HomeMy WebLinkAboutPermit Building 2019-11-01OREGON
Web Address: www.springfield-or. gov
Building Permit
Residential 1 & 2 Fam Dwelling (New Only)
Permit Number: 81 1-19-OO2189-DWL
IVR Number: 811041196758
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGFIE
'b
Permit Issued: November 01, 2019
Category of Construction: Single Family Dwelling
Calculated Job Value: $274,240.Lt
Description of Work: New SFD Lot 73
Type of Work: New
Worksite Address
893 LUPINE ST
Springfield, OR 97477
Parcel
17033421 1 1000
Owner:
Address:
ANSLOW & DEGENEAULT
INC
1953 GARDEN AVE
EUGENE, OR 97403
Business Name
ANSLOW & DEGENEAULT INC -
Primary
MARSHALLS INC
C&RPLUMBINGLLC
CITY WIDE ELECTRIC INC
License
ccB
ccB
ccB
ccB
License Number
49L69
25790
L670t5
202008
Phone
54t-484-0070
54t-747-7445
54L-206-7611
541-22r-2665
permits expire if work is not started within 180 Days of issuance or if work is susp€nded for 180 Days or longer depending on
the issuing agency's policy'
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the Performance of constructlon.
ATTEITION3 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in oAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules bY calling the center at (5o3)
232-L947.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.o10-O20 (Plumblng).
printed on; 11/1/19 page 1 of 5 c:\myReports/reports//prcduction/01 STANDARD
tr
TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
Permit Number: 811-19-OO2189-DWL
Inspection
2999 Final Mechanical
3999 Final Plumbing
4999 Final Electrical
9504 Curbcut - Standard
9508 Sidewalk
1530 Exterior Shearwall
1260 Framing
2300 Rough Mechanical
3170 Underfloor Plumbing
4500 Rough Electrical
I02O Zoning/Setbacks
1090 Street Trees
1110 Footing
1120 Foundation
1160 UFER Ground
1220 Undedloor Framing/Post and Beam
1410 Underfloor Insulation
1430 Insulation Wall
1440 Insulation Ceiling
1999 Final Building
2250 Gas Piping/Pressure Test
3130 Footing/Foundation Drains
3200 Sanitary Sewer
3300 Water Service
3400 Storm Sewer
3520 Backflow Device
3650 Shower Pan
4000 Temporary Power Service
4220 Electrical Service
Inspection Group
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
Public Works
Public Works
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
Page 2 of 5
Inspectaon 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
Printed on: 11/1/19
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
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811041196758
Page 2 of 5 C :\myReports/reports/,/prcduction/01 STANDARD
SCH E DULIilG INSPECTIONS
Permit Number: 81 1-19-002189-DWL
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Page 3 of 5
C: \myReports/reports//production/01 STAN DARDPage 3 of 5Printed on: 11/1/19
Permit Number: a1 1-19-002189-DwL Page 4 of 5
Fee Description
Residential wiring
Technology Fee
Barbecue
Clothes dryer exhaust
Gas fuel piping outlets
Gas or wood fireplace/insert
Heat pump
Range hood/other kitchen equipment
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 - MWMC Regional Wastewater SDC
SDC: MWMC Credit - Regional Wastewater SDC
SDC: Compliance Cost - MWMC Regional Wastewater SDC
SDC: Improvement Cost - MWMC Regional Wastewater SDC
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC
SDC: 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 - Mech (L2o/o of applicable fees)
State of Oregon Surcharge - Elec (L2o/o of applicable fees)
State of Oregon Surcharge - Plumb (l2o/o of applicable fees)
State of Oregon Surcharge - Bldg (L2o/o of applicable fees)
Curb cut fee - enter # of cuts
Curb cut and Sidewalk construction - multiple permit discount
Printed on: 1U1l19 Page 4 of 5
Quantity
2525
1
1
4
1
1
1
1
1
3
1
25L9.7
86.35
190.09
38t.74
134.58
10
-62.63
22.82
1620.85
135,93
36LL.72
1097,8
1593.82
51 15
190.06
2525
Fee Amount
$330.00
$233.63
$ 19.00
$ 13.00
$9.00
$s2.00
$23.00
$19.00
$19.00
$2s1.00
$613.00
$s4.00
$2,5L9.70
$86.3s
$ 190.09
$38 1.74
$ 134.s8
$ 10.00
$-62.63
$22.e2
$1,620.85
$135.93
$3,6t1.72
$ 1,097.80
$ 1,593.82
$5,115.00
$190.06
$1s1.s0
$L,255.67
$ 1,931.80
$3,805.00
$18.48
$39.60
$73.56
$231.82
$12s.00
$-42.00
1
1
1
C : \myReports/reports//production/0 1 STAN DARD
PERMIT FEES
Permit Number: 81 1-19-002189-DWL
Sidewalk construction - permit, addtl sq ftg > 90 sq ft, per square foot 1
Total Fees:
Page 5 of 5
$0.12
$25,B74.Ot
Construction Type
Printed on: 11/1/19
Occupancy Type
R-3 1&2family
U Utility, misc.
U Utility, misc. -
half rate
Unit Amount
1,974.00
551.00
232.00
Unit
Total Job Value:
Job Value
$241,736.04
$26,850.23
$5,653.84
$274,240.77
C: \myReports/reports//production/o1 STAN DARD
Unit Cost
$122.46
$48.73
$24.37
VB
VB
VB
Sq Ft
Sq Ft
Sq Ft
Page 5 of 5
VALUATION INFORMATION
SPRINGFIELD
b
OREGON
www. sp ri n g fi e ld -or. gov
Worksite address: 893 LUPINE ST, Springfield, OR97477
Parcel: 1 7033421 1'IOOO
Transaction Receipt
81 I -t 9-002189-DWL
Receipt Number: 472863
Receipt Date: 11/1/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfleld, OR 97477
54t-726-3753
permitcenter@spri ngfield-or. gov
Transaction date Units
11t1t19 1.00 Ea
11t1119 2,525.00 SqFt
1111119 3.00 Qty
1111119 1.00 Ea
1111119 1.00 Ea
1111119 1.00 Ea
1111119 1.00 Ea
1111119 1.00 Ea
1111119 1.00 Ea
11t1t19 4.00 Qty
1111119 1.00 Ea
Description
Structural building permit fee
Residential wiring
Single Family Residence - Baths
Heat pump
Gas or wood fireplace/insert
Water heater
Barbecue
Range hood/other kitchen equipment
Clothes dryer exhaust
Gas fuel piping outlets
State of Oregon Surcharge - Elec (12% ot
applicable fees)
State of Oregon Surcharge - Mech (12% ot
applicable fees)
State of Oregon Surcharge - Plumb (12o/o of
applicable fees)
State of Oregon Surcharge - Bldg (12o/o ot
applicable fees)
Account code
224-00000425602-1 030
224-00000426 1 02-1 033
224-00000425603-1 034
224-00000425604-1031
224-00000425604-1 031
224-00000425604-1 031
224-00000425604-1031
224-00000425604-1031
224-00000425604-1 031
224-00000425604-1 031
82 1 -00000-2 1 5004-0000
82 1 -00000-2 1 5004-0000
82 1 -00000-2'1 5004-0000
Fees Paid
Fee amount
$1,931.80
$330.00
$613.00
$23.00
$52.00
$19.00
$19.00
$19.00
$13.00
$9.00
$39.60
Paid amount
$1,931.80
$330.00
$613.00
$23.00
$52.00
$19.00
$19.00
$19.00
$13.00
$9.00
$39.60
1111t19
11t1t19
11t1t19
1.00 Ea
1.00 Ea
$18.48
$73.s6
$18.48
$73.56
$231.82
Printed: 11/1/19 1:20 pm
1.00 Ea
Page 1 of 3
82 1 -00000-2 1 5004-0000 $231.82
Fl N_Tra nsaction Receipt_pr
[r-r- r
Transaction Receipt
81 t -19-002189-DWL
Receipt number: 472863
11t1t19
11t1t19
11t1119
11t1t19
Transaction date
11t1t19
11t1t19
11t1t19
Units
1,097.80 Amount
1,593.82 Amount
5,1 1 5.00 Amount
2,519.70 Amount
190.06 Amount
3,611.72 Amount
135.93 Amount
1,620.85 Amount
22.82 Amount
-62.63 Amount
10.00 Amount
134.58 Amount
381.74 Amount
190.09 Amount
86.35 Amount
Fees Paid
Description
SDC: Reimbursement Cost - Storm Drainage
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 - MWMC
Regional Wastewater SDC
SDC: lmprovement Cost - MWMC Regional
Wastewater SDC
SDC: Compliance Cost - M\ /MC Regional
Wastewater SDC
SDC: MWMC Credit - Regional Wastewater
SDC
SDC: Administrative Fee - MWMC Regional
Wastewater SDC
SDC: Total Storm Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
SDC: Total MWMC Administration Fee -
Local
Curb cut fee - enter # of cuts
Account code
6 1 7-00000-448029-8800
6 1 7-00000-448028-8800
61 1 -00000-448024-8800
61 1 -00000-448025-8800
434-00000-448026-8800
434-00000-448027-8800
433-00000-448024-88 1 0
433-00000-44802s-88 1 0
433-00000-426607-88 1 0
433-00000-448025-88 1 0
61 1 -00000-426604-8800
7'1 9-00000-426604-8800
7 1 9-00000-426604-8800
7 1 9-00000426604-8800
7 1 9-00000-426604-8800
Fee amount
$1,097.80
$1,593.82
$5,115.00
$2,519.70
$190.06
$3,611.72
$135.93
$'1,620.85
$22.82
$(62.63)
$10.00
$134.58
$381.74
$190.09
$86.35
Paid amount
$1,097.80
$1,593.82
$5,1 1 5.00
$2,s19.70
$190.06
$3,611.72
$135.93
$1,620.8s
$22.82
$(62.63)
$10.00
$134.58
$381.74
$190.09
$86.35
$125.00
11t1t19
11t1t19
11t1t19
11t1t19
11t1t19
11t1t19
11t1119
11t1119
11t1t19
Printed: 11/1/19 1:20 pm
1.00 Qty
Page 2 of 3
201-00000428060-1 069 $12s.00
Fl N_TransactionReceipt_pr
Transaction Receipt
811-19-002189-DWL
Receipt number: 472863
Transaction date
11t1t19
11t1t19
Units
1.00 Ea
1.00 SqFt
1.00 Ea
'1 00 Ea
1.00 Automatic
1.00 Qty
2,525.00 SqFt
Fees Paid
1 1 t1t19
1 1 t1t19
11t1t19
11t1t19
11t1t19
Description
Curb cut and Sidewalk construction - multiple
permit discount
Sidewalk construction - permit, addtl sq ftg >
90 sq ft, per square foot
Plan Review - Major, City
Address assignment - each new or change
requested externally, per each
Technology Fee
Willamalane fees - Single Family Detached,
per unit
Fire SDC - New Res Construction Sq Ft fee -
enter sq ftg
Account code
201 -00000-428060-1 069
20'1 -00000-428060-1 069
1 00-00000-425002- 1 039
224-00000425602-0000
204-00000425605-0000
82 1 -00000-2 1 5023-0000
1 00-00000-424005-1 09 1
Fee amount
$(42.00)
$0.12
$251.00
$54.00
$233.63
$3,805.00
$151.50
Paid amount
$(42.00)
$0.1 2
$251.00
$s4.00
$233.63
$3,805.00
$151 .50
Payment Method:
Payment Method:
Credit card authorization
046099
Check number:42842
Payer: ANSLOW & DEGENEAULT INC
Payer: ANSLOW & DEGENEAULT INC
Payment Amount:
Payment Amount:
$9,500.00
$15,118.34
Cashier: Katrina Anderson Receipt Total:$24,618.34
Printed: 1 1/1/'19 I :20 pm Page 3 of 3 Fl N_TransactionReceipt_pr
;.el
Structural Fermit Application DEPARTMEIUT USE ONLY
pennitno.: fr_Mlffi
Date: Q )o tg
l}Gffi225 Fifth Street o Springfietd, OR97477 +pH(S4t)726-37s3 +FlX(541)726-368g
|,
,/
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I
suspended for 180 days.
80 days of or if work is
LOGAL GOVERNMENT APPROVAL
Ihis project has final land-use approvai,
Date:
This project has DEQ approval.
Date:
nmoZonngverified: E y"t
nNoPropefi is within flood plain: ! Yes
CATEGORY OF CONSTRUCTION
Residential I Govemment ! Commercial
BJO INSITE TIONFORMA NDA TIONLOCA
Job site address:
State: A
Subdivision:r4f K5 Lot no.
Reference:Tax]ot:
PERTY OWNER
n5l0w ?.0-kur{aul+Name:
qs',)Address:0rd n
4h e/Eu State: 0 KY 0o?o?hone:Fax:-&T o[r\tb
0ne5. cBsn
Building Oramer
Sign here:
this application:
or farm property owaed by
exempt from licensing
requirements under ORS 701.010.
and is
E rnit
me or a member ofmy
TIONGONTRACTOR
Business name:ns lDvv edu
Address:q
to
00
a
State:
Fax:
r:c0
ZP:
ab
E-mail:
CCB license
Print narne:0n E
Signahre:
Name CCB License #Phone Number
UTYWIVLLWC.
Electrical
-7D44 0g 5 ult.'Ltl aar
Plumbing
C4 K TL%A lb'+o ls wb-'7 utt
lVlarshatl'J Heatr
Mechanical
?,svlo v Ll7 .Ir{,{1
FEE SCHEDULE
1. Valuation information
(.(a) Job description:
R-rOccupancy
Construction type:r{
Square feet:,
Cost per square foot:.4l/
Other information:
Type ofEeat:NlL 7D AUr t4,ekT
Energy Path:&
new [alteration f] addition
@) Foundation-only perrnit? ! yes No
Total valuation:$
2.8 fees
Permit fee (use valuation $
ve fee (equal to(b)
$
(c) Reinspectio_n ($ per hour):
(number ofhours x fee irer hour)$
Enter 72%o (.12 x[2a+2b+2c]):
(e) Subtotal offees above 2d):$
3. PIan review fees
$
Fire and life safeiy (40%x fee s
(c) Subtotal offees above (3a and 3b):
Seismic fee, 1% (.01 x fee [2a]):
(b) Technology fee,5%o 05 x permit fee[2a]):$
(c) Continuing Education Fee 92.50 s2.50
TOTAL fees and surcharges (2e*3 c+4a+4b+4c):s
du_ Busa_ _.Tr_s
Ql.rt.w
ffirs
uu,@' z3L
5 & urvr
!
(),.<-t HFf"t*r**,
4" w: )4/.'bt*t'
Ctnr or-]O,RBGQN
ciV: $Drlnql@ zw:A*VT
zD: q'+ql'i
E-mail: In{P 0t A d
city: Etlcl(,hg
Sue-coM
$
(2a
(a) Plan revier# (65% x permir fee [2a]):
[2a)):
4.
$
fees
Electrieal Fermit A Ileatlon
225 Fifth Streetl Springfi eld, OR 97 477 0PH(54L)726-31 53 |F lX(541)726-3689
RNMENT APPROVALI-OCAL GOVE
Zortrgapproval verified? n Yes n No
CATE GORY OF roN
D Residential n Government fl Commercial
JOB:SITE I RTVIATION AND LOCATION
Job site address: 8'11 Lrl ftU€ tf .
Gity: 9fnuee@n State: OA ZP: 1'1111
Reference: Uof '7j oSltWY tH\R Taxlot.:
DESCRIPTION OF.WORK
tr6t.r 5w *rc11jtow
PROPERTY OWNER
Name: N.rS wa 4 il,rarlUhrLr-r I c,
Address: l'lri CnrA
city: A) (tqlM State: OL zrc:17vo9
phone:Slt ,461 aoTO Fax:
E-mail: COAOsfrt e kOWq,A S .@ ttl.
This installatioo is lsing made on residential or farm properly
owned by me or amember of my immediate family' This
propertyis not intended for sale, exchange, lease, or rent. OAR
4t i.s+o 1t1 afi 47 9.560 (1).
Signature
CONTRACTOR INSTALLATI ONI
Busi:ress name: (-il((l $tfi€ AEAM C
Address: fO O ot 1tl6t
cW:5tf,ttiG?t84 State: 0A ZW 't tl'l5
Phone:s.tl_ L,l-l LLG,Fax:
E-mail:
CCB license ,o.. 401- OO o BCDlicens-eno.: Clool
_. t.
Sign:ng supervrsor's rcense no.S+zs s
Print name of ,lr,
Signature of siguing supervisor:
D EPARTftJi ENT I.,ISE OI{LY
Permitno.: 19-fnAtSl
oate:4la-l n
DUI-EEEE CAIJEt LL gvt rL
Number of inspectibns pei item ( )4ry.Cost
ea.
Total
cost
Residential, per unit, service included
i,000 sq. ft. oriess (4)$171 .oo $
Each additional 500 sq. ft. orportion
thereof $ 33.00 o
.D
Limited energy (2)$ 41.00 $
Each manufactured home or modular
dwelling service or feeder (2)$ et.oo $
Services or feeders : installati on, alterati on, rel oc ation
200 amps or less (2)$ 103.00 $
201to 400 amps (2)$120.oo oo
40i to 600 amps (2)S203.oo $
601 to 1,000 amps (2)$261.00 '$
Over 1,000 amps or volts (2)$sgg.oo $
Recon:rect oniy (2)$ 81.oo oo
Temp orary services or feeders : ins tall a ti otr. alter ation, r e I o c ati on
200 amps or less (2)$ 81.00 $
201 to 400 amps (2)$ 111.00 $
401 to 600 amps (2)$162.00 $
Over 600 amps or 1,000 volts, see seryices or feeders section above
Branch circuitst new, alteration, extensionper panel
a- Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ z.oo $
b. Fee for branch circuits without purchase of a seryice or feeder feei
First braoch circuit (2)$ 81.00 $
Each additionai branch circuit $ 7.oo $
Miscellaneous fe*: service orfeeder not included
Each pump or irrigation circle (2)$ st.oo e
Each sign or outline iighting (2)$ ss.oo $
Signal circuit or a limited-energy paneI,
alteratioa, or extension (2)$ sa.oo $
Each additional insPection: (1)$s3.oo $
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $93.00)
$
@) Enter 1 ?Yo stxcharge (. 12 x [A])s
(C) Technology Fee (5% of [A])$
p)Contiauing Education Fee $2.50 $2.s0
TOTAL fees and surcharges (A through D):$
This permit is issued under OAR 918-309-0000. Permits are nontransferable, Permits expire if work is not started within 180
days of issuance or if work is suspentled for 180 days.
Last eclitecl 5-5-5-2017 BJones
JOI]RNAL OR JOB NIIMBER:
NAME OR COMPANY:
I,OCATION:
TAX LOTNUMBER:
DEVET,OPMENT TYPE:
NEW DWELLING LINITS
IMPERVIOUS AREA
DIRECT RI.JNOFF TO CITY STORM SYSTEM
A. REIMBURSEMENTCOST
IMPERVIOUS S.F.
3647.18
B. IMPROVEMENT COSTt-ffiffi
I ro+z.ts
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's
30
B. IMPROVEMENT COST:
NUMBER OF DFU'S
30
COST PER S.F.
$0.301
COST PER S.F.
s0.437
COST PER DFU
$170.50
COST PER DFU
$83.99
NUMBEROFUNITS
I
NUMBEROFUNITS
I
COST PER FEU
$ l 3s.93
COST PER FEU
$1,620.85
COST PER FEU
$22.82
ADM. FEE RATE
s%
AREA DRAINING TO
DRYWELL
n
$2,691.62
COST PER TRIP
l 9.86
COST PER TRIP
$377.40
$3,E01.78
$1,726.97
CHARGE
$792.76
CIIARGE
$1,097.80
CHARGE
$1,593.82
NEW TRIPFACTOR
1.00
NEW TzuP FACTOR
1.00
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
t9-002189-DWL
ANSI,OW DEGENAULT
893 LUPINE ST
1703342 l 1 1000
x
x
x
x
x
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
xx
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
C. COMPLIANCE COST:
x
x
x
NUMBER OF FEU'S
I
MWMC CREDIT IFAPPUCABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
SLtsTOTAL (ADD ITEMS r,2,3, & 4)
5. ADMINISTRATI\TE FEE:
SUBTOTAL
$ l 5.855.07
TOTAL STORM ADMINISTRATION FEE
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL MWMC ADMINISTRATION FEE. TOCAL
0
634,70
Residence
6098I
$190.06
l.
s22.82
74
$r90.09
$r6,647.83
l09l
1092
1093
1094
1054
1056
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E)F0
E)I
0'19
077
078
E55.07
PREPARED BY DATE
TOTAL SDC CHARGES
x
CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
FOR CAI'UTATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
TINIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
lsa toa unit set at
MWMC CRBDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTT]RE
UNITS
0
1979
*EDU
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
IS LAND 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
CREDIT FOR LAND (IF APPLICABLE)
VALUE/ IOOO
$11.84
CREDIT RATE
$s.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.s9
$1.4s
$1.25
$1.09
$0.92
$o.tz
$0.48
$0.28
$0.09
$0.05
BATHTUB 1 0 3 3
DRINKING FOTINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH i ETC.0 0 6 0
LATINDRY TUB 1 0 2 2
CLOTHESWASHER i MOP STNK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWER, SINGLE STALL 2 0 2 4
0 0 0SHOWER, GANG (NUMBER OF HEADS)2
SINK: COMM ERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 3
0URINAL, STALL/ WALL 0 0 5
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 3 0 3 9
30
YEAR
ANNEXED ASSESSED VALUE
1,000
BEFORE 1979
1979
1980
l98l
1982
l 983
1984
' 1985
I 986
I 987
1988
1989
1990
t99l
1992 63
1993
t994
1995
t996
t997
1998
1999
2000
2001
DRAINAGE FIXTURE UNIT
I
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nOonrSS, B9A Lr-rprste. Sr Plon Review Checklist
MAP & TAXTOT ' l? -O3 - 3,+ - 2-r - lltlOO
PERMIT # 19 - Oo 2\69 - h^ll-
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Enter data into project log
Check address on plans is correct
Check to see if LDAP has been issued. LDAP Permit
Read allcomments from otherworkgroupsto see ifanythint needs to be considered during structu ra l review. ht &h-t.'t.
Check Setback on Site Plan
Check RLID to make sure taxlot matches what is shown on drawings, that topo8raphy lines are on the plans and that owner info matches
check to see if lot is sloped orflat - lfsloped, will back deck meet setbacks
lf a new home is being built at Mountaintate or River Heights, aheck 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 |to ttrurc 3
lfproperty is on septic, check for proper setback from building to tank, distribution box, and leach field
Make sure that property is not in Flood Hazard A affected property according to Mapsprin8 (if it is we need 3 engineers surveys)}Li !i. tr-o66 ?.^rlt
Check that everything required to be engineered has engineering and that the stamp is current
Check the tiuss package and make sure it matches the plans (qty oftrusses, type, attachements) - lf the numbering doesn't
*match but the uplift and reactions look corred it i5 OK. Falls under field veriry
*llake sure that ifthere is HVAC equipment in the anic, the ftusses were designed to support it
lf rafterframinE, check spans
checkto see ifanything over 4000lbs is bearin8 down on strip footings. lfso this needs to be enlarged.
Check Hold Downs, highllght hold downs forthe inspector
Check FoundationVenting
check for propane tanks; lookfor setbackt siesmic attachments, and protection ofthe tank.
Make notes on plans with stepped foundations how far back they need to be from the edge ofthe cut and the uphillcut.
check headersizes
Check footing sizes
ake sure that if re
,'rJ' .; c .that it has
.: ,j,\ ..j'-. : i ".J-.4nimLm cover depths. Frrr-.b r.3G.c.T.} ' "'.!i t,r\
bar is used mi
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Check energy code requirements
*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 N1101.3 & table N1101.2
Checktemperedglazing(hazardouslocations,windowsinstairwell,within24"_of{9or,.qtc) . :,... .r I: ri,
Check bedrooms for egress (window sizes, make sure that garage ddo'ri6 trduid dtesn't go into bedrooms)B - r - j,.
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Check to see if there is a living a rea a bove the ga rate, if so, ma ke note of 5/8" type x gyp board fire sep6 ration req uirement. Z-r !}.r4rt L-yc
Check for mechanical equipment protection (b:lhl1l.," rl" 11.r".:"t.r,.:rcs6/,.rr..d:.lbl.rr.^L grrr?.rerrrfff;'N(Offi: pr({
lf DETACHED Eara8e is being built less than 3ft to existing structure it needs to have 1/2 gyp board on the interior walls
lf Gara8e is elevated, make sure columns supporting underfloor ofgara8e are continous to footing {make note on plans)
check fire/sound separation assembly on 2 family dwellings
Check for smoke alarms/Carbon Monoxide alarms (look on electrcial sheets ifthere aren't any shown on floor plan)
check wa ll bracing c....rff.^E> o.3rlt6,{ By *-- -r-jr},l
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 underflooraccess on plans
check beam sizes
Read over al, the teneral notes to make certain that nothint was missed and there are no conflicts
lE newSFD orADU, make sure that witlamalane form is attached.
Transfer all notes made by other work groups until there are two identical sets of plans fiobsite and city set)
lnclude standard a$achments :
Exterior Wa ll Envelope Self-Certification Form
Moisture Content Acknowledgement Form
High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC)
Noise Ordinance Notice
Smoke Alarm
Ventilation Requirements for Kitchens and Bathrooms
Green Approved Plans Cover Sheet (Found under "Cover" in file cabinet)
on all new square footage, that a Fire SDC is charged.
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.
Check off Project Log and enter today's date.
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Make sure at
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