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HomeMy WebLinkAboutPermit Building 2001-12-10SPBINGFTELED Page 1 of 5 Job Number: 01-01 228-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 03200 Subdivision : Levi Landing RESIDENTIAL PERMIT City Of SPringfield Community Services Division Building SafetY 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6873 Simeon Dr Spr Assessors Map#: 17023411 Lot:43 Block: Addition:2 -010t Owner: Donald Parker Address: 24717 Wolf Creek Rd Scope Of Work: Single Family Residence SFR Phone Number: City/State/Zip: New 541-579-3853 Veneta, OR 97487 Value: $129,449 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr # Of Buildings: 1 Occupancy Group: Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Gas Heat Source: Sq. ng ,o in conjuction with footing and/or foundation i To request an inspection call the 24 hour recording at 726-3769. All a.m. will be made the same working day, inspections requested working day. Required lnspections Buildins Verify Ground Rod Footing Foundation Post and Beam Floor !nsulation Ceiling lnsulation Shear Wall Nailing Framing \SS -lnstall ground rod at footing, and call for ins -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. OREGONOFCITY 6t10120q 541-688-1 931Don Lewis Plumbing 500 Greenfield Street, Eugene, OR97404 Walllnsulation Dryruall FinalBuilding Temporary Power Rough Electrical Electrical Service Fina! Electricat Job# 01-01228-01 Page 2 of 5 -Prior to cover Building I -Prior to taping. -When all required inspections have been approved and the building is complete Electrical I -Approval required -Prior to cover. prior to SUB energizing pole. -Must be approved to obtain permanent power, -When all electricalwork is complete. Underfloor Plumbing Underftoor Drain Rough Ptumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical Plumbing -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 -Prior 00/00/0000 00:00 AM NO OCCUPANCY OR to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appriance. pressure ter-.!Vhen atlgas work is complete. -When all mechanicalwork is complete. SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 _ 4 Storm Sewer Availabte? fl SpeciatReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: -After forms are "ffint of concrete-After forms are erected but prior to bfr."r"rt of concrete Sidewalk Type: AdditionatROW? Size Of Line (in): Downspouts/Drains: Enchroachment permit: San Sewer Tee (in): Bond End DateTime: 00/00/0000 00:00 AM SEWER HOOKUP UNTIL CITY ACCEPTS INFRAS Types Of Warning Devices Reqd. Curbside - 5' B To Curb and Gutter 6 Zoning: LDR FloodPlain? Job# 01-01228-01 Overlay District: Wetlands? l] # of Street Trees: 2 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? n Journal numbers 1:1997-06-0142 2: 3: Gomments:Special flood hazard area as specified by the City Engineer -FEMA I Planner: Urban Growth Boundary?[ Glenwood Area? ! Quantity Of Fill: Supplier: Drainage: Floodway FEMA: See Jo. 1997-06-0142 Additional Requirements: Required Attachments: Source Locn: Materia!: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! Area (Sq Main: 1601 AccessoryS11 Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: New SF - detached Total2112 Fee Paid On Receipt#Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 11t02t2001 7171 129,449 $431.0s $431.0s Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 1211012001 1211012001 12t10t2001 7472 7472 7472 129,449 $663.15 $46.42 $s3.05 $762.62 Electrica! Minimum Electrical Permit Fee Minimum Electrical Permit Fee 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 Total Electrical 11t02t2001 12110t2001 12t10t2001 12110t2001 11t02t2001 11102t2001 12110t2001 11t02t2001 12t10t2001 $.oo $.00 $106.00 $57.00 $50.00 $3.s0 $11.41 $4.00 $13.04 $244.9s 7171 7472 7472 7472 7171 7't71 7472 7171 7472 1 3 1 Plumbi Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 12t10t2001 12110t2001 1211012001 12t10t2001 7472 7472 7472 7472 3 $.oo $918.00 $64.26 $73.44 $1,055.70 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 12t10t2001 12t10t2001 12t10t2001 7472 7472 7472 1 1 $e.00 $4.00 $.oo Job# 01-01228-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Tota! Mechanical 12t10t2001 12t10t2001 12t1012001 12t1012001 1211012001 1211012001 1211012001 7472 7472 7472 7472 7472 7472 7472 1 3 1 1 $4.64 $12.00 $18.00 $9.00 $6.00 $10.00 $4.06 $76.70 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 1211012001 1211012001 12t10t2001 7472 7472 7472 70 1 1 $65.00 $65.00 $-30.00 $100.00 Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development System Development 12t10t2001 12t10t2001 12t10t2001 1211012001 1211012001 1211012001 12110t2001 1211012001 12110t2001 7472 7472 7472 7472 7472 7472 7472 7472 7472 1 ,988 1 1 1 1 1 25 25 $542.72 $34.83 $10.00 $133.78 $332.86 $659.76 $1 55.1 3 $534.25 $406.00 $2,809.33 S.F. Residence - Willamalane TotatWillamalane SDC Willamalane SDC 1211012001 7472 $1,000.00 $1,000.00 Planning Planning Plan Review Total Planning 12110t2001 7472 1 $50.00 $50.00 Permits w/o Srchg Address Assignment Total Permits Mo Srchg 12110t2001 7472 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Ghecked By Lisa Hopper Steve Templin Liz Miller Liz Miller Date Completed 11t06t2001 11t26t2001 11t20t2001Planning-Res $6,538.35 Comment NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRASTRUCTURE House is over 30' height limit and if lowered still does not meet solar setback. Called and left message for owner 11t13t01 Submitted new plot plan. Meets solar setback. Don Parker stated he will not be grading, filling or excavating more than 50 cubic yards. Structural-Res Tom Max 12t03t2001 1 J or-orzzg-ot Page 5 of 5 By signature,lstate and agree,that I have carefullY examined the comPleted appl ication and do hereby certify performed sh that all information hereon is true and correct,and l{urther certity that anY and allwork all be done in accordance with the Ordinances ot the City of SPringfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY willbe made of any structure without permission of the Community Services Division, Building Safety. I further 99difv that only contractors and employees who are in compliance with ORS 70-1.0S5 will be used onthis project. I further agree to ensure that all required inspections are requested at the proper time, that eachaddress is readable from the street, that the permit card is located at the front of the property, and theset of plan remain on all times during construction.r /d '-a/Signature Date CITY OF SPRINGFIE SYSTEMS DEYELOPMENT CIII }E WORKSIIEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAXLOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS: PARKER 6873 SMEONDRIVE t7-02-34-11-03200 SINGLE FAMILY RESIDENCE 1 BUILpnqQr$r7.F: 2ll2 SF LOT SIZE: 6512 SF IMPERVIOUS S.F.COST PER S.F.DISCOUNTRATE 0.00 $0.273 50?o MPERVIOUS S.F 1988.00 COST PER S.F $0.273 $s42.72 RUNOEF ROUTED TO DRYW'ELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ITEM l TOTAL. STORM DRAINAGE SDC 25 16.24 NUMBEROFDFU'S 25 COST PER DFU $2r.37 i534.25 B. MPROVEMENTCOST: x x 2. SANITARY SEWER. CITY A. REIMBURSEMENT COST: $940.2sITEM 2 TOTAL . CITY SANITARY SEWER SDC ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEWTRIPFACTOR .57 1 $68.94 I $6s9.76 ADT TRIP RATE 9.s7 NUMBEROFUNITS I COST PER TRIP $ 16.21 NEWTRIPFACTOR r.00 $1s5.13 A. REIMBURSEMENTCOST: B.IMPROVEMENT COST: x x x x x x ITEM 3 TOTAL. TRANSPORTATION SDC $10.00 NUMBER OFFEU's I COST PER FEU $332.86 $332.86 NUMBER OF FEU's I COST PER FEU $34.83 $34.83 SI.IBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDM MWMC ADMIMSTRATTVE FEE $0.00 $367.69 B.IMPROVEMENT COST: x x MWMC CREDIT IFAPPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REMBURSEMENT COST: .69ITEM 4 TOTAL . MWMC SAMTARY SEWER SDC SUBToTAL (ADD ITEMS 1, 2, 3, & 4) SLTBTOTAL ADM. FEE RATE 5.55 5Vo $133.78 5. ADMINISTRATIVE FEE: x $2,809.33 tu26t200lttu4LTu*l;q- SDC COORDINATOR TOTAL SDC CHARGESDATE 1056 t073 CA 14aoU &H t-{V)Ho E]& I I 09 I 1 1 $542.72 3. TRANSPORTATION $814.89 $2.67s-55 NO. OFFIXTURES DRAINAGE FIxTURE UNITS( *xrw - #oLD ). I.]NTT FIXTI]RE TYPE ( ( ( ( ( 2 0 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) xg x1 x3 x3 6 DRINKING FOUNTAIN 0 0 0 FLOOR DRAIN 0 0 0 INTERCEPTORS FOR GREASE IOfr-ISOLIDS /ETC 0 0 0 x__--_ 6XLxgxg x12xgx-..lx2xL-x3x2x-IxL x1 x-:xg x3 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 0 LATJNDRYTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 0 0 0 CLOTHESWASHER / MOP SINK I 0 J cLoTrrEswAsHER- 3 ORMORE (EA)0 0 0 MOBILE HOME PARK TRAP (l PERTRAILER)0 0 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 0 0 0 0 SHOWER, SINGLE STALL 0 0 0 SHOWER, GANG (NUMBER oFHEADS)0 0 0 SINK: COMMERCIAURESIDENTIAL KITCIIEN I 0 3 SINK: COMMERCIALBAR 0 0 0 SINK:DOMESTIC BAR 0 0 0 WASHBASIN 0 0 0 LAVATORY 4 0 4 URINAL, STALL/WALL 0 0 0 PUBLIC INSTALLATION 0 0 0 TOILET PRTVATE INSTALLATION J 0 9 MISCELLANEOUS DFU TYPE NT MBER OFEDU's*( 0 - 0 )x 20 0 TOTAL DRAINAGE FD(TURE IJNITS = *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set 8t 167 gallons per day 25 DRAINAGE F 'URE IJNIT CALCI,'LATIO' 'ABLE NTJMBER OF x UNTT EQUTVALENT = DRAINAGE FOR CAI.CULATE ONLY TIIE NET ADDITIONAL MWMC CREDIT CALCIJLATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE YEAR ANNE)(ED CREDTT RATE PER $1,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 1980 $4.83 1991 $1.64 1981 M.17 t992 $1.45 1982 $4.64 1993 $ 1.31 1983 $4.4'1 1994 $1.13 1984 $4.30 1995 $0.97 1985 $4.09 1996 $0.82 1986 $3.78 r997 $0.63 1987 $3.41 1998 $0.41 1988 $2.98 1999 $0.22 1989 $2.s2 2000 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 CALCT.'LATE CREDIT SEPARATELYOCCURRED AFTER TOTAL MWMC CREDIT = IF x 0.000 x $0.00 CREDIT RATE $0.00 = VALUE / IOOO 0.000 . 225 FIFTH- STREET . SPzuNGFIELD. OREGON 97477 TNSPECTION REQUEST'. 1 26-3769 OFFICE: 726-3759 1. LO OF INST LEGAL DES CRTPTION BDE ON Pernrils are non-tra ' Nt- W*o\ Citl 'US 3 coivlPl'F' &l,t Job }iunrtrcr O TE FEE SCFEDULE BELO\\T A. Nerv Resirlential-Single or N{ulti-Family per tlrvell in g unit. Service Included: I000 sq.f,. or less Each addrrionat 500 sq. ft or portion thereof Eaclr [vlanufd Home or Modular Duelling Senice or Feeder Installation, Atterations or Relocation. 200 amps or less 2() I anrps to +00 amps ELEL T RICAL PER}{IT APPLICATION Itenrs Cost Sum *l sroorrc lLb 3 .s re.oo 5'7re ilr+'ork is not of issuance Or 180 days. started within I80 davs if rvork is suspended ior 2. CONTRACTOR INSTALLATION ONLY Electrical Conr*r.,o. 14 Jrt( o tl11e e .Srrllcn.isor License Nunrber Espiratisn E 63.00 $ r 25.00 J*- $375.00 -------, ,$ ,so.go Rclocation Expiration Date Super-l ising l,tler:t rici an "B" above D. liranch Circuits itiln Alterlrion or Exlcnsiorr pcr pand One Circuit EachAdditional Circuit or rvith or Feeder pcrmit Orrnen Signature: E. i\Iiscrllaneous (Serricc/feedcr not inrluderl) -Each installation l:,rr,!-o. inigarion $_50.00 Sigdes1111n" Lighring i$.00Linrited Elergvlltes Li,nrrcJ rr.,ilic"*.l -- iil.iis {inimurn Ellctricrper:nrit Inspection Fee is ${5,tX} + Surcharges {. SUBTOTAI, OF ABOI'E 7r% Stnte Surcharge 87o Admiristratile Fce 6 TOTAL &4s P]rone 0 Signaturc of OWNER INSTALLATION The irrsrallation is heing nlacie on propen.y i orvn lvhich is not intended for salc, itase or rcnt. rowing proiect AS SUb mitted has the following and does require sPecitic land use ELhr-'r{CAL PE?${17 BELOW Illulti-FlmilY Per Semice Includetl: dnelling unit" 7V//b3Zso T' STREET 0B.ECON 9? "<a 1. LOC LEGAL DESCRIPTIONlToL JOB DESCRJPTIO NF Permits are non-transferable and expire ii work is not started within 180 da'vs of issuance irr if *'ork is suspended for 180 days. , . 2. CONTRA TOR INSTA.LLATION ONLY Electrical'e Addrsss :piration Date , Items Cost Sum $ 106.001000 sq.ft" or less Each additional 500 sq. ft or Portion tltereof Each Manufd Home or Modular Dwelliug Sen ice or Feeder s 50.00 B. Scn'ices or Feedcrs Relocatiou: 200 201 .i0 I 601 amps or anlps ts amps amps Or'er t'Bt'abo\re Supenisiug Electrician D. Branch Nerv Orte or Per Circuit or with E.not $25.00 - $115.00' ,:,: 'l::r''. ".' tion Frc is $4-i.00 + Surthaiges /-'-\i-{ TOTAL <'o5 7 u-.- A. $ 19.00 ' ' or Illinimum ELE) : City of SPringf'- ld Report lD : SPRA103 Voucher lD : 00043092 Handling Code: RE Mac Associates, LLC 940 Highway 99 N Eugene, OR 97402 Description Refund of Overpayment Voucher Account Fund gIg SubClass h, 215004 425602 426605 821 '100 100 Vendor Number: lnvoice Date: lnvoice # : Approver: Operator: Gross Amount : BY Proi/Grant 0000007481 January 25,2002 12-10-2001t7472 Puent,David wtLS5940 703.80 Amount 42.84 612.00 48.96 2002 2002 2002 Comments: lnternal Express Check Refund of Overpaymr Job number O1_0122;Tff ptumbing fee to appticant. bsrz d;*"r,-