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Home My WebLink AboutPermit Building 2001-06-19SPRINGFIELD Job# 01-00478-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6683 Simeon Ct Spr AssessorsMap#: 17023411 Lot:28 BIock: Addition: Job Number: 01-00478-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06000 Subdivision: Levi Landing ctTY oF sPRtNcFtELD, OREGO^ Owner: Cozy Homes Address: P.O. Box237 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Value: $107,244 Contractor Type ElectricalContr MechanicalContr Plumbing Contr Contractor Bills Electric 3170 West 11th Street, Eugene, OR Deans Heating PO Box 462, Cottage Grove, OR97424 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 Registration # 1 33733 1 03570 Expiration Date 2117t2000 111t2001 Phone 541-767-0626 541 -895-3758 Quad Area: # Of Units: Constr. Type: Water Heater: 4RSE 1 (VN)Wood Frame Office Use - Land Use: Zoning Code: LDR Bedrooms: 3 Range: # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Sq. Footage: 1427 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 lnspections Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling !nsulation Shear Wall Nailing Framing Wall lnsulation Drywall FinalBuilding Bnitdins I -lnstall ground rod at footing, and call for inspection in conjuction 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. -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Verify Ground Rod 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 Mechanical FinalMechanical SW-Curbside CC-Standard Street lmprovement: Curb Cut?f San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Specia! lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.?[ 6-4 00/00/0000 00:00 AM Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' I To Curb and Gutter 6 00/00/0000 00:00 AM Job# 01-00478-01 Page2 of 4 Required lnspections Electrical -lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. PlumOlng I -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. -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 Types Of Warning Devices Reqd. Zoning: LDR FtoodPlain? [Wetlands? Journalnumbers 1= Comments: Planner: Liz Miller Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Overlay District: # of Street Trees: 3: Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Floodway FEMA: ZoneX Light Gray Flood PIain FEMA:Panel 1167 of2975 Land Use: Pave Driveway? E 2: Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! (Sq. Feet) Main:1427 Accessory429 Job# 01-00478-01 # Of Stories: 1 Height (feet): Current Units: Proposed Units:1 Census Code: New SF - attached Total:1856 Page 3 of4 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check Residential Plan Check Total PIan Check 05/09/2001 5264 107,244 $293.1 5 $293.15 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 06t19t2001 06t19t2001 0611912001 5866 5866 5866 107,244 $451.00 $31.57 $13.53 $496.10 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 06t19t2001 06t19t2001 06t19t2001 06t19t2001 5866 5866 5866 5866 1 2 $8s.00 $30.00 $8.0s $3.45 $126.50 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbing 0611912001 06t19t2001 0611912001 0611912001 5866 5866 5866 5866 1 $.oo $160.00 $11.20 $4.80 $176.00 Mechanica! Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 06t19t2001 06t19t2001 0611912001 06t19t2001 0611912001 0611912001 0611912001 5866 5866 5866 5866 5866 5866 5866 1 $4.50 $1.50 $.45 $6.00 $3.00 $10.00 $1.05 $26.50 1 1 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 06t19t2001 0611912001 06/1 9/2001 5866 5866 5866 60 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 System Development 0611912001 0611912001 0611912001 06119t2001 06t1912001 0611912001 2,440 19 1 1 1 1 $661.24 $306.85 $656.02 $285.91 $24.33 $10.00 5866 5866 5866 5866 5866 5866 ldinq Job# 01-00478-0'l Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount System Development Sanitary Sewer SDC Reimbursement SDC Administrative Fee Transportation SDC Reimbursement Total System Development 0611912001 06t19t2001 06t19t2001 5866 5866 5866 19 $403.75 $125.12 $154.27 $2,627.49 1 S.F. Residence - Willamalane TotalWillamalane SDG Willamalane SDC 0611912001 5866 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res 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 address is readable from the street, that the permit card is located at the front of the property, and the Signature Date Checked By Date Completed Comment Bob Barnhart 0511012001 Steve Templin 0512212001 Liz Miller 0512912001 Tom Max 0513112001 $4,845.74 6t?-at approved setof elryremain on the site at alltimes during construction. CITY OF SPRINGFIET,, SYSTEMS DEVELO PMENT CII.. .GE WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I BUILDING SIZE: 1856 SF LOT SIZE: 5474 COZY HOMES 6683 SIMEONDRTVE 17-02-34-t l-06000 SINGLE FAMILY RESIDENCE SF JOURNAL ORJOB NUMBER: 0l-00478-01 IMPERVIOUS S.F COST PER S.F DISCOLINT RATE 0.00 $0.271 50% IMPERVIOUS S.F 2440.00 COST PER S.F. $0.271 $661.24 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $661.24ITEM 1 TOTAL. STORM DRAINAGE SDC NUMBEROFDFU'S COST PER DFU l9 16. l5 06.85 NUMBER OF DFU's l9 COST PER DFU $21.25 $403.7s B. IMPROVEMENT COST: x x 2. SAMTARY SEWER - CITY A. REIMBURSEMENTCOST: $710.60ITEM 2 TOTAL - CITY SANITARY SEWER SDC ADTTRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR 9.57 I $68.55 1.00 $656.02 ADTTRIPRATE 9.57 NUMBER OF UMTS I COST PER TRIP $16. l2 sts4.27 NEW TRIP FACTOR 1.00 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 I COSTPERFEU $285.91 $285.91 NUMBER OF FEU's I COST PER FEU s24.33 $24.33 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMIMSTRATIVE FEE $310.24 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SAMTARY SEWER - MWMC A. REIMBURSEMENTCOST: ITEM 4 TOTAL .]VTWMC SANITARY SEWER SDC 02.37SLIBTOTAL (ADD ITEMS 1,2,3, & 4) SUBTOTAL ADM. FEE RATE $2 7 5%$r25.12 5. ADMINISTRATIVE FEE: x $2,627.49 sl22l0ttluoTu"+l;4- SDC COORDINATOR TOTAL SDC CHARGES DATE ar! o(J ilr!Fa trl& 1070 l09l t092 1093 t094 1055 1056 t0'13 Dlr'U NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES DRAINAGE FIXTURE UNITS(#NEW - #OLD )x UNIT EQUIVALENTFIXTURE TYPE BATHTUB (l-0 (0-0 (0-0 (0-0 (0-0 (0-0 (l-0 (0-0 (0-0 (0-0 (0-0 (l-0 (0-0 (1-0 (0-0 (0-0 (0-0 (2-0 (0-0 (0-0 (2-0 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x J J DRINKING FOUNTAIN I 0 FLOORDRAIN J 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS / ETC J 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 6 0 LAUNDRY TUB 2 0 CLOTHESWASHER / MOP SINK J J CLoTHESWASHER- 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (I PERTRAILER)l2 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 J 0 SHOWER, SINGLE STALL 2 2 SHOWER,GANG (Nr.IMBER OF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN J J SINK: COMMERCIALBAR 2 0 SINK:DOMESTIC BAR I 0 WASH BASIN 2 0 LAVATORY I 2 URINAL, STALL/WALL 5 0 TOILET PUBLIC INSTALLATION 6 0 TOILET PRIVATE INSTALLATION J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDL],S* ( 0 - 0 )x 20 TOTAL DRAINAGE FD(TTJRE T]NITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day DRAINAGE URE UNIT CALCULATION--aABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE 1979 OR BEFORE $4.74 1990 $1.96 1980 $4.65 1991 $1.ss l98l s4.59 1992 $1.36 t982 s4.46 t993 $1.23 I 983 $4.30 t994 $ 1.05 1984 $4.14 t995 $0.90 1985 $3.93 t996 $0.7s I 986 $3.63 1997 $0.57 1987 $3.26 1998 $0.3s 1988 s2.85 t999 s0. t5 1989 s2.40 TOTAL IIyIWMC CREDIT 0.000 x $0.00 VALUE / 1OOO CREDIT RATE 0.000 x $0.00 DEVELOPTilENT OF Zoning 97177 lgnatd(e 726-3 769 ON SPF|INO;IELO CitY Job l{ulbcr 225 F$?TH STBEET iPR]NGFIELD, oR 97477 (y1) 726-3753 BIJSI?ICAL PEBI{IT APPLICAI{TII54 1) 726-3689 fiklffifil,fi$ Perinits are 1:":i:?t:i'ffitil"if vork is not s ;i i;;;";le o' if uark is sus C0I{PIJTB FBE S@D['I'S B8t'o!l xii.r;:*iti'il'il:lt'll uni'I' i!iui.. rncluded: rtems cost rlll ii'ii*i*iF : -"- 'Hhfrl*:]#lj': s 40oo i;:l:ii:,i:":'ii: :i", ron" or Beloc'atlon: 3 A.I. and exPire 180 daYs rpended for Sun EE ,re i80 daYs ' 2, COI{XBACTOB ITSTTU,ATION OI{IY Eiectrtca] Contraetor d. .eddress 3rz o PhoneCitY ;oi ;it to 4oo amps ?*/lil/ ioi "'i't to 6oq^an'Ps---t ro'' e6i "*-Ps to 1oo0 lnps- 6il'-i6iro amPs/vcl;s'- ieconnect Onl'Y -- B. ab b s 50.0c s 60.00 s100.00 $130.00 s300.0c $ 40.00qtrcC ExPiration Date o constr contr 'Number d Expiratlon Date SigBa ture of? Ovners Nane Address SuPervisor License Number Ci tY DATE: H:Hii:t'3i,'iiil ,ll rli"3i'i"lo"" t i on-' I OY}TEB INSTATIATIOH rhe ins talla t iolniinoll'i;"ti.l1u'u ii:':lll,',lllJ;i'"nt' Ovrtcrs Sigrrature: i3?:rl:?:iai'*Ps=oilr-ebt to 6co-8n6io-mtt 6ver ooO aBPs or Branch Circuits Nev, Altcratton or Bxtenglon Per s 35. One Circuit . -'iil ;lii::r'lih,'"' u a *fifirc a- slng trlclan Phone c, D. s s Sss 40,00 € 55.00 F ee t,8,, ab0ve g $ 2.00 -er not included) $ 40.00 e s 20.00 S 36.00 # Panel 00F iriffi:,1l'$iit",.. TOTAL Ng6EWED L 5 2o /.