HomeMy WebLinkAboutPermit Building 2019-11-13OREGON
Web Address: www.springfield-or.gov
Building Permit
Residential 1 & 2 Fam Dwelling (New Only)
Permit Number: 81 1-19-OO1738-DWL
IVR Number: 811028892190
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
547-726-3753
Email Address : permitcenter@springfield-or. gov
SPRINGTIELD
,b
Permit Issued: November L3,2Ol9
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $94,049.28
Description of Work: ADU - Detached Single Family House
Type of Work: New
Parcel
1703352409900
Owner
Address:
OLGUIN TIMOTHY S &
BETTY GORACKE
407 C ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL IN FORMATION
Business Name
PAULHREA-Primary
License
CCB
License Number
L27t73
Phone
541-554- 1352
PENDING INSPECTIONS
Permits expire if work is not started withln 180 Days of issuance or if work is suspended for 18O Days or longer depending on
the issuing agency's polacy,
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 construction.
ATTENTION: Oregon law requires you to follow rul€s adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-OO1O through OAR 952-0O1-OO9O. You may obtain copies of the rules by calling the Center at (5O3)
232-L947.
All p€rsons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.O1O-O20 (Plumbing).
Printed onr t1/73179 page 1 of 5 C:\myReports/reports//production/01 STANDARD
JOB SITE INFORMATION
Worksite Address
355 D ST
Springfield, OR 97477
Permit Number: 81 1-19-OO 1738-DWL
Inspection
2999 Final Mechanical
3999 Final Plumbing
4999 Final Electrical
9508 Sidewalk
9512 Encroachment
6300 On-site Stormwater Facility
6301 On-site Stormwater Facility-Dig Out/Piping
6302 On-Site Stormwater Facility-Soil and
Plantings
5303 Final On-Site Stormwater Facility
1220 Undefloor Framing/Post and Beam
1999 Final Building
3400 Storm Sewer
4220 Electrical Service
1530 Exterior Shearwall
1260 Framing
2300 Rough Mechanical
3170 Underfloor Plumbing
4500 Rough Electrical
lO2O ZoninglSetbacks
1090 Street Trees
1110 Footing
1120 Foundation
1160 UFER Ground
1410 Undefloor Insulation
1430 Insulation Wall
1440 Insulation Ceiling
2200 Undefloor Mechanical
3 130 Footing/Foundation Dra ins
3200 Sanitary Sewer
3300 Water Service
3500 Rough Plumbing
Page 2 of 5
Inspection Group
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
Public Works
Public Works
Public Works
Public Works
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
Inspection 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
Printed on: tflf3lL9 Page 2 of 5 C: \myReports/reports//prcduction/01 STANDARD
SCHEDULING INSPECTIONS
Permit Number: 81 1-19-O01738-DWL
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: 811028892190
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Printed on: llll3ll9 Page 3 of 5 C :\myReports/reports//production/0 1 STANDARD
Page 3 of 5
Permit Number: 81 1-19-OO 1738-DWL Page 4 of 5
Fee Description
Residential wiring
Technology Fee
Balance of minimum permit fees - mechanical
Clothes dryer exhaust
Range hood/other kitchen equipment
Ventilation fan connected to single duct
Plan Review - Minor, City
Single Family Residence - Baths
Address assignment - each new or change requested externally, per each
SDC: Total MWMC Administration Fee - Local
SDC: Administrative Fee - MWMC Regional Wastewater SDC
SDC: Total Transportation Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Storm Administration Fee
SDC: Reimbursement Cost - Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost - Local Wastewater
SDC: Reimbursement - Transportation SDC
SDC: Improvement - Transportation SDC
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC
SDC: Improvement Cost - MWMC Regional Wastewater SDC
SDC: Compliance Cost - MWMC Regional Wastewater SDC
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural plan review fee
Structural building permit fee
Willamalane fees - Accessory Dwelling Unit, per unit
State of Oregon Surcharge - Bldg (l2o/o of applicable fees)
State of Oregon Surcharge - Mech (L2o/o of applicable fees)
State of Oregon Surcharge - Elec (12olo of applicable fees)
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Encroachment permit
Sidewalk construction - permit, first 90 linear feet
Quantity
768
1
1
1
1
1
1
89.48
10
190.09
165.42
29.45
240.2
348.73
2216.5
1091.87
190.06
36tL.72
135.93
1620.85
22.82
768
Total Fees:
Fee Amount
$ 186.00
$142.t4
$s7.00
$ 13.00
$ 19.00
$13.00
$ 14 1.00
$333.00
$s4.00
$89.48
$10.00
$190.09
$ 165.42
$29.4s
$240.20
$348.73
$2,2L6.50
$ 1,091.87
$ 190.06
$3,6tt.72
$135.93
$1,620.85
$22.82
$46.08
$613.31
$943. ss
$1,902.50
$113.23
$t2.24
$22.32
$39.96
$345.00
$ 125.00
$15,084.45
1
1
1
Printed on: 11/13/19 Page 4 of 5 C | \myReports/reports//production/0 1 STAN DA RD
PERMIT FEES
VALUATION INFORMATTON
Permit Number: 81 1-19-001738-DWL
Construction Type Occupancy Type
VB R-3 1&2family
Printed oni rr/13/19
Unit Amount
768.00
Unit Unit Cost
Sq Ft $122.46
Total Job Value:
Page 5 of 5
Job Value
$94,O49.28
$94,049.28
C :\myReports/reports//production/0 1 STAN DARDPage 5 of 5
SPRINGFIELD
{t'
Transaction Receipt
81 1 -{ 9-001738-DWL
Receipt Number: 472974
Receipt Date: 11/13/{9
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfield-or. govOREGON
www. springfi eld-or. gov
Worksite address: 355 D ST, Springfield, OR97477
Parcel: 1703352409900
Transaction date
11t13119
11t13t19
11t13t19
11t13t19
11t13119
11t13t19
11113t19
11t13t19
11t13119
11t',t3t19
11t13119
11t13t19
11t13t19
11t13t19
Units
't.00 Ea
768.00 SqFt
1.00 Qty
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Automatic
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Ea
Fees Paid
Description
Structural building permit fee
Residential wiring
Single Family Residence - Baths
Range hood/other kitchen equipment
Ventilation fan connected to single duct
Clothes dryer exhaust
Balance of minimum permit fees - mechanical
State of Oregon Surcharge - Elec (12o/o of
applicable fees)
State of Oregon Surcharge - Mech (12o/o of
applicable fees)
State of Oregon Surcharge - Plumb (12% of
applicable fees)
State of Oregon Surcharge - Bldg (12% ot
applicable fees)
Encroachment permit
Sidewalk construction - permit, first 90 linear
feet
Account code
224-00000425602-1 030
224 -00000-426 1 02- 1 033
224-00000-425603- I 034
224-00000425604- 1 03 '1
224-00000-425604-1 03 1
224 -00000-42s604- 1 03 1
224-00000-425604-1 03 1
821 -00000-21 5004-0000
82 1 -00000-2 1 5004-0000
82 1 -00000-2 1 5004-0000
82 1 -00000-2 1 5004-0000
201 -00000428060-1 069
201 -00000-428060- 1 069
Fee amount
$943.5s
$186.00
$333.00
$19.00
$13.00
$13.00
$57.00
$22.32
Paid amount
$943.55
$186.00
$333.00
$19.00
$13.00
$13.00
$57.00
$22.32
$12.24
$39.96
$113.23
$34s.00
$125.00
$141.00
Fl N_Tra nsaclion Receipt_pr
$12.24
$39.96
$113.23
$345.00
$125.00
Printed: 11/13/19 10:27 am
1.00 Ea Plan Review - Minor, City
Page 1 ol 2
1 00-00000425002-1 039 $141.00
Transaction Receipt
81 I -t 9-001738-DWL
Receipt number: 472974
Transaction date
11t13t19
11t13119
11t13t19
11t13t19
Units
1.00 Qty
768.00 SqFt
1.00 Ea
1.00 Automatic Technology Fee
Description
Willamalane fees - Accessory Dwelling Unit,
per unit
Fire SDC - New Res Construction Sq Ft fee -
enter sq ftg
Address assignment - each new or change
requested externally, per each
Account code
82 1 -00000-2 1 5023-0000
I 00-00000-424005- 1 09 1
224 -00000-425602-0000
1 00-00000-425605-0000
Fees Paid
Fee amount
$1,902.50
$46.08
$54.00
$142.14
Paid amount
$1,902.50
$46.08
$54.00
$142.14
Payment Method:Credit card authorization:
213162
Payer: OLGUIN TIMOTHY S & BETTY GO Payment Amount:$4,508.02
Cashier: Chris Carpenter Receipt Total:$4,508.02
Printed: '11l13/'19 10:27 am Page 2 of 2 Fl N_TransactionReceipt_pr
SPRINGFIETD
{&
Transaction Receipt
811-19-001738-DWL
Receipt Number: 472259
Receipt Date: 9/3/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
permitcenter@springfield-or.gov
OREGON
www. sp ri n g fi eld -or. g ov
Worksite address: 355 D ST, Springfield, OR97477
Parcel: 1 703352409900
Transaction date Units
913119 240.20 Amount
913119 348.73 Amount
913119 2,216.50 Amount
9/3/19 1,091.87 Amount
913119 190.06 Amount
9/3/19 3,611.72 Amount
913119 29.45 Amount
9/3/19 165.42 Amount
913119 190.09 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 - Transpo(ation SDC
SDC: lmprovement - Transportation SDC
SDC: Total Storm Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
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 -00000-448 027-8800
7 1 9-00000-426604-8800
7 1 9-00000-426604-8800
719-00000426604-8800
Fee amount
$240.20
$348.73
$2,216.50
$1,091.87
$190.06
$3,611.72
$29.45
$16s.42
$190.09
Paid amount
$240.20
$348.73
$2,216.50
$1,091.87
$190.06
$3,61 1.72
$29.45
$165.42
$190.09
Payment Method: Fee Waiver Payer: City of Springfield
Transaction Comment: Fee waived per city council action on SDC's for ADU's
Fee Waived Amount:$8,084.04
Cashier: Katrina Anderson Receipt Total:$8,084.04
Printed: 9/3/19 10:06 am Page 1 of 1 Fl N_TransactionReceipt_pr
h.c-
SPRINGFIELD
#
Transaction Receipt
8{1-19-001738-DWL
Receipt Number: 472260
Receipt Date: 9/3/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@spri n gf ield-or. gov
OREGON
www. springfi eld-or. gov
Worksite address: 355 D ST, Springfield, OR97477
Parcel: 1 703352409900
Fees Paid
Transaction date
9t3t19
Units
135 93 Amount
Account code
433-00000*448024-88'1 0
433-00000-448025-88 1 0
433-00000-426607-88'l 0
6't 1 -00000-426604-8800
7 1 9-00000-426604-8800
Fee amount
$135.93
$1,620.85
$22.82
$10.00
$89.48
9t3119 1,620.85 Amount
9t3t19 22.82 Amount
9/3/1 I '10.00 Amount
9t3t19 89.48 Amount
Description
SDC: Reimbursement Cost - MWMC
Regional Wastewater SDC
SDC: lmprovement Cost - MWMC Regional
Wastewater SDC
SDC: Compliance Cost - MWMC Regional
Wastewater SDC
SDC: Administrative Fee - MWMC Regional
Wastewater SDC
SDC: Total MWMC Administration Fee -
Local
Paid amount
$135.93
$1,620.85
$22.82
$10.00
$89.48
Payment Method: Internal transfer from:
61 2-07500-'t 056-6501 52
Payer: M\&MC Payment Amount:$1,879.08
Transaction Comment: MWMC fees paid for as aoproved bv commission for ADU's
Cashier: Katrina Anderson Receipt Total:$1,879.08
Printed: 9/3/19 10:16 am Page 1 of 1 Fl N_Tra nsaction Receipt_Pr
[r.,r-
Crrv or SpnnqcFIELD, oREGoN
Structural Permit Application
225 Fifth Sreet. Springfield, OR 97477 .PH(541)726-3753 . FAX(541)726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within lEO days of issuance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature:Date:
This project has DEQ approval.
Signature:Date:
Zoningapproval verified: E Yes n No
Properry is within flood plain: n Yes E No
CATEGORY OF CONSTRUCTION
VResidential ! Govemment ! Cornmercial
JOB SITE INFORMATION AND LOCATION
Job site address:
"
S S. D S-
11 State: I I zrP9'7'l'
Subdivision Lot no.: l'lO 3 j5l'
Reference:Taxlot: O99OE
PROPERTY OWNER
Name:
Address:
State: 0R ztY:Ql\
Phone: tqqlYql'l-7Sk1 Fax:
E-mail:
Building Owner or agent this
Sign here:
$rrri, installation is beinffide on r"rid.,#u]il6rm property owned
by me or a member of my immediate family, and is exempt from
licensing requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name:
Address:
fizua
Phone:4// qV/ l7f 2-Fax:
E-mail
CCB license no.
Print name:
Signature:
SUB.CONTRACTOR INFORMATION
Name CCB License #Phone
Electrical
ll"b.b, v< EU*nc l817sY sYt-szo^
Plumbing
l0tl Tatrr ?i"r,J;,rLtC at65oo Svt" 65Y'
ffi
w
wf
,Lb
\w Lit aK do )oJre-all h^
?eeL Pslle,n g..".- '6etAsnfu-ry
DEPARTMENT USE ONLY
permit",, l+i1j| 0)
oate, I l/fl tq
&tl -6yt-ttrcMechanical NqfT.a\ga 6s1e
>Yl'52c-a9r
FEE SCHEDULE
1. Valuation information
(a) Job description:Y4 u.
B3Occupancy
Construction type: 5 n
Square feet:'7 bB
Cost per square foot:
Other information
rype of Heat: C ".al et - f,L"*r;c
Enersr Path: lF [, . D : tTlc<]nc ]lzt
new lalteration E addition
(b) Foundation-only permit? ! Yes
s*I{rOfTotal valuation:
2. Building fees
$(a) Permit fee (use valuation table):
$(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ perhour):
(number ofhours x fee per hour)$
(d) Enter l2olo surcharge (.12 xl2a+2b+2cl):$
(e) Subtotal offees above (2a through 2d):$
3. Plan review fees
(a) Plan review (65% x permit fee [2a]):s(blJ. :
(b) Fire and life safety (65% x permit fee [2a])$
(c) Subtotal offees above (3a and 3b):$
4. Miscellaneous fees
(a) Seismic fee, lo/o (.01 x permit fee [2a]):$
(b) Tech fen,5oh (.05 x permit fee[2a]+PR fee [3c])$
$I'OTAL fees and surcharges (2e+3c+4a+b):
Last edited 5-5-2019 BJones
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Electrical Permit tion
ZLi trlfthStroetO 6rhgftel4 OR 97 477 . PH(S 4t)f,7,6-S?s3. IAX(s{r)?2G36 s9
page 3
GFhIMGFIE.II
L
Thtc pernit h lrrued under OAR 918d09-0000. Permltc sre noxtransfcrable. Perrrits expire lf worl ls not rtsrted rvithln lEOilayr of fusuance or lf work ls ruspendcd for 180 dayr.
Zoulng approval verilied?DYes Euo
E Residential Governnent ECommercial
JOB ITE
Job site address:
CitySfstr.=.-r lEr=s Stab:aq ZI:9a4V
Taxlot.:6lq-.,'....,
EUe+r=-f.r U*ts'(LvL ElstL }-rl=r- r
Naue: -ftr-l Olar_rrr.r
Adalrcss: ZIO? (- (S<fl=e-r
Stste:ZP:
Fax:
E-mril:Aurrl @-Ya.r,rcro ^ rcl^{
Tbis iaeiallation is being rnade on residentiat or farm propcrty
owned by me or a member of my iumediato family. Thii
pppgrfy is aot intended for sale, exchange, leasq or renr. OAR
4?9.540(l) End 479.s60(l), -
Signature:
BUsitress name: f=o,E,tlrstS E. EFltLId
Address;354Sc= lar.re. r\ Vlls=,a
City: Ce=gart=r r Stab: 442 Z)P:g24qr
Phonq54l-Sl0 -*t-7 FaxSYl ft$ )44
E-trleitl:. t ro 6ins L@
CCB liee.nse no; lgll gS BCDiicerse m; CSTT
Signiog supcrvisor's license no.: S-a.9S-s
Printname of ,l ,u3
Signature of signiug supcrvisorr f v
DEPARTMENT USE ONLY
lemit no-: tA -/'r,.r\n a* - Sr
l.': 1r.1..j :r'. I .-.-:---=......T
Nnmbcrgf fnsp,gctlonq fep ltem ( )Qtv,
:Coit
,. e+
Ruidentirl, per unit rervtce lnch.tdcd:
1,000 sq. ft, or less (4)s186.00 $
Each rdditional 500 eq. ft, or portion
thereof $36.00 $
Umitcd anergy (2)$44,00 $
Eac,hmanufactured homo or modular
dwelling service orfteder (2)$E9.00 $
Scrviccr or feedcrsl installotio4 alterollon, relocatbn
200 amps or lesr @)$112.00 $
201 to 400 arnps (2)$131.00 $
401 to 600 amps (2)$221.00 $
601 to 1,000 amps (2)$185.00 $
Over 1,000 rnps or volts (2)s654.00 $
Reconnect onty(2)089.00 $
Temporrry seryicer or feederc: inslallatiott aheratiott, relocarion
200 amps or less (2)$t9.00 $
201 to 400 amps (2)$1i22,00 $
401 to 600 amps (2)$177.00 $
Over 600 sEps or 1,000 vo)ts, see s€rvio€s or fcodefis seolion above
Brruetr clrcults: neV allemtion, d,tension per.panel
a. Fee br braoch circuita with purdrsse of a servjoe or feodcr fee:
Eaclr brauch circuit 08.00 $
b. Fee firrtranch circuits without purchase of s seffice or ferder f€e:
Firrst branctr circuit (2)$89.00 $
Bactr additional branclr sircuit 0t;00 $
Mirceilaneou.r fcasz servlce or feder not included
Each pump orinigrtion circlo (2)$[9.00 $
Eaoh sign or oufline lig[rting (2)$l02IXr t
Signal cirofl or a limibd-eaergy panal,
altemlion, or extension (2)$ro2,oo $
Each additionel inrpectlonl (l)s102.00
(A) Entermbtotal of above fees
(Mtnimum Pcrmlt f'ee 9102.00)$
(B) Bnter 12% curchargc (,12 x [A])
(Q Technolory Pee (5% of [A])$
TOTAL fees and surcharges (A tfuough D):$
Last eitiu d TU20I I BJoles
;': i. .L@CAl_:Gr
Stt,sna
I UN
Date:
$
$
JOI]RNAL OR JOB NfIMBER:
NAME OR COMPANY:
I.OCATION:
TAX T,OTNUMBER:
DEVEI.OPMENT TYPE:
NEW DWELLING I,JMTS
IMPERVIOUS AREA
DIRECT RLTNOFF TO CITY STORM SYSTEM
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
19-001738-DWL
TIM OI-GUIN
355 D ST
17033s2409900
Residence
A. REIMBURSEMENTCOST
l- rMPERVrous sr.
II 79R 00
B. IMPROVENIENTCOSTlffiffiou'ss-F.
| 79s.oo
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
NTIMBER OF DFU's
l3
B. IMPROVEMENT COST:
NUMBEROFDFU's
t3
COST PER S.F,
$0.301
COST PER S.F.
$0.437
COST PER DFU
s170.50
COST PER DFU
$83.99
NUMBEROFUNITS
I
NUMBEROFUNITS
I
COST PER FEU
$ 135.93
COST PER FEU
$ 1,620.85
ADM. FEE RATE
5o/o
AREA DRAINING TO
DRYWELL
0
$588.92
COST PER TRIP
19.86
COST PER TzuP
$377.40
$3,801.78
$9,488.67
CHARGE
$474.44
CHARGE
$240.20
CHARGE
$348.73
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
x
x
ITEM 2 TOTAL. CITY SANTTARY Sf,WER SDC
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
x
x
x
x
x
xx
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
xx
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
NUMBEROFFEU's
I
B. IMPROVEMENT COST:
NUMBEROFFEU's
I
x
x
x
C. COMPLIANCE COST:
MWMC CREDIT ]F (SEE
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL- MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL
$9,488.67
TOTAL STORM ADMINISTRATION FEE
TOTAL SEWER ADMIMSTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL MWMC ADMINISTRATION FEE - I,OCAL
0
SIZE 768 LOT SIZE 6028I
$240.20
$135.93
$22.82
$r0.00
$89.48
$9,963.1 I
l 070
l09l
1092
1093
1094
1055
l 056
a
g..l
O
ElFa
E]
NUMBEROFFEU's
I
COST PER FEU
(,, R'
,789.60
PREPARED BY Steven PeIETSEN DATE 8n9t2019
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = DRAINAGE FXTURE UNITS
FOR CAI-CUI-ATE ONLY TTM NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBEROF EDU'S
TOTAL DRATNAGE FIXTURE UNITS
lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
LINITS
0
2
1979
*EDU
$s.29
$s.19
$s.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 APPLIC
2
VALUE / IOOO
$0.00
CREDITRATE
$s.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1OOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.5e
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 1 0 3 3
DRINKING FOI"INTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS i ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 1 0 3 3
CLOTHESWASHER- 3 ORMORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG i WATER STATION i ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER. GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORYiRESIDENTIAL BAR 1 0 1 1
URINAL. STALL/WALL 00 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 1 0 3 3
l3
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
r 986
1987
l 988
l 989
1990
l99l
1992
1993
1994
1995
1996
1997
I 998
1999
2000
2001
D^yLY
D.[rr#t = l|.,lcLb
XY
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SPRINGFIELD
'b
Transaction Receipt
8fi-19-001738-DWL
Receipt Number:471838
Receipt Date: 7/29/19
Ci$ of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
permitcenter@sprin gfi eld-or, govOREGON
www. springfield-or. gov
Worksite address: 355 D ST, Springfield, ORS7477
Parcel:'l 703352409900
Fees Paid
Transaction date
7t29t19
Unlts
'1.00 Ea
Description
Structural plan review fee
Account code
224-00000425602-1 030
Fee amount
$613.31
Paid amount
$613.31
Payment Method Credit card authorization
819281
Payer: Timothy S Olguin Payment Amount:s613.31
Cashier: Toste Muniz Receipt Total:$61s.3t
Printed: 7/29/19 4:19 pm Page 1 of 1 FIN_TransactionReceipt_pr
t [ -r-
Plon Review Checklisf
,tlAP & TAxror ! t1-6i-35 -24-- o3erc
PERMIT *: \3 - (h l?R, A - SLAL-
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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 # t5 - 60c>\ C-A - Fr^)
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 o,@ lf 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 rlo
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) xto
Check that eyerything 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, ctteck spans
Check to see if anything over 4000lbs is bearing down on strip footings. lf so this needs to be enlarged.
Check Hold Downs, highlight hold downs for the inspector
Check Foundation Venting
Check for propane tanks; look for setbacks, siesmic attachments, and protection of the tank.
Make notes on plans with stepped foundations how far back they need to be from the edge of the cut and the uphill cut.
Check header sizes
Check footing sizes
Make sure that if rebar is used that it has minimum cover depths. pl6ra \ 16r 9:\C.
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
Check tempered glazing (hazardous locations, windows in stairwell, within 24" of door, etc) xr. n rilrsatrr lttS
Check bedrooms for egress (window sizes, make sure that garage door to house doesn't go into bedrooms)
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ADDRESS,3SS D S(.
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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
Checkformechanicalequipmentprotection (bollards)inthegarag ;.., ,.i..,r. r. .
lf DETACHED garage is being built less than 3ft to existing structure it needs to have t/2 CVp bbard oir the intbrior walls
lf Garage is elevated, make sure columns supporting underfloor of garage 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 if |herearen't any shown on floor plan)
Check wall bracing
Check minimum room size
Make sure that minimum bathroom fixture distances are met
Chec
Chec
k to make sure stairs meet code
k roofing materialpmp"rffi"ryt Spanish tile, metal, etc.)
k for attic access arfoThtl6-fflo6at;aess on plans
k beam sizesec
Read over all the general notes to make certain that nothing was missed and there are no conflicts
lF new SFD oiIAD''UImake 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 :
Exterio r Wa I I E nvelope Self-Certificatio n 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)
Make sure that 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 dde 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.
t t--1 .
r
:KxIIIIII
Plan check items/notes
?
G
SMITH Thayne
From:
Sent:
To:
Subject:
Tim Olguin <tim_olguin@yahoo.com >
Thursday, August 29,20L9 L:45 PM
SMITH Thayne
Fw: Window Changes on Plans for 422 & 436 4th St, 355 D St
----- Forwarded Message -----
From: Tim Olguin <tim olquin@yahoo.com>
To: SMITH Thayne <tsmith@sprinsfield-or.qov>
Sent: Thursday, August 29,2019, 1:03:12 PM PDT
Subject: Window Changes on Plans for 422 & 436 4th St, 355 D St
Thayne,
I approve the following changes to the windows on the plans
Bedroom #1= 21049
Bedroom#2= 21049
Living Rm= 2-21049 (two double hung)
Kitchen= 3635
UtilitY= 3635
Tim Olguin
541-913-7883
1
Bulldlr,g Codre Dlrlaio.r
tll*.ltr" StullrlrrUti lr., ()l xU'jrr
Job Name: 436 4th St nn oR97477
2017 ORSC Additional Measure 6 Calculator
For demonstratino comoliance with Additional Measure 6 onlv.
lf any assembly does not meet Table N1101.1(1), Table N1104.1(1) must be us
compliance first.
Yellow fields require a value to be entered if field is applicable-
Use lhe drop down menu in fields with "SELECT ITEM"
lF field is aoolicable-
Permit #:
Standard Base Case
BUILDING COMPONENTS
Flat ceilings
Vaulted ceilings
Total area of ALL Wall Surfaces
85% of Total wall area
Windows=15o/o of Total wall area
Underfloor
Slab edge (enter linealfeet\
Skylights
Exterior Doors
Doors with >2.5ft2 glazing
Proposed Alternative
BUILDING COMPONENTS
Flat ceilings
Vaulted ceilings
Conventional wood-framed walls
Mixed or Ql[91 wall types
Underfloor
Slab edge & Underslab
Insulated Qoncrete Eorm Walls
TorALWlNDow. DooR AND SKyLIGHT finout on window. door and watttabs.t
Windows from Window Tab
Skylights from Skylight Tab
Exterior Doors from Door Tab
Doors with >2.5ft2 glazing
Sum
PASS or FAIL:
Building codes Division r Department of Consumer and Business Services o State of oregon1535 Edgewater st. NW, salem, oR 97304 o p.o. Box 144T0, salem, oR 97309-0404
Sum 132.14
117.24
Yes
784 0.021 16.46
0.033 0.00
906
770.1 0.059 45.44
135.9 0.300 40.77
784 0.033 25.87
0.520 0.00
0.500 0.00
1B 0.200 3.60
0.400 0.00
R49 Conventional Framinq 784 0.021 16.46
SELECT ITEM 0 0.000 0.00
R-21 lntermediate Framinq 843.54 0.059 49.77
SEE Walls Overall U-Factor Tab 0 0.000 0.00
R-30 784 0.033 25.87
SELECT ITEM 0 0.000 0.00
0 0.00
62.46 0.290 18.11
0 0.000 0.00
'18 0.390 7.02
0 0.000 0.00
PASS
503-373-0205 I Fax 503-378-2322 t bcd.oregon.qov €
:ii;$r' {"1 ',, (rlon
Window U-Factor
EXAMPLE
Window U-Factor
Window
Designation
Area of
Window(s)
U-Factor
of
Assembly
Window - 1 9.70 0.29
Window - 2 9.70 0.29
Window - 3 10.79 0.29
Window - 4 10.69 0.29
Window - 5 21.58 0.29
Window - 6
Window - 7
Window - B
Window - 9
Window - 10
Window - 11
Window - 12
Window - 13
Window - 14
Window - 15
Window - 16
Window - 17
Window - 1B
Window - 19
Window - 20
Window - 21
Window - 22
Window - 23
Window - 24
Window - 25
Window - 26
Window - 27
Window - 28
Window - 29
Window - 30
Square Feet
Average U-
Factor
Total:0.290
U-Factor
of
Assembly
Window
Designation
Area of
Window(s)
0.32Window - 1 25
Window - 2 20 0.30
Window - 3 15 0.35
30 0.32Window - 4
Window - 5 10 0.30
Window - 6 25 0.32
Window - 7 25 0.32
25 0.32Window - B
Window - 9
Window - 10
Window - 11
Window - 12
Window - 13
Window - 't4
Window - 15
Window - 16
Window - 17
Window - 1B
Window - 19
Window - 20
Window - 21
Window - 22
Window - 23
Window - 24
Window - 25
Window - 26
Window - 27
Window - 28
Window - 29
Window - 30
Square Feet
Average U-
Factor
Tota!0.319
lnstructions:
1. Enter area of window type in yellow area.
2. Enter U-Factor of window in yellow area.
3. Value in green cellwill be automatically entered into Table N1104.1(1) spreadsheet under
"Standard Base Case".
4. Value in blue cellwill be automatically entered into Table N1104.1(1) spreadsheet under
"Proposed Alternative".
Note 1:
Window that have the same U-Factor may be combined into one entry. For example two wood framed
windows, one 25ft2 and one of 30ft2, both having a U-Factor of 0.32 can be entered as one wall with a
combined area of 55ft2.
Doors without Glazing Doors with >2.5ft2 glazing
e Exterior Door U-Factor Exterior Door U-Factor
U-Ft
Ave
U-Fi
lnstructions:
1. Enter brief description of door construction in yellow area under "Construction".
2. Enter area of door type in yellow area under "Area of Door(s)".
3. Enter U-Factor of door in yellow area under "U-Factor".
4. Value in green cellwill be automatically entered into Table N1104.1(1) spreadsheet under
"Standard Base Case".
5. Value in blue cell will be automatically entered into Table N1104.1(11spreadsheet under
"Proposed Alternative".
Note 1:
Doors that have the same U-Factor may be combined into one entry. For example, two solid wood doors, one '
and one of 20t12, both having a U-Factor of 0.600 can be entered as one door with a combined area of 38ft2.
Note 2:
Slidins slass door and swinsins slass doors. includins slazed french doors with NFRC labels are
considered windows, not doors.
EXAMPLE 1
Doors without Glazing
Exterior Door
or EXAMPLE 2
Doors with >2.5ft2 glazing
Avera Exterior Door U-Factor
U-Fi
0.(
Q.t
Door
Designation Construction Area of
Door(s)U-Factor
Door Type - 1 Wood 1B 0,39
Door Tvoe - 2
Door Type - 3
Door Type - 4
Door Type - 5
Door Tvpe - 6
Door Type - 7
Door Type - 8
Door Tvoe - 9
Door Type - 10
Square
Feet
Average
U-Factor
Total:0.390
Door
Designation Construction Area of
Door(s)U-Factor
Door Type - 1 solid wood 1B 0.600
Door Type - 2 solid wood 20 0.600
Door Type - 3 insulated metal 20 0.420
Door Type - 4
Door Tvpe - 5
Door Type - 6
Door Type - 7
Door Tvoe - B
Door Type - 9
DoorType - 10
Door
Designation Construction Area of
Door(s)
Door Type - 1
Door Type - 2
Door Tvoe - 3
Door Type - 4
Door Tvpe - 5
Door Tvoe - 6
Door Tvpe - 7
Door Tvoe - B
Door Tvpe - 9
Door Type - 10
Square
Feet
Total
Door
Designation Construction Area of
Door(s)
Door Type - 1 solid wood 38
Door Tvoe - 2 insulated metal 20
Door Type - 3
Door Type - 4
Door Type - 5
Door Type - 6
Door Tvpe - 7
Door Type - B
Door Type - 9
Door Type - 10
Souare Averaoe Souare Ave
18 0