'L 843/201n
'IOTAI, SDC CHAR(]ES
A. REIMBLIRSEMENT COST
f rMPFR llcrt l.s .s F
I
| 3461.85
B. IMPROVEMENTCOST
t r\rPFn\ rflLrs Fl-_rffi-
NLIMBER OF UNITS
L $Jtolo
I-0-_
rc
1
FCoSTPERFEU
I szz.az I
INUMBER oF FEr
FIXTURE TYPIJ
MISCELLANDOUS I)I:U TYPE
TOTAL DRAINACE FIX'TURE UNITS
*EDU lJtril
DRAINAGE FIXTURE UNIT DFU) CALCULATION TABLE
NIJMBER OF NEW FXTURES x TINIT EQUMLENT = DRAINAGE FD(TIIRE UMTS
NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FD(TTJRES)
NO. OF FIXTURES
UNIT
NEW OLD E UIVALENT
20
DRAINAGE
FIXTURE
IINITS
0
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
famil l0 Dlju's
IS LAND ELCIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enler I for Yes, 2 for No)
BASE YEAR
CREDI I ITOR LAND (IF APPLICABLE)
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
82.25
$1.80
t919
VALUE / IOOO
$61.9 r
CREDIT RATE
$5.29
CREDTI I.-OR IMPROVEMENT OF AFTER ANNEXATION)
VALUE / IOOO CREDI'I RATE
$0.00 x $5.29
TOTAL II,IWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTIJB
DRINKING FOI]NI'AIN 0
0 0 3 0FLOOR DRAIN
0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC
0 0 6 0INTERCEPTORS I]OII SAND / AUTO WASH / ETC
0 2 0LAUNDRY TUB 0
1 0 3 3CLOTIII]SWASI II]I{ / N,IOP SINK
0cl.ol'r rESwAsr rr{ - I oli N.loRE (EA)
MOBILE HOME PARK TRAP ( I PER TRA]LER)0
RECEPTOR FOII RI]FRIG / WATER STATION / ETC 0
RECEPI'OR FOR COM, SINK / DISHWASHER / ETC.
STIOWER. SINGI,t] S1'ALL 1 0 2 2
SHOWER, GANG (NUMBER OI TIEADS)0 0 2 0
SINK: COMMERCIAL/RISIDENTIAI KITCHEN
SINK: COMMERCIAI- BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVA'IORY/RESIDENTIAL BAR
0 5URTNAI. STALL / WALL 0 0
TOILET. PUBLIC INSI'AI,I-A'IION 0 6 0
TOILET. PRIVATE INSTALLATION
20
YEAR
ANNEXED
CREDIT R,\TE/$ I,OOO
ASSESSED VALUE
BEFORti 1979
1979
trsl
l98l
till
tqll
l9ti6
I987
1988
l9s9 0
1990
1rr 1
t991 $327.52
l99l
1991
1995
1996
1997
1998
1999
2001
NTJ]\'{BER OF EDU'S
I
3
0
3
1000
ololll
lololsl=t=
lo1016l=lo lol12 l=
W
lrlol3l=
lolol2l=
lo t=lllol3l=
J $:zz.:z
AoS Ls,t,rsre. €rr Plqn Review Checklisr
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tlt
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E
Check address on plans is correct I I - oc'r zgo- F rir,l
Check to see if LDAP has been issued.
Read all comments from other work groups to see if anything needs to be considered during structural review
Check Setbacks on Site Plan
Check RLID to make sure taxlot matches what is shown on drawings, that topography lines are on the p lans and that owner info matches
Chetl{tb see if lot istlbped orffEl- tf sloped, will back deck meet setbacks
lf a new home is being built at Mountaingate or River Heights, check the subdivision books to see if a Geo-Tech report is req.
Check soils to determine whether or not a Geotechnical evaluation should be required
lf property is on septic, check for proper setbacks from building to tank, distribution box, and leach field
Make sure that property is not in Flood Hazard A affected property according to Mapspring (if it is we need 3 engineers surveys)
Check that everything required to be engineered has engineering and that the stamp is current
Check the truss package and make sure it matches the plans (qty of trusses, type, attachements) - lf the numbering doesn't
*match but the uplift and reactions look correct it is OK. Falls under field verify
*Make sure that if there is HVAC equipment in the attic, the trusses were designed to support it
Check to see if anything over 4000lbs is bearing down on strip footings. lf so this needs to be enlarged.
Check Hold Downs
Check Fou ndation Venting
Make notes'on plans with stepped foundations how far back they need to be from the edge of the cut and the uphill cut.
Check hea der sizes
Check footing sizes
Check energy code req uirements
*Make sure that insulation called out meets the energy code and if not make note of the required R value.
*On add itions/remodels where existing conditions come into play, see code section N1.101.3 & table N1101.2
Check tem pered gla zing
Check bedrooms for egress (window sizes, make sure that garage door to house doesn't go into bedrooms)
Check to see if there is a living area above the garage, if so, make note of 5/8" type X gyp board fire separation requirement.
Check for mechanical equipment protection (bollards) in the garage
lf DETACH ED garage is being built less than 3ft to existing structure in needs to have t/2 Eyp board on the interior wa lls
Check for smoke alarms/Carbon Monoxide alarms (look on electrcial sheets if there aren't any shown on floor plan)
Check wall bracing
,
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G
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Check minimum room size
Make sure that minimum bathroom fixture distances are met
Check to make sure stairs meet code
Check roofing m ate ria I m ositio n shi e Spa nish tile, metal, etc.)
Check for attic access and underfloor access on plans
Check beam sizes
Read over all the general notes to make certain that nothin8 was missed and there are no conflicts
Make sure that Willamalane form is attached.
Transfer all notes made by other work groups until there are two identical sets of plans (jobsite and city set)
lnclude standard attachments :
Exterior Wall Envelope Se lf-Ce rtificatio n Form
Moisture Content Acknowledgement Form
High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC)
Noise Ordina nce Notice
Smoke Alarm
Ventilatlon Requirements for Kitchens and Bathrooms
Green Approved Plans Cover Sheet (Found under "Cover" in file cabinet)
Add all inspections and fees into Accela (including Willamalane fee and add ressing fee)
Stamp plans with the "Reviewed for Code Compliance" stamp, sign the approved by line and perforate
Approve Building Review line in Accela & call or email application with fees due and attach placard to jobsite set
Signed electrical a pplication received
Print out the Fee Schedule and put it with the Willamalane Spreadsheet on the outside of the folder
Put any inspection notes into Accela that need to be there before the plan is issued.
Plan check items/notes
Y
x
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tgI
l\IccE €6r.-3 qiFa.\-'.r
V
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