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Home My WebLink AboutPermit Building 2001-12-06SPRINGFIELD Job# 01-01242-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 01 -01242-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 03200 Subdivision : Levi Landing 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6885 Simeon Dr Spr Assessors Map#: 17023411 Lot: 45 Block: Addition:2 ctTY oF SPRfiNGF1ELq OREGON Owner: Dennis Minium Address: 8745 Thurston Road Scope Of Work: Single Family Residence New Phone Number: City/State/Zip: 541-747-8495 Springfield, OR 97478 Value: $140,704 ^'l wl\rr\i '" SFR same as 6682 Srlnegl, j.,Yle,:re\ ,, Contractor Type General Contr Electrical Contr MechanicalContr Plumbing Contr ET o1 65?,; b Registration # 82835 Expiration Date 12111t01 5t19t02 6125103 6110101 Phone 541-747-8495 541-688-4444 541-345-2838 541 -688-1 931 \ {ou t 275 Junction City, OR 97 Home Comfort Heating & Air Conditioning 84164 Po Box 24205, Eugene, OR 97402 Don Lewis Plumbing 33076 500 Greenfield Street, Eugene, OR 97404 Quad Area: # Of Units: Constr. Type: Water Heater: 4RNE 1 (VN) Gas Office Use - LandUse: S 26ning \SNoI # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1760 ly Dwelling To request an inspection a.m. will be made the working day. at726-3769. All inspections requested before 7:00 rs requested after 7:00 a.m. will be made the following NNY 180 Required lnspections Buildin -To be made after excavation but prior to setting forms. -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. Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation st \ho Job# 01-01242-01 Page 2 of 4 Required lnspections Building -Before covering sheathing with finish materials. -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. Mechanical ] - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tet -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 Sidewalk Type:Curbside - 5' Additional ROW? I Shear Wall Nailing Framing Walllnsulation Drywal! FinalBuilding Temporary Power Rough Electrical Electrica! Service Final Electrical Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Curbside CC-Standard Street Improvement: Fully lmproved Curb Cut?f tmprovement Agr.?! San Sewer Depth (Ft): 6 - 4 Size Of Line (in): B Storm Sewer Avaitable? f Downspouts/Drains: To Curb and Gutter Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 6 Bond Begin DateTime: 00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM Special tnstructions: NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRAS Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPlain? Overlay District: Wetlands? ! # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? V Journal numbers 1:1997-06-0142 2: 3: Comments:Flood Plain as determined by the City Engineer. See Journal# abot Planner: Additional Requirements: Urban Growth Boundary?[ Glenwood Area? ! Required Attachments: Quantity Of Filt: Source Locn: Supptier: Material: Drainage: Floodway FEMA: See above Flood Plain FEMA: - Prior to insulation or decking. Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Main: 1760 Accessory480 Job# 01-01242-01 Accessory Structure # Of Stories: 2 Height (feet): 30 Current Units: Proposed Units:1 Census Code: New SF - detached Total2240 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Total Plan Check 1110912001 7220 2 $e0.00 $90.00 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 1210612001 12t06t2001 12t0612001 7434 7434 7434 140,704 $698.90 $48.92 $5s.91 $803.73 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 1210612001 12t06t2001 1210612001 12t06t2001 1210612001 1210612001 7434 7434 7434 7434 7434 7434 1 3 1 $.00 $106.00 $57.00 $s0.00 $14.91 $17.04 $244.95 Plumbing 1210612001 1210612001 1210612001 1210612001 7434 7434 7434 7434 1 $.00 $306.00 $21.42 $24.48 $3s1.90 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 12t06t2001 1210612001 12t06t2001 1210612001 12106t2001 1210612001 1210612001 12t06t2001 1210612001 7434 7434 7434 7434 7434 7434 7434 7434 7434 1 1 1 3 1 $9.00 $4.00 $.00 $3.92 $12.00 $18.00 $6.00 $10.00 $3.43 $66.35 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 12106t2001 12t06t2001 1210612001 7434 7434 7434 40 1 1 $65.00 $65.00 $-30.00 $100.00 System Development Residential- Single Family - Storm Residential lmprovement MWMC 1210612001 12t06t2001 7434 7434 2,024 1 $552.55 $34.83 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Job# 01-01242-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount System Development MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 1210612001 1210612001 12t0612001 1210612001 12t06t2001 12t06t2001 1210612001 7434 7434 7434 7434 7434 7434 7434 1 1 1 26 26 $10.00 $136.15 $332.86 $659.76 $155.13 $s5s.62 $422.24 $2,859.14 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 12t06t2001 7434 $1,000.00 $1,000.00 Planning 12t0612001 7434Planning Plan Review Total Planning $s0.00 $s0.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 12t0612001 7434 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin Liz Miller Don Moore Date Completed 11t14t2001 11t2612001 1112112001 12t03t2001 $5,574.07 Comment NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRASTRUCTURE Date 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 to ensure that all required inspections are requested at the proper time, that each IS from the street, that the permit card is located at the front of the property, and the of plans will remain on the site at all times during construction. Si 1 1 1 CITY OF SPRINGFIE SYSTEMS DEVELOPMENT CH1 }E WORKSHBET JOURNAL OR JOB NLIMBER: 0l-01242-01 NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS: MINIUM 6885 SIMEON DRIVE t7-02-34-t 1-03200 SINGLE FAMILY RESIDENCE I BUILDING SIZE: 2240 SF LOT SIZE: 7536 SF IMPERVIOUS S.F COST PER S.F RATE 73 5O7o0.00 IMPERVIOUS S.F. 2024.O0 COST PER S.F. $0.273 $ss2.s5 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ITEM l TOTAL. STORM DRAINAGE SDC COST PER DFU .242616.24 NUMBER OF DFU's 26 COST PER DFU $21.37 $s55.62 B. IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: $977.86ITEM 2 TOTAL. CITY SANITARY SEWER SDC NEW TRIPFACTORNUMBER OF LINITS COST PER TRIPADT TRIP RATE '16941.00I ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $16.21 $155.13 NEW TRIP FACTOR 1.00 B.IMPROVEMENT COST: x xx x x x 3. TRANSPORTATION A. REIMBURSEMENT COST 14.89ITEM 3 TOTAL. TRANSPORTATION SDC $10.00 NUMBER OF FEU'S 1 COST PER FEU $332.86 $332.86 NUMBER OF FEU's I COST PER FEU $34.83 $34.83 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE $367.69 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: .69ITEM 4 TOTAL . MWMC SANITARY SEWER SDC 722.99SUBTOTAL (ADD ITEMS l,2, 3, & 4) SUBTOTAL ADM. FEE RATE $r36.15722.99 5 5. ADMINISTRATIVE FEE: x $2,859.14 r09 to13 aHaoUil E]F U) (, E1& TOTAL SDC CHARGEStU26t200rtlpwTz4"l.l;4. SDC COORDINATOR DATE 1056 DT'U NUMBER OF NEWEXTURES X UNIT EQUTVALENT = DRAINAGE FD(TURE UNNS (NOTE: FOR REMODEIS, CALCULATE ONLY THE NET ADDITIONALFXTURES) NO. OFFIXTURES DRAINAGE TINIT FIXTURE* equIvALENT = UNITSFIXTURE TYPE ( *uew - #oLD ) BATHTUB (2-0 (0-0 (0-0 (0-0 (0-0 (0-0 (1-0 (0-0 (0-0 (0-0 (0-0 (1-0 (0-0 (1-0 (0-0 (0-0 (0-0 (3-0 (0-0 (0-0 (3-0 )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 I 0 FLOOR DRAIN J 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS /ETC.J 0 INTERCEPTORS FOR SAND / AUTO WASH /ETC.6 0 LAUNDRY TUB 2 0 CLOTHESWASHER / MOP SINK J J CLOTHESWASHER - 3 OR MORE (EA)6 0 MOBILE HOME PARK TRAP (1 PER TRAILER)12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. SHOWER, SINGLE STALL I 0 J 0 2 2 sHowER, GANG (NUMBER OF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN J J SINK: COMMERCIAL BAR 2 0 SINK: DOMESTIC BAR I 0 WASH BASIN 2 0 LAVATORY I J URINAL, STALL/WALL 5 0 TOILET PUBLIC INSTALLATION 6 0 TOILET PRIVATE INSTALLATION .,9 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 O )x 20 0 TOTAL DRAINAGE FXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 26 DRAINAGE F' -URE UNIT CALCULATIO ABLE MWMC CRBDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT CREDIT FOR LAND (IF APPLICABLB) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 r980 $4.83 l99l $ 1.64 l98l $4.77 1992 $1.4s I 982 $4.64 1993 $1.31 1983 $4.47 $ 1.13 t984 $4.30 1995 $0.97 I 985 $4.09 1996 $0.82 I 986 $3.78 1997 $0.63 I 987 $3.4 r l 998 $0.41 l 988 $2.98 t999 $0.22 1989 $2.52 2000 $0.04 TOTAL MWMC CREDIT = x 0.000 x $0.00 TELY VALUE / 1OOO 0.000 CREDIT RATE $0.00 1994 Y 3A LEGAL if work is of issuance 180 days. N uperTlsrng odot7 Multi-Family per drvelling unit. Service Included: Items Cost DESCRJPTI rble and expire within 180 days work is suspended for ATTENTION 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or theteleP on utiEqduati,iqn 32984*hs to I amps I amps \ s t oo.oo 3_$ 19.00 on law teO OYtn r. (Note $ 50.00 les Tboeer+le& obtain coPi 1-0010throuin OAR Iting th d ENCED 80 DAY PERIOD.Over "B" above D. Branch 23 or with not inclu (rs $+5 NIin Fee is 545.00 + 8%o Administrati TOTAL A44.p.s .aD Permits are