HomeMy WebLinkAboutPermit Building 2019-09-17OREGOil Building Permit
Residential Structural
Permit Numberr al l-19-OO1776-STR
IVR Number: 811046388701
city of Springfield
Oevelopment and Public Works
225 Fifth Street
Sprlngfield, OR 97477
541-726-3753
Ema il Add.ess: permitcenter@spri.g n eld _or. g ov
SPRINGFIELO
,b
Permit lssued: September 17, 2019
TYPE OF WORK
Type of Work: Addition
JOB SITE INFORMATION
worksite Address
912 D ST
Springfield, OR 97477
Parcel
1703351307100
Owner:
Address:
DOWNING-MOORE EMILY S
912 D ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL IT{FORMATION
Business Name
A PLY CONSTRUCTION LLC -
Pnmary
License
CCB
License Number
206626
Phone
541-510-6562
PENDING INSPECIIONS
lnspection
1999 Final Building
1260 Framing
1430 Insulation Wall
1020 Zoning/Setbacks
1110 Footing
1120 Foundation
1410 Underfloor Insulation
1440 Insulation Ceiling
1530 Exterior Shearwall
lnspectlon Group
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
SCHEDULING INSPECTIONS
Various inspections are minamally 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
All pmvtsions ot taws and ordinances governlng this type ot work will b€ cotnplied wlth wheth.t specilted herGin or not.
Granunq of a pcrmtt doc5 not pr€sume to glv. authority to violat. or c.ncel the Provlslons ot any other 3t te or loctl l.w
r€gul.tln9 constructioh or th€ P€rformance ot constructlon.
ATTE{TION: Orcaon taw r€quires you to fotlow rul€s adopted by the Oregon Utility Itotlfication Cent€r, Those rulet ar€ set
forth in oAR 952-oo1-oolo through oaR 952-oo1-oo9o. You m.y obbln coples ot thc rul€s bY calling the c€nter .t (5o3)
232-1987.
A[ persons or €rtities performing work und.r thls permit ar€ requl.rd to be llc€nsed untess exGmPted bY ORS TOl.OlO
(structural/Mechana..l), oRs 479.s40 (Elecltlcal), .nd oRs 693.01o-o2o (Plumbing).
ftrnted on: 9/17119 page 1 of 2 cr\mvRepo.ts/reports//product'on/01 STANOARO
Web Addressr www-springfield or. gov
r.-/
Category of Coostruction: Single Family Dwelling
Calculated ,ob value: $37,227.3o
Desc.iption of work: Addition - 288 SF
tnspestlon Status
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
pcrmtt5 etpir€ i, work is not st rted warhin 1aO Days ot l$uanc! or If worl l. susp€ndcd for 1aO D.ys or longe. d.P€nding on
the lt'uihg .gency's pollcy.
Permit Number: a1 l-19-OO1776-STR
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811046388701
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Page 2 of 2
Fee Description
Technology Fee
Plan Review - Minor, City
SDC: Improvement Cost - Storm Drainage
SDC: Total Storm Administration Fee
SDC: Reimbursement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
SDC: Improvement Cost - Local Wastewater
SDC: Reimbursement Cost - Storm Drainage
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (12olo of applicable fees)
Curb cut fee - enter # of cuts
1
725.46
10.63
1023
76.35
503.94
86.69
255
Fee Amount
$52.24
9141.00
$125.86
$10.63
$1,023.00
$76.35
$503.94
$86.69
$1s.30
$472.O4
$306.83
$56.64
$125.00
$2,995.52
1
Total Fees:
Construction Type
VB
Occupancy Type
R-3 1&2family
Unit Amount
25 5.00
unit unit cost
Sq Ft $122.46
Total Job Value:
,ob value
$31,227 .30
$3\,227 .30
C:VnyRepo.ts/reports//p.oduct'on/0r STANOARD
PER}ITT FEES
Quantity
VALUATION INFORMATION
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Structural Permit Application
225 Fifth Stre€t . Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689
DEPARTMENT USE ONLY
permitno.: l1<O*11"
oa:r:: gl/.1_olq
This permit is issued under OAR 918{60-0030. Permits expire if work is not started within 1E0 days of issuance or if work is
suspended for 180 days,
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LOCAL GOVERNMENT APPROVAL
This project has final land-use approval
Signature:Datci
This project has DEQ approval
Signature:Date:
Zoning appmval verified: E Yes E No
Property is within flood plain: !Yes ENo
CATEGORY OF CONSTRUCTION
tial2fn .ta.n E Govemment E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:1 / L l0 5,L
Citl;-< P,-,''1er/L<L state: d /2-n*q7
Subdivision Lot no vlH
Reference: l?. 6j - aj -t e Taxlot: 6-712.y6
PROPERTY OWNER
- t1^oo "</-
Address:
Name:
city: (-?r,' ,am /-e.i./State: O /?-ZIP:.1 7.,
Phot;..qq/!4or- /60\Fax
Building Owner or Owner's agent au
Sign herei
E-mail a
E This installation is being made on residential or farm property o*ned
by me or a member of my immediate family, and is exempt fiom
licensing requirernents under ORS 701.010.
CONTRAGTOR INSTALLATION
Business name: A - Pl/ C.at Slrzcz Ct.'o n LLC
()
city: iV rzr>tg-u4-Statet O f?ztP:jlt
Phone:Fax
E-rnoil2 p | </ t *t Cle-..- cl:runO a Fnl^,:( .Ctol
CCB licerse no.: a..t CC ZL U
Print name C-
Sign atute:
sus-(oirrnlcroR tNFoRMATToN
\amc CCB Licerse #Phonc
Electrical /7 -SutrUltS
l61okPlumbirg
Nlechsnical
FEE SCHEDULE
l. Valustion information
(s) Job description: ,4XO t n oa/ fflAS{z C lCr4<
Occupancy
Construction q?e:
Square feet:
Cost per square foot
Othcr infomration:
Tlpe of Hest:
Encr$/ Path:
E new lalteration Qfd-alion
(b) Foundation-only permit? E y"r E Nn
Total valu.tion:5
2. Building fees
s(a) Permit fee (use valuation table):
(b) Investigative fe€ (equal to [2a])s
(c) Reinspection ($ per hour)
(number of hours x fee per hour)S
(d) Enter 12% surcharge (.12 x [2a+2trt2c])
(e) Subtotsl of fecs above (2! through 2d):s
3. Plan review fe€s
(a) Plan review (65% x permit fee [2a])5
(b) Fire and life safay (65% x permit fee [2a])S
(c) Subtotal of fees rbove (3a and 3b):s
4. Miscellaneous fees
(a) Seismic fee. l% (.01 x permit fee [2a]):s
s(b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c])
IOTAL fees rnd surchrrges (2e+3c+44+b):'9Ki,5;
Lasr edited 5-5-2019 BJones 3nKirJ.u-9 9^^"*f
Y
this application:
Address:
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JOURNAL OR JOB NUMAER:
NAME OR COMPANY:
LOCATION:
TAX T,OT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLINC TJNTIS
IMPERVIOUS AREA
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
l9,00t776sTR
EMILY DOWNING.MOORE
912 D ST
1703151307100
Sin
ITEM I TOTAL - STORM DRAINAGf, SIrc
2. SANITARY SEWER. CITY
A REIMBURSEMENT COST:
I STORM DRAINAGF
DIRTC'I RUNO}I]TO CIIY STORM SYSTEM
A. REIMBURSEMENT COST
IMPERVIOUS S,F
255.00
B, IMPROVEMENT COST
COST PLR S,F
$(r.l0l
COST PER S.F
s0..137
COST PERDR]
s170.50
COST PER DFU
s83.99
NUMBER OFUNTIS
0
NUMBER OFUNITS
0
COST PER FEU
sl35.91
COST PER FEU
s),620.85
(.oST PER I;I'U
s22.82
AREA DRAINTNG TO
DRYWELL
$76.76
(,HARGF-
s111.44
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
t.00
NUMBER OF DRI'S
0
B INIPROVE]\,II:N I COSI
NUMBhR OF DFt]'s
0
NT]MBEROF FEU'S
0
B. IMPROVEMI]NT COST
NtIMBER OF FEU'S
0
C. (I)MPLIAN(t COS1
NUMBER OF FEII5
SUBTOTAI
5188. r 9
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
sr88.r9
s0.00
COS'I PER'I'RIP
r9.86
COS'I PER'IRIP
s177..t0
s0.00
s0.00
sl8t.19
CHARGtI
s9.41
ITENI 2 TOTAL - CITY SANITARY SEWER SDC
A, REIMBTJRSEMENT COST
ADT TRIP RATI:
9.57
B, IMPROVEMI]NT COST
ADT TRIP RATT:
9il
ITEiII ] TOTAI,. TRANSPORTA'I ION SDC
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
ITf,T,t.I TOTAI,- M\\'MC SANITARY Sf,WER SDC
stBlOTAL (ADD rrf,lts 1,2,3, & 4)
5. ADMINISTRATN/E FEE:
TOTAL STORM ADMINISTRATION FEE
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANS PORTATION ADMINISTRATION FEE:
TOTAI MWMC ADMINISTRATION FEE ' TOCAL
0
I 0
rdAx 4591
$ 1 n.44
s0.00
s0.00
s0.00
s9..11
$0.00
s0.00
$r97.60
t070
1092
l09l
1091
1051
1054
1056
1079
tol l
1078
o
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@
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PREPARED BY Sleven Pelenen DATE 8/6i 2019
,IOTAI, SDC CHARCES
0
(.HARGE
f rM"-FEli6ir3f i-
l--sr,o.-
3, TRANSPORIATION
ADM- }TE RATE
$76.76
s0.00
I Jo.oo
$.00 I
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DRAINAGE FIXTURE UNIT CALCULATION'T ABLE
NUMBER OF NEW FIXTURES x UMT EQUryALENT DRATNAOE FXTURE UNITS
FOR CAI'ULATE ONLY THE NET ADDITIONAL FLXITJRES
N O. OF FIXTURES
I.]N]T
NEW OLD UIVALENT
DRAINAGE
FIXTURE
UNITS
FIXTURE TYPF
M]SCELLANEOUS DFU T\?E NLMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
*EDU Uni
20 0
MWMC CREDIT CALCULATION TABLE: BASED oN COUNTY ASSESSED VALUE
mit (20 DFU'S sel at 167
CREDIT FOR LAND (IF APPLICABLE
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yeq 2 for No)
BASE YEAR
$5.29
$5.2s
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
0
0
19',79
VALUE / IOOO
$0.00
CREDIT R.ATE
$5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$028
$0ss
\0s5
0 0 3 0
1 00030
0 3 0000
TAINDRINKINGFOL]N
RnvrtIlcepro S FOR G REAS E ILo S LIDo S E TC
FO R SAN D UTO SH E TCLALrNDYRTUB
SWCLOTHE HEAS R oMP SINK
C LOTHE S HERAS 3 Ro M o RE
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REC EPTO FR Ro coM INKS D SHWI HERAS ETC,
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S INK:MCO MERC IDIAI/RES KIENT]AL TCHEN
OMCSINK Et\4 R CIA BARL
INS K SH BAS IN /DOUB LE LA YTOR
SINK:ATO RYlRESINsLEGLA IDENTIAI BAR
TALL WAI-LURINS
TALLATOILETBPUCLIINS TI ON
ALLATITOILETPRITESINT No
BATHTUB
FLOOR DRAIN
SHO GANG OF HEADS
0 0 2 0
0 00060
0 0 12 00010
0 3 0
0 0 2 0
0 0 0
0 0 3 0
0 2 0
0 0 2 0
0001
0 0 5 0
0 0 6 0
0 0 3 0
0
YEAR
ANNEXED
CREDIT RATE/$ I,OO0
ASSESSED VALUE
BEFORE I979
t9'79
r980
1981
1982
l98l
1985
1986
r987
1988
r989 0
1990
l99l
r993
I994
1995
1996
1991
t99E
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