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Home My WebLink AboutPermit Building 2001-05-04Page 1 of5 RESIDENTIAL PERMIT City Of Springfietd Community Services Division Building Safety 225 North Fifth Street Springfield, OR974T7 Location Of Proposed Site: 6687 Simeon Ct Spr AssessorsMap#: 17023411 Lot:26 Block: Addition:1st Job Number: 01-00369-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02600 Subdivision : Levi Landing 0 1 -003 169-0 ctry oF OREGOAI Owner: Joe Cottew Address: 4536 Glacier St Scope Of Work: Single Family Residence Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Phone Number: City/State/Zip: New 541-521-7006 Springfield, OR 97478 Value: $130,125 DO NOT ISSUE ANY PERMITS UNTIL forms which were installed prior to permit issuance are removed. - Orrestions nlease see l._isa Honner or Boh Barnhart contractor Registration # Expiration Date phone Joe Cottew 541-521-7006 4536 Glacier St, Springfield, OR 97478 Joe Cottew 541-521-7006 4536 Glacier St, Springfield, OR 97478 Joe Cottew 541-521-7006 4536 Glacier St, Springfield, OR 97478 Joe Cottew 541-521-7006 4536 Glacier St, Springfield, OR 97478 Quad Area: # Of Units: Gonstr. Type: Water Heater: 4RNE 1 (VN) Wood Frame Electric Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Wall Heat Sq. Footage: 1700 To request an inspection call the 24 hour 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 Building Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation -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 Special FinalBuilding Temporary Power Rough Electrical Electrical Service Special Final Electrical Required lnspections Page 2 of S -Prior to taping. -See Plan Review and/or lnspectors Notes.-when allrequired inspections have been approved and the buirding is comprete. Electrical -Approval required -Prior to cover. prior to SUB energizing pote. -Must be approved to obtain permanent power. -See Plan Review and/or lnspectors Notes. -When all electrical work is complete. Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Mechanical FinalMechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Avaitabte? f SpecialReq.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Plumbinq -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 I Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' 8 To Curb and Gutter b 00/00/00 00:00 AM Types Of Warning Devices Reqd. Job# 07 I Zoning: LDR FloodPlain? [ Weflands? ! Overlay District: # of Street Trees:4 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Journa! numbers 1: Comments; Planner: Liz Miller Urban Growth Boundary?[ Glenwood Area? ! Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X Light Gray 2: Job# 01-00369-01 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? n Panel 1167 of2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! Area (Sq. Main: 1700 Accessory: Accessory Structure # Of Stories: 1 Height (feet): 1B Current Units: Proposed Units:1 Census Code: New SF - detached Total:1700 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 0411712001 4965 130,125 $326.79 $326.79 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0510412001 0510412001 05t04t2001 00051 75 00051 75 00051 75 130,125 $502.75 $35.1 I $15.08 $553.02 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 State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee - Electrical Tota! Electrical 05104t2001 05t04t2001 0411312001 04t13t2001 05t04t2001 04t13t2001 05t04t2001 00051 75 00051 75 4940 4940 00051 75 4940 00051 75 1 3 1 $85.00 $45.00 $40.00 $2.80 $9.10 $1.20 $3.90 $187.00 Plumbing Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0510412001 0510412001 0510412001 0510412001 00051 75 00051 75 0005175 0005175 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Dryer Vent 0510412001 05t04t2001 05t04t2001 05t0412001 05t04t2001 0005175 0005175 0005175 00051 75 0005175 1 $4.50 $1.50 $.45 $6.00 $3.00 2 1 Job# 01-00369-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Mechanical lssuance State Surcharge - Mechanical Total Mechanical 05t0412001 0510412001 00051 75 00051 75 $10.00 $1.05 $26.s0 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 05104t2001 0510412001 0510412001 00051 75 00051 75 00051 75 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 05t04t2001 0510412001 05t04t2001 05t0412001 05t04t2001 05t04t2001 05t04t2001 0510412001 0510412001 00051 75 00051 75 00051 75 00051 75 00051 75 00051 75 00051 75 00051 75 00051 75 3,1 99 20 1 1 1 1 20 $866.93 $323.00 $656.02 $285.91 $24.33 $10.00 $425.00 $137.27 $154.27 $2,882.73 1 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 05t04t2001 0005175 1 $1,000.00 $1,000.00 Grand Tota! Plan Check Type lnitial Review-Res lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Lisa Hopper Steve Templin Liz Miller Don Moore Date Completed 04t1612001 0411812001 0412512001 05t0112001 04t2712001 $5,252.04 Comment HOLD. Plan as submitted does not meet minimum 10'setback on Thurston Road side. Spoke with "Jack" and Walt Drews 4116101. Explained required setbacks from structure to street. Walt Drews will be contacting planning to discuss options for modification of provisions. Survey of lot required. Provide survey to lnspector Bob Barnhart Need revised garage layout to fit site (to be submitted). Submitted on 4124101- revised engineering submitted 4126101 Foundation plan is missing from revised setas of 4/27; advised applicant-(will submit). Structural-Res Tom Max 0510412001 Job# 01-00369-01 Page 5 of 5 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 address is the ap the site at alltimes during construction inspections are requested at the proper time, that each the permit card is located at the front of the property, and the d C'TY OF SPB"VGFIELD, O,TFI}O'U INSPECTION REQTIEST: OFPICE: 726-3759 oa\" SPRir{GFIELO ELEGTRICAL PERUTT APPLICATION Ci ty Job Nunber COHPI,RTB FEE SCffiDTII,E BELOV Nev Residential-Single or MuIti-Family Per dvelling unit' Service Included:Items Cost 726- a rclan 3 A 1 Permi t are - t rans if vork is not started of issuance or if vork Supervisor Lice Expiration Date Constr Contr. Expiration Signat Ovners N Address Ci ty OVNER INSTALLATION DATE: Sum 180 days. 2 CONTRACTOR INSTALI.,ATION ONIY EIec t ca1 Contractor Address Ci ty rable and exPire vithin 180 daYs is suspended for L000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Hanuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: t/ $ Bs.oo 8s* 3 $ 1s.oo /s,* s 40.00 50.00 50. 00 100.00 130.00 300.00 40.00 B C to 200 amps or 201- amps to 401 amPs to Iess 400 amps 600 amps L000 amps S $ $ s $ $r 601 amps Over 1000 Reconnec t amps/vo1ts - OnIy TemporarY Services or Feeders inii.lfaiion, Alteration or Relocation D aSovE- Branch Circuits Nev, Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 E Miscellaneous (Service/feeder not incl'uded) 200 amps''or less 201 amps to 400 amPs Over 40L to 600 amPs Over 600 amPs or 100 SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL -Each installation Pump or irrigation Sign/OutIine Lighting_- Limited EnergY/Res ___ Limited EnergY/Comm $ ss.00 $ 80.00 O-voTts see rrBrr $ 2.00 $ 40.00 s 40.00 $ 20.00 $ 36.00 Phon"?EDLrlUp 5 \ of Supervising EIe te r RBCEIVED 225 FIFTB STREET SPRINGFIEI-D ,77 The installation is being made on piop".ty I ovn vhich is not intended *.,., , ',,€ofir-'s4le , Iease or ren t '7UU''fJ1N;JUJ ' "rnll rut ln ; : li,Y0Sr\P r5. ntigPq f ,s,r e :irr r0r:7 + r-,'u..r:o iflU TOOJ IU AUI^I:3IU[ ETTSO DI CITY O F sYS TEMS DE CH GE LOCATION: TAXLOTNT/MBER: DEVELOPMENT TYPE: NEIWDWELLING I.INITS: LOT SIZE:SF COMPANY: SIMEON -05800 SINGLE RESIDENCE OR JOB 0l-003 69-01NAME OR 6687 COURT 17-02-34_11 FAMILY 0sFBTJILDING SIZE: IMPERVIOUS S.F COSTPER S.F DISCOUNTRATE 0.00 I 50Yo IMPERVIOUS S.F 3199.00 COSTPER S.F $0.271 $866.93TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY S x x x RUNOFFROUTED DIRECTRUNOFF TEMTO CITY STORM SYS TANDARDS ITEM 1 TOTAL. STORMDRAINAGE SDC NUMBER OF DFI.]'S COST PER DFU 20 $ 16.15 $323.00 NUMBER OF DFU's 20 COSTPERDFU $21.2s 00 B.IMPROVEMENT COST: x x A. REIMBURSEMENT COST: 2. SANTTARY SEWER - CITY 48.00ITEM 2 TOTAL - CITY SANITARY SEWER SDC ADT TRIP RATE NUMBEROFUNITS COST PER TRIP NEW TRIP FACTOR 9.57 I $68.55 1.00 s656.02 ADT TRIP RATE 9.57 NUMBEROFTiNITS I COST PER TRIP $ 16. l2 NEW TRIP FACTOR 1.00 154.27 B.IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: ITEM3 TOTAL - TRANSPORTATION SDC $10.00 NUMBER OF FEU's I COST PER FEU $28s.91 s285.91 NUMBER OF FEU's I COST PERFEU $24.33 s24.33 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE $310.24 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: $320.24ITEM 4 TOTAL - 1VTWMC SANITARY SEWER SDC $2 745.46SUBTOTAL (ADD ITEMS 1,2,3, & 4) ADM. FEE RATESUBTOTAL t37.27,745.46 5% 5. ADMINISTRATIVE FEE: x $2,882.73 1056 r073 109 I I I ar!ooO /, E]Fa (, E]& 4l25l0t$fu4rr,k4.tl;4- SDC COORDINATOR TOTAL SDC CHARGES DATE I I NUMBER OF NEW FIXTURES X UNIT EQUIV ALENT = DRAINAGE FIXTURE UNITS CALCULATE ONLY THE NETADDITIONALFOR NO. OF FIXTURES DRAINAGE FIXTURE UNITS- #oLD ) UNIT (#NEW x FIXTURE TYPE J 6 BATHTUB (2 0 0 0 0 0 I 0 0 0 0 0 0 I 0 0 0 2 0 0 2 -o)-o)-o)-o)-o)-o)-o)-o)-o) -0) -0) -0) -0) -0)-o) -0) -0) -0) -0) -0) -0) x x x x x x 0 DRINKING FOUNTAIN ( ( ( ( ( I FLOORDRAIN J 0 FORGREASE,IOIL / SOLIDS /ETC.J 0 FOR SAND / AI-NO WASH /ETC 6 0 LAUNDRY TUB )0 CLOTHESWASHER / MOP SINK ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( x x x x x x x x x x x x x x x J 3 CLOTHESWASHER - 3 ORMORE (EA)6 0 MOBILE HOME PARKTRAP (I PER t2 0 FORREFRIG /WATER STATION / ETC.1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.J 0 SHOWER, SINGLE STALL 2 0 sHowER, GANG GTUMBER oF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN J J SINK: COMMERCIALBAR 2 0 SINK: DOMESTIC BAR 0 WASHBASIN 2 0 LAVATORY I 2 URINAL, STALL/WALL 5 0 TOILET, PUBLIC INSTALLATION 6 0 TOILET PRIVATE INSTALLATION J 6 MISCELLANEOUS DFU TYPE NLIMBER 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 20 DRAINAGE JRE UNIT CALCULATI'ON--rBLE 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 $I,OOO ASSESSED VALUE I979 OR BEFORE $4.74 1990 s1.96 1980 $4.65 t99t $1.55 198 I s4.s9 1992 $r.36 1982 $4.46 1993 $1.23 I 983 s4.30 t994 sl.0s 1984 $4.14 1995 s0.90 1985 $3.93 1996 $0.7s 1986 $3.63 1997 $0.s7 t987 $3.26 1998 $0.35 1988 $2.85 t999 $0.1 s r989 $2.40 TOTAL I\IWMC CREDIT : 0.000 x $0.00 VALUE / IOOO CREDIT RATE 0.000 x $0.00 INTERCEPTORS INTERCEPTORS TRAILER) RECEPTOR 1 LEGAI DESCRIPTION oaC) SPF FIELE' BLBCIRICAL PERHIT APPLICATION Ci ty Job Nunber(J/-00367 - o I 3. COHPI,ETE FBE SCEEDTILE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost $ 8s.00 ( 225 FIFTE STREET SPRTNGFTELD, oREGON 97 INSPECTION OFFICE: 7 1. LOCATIi 66,8-7 A o Sum Permits are non-transferable and expire if vork is not started vithin 1'80 days of issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTALI.,ATION ONLY Electrical Contractor Address Ci ty e Supervi-sor Li cense Number Exp iration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician owners ltame 5Oa GTL, Address q< 3 (- Gta- Ci ty e?Fb OIINER INSTALLATION Services or Feeders InstalIation, 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/volts Reconnect 0n1Y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 20L amps to 400 amPs Over 40L to 600 amPs 0ver 600 amps or 1000-vffis Branch Circuits Nev, Alteration or Exterrsion Per Pane1 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home. or Modular 'Dve11ing SerVice or Feeder -Each installation Pump or irrigation ._- Sign/Out1ine Lighting-- Limi ted EnergY/Res --Limi ted EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL tl JOB DESCRIPTn-kr,utQ Sr"r.A B s 1s.00 s 40.00 $ s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 $ 2.00 C $ 4o.oo E$ ss.00 s 80.00 see ttBtt above (4L >+s 3s.00One Circuit Each Additional Circuit or vith Service or Feeder Permit Phone SZ ( -b E Miscellaneous (Service/feeder not included) D The installation is being made on property I ovn Yhich is not intended ior's"tl, lease /r rent.00 00 odd 40 40 20 36 $ s $ sOwners Signature:4 --lt=ffi-fi-- f> -llr-+*-- ",, :I1: aF lC}O(3+\ +\(3 DATE:o, t{ RECEIVED B 5 d cf . ' c)fi-. (} cl (f Fr(}(:)* 9,*OF rC- 1\.6 Zontnq 726-37.69 Oare'