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Home My WebLink AboutPermit Building 2003-08-07Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003APPLIED: 07/15/2003EXPIRES: 0411412004VALUE: $ 217,733.08 SITE ADDRESS: 6880 Simeon Dr ASSESSORTS PARCEL NO.: U02341108300 PROJECTDESCRIPTION: SFR Owner: DENNIS R MINIUM Address: 8745 THURSTON RD SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing rO 0090 Springfield TYPE OF WORJ(: Single Family Residence TYPE OF USE: New Residential Phone Number: 541-747-8495 Phone s4l-747-849s 541-221-2665 541-747-7445 s41-688-1931 UtilitY Notiticafn# of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Water Type: Range Type: Energy Path: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: S PERMll I calling R'3 number u-1 VN 26.50 Forced Air Gas Gas Gas Path I3 7,051 1,072 871 610 300 10.00 9.00 r2.00 20.00 21.00 \RE \I iH\ DONABAN ED PARKING 2 Curbside 5' Curb and Gutter D.0 Handicapped: Yes 22.00 Compact: Sidewalk Type: Downspouts/Drains: Fully Improved yes CONTRACTOR INFORMATION Notes: Page I of4 Contractor DENNIS R MINIUM STEVE rules DON C 1 HIS PE D Paved DAY # Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003 APPLIEDz 07115/2003 EXPIRESz 0411412004VALUE: $ 217,733.08 Description Dwellinss Dwellings Garage TYpe of Construction V Wood Frame V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $90.60 $23.80 Square Footage or Bid Amount 1,943.00 300.00 6r0.00 Value $176,035.80 $27,180.00 $14,518.00 $217,733.80 Date Calculated 08/06/2003 07tr5t2003 07115t2003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10'J6 Administrative Fee + 7%o State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 2000 Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 1st @ 75 cents Furnace - up to 100,000 btu Plan Review - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Willamalane Single Family + l0%o Administrative Fee + 7%o State Surcharge Appliance Vent Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Vent Fan Amount Paid Total Value of Project Date Paid Receipt Number 1200200000000001761 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 1200200000000001977 r200200000000001977 1200200000000001977 1200200000000001977 1200200000000001977 1200200000000001977 1200200000000001977 1200200000000001977 $585.26 $10.00 $144.92 $101.44 $306.00 $8.00 $-1.30 $949.1s $6.00 $0.7s $12.00 $s9.00 $3r.69 $106.00 $76.00 $464.67 $611.28 $10.00 $34.83 $332.86 $r09.31 $50.57 $727.42 $164.89 $852.89 $1,000.00 $6.40 $4.48 $6.00 $6.00 $9.00 s15.00 $4.00 $24.00 7fisto3 8t7t03 8t7t03 817103 8t7t03 817t03 8t7t03 8t7t03 817t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 817103 8t7t03 8t7t03 8t7t03 8t7t03 817t03 8t7t03 8t7t03 8t7t03 8t7t03 817t03 8t7t03 8/18/03 8/18/03 8/18/03 8/18/03 8/18/03 8/18/03 8/18/03 8/18/03 ['ees Pn Paee 2 of 4 U Yaluation Descriotion I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003APPLIED: 07/1512003 EXPIRESz 0411412004VALUE: $ 217,733.08 + l0o Administrative Fee + 7Yo State Surcharge Low Voltage - Residential Minimum/Adj ustment Electrical Total Amount Paid $4.s0 $3.15 $25.00 $20.00 $6,881.16 t0n4t03 t0lt4t03 t0t14t03 10fi4t03 1200200000000002308 1200200000000002308 r200200000000002308 1200200000000002308 Plan Reviews Initial Review Planning Review Public Works Review Public Works Review Structural Review Structural Review 07/16t2003 07116t2003 07n6t2003 0712u2003 LLH EMM APP APP 07t2y2003 07t24t2003 WI VRJ 07t28t2003 07t28t2003 APP VRJ 07fi6t2003 08/05/2003 WE DLM 08/0s/2003 08/05/2003 APP DLM Lot is on the no-build - no fill line and requires a second tier wall to be built preserving the 5 foot easement area SDC's have been calculated and fees added to permit. Have passed buitding permit on to Ken Vogeney 712412003 for his review and approval of siteplan to ensure compliance with all agreed conditions prior to pw approval of permit. Ken Vogeney reviewed site plan (712412003) and has signed off on the permit. Contractor to revise roof framing over garage to attic trusses, which will alter the foundation plan. Also need decision on interior modifications for shear wall requirements. Contractor is to provide information needed to complete the plan review. See documents for plan review comments To Request an inspection call the24 hour recording at 726-3769, AII inspection 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 work day. I Site Inspection: To be made after excavation but prior to setting forms.2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. Reouired fnsnections Paee 3 of4 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003 APPLIEDz 071L512003 EXPIRESz 0411412004VALUE: $ 217,733.08 7 Shear Wall Nailing: Before covering sheathing with finish materials. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 9 Wall Insulation: Prior to cover. 10 Ceiling Insulation: Prior to cover. 11 Drywall: Prior to taping. 12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Underfloor Plumbing: Prior to insulation or decking. f5 Underfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. l7 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 2l Underfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. 27 Rough Electric: Prior to Cover 28 Electric Service: Approval required prior to utility company energizing service. 29 Final Electric: When all electrical work is complete. 30 Low Voltage: Prior to cover. 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 701.005 witl 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 will remain on the site at all times during construction. Owner or Contractors Signature Date Page 4 of 4 Building/Combination Permit Status Issued SITE PROJECT Owner: Address: t0 lity DENNIS R MINIUM 8745 THURSTON RD SPRINGFIELD OR 97478 P PERMIT NO: COM2003-00624ISSUED: 0810712003APPLIED: 07/15/2003 EXPIRESz 0110712004VALUE: $ 217,733.08 OF WORK:Single Family Residence New Residential,, ,.-,,',;/ !* u.i r- 9 t Ui_i C0lr4l,,l TYPE OF USE: ENCIb ANY 1 BO License 62682 147618 25790 33076 Phone Number: 541-747-8495 un rU Aliar Contractor Type General Electrical Mechanical Plumbing Contractor DENNIS R MINIUM STEVE HAUCK MARSHALLS INC DON C LEWIS Expiration Date 12nu2003 04t30t200s 12t23t2003 06fi0t2005 Phone 541-747-8495 541-221-2665 541-747-7445 541-688-1931 IMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: 2 Height of Structure 26,50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I R-3 u-l VN 7,051 1,072 871 610 3003 10.00 9.00 12.00 Fully Improved yes Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: 0 Yes 22.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARIilNG Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter 20.00 21.00 Notes: Page I of4 of the rules I SIIALt UD V DLUT IVI.[T. T TT\[ \-,IUVIA I IIJI\ I Building/Combination Permit Status Issued 225 Fifth Street, Spring{ield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003APPLIEDz 0711512003 EXPIRESz 0110712004VALUE: $ 217,733.08 Description Dwellings Dwellinss Garage Type of Construction V Wood Frame V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $90.60 $23.80 Square Footage or Bid Amount 1,943.00 300.00 610.00 Value $176,035.80 $27,180.00 $14,518.00 $217,733.80 Date Calculated 08/06/2003 07fis12003 0711512003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 2000 Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy lst @ 75 cents Furnace - up to 100,000 btu Plan Review - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Willamalane Single Family Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 120020000000000r761 2200200000000001362 220020000000000r362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 220020000000000r362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 220020000000000r362 2200200000000001362 2200200000000001362 2200200000000001362 2200200000000001362 $s8s.26 $10.00 $144.92 $101.44 $306.00 $8.00 $-r30 $949.1s $6.00 $0.7s $r2.00 $s9.00 $31.69 $106.00 $76.00 $464.67 $6r1.28 $10.00 $34.83 $332.86 $109.31 $s0.s7 $727.42 $164.89 $852.89 $l,ooo.oo 7n5t03 8t7t03 8t7t03 8t7t03 8t7t03 8/7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 817t03 8t7t03 817t03 8t7t03 8t7t03 8t7t03 $6,753.63 f,'ees Paid Plan Reviews 07fi6t2003 07n6t2003 APP LLHInitial Review Paee 2 of4 T Valuation Descrintion I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003APPLIEDz 0711512003 EXPIRESz 0110712004VALUE: $ 217,733.08 Planning Review Public Works Review Public Works Review Structural Review Structural Review 07fi6t2003 07t2y2003 APP EMM 07t2u2003 07t24t2003 WI VRJ 07t28t2003 07t28t2003 APP VRJ 07n6t2003 08/05/2003 WE DLM 08/05/2003 08/05/2003 APP DLM Lot is on the no-build - no fill line and requires a second tier wall to be built preserving the 5 foot easement area SDC's have been calculated and fees added to permit. Have passed building permit on to Ken Vogeney 712412003 for his review and approval ofsiteplan to ensure compliance with all agreed conditions prior to pw approval of permit. Ken Vogeney reviewed site plan (712412003) and has signed off on the permit. Contractor to revise roof framing over garage to attic trusses, which will alter the foundation plan. Also need decision on interior modifications for shear wall requirements. Contractor is to provide information needed to complete the plan review. See documents for plan review comments To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 work day. 1 2 Site Inspection: To be made after excavation but prior to setting forms. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. HoId Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Paee 3 of4 3 4 5 6 7 8 9 10 tl t2 13 t4 15 16 Rprrrrirpd Insnpefinns Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00624ISSUED: 0810712003APPLIED: 0711512003EXPIRESz 0110712004YALUE: $ 217,733.08 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 2l Underfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. ' 27 Rough Electric: Prior to Cover 28 Electric Service: Approval required prior to utility company energizing service. 29 Final Electric: When all electrical work is complete. 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 701.005 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 will remain on the site at all times s -2-o'3 Owner or Contractors Signature Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt'' Development Services Department Public Works Department Receipt #: 12002000000000023 08 Date: 1011412003 8:45:4OAM coM2003-00624 coM2003-00624 coM2003-00624 coM2003-00624 + 1Yo State Surcharge + l0%o Administrative Fee Low Voltage - Residential Minimum/Adj ustment Electrical 3.15 4.50 25.00 20.00 Item Total:$s2.6s Payments: Type ofPayment Paid By Received By Check Number Betch Number Authorization Number How Received Amount Paid CreditCard MICHAEL RIMMER djb 000194 0r4598 In Person Payment Total: $52.6s $s2.6s CITY OF OREGON SPFl'i ELO DEVELOPMENT SERVICES DEPARTMENT Kaye Wilson Don Moore Encl 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726_3753 FAX (541) 726_3689 August 11,2003 Dennis Minium 8745 Thurston Road Springfield, Oregon 97478 Dear Mr. Minium: On April 15, 2003 our office issued permits for the construction of a single family residence to you to be located at 6880 Simeon Drive, Springfield, Oregon. While calculating the fees for that permit, the plan reviewer neglected to include the Mechanical fee of $64.00, the 7o/o State Surcharge of $4.48 and the l0% City Administrative Fee of $6.40, leaving a balance due of $74.88 for this project. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting your final inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make payment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you. If you have any questions, please feel free to contact either David Bowlsby at736-1029, or myself at 726-3790. Sincerely Lisa Hopper Building S afety Supervisor cc W 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Date: coM2003-00624 coM2003-00624 coM2003-00624 coM2003-00624 coM2003-00624 coM2003-00624 coM2003-00624 coM2003-00624 Appliance Vent Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets l-4 Vent Fan + 7Yo State Surcharge + ljYo Administrative Fee 6.00 6.00 9.00 15.00 4.00 24.00 4.48 6.40 Item Total:$74.88 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check DENNIS MINruM CONSTR djb In Person Payment Total: s74.88 $74.88 rffiG*.* ) 225 FIFTH STREET . SPRINGFIELD, OP.97477 r PH:(541)726-3753 o F E LE CTRI CAL P E RM IT AP P LI CATI ON AX: (541)726-3689 r nc roitdwtng pro,ecf as submitted has 'to/tf/os zontng and does not require specificapproval. Zoning 3. COMPLETE o- trrrthonzed SiEnature A. New Residential - Single or Multi-Farnily per drvelling unit. ,Hryk Ciry JobNumber CC)t/tAZefr| -OO CZV Date 1. LOCATIONOFINSIhIII.flON l7ol3q/ / oY3oo JOB DESCRIPTION Lod V.ll*.-A Permits are non-transferable ^na4*jr"if work is notstartedwithin l80daysof issuanceorif workitnt 'ETVIM5|$feOmng,fgfffrrusvoo1s_ $s0.00suspended for 180 davs' f;1il;;i#"iffopi"o bv the o..egon utili-tv 2. 12NTRACTORINSTALLATION ONLIOtificatim mnh6sThqoaur{e^tnnn1fiop'jllterations or Relocation: r oAR 952-001-0010 through oAfi 952-00 Electrical Contractor t+0 You ampabtaru6ppies of the rules I $ 63.00 LEGAL DESCRIPTION Address / /GS r,c- 7r/ Ciry EoGd < Phone /ts - 6ooq Owners Signature: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or $ r 06.00 $ 19.00 ^ tol^,q.i,ipl # q fu 6 1k3f 4 4 ) Over 1000 AmpsA/olts Reconnect Only Supervisor License Number 31 o i L L- fl c. Temporary Services or Feeders Expiration Dare /O )Installation, Alteration or Relocation NRK Constr. Contr. Number /R7 ZsQ \li)1 Expiration Date Signature of Supervising Electrician 5 'Aft1.\L\- $ 43.00 $ 3.00 Name Gi,o Address *Zq { -fh*.<h. -.el E. Miscellaneous (Service/feeder not included) -Each Installation City =.Pa,Phone Pump or irrigation $ 50.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Sign/Outline Lighting $ 50.00 LimitedEnergy/Residential / S25.00 "{Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL oF ABAVE .1 f 3/i 20I Amps to 400 Amps 401 Arnps to 600 Amps telephone $ 75.00Notificatlon $l2s.oo $ 163.00 $375.00 s s0.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 7o/o State Surcharge l0% Administrative Fee TOTAL qj=a 9zb)'Inspection Request: 726-37 69 Shared Drive(T:)/Building Fonns/Electrical Pennit Application l -03.doc ?VTo 3*q.;W 200 201 401Amps Over 600 D. Branch DAY RIFIGTIfL :as 5il' srnErr, sp,citv6FJsi$ , ap, 97477 Name (print) f nx { 54 .t i 72d - 357{i Estimated Base Flood Elevation & Disclaimer For property located at Springfield OR The calculated Base Flood Elevation (BFE) for lot#{O, Levi Landing - Second Addition is {/2, 1 feet above mean sea level, based on the current FEMA datum information. The floor level of the residence to be placed on the lot must be certified at ieast one foot above the Base Flood Elevation as indicated above. (Please note - the City's surveyed benchmark datum inforntation and the FEW benchtnark datunt are not the same for this area. Add 0.3}rt tu the City's benchntarks to adjust to lhe FEI/LA benchntark elevations. ) The estimated base flood elevations in thts area are based on interpretation of scientific and engineering evaluations lcnown to the ciQ at this tinte. Larger floods can and will occur on rare occasions. Flood heights may be increased by human-ntade or natural causes. The City's estimation of a base flood elevation does not imply that land within this area will be free fromflooding or flood damages or that conformance with the requtrements of the City wtll protect the property from flooding or flood damages. The City, its fficers, agents and employees shall not be liablefor anyflood damage that may resultfrom estimation of baseflood elevation or any other administrative decision made regarding administration of the City's Floodplain Development Code. The developer of this property may elect to perform additional scientific and engineering studies for consideration by the City to further refine the estimated base flood elevationfor this properQ. The developer of this properQ may also elect to undertake additional development and construction measures in oddition to those required in article 27 of the Springfield Development Code designed to avoid or minimize the potential for flood hazards and damage. Such additional measures are subject to City approval. Acknowledgment: I hereby acknowledge receipt of a copy of this document: r'tl /c/ t--- Date 3 7 -o3Signature (This copy to by 's authorized agent and retained in City address file) 225 FIFTH STREET ' SPRINGtr'IELD, OR 97477 e PH:(541)726-3753 o F PERMIT N City Job Number Date LEGAL D A. apProval as submitted has the tollowing require sPe cilic land use h>c g,-0Zoning JOB DESCRIPTION in OA 2t8t Seryice Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 2oo a,l[0trJGG: 2or Alilf{rs Ptril#trssHA 40 I ar$JI&i&El IFSdJ I\l D 60 I a{# ldrtifubu{#D0 i-{ I o"er rddd{airf#Adi6' r, r i i, Reconnect Only Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 4 $s0.00 $ 63.00 LL EXENT Ir-TUESdOF] ER THtS pIRi\4di2s.dd],.-..-.--:-....-i.', A U, \i ; -r J ;. 4 LiSlebbo l ,:\lLrr /. $375.00 $106.00 lD\!P $ re.oo -Ilttt)and expire if work isnot started 180 days of issuance or if work isSuspended for 180 days. , Eataidaf efieft&elte$TftEp rul R 952-001- t for B. C. D. Adm&p Y$Wv ob$in r rules K call City Supervisor License Number ExpirationDate l0- I 1 utitit it'etws 35t+ 5 oL{ n Constr. Contr. Number lqY 6 l8 Expiration Date \- 3o ^ OS Signature of Supervising Electrician Installation, dteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see..B',above. $ 50.00 $ 50.00 $ 50.00 $ 2s.00 $ 45.00 a z1 EU Z<A New Alteration or Extension per panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00Owners Name Address City &Q1 E. Phone OWNER INSTALLATION The installation is being made on property I own whichls not rntended for sale, lease or rent. Owners Signature: Minimum Electric permit Inspection Fee is g45.00 + S urcharges 7%o State Surcharge 10% Administrative Fee TOTAL \ 0 IL 4. L B Inspection Request: 726-3769 Shared Driv{T:)/Building Forms/Xlectrical permit Application l{3.doc CITY OF OBT,GON l.3. t rlD Ncw Residential - Single or i\Iulti-Fanritl' per dwelling unir. I t .serlices or,Feeder.s * Installatiorr. Alterations or Relocation: Seil'ie*s'br Feeders llranch Cir.crrits ,, {/ (Serl:ice/feeder rlot ;Bachfurcluded)frrstallation CITY OF SPRINGFTELD SYSTEMS DEVELOPMENT WORKSHEET 70511 com2003-00624JOURNAL OR JOB BUTLDTNG SrZE (SF) 0 LOT SrZE (SF):NEW DWELLING UNITS NAME OR COMPANY Dennis Minium LOCATION 6880 Simeon Drive TAX LOTNUMBER:1702341 I tl 8300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE COST PER S.F s0.290 CHARGE $852.89 RI.INOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 0.00 COST PER S.F s0.290 DISCOTINT RATE s0% DISCOLTNT $0.00 $852.89ITEM 1 TOTAL - STORM DRAINAGE SDC x x I. STORM DRAINAGE DIRICT RUNOFF TO CITY STORM SYSTEM 2941.00 IMPERVIOUS S.F. x NUMBER OF DFU's 27 COST PER DFU s22.64 NLIMBEROF DFU's 27 COST PER DFU st7.2t $1,075.95 B. IMPROVEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC x x I s+ol.oz 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: ADTTRIP RATE 9,57 NUMBER OF UNITS I COSTPER TRIP sr7.23 NEWTRIP FACTOR 1.00 ADTTRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $76.0r NEW TzuP FACTOR 1.00 $892.31 A. REIMBURSEMENTCOST: B. IMPROVEMENT COST: ITEM 3 TOTAL - TRANSPORTATION SDC x x x x x $10.00 NUMBER OF FEU's I NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWERSD( = COST PER FEU s332.86 COST PER FEU s34.83 i376.39 B. IMPROVEMENT COST: x x 4. SANITARY SEWER- MWMC A. REIMBURSEMENT COST: SUBTOTAL (ADD ITEMS 1,2,3, & 4)$3,197.54 r 09.31 SUBTOTAL s3,197.54 ADM. FEE RATE 5% CHARGE $ 159.88 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: x Virginia Jurasevich 7124t2003 TOTAL SDC CHARGES PREPARED BY DATE .42 1070 1091 1092 I 093 1094 1054 1055 1054 1056 ar! t-.1oU dHFa oI!& 079 078 I@ 3. TRANSPORTATION l@ DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBEROFNEW FXTURES x UNIT EQUTVALENT = DRAINAGE FXTURE UNITS DRAINAGE FIXTURE UNITS NO. OF FIXTURES FIXTURE ryPE NEW (NOTE: FOR REMODEIS, CALCULATE ONLY THE NET ADDITIONAI FXTURES) LINIT OLD EQUIVALENT 2 0 3 6BATHTUB 0 0 1 0DRINKING FOUNTAIN 3 0FLOORDRAIN00 0 0 3 0INTERCEPTORS FOR CREASE / OIL / SOLIDS / ETC. 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0002LAUNDRY TUB 1 0 3 3CLOTHESWASHER / MOP SINK 0 0 6 0CLoTHESWASHER - 3 OR MORE (EA) 12 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0 0 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 0 2 2SHOWER, SINGLE STALL 1 0 0 2 0SHOWER, GANG (NL]MBER OF HEADS) 1 0 3 3SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0SINK: COMMERCIAL BAR 0 0 2 1 0 2 2SINK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 0 5 0URINAL, STALL/WALL 0 0 0 6 0TOILET, PUBLIC INSTALLATION 3 ITOILET, PRIVATE INSTALLATION 3 0 set at 167toa 20 0 unit MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS rEDU lsa MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR I 0 2000 CREDITFORLAND VALUB/ IOOO s32.42 x RATE $0.04 l------S':o CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $0.04 TOTAL MWMC CREDIT BEFORE 1979 $4.92 1979 s4.92 1980 $4.83 l98l $4.77 1982 $4.64 I 983 $4.47 1984 $4.30 1985 $4.09 I 986 $3.78 1987 $3.41 l 988 $2.98 1989 $2.52 1990 s2.06 l99l $1.64 t992 $1.45 1993 $1.31 1994 $1.13 I 995 $0.97 1996 $0.82 1997 $0.63 1998 $0.41 t999 s0.22 2000 $0.04 urr u l-- l-sT.30-,,- CITY OF OREGON SPR. :IELO DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH SIFEET SPRINGFIELD, OR 97477 (541) 726.3753 FAX (s41) 726-3689 August 11, 2003 Dennis Minium 8745 Thurston Road Springfield, Oregon 97478 On April 15,2003 our office issued permits for the construction of a single family residence to you to be located at 6880 Simeon Drive, Springfield, oregon. While calculating the fees for that permit, the plan reviewer neglected to include the Mechanical fee of $64.00, the 7%o State Surcharge of $4.48 and the l0% City Administrative Fee of $6.40, leaving a balance due of $74.88 for this project. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting your final inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make payment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you. If you have any questions, please feel free to contact either David Bowlsby at736-1029, or myself at 726-3790. Sincerely, Lisa Hopper Building Safety Supervisor cc:Kaye Wilson Don Moore Encl Dear Mr. Minium: