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Home My WebLink AboutPermit Building 2000-11-21Job# 00-01649-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6682 SIMEON DR Spr AssessorsMap#: 17023411 Lot:31 Block: Addition: First SPRINGFIELD Page 1 of4 TF:f;t'lE*:0L*000IS40 BATI:N[U T1 TilOS Ilt{T R[ffi: I $ 4?5fi. L] il-iftt'iEE: nfrnuTfCr. n/.1bnrJl lILl\. t-'UI Job Number: 00-01 649-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02000 Subdivision: Levi Landing ctTY oF SPRiNGF7ELD, OREGO^ Owner: Dennis Minium Address: 8745 Thurston Road Scope Of Work: Single Family Residence Plat Will be recorded 11110100 Phone Number: City/State/Zip: New 541-747-8495 Springfield, OR 97478 Value: $131,369 Contractor Type Electrical Contr MechanicalContr Plumbing Contr Contractor Registration # Antone Electric 27514 Snyder Road, Junction City, OR 97448 Marshalls lnc 25790 41 10 Olympic St, Springfield, OR 97478-5620 Don Lewis Plumbing 33076 500 Greenfield Street, Eugene, OR 97404 Expiration Date 12t23t2001 611012001 Phone 541-6884444 541-747-7445 541 -688-1 931 Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 1 (VN) Wood Frame Gas Office Use Land Use: Single Fa Zoning Code: LDR Bedrooms: 3 Range:Gas mily Dwelling # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1760 To request an inspection call the 24 hour recording at726-3769. 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 regon larry requrres you tr Foundation SW-Curbside CC-Standard low rules ado ptecj bv the Orego n Utilitir -After forms are erected but prior to co er.l hos€ ru lesa re set foflf,n 952-00T-0010 throughOAHgS2-001-Public Works I . You mayobtai n copies of the rules by-After forms are erected but prior to placement ,of concrete r. (Noie:thetelephone -After forms are erected but prior to placement of concrete , 6gon {..tri iity Notification Build Centeris 1-ACLL33g-P344). Job# 00-01649-01 Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Page2 of 4 Curbside - 5' 8 To Curb and Gutter 6 Street Improvement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime Special lnstructions: Other Utilities: Project Supervisor: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? Z2 Journal numbers 1: Comments: 2: Planner: Liz Miller Urban Growth Boundary?[ Glenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X - Light Gray Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: panel1167 o'f 2975 Construction Types(VN) Wood Frame Occupancy Groups : Dwelling # Of Buildings: I # Of Bedrooms: 3 Handicap Access? ! (Sq. Feet) Main: 1760 Accessory48O Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: Does not apply Total2240 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check Residential Plan Check Residential Plan Check Total PIan Check 11t09t2000 11t21t2000 131,146 11,336 $328.25 $16.0e $344.34 3757 3840 Buildinq Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 11t21t2000 1112112000 11t21t2000 3840 3840 3840 131,369 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit 11t2112000 11t21t2000 1112112000 11t21t2000 3840 3840 3840 3840 1 3 1 $85.00 $45.00 $40.00 $11.90 3: $505.00 $3s.35 $15.15 $555.s0 Job# 00-01649-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Electric Administrative Fee Total Electrical 11121t2000 3840 $5.10 $187.00 Plumbing Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 1112112000 11t21t2000 11121t2000 11121t2000 3840 3840 3840 3840 1 $.00 $192.50 $13.48 $5.78 $211.76 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 11t21t2000 1112112000 1112112000 11t21t2000 1112112000 11t21t2000 1112112000 1112112000 11t21t2000 3840 3840 3840 3840 3840 3840 3840 3840 3840 1 1 $4.50 $2.00 $.00 $.74 $6.00 $9.00 $3.00 $10.00 $1.72 $36.96 1 3 1 New Sidewalk New Curbcut Total Public Works Public Works 11t21t2000 1112112000 3840 3840 60 1 $60.00 $60.00 $120.00 System Development Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development 11t21t2000 1112112000 11t21t2000 1112112000 11t21t2000 11t21t2000 11t21t2000 3840 3840 3840 3840 3840 3840 3840 1,798 25 1 1 1 1 $431.46 $1,246.50 $507.82 $285.91 $24.33 $10.00 $12s.30 $2,631.32 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 1112112000 3840 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Wendy Stanley Steve Templin Liz Miller Don Moore Date Completed 1112012000 11t16t2000 11t20t2000 11t20t2000 $5,086.88 Comment checking solar setback NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE Job# 00-01649-01 Page 4 of 4 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 Springfield and the 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 701.055 will be used on this project. I further agree 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 will on the site at alltimes during construction. sig Date o set of SP}' IFIELO CITY OF SPP"VGFIELD, OFEGO'V DEVELOPMENT SERVICES project as submitted has the approval doe-s not require specific land use Zoning l;,(?- Lfate -0 225 FIFTH STREET OREGON 974.7 f ,rthL,r ee d Signature SPRINGFIELD,726-3769INSPE(f,ION REQIIBST: OFFICE; 726-3759 1. LOCATION OF INSTALI,.ATIONa5ttt460-N JOB DESCRIPTION I Permits are non-transferable and expire ii ,ort is not started vithin 180 days ;; ;;;;.;"" o' if vork is susPended for 180 days. 2. CONTRACTOR INSTATI',ATION ONLY B' Efectrical contrac tor TectFtc btlutNrckrnus 3. COHPLETE FEE SCEEDUI.E BELOS A. Nev Residential-Single or Ituf ti-f.,ni1Y Per dvelling unit' service rncludedt ,,"*s cost PERUIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders ' Installation, Alterations or Relocation: Sum s 8s.00 $ 1s.00 $ 40.00 Address 345 / ctty'tt 6io'lrA 2. Q73ta Phone dti -Ef /-qv b Supervisor License Number SSuStuA Expiration Date Constr Co Expiration Date Sigua ture o f ing Electrician Ovners Address Ci ty Phone OVNER INSTALLATION The installation is being made on p."p"itv r-;;; which is not intended for-sale, Iease or rent' iiil' I $:dfilidll; signature: -rnai? l-T llUI I ! -1 I UnLUIJLI L i- 'fvil ..flUU DATE: c. s +ee rfBrt D Nev, Alteration or Extension Per Panef One Circuit Each Additionaf Circuit or vith Service or Feeder Permit -E Miscellaneous (Service/feeder not included) 200 amps or less 201 amPs to 400 amPs - 401 amps to 600 amPS - 601 amps to 1000 qmPs- 0ver 1000 amPs/vo1ts - Reconnect 0n1Y 200 amps or lessioi ffi; io aoo amPs -Over 401 to 600 amps - Over 600 amPS or 1000 volt Branch Circuits -Each instaLl-ation Pump or irrigation Sien/Outline Lighting-- Limited EnergY/Res X Limited EnergY/Comm $ s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 ntr. Number /4b ru3 TemporarY Services or Feeders -iil[;il;ilon, erteration or Rerocation $ 40.00 $ ss.00 $ 80.00 above $ 3s.00 s 2.00 -t aoy').4'- $ 40.00 $ 40.00 $ 20.00 s 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAT ba RECEIVED BY:-ta 4/22'- /n/-Q af. LBGAL DESCRIPTION 5, ;-'*;---, r ' Job Nunbe , OO ' O/O y'? -O / l CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL ORJOB NUMBER NAME OR COMPANY: LOCATION: TAXLOTNUMBER DEVELOPMENT TYPE: 6682 SIMEON CT 00-01649-01 MINIUM t7 -02-34-t I -02000 SINGLE FAMILY RESIDENCE DWELLING UNITS:BUILDING SIZE: 2329 LOT SIZE: 6563 1. STORM DRAINAGE IMPERVIOUS SQ. FT.t797.75 x $0.240 PER SQ. FT $431.46 2. SANITARY SFWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $49.86 PER PFU25 $1,246.50 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP I x l.0l x $502.79 PER TRIP x x $502.79 PER TRIP $507.82 $0.00 TOTAL TRANSPORTATION SDC $s07.82 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEUs I x $285.9I PER FEU $28s.9 r B.IMPROVEMENT COST: NUMBER OF FEI-l's I x $24.33 PERFEU s24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE $0.00 $ 10.00 TOTAL MWMC SDC s320.24 SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMIMSTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)$12s.30x0.05 506.02 gtpvoTul,l;w tUt6l00 $2,631.32 SDC COORDINATOR DATE TOTAL SDC CHARGES PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X IJNIT EQUIVALENT = PLUMBTNG FIXTURE T]NITS OOrr' rOn nrUOOelS, PLUMBING FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT UMTS BATHTUB DRINKING FOLTNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASIVETC. LALINDRY TUB/CLOTHESWASHERA,TOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOWWATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG OTUMBEROF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAMALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 t2 0 0 0 TOTAL PLUMBING FIXTURE UMTS: CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) $0.00 2 I 2 3 6 ) 6 6 I J 2 I 2 2 I 6 4 0 0 0 0 2 0 0 0 0 2 0 2 0 J CREDIT TOTAL x x 25 YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 198 I 1982 1983 1984 1985 1986 1987 1988 1989 $4.74 $ 4.6s $ 4.s9 $4.46 $ 4.30 $ 4.14 $ 3.93 $ 3.63 $3.26 $ 2.8s $2.40 1990 199 I t992 1993 1994 1995 1996 1997 1998 1999 $ 1.96 $ r.ss $ 1.36 $ 1.23 $ l.0s $ 0.90 $ 0.75 $ 0.s7 $ 0.35 $0.15 $0.00 $0.00 I 42 I J OREGO'V 97 477 Zoning LDTl z/- OFFICE: 726-3759 h,rriierrzecsignature 1. LOCATION K6 g> I,EGAL DESCRTPTION l+o = 7qu 0 )o& JOB DESCRIPTION <vQ Address Ci ty Phone Ci ty O9NER INSTAILATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent' 0vners Signature: DATE: SPI .iFIELI, ELECTRICAI PERHIT APPLICATION Ci ty Job Nurnbe, O0'C/ €'/ Q*O/ FEE SCEEDT'LE BELOIT Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost A 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home, or Modular Dvelling Sertice or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amps/voIts Reconnect OniY C. rhe tollowing proiect as submittec, has the followinozr:rrng and does not require specific lano use '- approval 225 FTFTE STREET SPRINGFIELD, OREGON INSPECf,ION REQTIEST: Sum PI s Bs.o0 85. 3 g 1s.oo 16: I s 40.00 s s0.00 s 60.00 $10o. oo s 130. 0o s300.00 $ 40.00Supervisor L icense Number 2OA A 5 Expiration Date Constr Contr. Nrlmber Expiration Date Signa ture of SuPervi sing Electrician Ovners me Address ??q5 phone ?qY -s/g < Temporary Services or Feeders InsialLation, Alteration or Relocation 200 amps''or less --1-201 amps to 400 amps - Over 40L to 600 amPs 0ver 600 amps or 1000-voTTs Branch Circuits $40 $ss $80 see .00 1/0 .00 .00nBil amtt D Nev, Alteration or Extension Per Pane1 One Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscel-laneous (Service/feeder not included) -Each installation Pump or irrigation --Sign/Outline Lighting_- Limited EnergY/Res --Limited EnergY/Comm SUBTOTAL OF ABOVE 7% state Surcharge 32 Administrative Fee TOTAI s 40.00 s 40.00 $ 20.00 s 36.00 5 RECEIVED Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION OI{LY Electrical Contrac ,., A nbfrl t /n rf .x gz ".i: \ Willamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: Job. No.-o Q-a ltt+-gr/V sNAME:Do^,in filfu ADDRESS: LOCATION OF PROPOSED BUILDTNG StfE: Street Address: Plat Nam ", LA-l-S^Ao DEVELOPMENT TYPE ype de{initions are on the A Single-Family Detached I Singte Family home NO. OF UNITS ?7q> -77, v 8/ srArE: oE ap: 9248 1 (;r4.^C'^il _ Tax Lot Number:lwa+q il czoo? T (Check appropriate dwelling(s). SDC calculations and dwelling t back.) $ Manufactured home not in a Park X $1,000 Per unit = $/a@,@ B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Familv Aoartment NO. OF UNITS X $692 Per unlt D. Manufac'tured Home Park NO. OF UNITS X $699 per unlt WILLAMALANE SDC 2. SDC CREDTT (if applicable) SDCaayermust (umlsh proof of Wiltamalane Credit approval. See SOC Credit Wotkshoet. 3. TOTAL WILLAMALANE NET SDC ASSESSED ([ Src reduced forCredit] Development $ $ $ $ $ /E_t . @,_/i r Date City of Springfield Department @O C,ITY OF SPF'NGF'EL D,OREGON Il:,1"],"_l,lr,eroiecr as submitted has the foilowino ::111S ?nd does nor require specifii rano u"""'"approval SPRIl.E;.ELI, EI,ECTRICAL PERHIT APPLICATION Ci tY Job Nunber 3. COHPLETE FEE SCMDIII,E BELOIT A 225 FIFTB SI?,EET SPBJNGFTEID, oREGON IHSPECTION REQTIEST: OFPICE: 726-3759 Zoning L - t'D DESCRIFTION JOB DESCRIPTION 180 daYs. Z. CONTRACTOR INSTALI.,ATION ONLY Electrical Contractor Address Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:Items Cost ulfi6,-,t2S,sn",,," Phone 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf 'd llome or Hodular Duelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: -Jz S Bs.oo ?<ao Sum Permits are non-transferable and expire if vork is not started vithin 180 days ;; ;;;;.;"" o. if vork is susPended for Ci ty Phone Supervisor License Number Expiration Date L) Constr Contr. Number Expiration Date Signa of SuPe rv I 1:rn 0vn Name W A ft8 'l'/ /{ B C D 200 amps or 201 amps to 401" amps to 601 amPs to Over 1000 Reconnec t Iess 400 amps 600 amps L000 amPs /volts s 40.00 s 2.00 amps 0nIy $ s0.00 s 50.00 $100.00 s13o. oo s300.00s 40.00 Temporary Services or Feeders i;;i;ir;lion, Arteration or Relocation 200 amps''or less L,-- t 201 amps to 400 amPs - I Over 401 to 600 amps - ) Over 500 amPS or 1000 volts se Branch Circuits 40.00 ss.00 &oo 80.00 e I'Bn afiOve- Ci tv Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit s 35.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting_-- Limited EnergY/Res - Limited EnergY/Comm 5. SUBTOTAL OT ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL OVNER INSTALI.^ATION The installation is being made on prop"rty I ovn vhich is not intended ior sale, lease or rent' 0vners Signature: $ s $ s 40 00 00 00 00 00 40 20 DATE: RBCEIVED BY: 36 o 1. LOCATTON OP INSTALLATTON, - g(aLs j 11 -/.q*a