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,-