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Job# 02-00397-01
225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00397-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6735 Aaron Ln Spr
Assessors Map#: 17023411
Lot: 99 Block:
~O", Addition: 2nd
, ItJ ""'l::
Owner: Dennis Minium 41/{S Pi;" Phone Number: 541-747-8495
Address: 8745 Thurston Road ~ C04t:OI/~4tt, S/iCity/State/ZiP:
Scope Of Work: Single Family ResidenfJgt 18%IICi't ,,~~( ~~
/)4; A Olt IS 'IT ,It;ilT~ $'
Same as 6674 Moses Pass "'It/O/) 4lJ"IIII,\PtlJl '1tJ:- I
..l. Jt,C'.M !, r ~ '0.-2
Contractor Type Contractor '.~ Reg'I~~"'O)~XPiration Date
General Contr Dennis Minium f, ..qrr~, 62682 ~ 12/11/2003
11 Ojl ../b"
8745 Thurston Road, 9Pt:ipgfieJ~ Oft.;:;,
97478 It} 0 II/Cqii lI/ss '>~'q.G
00 ~I:I O/} Cl(j, l:J; , ,
Steve Hauck ~~ ~'l9s<_;?e/)!~'ot<9d~V&;l~., 4/30/2003
828 S 46th Street, 9BrrR'gtieldiJ~~R~i1.&78 I'h 'Ythe fJq~/r.
"1l7/;; '{) Ill. CJy n~ V'o os.<).. OIJ $~,
Mechanical Contr Home Comfort Heating &..1OA)b;.:O~9.0Qt~~ 1~~Jo4t/ss SgOt} YCQ%5/2003
Po Box 24205, Eugene, <D~,.pi~.9b &1; (Iv, CO'oIe. '!)h O~::& ~ Utility
, 161,. i ~6l Ote.. \S' of '79 St f,
Don Lewis Plumbing'~ i-Rf:?t} ul~(:lJZ ths IJ '$<2-00937;110/2003
500 Greenfield Street, Eugene, OR 97404.:>1t'l1y IV, SIS,01) lIlss /) ,- ,
--.:>_ 01,.... 01"1_ v
-V9:"(.' .\0-
Office Use ~~ 'il1t0t}
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Gas
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Tax Lot #: 13300
Subdivision: Levi Landing
Springfield, OR 97478
Value: $126,336
Phone
541-747-8495
541-221-2665
541-345-2838
541-688-1931
4RNE
1
(VN) Wood Frame
Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1480
To request an inspection call the 24 hour recording at 726-3769. 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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections
1 Building ,I
-Install ground rod at footing, and call ,for Inspection in conjuction with footing and/or foundation ir
-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.
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+:- ,,-..) <:)
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C) . e::s I-L
C,J f-L 0 U'J
r...) Gj 1'....) (Ji
Wall Insulation
Drywall
Final Building
Rough Electrical
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
Final Mechanical
SW-Curbside
CC-Standard
I Job# 02-00397-01 I
Required Inspections
Building
Page 2 of 4
- Prior to Cover
-Prior to taping.
- When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
I 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 all plumbing work is complete.
I Mechanical
-Prior to insulation or decking.
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all mechanical work is complete.
I Public Works' I
-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? D
Size Of Line (in): 8
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime: 00/00/0000 00:00:00 '
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? ~ Wetlands? D
Journal numbers
1: 1997-06-0142 2: 3:
Comments:City Engineer Determined Floodplain - FEMA Elevation Cert. RequirE,
I Job# 02-00397-01 I
Overlay District: Floodplain Overlay
# of Street Trees: 2
Page'3 of 4
land Use: Single Family Dwelling
Pave Driveway? ~
Planner:
Urban Growth Boundary? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: See Above
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 1480 Accessory:400
Additional Requirements:
Glenwood Area?D Required Attachments:
Source locn:
Material:
Flood Plain FEMA:
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 21
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1880
Fee
Fee Amount
Same As Plan Review
Total Plan Check
$100.00
$100.00
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
$653.40
$45.74
$52.27
$751.41
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
$.00
$106.00
$38.00
$10.08
$11.52
$165.60
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
$,00
$254.00
$17.78
$20,32
$292.10
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
$9.00
$4.00
$.00
$3.92
$12.00
$18.00
$6.00
, '
Fee
Page 4 of 4
ValuelQuantity Fee Amount
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Job# 02-00397-01
Paid On Receipt#
Mechanical
05/16/2002 9104
05/16/2002 9104
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
55
1
1
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
System Development
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
05/16/2002 9104
1
1
1
19
19
2,702
1
1
S.F. Residence - Wi llama lane
I
Total Willamalane SDC
Willamalane SDC
05/16/2002 9104
Planning Plan Review
Total Planning
Planning
05/16/2002 9104
1
Address Assignment
Total Permits wlo Srchg
Grand Total
Plan Check Type
Permits wlo Srchg
05/16/2002 9104
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Liz Miller
04/09/2002
04/23/2002
04/18/2002
04/19/2002
Engineering-Res
Planning-Res
Structural-Res
FEMA Elevation Cert Required
Tom Marx
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 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.
~~i1.,\()_ t\~ A.\1a;~..tQA.f'\tIo~
. '~~ rc-'U).O'l. ili
$10.00
$3.43
$66,35
$75.00
$75.00
$-30.00
$120,00
$737.65
$34.83
$10.00
$132.24
$332,86
$659.76
$155.13
$406.03
$308.56
$2,777,06
$1,000.00
$1,000.00
$55.00
$55,00
$8,00
$8.00
$5,335.52
, , 225 t'lt' Ht S"FREET .;,
iC";SPRI1"lGFm~D> bREGON97~J{!
, INSPECTION REQUEST:>~ '
;'. .. ,'" ._' __c_, -' ,- .. _', ..'_ i>,,{' \
x OFFICE: 726...3759(' i",
ELE~TR1SAL~,ERMJT APPq ,-
?0:City Job N~~~~;'~]5:".
ff" i>; ,~c~', .;V
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Nd'v Residentiili~Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Items Cost SuJ.11
, .. . 00
, $106.00 (oCo.
r!l._ $ 19.00 .nB.(Jj
$ 50.00
i"_ ',,<.
\oj,.:
':':;'$ TOO,:
. ~'"0?:;~~~~><: 'f
("j"'~
ervit~<~~,~de~ not includ~~i'.'_::
(. :-Eac: l!a!ip~"'Ry~::' ..'.<~:,
" PuJn ...,: {'gatlon.:,': "'$50,00
SlgwOufIiIJ.e Lightfrtg ".$50.0~:
~. L~rtilie<l ED-9rgy'rRes, ..', $25.00
. Limite~'En~~rgy/Cq1I1,11l $45,00,
Minimum,~leCtricPermit ~~spection Fee is $45.00 + Surcharges
TOTAL
\~flJ
\D.~
\ \ . ~'2...
~s.1tD
4. SUBTOTAL OF ABOVE
7% State Surch!lrge
S% Administrative Fee
.,
'r'
'!'.\O~\
':{\0 \0 vc:,0
r..~'n.(\O
,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00397-01
NAME OR COMPANY: DENNIS MINIUM
LOCATION: 6735 AARON LN
TAX LOT NUMBER: 17-02-34-11 TL:13300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2008 SF LOT SIZE:
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. I
2702.22 $0.273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. I x DISCOUNT RATE
0.00 $0.273 50%
, ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's ' COSTPER DFU .. -,..
x
19 $21.37
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
x
19 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION ...'
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
x
9.57 1
B. IMPROVEMENT COST:
AbT-TIHP RATE' 'NuM:IJElrOF UNiTS -. --cosr:pElfTRIP
x x
9.57 1 $68.94 '
lITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x COST PER FEU
1 $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's I x COST PER FEU
1 $34.83 -
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT& CREDIT
MWMC ADMINISTRATIVE FEE
, ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE~
SUBTOTAL ADM. FEE RATE
x
$2,644.88 5%
6750
SF
=,
$737.71
=1
=1
$0.00
$737.71
=, '
$406.03
=1
=1
$308.56
$714.59
x
COST PER TRIP
$16.21.
x
NEW TRIP FACTOR
1.00 =1
CI)
l:il
Q
o
U
~
,-~
-l
CI)
~
tJ
l:il
~
I
111070
1091
I
II
1092
..
. --'.
." .... "--'1
$155.13 I 1093
-~... _.'-:~-----_.~_..- ~----_.,.... ._-.-.
, -"NEWTRIP:FAGTdR- ,-,~-
x
1.00 =1 $659.76
=1 $814.89
=, $332.86
=1 $34.83 l
=1 $0.00 I
=1 $367.69 , 1055
=1 $10.00 , 1056
=1 - $371;69 l
=1 $2,644.88 , I
~1~
SDC COORDINATOR
TOTAL SDC CHARGES = $2,777.12
4/23/2002
DATE
=1
$132.24
I
l
1094
1073
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
, ,
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
IF IMPROVEMENTS OCc::URREDAFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR' CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ' ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE ' $4.92 1990 $2.06
1980$4.83 1991 $1.64
1981 $4.77 1992 ' $1.45
1982 $4.64 1993 $1.31
1983 $4.47 1994 $1.13
1984 $4,30 1995 $0.97
1985 $4.09 1996 $0:82
1986 $3.78 1997 $0:63
1987 $3.41 1,998 $0.41, "
1988 $2.98 1999 $0.22
1989 $2.52., .'. ,:(, i 2000 $0.04
VALUE /1000 CREDIT RATE
0.000 x $0.04 =1
0.000 x $0.04 '=1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0.00