HomeMy WebLinkAboutPermit Building 2019-01-070,1i$0il
Web Address: www.springfield or.qov
Building Permit
Residential 'l & 2 Fam Dwelling (New Only)
Permit Number: 81 'l -18-002782-DWL
IVR Number: 81'1 061491 61 I
City of Springfield
Development and Public Works
225 Fifth Street
Sprinqfield, OR 97477
54t-726-3753
Email Address: permitcenter@springfield or.gov
SPrtlNGf liLD
Permit lssued: January 07, 20'19
Category of Construction: Single Family Dwelling
Submitted Job Value: $239.249.20
Description of Work: New SFD Lot 39 River Heights
Type of Work: New
Worksite address
3583 VITUS LN
Springfeld, OR 97477
Parcel
1702301203400
Owner:
Address:
BREEDEN BROS INC
366 E 4OTH AVE STE 250
EUGENE, OR 97405
Business name
BREEDEN BROS INC - Primary
License
UUtJ
License number
27
Phone
541-686-9431
Permits must be posted in clear vi6w on the worksite. Permits expire if work is not startsd within '180 Days of issuance or iI work is
suspend€d for 180 Days or longo. dqp€nding on the issuing agency's policy.
All provisions of la\.6 and ordinances governing this typ€ o{ work will be compligd with whether specified h€rsin ornot Granting of
a permit does not presume to giv€ authority to violate or cancol the paovisions of any othea state or local law regulating construction
or tho performance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon utility Notification Center.
Thoso rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rul6s by calling the cente. at
(877) 6684001 or dial 811.
All persons or ontities peforming work under this permit are rsquired to be liconsod unless exempted by ORS 701.010
(Structural/Mochanical), ORS /u9.540 (Electrical), and ORS 693.010420 (Plumbing).
Pflnted on 1rl19 Page 1 ol5 std_BuildingPennrt-pr
TYPE OF WORK
JOB SITE INFORMATION
PENDING INSPECTIONS
Permit Number: 81 1 -1 8-002782-DWL
lnspection
2999 Final Mechanical
'1 530 Exterior SheaMall
1260 Framing
2999 Final Mechanical
2300 Rough Mechanical
4999 Final Eleclrical
4500 Rough Eleclrical
1090 Street Trees
1'110 Footing
1118 Footing Drain
1120 Foundation
1160 UFER Ground
1220 Underfloor framing
'1 370 Masonry Veneer
1460 lnsulation
1520 lnterior SheaMall
1999 Final Building
2200 Underff oor Mechanical
2210 Underfloor Gas
2255 Gas Pressure Test
2310 Rough Gas
2995 Final Gas
31 30 Footing/Foundation Drains
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
3500 Rough Plumbing
3999 Final Plumbing
4000 Temporary Power Service
4225 Service or Feeder
1 060 Driveway Approach
1065 Sidewalk
1 020 Zoning/setbacks
1420 lnsulation Vapor Barrier
1430 lnsulation Wall
Pdnted on: 1rl19
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
Pending
Pending
Pending
Pending
std_BuildingPermitjrPage 2 of 5
lnspection group
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
'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
Permit Number: 8l 1.1 8-002782-DWL
1440 lnsulation Ceiling
3170 Underfl oor Plumbing
'1_2 Famdwell
1_2 Famdwell
Page 3 of 5
Pending
Pending
Various inspeclions are minimally required on each projecl and often dependenl on the scope ofwork. Conlact the issuing
jurisdiclion indic€ted 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: 811061491618
Schedule using the Oregon ePermitting lnspection App, search "epermitting' in the app store
Page 3 of 5 std_EuiidingPermit_pr
SCHEDULING INSPECTIONS
Printed onr 1,7/T9
Permit Number: 81 1 -l 8-002782-DWL Page 4 of 5
Fee Description
Residential wiring
Technology Fee
Clothes dryer exhaust
Decorative gas flreplace
Furnace - up to 100,000 BTU
Heat pump
Range hood/other kitchen equipment
Ventilation fan connected to single duct
Water heater
Plan Review - Major, City
Single Family Residence - Baths
Address assignment - each new or change requested externally, per each
SDC: Improvement Cost - Local Wastewater
SDC: Total MWMC Administration Fee - Local
SDC: Total Transportation Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Storm Administration Fee
SDC: Administrative Fee - l4wluc Regional Wastewater SDC
SDC: MWl"lC Credit - Regional Wastewater SDC
SDC: Compliance Cost - MWMC Regional Wastewater SDC
SDC: Improvement Cost - lvlwt'lc Regional Wastewater SDC
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC
SDCr Improvement - Transportation SDC
SDC: Reimbursement Cost - Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Local Wastewater
SDC: Reimbursement - Transportation SDC
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural plan review fee
Structural building permit fee
Willamalane fees - Single Family Detached, per unit
State of Oregon Surcharge - i4ech (12olo of applicable fees)
State of Oregon Surcharge - Elec (12olo of applicable fees)
State of Oregon Surcharge - Plumb (12% of applicable fees)
State of Oregon Surcharge - Bldg (12o/o of applicable fees)
Curb cut fee - enter # of cuts
Curb cut and Sidewalk construction - multiple permit discount
Sidewalk construction - permit, first 90 linear feet
1
1
1
1
1
3
1
1
3
1
1630.8
86.39
184.55
247 .08
82.03
10
-34.31
22.82
t597 .44
131.89
3506.54
67t.79
968.84
3310.8
184.51
2318
Quantity
2 318
Fee Amount
$286.00
$ 215.83
$ 13.00
$ 18.00
$22.O0
$22.00
$ 18.00
$39.00
$ 18.00
$244.00
$ 595.00
$s2.00
$ 1,630.80
$86.39
$ 184.55
$247.08
$82.03
$ 10.00
$-34.31
$22.82
$1,,597.44
$ 131.89
$3,506.54
$671.79
$968.84
$3,310.80
$ 184.51
$ 139.08
$1,098.54
$ 1,690.06
$3,727.OO
$ 18.00
$34.32
$71.40
$202.81
$ 121.00
$-41_ 00
$ 121 .00
1
1
1
1
Printed on: 1/7/19 Page 4 of 5 std_EuildingPennit_pr
PERMTT FEES
Permit Number: 81 1 -'l 8-002782-DwL
Total Fees:
Page 5 of 5
$2t,32O.21
Construction type Occupancy type
R-3 1 & 2 family
U Utility, misc.
U Utility, misc. - half
rate
Unit amount
1,834.00
437.00
47.OO
Unit Unit cost
$1 18.45
$47.80
$23.90
Job value
$217 ,237.30
$20,888.60
$1,123.30
$239.249.2O
VB
VB
VB
Sq Ft
Sq Ft
Sq Ft
Totaljob value:
Printed on 1,7/19 Page 5 of 5 std_BuildingPermit_pr
VALUATION INFORMATION
SPITINGFIELD
0 rtEGON
www.springfi eld-or. gov
Worksite address: 3583 VITUS LN, Springfield, OR97477
Parcel: 1702301203400
Transaction Receipt
811-18-002782-DWL
Receipt Number: 469025
Receipt Date: 1/7/19
City of Springfield
Transaction date Units1n119 1.00 Ea
1t7t19 2,3'18.00 SqFt
117119 3.00 Qty
1l7l't9 1.00 Ea
lnhg 1.00 Ea
1n119 1.00 Ea
1nh9 '1.00 Ea
1t7119 1.00 Ea
ln4g 3.00 Ea
1t7t19 1.00 Ea
1t7t19 1.00 Ea
Description
Structural building permit fee
Residenlial wiring
Single Family Residence - Baths
Furnace - up to 100,000 BTU
Heat pump
Decoralive gas flreplace
Water heater
Range hood/other kitchen equipment
Ventilation lan connected to srngle duct
Clolhes dryer exhausl
State of Oregon Surcharge - Elec (12o/o ol
applicable fees)
State of Oregon Surcharge - Mech (12% of
applcable fees)
Stale of Oregon Surcharge - Plumb ('12% of
apphcable fees)
State of Oregon Surcharge - Bldg (12% of
applicable fees)
Account code
224 - OOOOO - 425602- 1 030
224-00000426102-1033
224-00000-425603 103/.
224-00000-425604-1 031
224-00000425604-1031
22 4 -OOOOO - 425604 - 1 03 1
22 4-OOOOO - 42 5604- 1 03 1
224 - OOO00- 425604- 1 03 1
224,00000425604- 1031
22 4 -OOOOO - 42560 4 - 1 03 1
82'l 00000-2'15004-0000
117119
1t7 t19
1.00 Ea
1.00 Ea
Fees Paid
Fee amount
$1,690.06
$286.00
$595.00
$22.00
$22.00
$'18.00
sle oo
s18.00
ssg oo
$13.00
sat.sz
Paid amount
$1,690.06
$286.00
$595.00
$22.OO
$22.00
$18.00
$18.00
$18.00
$39.00
$'13.00
$34 32
82 1 -00000-2 1 5004-0000
821-00000-21 5004,0000
$18.00
$71.40
$18.00
$71.40
$2O2.81
Printed: 1/7/19 8 41 am
1.00 Ea
Page I of 3
821 00000 215004-0000 $202.81
Fl N TransactionReceipt_pr
Development and Publlc Works
225 Fifth Street
Springfield, OR 97477
54 L-7 26-37 53
permitcenter@springfield-or.gov
117t19
Transaction Receipt
8'11-18-002782-DWL
Receipt number: 469025
Transaction date Units
117119 671.79 Amount
117119 968.84 Amount
117119 3,310.80 Amount
Description
SDC: Reimbursement Cost - Slorm Drainage
SDC: lmprovement Cost - Storm Drainage
Account code
61 7-00000-448029-8800
61 7-00000-448028-8800
61 1-00000448024-8800
61 1 -00000-448025-8800
434-00000-448026-8800
434-00000-448027-8800
433-00000-448024-881 0
Fees Paid
SDC: Reimbursement Cost - Local
Wastewaler
Fee amount
$67'1.79
$968.84
$3,310.80
$1,630.80
$184.51
$3,506.54
$131 .89
$1.597.44
$22.82
$(34.31)
$10.00
$82.03
$247 .Oa
$184.55
$86.39
Paid amount
$671.79
$968.84
$3,310.80
$1,630.80
$184.51
$3,506.54
$'131 .89
$1,597.44
$22.82
$(34.31)
$ 10.00
$82.03
$247.08
$184.55
$86.39
$121.00
'v7119
'lt7l'19
1l7l'19
1nl1s
1,630.80 Amount
184.51 Amount
3,506.54 Amount
131.89 Amount
SDC: lmprovemenl Cost - Local Wastewater
SDC: Reimbursement - Transportation SDC
SDC: lmprovement - Transpo(ation SDC
SDC: Reimbursement Cost - M\ ArC
Regional Wastewater SDC
SDC: lmprovement Cost - MWVIC Regional
Wastewater SDC
433-00000-448025-881 0
433-00000-426607-BB1 0
433-00000-448025-BB 1 0
611-00000 426604 8800
1t7119
1t7 t'ts
1t7 t19
1t7119
117119
1t7t19
1t7 t19
1n 119
82.03 Amounl
247.08 Amount
184.55 Amount
86.39 Amount
71 9-00000-426604-8800
71 9-00000-426604-8800
7'l 9-00000-426604-8800
71 9-00000-426604-8800
'1,597.44 Amount
22.82 Amounl SDC: Compliance Cost - N4WMC Regional
Wastewater SDC
34.31 Amount SDC: MWMC Credit - Regional Waslewaler
SDC
10.00 Amount SDC: Administrative Fee - MWMC Regional
Wastewater SDC
SDC: Total Slorm Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
SDC: Total MWMC Administration Fee -
Local
Curb cut fee - enter # of cuts
Printed: 1/7/19 8.41 am
1.00 Qty
Page 2 of 3
201-00000 428060-1069 $121.00
FIN_TransaclionReceipt_pr
1t7 t19
Transaction date
117 t19
Units
1.00 Ea
117119
1t7 t19
Description
Curb cut and Sidewalk construction - multiple
permit discount
Sidewalk construction - permit, first 90 linear
feet
Plan Review - Major, City
Address assignment - each new or change
requested externally, per each
Technology Fee
Wllamalane fees - Single Family Detached,
per unit
Fire SDC - New Res Construclion Sq Ft fee -
enter sq ftg
Account code
20'1 -00000-428060- 1 069
Fees Paid
1.00 Ea
1 .00 Aulomatic
1 .00 Oty
2,318.00 SqFt
201-00000-428060-1069
100-00000 424005 1091
Fee amount
$(41.00)
$121.00
$2,14.00
s52.00
$21s.83
$3,721.00
$139.08
Paid amount
$(41.00)
$244.O0
$52.00
$215.83
$3,72'1.00
$139.08
117t19
1t7l1S
1.00 Ea
1 .00 Ea
1l7l't9
117t19
1 0G.00000-425002- 1 039
224-00000-425602-0000
1 00-00000-425605-0000
82 1 -00000-2 1 5023-0000
Payment Method
Payment Method
Credit card authorization
06916m
Check number: 211
Payer:john thompson
Payer: john thompson
Payment Amount:
Payment Amount:
$9,500.00
$10,721.67
Cashier: Kalrina Anderson Receipt Total:$20,22'1.67
Page 3 of 3 FIN_TransactionReceiptjr
Transaction Receipt
811-18-002782-DWL
Receipt number: 469025
$12'1 .00
Printed: 1fll19 8 41 am
Structural Permit Application
225 Fifth Strccr. Sprinsficl4 OR 9717i I pH(541I26-375J . FAX54l)2e3589
This pelmit i$ issued untler OAR 918-460-0030. Peruils cxpire if nork is rot slarted ]yithio 180 da,s
suspended for 180 days.
LOCAL GOVERNIVIENT APPROVAL
This projecr has final land-use appfoyai
Signstu.c:Dalei
This pmject tras DEQ approvat
Signature:Datc:
Zoaing approval verified: I Yes E No
Propety is *'ilhin flood plain: I Yx t] No
CATEGORY OF CONSTRUCTION
d Residdtial n Goversrneqt n Connrercial
JOB SITE INFORMATION AND LOCATION
Jobsit address: 3593 VrrqS
city:€P|"INC,FIELF\State: O R,z\P.11tT7
Sutdivision: €,1 UeR- HetC HT S Lotno.: -JQ
Referencti t1-62-- e6- \ L Ta{oti 3J0O
PROPERTY OWNER
Naoe: 6ZEF1)E\1 Hor.JFS
Address: jA6 E 4OIh AVE. S-f E 25o
c;ry: EUGeNE Srate: OR zIP:911:t
Plo|e:EAl-l,fu 9431 la.)r
E-mail
T}IS instalIatio rs benrg OD tial fann propeAy
me or a meurber ofoy irDmediate fumity, and is exenrpr fiom licensiDg
pquirements tnder ORS 701.010.
Sign here:
CONTRACTOR INSTALLATION
Business name: S*fqa AS A R$V E
Address:
City:STdE
Phone:Fax
E-mail Js!+N o gfEgDEil r.lo^,tE. CpM
CCB lice*e no.: B-f
Print name:Jo g ^.1 THoMpsDJ
I
SUB.CONTRACTOR INFORMATION
NamE / CCB Licensc Number Phorr Ntlmber
trlcctricrrl ltl;1zc 153'oozn
Plumhing lg I6rs zot- ?5
lf{cchsJrical '7 {.1qo 141- 1145
$&#fuic
lssua11 or if work is
- Tr+oa r.:'ror.{
- L: i. t,u_.rr.6lrJ
- l1A Ps *ft LLF 1
DEPARTMENT USE ONLY
y",nit,...ffi/S/tr-2,
oate:///'Jo/tf,
FEE SGHEDULE
1. Valuation inforEation
(a) Job de scription: 5.I IOK B.J I LT S I rJ q LE FAd rr-f
Occupascy
ConstructioD type: i4O oD Fe,4 A4 €
square lE€r l8J{=rr\Jr".s _ 432, Qaa- 47. Corr. t
Cost per Equare foot
Otlcr iaformation:
Typr orfl.at qA5
rew I alteration E addition
Encrgl Palhr !J
(b) Foundarior-only pcroit? E y"s E Uo
Tol:rl Yilualion:
2. Brildirg fees
s l /"gn(a) Permit fee (use yalualion hble)
(b) Investigative fee (equal to [2a):$
(c) Reinspectioo (3 per [our):(numberofbous r fc-e per bour)$
5(d) Enler l2% surcharg a (.12 x L2a+zbtTc\:)
(e) Subtotal of fee.r above (2athrongh 2d)l 5
sl bcjll(a) Plan revierv (65% x pemitfe€ [2a])
(b) Firc and life safeo (40?'o x pcmit fcc [24]):$
(c) Subfotat offces aboyc (3r atrd 3b):J
4, Misccllarreous fecs
5(a) Seisnic f€, L%(.01 xpeu l fee L2al):
TOTAL fccs and surchnrgcs (2c+3c+4e):s
e
SigEafure:
#71a-7q?-t|c1
3, Plen review fees
CITY OF SPRINGFIELD, OREGON
Electrical Permit A lication DEPART]IIIENT USE ONLY
Permit no.: 16 - 6? 19.7 ^i".rL
oate,tt /=alb
sP.lxc:lE'.o lErri-tr +-.e6dlkrLe ,f,{q
This permit is issued under OAR 918-309-0000. Permits are nortra[sferable, Permits expire if work is trot started within 180
days of issuance or if work is suspeoded for 180 days.
r l -marl
CCB license no
I Sipnrng super"isor's license no.
Print name of signing supervisor
I BCD hcense noz1
3o/7 s s
-7-Ao r
Signal circuil or a limited-energl panei.
alteration. or extension (2)s
5
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? E Yes ! no
CATEGORY OF CONSTRUCTION
Fl Residential ! Covemment I Commercial
JOB SITE INFORMATION AND LOCATION
1{3
Citl: !/')ZIPSrateQ(
DESCRIPTION OF WORK
trt)NJ
PROPERTY OWNER
Name: Er,--r--r*F,-r !-t6 r-F_ 1
Address: :a44. E 4dB Avra S-rr= 75,a
Cit! : ,:, Lz --\at=State:6f2-ZIP: arl4de\
Phonq,tA \-r{!i-. q4Sr Fax
E-mail: ld1as1514 lD Brz€rhc:Lt .,r.aEs <^r-,r
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
propertv is not intended for sale, exchange, lease. or rent. OAR
479.540(1) and 479.560(l ).
Signature:
CON'TRACTOR INSTALLATION
)JBusiness name: /
Address
tzl{>
Fax
FEE SCHEDULE
ISuEber of hspections per iteE ( )Qtl Cost
ea.
Total
cost
1,000 sq. fi. or less (4)
Each additional 500 sq. ft. or portion
thereof s
Limircd energ) (2)s 43.00 5
Each manufactured home or modular
dwelling service or feeder (2)s 85.00 s
Services or feeders: installation. alterot ion. relocation
200 amps or less (2)s'109.00 S
201 to 400 amps (2)s127.00 5
401 to 600 amps (2)s215.00 s
601 to i.000 amps (2)s277.O0 s
Over 1,000 amps or volts (2)s63s.00 s
Reconnect onlr" (2)s 86.00 s
Temporary services or leeilers. installati.,n. aheration. relocat ion
200 amps or less (2)s 86-00 S
201 to 400 amps (2)g 118.00 s
401 Io 600 amps (:)s172.00 s
Over 600 amps or 1,000 volts. see serices or feedeG section above
BnDch circuits: ,leut oheration. extension per panel
a- Fee for braDch circuits with purchase ofa service or feeder fee
Each branch circuil $ 7.42 s
b. Fee for brdnch ci.cuits r ithout purchase ofa service or feeder fee
5First branch circuit (2)s 86.00
SEach addiaional branch circuil s 7.42
Miscellaoeous fe€s: setu^ice or feeder not included
Each pump or irrigarion circle (l)I s ae.oo
SEach sign or outhne lighting (2)s 99.00
s 99.00
E.ch additional iDspectionr (l )
DEPARTMENT USE
(B) Enter l20% sucharge (.12 x [A])S
(Cl Technolos Fee (soi oflAl)
TOTAL fees and surcharges (A through D)
Lasi edit€d 7/1/2018 B.lon€s
(A) Enter subtotal ofabove fees
(Mioimum Permit Fet 599.00)
225 Firth Street. Springfield, OR 97477. PH(54, )726-3753 i FAX54l )?25-3589
Residential. per unit. sen'ice included:
$181.00 S
I Job sire address:Ut s 35.00
Reference;Taxlot.:
I
t--lt )?/
Crty: 7 Ub S,at{71
Phone: qrB-EA)7
Sigrature of sigring supervisor: frrtlL ,/ _y),<krL"7
s
s
JOI'RNAI- OR JOB NI'MRER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING TJNITS
II,,IPERVIOUS AREA
l6-2782
BREEDEN HOMES
1702101203400
S e ramil
ITf,]\I I TOTAL - STOR]U DR"{INAGE SDC
, SANITARY SFWFP . 'ITV
ISTORMDRAINAGE
T RUNOFF TO CITY STORM SYSTEM
A ItI:IMBURSE]\{ENT COST
IMPERVIOUS S.F
B. IMPROVEMENTCOST
IMPERVIOUS S.F
2285 00
COST PER S,F
50.194
COST PER S,F
s0..12.1
COST PER DFU
$165.5.t
COST PER DFU
s8l 5.1
1
NUMBER OF UNITS
I
COST PER FEU
$lilE9
COST PER FEU
s1,59714
COST PER FEU
s22 82
ADM, FEE R TI]
AREA DRAINING TO
DRYWELL
0
CTIAIT(iIJ
$671.79
CIIARGI]
$968 84
NEW'TRIP FACTOR
t00
NEW TRIP FACTOR
I00
sl,6{0.61
sl.9{1.60
COST PER TRIP
t9 28
COST PI:R IRIP
sl66 fl
s3.69 t.0s
s1,727.8{
sr 2.00r.12
CHARCL
s600.06
A RIlIMBURSEMENT COST:
NT]MBER OF DFU'S
20
A IMPROVEMENT COST:
NUMBER OF DFU'S
t0
I I t-N 2 IOTAL - CITY SAr-II,rRY Sf,ITR SDC
3.l RANSPORTATION
A. REIMBURSEMENT COST:
9_57
B. IMPRO\EMENT COST
ADT TRIP PGTE
957
ITI]\1 ] TOTAL. TR{\SPORTATIO:{ SIrc
4 SANITARY SEWER . MWMC
A REIMBURSEMENT COST
NI]MBER OF EEUt
I
B lMPROVEMENT COST
NUMBER OF FEU'S
I
C COMPLIANCE COST
I
NAVMC CREDIT IF APPLICABLE (SEE R-EVERSE)
MWMC ADMTMSTRATIVE FFE
I[t]U I TOTAL - \{\I'tlC SA:i I T.\RY Sf,\\TR SDC
ST'BTOTAL (ADD ITf,IIS
',2,
], & .T)
5 AI)MINISTRATT\E FEE
SUBTOT I
$ 12.001.12
TOTAI STORM ADMIMSTRATION FEE
TOTAI SEWER ADMINISTRATION FEE:
TOTAI TRANSPORTATION ADM INISTRATION FEE
TOTAI MWMC ADMTNISTRATION FEE - LOCAL
0
L UILDINC SIZE(SF):2245 LOT SZE (SF)
MAX.l50 6 1
s968.8{
s3Jr0.80
s1.630.80
$t8.1.51
s1,506.5.1
sl3l.89
s 1,597..t.t
s22.82
(s34.31)
s10.00
s82.03
2.17.08
s18.1.55
s86.39
$12.601.18
1070
I09l
r09l
t093
109'l
105-l
1055
I054
r056
1079
t0'77
1078
ulao
F2E-EW!
PREPARED BY Sleven P€tersen DATE 12/6t10t8
].OTAI- SDC CIIARGES
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
]583 \{TUS LN
NUMBER OF UNITS
2285 00
ADT TRIP RATE
s671.19
14375
FuMnER oF ILU!
DRAINAGE FIXTURE UNIT (D CALCULATION TABLE
NUMIIIjR OE NEW FIXI URI-S x t-,NIT EQUIVAIENT - DRAINACE FIX'ttlRE UNIIS
rOR REMODELS, CA-LCULATE ONLY THE NET ADDITIONAL FIXTTJRES
NO. OF FIXTURI]S
TJNIT
FIXTURE TYPE NEW OLD E UIVALENT
MISCELLANEOUS DFU TYPE NTJMBER OF EDU'S
TOTAL DRA.INAGE I.'IXTURE UNITS
D$cl Unil)isa le fami dsclli 20 DFl-rs sei ar 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FIXTURE
LINITS
20 0
.EDU
$5.29
$s.19
$5.12
$4.98
CREDIT FOR LAND (IF APPLICABLE)
1998
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE i 1OOO
$71.48
CREDIT RATE
s0.48\
CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $0.48
TOTAL ]IIWMC CREDIT$1.59
$1 .45
$1 .25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
I}A fI ITUB 1 0 3 3
I)ItINKING FO[IN1'AIN 0
ITI,oOR DRAIN 0
INTERCEPTORS FOR GREASE / OIL i SOLIDS / ETC 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0
2
CLO'TIIESWASHER / MOP SINK
CLOIHESWASHER - ] OR MORE 0
MOBILE HOME PARK TRAP I PER TR ILER 0 0
RECEPTOR FOR REFRIG / WATER STAI'ION / ETC.0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC
SHOWER. SINGLE STALL
sito GAt'\C I]MI]ER OF HEADS 0
SINK: COMMERCIAL/RESIDENTIAI KITCHEN 3
SINK: COMMERCI I- BAR 0
SINK: WASH BASIN/DOUBLE LAVATOITY 0
SINK: SINGLE LAVATORY/RESIDENTIAI, BAR 4
URINAL. STAIL / WALI-0
TOILE PTIBLIC INSTAI-LATION
TOILET. PRIVATE INSTALLATION 0
20
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
BEFORE I979
t919
1980
l98t
l98l
1983
198.1
1985 $34.31
1986
1987
1983
1989
1990
I99I
1992
l99i
1991
1995
1996
1997
1998
1999
2000
t00l
IEEI
1
I
IS T,AND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
3
3
0
0
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SPnrNGftaL0
ww spnngfield'or gov
Worksde addressr 3583 VITUS LN, SpringneE, OR 97477
Transaction Receipt
8l l-t8-002782-DWL
R6celpt Number:468721
R6ceipt Date: 11/30/18
Developmert and Pubhc Works
225 Ftfth Stret
Sprngneu, OR 9)4'77
541-726-3751
p€rm'tcenter@spnngfi eld-or 9ov
Ciiy ot Spnnsr'eld
Fees Paid
11/30/18 1.00 Ea Slruclural plan review lee 224-0000G425602,1 030 $1.098 54 11 096 54
Credit card aulhorizalon:
09704m
Payer: John Thompson $ 1.096 54
Cashier Chris Carpenter t1,098.5,1
FN T€ns.crbnR.6rpr_t/
&
225 FIFTH STREET . SPzuNGFILLD, OR91477 . PH:(541I726-3'/ s3 r FAX: (s41)'726-3689
One and Two Family Dwelling Building Permit Application Checklist
NOTE: Missing information that is
required for complete plal review can
delay the permit process until all required
information is provided. Permits will not
be issued until the completed plan review is
approved.
Received Date
n 2 complete Sets of Legible Plans Including site Plan
A on 11 x 17 paper at minimum
fil Must be drawn to scale, showing conformance to applicable local and state
building codes, to include the following:
EtruEg
tr
V
D
E
tr
Site/Plot Plan
Foundation Plan
E Dimensions
tr
d
tr
d
Footing sizes, Isolated footings, Step Foundations and Retaining Walls
A Hold downs and reinforcing type, size and spacing
Connection details
Vent size and location
cripple Walls
Girder sizes and locations
A Joists or post and beam type, sizes and spaclng
T:\Buildilg Forms\one_a.1d_two-farnily-dwclling buildingjemit checklist.05.09.doc
APPUCATION INTAKE REVIEW WILL BE CONDUCTED FOR ALL
RESIDENTiAL PERMITS.
Address i5 83 V rrus LANE
Associated Permits:
E Electrical I Plumbing E Mechanical
E other:
Permit #Ma p/Lot 1702 tg{3 34oo
a
tr Land and Drainage Alteration Permit (LDAP)
All new one and two family dwellings require an LDAP
Refer to Fact Sheet 1.1 to determine type of LDAP
Drawn to 1 :20 scale with scale indicated
North arrow
Adjacent street names and street elevations shown
Building setback dimensions (Distances from property lines)
Location of easements and driveway
Location of utilities and how they are connected
Footprint of structure (includjng decks, porches, roof covers)
Location of wells/septic systems
Lot dimensions
Building coverage and percentage of impervious surface in hillside
areas
Show all existing structures on site; indicating height of all structures
inclusive of ridgelines
Site Topography in 2'-0" Increments including SurFace drainage
Show how stormwater and wastewater connect to the public system,
septic or drywell.
Show orientation of structures q-
t-Tl
F r Plans
show dimensions
Identify all rooms
Include window and door sizes
.Locations of:
Smoke and carbon monoxide ala,rms, water heater, furnace,
ventilation fans, plumbing fixtures; balconies and decks 30 inches or
more above grade, porches, stairs/ etc...
tn[!
f sd;atu.e (Ase"t)
JO-lr"nil'lr6dJ
( Print Name)
T:\Building Forms\One_and_two_family_dwellinlbuildingjcrmit_checklist.05.09.doc
D cross section(s) and Details
d
Show all framing member type, sizes and spacing such as floor
beams, Headers. joists, sub-floor, cripple wall and \,{all conslruction,
roof construction and metal connectors (More than one cross section
may be required to portray construction clearly)
Show details of all cripple walls, wall and roof sheathing, roofing, roof
slope, ceiling height, siding material, footings and foundation, stairs,
flreplace construction, thermal insulation, etc...
Show attic ventilation
Energy Path: Example - High Efficiency HVAC
,, . Agent/ Builder
l*ll*,,,.-
tr Elevation views
Provide elevations for new construction
E Exterior elevations must reflect the existing and proposed grade if
the change in grade is greater than two feet at building footprint
tr Floor/Roof Framing
E
Etld
En
Beam calculations, especially for engineered wood products and non-
u niform loads
Provide plans for all floors/roof assemblies indicating member sizing,
spacing and bearing localions, including decks, porches, Toof covers
Metal connectors and tie straps clearly shown
Show headers and beams supporting floor or roof
Prescriptive lateral bracing and/or engineered shear walls
ineers Calculations
Wet-signature stamped engineering calculations, specifications and
details shall be provided where required.
Manufactured Floor/Roof Truss Design Details must agree with
plans and engineering
The undersigned acknowledges that the information in this application is correct and accurate
OR Property Owner
'll
lr,-1,r,Sig nature (Owner)
Date
(Print Name)
-v-
JL
+T
4rt-
t_
d
tr f1--T--
RIVER HEIGHTS SUBDIVISION - LOT 39
THIS DOCUMENT IS PROVIDED FOR INFORMATIONAL PURPOSES TO ASSIST IN INDIVIDUAL LOT
DEVETOPMENT. REFER TO THE SUBDIVISION PLAT, RECORDED COVENANTS, CONDITIONS AND
RESTRICTIONS, AND CITY OF SPRINGFIELD DEVELOPMENT SERVICE DEPARTMENT FILES FOR
1. This document is for grophic representoiion ond owner notificotion ond is NOTA LEGAL BOUNDARY DOCUMENT, All dimensions ond oreos shown ore opproximote
ond the recorded finol ploi sholl be consulled for oll legol boundory issues.
2. Limiied subsurfoce explorotion hos been preformed on ihis sile ond is summorized in 3
reports by GeoScience, lnc. Home foundoiions ond locotions sholl meel lhe
recommendotions of lhese reporls. Prior to home cons+ruciion lhe individuol lot sholl
be reviewed for conformonce with lhese recommendotions by GeoSicence or other
opplicoble professionol. For lhis lol shollow spreod fooling foundotions ond concrete
slobs-on-grode is oppropriole in Design Areo 2. lnslollotion of doylighi bosemenls will
present difficulties wilh excovoiion. ldeolly, foolings ore constructed beoring on PDS or
STSVFS RU-101, foundolons con be designed for ollowoble beoring pressures up 1o 6,000psf. 0n CDS RU-101 beoring pressures should not exceed 1,500 psf unless oddilionol
meosurements of soil strength ore conducled of the specific site.
TRACT ''B"
PRISERVATION AITIA
LOT #38
0 40
\---\--ri\ \i
\\)L\ \]
-. .-.--.--r:-li.....,tI , , .ll r-: ' l
[-'-..---J
I t]-+ lr]r+EE=I--]I:rf]
High efficiency waUs
1 Er(terior wa s U-0.045,&-21 cavity insulatiotr + R-5 contiruoEs
upgraded features
2 Exterior walls U-0.057/R-23 iDtemoeiiiate or R-21 adyanced,
Framed fl oo$-U-0.026,&-i8, and
Windo\rs U-028 (average UA)
Uoorade.l leatures
Extdior wa[s-U-0.055/R-23 intermediate or R-21 edy ancEd"
Flat ceiling'-U-0-017R-60, and
Framed fl oors'-U-0-026,&-38
Super lnsulated Windows and Attic OR Framed Floors
4 Witrdows-U-0.22 CftpIe Paae Low-e), and
FIat ceiling"-U-0-017,4.-60 or
Fraoed fl oo$-U-0-0261R-3 8
Air sealing home and ducts
)0i ASHRAE and62_2,
High eificiency thermal envelope UAs
6 ProDosed UA is 8% lower than the code UA
I
=
E o
Air soErce }eat Plrep IISPF 9.5/15.0 Sm cooliDg, or
Grould source heat pnmp COP 35 or Ener6/ Star rated
Hish efficieicy HVAo systema
Docted HVAC systems within conditioned space
B AIi ducB and air handlers coDtained $,ithin bBilding etrvelope
Cannot be conbined witll Measurc 5
Ductless heat pump
C Ducdess heatpEmp HSPF 10.0 in ldEary zone of dweling
High efriciency urater heatef
3a
=cEo.96E9
D Natural gavpmparc vrater heate! with IIEF 0.85 OR
Blectsic he3l pump water beate. Tier 1 Northem Ciirtrate Specificatiotr Product
ENEBG\' EFFICIENCY
For SL I squrre foot = 0.093 m1 1 s,att per square foot = 10.8 Wm2.
& Appliances located witlin &e builditrg ttrefoal mvelope sba]l have sealed combustion eir instaled- Combustiotr air shall be ducted direcdy Aom the
ouldoors.
b. AI ductjoiats sld seams sealed witb listed mastic; b!'e is oDly allowed al appliance o! equipEeDt coDnections (for seflice aod replaceroeut). Meet se€IiDg
cdte.ia ofPedoErarce Tested Cosfon Systems Fogram admisistered by the BoDneyille Power AdEitristsatioD (BPA).
c. Residerfial water h.ate$ Iess thatr 55 gallo! storage volme.
d- A total of 5 perccrt ol atr EVAC system's duct;o* shall be permised to be located outsidc of the cotrditioned qpace. DBcts located outside ihe cotrditioned
Wace shdl havc insulation installed as lequiled in this code.
e. The rDaximuE vaulted ceiling suface area shal Dot be gre3ter tban 50 perEent of tbe total heated space floor alea uDless vaulted aIea has a U-f&ctor ao gEater
tla.o U-0.026,
i CoEtinuous air ba[ier AdditioDal requireme ffi sealing of a]I inteior verticrl wall.coyeliDg to top piate fraraiDg- SealiDg with foaE gasket caulk or other
approved sealaot Usted for sealing wall covering material to sEuctural material (errmple: gypsum board to wood suid f.amiEg).
g, TaHe Nf104.1(1) Standard base case desigD, Code UA shdl be at leas! 8 perc€li less thaD the Proposed UA. Buildirgs vdlh feDestration lcss than 15 p€rcent
of the total vcnical wall alea may adjust the Code IrA to lave 15 perceDt of ihe wall a.rea as lbDestralion-
2O17 OREGON RESIDENTIAL SPECIALTY CODE 435
TABLE NI101.1(2)
ADDITIONAL IIi]EASURES
IITIIIIIII
:II
Check fire/sound separation assembly on 2 family dwellings
Check for smoke alarms/Carbon Monoxide alarms (look on electrcial sheets if there aren't any shown on floor plan)
Check wall bracing
Check minimum room size
Make sure that minimum bathroom fixture distances are met
Check to make sure stairs meet code
Check roofing material(composition shingles, Spanish 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 nothing was missed and there are no conflicts
Make sure that Willamalane form is attached.
Transfer all notes made by other work Broups until there are two identical sets of plans (.jobsite and city set)
lnclude standard attachments :
Exterior Wall Envelope 5elf-Certification Form
Moisture Content Acknowledgement Form
High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC)
Noise Ordina nce Notice
Smoke Alarm
Ventilation Requirements for Kitchens and Bathrooms
Green Approved Plans Cover Sheet (Found under "Cover" in file cabinet)
Add a ll inspections and fees into Accela (including Willamalane fee and addressing 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
rrrtcc{€3A14<
T
TIllIIltIxI
AIII
sL-4
'.i I
Plqn Review Checklisr
xId
5!
E
Ez
T
vtg
E
E
Check address on plans is correct
Check to see if LDAP has been issued. s\oa rraL^stt 'tE7 16 - aooBBPlF.{ -
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 plans and that owner info matches
Check to see if lot is sloped or flat - tf ffiel wiil back deck meet setbacks
lf a new home is being built at fUountffi?e 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
lf rafter framing, check spans
Check to see if anything over 4000lbs is bearing down on strip footings. lf so this needs to be enlarged.
Check Hold Downs
Check Foundation Venting
Make notes on plans with stepped foundations how far back they need to be from the edge ofthe cut and the uphill cut.
Check header sizes
Check footing sizes
Make sure that if rebar is used that it has minimum cover depths. t{oFt sr-tou }., o*r F>LAtwj _ Fr5'L6, Wat}tF-(
Check energy code requirements Bur:b,\Ti q) l\j,pl,i(-iroF ,*Make sure that insulation called out meets the energy code and if not make note of the required R value.
*On additions/remodels where existing conditions come into play, see code section N11.01.3 & table N1101.2
Check tempered glazing (hazardous locations, windows in stairwell, within 24" of door, etc) ' '
ctreck bedio?jrtfs tor egresi l*indo* sizes, make (ur6 tlat'gdiage dooi io hoirse doesn'f g7o into bedro;ms)
Check to see if there is a living area above the gara8e, if so, make note of 5/8" type X gyp board fire separation requirement.
Check for mechanical equipment protection (bollards) in the garage
lf DETACHED garage is being built less than 3ft to existing structure it needs to have 7/2 gyp board on the interior walls
err re'vrr.ra 4
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ts
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