HomeMy WebLinkAboutPermit Building 2019-11-05SPRINGFIELD
tr
OREGON
web Address: www.springfield-or. gov
Building Permit
Residential I & 2 Fam Dwelling (New Only)
Permit Number: 81 1-19-OO24OO-DWL
M Number: 811075318722
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Add ress: permitcenter@springfield-or.gov
Permit Issued: November 05, 2019
Category of Construction: Single Family Dwelling
Submatted Job Value: $228,588.00
Description of Work: New SFD - Bridlewood Subdivision - Lot 10
Type of Work: New
Worksite Address
4211 HORACE ST
Springfield, OR 97478
Parcel
18020524063 10
Owner:
Address:
BRUCE WIECHERT
CUSTOM HOMES INC
3073 SKWIEW LN
EUGENE, OR 97405
Business Name
BRUCE WIECHERT CUSTOM
HOMES INC - Primary
OREGON CUSTOM PLUMBING INC
COMFORT FLOW HEATING CO
L&EELECTRICINC
Lacense
ccB
ccB
ccB
ccB
License Number
t0t7t7
19 1 104
460
105475
Phone
541-686-9458
54t-434-Lt46
54t-726-OLOO
541-933-2598
Permlts expire if work is not started wlthin 18O Days of issuance or if work ls suspended for 180 Days or longer depending on
the issuing agency's policy.
All provasions 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 rules adopted by the Oregon Utility ilotifi€ation Center. Those rules are set
forth ln OAR 952-OO1-OOIO through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-L947.
All persons or entitles performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/uechanical), ORS 479.54o (Electrical), and oRS 693.010-O20 (Plumbing)'
Printed on: 1 1/5/19 page 1 of 5 C:\myReports/reports//production/01 STANDARD
\t-r-
TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL INFORMATION
PENDING INSPECTIONS
Permit Number: 8l 1-19-OO24OO-DWL
Inspection
2999 Final Mechanical
3999 Final Plumbing
4999 Final Electrical
1530 Exterior Shearwall
1260 Framing
2300 Rough Mechanical
3170 Undedloor Plumbing
4500 Rough Electrical
l02O Zoning/Setbacks
1090 Street Trees
1110 Footing
1120 Foundation
1160 UFER Ground
1220 Underfloor Framing/Post and Beam
1410 Undedloor Insulation
1430 Insulation Wall
1440 Insulation Ceiling
1520 Interior Shearwall
1999 Final Building
2020 Underground Gas
2200 Undedloor Mechanical
2250 Gas Piping/Pressure Test
3130 Footing/Foundation Drains
3200 Sanitary Sewer
3300 Water Service
3400 Storm Sewer
3500 Rough Plumbing
3620 Backflow Device
3650 Shower Pan
4000 Temporary Power Service
4120 UFER Ground
4220 Electrical Service
9504 Curbcut - Standard
9508 Sidewalk
Printed on: 11/5/19 Page 2 of 5
Inspection Group
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1 2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
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
Public Works
Public Works
Page 2 of 5
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
Pending
Pending
Pending
C : \myReports/reports//production/0 1 STANDARD
Permat Number: 81 1-19-OO24OO-DWL Page 3 of 5
Printed on: 11/5/19
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: 811O753L8722
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Page 3 of 5 C:\myReports/reports//production/01 STANDARD
SCHEDULING INSPECTIONS
Permit Number: 81 1-19-OO24OO-DWL Page 4 of 5
Fee Description
Residential wiring
Technology Fee
Air conditioner
Clothes dryer exhaust
Decorative gas fireplace
Furnace - up to 100,000 BTU
Gas fuel piping outlets
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: Reimbursement 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: 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 - Transportation SDC
SDC: Reimbursement Cost - Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Improvement Cost - Local Wastewater
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 - Bldg (l2o/o of applicable fees)
State of Oregon Surcharge - Mech (t2o/o of applicable fees)
State of Oregon Surcharge - Plumb (LZo/o of applicable fees)
State of Oregon Surcharge - Elec (12olo of applicable fees)
Curb cut and Sidewalk construction - multiple permit discount
Curb cut fee - enter # of cuts
Printed on: 11l5/19 Page 4 of 5
Quantity
2158
1
1
1
1
4
1
3
1
1
3
1
4603.5
89.48
190.09
345.56
85.83
10
22.82
1620,85
135.93
36LL.72
190.06
700.13
1016.46
2267.73
2158
Fee Amount
$294.00
$217,6s
$ 19.00
$ 13.00
$ 19.00
$23.00
$e.00
$19.00
$39.00
$19.00
$2s 1.00
$613.00
$54.00
$4,603.50
$89.48
$190.09
$34s.s6
$8s.83
$10.00
922.82
$1,620.85
$13s.93
$3,6LL.72
$ 190.06
$700.13
$ 1,016.46
$2,267.73
$ 129.48
$L,092.42
$ 1,680.64
$3,80s.00
$201.68
$ 19.20
$73.56
$3s.28
$-42.00
$12s.00
1
1
1
c i\myReports/reports//prcduction/01 STAN DARD
PERMIT FEES
Permit Number: 81 1-19-O024OO-DWL
Sidewalk construction - permit, first 90 linear feet 1
Total Fees:
Page 5 of 5
$ 12s.00
$23,725.O7
Construction Type
VB
VB
Printed on; 11/5/19
Occupancy Type
R-3 1&2family
U Utility, misc.
Unit Unit Cost
Sq Ft $L22.46
Sq Ft $48.73
Total Job Value:
Job Value
$204,998.04
$23,585.32
$228,583.36
C:\myReports/reports//prcduction/01 STANDARD
Unit Amount
t,674.OO
484.00
Page 5 of 5
VALUATION INFORMATION
SPRINGFIELD
'bOREGON
www. sp ri n g fi e ld-or. 9ov
Worksite address: 4211 HORACE ST, Springfield, OR 97478
Parcel: 1 80205240631 0
Transaction Receipt
811-19-002400-DWL
Receipt Number: 472897
Receipt Date: 11/5/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri n gf ield -or. gov
Transaction date Units
1115119 1.00 Ea
1115119 2,158.00 SqFt
1115119 3.00 Qty
1115119 1.00 Ea
1115119 1 .00 Ea
11lsl19 1.00 Ea
1115119 1.00 Ea
1115119 1.00 Ea
't1t5t19 3.00 Ea
1115119 1.00 Ea
1115t19 4.00 QtY
1115119 1.00 Ea
Description
Struclural building permit fee
Residential wiring
Single Family Residence - Baths
Fumace - up to 100,000 BTU
Air conditioner
Decorative gas fi replace
Water heater
Range hood/other kitchen equipment
Ventilation fan connected to single duct
Clothes dryer exhaust
Gas fuel piping outlets
State of Oregon Surcharge - Bldg (12% of
applicable fees)
State of Oregon Surcharge - Elec (12% of
applicable fees)
State of Oregon Surcharge - Mech (12o/o ol
applicable fees)
Account code
224-00000425602-1 030
224-000004261 02-1 033
224-00000425603-1 034
224-00000425604-1 031
224 -00000425604- 1 03'l
224-00000425604-1 031
224-00000425604-1 031
224-00000425604-1 031
224 -00000425604- 1 03'l
224-00000-425604- 1 03 1
224-00000425604-1 03 1
82 1 -00000-2 1 5004-0000
82 1 -00000-2 1 5004-0000
Fees Paid
Fee amount
$1,680.64
$294.00
$613.00
$23.00
$19.00
$19.00
$19.00
$19.00
$39.00
$13.00
$9.00
$201.68
Paid amount
$1,680.64
$294.00
$613.00
$23.00
$19.00
$19.00
$19.00
$19.00
$39.00
$13.00
$9.00
$201.68
11t5119
11t5t19
1.00 Ea $35.28 $3s.28
$19.20
Printed: 11l5/19 4:25 pm
1.00 Ea
Page 1 of 3
82 1 -00000-2 1 5004-0000 $19.20
Fl N_Tra nsaction Receipt_pr
ll. "r-
(
Transaction Receipt
8't I -'t 9-002400-DwL
Receipt number: 472897
Transaction date
11tst19
11t5119
11tst19
11t5t19
Units
1.00 Ea
700.13 Amount
1,016.46 Amount
4,603.50 Amount
2,267.73 Amount
190.06 Amount
3,611.72 Amount
135.93 Amount
85.83 Amount
345.56 Amount
190.09 Amount
89.48 Amount
Account code
82'r -00000-2 1 5004-0000
6 1 7-00000-448029-8800
6 1 7-00000-448028-8800
61't -00000*448024-8800
61 1 -00000-448025-8800
43 4 -0 0 000 -4 48 026-8800
434-00000-448027-8800
433-00000448024-881 0
433-00000-448025-88 1 0
433-00000-426607-88 1 0
61 1 -00000426604-8800
71 9-00000426604-8800
7 1 9-00000-426604-8800
71 9-00000426604-8800
71 9-00000-426604-8800
Fee amount
$73.s6
$700.1 3
$1,016.46
$4,603.50
$2,267.73
$190.06
$3,611.72
$135.93
$1,620.8s
$22.82
$10.00
$85.83
$345.56
$190.09
$89.48
Paid amount
$73.56
$700.1 3
$1,016.46
$4,603.50
$2,267.73
$190.06
$3,61 1.72
$135.93
$1,620.85
$22.82
$10.00
$85.83
$345.56
$190.09
$89.48
$12s.00
Fees Paid
11tst19 1,620.85 Amount
11t5t19 22.82 Amount
11t5t19 10.00 Amount
Description
State of Oregon Surcharge - Plumb (12% ol
applicable fees)
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 - M!VI\4C Regional
Wastewater SDC
SDC: Compliance Cost - M\ JMC Regional
Wastewater SDC
SDC: Administrative Fee - M!ryMC Regional
Wastewater SDC
SDC: Total Storm Administration Fee
SDC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
SDC: Total M\ /MC Administration Fee -
Local
Curb cut fee - enter # of cuts
11t5119
11t5119
11t5t19
1115t',tg
11t5119
1115t19
11t5119
11t5t19
1',t t5t19
Printed: 11/5/19 4:25 pm
1.00 Qty
Page 2 of 3
20 1 -00000-428060- 1 069 $125.00
Fl N_Transaction Receipt_pr
Transaction Receipt
8'r I -19-002400-DWL
Receipt number: 472897
Transaction date
11t5t19
11t5t19
11tst19
11t5t19
11t5t19
11t5t',t9
11t5t19
Fees Paid
Units
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Qty
2,158.00 SqFt
1.00 Ea
"l .00 Automatic Technology Fee
Description
Curb cut and Sidewalk construction - multiple
permit discount
Sidewalk construction - permit, first 90 linear
feet
Plan Review - Major, City
Willamalane fees - Single Family Detached,
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
201 -00000-428060-'1 069
201-00000428060-1 069
1 00-00000-425002-1 039
821 -00000-2 1 5023-0000
'1 00-00000-424005-1 091
224 -00000 -425602-0000
204-00000425605-0000
Fee amount
$(42.00)
$125.00
$251.00
$3,805.00
$129.48
$54.00
$217.65
Paid amount
$(42.00)
$125.00
$251.00
$3,805.00
$129.48
$54.00
$217.65
Payment Method
Payment Method
Credit card authorization
03549d
Check numbec 31748
Payer: BRUCE WECHERT CUSTOM HO
Payer: BRUCE WECHERT CUSTOM HO
Payment Amount:
Payment Amount:
$9,500.00
$13,'t 32.65
Cashier: Katrina Anderson Receipt Total $22,632.65
Printed: 11/5/19 4:25 pm Page 3 of 3 Fl N_TransactionReceipt_pr
CIry or SpnrNcFIELD. oREGoN
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
Permitno.:, Y OO2rl,lO
Date: \d 7z tn
This permit is issued under OAR 9f E-460-0030. Permits expire if work is not started within lt0 days of issurnce or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature:Date:
This projcct has DEQ approval.
Signature:Date:
Zoning approval verified: E Yes E No
Property is within flood plain: ! Yes E No
CATEGORY OF COT{STRUCTION
I Govemment ! Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 4L (L
city: 5 P L State:ZIP:
C c-r<!Intno.: I D
Reference:TatJot: (16/lQ
PROPERW OWNER
Name:i
Address:
City:State:ztP
Phone:Fax:
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
D This installation is being made on residential or farm propcrty owned
by mc or a mcmber of my immcdiate family, and is exempt &om
licensing requirements under ORS 701.010.
CONTRACTOR TNSTALLATION
Business name:. e.hr, f' C-S *orr l}cur
Address:cr/5{v rC ta,i I
e..^.-Statg,O fi-zIP:g 7'
I 51)Fax:
E-mail: d! " Qe) |-\)vCr G Co"r16e.S | . atef
CCBlicenseno.t I a i 7 1'l
Print name:; LIL U517. tt +.
Signature:
SUB€ONTRACTOR INFORTSATION
Name CCB License #Phone
ElectricrlLt- li )%.1 ?s 5zl
9 r1'(
Plunbing
Or O,;-rLi'. ?lJ,AA
\1II DL'
t-
qt\
68c c
Mechenicet
Co*P-**r {i /u t qk0 7 L(,'C i t
225 Fifth Stseer . Springfield, OR 97477. PH(S1I)726-3751 . FAr<(S4t)726-!6A9
OJ
4Y- a'o <-<:'F\r= t ro - St4r=afL L^J +Ll-
<lAL-C-S 1b Fa2rJJrq./ yt,a, Er\Al t_(eer- b. t-r-lsg16yrr\-') tofv /relI r,'try
l. Valuetion information
(a) Job descriptioo: Lfu) (tf '\
Occupancy
Construction type:I
feet:
Cost per square foot:
Other inforrnation:
Type of lleat:
Encrgr Path:
E new fialteration ! addition
(b) Foundation+nly permit? f] Ycs EJ No
Total valuetion:$
2. Building fees
(a) Permit fcc (use valuation table):$
(b) Invcstigativc fce (cqual to [2a]);$
(c) Reinspection ($ perhour):
(number ofhours x fee per hour)$
(d) Enter !2% surcbarge (.l2xl2a+2b+2cl):e
(e) Subtotd of fees above (2a through 2d):$
3. Plan review fees
(a) Plan review (65% x permit fee [2a]):s\,092.,
(b) Fire and life safety (65% x permit fee [2a]):$
(c) Subtotal offees above (3a and 3b):s
4. Miscellaneous fees
(a) Seismic fee, lYo (.01 x permit fee [2a]):$
(b) Tech fec,5%o (.05 x permit fee[2a]+PR fee [3c])$
tr'OTAL fees and surcharges (2e+3e(rrb):$
Last cdited 5-5-201 9 BJones
O
Subdivis[n: F
)4
FEE SCHEDULE
Crry or SpRrNcFiELD, oREGoN
Structural Permit Application
225 Fifth Sueet . Springfield, OR W477 . pH(54t)726-3753 o FAX(541)726-3689 Hffifr
4'te.. 1o c-c>}^= t ^r - SU+r=q{L 1,^J\LL
c-AL'e.S "G) FeLg:r^J Yta E\At t_(er=r- S. u,.r6.-nry.r^-') tafzz /r-)
!j"uA
DEPARTMENT USE ONLY
,"**-, Yoo?rl,to
Date: \O )z t1
This permit is issued under OAR 913460-0030.Permits expire if work is not started within ltO days of issuance or if work is
suspended for 180 days.
GJ
LOCAL APPROVAL
This project has ftnal land-use approval.
Date:
This project has DEQ approval.
Date:
Zoning verified: fl Yes D No
is within flood flyo EINo
CATEGORY OF CONSTRUCTION
I Govemment f] Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:I L
ctw, 5,0F )State:ZIP:
Lot no.: I
Reference:TatJot: (\6!lQ
OWNER
Name:I
Address:
City:State:ZIP:
Phone:Fax:
E-mail
Building Owner or Owner's agent authorizing this application:
Sign here:
n This installation is being made on residential or farm property owned
by mc or a mcmber of my irnmediate family, and is exempt from
Iicensing requirernents under ORS ?01.010.
CONTRACTOR INSTALLATION
Business name:,e.h*.f C;g{ora
Address:C}7 5i{vic rJ I
€-w*State:O R-ZrP:$ 7'
5-C)
C.:'nCr;.S| .nlLt
CCB license no.: i ai7 1'1
Print name:Lt*!|t'J +-
Signature:
TACTOR rtoN
Name CCB License #Phone
ElectricrlL*{)%q ?s 5etItfY
Plumbing
A r (i u:lot ?t"uA tlttDLl
'?.
ci/y
ato c
Merhanical
{rr*ffa"'l' € lo',qk0 7 Lb-o i
FEE SCHEDULE
l. Valuetion information
(a) Job description:
Occupancy
Construction type:I
feet:
Cost per square foot:
Other infonnation:
Type of Heat:
Energ5r Path:
fl additionI new flalteration
nNo(b) Foundation-only perrnit? f] yes
Total valuation:$
2. Building fees
Permit fce (use valuation table):$
Investigative fee to $
(c) Reinspection ($ perhour):
(number of hours x fee per hour)$
(d) Enter 12% surcharge (.12 x $
through $
3. PIan review fees
(a) Plan review x fee s\,092 .t
(b) Fire and life safety (65% x permit fee [2a]):$
(c) Subtotal offees ebove (3a and $
4. Miscellaneous fees
Seismic fee, l%o (.01 x permit fee $
(b) Tech fee,5o/o (.05 x permit fee[2a]+pR fee [3c])$
AL fees and surcharges (2er3$4a+b):$
Last cdited 5-5-2019 BJones
o
Subdivision: I,
Fax:
E-rnail:€: F*-dr
(e) Subtotd offees above
CITY OF SPRINGFIELD, OREGON
LOGAL GOVERNMENT APPROVAL
Zontng approval verihed? [ Yes fl No
CATEGORY OF CONSTRUCTION
I Residential I Govemment El Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: &Zff \{oO-Ac-g
Crty:State:ZIP:
Reference:Taxlot.
DESCRIPTION OF WORK
PROPERTY OWNER
Name:
Address:
Crty:State:ZIP:
Phone:Fax:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
47 9.5 40(t) and 479. 560(l ).
Signature:
CONTRACTOR INSTALLATION
Business rru-", L f rtcfn (-
Address (t
(State$[ Q zrP,9\l ?R
t I rax:ljll-Ql3 -Zbcrc
E-mail:ak de (o
CCB license no.:)BCDlicenseno.: LO*
license no.:nq-s
Pr!{namgof signing supervisor: p-4i be^ OUd erf
Signature of signing supervisor:
Electrical Permit A DEPARTMENT USE ONLY
Permit no.
Date:
225 Fifth Streto Springlistd, OR 97 477 aPH(541Y2G3753 oI'AX(54rF2G36,E9
This permit is issued under OAR 91&309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
FEE SCHEDULE
Number of inspectlons per item ( )Qty.Cost
ea.
Total
cost
Residential, per unit, service lncluded:
1,000 sq. ft. or less (4)$186.00 $
Each additional 500 sq. ft. or portion
thereof s36.00 $
Limrted energy (2)$44.00 $
Each manufactured home or modular
dwelling service or feeder (2)sE9.00 $
Services or feeders: installation, alteration, rektcation
200 amps or less (2)$112.00 $
201 to 400 amps (2)s131.00 $
401 to 600 amps (2)$221.00 $
601 to 1,000 amps (2)$2t5.00 $
Over 1,0@ anps or volts (2)s654.00 $
Reconnect only (2)sE9.00 s
Temporary serr.lces or feeders: irc tallation, alteration, relocation
200 amps or less (2)$89.00 s
201 to 400 amps (2)$122.00 $
401 to 600 amps (2)$177.00 $
Over 500 amps or 1,000 volts, see services or feeders section above
Branch circuits z new, alteration, extension per panel
a. Fee for branch circuits with purchase ofa service or feeder fee:
Each branch circuit $8.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
Fkst branch chcuit (2)s89.00 $
Each additional branch circuit $t.00 $
Miscellaneous fees; service or /eeder not included
Each pump or irrigation circle (2)$89.00 $
Each sign or outline liehting (2)$89.00 $
Signal circuit or a limited-energy panel,
alteration, or extension (2)$
Each additional inspection: (l)$102.00 $
DEPARTMENT USE
(A) Enter subtotal of above fees
(Mlnimum Permit Fee $102.00)$
@) Enter l2o/o swcharge (.12 x [A])$
(C) Technology Fee (5% of[A])$
TOTAL fees and surcharges (A through D):$
Lsst edited 7/l/2019 Blones
TPEIXOACLD
$89.00
W Transaction Receipt
811-19-002400-DWL
Receipt Number: 472773
Receipt Date: 10/23119
City of Springfield
Development and Public works
225 Fifth Street
Sprlngfield, OR97477
54r-726-3753
permitcenter€)spri n gfi eld-or. govwww.springfield-or.gov
Worksite address: 4211 HORACE ST, Springfield, OR 97478
Parce|.1802052406310
Fees Paid
Transaction dato
10t23t19
Units
1.00 Ea
Description
Structural plan review fee
Account code
224-00000425602-1 030
Fee amount
$1,092.42
Paid amount
$1,092.42
Cashier: Thayne Smith Receipt Total:$'t,092.42
Printed 10/23i19 9:44 am Page 1 of 1 FIN_Transactron Receipt_pr
Paymeol [Ie$od] Cred( card .utiorE€Lon: Payer:BRUCE WIECHERT CUSTOM HO PaymentAntounl: $1,092.42
04413d
JOT'RNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX T,OTNUMBER:
DEVET,OPMENT TYPE:
NEW DWELLING UNITS
IMPERVIOUS AREA
DIRECT RI.INOFF TO CITY STORM SYSTEM
CITY OF SPRINGFTELD SYSTEMS DEVELOPMENT WORKSHEET
l9-002400-DwL
BRUCE
42II HORACEST
1802052406310
Residence
A. REIMBURSEMENT COST
I rMPERvroLls s-F.
II 2125 00
R. IMPROVEMENT COSTl-Pffiffi
I n26.oo
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A. RE1MBURSEMENT COST:
NUMBEROFDRJ'S
27
B. IMPROVEMENT COST:
NUMBEROFDFU'S
27
COST PER S.F.
$0.301
COST PER S.F.
s0.437
COST PER DFU
sl70.s0
COST PER DFU
$83.99
NUMBEROFUNITS
I
NUMBEROFUNITS
I
COST PER FEU
s r 3s.93
COST PERFEU
$ 1,620.85
COST PER FEU
$22.82
ADM- FEE RATE
5%
AREADRAINING TO
DRYWELL
n
$6,E71.23
COST PER TRIP
19.86
COST PER TRIP
$377.40
$3,E01.78
$1,789.60
$14,1 79.20
CIIARGE
s708.96
CHARCE
$700.1 3
CIIARGE
$1 ,016.46
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
x
x
x
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
A, REIMBURSEMENT COST:
x
x
x
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
I
B. IMPROVEMENTCOST:
NUMBER OFFEU's
I
C. COMPLIANCE COST:
x
x
(SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SLTBTOTAL (ADD ITEMS 1,2,3, & 4l
SUBTOTAL
$14,179.20
x
TOTAL STORM ADMINISTRATION FEE
TOTAT SEWER ADMNISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTALMWMC ADMINISTRATION FEE - I.OCAL
0
SZE '1966 IOT SIZEI
$700.r3
s190.06
11
$22.E2
$10.00
$Es.E3
343.56
$r90.09
$14,888.16
1070
l09t
1092
1093
1094
1056
aq.l
H
(,
&g.l
Fa
o
u.l
,716.59
NUMBER OF FEU'S
1
PREPARED BY Steven Petersen DATE t0/30t2019
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES X UNIT EQUIVALENT : DRAINAGE FD(TURE UNITS
FOR CAI-CUI.A.TE ONLY TI{E NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTURE ryPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
tsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
AGE
FIXTURE
LINITS
0
2
2
1979
TEDU
.29
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIP
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABI E)
$5.29
$5.1 I
$5.1 2
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.2s
$1.80
VALUE / lOOO
$0.00
CREDIT RATE
$s.29x
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.+a
$0.28
$0.09
$0.05
0 3 3BATHTUB1
0 0 1 0DRINKING FOLINTAIN
0003FLOOR DRAIN
0 0 3 0INTERCEPTORS FOR GREASE i OIL / SOLIDS / ETC.
0006INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0 2 0LATINDRY TUB 0
1 0 3 3CLOTHESWASHER / MOP SINK
6 0CLOTHESWASHER. 3 OR MORE (EA)0 0
0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)
0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1
0 3 3RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1
1 0 2 2SHOWE& SINGLE STALL
0SHOWER, GANG (NUMBEROF HEADS)0 0 2
1 0 3 3SINK: COMMERCIAL/RESI DENTIAL KITCHEN
SINK: COMMERCIAL BAR 0 0 2 0
0 2 0SINK: WASH BASIN/DOUBLE LAVATORY 0
4 0 1 4SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0URINAL, STALL/WALL 0 0 5
0 6 0TOILET, PUBLIC INSTALLATION 0
3 0 3 ITOILET, PRIVATE INSTALLATION
27
YEAR
ANNEXED
CREDIT 1,000
ASSESSED VALUE
BEFORE 1979
1979
1980
l98l
1982
1983
1984
1985
1986
1987
I 988
01989
1990
l99l
1992
1993
1994
1995
1996
1997
I 998
1999
2000
2001
ADDRESS ,4Zll Haru4c--- Sr3re-I Plon Review Checklisr
map a faxlOt ' lg,- OrZ - oE- 2.* - 6631o,
PERMIT#: I9)-
II
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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 # tgr - 600369r - Fr^,
ReadallcommentsfromotherworkgroupstoseeifanythinBneedstobeconsideredduringstructuralreview.tloa'i,Ftx'"'
Check Setbacks on Site Plan
check RLID tq make sure taxlot matches what is shown on drawints, that topography lines are on the plans and that qulc.Llnb-tr.elghC! hbr r.. RLID
checkto seeif lot is sloped orE! Fsloped, will back deck meet setbacks
lf a new hom€ is being built at Mountaingate or River Heights, checkthe subdivision books to see lf a Geo-Tech report is req.
Check soils tp determine whether or not a Geotechnical evaluation should be required t{o acl. ulrt s
lf property is.on septic, checkfor proper setbacks from buildingto tank, distribution bo)t and leach field
Make sure that property is not in Flood Hazard A affected property acco.ding to Mapspring (if it is we need 3 engineers surveys)No Fr4&..C Ear.r{ s
check that dGMhing 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) - lfthe numbering doesn't
*match but the uplift and reactions look correct it is OK. Falls under field verify
*Make sure that ifthere is HVAC equipment in the attic, the trusses were designed to support it
Check overhant to make certain they don't proiect farther than allowed for fire sepamtion
-!-ft -g-inches l..o.t'crec. ?. Ar.'r *!rl..r.-3
lf rafterframing, check spans
check to see if anything over/t0001\s is b.arirt down on strip footings. lf so this needs to be enlarged.
Che.k Hold Downs, highlight hold da ns forle inspector SE -.--.rr.-,arr.kr. rr,rEitc,Gr
Check Foundation Venting
checkforpropanetanksjlookforsetbacks,siesmicattachments,';ridfirotectioii"ofthetank.-'
Make notes on plans with stepped foundations howfar back they need to be from the edge of the cut and the uphill cut.
check header sizes
Check footing sizes
ke sure that if rebar is used that it has minimum cover depths. FrErF lrstLtF-f
Check energy code requirements. Additional energy measure selections : Envelope Enhanceme
*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, where a door would open into the glass
^rLconse rvation Measu re L
tr4
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Es
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'Et
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$z
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IE
tradEaz
Za
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ar5
Check bedrooms for egress (window sizes, make sure that garage doorto house doesn'tgo into bedrooms)
check to see ifthere is a living area above the garage, ifso, make note of 5/8" type x ryp board fire separation requirement.l{. rryrt€ sDA<s a.'-wa. zL
Check for mechanical equipment protection (bollards) in the garage
lf DETACHEDgarageisbeingbuiltlessthan3fttoexistingstructureitneedstohave L/2gyp boardontheinteriorwalls
lf Garage is elevated, make sure columns supporting underfloor of garag.e are gontinous to footing (frake note on plans)
Checkfire/sound separation assemblyon 2familydwellings''r' t "' "-'
Check for smoke alarms/Carbon Monoxide alarms (look on electrcial sheets if there aren't any shown on floor plan)
Check wall bracing lfr::rr €rr{Lrg:D Ftasla 6 {
Check minimum room size
$/lake sure that minimum bathroom fixture distances are met YCA-qer DUILTNA- lx S,FrX_<Io Nl
:[1::"H:"jff;I[ffi::;",l@panishtite,mjtli,6ti.i--,'...*.:..".*.
Check for attic access and underfloor access oi plans
Check beam sizes
Read over all the general notes to make certain that nothing was missed and there are no conflicts
lF new SFD or ADU, 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 :
+I
Exterior Wa ll Envelope Self-Certification Form
Moisture Content Acknowledgement Form
High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC)
Noise Ordinance Notice t "
Smoke Alarm
Ventilation Rqquifements 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.
I - ir,r-.1 j,
t-.' r
Make sure at
Add all inspections and fees into Accela (including Willamalane fee and addressing fee) i
Stamp plans with the "Reviewed for Code Compliance" stamp, sign the approveil by line and perforate
Approve Building Review line in Accela & callor emailapplication with fees due and attach placard to jobsite set
* Enter energy path data from Additonal Energy Measures Table N110L.tlzl into Accela
Signed electrical application received
Print out the Fee Schedule and put it with the Willamalane Spreadsheet on the outside of the folder
Put aqy. [nspection.notes jnto A9g-e,la that need to be there before the plan is issued.
Ad
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II
T
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I
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Check off Project Log and enter today's date.
PIan check items/notes
ADlrrttor-r,Ls-Lr*rcrra-*- <.
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