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Home My WebLink AboutPermit Building 2000-03-17SPFINGFIELD Job# 00-00277-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 TRANSS:01-000096? I}ATE:I.!AR 1? TOOO Al'lT RECD:2 $ 411?.19 IHf;NET: CASHiER:0C4 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6771 Simeon Dr Spr AssessorsMap#: 17023411 Lot:2 Block: Addition: Job Number: 00-00277 -01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 03400 Subdivision : Levi Landing clTY oF SPRfiNGFIEL4 OREeOnt Owner: Advanced lnvestment Company Address: 321 Good Pasture lsland Rd Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-343-9714 Eugene, OR 97401 Value: $100,921 Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Contractor Custom Creations X,X,X C&SElectriclnc Po Box 1482, Springfield, OR 97477-0189 CommercialAir lnc 1665 lrving Rd, Eugene, OR97402-2479 Franks Plumbing 22082 Cook Road, Noti, OR 97461 Registration # 60069 Expiration Date 5t4t01 Phone 541-935-4121 541-741-2236 541-461-4821 541 -935-3263 3849 1 1 0075 9/1/00 12t18t99 Quad Area: # Of Units: Constr. 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 OccupancyGroup: Dwelling Heat Source: Forced Air Electric Sq. Footage: 1332 To request an inspection call the 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 Buildinq Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Wall lnsulation -lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation 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 City Of Springfield Development Services Community Services Division Building Safety Job# 00-00277-01 Page 1 of 3 Location Of Proposed Site: 6771 Simeon Dr Spr AssessorsMap#: 17023411 Lot:2 Block: Addition: Tax Lot #: 03400 Subdivision: Levi Landing Owner: Advanced lnvestment Company Address: 321 Good Pasture lsland Rd Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-343-9714 Eugene, OR 97401 Value: $100,921 Contractor Type GeneralContr Electrical Contr Mechanical Contr Plumbing Contr Contractor Custom Creations X,X,X C&SElectriclnc Po Box 1482, Springfield, OR 97477-0189 CommercialAir lnc 1665 lrving Rd, Eugene, OR97402-2479 Franks Plumbing 22082 Cook Road, Noti, OR 97461 Registration # 60069 Expiration Date 05t04t2001 Phone 541-9354121 541-741-2236 541-461-4821 541 -935-3263 3849 1 1 0075 09/01/2000 12t18t2001 Fee Paid On Receipt# Value/Quantity Fee Amount Hourly Plan Review Total Plan Check 02t1612000 615 2 $80.00 $80.00 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Tota! Building 03t17t2000 0311712000 03t1712000 0000967 0000967 0000967 100,921 $435.25 $30.47 $13.06 $478.78 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 Electric Administrative Fee Total Electrical 0311712000 03t17t2000 03t1712000 0311712000 03t17t2000 0000967 0000967 0000967 0000967 0000967 1 2 1 $85.00 $30.00 $40.00 $10.85 $4.65 $170.50 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing ng 03t17t2000 03t1712000 0311712000 03t17t2000 0000967 0000967 0000967 0000967 1 $.00 $160.00 $11.20 $4.80 $176.00 Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU 03t1712000 03t17t2000 03t1712000 03t1712000 0000967 0000967 0000967 0000967 1 $4.50 $.00 $.59 $6.00I City Of Springfield Development Services Gommunity Services Division Building Safety Job# 00-00277-01 Page 2 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 03117t2000 03t1712000 03t17t2000 03t17t2000 0000967 0000967 0000967 0000967 2 1 $6.00 $3 00 $10.00 $1.37 $31.46 Public Works New Sidewalk New Curbcut Total Public Works 03t17t2000 03t17t2000 0000967 0000967 55 I $60.00 $60.00 $120.00 tstem Development Residential- Single Family - Storm Sanitary Sewer Residential Tra nsportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1990 Tota! System Development 03t17t2000 03117t2000 03t17t2000 03t17t2000 03t17t2000 03t17t2000 03t17t2000 03t17t2000 0000967 0000967 0000967 0000967 0000967 0000967 0000967 0000967 2,472 18 1 1 1 1 31 $573.45 $868.86 $491.60 $242.76 $22.05 $10.00 $107.71 $-54.48 $2,261.95 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 03t17t2000 0000967 1 $1,000.00 $1,000.00 Grand Total $4,318.69 Scheduled lns Date Required lnspections pection lnspector Date Result Comments Buitd 03t22t2000 0312312000 03t23t2000 03123t2000 03/30/2000 03/31/2000 0411812000 04t18t2000 04t20t2000 04t20t2000 05/01/2000 06t1212000 06/1 3/2000 03t22t2000 0312312000 03t23t2000 03t2312000 03/30/2000 03t3112000 04t18t2000 04t18t2000 04t20t2000 04t20t2000 05/01/2000 06t1212000 06/1 3/2000 Tom Marx Tom Marx Tom Max Tom Marx Tom Marx Bob Barnhart Bob Barnhart Bob Barnhart Tom Marx Tom Max Bob Barnhart Bob Barnhart Bob Barnhart Pending Not OK OK OK OK OK OK OK OK OK OK OK lnformation Only OK Electrical Temporary Power Pending Ceiling lnsulation Footing Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Shear Wall Nailing Framing Shear Wall Nailing Walllnsulation Drywall FinalBuilding Final Building City Of Springfield Development Services Community Services Division Building Safety Job# 00-00277-O1 Page 3 of 3 Scheduled lns Date Required lnspections pection lnsoector Date Result Gomments Electrical Service Final Electrical Rough Electrical Final Electrical Water Line Underfloor Plumbing Underfloor Drain Storm Sewer Line Underfloor Plumbing Sanitary Sewer Line Rough Plumbing FinalPlumbing Underfloor Mechanical Rough Mechanical Final Mechanical FinalMechanical Sidewalk Curbcut Gurbcut Sidewalk Electrical 0411312000 0411312000 Dave Gadomski OK sub-called Wrong lnspection Requested OK OK OK Not Ready OK DRYWELL OK OK LOOK FOR WALL CLEAN OUT FOR MASTER LAVY OK OK OK OK OK lnformation Only OK Not OK depth, c.r., weep pipe OK OK OK 04t13t2000 04t1712000 05/30/2000 03/30/2000 03/30/2000 04t13t2000 04t17t2000 05/30/2000 03/30/2000 03/30/2000 03/30/2000 Dave Gadomski Dave Gadomski Dave Gadomski Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham Tom Marx Bob Barnhart Bob Barnhart Bob Barnhart Ron Sather Ron Sather Ron Sather Plumbing 03/30/2000 03/31/2000 03/30/2000 03t31t2000 04t0412000 04t1712000 06/06/2000 03/30/2000 04t18t2000 06t12t2000 06/1 3/2000 06/06/2000 06/06/2000 06/06/2000 04t04t2000 04t17t2000 06/06/2000 03/30/2000 04t18t2000 06t12t2000 06/1 3/2000 06/06/2000 06/06/2000 06/06/2000 Mechanical Public Works 06/05/2000 06/05/2000 Ron Sather Plan Gheck Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Gompleted 02t29t2000 03/1 3/2000 03/1 5/2000 03/16/2000 Gomment Held for plot plan from applicant Of Report Drywal! FinalBuilding Temporary Power 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 Final Mechanical Curbcut Sidewalk Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Specia! !nstructions: Other Utilities: Project Supervisor: Job# 00-00277-01 Page 2 of 4 Required lnspections -Prior to taping. Building ] -When all required inspections have been approved and the building is complete Electrica! I -Approval required prior to SUB energizing pole - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. -Priortoinrul"tio# - 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 I - Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete Public Works -After forms are ereceted but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter 6 00/00/00 00:00 AM Types Of Warning Devices Reqd. Job# 00-00277-01 Zoning: LDR Overlay District: FloodPlain? [ Weflands? ! # of Street Trees: 1 Journal numbers 1: 2: 3: Comments2 paved off-street parking spaces are required Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z Planner: AlWard Urban Growth Boundary?f_] Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Glenwood Area? Additional Req uirements Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ (Sq. Feet) Main: 1332 Accessory445 Accessory Structure # Of Stories: 1 Height (feet): 1Z Current Units: Proposed Units:1 Census Code: New SF - detached Total:1777 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Total PIan Check 02t16t2000 615 2 $80.00 $80.00 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0311712000 03117t2000 0311712000 0000967 0000967 0000967 100,921 $435.2s $30.47 $13.06 $478.78 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 Electric Administrative Fee Total Electrical 03t17t2000 03117t2000 03t17t2000 0311712000 03117t2000 0000967 0000967 0000967 0000967 0000967 1 2 1 $85.00 $30.00 $40.00 $10.85 $4.65 $170.50 Plumbi Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Tota! Plumbing 03t17t2000 03t17t2000 0311712000 03t17t2000 0000967 0000967 0000967 0000967 I $.00 $160.00 $1 1.20 $4.80 $176.00 Mechanical Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance 03t17t2000 0311712000 0311712000 0311712000 0311712000 03t17t2000 0311712000 0000967 0000967 0000967 0000967 0000967 0000967 0000967 1 $4.50 $.00 $.5e $6.00 $6.00 $3.00 $10.00 1 2 1 Job# 00-00277-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge For Mechanical Permit Tota! Mechanical Mechanical 03t17 t2000 0000967 $1.37 $31.46 Public Works New Sidewalk New Curbcut Total Public Works 0311712000 03t17t2000 0000967 0000967 55 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 Property Annexed 1990 Total System Development 03t1712000 0311712000 03t17t2000 03t17t2000 03t17t2000 03t17t2000 0311712000 0311712000 0000967 0000967 0000967 0000967 0000967 0000967 0000967 0000967 2,472 18 31 $573.45 $86B.86 $491.60 $242.76 $22.05 $10.00 $107.71 $-54.48 $2,261.95 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 03t17 t2000 0000967 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Completed 02t29t2000 03/1 3/2000 03/1 5/2000 03/1 6/2000 $4,318.69 3-17 - ao 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 app of I remain on the site at all times during construction. Sig Date 1\re. 225 FIFTE STREET SPRTNGFTELD, oREGoN 97 4.77 INSPECIfON REQUEST| 726-376 0FFICE: 726-3759 1.OF if vork is not started vithin of issuance or if vork is sus 180 days. CONTRACTOR INSTALI,ATION ONI,Y EIec Addr Ci ty Supe cal Contractor Permi ts a non-transferable and 1re SPFlINGFIELO EIJ TRICAL PERHIT Ci ty Job Nunber B. Services or Feeders InstaIIation, Alterations or Relocation: COHPLETE FEE SCffiDI'I.E BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular 'DvelIing Sertice or Feeder $ 8s.00 s 1s.00 $ 40.00 oa a 3 A s pended or amps _ amps _ amps Sum ?z* ee B" a566 I I ess 200 amps or less 201 amps to 400 401 amps to 600 601 amps to 1000 s s0.00 s 60.00 s100.00 $130. 00 s300.00s 40.00 40 55 80 $ s,$ss rvisor Licen ber Expiration Date Constr Contr.umber Expi ra t i te Signa of Supervising Elect Orners Address cir Phone OVNER ALII\TION Orners PAIE: 0ver 1000 amPs/volts Reconnect 0n1Y Temporary Services or Feeders Insiallaiion, Alteration or Relocationc D. l, 200 amps"or less / 201 amps to 400 amPs - Over 401 to 600 amps - 0ver 600 amPs or 1000 volt Branch Circuits 00 00 00 s 40.00 s 40.00 s 20.00 $ 36.00 ll Ner, Alteration or Extension Per Panel One Circuit Eaoh Additional s 35.00 The installation is being made on pioputty I ovn vhich is not intended for sale, Iease or rent' Ci'rcui t or vi th Serviceoi-r'".o"rPermit - $ 2'09'- Hiscellaneous (Service/feeder not included) SUBTOTAL OF ABOVE 2"/ state Surcharge 32 Administrative Fee TOTAL 5 RECEIVED B tu -? -a) a -Each installation Pump or irrigation - Sign/OutIine Lighting- Limited EnergY/Res - Linited EnergY/Comm ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: DWELLING UNITS: ADVANCED INVESTMENT COMPANY 00-00277-01 6771 SIMEON DzuVE t7-02-34-t t-03400 SINGLE FAMILY RESIDENCE BUILDING SIZE: 1771 LOT SIZE: 5316 I. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.232 PER SQ. FT2471.15 $s73.45 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFUl8 $868.86 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PE4K HOUR TRIP I x l.0l x $486'73 PERTRIP x x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC 1.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 1 B.IMPROVEMENT COST: NUMBER OF FEU's 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $242.76 $22.05 .48 $ 10.00 $220.33 SUBToTAL (ADD ITEMS 1,2,3, &4) 5. ADMNISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $107.71 s2,261.95 SDC COORDINATOR DATE TOTAL SDC CHARGES 1 54.24 PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x TJNIT EQUTVALENT = PLUMBING FIXTURE LINITS (NOTE: FOR REMODEI-S. CAI-CIII.ATE ONLY THE NFT ADDITION FIXTURES) UNIT FIXTURE TYPE BATHTUB DRINKING FOTINTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LALTNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL sHowER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLTWALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: o 0 0 TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL FIXTURES NEW OLD YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $ 4.47 $ 4.38 $ 4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 s2.62 1989 1990 t99t 1992 1993 1994 1995 1996 1997 1998 $ 2.18 $ l.7s $ l.3s $ l.17 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 19'79 or 1980 l98l 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75 x IMPROVEMENT (IF AFTER ANNEXATION DATE) x 31.133 $54.48 ALENT PLUMBING FIXTURE LTNITS 2 I 2 3 6 2 6 6 I J 2 I 2 2 I 6 4 1 2 0 2 0 0 0 0 2 0 2 0 2 0 8 1 2 2 0 0 0 $s4.48 $0.00 CREDIT TOTAL SYSTEM DEVELOPMENT CHARGE WORKSHEET E ADD S LOCATION OF PROPOSED ILDING SITE: Willamalane Park & Recreation District 00.0D111.0 l| 0b (fr 0o Job. No. PHONE: STATE:P t Street Add I Plat Name:ax Lot Number: 1.(Check back.) dwelling(s). SDC calculalions and dwelling t ype are on the A Single-Family Detached Single Family home Manufactured home not in a NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit = $ D. Manufac{ured Home Park NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ 2. SDC CREDTT ([ applicable] SDC-payer must turnlsh proof of Willamalane Credit approval. See SOC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED $ $ $flf Date City of soc for Credit)