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Home My WebLink AboutPermit Building 2001-07-180Job#1 CITY OF OREGON Page 1 of 4 RESIDENTIAL PERMIT City Of Springfietd Community Services Division Building Safety Job Number: 01 -00648-01 Office:726-3759 lnspection Line: 726-3769 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6681 Simeon Ct Spr AssessorsMap#: 17023411 Lot:29 Block: Addition:1st Tax Lot#: 06100 Subdivision: Levi Landing 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: $126,336 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Dennis Minium 8745 Thurston Road, Springfield, OR 97478 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Don Lewis Plumbing 500 Greenfield Street, Eugene, OR 97404 Registration # 62682 Expiration Date 1211112001 Phone 541-747-8495 541-688-4444 541-747-7445 541 -688-1 931330766t10t2001 Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 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: 1480 To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling Insulation -lnstallground,"ffipectioninconjuctionwithfootingand/orfoundationi -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. Shear Wall Naiting Framing Walllnsulation Drywall FinalBuilding Verify Ground Rod Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas FinalMechanical SW-Curbside GC-Standard -Prior to cover. -After line is installed and line has been -When allgas work is comPlete' -When all mechanicalwork is complete Job# 01-00648-01 Page 2 ot 4 Required lnspections Building -Before covering sheathing with finish materials. -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Electrical -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. PI -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 fllling trench. -When allplumbing work is complete' Mechanical -Prior to insulation or decking. I connected to a minimum of one appliance' Pressure tet Public Works -After forms are erected but prior to -After forms are erected but prior to placement of concrete placement of concrete Street lmprovement: Fully lmproved Curb Cut?f lmProvement Agr San Sewer DePth (Ft): 6 ' 4 Storm Sewer Avaitable? f Special Req.: SecuritY Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project SuPervisor: OO/OO/0000 00:00 AM Types Of Warning Devices Reqd' Sidewalk TYPe: Additional ROW? Size Of Line (in): DownsPouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' I To Curb and Gutter o 00/00/0000 00:00 AM \ Zoning: LDR FloodPlain? [ Weflands? ! Journal numbers 1: Commentsl 2: 1 3 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Overlay District: # of Street Trees Job# 01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z Panel 1167 ot2975 Planner: Liz Miller Urban GroMh Boundary?[ Glenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X Lt. GraY Construction Types(VN) Wood Frame Occupancy GrouPs: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Accessory Structure # Of Stories: 1 Height (feet): 21 Current Units: ProPosed Units:1 Census Code: Does not aPPIY Area (Sq. Main: 1480 Accessory4O0 Paid On ReceiPt#ValuelQuantitY Fee Amount Plan Check Fee Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Le-ss- Wirin6 Footage Each Add'l 500 Sq Ft State Surcharge - Electrical Administrative Fee - Electrical Total Electrical ResidentialPlan Check AdditionalPlan Check Total Plan Check Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Electrical 0612212001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 0711812001 5943 61 81 61 81 6181 61 81 110,403 23 126,336 $297.54 $23.40 $320.94 $493.75 $34.56 $14.81 $543.12 $85.00 $30.00 $8.05 $3.45 $126.50 $.00 $160.00 $11.20 $4.80 $176.00 61 81 61 81 61 81 61 81 I 2 61 81 6181 6181 618',1 1 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct nipiirn."V"nt (Not Covered in Schedult 61 81 61 81 61 Bl 61 81 61 81 6181 61 81 1 1 I 3 1 $4.50 $2.00 $.00 $.87 $6.00 $9.00 $4.50 Plumbin Mechanical Total:1880 Job# 01-00648-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Dryer Vent Mechanical lssuance State Surcharge - Mechanical TotalMechanical 07118t2001 0711812001 07t18t2001 6181 61 81 6181 1 $3.00 $10.00 $2.03 $41.90 New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works Public Works 07t18t2001 07t18t2001 0711812001 6181 61 81 6181 40 1 1 $65.00 $65.00 $-30.00 $100.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Residential Sanitary MWMC Transportation SDC Reimbursement Total System DeveloPment 0711812001 0711812001 0711812001 0711812001 07t18t2001 0711812001 0711812001 0711812001 0711812001 2,873 19 1 1 1 19 $778.58 $306.85 $656.02 $24.33 $10.00 $403.75 $130.99 $285.e1 $154.27 $2,750.70 61 81 61 81 61 81 61 81 61 81 61 81 61 81 61 81 61 81 1 1 Willamalane SDG S.F. Residence - Willamalane Total Willamalane SDG Grand Total Plan Check TYPe lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked BY Lisa Hopper Steve TemPlin Liz Miller Don Moore 0711812001 6181 Date ComPleted 0612612001 0612712001 0612912001 0710212001 1 $1,000.00 $1,000.00 $5,059.16 Gomment Drawings not consistent. Two different buildings rePresented in Plans' Structural-Res Don Moore 0711212001 Bv sionature, I state and agree, that I have carefully examined the completed application and do n6redy certify that ail inilifirlidn nereon is t-rire-Jni .oir".t, and r furthbr certify that anv and all work performed shall be 0"." i. ,""ordance witn'irl 6roinances of the city of Springfield and the Laws of the State of Oregon pertaining to the work i"t.r["0 n"rein, and tnat i'tO ObCUpnnCY will be made of any structure *itnoli i"i*i.i6;1til iJiiiirnitv s"*i"es Division, Bu,dins safetv' I further certify that onty .ontrJ.iSo anO emptoy""t *no "i" in compliance with ORS 701'055 will be used on this project. lfurther 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 plans add will remain on the site at alltimes during construction Date O CITY OF SPRINGFIL / SYSTEMS DEVELOPMENT CII GE WORKSITEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEWDWELLING UNITS I BUILDING SIZE: 0 SF LOT SIZE: 8259 SF 668I SIMEONCOI.]RT t7-02-34-t l-06100 SINGLE FAMILY RESIDENCE MIMI.IM JOURNAL OR JOB NUMBER: 0l-00648-01 DISCOUNT RATEIMPERVIOUS S.F,COST PER S.F $0.0050%0.00 $0.271 IMPERVIOUS S.F 2873.00 COST PER S.F $0.271 $778.58 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORMDRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $778.58ITEM l TOTAL. STORMDRAINAGE SDC COST PER DFUNUMBEROF DFU's $306.8s$16. lsl9 NUMBER OF DFU's 19 COST PER DFU $21.2s $403.7s B.IMPROVEMENT COST: x x 2. SANITARY SEWER- CITY A. REIMBURSEMENT COST: $710.60ITEM 2 TOTAL - CITY SANITARY SEWER SDC NEW TRIP FACTORCOST PER TRIPNUMBEROF UNITSADT TRIP RATE $6s6.021.00$68.5sI9.57 ADTTRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $16. l2 NEW TRIP FACTOR sr54.271.00 xxx xxx A.REIMBURSEMENT COST: B.IMPROVEMENT COST: $810.29. TRANSPORTATION SDCITEM3 TOTAL $ 10.00 NUMBEROF FEU's I COST PER FEU $285.9 I $285.91 NUMBEROF FEU's I COST PER FEU s24.33 .33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT' IMPROVEMENT & CREDIT $310.24 MWMC ADMIMSTRATIVE FEE x x B.IMPROVEMEN!COST: COST:A.REIMBURSEMENT -l SDCSEWERARYSANITALMWMCTOT4ITEM t9.71 SUBTOTAL (ADD ITEMS I,2,3,&4) ADM. FEE RATESUBTOTAL $ 130.99 5%t9.7 | x $2,750.70 a rI]co U &HFa oH& 1070 109 r t073 I 1093 I 1056 6127l0l TOTAL SDC CIIARGES$t^/ok t+lb SDC COORDINATOR DATE DRAINAGE FI- JRE UNIT IBLE NUMBER OF NEW FIXTURES X TINIT EQUIVALENT = DRAINAGE FIXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES DRAINAGE FXTURE UMTSFIXTURE TYPE ( +unw - #orn ) x UNIT EQUIVALENT BATHTLIB ( ( ( ( ( ( ( ( ( ( I 0 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x x x x x x x x 3 3 DRINKING FOUNTAIN 0 0 0 FLOORDRAIN 0 0 J 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS /ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 3 3 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (l PER TRAILER)0 0 t2 0 RECEPTOR FOR REFRIG / WATER STATION IETC.0 0 I 0 RECEPTOR FOR COM. SINK /DISHWASHER / ETC.( ( ( ( ( ( ( ( 0 0 J 0SHOWER, SINGLE STALL 0 x x x x x x x, x 2 2sHowER, GANG (NLIMBER OF HEADS)0 0 2 0SINK:COMMERCIAL/RE SIDENTIAL KITCHEN I 0 3SINK: COMMERCIAL JBAR0020SINK: DOMESTIC BAR 0 0 ) ) ) WASH BASIN 0 0 0 2 0LAVATORY)0STALL IWALL I 2 TOILET ( ( ( 0 0 ) ) ) 5 0PUBLIC INSTALLATION 0 0 6TOILETPRIVATEINSTALLATIONx x 0 2 0 3 6MISCELLANEOUS DFU TYPE NUMBER OF EDU,s* ( o - o )x 20 0 TOTEDU(Equivalent AL DRAINAGE F'IXTURE T,INITS t9DwellingUnit)ls a discharge equivalent to a single family dwelling unit (20 DFU's)set at 67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE1979OR BEFORE $4.74 1990 I 980 198 I 1982 l 983 1984 I 985 $4.65 $4.59 $4.46 s4.30 $4. l4 $3.93 l99l 1992 1993 1994 I 995 L96 $ l.s5 $1.36 $1.23 $ 1.05 $0.90 l 986 1987 I 988 l 989 $3.63 $3.26 $2.85 $2.40 1996 1997 I 998 I 999 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 TOTAL MWMC CREDIT = $0.00 ANNEXATION x 0.000 x DATE, CALCULATE CREDIT SEPARATELY IF IMPROVEMENTS OCC{JRRED AFTER VALUE / IOOO 0.000 CREDIT RATE $0.00 I I $0.75 $0.57 C'TY OF SPRINGFIELD OREGC.Td SPfi .;FIELI' EI^ECTRICAL PERHIT APPLICATION225 FIFTE SIREET SPRINGFIELD, OREGON INSPECTION REQUEST:72 OFFICE: 726-3759 1 ON INSTALLATION I,EGAL DESGRIFIION\1b \c)\DO COHPI.,ETE FEE SCffiDtII^E BELOV Nev Residential-Single or HuIti-FamiIY Per dvelling unit' Service rncludedt ,a"*s cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder L $ ls.oo $ 40.00 3 A I S Bs.oo Sum 3r jaJOBDESCRIPTION P if vor of iss 180 daYs - 2 . CONTRACTOR INSTALT.ATION ONLY B Electrical Contractor Address Ci tY Phone a gg '/'/ {'/ Supervisor License Number Expiration Date Constr Contr' Number r)-/,La C ExPiration Date Signa of SuPerv ising trician Ovner Name Address Ci tY Phone OVNER ALI.^ATION s are non-transferable and exPire i. it .,ot started vithin 1B0 daYs ;";;"-';; if work is susPended for Services or Feeders Installation, Alterations or Relocation: 200 amPs or less 201 amPs to 400 amps _.- 401 amps to 600 amPS - 601 arnbs to 1000 ?mPs- over 1b00 amPs/volts - Reconnect OnIY TemDorarY Services or Feeders - i"=["iirir";, nrteration or Relocation $ 50. $ 60. $100. $130. $300. $ 40. 00 00 00 00 00 00 c 200 amPs''ot less i tg zOi "*b" to 400 amos i rr 'o;;'15i i" ooo a*is -- s 80 over 600 amPS or rbOO-GITs see Branch Circuits .00 .00 .00rBil above 40.00 40.00 20.00 35.00 D Nev, Alteration or Extension Per Panel The installation is being made'on oroperty I ovn "niln-i" iot intended ioi'iurl, rease or rent' ouners Signature: Hi scellaneous ( Service/ f eeder -Each installation c Pump or irrigation. : sisn/outLine Lightlng..- : llilited EnergY/Res --.- : Limited EnergY/Comm e One Circui t Each Additional-Eii..it or vith Service or Feeder Permit - SUBTOTAL OF ABOVE 7% State Surcharge li aa*inlstrative Fee TOTAL s 3s.00 $ 2.00 not inc E luded) DATE: RECEIVED BY: 5 \ ;1 ffa Ls City Job N*b".O\.@