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Home My WebLink AboutPermit Building 2001-11-19SPRINGFIELD Job# 01-01227-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 5 Job N umbe r: 01 -01227 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 03200 Subdivision: Levi Landing 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6884 Simeon Dr Spr Assessors Map#: 17023411 Lot:49 Block: Addition:2 ctTY oF SPRTNGFIELD, OREGOTV Owner: Dennis Minium Address: 8745 Thurston Road Scope Of Work: Single Family Residence SFR same as 3894 Pinyon 99-01510-01 Phone Number: City/State/Zip: New 541-747-8495 Springfield, OR 97478 Value: $141,247 Contractor Type GeneralContr Electrical Contr MechanicalContr Plumbing Contr Contractor Dennis Minium 8745 Thurston Road, Springfield, OR 97478 Antone Electric 27514 Snyder Road, Junction City, OR 97448 Home Comfort 706 Oscar Street, Eugene, OR 97402 Don Lewis Plumbing 500 Greenfield Street, Eugene, OR 97404 Registration # 62682 Expiration Date 1211112001 Phone 541-747-8495 541-6884444 541-345-2838 541 -688-1 931 84164 33076 61112002 6t10t2001 To request an inspection call the 24 hour recording at726-3769. 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 I Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Roofing Framing Walllnsulation Drywall FinalBuilding - lnstall ground rod at footing, and call for 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 installing any roof covering. -Prior to cover. -Prior to Cover -Prior to taping. -when all required inspections have been approved and the building is complete. Temporary Power Verify Ground Rod Rough Electrica! Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Gut? Sidewalk Type: Curbside - 5' AdditionalROW? tr Job# 01-01227-01 Page 2 of 5 Required lnspections Electrical -Approval required prior to SUB energizing pole. - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. PtumOing I -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. Mechanica! - Prior to insulation or decking -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -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 tmprovement Agr.?[ San Sewer Depth (Ft): 6 - 4 Size Of Line (in): B Storm Sewer Available? f Downspouts/Drains: To Curb and Gutter Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 6 Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM Special lnstructions: NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS PUBLT( other Utilities: Types of warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPtain? [ Wetlands? Journal numbers Planner: Sam Gollah Urban Growth Boundary?f--l Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Job# 0'l-01227-01 Overlay District: # of Street Trees: 1 Glenwood Area? ! Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? g 1: 2: 3: Comments:City designated flood hazard area. Elev. Certificate is required Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA 1 1 66 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Main: 1840 Accessory48O Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: New SF - detached Total2320 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Hourly Plan Review Total Plan Check 1110212001 11t19t2001 7170 7277 2 1 $90.00 $4s.00 $135.00 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 11119t2001 1111912001 11119t2001 7277 7277 7277 141,247 $702.15 $49.1 5 $56.17 $807.47 Electrical 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 Administrative Fee - Electrical Total Electrical 11119t2001 1111912001 11t19t200',1 11119t2001 11t19t2001 11t19t2001 7277 7277 7277 7277 7277 7277 $.oo $106.00 $57.00 $50.00 $14.91 $17.04 $244.95 1 3 1 Plumbing Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing Sanitary Sewer Footage Administrative Fee - Plumbing Total Plumbing 11119t2001 11t19t2001 11t19t2001 11119t2001 11119t2001 7277 7277 7277 7277 7277 1 $.00 $306.00 $21.42 $.00 $24.48 $351.90 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical 11t19t2001 11119t2001 11119t2001 11t19t2001 7277 7277 7277 7277 1 1 $9.00 $4.00 $.00 $5.12 Job# 01-01227-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Less than 100,000 BTU 3hp-- 100,000BTU Vent Fan to One Duct ApplianceVent (Not Covered in Schedulr Mechanical lssuance State Surcharge - Mechanical Total Mechanica! 11t19t2001 11119t2001 11t19t2001 11119t2001 11t19t2001 11119t2001 7277 7277 7277 7277 7277 7277 1 1 3 1 $12.00 $12.00 $18.00 $9.00 $10.00 $4.48 $83.60 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 11119t2001 11t19t2001 11t19t2001 7277 7277 7277 60 1 1 $6s.00 $65.00 $-30.00 $100.00 System Development 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 11t19t2001 11t19t2001 11t19t2001 11t19t2001 11t19t2001 11t19t2001 11119t2001 11t19t2001 11119t2001 $530.71 $34.83 $10.00 $136.94 $332.86 $659.76 $1 55.1 3 $576.99 $438.48 $2,875.70 7277 7277 7277 7277 7277 7277 7277 7277 7277 944 1 1 1 1 1 27 27 Willamalane SDC S.F. Residence - Willamalane Total Willamalane SDC 1111912001 7277 1 $1,000.00 $1,000.00 Planning 1111912001 7277 1Planning Plan Review Total Planning $50.00 $50.00 Address Assignment Total Permits Wo Srchg Permits w/o Srchg 1111912001 7277 $8.00 $8.00 DeposiUCopies/Mis Large copy - Photocopy Fee Total DeposiUCopies/Mis 11119t2001 7277 2 $6.00 $6.00 Grand Tota! Plan Check Type lnitial Review-Res Engineering-Res Planning-Res $5,662.62 Checked By Lisa Hopper Steve Templin Sam Gollah 11t08t2001 Gomment NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS PUBLIC WORKS INFRASTRUCTURE Dennis Minium stated he will not be filling, grading or excavating more than 50 cubic yards and will not need an LDAP. Structural-Res Don Moore 1111612001 1 1 Date Completed 11105t2001 11t14t2001 Job# 01-0'1227-01 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 allwork 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 ensure that all required inspections are requested at the proper time, that each add from the street, that the permit card is located at the front of the property, and the site at alltimes during construction.-/ o -o/ Signature Date 5 FIFT}{ S TREET ,J l.L p Cost $106.00 LEGAL DESCRIPTION\1n23A\\ cn Ot0^U)\ J BpES N. Address Multi-Family per drvelling unit. Service Included: Items D t1000 sq.ft. or less Each additional 500 200 amps or less 201 amps to 401 amps to 1 amps 100 Over rBI or on Circuit or lyith o$ 19 $50 _3 Supe or Extensi.:thv -l tfo D. Branch N One notE. Limited Energv/Res $25.0 - $45, TAL UB o o o nt S 7 8 T IlIi 4. Fee is 545.00 +it Inspection VEABO Supervising Electrici ate aAq.q5 Pern'dts are if work is of issuance 180 days. adopted Those rules 952-001-0010 through i0090.You may nurnber for copies of Utility 1 CITY OF SPRINGFIE SYSTEMS DEYELOPMENT CH/ IE WORKSHEET JOURNAL OR JOB NUMBER: 0l-01221-Ol NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS: MINIUM 6884 SIMEON DRIVE t'r --02-34-11 -03200 SINGLE FAMILY RESIDENCE I BUILDING SIZE: O SF LOT SIZE: O SF IMPERVIOUS S.F.COST PER S.F DISCOUNT RATE 0.00 273 5OVo IMPERVIOUS S.F 1944.00 COST PER S.F $0.273 $530J1 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ,71ITEM 1 TOTAL. STORM DRAINAGE SDC NUMBER OF DFU's 27 16.24 $438.48 NUMBER OFDFU'S 27 COST PER DFU $21.31 $s76.99 B.IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL. CITY SANITARY SEWER SDC ADT TRIP RATE NUMBER OF LINITS COST PER TRIP NEW TRIPFACTOR 9.57 1 1.00 9.76 ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $ 16.21 NEW TRIP FACTOR 1.00 $ lss. l3 B. IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENTCOST: 14.89ITEM 3 TOTAL. TRANSPORTATION SDC $10.00 NUMBER OFFEU's I COST PER FEU $332.86 $332.86 NUMBER OFFEU'S I COST PER FEU $34.83 $34.83 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATTVE FEE $367.69 B. IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: $377.69ITEM 4 TOTAL. MWMC SANITARY SEWER SDC t6SUBTOTAL (ADD ITEMS 1,2,3, &4) SUBTOTAL ADM. FEE RATE 738.76 5Vo 136.94 x $2,875.70TOTAL SDC CHARGES t|r,wTu41^l;4-tUt4t2001 SDC COORDINATOR DATE aHnoU & rI]F U) oH& 1070 l09l to92 r093 1094 1055 1056 1073 trt u NUMBER OF NEW-fiXTURES X UNIT EQUIVALENT = DRAINAGE FXTURE UNNS (NOTE: FOR REMODEIS, CAI-CULATE ONLY THE NET ADDITIONAL FXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE ^ EoL[vALE].rr = UMTSFIXTURE TYPE ( *mw - #oLD ) BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 0 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x J 6 DRINKING FOUNTAIN 0 0 I 0 0 0 J 0 INTERCEPTORS FOR GREASE / OIL I SOLIDS / ETC 0 0 J 0 INTERCEPTORS FOR SAND / AUTO WASH IETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK I 0 3 3 CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARKTRAP (I PERTRAILER)0 0 t2 0 RECEPTOR FOR REFRIG / WATER STATION IETC. RECEPTOR F 0 0 I 0 0 0 3 0 I 0 2 2 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 J J SINK: COMMERCIAL BAR 0 0 2 0 SINK: DOMESTIC BAR 0 0 I 0 WASH BASIN 0 0 2 0 LAVATORY 4 0 I 4 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 3 0 J 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'SX (0 - 0 )x 20 0 TOTAL DRAINAGE FIXTURE UNITS =27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day DRAINAGE F' 'URE UNIT CALCULATIO ABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 $0.00 $0.00 YEAR ANNEXED CREDIT RATE PER $ 1,000 ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 1980 $4.83 l99l $ 1.64 l98l $4.77 1992 $ 1.45 1982 $4.64 1993 $1.31 1983 $4.4't 1994 $1.13 1984 $4.30 I 995 $0.97 1985 $4.09 1996 $0.82 1986 $3.78 1997 $0.63 1987 $3.41 l 998 $0.41 1988 $2.98 1999 $0.22 l 989 $2.52 2000 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) TOTAL MWMC CREDIT = x 0.000 x $0.00 DATE, CALCULATE CREDIT SEPARATELYIF IMPROVEMENTS OCCURRED AFTER ANNEXATION CREDIT RATE $0.00 VALUE / 1OOO 0.000 FLOOR DRAIN SHOWER, SINGLE STALL