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Home My WebLink AboutBuilding Building 2019-01-18OREGON Web Address: www.springfield-or.gov Building Permit Residential 'l & 2 Fam Dwelling (New Only) Permit Number: 81 1 -1 8-002651 -DWL IVR Number: 81 107 8440002 City of Springfield Development and Public Works 225 Fifth Street Springfield t OR 97477 54t-726-3753 SPRINGFIELD ,b Permit lssued: January 18,2019 TYPE OF WORK Category of Construction: Single Family Dwelling Calculated Job Value: $314,388.20 Description of Work: New Single Family Residence Type of Work: New JOB SITE INFORMATION Worksite address 744 W t\4 ST Springfield, OR 97477 Parcel 1703274301800 KELLER DENNIS 744 W N,'I ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION License L-L lJ License number 202216 Phone 541-579-3853 186903 171706 185086 54'l -915-1000 541 -554-2604 5/.1-729-8727 PENDING INSPECTIONS Permits must be postod in clsar vigw on the worksito. PormiE oxpiJe it work is not started within 180 Days of issuanco or if work is suspended fo, 180 Days or longer depending on the issuing agoncy's policy. All provisions of la\i.s and ordinancos govsrning this typo orwork will be complied with whether specifiod heroin or not Granting oI a permit does not presume to give authoaity to violate or cancel the provisions of any other state or local law regulating construction or ths pertormance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law roquiros you to follow rules adopted by ths Oregon Utility Notification Centor. Those rulos a.e set forth in OAR 952-001-0010 through OAR 952-00'l-0090. You may obtain copies ol the rulos by calling the Center at (877) 668-4001 or dial 8tl. All peBons or entities performing work undor this p€.mit aro roquired to be licensod unloss exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing). Prinled on 1/18/19 Paqe 1 of4 sld_EurldrngPermrl_pr Email Address: permitcenter@springfield'or.gov Owner: Address: Business name PARKER CONSTRUCTION INC . Primary T&SPLUMBINGINC SUNSET HEATING & AIR INC LMJ ELECTRIC LLC ccB ccB ccB Permit Number: 81 1 -1 8-002661 -DWL lnspection 2999 Final Mechanical 3999 Final Plumbing 4999 Final Electrical 1530 Exterior Shearwall 1260 Framing 2300 Rough lvlechanical 31 70 Underfloor Plumbing 4500 Rough Electrical '1020 Zoning/setbacks '1 090 Street Trees 1120 Foundation 1160 UFER Ground 1410 Underfl oor insulation '1420 lnsulation Vapor Barrier 1430 lnsulation Wall 1440 lnsulation Ceiling 1520 lnterior Shearwall 1999 Final Building 2140 Pellel, Gas, Fireplace or Wood Stove 2210 Underfloor Gas 2250 Gas Piping 2255 Gas Pressure Test 2310 Rough Gas 2995 Final Gas 3200 Sanitary Sewer 3400 Storm Sewer 3500 Rough Plumbing 3650 Shower Pan 4000 Temporary Power Service 4225 Service or Feeder 2200 Underfloor Mechanical 3'1 30 Footing/Foundation Drains 3315 Water Line 1'1 10 Footing Page 2 ol 4 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 'l_2 Famdwell 'l_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 'l_2 Famdwell 1_2 Famdwell 1_2 Famdwell 1-2 Famdwell 1_2 Famdwell 1_2 Famdwell 1_2 Famdwell 1 2 Famdwell 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 SCHEDULING INSPECTIONS Prinred on 1/18/19 Page 2 ol4 sld_BuildingPermrt_p. Permit Number: 81 1 -1 8-002661 -DWL Page 3 ol 4 Various inspeclions are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit lo 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: 811O7844OOO2 Schedule using the Oregon ePermitting lnspection App, search "epermitting' in the app store PERMIT FEES 1 1 1 s 1 5 1 I 1 4 1 222.37 1467.72 2979.72 917.96 636.51 3312 Quantity 3312 Fee Amount $ 3 s6.00 $ 2 ss,81 $ 13.00 $ 18.00 $ s2.0 0 $ 13.78 $ 22.00 $90.00 $ 18.00 $ s2.00 $ 18.00 $244.00 $723.0O $52.00 $222.37 $77.72 $1,467.72 $2,979.72 $917.96 $ 63 6.51 $ 198.72 $2,087.56 $ 1,35 6.91 $3,721.OO $ 35.61 $ 250.51 $42.72 $86.76 $ 16,009.3 8 1 Total Fees: VALUATION INFORMATION Pnnted on: 1/18/'19 Page 3 of 4 sld_BuildingPermrt_pr Fee Description Residential wiring Technology Fee Clothes dryer exhaust Decorative gas fi replace Gas or wood fireplace/insert Gas fuel piping outlets Heat pump Other fuel appliance 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: Total Sewer Administration Fee SDC: Total Storm Administration Fee SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Storm Drainage Fire SDC - New Res Construction Sq Ft fee - enter sq ftq Structural building permit fee Structural plan review fee Willamalane fees - Single Family Detached, per unit State of Oregon Surcharge - Mech (12olo of applicable fees) State of Oregon Surcharge - Bldg (1,2o/o of applicable fees) State of Oregon Surcharge - Elec (l2o/o of applicable fees) State of Oregon Surcharge - Plumb (12olo of applicable fees) Permit Number; 8'l 1 -18-002661 -DwL Construction typ€ Occupancy type VB R-3 1&2family VB U Ulility, misc. VB U Utility, misc. - half rate Unit amount 2,360.00 506.00 446.00 unit Sq Ft Sq Ft Sq Ft Unit cost $118.45 M7.80 $23.90 Page 4 of 4 Job value $279,542.00 $24,186.80 $10,659.40 $314,388.20Total job value: Pnnted on 1/18/19 Page 4 of4 sld_BuildingPermit-pr SPNINGTIETD ,b OREGON www.springfi eld-or. gov Worksite address: 744 W M ST, Springfield, OR 97477 Parcel: 1703274301800 Transaction Receipt 811-18-002661-DWL Receipt Number: 459162 Receipt Date: 1/18/19 City of Springfield D€velopment and Publac Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permltcenter@springf ield-or.9ov Transaction date 1t18t19 'U18t19 'v18t19 1t18t19 1t18t19 1t18t19 Account code 224-00000425602-1030 224 - 00000- 4261 02- I 033 224-00000-425603-1 034 224-00000-425604- 1 031 224-00000425604-1031 224-00000-425604- 1 03 1 224-00000425604-1031 224-OOOOO425604-1031 224-00000-425604- 1 03 1 821 -00000-2 1 5004-0000 1t18119 1t18t19 1118119 1t18119 1t18t19 1t18t19 Units Description 1.00 Ea Structural building permit fee 3,312.00 SqFt Residential wiring 4.00 Qty Single Family Residence - Baths 1.00 Ea Gas or wood fireplace/inserl 1.00 Ea Waler healer 5.00 Ea Other fuel appliance Fee Notes: Fumace, Range, Fireplace and BBQ stub 1.00 Ea Range hood/other kitchen equipment 1.00 Ea Clothes dryer exhaust 5.00 Qty Gas luel piping outlets 1.00 Ea State of Oregon Surcharge - Elec (12% of applicable fees) 1.00 Ea State of Oregon Surcharge - Plumb (12% of applicable fees) 1.00 Ea State of Oregon Surcharge - Bldg (12% of applicable fees) 1.00 Ea Plan Review - Major, City 1.00 Qty Willamalane fees - Single Family Detached, per unit Fees Paid $18.00 $13.00 $13.78 $42.72 Fee amount $2,087.56 $356.00 $723.00 $52.00 $18.00 $90.00 Paid amount $2,087.56 $356.00 $723.00 $52.00 $ 18.00 $90.00 $18.00 $13.00 $13.78 $42.72 $86.76 $250.51 $244.00 $3,721.00 82 1 -00000-2 1 5004-0000 82 1 -00000-2 1 5004-0000 $86.76 $250.51 1t18119 1118119 Pnnted: 'll18/19 4 00 pm Page 1of 2 1 00-00000-425002- 1 039 82 1 -00000-2 1 5023-0000 $244.00 $3,721.00 FIN TransactronRec€rpl_pr Transaction Receipt 811-18-002661-DWL Receipt number: 469162 Fees Paid Transaction date 1118t19 1t18t19 1t18119 1t18119 'U18t19 1t18t19 1t18119 1t18t19 1t18119 Units 1.00 Ea 1.00 Ea 1.00 Ea 4.00 Ea 1.00 Ea 1.00 Automatic 3,312.00 SqFt 636.51 Amount 917.96 Amount 2,979.72 Amount 1,467.72 Amount 77.72 Amounl 222.37 Amount Account code 224-00000-425602-0000 224-00000-425604-'1 03 1 224-00000-425604-1 03 1 224-00000 - 42560 4 - 1 03 1 82 1 -00000-2 1 5004-0000 1 00-00000-425605-0000 1 00-00000-424005-1 091 61 7-00000-448029-8800 61 7-00000-448028-8800 61 1 -00000-448024-8800 61 1 -00000-448025-8800 71 9-00000-426604-8800 7 1 9-00000-426604-8800 Fee amount $52.00 $18.00 $22.00 $s2.00 $35.61 $255.81 $198.72 $636.51 $917.96 $2,979.72 $1 ,467 .72 $77 .72 9222.37 Paid amount $s2.00 $18.00 $22.00 $52.00 $35.61 $255.81 $198.72 $636.51 $917.96 $2,979.72 s1 ,467 .72 $77 .72 $222.37 Description Address assignment - each new or change requested externally, per each Decorative gas fireplace Heat pump Ventilation fan connected to single duct State of Oregon Surcharge - Mech (12% of applicable fees) Technology Fee Fire SDC - New Res Construction Sq Ft fee - enter sq ftg SDC: Reimbursement Cost - Storm Drainage SDC. lmprovement Cost - Storm Drainage SDC: Reimbursement Cost - Local Waslewater SDC: lmprovement Cost - Local Wastewater SDC: Total Storm Administration Fee SDC: Total Sewer Administration Fee Payment Method. Check number: '1545 Payer: parker construction Payment Amount $14.652.47 Cashier: Katrina Anderson Receipt Total:$14,652.47 Pnnted 1/18/19 4 00 pn Page 2 al2 F N Tra.sactonRecerpl pr 1t18t19 't 118t19 1t't8119 1t18119 ClrY oF SPRINGFIELD. oREcorr- Structural Permit Application L*"I225 Fifth Strect . SprinSfield. OR 97477 I PH(541)726-3753 r FAX(541)726-3589 This permit is issued under OAR 9l&46G0030. Permits expire if work is not started within 180 days suspended for 180 days. lssu ance or if work is a) Zi) aK olL-tl-rr.rf+rc€ DEPARTMENT USE ONLY - )UolPermit no o*,llltzltA LOCAL GOVERNMENT APPROVAL This project has final land-use approval Signature:Date: This prujecl has DEQ approval. Signature: Zoning approval verified: E Y". U No Property is within 0ood plain: flYes E l,lo CATEGORY OF CONSTRUCTION flResidential fl Govemment D Commcrcial JOB SITE INFORMATION AND LOCATION Job site address:?+tra2fl state: oll zrP:1-t477 Subdivision Iotno Refercnce:Taxlot:t80.J PROPERTY OWNER Name i)*rnla+l 4rltEr'l- Address: rfi./y' VUE-\I n s*"/--XL zrPINl-lc;ty, JtrimfiAA l-Phone:r*.54[ sl{- 4rc24 E-,oail: ----------- this application,sBuiOwner or Sign here: VThis installation rs being made on residmrial or tarm property owred by /mlor a memher of my immediate family. and is exeopt from licmsilg requtements under ORS ?0 I .0 10. CONTRACTOR INSTALLATION t1'-7Address Business name: ci.y, Vq1r}1 sut{YL z.rp\1)t4B / Fa*r_rron": 'li- 51q 68fl t ker&E-ruil CCB licaDs+flei .-t6a\ttD Prinl name Signalure FEE SCHEDULE 1. Vrlurtion informstion (a) Job description: Ngr-a r-aFt> Occupancy Construction Ype: (/^ @ Cost per squarc foot: Other informatioD Type of Heat: ! addition UnrrEv Prth: Pne* tr (b) Foundation-ooly permit? E Yes E t{o l otal vuluation:s3t4r18, 2. Building fees S(a) Pemit fee (use valuation table) 5(b) Investigative fee (equal to [2a]) (c) Reinspection ($ per hour): (number of hours x fee per hour)! (d) Enter 12% srrrcharge (.12 xl2a+2b12cl)$ (e) Subtot l of fees &bove (2a through 2d):$ 3. Plan review fees (a) t'lar review (65% x permit fee [2a])tl,?>4,- 5(b) Fire a.d life salety (65% x permit fee [2al): (c) Subtotal of fees above (3a and 3b):$ 4. lliscellaleous fees (a) Seismic fee, l% (.01 x pernit fee [2al):S 5(b) Tech fee, 5% (.05 x permit feet2al*PR Ge [3c]) TOTAL fees aDd surcharges (2sr3cf4.+b):s SUB.CONTRACTOR INFORMATION CCB License #Phonc Number tb,ffi,a +lr - 146tzl Electrlcel l- fr\f Elqrt],C-'6bqaj 5q qta- 1D({) n"-u"e 15 P\Umg lll10[o 5..tr.go4 2@OL-\ Mech.oicdSJ\S* \-\Qnii,\,C.t [\if- Last edited 5-5-20 7 BJones b-., ;b" Date: Square [eet: i, .. l:.. ffiElectrical Permit Application :2S Fiftlt Str..r. Spri nglt.ld. OR 9ra??. PH(S{l }?:eJr1}.rA:i(S.r )?t6xt9 L. Tbis pcrmll is issu.d uod.r O..\,R 9lEi09{000. p.nuitr .rc Bontrriifrrrblc. p.mitr .rpir. lf sorl i,dlrr of itruttrcc o. if $ork i! ruipctrdcd for tg0 dir!.EOt rt lrr.d nithiD lto CITY OF SPRINGFIELD, OREGON DEPARTI'E}TT USE OXLY Parrrut oO IL Dalc LOCAL GOVERNITIEHT APPROV AL Zooing approYal ycrif icdl I Ycs Dxo liDrtlbsr of brFcdo!. p.r tt.ro ( )Totrl -dCATEGORY OF CONSTR UCTION Il..rid.nti.l, prr urit i.rric. iodod.d:I Rcsidcnrial E Gorcrnmcnt I Commcrcial 1.000 sq. fi- or lers ({)!171.00 SORMATIONATJOBSTTENIFANLODcION .,ob srtc lddrcss E cb rdd!o!.1 t00 rq. n- or po{'ooo lhcraof S rr.oo ! Cir',:Srate AP LimiEd c.crE/ (2) Rcfcrcocc Tarlot.:Eech oaaufrrtrcd hotr or ooduls dwcUios 56vict or fc.d{r C2)s Et.00 s DESCRIPTION OF WORK Sar'vlc.! or f.cd!ra: i,rndlLdirG olutotiol ral!(lrron 200 rrq6 o.16. (2)t 10a00 s 201 ro 400 .896 (2)sr20.m sPROPERW OWNER sr6"oo I I401 to fio .ry5 (2)\amc s6Ot ro l,tm.,rF (2)s:6r.e.{ddrcss $s.m sOv(r l,om urp. I votls (2)Ciry sR..oo!..r only (2)s tr-aFaxPhooc: TaEporary tarvicaa or tGcd.'t: innoltarir( ot?E io., rddrir.E-rnail s n.00 s2m .q6 or l6s (2) I t1t-6 s201 to {o0 nrp6 B) 31ELS s4{)l lo 600 ut$6 (2) Ovr. 600 .&p6 q l,000 vols, rrt *rvicrs <r trdsr rrdi6 rbo!! This irr*allation is bcirg oadc oa rcsidcotial or farB ProTcrty oqrrcd bv mc or a mcmbcr of my immcdiatc family. This propsfiy is not intcndcd for salc, cxchangc, lcasc' or rcnc OAR .179.510(l ) and a?9.560(l). Si rurc: B.r.cb drcdtrl naq orr?urio4 aat:fu at @ L fcc fo( br.Dcb qirsqirs wi6 Fathrs. of r !6tt! 6 b.d.l GcBuincss ranc: 5I ?.00 AddEss: b. Fct for bnnd circrriE 'r hou FErhls. of r !.ttie a fc.dit fcc:7D:Statc:City:!t tt.oFirt't k l€h ciicuit (2)FarPb727 It 7.sE €h rddidmd bEDch cilcrril E-mail: Mltaallu.ou ft.rtt r.tri e or l.do t&l ilr.@ BCD liccose no':CCB liccnsc ao.IErch puttrp or inigrtiu cirfc Q) sup€rvisor 's licclss !o.:tI rs.urErch :iE[u ou0ine liSbtbg G) suP€rnsor:Prht raoc of tS $LmSigrd cirqit dtr.tioq or or r tirnitcd.<rcrgy prrEl. G Gosis (2)Signanre ofsi8nin g supcrvisot:I19a00Erch rddttold t!tFcd6: (l) I(A) Eottt stbtoad of.bovs f!!s rl Pcrdt flt 593.00)(ltlioiEu I(B)Eltlt 12% $rlhrgP ('12 r (AD sTcchnofo5v.clF (top(c) s1!o Costiquing s]-50.CrEiuc-rtim(D) D):throuSh(Arcbrrtttturnrlc3!fALTOT EFE krkdlr.d 9!t 2017 BJoaa I I Ipl I S al.oo S S(arc:21P.. E*h bnoci circuir s rt-s s trIE CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOITRNAL OR JOB NUMBER NAME OR COMPANY] LOCATION: TAX LOT NUMBER: DEVELOPMEMT TYPE: NEW DWELLING TJNITS IWERVIOUS AREA I STORM DRAINACI] .\ Rll \]]]l tist \it \ 1 ( os l NUMBEROF DFt-Is tiJ B. IMPRO\€MENT COST NUMBER OF DFLrs lli l8-:661 Dennis & I-inda Keller 7:14 W M St 170327.t30t 800 S COST PER S F s0.29.{ COST PER S.F s0.ll.t COST PER DFTJ 65 54 COST PER DFU s8t 5,1 0 M]MBER OT I 'NIIS0 COST PER IEU s l3l.89 COST PER IEU st.597.14 srr 8l ADM, FEE RATE 5Yo AREA DRAINING TO DRYWELL 0 CIIAR(II.] $636 51 L^HAR(iIj $917.96 NEW IRIP FACTOR 100 NEW TRIP FACTOR r00 D]8ECT RI]NOF'F-TO CITY STORM SYSTEM A REIMBI]RSIJMIJNl COSI' ITEJU I TOTAL. STORM DRAINACf, SDC 2, SANITARY SEWER . CITY ADT TRIP RATE 951 NLll\18F_ti Ot: I:1:lt s B, IMPROVEMENT COST: NUMBER OF FEU'S 0 C. COMPLIANCE COST NUMBEROI- FEU'S 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE srssJ.r7 sl,.l{7.{,1 COST PER TRIP 19.18 COST PER TRIP $166 1t s0.00 s0.00 s6,001.91 C}f,A.RGE $30010 I',t ult 2I()r\L ( r[Y s.\N! t lRY sF\vFR SDa 3, TRANSPORTATION A, REIMBT'RSEMENT COST: B IMPROVFMFNT COST 957 ITf,IT 3 TO-I AI, . 't'RA\SPORTATIO\ SDC 4 SANITARY SEWER. MWMC A, REIMBURSEMENT COST: [f,TT I-TO'TAL - IINiIC SA\ITTRY SE\ITR SDC SI, B-TOTAL (ADD ITE\IS I,2,3, & J) 5. ADMINIS'I R,\ TIVI: FI]E SUB-IO'I'AL $6,00r 9l TOTAL STORM ADMINISTRATION FEE TOTAL SEWER ADMIMSTRATION FEEI TOTAL TRANSPORTATION ADMIMSTRATION FEE TOTAI MWMC ADMINISTRATION FEE. LOCAL 0 UILDING SIZE (SF):I 3405 LOT StZE (SF)12100 t\,4AX 35% s917.96 s2,919.12 s1,.167.72 s0.00 s0.00 s0.00 s0.00 s0.00 s77,72 222.37 s0.00 s0.00 s6J02.01 1070 t09l 1092 l09i lrl 105,1 l0jj 105.r )056 1079 lo77 t078 : @ PREPARED BY Sleven PeleEen DATE t/Jt2019 TOT1L SDC CIIARGf,S t N1r,rrtr,r, rraaT- I :lo'6n B tl\lPROVt,l\.1t1N1 C()S1' t---l\1r1 r&r,llys .-ffi ADT TRIP RATE NUMBER OF UNITS lcost PER FEU I NrAx r59i, | 28,/" I r.*- I so.oo I:IX'I I;RI], fYPE MISCELLANEOUS DFU TYPE *EDU valent D$€ll Unit) is a di DRAINAGE FXTURE UNIT D CALCULATION TABLE NUMBER OFNEW FXTURES x UNIT EQTMLENT: DRAINAGE FXTURE IJNITS (NOTE: FOR REMODEL CALCULATE ONLY T},IE NET ADDITIONAL FIXTLJRES NO. OF FIXTURI]S NEW OLD UIVAIENI' 20 DRAINAGE FIXTURE L]}JITS 0 unit DFU'S) set at I67 MWMC CRf,DIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.2s 91.80 IS LAND ELGIBLE FOR ANNEXATION CRXDIT? (Enter I for Yes, 2 for No) tS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDI'I'FOR LAND (IF APPLICABLE) 2 2 vAluE / 1000 $0.00 CREDIT RATE ss.29\ CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL ]UWTIC CREDITs'1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUI]1 1 3 0 0DRINKING FOLNTAIN 0 0 3 0FLOOR DRAIN INTERCEPTORS FOR GR-EASE / OIL / SOLIDS i ETC 0 0 0 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH i ETC LAUNDRY TUB 2 2 CLOTIIESWASHER / MOP SINK 0 CI,OTHESWASI{ER. 3 OR MORE (EA)0 o 0 't2MOBILE HOME PARK TRAP (I PER TRAILER)0 RIICIiPTOR FOR REFRIG / WAI lrl{ STAI lON / ETC.0 RECEPTOR FOR COM. SINK / DISHWAS}IER / ETC.1 3 SHOWER. SINGLE STALL 4 SHOWER, CANG INUMBER OF HEADS)0 SINK: COMMERCIAL/RESIDENI'lAl- KITCHEN 3 0 SINK: COMMERCIAL BAR 0 0 0 SINK: WASH BASIN/DOUIll.li LAVATORY 2 0 SINK: SINGLE LAVATORY/RI]SIDDNTIAL BAR 3 IJRINAI-. STAI,I, / WALL 5 0 0TOILET, PUBLIC INSTAILATION TOILET. PRIVATE INSTALLATION 3 6 YEAR ANNEXED CREDIT RATE/$ I,OOO ASSESSED VALUE BEFORE I979 t979 1980 l98l r982 r983 198-r $0.00 1986 1987 0 1992 0.00 l99l 199,1 1995 1996 199',7 1998 r999 2001 UNIT NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS 0 198.1 1988 1989 1990 l99l 2000 ololll 2lol2lr l- I o---f-----f-= l512 1l010 z I= 2l t= T o I 1 I=f =--f- o l+lz 3l 3lI 6 --T_-= lolo I o I 6 I= t= o ---f--o t9-t9 Crrr" or SpRrNcurlp, OnecoN Mechanical Permit Application 225 Fifih Street . Springfiel4 OR 97477 . PH(541)726-1753 . FAX(541)72G3689 DEPARTMENT USE ONLY Permitno.: l8->OAl Date: l/ l,s ltAh, This permit is issued under OAR 918-440-{Dfl). Permits erpire if work is not started withir 180 days ofissuence or if work is suspended for 1t0 days. FEE SGHEDULE Residential Cort er" ToteI cost Firsl ADrrliance s99.00 s Fuinace/burner including ducts and vents Up to 100k tsTU,&r I $22.00 $ O\'er 100k IITU/hr s25.00 s Herters/stovesi/vents Unit heater s2200 S Wood,/pellet/gas stove/fl ue I s52.00 S Evaporated cooler s18.00 5 Vent fao \Yith one ducrappliance {$13.00 5 Hood with exhaust and duct i s18.00 s Gas nioins One to four outlets +$8.,|8 $ Additional oudets (each)s5-30 s Air-handllng units, includitrg ductli Up to 10,000 CFM I s15.00 s Over 10,000 CFM 525.00 S Comoressor/absorotion svstem/hcat oumD Up to 3 hp/100k BTU s22.00 S Up to l5 hp/500k BTU I s40.00 $ Up to 30 hp/1,000 BTU $59.00 $ Up to s0 hp/I,750 BTU $76.00 $ Over 50 hp/ I ,750 BTU $r28.00 $ Incinerators Dornesdc incinerator s25-00 $ Commercial Enter total valuation ofmechanical system and installation costs $ - E ltea fee based on valuatiotr ofmechadcal system, etc.$ Miscellaneous fees Itcms Cost e& Total cost Rcinspcctiun $99.00 $ Specially requested iitlpections (per s99.00 $ Regulated equipment (unclassed)s18.00 $ Each edditiotrd iospection: (1)s99-00 s DEPARTMENT USE (A) Eorer subtotal of abo!'e fees (or eoter set minimum fee of $ SL@)s (B) lnvestigative fee s (C) Enter l2% surcharge (.12 x [A+B])s (D) Seismic fee, l% (.01 x lAl)S (E) Technolosy Fee (5% oflAl)S ToTAL fees atrd surcharges (A through E):s E CommercialI Government JOB SITE INFORMATION AND LOCATION Job site address It-L\A of; citv(Yfi srate.C{L-zwSr/+77 Refercnle: I raxtot.: !ff{) DESCRIPTION OF WORK PROPERry OWNER Name $e{) Address: -le{{ \AOOI l( State:f,1q!zrP:q.]+-llCity Phone:il{ - -$,Oa21La This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing req uirements under ORS 701.010. Signature; CONTRACTOR eddress: lQl yf - tr..JO-il z'P91{tJcity:\ [0 r(t ]-q Fax:Phone I I ortl(n"I Pri Signature: lnst edited 7/1,2018 bjones CATEGORY OF CONSTRUCTION ( E-mail: Business name: State:CY?--- ll-mail: CCB licensgiqc---.J' i/14 tER"'td*,ia-___]lo,v Crrv or Spnmcrmlo, ORncoN Plumbing Permit Application Zoning approval verihed? ! Yes n lo Sanitation approval verified? [ Yes E No CATEGORY OF CONSTRUGTION flResiclentiat E Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address:n<+ I\ City stnr.,(j|-zrPf,7ty7 n"f"r"ri",Y I Taxlot. DESCRIPTION, OF WORK I PROPERW. OWiIER Nams nni5l-i (r City Stut", !(-ztf,1Ln"1 Phone:l,.-o"F€r!:I E-mail: I'his installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt fiom licensing requircments under OAR 918-695-0020 Signature: coNI R/{CTOR |NS-TALLATTON Business name: l-.{ Address City:nP?nw Fax !-mail:'GA'/ CCB license no.BCD license no.: liqense no Signature: DEPARTMENT USE ONLY Permitno.: lA- Abbl Date: ulblloh This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work Permits expire if work is not strrted within 1E0 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Description Cost €t- Ne'n residential I batbroom/l kitcher (includes: first l9Ofeet ofwater/sewer lines, hose bibs, ice naker, umlerfloor lo$,-point dlatts and rain4rain packages) s323.00 $ $506.00 $ 3 bathrooms/l kitchen I $595.00 s Each additional batkoom (over 3)I s128.00 $ tsach additional kitchetr (over l)$128.00 $ Residetrtial fire sprinklers (irclndes plan review) 0 to 2,000 square feet s99.00 $ 2,001 to 3,600 square fe€t $158.00 $ 3,601 to 7,200 square feet s236.00 $ 7,201 square feet and greater $315.@ S Manufactured dwellirg or pre-fab (circle one) Connections to building sewcr and water supply !i99.00 s Commcrcial, industrial, and dwellitrgs other tha! oDc- or two-family Minimum fec $99.00 $ Each flxture s24.00 S Mlscellaneous fees 100' storm, sewer, water line s103.00 $ Each fi-xture, apputenance, and piping $24.00 s Storm waler retention/detention facility $103.00 $ llri gation systems/Backllo\r'$24.00 $ Piphg or private storm draitrage slstcms exceedins the fi.st 100 feet $24.00 S Specialty fLttures $24.00 S Reinspection (no. ofhrs. x fec pcr hr.)s99.00 S Special rcquested inspections (no. of hrs. x fee por hr.)s99.00 $ Each additional inspection: (l)$99.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ -.Enter fee based on instailation and equipment value S DEPARTMENT USE (A) Enter subtotal ofabove fees (N{iElmuE Permit Fee $99.00) $ (B) Investigative fee (equal to [A])s (C) Enter 12olo surcharge (.12 x lA+Bl)s (D) Technology I'ee (5% of [A])S TOTAL fees .nd surchargB (A through D):$ Inst edited 7/l/2018 bjones 225 Iinb SErjet r Springfield, OR97477 . Pry541)726-3753 . FAX(541)726-3689 LOCAL GOVERNMENT APPROVAL Address: ,CI Print name: l*,Total cost 2 balhrooms/l kitchen CITY OF SPRINGFIELD. OREGON 225 FIFTII STREET . SPRINGFIEI-D, oR 97477 . PH:(541)'7 26-3753 . FAX: (54t)72G3689 h, One and Two Family Dwelling Building Permit Application Checklist NOTE: Missing information that is required for complete plan revie* can delay the permit process until all required information is provided. Permits will not bc issued until the complctcd plan review is approved. Rcccived Datc: n Land and Drainage Atteration Permit (LDAP) Al! new one and two family dwellings require an LDAP Refer to Fact Sheet 1.1 to determine type of LDAP n 2 Complete Sets of Legible Plans Inctuding Sate Plan M/ on r r x L7 oager at minimum ,11/ tlust be drawn to scale, showing conformance to applicable local and state!"J building codes, to include the followrng: n site/Plot Plan tr Drawn to 1:20 scale with scale indicated -El.- No.th arro* Adjacent street names and street elevations shown Building setback dimensions (Distances from property lines) Location of easements and driveway Locatjon of utilities and how they are connected Footprint of structure (including 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 Dimensions Footing sizes, Isolated footings, Step Foundations and Retaining Walls Hold downs and reinforcing fype, size and spacing Connection details Vent size and location Cripple Walls Girder sizes and locations loists or post and beam type, sizes and spacing nntrn! trn tr trtr trxntrtrtr APPLICATION ]NTAKE REVIEW WILL BE CONDUCTEO FOR ALL )Zf Ptumbing zl-qechanical lfi'oozt*t M a p/Lot 6ccRESIDENTIAL PERMITS. Associated Permits Permit # Address p Eler"ricat /otner: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Applicant Initials Revi€wer Initials -f:\Building Forms\One_and_two_farnily-dwelling-buildinglr€rmit-checklist.05.09.doc n Foundation Plan Re THE FOLLOWING ITEMS ARE REQUTRED FOR PLAN REVIEW Applicant Init!3!s ReYiewer fntlals Floor Plans u Show dimensions Identify all rooms Include window and door sizes Locations of: Smoke and carbon monoxide alarms, water heater, furnace, ventllation fans, plumbing fixtures, balconies and decks 30 inches or more above grade, porches, stairs, etc... Cross Sectaon(s) and Details tr Show all framing member type, sizes and spacing such as floor beams, Headers, joists, sub-floor, cripple wall and wall construction, roof construction and metal connectors (More than one cross sestion may be required to portray construction clearly) Show details of all cripple walls, wall and roof sheathing, roofinq, roof slope, ceiling height, siding material, footings and foundation, stairs, fi replace construction, thermal insulation, etc... Show attic ventilation Energy Path: Example - High Efficiency HVAC n Elevation views Provide elevations for new construction 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 Beam calculations, especially for engineered wood products and non- uniform loads Provide plans for all floors/roof assemblies indicating member sizing, spacing and bearing locations, including decks, porches, roof covers Metal connectors and tie straps clearly shown p- Stro* headers and beams supporting floor or roof brescrlptlve lateral bracing and/or engineered shear walls Provide all calculations and adjustment factors used, Engineers Calculations wet-signature stamped engineering calculations, specifications and details shall be provided where required. Itlanufactured Floor/Roof Truss Design Details must agree with plans and engineering ersigned acknowledges that the information in this application is corred and accurate. OR Property Owner ignature (Agent D (Print Name) T:\Building Foms\one_ad-two_family_dwellirag-buildingjermit_checklist.05.09.doc It Signature (Owner) (Print Name) I a" & @ 7 W,n tr tr tr tl SPRINGTIETD dt ORIGON www.springf ield-or. gov Worksite address: 744 W M ST, Springfield, OR97477 Parcel: 1703274301800 Transaction Receipt 81 1-18-002661 -DWL Receipt Number: 468588 Receipt Date:'l1l'l3l'18 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-7 26 -37 53 permitcenter@springfield-or.9ov Fees Paid Tlansaction date 11t13t18 Units 1.00 Ea Description Structural plan review fee Accounl code 224-00000-425602-1 030 Paid amounl $ 1,356.91 Feo amount $1,3s6.91 Paymenl Method: Check number: '1462 Payer: Parker Construction Payment Amount:$1,356.91 Recelpt Total:$1,3s5.91 Printed: 11/13/18 4:26 pm Page 1 of 1 FIN_TransaclionReceipt_pr Cashier: Toste Muniz a"'t o (,CP sat - -3-7?- =413 > C e Plqn Review Checklisr IIIIIIIIIIII Check address on plans is correct Check to see if LDAP has been issued. \6'oooslr'-- ri'/ Read all comments from other work groups to see if anything needs to be considered during structural review. check setbacks on Site Plan 4:a ta-,a < rrv\-E* zl G.,.-l.-r 3\Sle. -7A7L\ SErFrAd^- A.I \Jre.5-r (>o<,er<vr-<x uru€- 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 olEE 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 tf 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 xmatch 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 ake notes on plans with stepped foundations how far back they need to be from the edge of the cut and the uphill cut. Check header sizes Check footing sizes Make sure that if rebar is used that it has minimum cover depths. Check energy code requirements +Make sure that insulation called out meets the energy code and if not make note of the required R value. xOn add itions/remodels where existing conditions come into play, see code section N1101.3 & table N1101.2 check tempered glazing (hazardous locations, windows in stairwell, within 24" of door, etc) 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 DETACHED garage is being built less than 3ft to existing structure it needs to have 1/2 gyp board on the interior walls :. t, u u IUIf, E a T E A triil E tf * v x U a a E En II i-,fr1 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,Etal,letc.) 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 groups until there are two identical sets of plans (jobsite and city set) lnclude standard attachments : Exterior Wall Envelope Self-Certification Form Moisture Content Acknowledgement Form High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC) Noise Ordina nce Notice Smoke Alarm Ventilation Requlrements 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 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 application 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 t Hllltilltltfx ,Z EIxz Cioru-s Ped.it NCe Grefrrr<-tA- Aoar.a AtranJ