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Home My WebLink AboutPermit Building 2001-06-19L a SPFINGFIELD Job# 01-00479-01 RESIDENTIAL PERMIT Gity Of Springfield Gommunity Services Division Building Safety Page 1 of 4 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6685 Simeon Ct Spr AssessorsMap#: 17023411 Lot:27 Block: Addition Job Number: 01-00479-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 05900 Subdivision: Levi Landing ctTY oF sPRtNcFtELD, OREoON Owner: Cozy Homes Address: P.O. Box 237 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Value: $105,456 Contractor Type GeneralContr Electrical Contr MechanicalContr Plumbing Contr Contractor Cozy Homes P.O. Box 237, Springfield, OR 97477 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 2t17t2000 1t1t2001 Phone 541-747-8704 541-767-0626 541 -895-3758 Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 1 (VN) Wood Frame office use - Land Use: Zoning Code: LDR Bedrooms: 3 Range: # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Sq. Footage: 1400 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. Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Buildinq I -lnstall ground rod at footing, and callfor 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 Drywall FinalBuilding Temporary Power 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 Mechanical FinalMechanica! SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Job# 01-00479-01 Page? of 4 Required lnspections Buildinq -Prior to taping. -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole. -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. Flumbing 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 allplumbing work is complete. Mechanical Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete 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' B To Curb and Gutter 6 00/00/0000 00:00 AMBond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Types Of Warning Devices Reqd. -Prior to insulation or decking. -Prior to cover. -When all mechanicalwork is complete. tr Zoning: LDR FtoodPlain? ! Wettands? [ Journalnumbers 1: Comments: Planner: Liz Miller Urban Grovvth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Job# 01-00479-01 Overlay District: # of Street Trees 2:3: Additiona! Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: FIood Plain FEMA:Panel 1166 of2975 Page 3 of 4 Land Use: Pave Driveway? Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ (Sq. Feet) Main: 1400 Accessory434 # Of Stories: 1 Height (feet): 20 Current Units: Proposed Units:1 Census Code: New SF - attached Total:1834 Paid On Receipt# Value/Quantity Fee Amount Plan Check 05/09/2001 5264Residential Plan Check Total Plan Check 105,456 $290.23 $290.23 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0611912001 0611912001 06t19t2001 5865 5865 5865 105,456 $446.50 $31.26 $13.40 $491.16 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0611912001 0611912001 06t1912001 06t19t2001 06t19t2001 5865 5865 5865 5865 5865 1 2 1 $85.00 $30.00 $40.00 $10.85 $4.65 $170.s0 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbi 0611912001 06t1912001 06t1912001 0611912001 5865 5865 5865 5865 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance 0611912001 0611912001 0611912001 06t1912001 06t19t2001 06/19/2001 06t1912001 5865 5865 5865 5865 5865 5865 5865 1 $4.50 $.00 $.5e $6.00 $6.00 $3.00 $10.00 1 2 1 Fee Job# 01-00479-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical Mechanical 0611912001 5865 $1.37 $31.46 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 06/1 9/2001 06/19/2001 06t19t2001 5865 5865 5865 60 1 1 $65.00 $65.00 $-30.00 $100.00 System Development 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 0611912001 0611912001 0611912001 06t19t2001 06/1 9/2001 06/1 9/2001 06/1 9/2001 06t19t2001 06t19t2001 5865 5865 5865 5865 5865 5865 5865 5865 5865 2,522 20 1 1 1 1 20 $683.46 $323.00 $656.02 $285.91 $24.33 $10.00 $425.00 $1 28.1 0 $154.27 $2,690.09 1 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Date Completed Comment Bob Barnhart 0511112001 Steve Templin 05/30/2001 Liz Miller 05/30/2001 Tom Max 0512412001 $3,949.44 6 -r ?-a 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 approved set of plans -,rryon the site at alltimes during construction Signature Date CITY OF SPRINGFIELy SYSTEMS DEVELOPMENT CHA ,E WORI(SHEBT NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS:1 BUILDING SIZE: 1400 SF LOT SIZE: 5647 SF COZY HOMES 6685 SIMEON COURT t7-02-34-t l-05900 SINGLE FAMILY RESIDENCE JOURNAL OR JOB NUMBER: 01-00479-01 IMPERVIOUS S.F COST PER S.F DISCOUNTRATE I s0%$0.000.00 IMPERVIOUS S.F 2522.00 COST PER S.F $0.271 $683.46 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x xx I. STORM DRATNAGE DIRICT RUNOFF TO CITY STORM SYSTEM $683.46ITEM 1 TOTAL - STORMDRAINAGE SDC COST PER DFUNUMBER OF DFU's .002016.1 5 NUMBER OF DFU's 20 COST PER DFU $21.2s $42s.00 B.IMPROVEMENT COST: x x 2. SAMTARY SEWER- CITY A. REIMBURSEMENT COST: $748.00ITEM 2 TOTAL - CITY SANITARY SEWER SDC NEW TRIP FACTORNUMBER OF UNITS COST PER TRIPADT TRIP RATE 1.00 $6s6.02I$68.ss9.57 ADT TRIPRATE 9.57 NUMBER OF UNITS I COST PER TRIP $16. 12 $rs4.27 NEW TRIP FACTOR 1.00 B.IMPROVEMENT COST: xxx x xx 3, TRANSPORTATION A. REIMBURSEMENT COST: $810.29ITEM 3 TOTAL . TRANSPORTATION SDC $10.00 NUMBER OF FEI.]'S I COST PER FEU $28s.91 $28s.91 NUMBER OF FELts I COST PER FEU $24.33 $24.33 $0.00 SLIBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMIMSTRATIVE FEE $310.24 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: ITEM 4 TOTAL . MWMC SAIIITARY SEWER SDC 1.99SUBToTAL (ADD ITEMS 1,2,3, &4) ADM. FEE RATESUBTOTAL $128. l05%1,99 5. ADMINISTRATIVE FEE: x $2,690.09 (nr! RcU &I!F(n trl& 1070 1091 1092 1093 1094 105s 1056 t073 sl22l0ltlr,u&Tr^,*l;,t- SDC COORDINATOR TOTAL SDC CHARGES DATE DRAINAGE UNIT CALCULATIO,-TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE NI,IMBER OF NEW FIXTURES x I.JNIT EQUIVALENT = DRAINAGE FIXTURE I.JNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE FIXTURE LTNITS(#NEW - #OLD )x UNIT EQUIVALENTFIXTURE TYPE BATHTUB ( 2 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )*( 0 - 0 )x( 0 - 0 )"( I - 0 )x( 0 - 0 )x( 0 - 0 )x ( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( I - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )*( 2 - 0 )x( 0 - 0 )x( 0 - 0 )x( 2 - 0 )x J 6 DRINKING FOUNTAIN 1 0 FLOORDRAIN J 0 INTERCEPTORS FOR GREASE I OIL / SOLIDS / ETC.J 0 INTERCEPTORS FOR SAND / AUTO WASH IETC.6 0 LAUNDRY TLIB 2 0 CLOTHESWASHER / MOP SINK J CLOTHESWASHER- 3 ORMORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)t2 0 RECEPTORFORREFRIG / WATER STATION/ ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 3 0 SHOWER, SINGLE STALL 2 0 sHowER, GANG (NUMBER OF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN J J SINK: COMMERCIAL BAR 2 0 SINK: DOMESTIC BAR 1 0 WASHBASIN 2 0 LAVATORY I 2 URINAL, STALL/WALL 5 0 TOILET PUBLIC INSTALLATION 6 0 TOILET PRIVATE TNSTALLATION J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDfIsx ( 0 - 0 )x 20 0 TOTAL DRAINAGE FIXTURE T]NITS : *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 20 IF IMPROVEMENTS OCCTIRRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AI'TER ANNEXATION)$0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE s4.74 1990 $1.96 I 980 s4.65 199r $ l.s5 198 r $4.59 1992 $ 1.36 1982 $4.46 l 993 $ 1.23 1983 $4.30 1994 s 1.05 1984 $4.14 1995 $0.90 I 985 $3.93 t996 s0.75 l 986 $3.63 1997 $0.s7 1987 $3.26 l 998 $0.3s 1988 $2.85 1999 $0.1s 1989 s2.40 $0.00 TOTAL MWMC CREDIT : 0.000 x $0.00 VALUE / IOOO CREDIT RATE 0.000 x $0.00 CITY OF SPR-tNGFlEt-o,orr, DEVELOPITETIT sgFv,cEs Zoning -d Job Nrrubor AJrlrorlzeo Slgnature J cot{PIJIE rBE s@utB 8Bt0s PEBttrT ArPlrcar&fi{s4 1 ) 7fr'368e ilil,Hltii;T;'ll:ti'il uni,' ieivlcr Includeot ,,*,os Cost Sum looo sg. f t. or.rce s 5 $ 85'oo fiS sI'$ -.ialttonal 5oo :g; !! or port!'on _Z $ 15.00 aa 'irh[i*:]iiti,- : $ 40 oo * ii:lliil,i;J"iii:i" t ron= or Belocrtlont 225 NFTH STREET SPRINGFIELD'on 97477 (*1)726-3753 anps I IEPS . tsps lvolts -d .4 or Extenslon Per Panel $ 35.00 and exPire 180 daYs pended for 3Pq FllLo to to 8BPs 0ntY fiki$iEi'$ffi' 97477 OF1.A Perrui ts are l:";i:?t:!T:i:"1f vork ts not s ii iliij.rce or if vork is sus 180 days. Z. COIIItsAEOE IXSTAIJAIION ONLY Eiectrlcal Contractor $ddress 3i D Phon"3'tb!!b-6ni SuPervl sor License Number q tro s u8 JOB DESCRI t- ExPiratlon Date Constr 6ontr' Number d, Explratlon Date ture o Ovners Name Address less 400 , 600 1000 d- clut B c. D, 200 anPr or 201 aoPs to s 50.00 s 60.0c $100.00 $130,00 s300.00 $ 40.00 7-/t5/ 401 anPs 601 smps 0vcr 1000 Reconnoct I;:ilii:{'3i;'liil'3l'li"tirie1o"" t I on flLlffiuh*n#"i$m #d-- o Branch Clrcuits Nev, Alteratlon 0ne Circult ?hone Ea eh Additt onal ci rcult or vl th Service otr Fecder Pernlt g Hiscclien eous -Eecb 1ns iallettontlon --G (Srrvlceifeeder not lncluded) s 2.00 40.00 OST{ER INSTATLA$ON rhe i n s t aill:.1'lhtlnoil"i.T"ti,llu"u i::':lil,',lll.. oi,"ot' OYnerB Signaturel PuaP or Slgn/0uLtoltrd Llat trd lrrlga tline L 40.00 s sighting -.20.00 Energy /Res 35.00 EnerEY /Comn ififfi:'il;ffiil',"tolll, B, DAIE: 5 s fr c1