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Home My WebLink AboutPermit Building 2001-05-02SPRINGF!ELD Job# 01-00351-01 RES!DENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of4 h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6680 Simeon Ct Spr AssessorsMap#: 17023411 Lot:30 Block: Addition:1st Job Number: 01 -00351-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03200 Subdivision : Levi Landing ctrY oF SPRINGFIELD, OREGOTV Owner: Dennis Minium Address: 8745 Thurston Road Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-747-8495 Springfield, OR 97478 Value: $143,668 Contractor Type GeneralContr Electrical Contr MechanicalContr Plumbing Contr Contractor Dennis Minium 8745 Thurston Road, Springfield, OR 97478 Antone Electric 27514 Snyder Road, Junction City, OR Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Don Lewis Plumbing 500 Greenfield Street, Eugene, OR 97404 Registration # Expiration Date 82835 1/1 0/1 999 33076 611012001 Phone 541-747-8495 541-688-4444 541-747-7445 541-688-1 931 Quad Area: # Of Units: Gonstr. Type: Water Heater: 4RSE 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1903 To request an inspeclion callthe 24hour recording at726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections req u ested ffi tr I t$;,,fr ft HXLi?fFrt"E i]iTHE WOBK following working day Required lnspections D UND Building AUTHCRIZE - lnstall ground rod at footing, and call for inspection in cnnjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanica! Gas Service FinalMechanical SW-Gurbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f SpecialReq.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Job# 01-00351-01 Page 2 of 4 Required lnspections Buildinq I -Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete. Etectricat I - Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. Plumbin -Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. -Prior to filling trench. -Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter b 00/00/0000 00:00 AM Types Of Warning Devices Reqd. I Zoning: LDR FloodPlain? [ Wettands? [ Job# 01-00351-01 Overlay District: # of Street Trees: Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z Journal numbers 1: Comments: 2: Planner: Liz Miller Urban Growth Boundary?[ Gtenwood Area? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X Light Gray 3 Additional Requirements : Required Attachments: Source Locn: Material: Flood Plain FEMA:Panel 1 167 of2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! Area (Sq. Main: 1903 Accessory714 Accessory Structure # Of Stories: 2 Height (feet): 28 Current Units: Proposed Units:'l Census Code: New SF - detached Total2617 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Gheck Residential Plan Check Total PIan Gheck 04t12t2001 4905 143,668 $345.80 $34s.80 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildinq 0510212001 0510212001 05t02t2001 51 30 51 30 51 30 143,669 $532.00 $37.24 $15.96 $585.20 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 0510212001 0510212001 0510212001 05t02t2001 51 30 51 30 51 30 51 30 1 4 $85.00 $60.00 $1 0.1 5 $4.35 $1s9.50 Plumbing Minimum Plumbing Permit Fee Number of Fixtures Three Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0510212001 0510212001 05t02t2001 0510212001 0510212001 51 30 51 30 51 30 51 30 51 30 2 1 $.00 $20.00 $192.50 $14.88 $6.38 $233.76 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace 0510212001 05102t2001 0510212001 05102t2001 0510212001 0510212001 0510212001 51 30 51 30 51 30 51 30 51 30 51 30 51 30 1 4 $4.50 $2.00 $.00 $.e6 $6.00 $12.00 $4.50 1 4 1 1 Job# 01-00351-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 0510212001 05t02t2001 05102t2001 51 30 51 30 51 30 1 $3.00 $10.00 $2.24 $45.20 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 05102t2001 0510212001 0st02t2001 51 30 51 30 51 30 40 1 1 $65.00 $65.00 $-30.00 $100.00 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Transportation SDC Reimbursement Total System Development System Development 51 30 51 30 51 30 51 30 51 30 51 30 51 30 51 30 51 30 05102t2001 05102t2001 05t02t2001 0510212001 05102t2001 0510212001 05t02t2001 0510212001 05t02t2001 2,696 31 1 1 1 1 31 $730.62 $500.65 $656.02 $285.91 $24.33 $10.00 $658.75 $151 .03 $154.27 $3,171.58 1 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 05102t2001 5130 1 $1,000.00 $1,000.00 Grand Total PIan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Lisa Hopper Steve Templin Liz Miller Llz Miller Date Completed 0411612001 04t26t2001 0412912001 04130t2001 $5,641.04 Comment Need to call contractor regarding LDAP. Just received plan from engineering on Friday 4127101. Will call Dennis Minium on Monday. Talked to Dennis Minium. He will not be filling, grading or excavating. Planning-Res Structural-Res Tom Max 0412012001 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfielO anO tne Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUpANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 7oi.05s iill be used on this project. is to ensure that all required inspections are requested at the proper time, that each from the street, that the permit card is located at the front of the property, and the of plans will remain on the site at all times du sis;Aure ring construction. Z C) OFEGGA?C'TY OF SP}, JFIELT' BIACTRICAL PERHIT APPLICATION Ci ty Job Nunber 225 FIFTE STREET SPRINGFIEI.D OREGON 97477 INSPECTTON REQTIEST:726-37 0FFICE: 726-3759 1 OF INST JOB 9N Constr Contr. Number Expiration Date Signatu of Su I ng tri 0Lrners ame Address DATE: Permits are if vork is of issuance 180 days. non- t rans fer not started vithin or if vork is sus 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty C Phone lftgf.//r/ Supervisor License Number Expiration Date COHPT,ETE FEE SCffiDTII,E BELOS Nev Residential-Single or Multi-FamilY Per dr.'elling unit' Service Included:Items Cost I A- s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or lessioi rrit to 4oo amPs .- 401 amps to 600 amps - 601. amps to 1000 amPS- Over 1000 amPs/vo1ts - Reconnect OnlY A 3 B. C D E ,\cl \r\rl and expire 180 days pended for 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 3s.00 aSovE- Sum a5 lsQ s s0.00 $ 60.00 $100.00 s130.00 s3o0.0os 40.00 Temoorary Services or Feeders i""iirf"iion, Alteration or Relocation 200 amps''or lessioi .ri" to 4oo amPs -0ver 40L to 600 amPs Over 600 amps or fOOO-voEs $ 40.00 $ ss.00 $ 80.00 see "Bt' Branch Circuits Nev, Alteration or Extension Per Panel crr@Pr,on"I$il-'84flS OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sa1e, lease or rent' Ovners Signature: One Circuit Each Additional Circuit or vith Service or Feeder Permit s 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation .__- Sign/Out1i.ne Lightitg-- Limited EnergY/Res ---Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL $ 40.00 s 40.00 s 20.00 s 36.00 5 RECEIVED BY: Irtc:Ls j - /.q*C o\.)l Willamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET Job. No.\..ol ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: RIAS\ruLs\nq,,Rd srArE: S'Q,zre' PHONE: _ Tax Lot Number: dwelling(s). SDC calculations and dwelling t Manufactured home not in a Park X $1,000 Per unit = $tom.& X $924 per unlt $ $ 8 Plat Name: 1. DEVELOPMENT TYPE ype definitions are on the Development A. Single-Family Detached \ Single Family home NO. OF UNITS B. Single-Family Attached NO. OF UNITS (lf SDC reduced for 16 t tfr.cD Date I C. Multi-Familv Aoartment NO. OF UNITS X $692 per unlt D. Manr{acftrrecl Home Park NO. OF UNITS X $699 per unlt $ WILLAMALANE SDC 2. SDC CREDTT (tt appticaOto! SDOpayermust (umlsh proof of Willamalane Credit approval. See SOC Credt WotlcsheoL 3. TOTAL WILLAMALANE NET SDC ASSESSED $ $ $ OD City of Springfield Department \\otsA\ D\e2oo t CITY OF SPRINGFIET-,, SYSTEMS DEVELOPMENT CHl ;E WORKSHEET NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UMTS:I BUILDING SIZE: 2618 SF LOT SZE: 8900 SF 6680 SIMEON COURT t7 -02-34-t I -06200 SINGLE FAMILY RESIDENCE MINIUM JOURNAL OR JOB NLIMBER: 0l-00351-01 IMPERVIOUS S.F DISCOTINT RATE 0.00 50%$0.00 IMPERVIOUS S.F. 2696.00 COST PER S.F $0.271 $730.62 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS COST PER S.F $0.271 x x x I. STORMDRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $730.62ITEM I TOTAL - STORM DRAINAGE SDC NUMBER OF DFLI'S COST PER DFU 3l $ 16.15 $500.6s NLIMBER OF DFU's 3l COST PER DFU $21.2s $6s8.7s B. IMPROVEMENT COST: x x 2. SAMTARY SEWER - CITY A. REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SAIIITARY SEWER SDC ADT TRIP RATE NUMBEROF LIMTS NEW TRIP FACTOR 9.57 I 1.00 ADT TzuP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $ 16. l2 COST PER TRIP s68.ss NEW TRIP FACTOR 1.00 $154.27 B.IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: $810.29ITEM3 TOTAL - TRANSPORTATION SDC $10.00 NUMBER OF FEU's 1 COST PER FEU $28s.91 $28s.91 NUMBER OF FEU's I COST PER FEU $24.33 s24.33 $0.00 SLIBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE $3 r0.24 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER. MWMC A. REIMBT]RSEMENT COST: $320.24ITEM 4 TOTAL - MWMC SANITARY SEWER SDC .55SUBToTAL (ADD ITEMS 1,2,3, &4) SUBTOTAL ADM. FEE RATE 55$3 5%151.03 5. ADMINISTRATIVE FEE: x $3,171.58 tlalLkd11;4- SDC COORDINATOR 4l26t0t TOTAL SDC CHARGES DATE l09l r093 1055 1056 t073 V)Hno O &r!F(A or!& I I lrt u NUMBER OF NEW FIXTURES X TJNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE FIXTURE I.]NITS(#NEW - #OLD )x TINIT EOUIVALENTFXTURE TYPE BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 0 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x x x x x x x x x x x x x x x x x x J 6 DRINKING FOUNTAIN 0 0 I 0 FLOORDRAIN 0 0 J 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS /ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH /ETC,0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 2 0 6 CLOTHESWASHER- 3 ORMORE (EA) MOBILE HOME PARK TRAP-(I PER TRAILER) RECEPTORFORREFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 6 0 0 0 t2 0 0 0 1 0 0 0 J 0 SHOWER, SINGLE STALL I 0 2 2 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL KITCHEN I 0 J J SINK: COMMERCIAL BAR 0 0 2 0 SINK: DOMESTIC BAR 0 0 I 0 WASH BASIN 0 0 2 0 LAVATORY 5 0 I 5 URINAL, STALL/WALL 0 0 5 PUBLIC INSTALLATION 0 0 6 0 TOILET PRIVATE INSTALLATION J 0 J 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S* ( 0 - 0 )x 20 0 TOTAL DRAINAGE FIXTURE UNITS : *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 31 DRAINAGE URE UNIT CALCULATIOI..- ABLE VTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE I979 OR BEFORE $4.74 l 990 $ 1.96 I 980 $4.6s l99l sl.s5 198 I $4.s9 1992 s1.36 t982 s4.46 I 993 $ 1.23 l 983 $4.30 1994 $1.0s I 984 s4. l4 1995 s0.90 I 985 $3.93 l 996 $0.75 1986 $3.63 199'7 $0.s7 I 987 s3.26 I 998 $0.35 l 988 $2.85 1999 s0.15 I 989 s2.40 $0.000.000 TOTAL IVTWMC CREDIT : $0.00 x x ARATELY CREDITRATE $0.00 VALUE / IOOO 0.000 0