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Home My WebLink AboutPermit Building 2006-7-11 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/11/2006 APPLIED: 05/01/2006 EXPIRES: 01/1112007 VALUE: $ 373,344.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3600 Garden Av ASSESSOR'S PARCEL NO,: 1802064202600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: Address: KNIGHTS DUANE A & SUSAN E 2258 33RD ST SPRINGFIELD OR 97477 Phone Number: OU \0 o.u\\e5 ~ \.\\\\\\~ , _..1 ~e . .....('\(\ ~....rt\\ .......d..'.....t\\. ..,"'\ev'-;~es'O"" Q\" I CONTRACTOR INFORMA TlON~If>-'" 9S'2..Cl5 'O~ " \~' \' <,," \ \ W n' \ ~ \u\e r' \C . \eC, <ou" ~ \,\\e "e Contractor \0\\0'1'1 '0(\0'" ()o\OI:;icenseO \e~pihl&jlln Date DUANE KNIGHTS ~o\\'i{:;"'\~~'2.'OO\' 0'0\'0\<;1 c~~~" \,\\e ~\;'i\ca\\ \ BATEMAN ELECTRIC l~.c>f>-'" '{ou (\\a~ <;I\e\I~!~l\I0\\\\\~ ;"''''), 06/2112008 MARSHALLS INC 0090, , \,\\e ce e OZ57~~I.'~~'2.-'2. 12/23/2009 SHAD CHASAN SURRETT ca\l\:~\ \0\ \~< i51'5829'5 01/14/2008 BUILD1~G 'INFOl{MA TlON I 541-726-2960 Contractor Type Geueral Electrical Mechanical Plumbing Phone 541-726.2960 541-998.7187 541-747-7445 541-741-3553 # of Units: I # of Stories: 2 Lot Size: Primary Occupancy Group: R-3 Height of Structure 25,00 Sq Ft Ist Floor: 1,434 Secoudary Occupancy Group: U Type of Heat: Wall Heat Sq Ft 2nd Floor: 1,900 Primary Coustruction Type VN Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft GaragelCarport 1,794 # of Bedrooms: 3 Energy Path: Path I Sq Ft Other: Sprinkled Building: nla Occupant Load: 1 DEVELOPMENT INFORMATION I uc,REQi1'iRED PARKING ,,\~ " , O I D' U b F .."Ot Ir ..,,~ 'I'D' . 2 ver ay 1st: $'~. ' r an ,nnge t-J\11.ota: \ # Streeq~re1_ RiliI~t-J\I' SI-\f\\.~t\~'1-\1~7 ?tt\ t$~~Ddicapped:', Paved DriYf;Rq\l:- Il'C\) I.I~\) t\1',~9\\)G~ Compact: % of Lot Co~e:i;a'gg Ct\) Ot\ IS 16,30 ~Gt-J\t-J\t~ .~ ?'Ct\IO\." , . \J . nr'\ n.... . ~. v . ~ I PUBLIC IMPROVEMENTS I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20,00 20,00 20,00 12,00 32,50 Street Improvements: Storm Sewer Available: Special Instruction: Gravel No Sidewalk Type: Downspoutsmmins: Drywell . Provide Drywell Engineering Notes: UGB Drywell and Septic ~\ ' Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description Plan Review Residential ' -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcbarge 3 Batbs One & Two Family Addressing Assignment Boiler/Comp Up To 100,000 btu Building Permit Dryer Vent Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1.4 Residence Wiriug 1000 Sq Ft Residence Wiring Ea Addtl 500 SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less UGB Plan Rev MjlMin - Planning Veut Fan Willamalane Single Family Total Amount Paid Initial Review Initial Review 05/0212006 06/26/2006 . ~ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/11/2006 APPLIED: 05/01/2006 EXPIRES: 01/11/2007 VALUE: $ 373,344.00 I Valuation DeseriDtion I $ Per Sq Ft or multiplier $99,00 $26,00 Square Footage or Bid Amount 3,300,00 1,794,00 Value Date Calculated $326,700,00 $46,644,00 $373,344.00 05/0112006 05/0112006 TQtal Value of Project Fpp<. p.,irll Amount Paid $946.50 $10.00 $241.69 $172,97 $306,00 $31.00 $12,00 $1,456,15 $6,00 $254,70 $12.00 $15.00 $4,00 $106,00 $171.00 $29,39 $49,42 $805,70 $182,69 $587,86 $50,00 $268,00 $24,00 $ I ,000,00 $6,742,07 Date Paid Receipt Number 1200600000000000570 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 5/1106 7/11106 7/11106 7/11106 7/11106 7/ll/06 7/11106 7/11106 7/11106 7/11106 7/11106 7/11106 7111106 7/11106 7/11106 7/11106 7/11106 7/ll/06 7/11106 7/11106 7/11106 7/11106 7/11106 7/11106 I Plan Reviews I 05/0212006 06/29/2006 APP LLH APP LLH Revised plans as requested by Robert Castile Paee 2 of 4 .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/11/2006 APPLIED: 05/01/2006 EXPIRES: 01/11/2007 VALUE: $ 373,344.00 . Status Issued 225 Fifth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine Review 05/0212006 TAJ OS/24/2006 APP Public Works Review 05/0212006 APP CAS OS/25/2006 Structural Review Structural Review 05/0212006 07/05/2006 RWC RWC OS/24/2006 07/07/2006 WE APP Setbacks based on the proposed partition, This partition has not been approved and no other single family residential permits may be approved until the partition is platted and recorded, 7 street trees are required: 3 on Laurel and 4 on Garden (Parcell frontage), Received info 5/9/06 planning review until 5/24/06 Called for septic and d rywell in fo 5/5/06 faxed to Mr, Knight 5/24/2006 Revised drawings 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. Ueouire'Unsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erQsion measures are installed, Drywell: EngineeredDrywell is Required, Provide the City with a copy of the DEQ application to keep on file, 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 IlQQr insulatiQn 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, Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City Bnilding Inspector, Final Bnilding: After all required inspections have been reqnested and approved and the building is complete, Perimeter Fonndation Drains: After gravel and filter cloth is installed bnt prior to backfill, Underlloor Plumbing: Prior to insulation or decking, Underlloor Drain: Prior to cover or placement of concrete, Rough Plumbing: Prior to cover and including reqnired testing, Paee3 of 4 . , -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/1112006 APPLIED: 05/01/2006 EXPIRES: 01/1112007 VALUE: $ 373,344.00 Status Issued 225 Fiftb Street, SpriDgfield, OR 541-726-3753 PboDe 541.726-3676 Fax 541-726-37691DspectioD LiDe Sbower POD, Prior to coveriDg aDd iDclDdiDg reqDired testiDg. Water LiDe: Prior to filliDg treDcb aDd iDclDdiDg reqDired testiDg, SaDitary Sewer LiDe: Prior to filliDg treDcb aDd iDcludiDg required testiDg. FiDal PlumbiDg: WbeD all plDmbiDg work is complete. Rougb MecbaDical: Prior to Cover Rougb Gas: After line is installed and required testiDg aDd capped if not attacbed to an appliaDce, Undertloor MecbaDical, Prior to insulation or deckiDg aDd iDcluding required testiDg. UndertlMr Gas: After IiDe is iDstalled aDd required testiDg and capped if not attacbed to aD appliance, FiDal Gas: WbeD all gas work is complete, Final MecbaDical: WbeD all mecbaDical work is complete, Rougb Electric: Prior to Cover FiDal Electric: WbeD all electrical work is complete, Temporary Electric: Approval required prior to Utility CompaDY eDergizing pole, By sigDature, I state aDd agree, tbat I bave carefully examiDed tbe completed applicatioD and do bereby certify tbat all infQrmatioD bereoD is true aDd correct, and I furtber certify tbat aDY aDd all work performed sball be done iD accordaDce witb tbe OrdiDaDces of tbe City of SpriDgfield aDd tbe Laws of tbe State of Oregon pertainiDg to tbe work described berein, aDd tbat NO OCCUPANCY will be made ofaDY strocture witbout permission oftbe CommuDity Services DivisioD, BuildiDg Safety, I furtber certify tbat only COD tractors aDd employees wbo are iD compliaDce witb ORS 701.005 will be used OD tbis project, I furtber agree to enSDre tbat all required inspections are reqDested at tbe proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at tbe frQnt Qf tbe property, aDd tbe approved set of plans will remaiD OD tbe site at all times during construction. L___t ,H-/ :tjf 1/ ~~ Paee 4 of 4 CITY OF StltNGFIELD SYSTEMS DEVELOPMEN.ORKSHEET JOURNAL OR JOB NUMBER: COM2006.00506 NAME OR COMPANY: Duane Knights LOCATION: 3600 Garden TAX LOT NUMBER: 1802064202600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING U'IITS I BUILDING SIZE (SF' D LOT SIZE (SF): . I STORM ORAINAGF, DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER S,F, I I CHARGE I 0,00 I $0.323 = I $0,00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I x I COST PER S,F, I x I DISCOUNT RATE I I I 3640.00 I $0.323 I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $587,86 ~ 2, SANITARY S".wl'R. r:ITY DISCOUNT $587,86 I~ u l>:: o ~ E-< [/) o gj $587,86 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 $19,07 ITEM 2 TOTAL. CITY SANITARY SEWER SDC COST PER DFU $25,07 =, $0,00 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 B. IMPROVEMENT COST: I ADTTRIPRATE I x I 9,57 I I NUMBER OF UNITS I x I 1 I I COST PER TRIP $19,09 x INEWTRlPFACTORI I 100 I 1 NUMBER OF UNITS I x I 1 I I I COST PER TRIP $84,19 $988.39 x INEW TRIP F ACTORI I 100 I ITEM 3 TOTAL - TRANSPORTATION SDC ~ , 4, SANITARY SEWER. MWMr: A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 I ICOST PER FEU I $82,03 B. IMPROVEMENT COST: INUMBERO OF FEU's I x ICOST PER FEU I $865,3 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , S, AOMINISTRATIVE FEE, I SUBTOTAL x I ADM, FEE RATE I~ I $1.576,25 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 $1,576,25 CHARGE $78,81 Cheryl Slaymaker PREPARED BY 5/2512006 TOTAL SDC CHARGES DATE -" "- $0,00 $0,00 $182,69 5805.70 = $0,00 = $0,00 $0.00 $0,00 1091 1092 1093 I 11094 I 1 IOS4 lOSS IOS4 IOS6 -I I 29.39 1079 $49.42 $1,655,06 11078 I ~- /J . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FlX1lJRE UNITS (NOTE; FOR REMODELS, CAlClILA TE ONLY l1lE NET ADDmONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS rBATHTUB 0 0 3 = 0 -I IDRlNKJNG FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETe. 0 0 3 = 0 I IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = 0 'I ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER 1 MOP SINK 0 0 3 = 0 I ICLOTHESWASHER.3 OR MORE (EA) 0 D 6 = 0 'I MOBILE HOME PARK TRAP (I PER TRAILER) D D 12 = 0 RECEPTOR FOR REFRlG 1 WATER STATION 1 ETC. D 0 1 = 0 RECEPTOR FOR COM, SINK 1 DlSHW ASHER 1 ETC, 0 0 3 = D j' SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = D ISINK: COMMERCiAuRESIDENTlAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 D 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 D 2 = 0 ISINK: SINGLE LA V ATORYIRESIDENTlAL BAR 0 0 1 = 0 iURINAL, STALL 1 WALL D 0 5 = 0 ITOILET, PUBLIC INSTALLATION D 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 ~EDU (EQuivalent DwellinR Unit) is a discharge equivalent to a single family dwelling wlil (20 DFlfs) set at 167 gallons pet day __ _ . _____u MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r---- YEAR I ANNEXED iBEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 ~ CREDlT RATE/$I,OOO ASSESSED VALUE $5,29 $5,29 $5,19 $5,12 $4.98 $4,80 $4,63 $4,40 $4,07 $3,67 $3,22 $2.73 $2.25 $1.80 $1,59 $1,45 $1.25 $1,09 $0,92 $0,72 $0,48 $0,28 $0,09 $0,05 l I IS LAND ELGlBLE FOR ANNEXATION CREDlT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDlT? (Enter I fQT Yes, 2 for Nn) BASE YEAR 2 2 1979 CREDlT FOR LAND (IF APPLICABLE) VALUE 11000 CREDlT RATE $0,00 x $5,29 ~ , $0,00 CREDlT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDlT RATE $0,00 x $5.29 o TOTAL MWMC CREDIT $0,00 = /" 'IS, TL I X - (c, ,,'~ 'f~ " (') \;":"':'';'''0 (.- L.{ 2.." M'e,., 1 A r.,r{..:-,. I ~ SEWAGE DISPOSAL SITE EVALUATION' . S.I.# o~9~ 9 / Jbdivision: ,Job Location, '(.) V' '''.. c: i/ Written Directions ~ c.... " r e. ,/ o~ '\ .., I.... 0. \...{...,.. L , G()../ i~< L-, i~ e",,~,J "? r {J" ........ 1, Lot 1 Block L WATER SuppLy c.. P v: '-- G C.. -e {,.,,( ~PLlCANT'S NAME AND ADDRESS II u c~, (<. ~ _ '/"/ if..,... , ~hone "7.L Co 1. '1 Go c.) NNERS'S NAME AND ADDRESS ~ L 'J- &' <. -\ y) c, f ) ,) Y , Phone 2. 2.. .s I "to c. rRUCTURES NOW ON THE PFjOPERTY <; "^ -c..,{ ~ ' _ PROPOSED USE OF PROPERTY /UJ,' /. "h' > ereby certify that the above statements are true and accurate, and that I have the following legal interest in the property ~ owner of record; contract purchaser: . tentJal buyer: realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. f' .~y/I, ,_ ST HOLES READY 1.-1 'l::. S Signature ,(Y1- _ _..///~ Date /.) - .L J ., 0 > - , ./ . '* * * '* ",. * * '* * * '* '* * * * '* * * '* '* * * * * * * * * "Ii *, * * * * OFFICE USE ONLY BELOW THIS LINE * * * * * ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * THIS REPORT IS NOT A PERMIT FOR SEWAGE SYSTEM INSTALLATION Y'IWVE- //r' ;':.1-:: F. J;.' , , ,,' /_ ,j){ r;~ ::["/7/( .T~'" /.((( ft> e,areadescribe,dontheanachedPlotPlandated 1'-//-( is /fF?filPf-P ,fora ;"'r~/,-c /"(-/ '-'11 n-='/'r ,.. TA~"P/k P ~r: vA! system, //f/','_ (/J-", "C~'1:/I_ .. tW! TP'"f7:4t1.-!1,ft:?4' /"ch--j(J/' m:.IONALCOMME~TS: 75"f'<.-'~ 7....._ In...n(?7S'RFt::UlifF,-P) '6//)(5J :';--;:;:;:::"';;;;7/;;5' RFC/,(/frf:V ' [5 /lI/./, "3(": /f."/4x T/7/::-A/r;/ Ol=F7Ji, . . "...Y // p(j TFP C;?P,t-". . ~~U~/ RfY:/f/V..- '5///pC/I/l'k?"'1? 4 TT ITE: ,.:;,?-, / t~' s J(E r;'IJ//5:PP ~E~11 .7...(:,~;r:;'f//-17/p.?- ?;=IC;,<?; T ' his report approves of a sand filter or pressurized distribution stem, detailed consfruction design J5]ans ' I be required with the installation permit application, ,/ fl~:'" . ~r' ............................... THIS IS A PRELIMINARY REPORT WHICH DOES NOT . WARNING: . ENSURE THE ISSUANCE OF A FUTURE BUILDING . This Site Evaluation is a technical report to determine if a on.site . PERMIT. ANY PLANS OR EXPENDITURES MADE IN system will function properly. It does not approve the proposed use of RELIANCE UPON THIS REPORT ARE AT YOUR OWN . the parcel. This Site Evaluation may be converted to a construction per. . RISK. IF SITE IS APPROVED, SEE REVERSE SIDE, . mit only if the parcel and use meet land use regulations in effect at the . I' time of application, YOU ARE URGED TO CONTACT YOUR LOCAL //',: /~ / . PLANNING OFFICE FOR LAND USE REVIEW, . ( ,/(' .A' 711'-/./ -:-. If:-~ I..-I.! - k .. . . .. . . .. . . . .. . . .. . . .. . . . . . .. . . .. . . .. . . / ,DEO AUTHORIZED AGENT DATE NE COUNTY LAND MANAGEMENT. 125 EAST 8TH AVENUE, EUGENE, OREGON !l74n1 IIIR"_~7!<41 ; CITY OF SPRfNGFIELD, OREGON . 1. :roCATION:a~~;:r11A770NJ!;.~~~:~ (l{~'='(!{'''' . ~~,,,''''-' -'" m", ~l ) ~:;.J;.:.jl;,,,,.~;<,~~~~"'';7~~'~~'';'i:;:-:::~'''l;:;~fi.~1.2jf/;....---t''''';;!'-..:~:.~~i1..v;?~,~ "BD~ () '-==l__~~'-=~ ~~ ~f~e + ~rrQ ~:m=5~sq,aor C{ S19,OO \\\.00 Penults are ooo-traDSferab1e and expire ifwork Is Each Manufacl'd Home or Dot started wlthlo 180 days of issuance or If work Is MOOuIar Dwelling Service or Sospeoded for 180 days. Feeder i~ ,,,__.",~=,=,",,,"'" .9",,# ,,;,'~'::W:;;:';'~'~'~~~"Wz~ ATTEW~~.,Q,W"~Jqw r~..,'_,,~ ,\g..;:"~.",-""";).-.,,,",,;;;,,,,,,,;,.~,~.,;,, ': CONTRACTOR'INSTALJ:iill~ON!ONI;'YG B. :!t~.:es;m~:i<.. .. ".= '. (Allentici,;s'or'Relocatioii:': 't! 2.:"";:;;;;'j:..:..,._~.......;;i>~"'''~j<'''-''''Wt!...~~~6_'ti.~.,...~, follov~r~~~-te " ~"" ~ET~;;,-"",;~~,":i;",,"'~'-'JDi""-'" ':'-"-j -: - ..', "(1 'l :.LWT' 0. """' E '\,p "',.J.n./! ' iiat~on Center, Those ';ules are set forth' -- '.-..., Electncal Contractor r';t"-/I f ~ It\. r~~~A~o~~6'6\mhrOugh OAR 9~., M1_ $63,00 ()i..:\"'1?\ -r ",,' : l!.J/otlw,Y3~11~'d ~t1Wl&t~softher"'Mhy S75.00 Address \ I ,~ \ U V". "CO vI., . II' 4, o.t ' . ,ll!,600.AniDs the telephM~ SI25,oo t,..t \''''S~:ltn~ lTl "lvI, \I',um: " , -\\J'{\I'.l-i", 1','..J.u f'r,n.O _-1i~04mb,,~'~te!t,oe'b~itYNotifi"~tinnS S316375',OOOO Cl~ _ L\ IV(\U ~,thone V'I~\!\ Llc. I oeerl~I~~2.2344). R......,-....: Only S 50,00 3. W"roMPiEi'ii;J..WS€.H";'I)uiE1RRt:OW%:~""C ~..,,; ..~h,;:_-'~~,;:i;~'~~;~ ,.u<..,_._~~!U'..,.:.,;~~- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54J)726-3753 . FAX: (54J)726-3Q19 ELECTRICALP~-#:PUCATION ~ ' City Job Number ~. aJlo Date \ - \ 1- 2 ~ S5O.00 Expiration Date ,!) DOlo S ID-\-bL? \~ \ q \ \ lD-2l- 09, c, ~!eiir~~~:s.:~~~2!:i~~E:~~~r~~;g;~~fu~1i';J,,,'fr;~1231 Supervisor License Number InstaDatioo. A ",,,:., , or ReIocatioo 200 Amps or less \ 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or I 000 Volts see "B" above, o '~.ij'~';~1?~:,;;:~~n:~'~'i!J~~~~:'f,:"'~)\;;(~~~._'i>1"ft;!r _f..::!;t,~:.";:;;,Xl~q Signature of Supervising Electrician ' :L~~.:..,?ll}.~"'".&.1!T&J:,~~;:&-3\:;","',,:td.${1\"E['A'iS:U';;tfoli~611.! -? / /'74 / New Alteratioo or ErteosIoo Per Panel / fl QL~ cr...::r_-< ./ One Circuit S 43,00 / / Each Additional Circuit or with ' , - .. hYt {\ V. f\ ' (j:'r\ ~ Service or Feeder Permit S 3,00 ~=N!Jam~_l''i e I \.. .' o{ CEE,~=-iI#~~~~"~W~~$'~jK~~,i~g@r;;~K' '-'\ k\\~Y.f'=R1HiSPtRM\1'\~j'Ntf~-'. "_,!~c.,_",~"..,_.:,., --rL\ . \" ~\~\W~tionNDONEO FOR $ 50.00 COMM\:Nsfg\}&JiJih1 tiih'ung $ 50,00 FlNY ,80 Ci~&C&~lResidential $ ~.oo The installation is being made on r' ... ....i I ~ which Limited Energy/c..~_.._- ..:.1 S 45,00 is not intended for sale, lease orrenL Mloimom E1eetr1e PermIt I.,., . .'" . Fee is $45.00 + Son:harges Owners Signature: 4, i~it.~~~!t~YiI~>~i4Z1.~J~, ~q n.co 7% State Surcharge ~. \ ~ 10"1.. Administrative Fee ' I . .9>lp Expiration Date :f:I) .W Constr, Contr, Number S 50,00 S 69,00 SI00,OO Ci Iospectioo Reqoest: 726-3769 TOTAL _ ~_ "' ~:_ _ ...__IC1_-..:....1 D_;. ......Iit-Minn 1-03..doc 225 Fifth lltreet SprIngfield, Oregon 97477 541-726-3759 Phone .~'~ c_r Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006.00506 COM2006.00506 COM2006-00506 COM2006.00506 COM2006.00506 COM2006.00506 COM2006-00506 COM2006.00506 COM2006.00506 COM2006.00506 COM2006-00506 COM2006-00506 COM2006.00506 COM2006-00506 COM2006.00506 COM2006.00506 COM'2006.00506 COM2006.00506 COM2006-00506 COM2006.00506 COM2006.00506 COM2006.00506 COM2006-00506 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 1200600000000001051 Date: 07/11/2006 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee. Residential UGB Plan Rev MjlMin - Planning Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Dryer Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Gas Fireplace + 8% State Surcharge + 10% Administrative Fee Paid By SUSAN KNIGHTS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 319206 In Person Payment Total: Page I of I 1:16:40PM Amount Due 31.00 1,000,00 106,00 171.00 50.00 254,70 268,00 587,86 182,69 805,70 29,39 49.42 1,456,15 306,00 12,00 12,00 24,00 6,00 4,00 10,00 15,00 172,97 241.69 $5,795,57 Amount Paid $5,795.57 $5,795,57 711 1/2006 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/11/2006 APPLIED: 05/01/2006 EXPIRES: 01/1112007 VALUE: $ 373,344.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3600 Garden Av ASSESSOR'S PARCEL NO.: 1802064202600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: Address: KNIGHTS DUANE A & SUSAN E 2258 33RD ST SPRINGFIELD OR 97477 Phone Number: OU \0 o.ul\e" ~ \.\\I\I\~ , _..1 ~e . .....('\(\ ~....rt\\ .......d..'.....t\\. ..,"'\ev'-;~es'O"" Q\" I CONTRACTOR INFORMA TlON~If>-'" 9S'2.'Cl" 'O~ " \~. \' <,,, 1 \ w ,,\ \ ~ \u\e r' \e . \eC, <ou" ~ \,\\e "e Contractor \o\\o'l'l '0(\0,1' ()o\OI:;icenseO \e~pihl&jlln Date DUANE KNIGHTS ~O\I'i{:;"'\~~'2.'oO\' 0'0\'0\<;1 c~~~" \,\\e ~\;'ilca\I' BATEMAN ELECTRIC I~.c>f>-'" '{ou (\\a~ <;I\e\I~!~l\I.j\I\I\~ ;D.D.). 06/2112008 MARSHALLS INC 0090. , \,\\e ce e OZ57~~I_~~'2.-'2. 12/23/2009 SHAD CHASAN SURRETT ca\lI:~1 \01 \~< i"I'5829'5 01/14/2008 BUILD1~G 'INFOl{MA TlON I 541-726-2960 Contractor Type Geueral Electrical Mechanical Plumbing Phone 541-726-2960 541-998-7187 541-747-7445 541-741-3553 # of Units: I # of Stories: 2 Lot Size: Primary Occupancy Group: R-3 Height of Structure 25.00 Sq Ft Ist Floor: 1,434 Secoudary Occupancy Group: U Type of Heat: Wall Heat Sq Ft 2nd Floor: 1,900 Primary Coustruction Type VN Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft GaragelCarport 1,794 # of Bedrooms: 3 Energy Path: Path I Sq Ft Other: Sprinkled Building: nla Occupant Load: 1 DEVELOPMENT INFORMATION I uc.REQi1'iRED PARKING 'I\~ " . O I D. U b F ..,'o\:. Ir ..,,~ 'I'D' . 2 ver ay 1st: $'~. . r an .nnge WlII.ota: \ # Streeq~re1_ RiliI~WlI' SI-\f\\.~t\~'1-\1~7 ?\:.t\ \:.$~~Ddicapped:', Paved DriYf;Rq\l:- Il'C.\) I.I~\) t\1',~9\\)G~ Compact: % of Lot Co~e:i;a'gg C\:.\) Ot\ IS 16.30 ~GWlWI\:.~ .~ ?'C.t\IO\." - . \J . nr'\ n.... . ~. v . ~ I PUBLIC IMPROVEMENTS I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 20.00 20.00 12.00 32.50 Street Improvements: Storm Sewer Available: Special Instruction: Gravel No Sidewalk Type: Downspoutsillrains: Drywell - Provide Drywell Engineering Notes: UGB Drywell and Septic ~\ ' Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description Plan Review Residential . -Mechanical Issuance Fe.... + 10% Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment BoilerlComp Up To 100,000 btu Building Permit Dryer Vent Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less UGB Plan Rev MjlMin - Planning Vent Fan Willamalane Single Family Total Amount Paid Initial Review Initial Review 05/0212006 06/26/2006 . ~ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/11/2006 APPLIED: 05/01/2006 EXPIRES: 01/11/2007 VALUE: $ 373,344.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 3,300.00 1,794.00 Value Date Calculated $326,700.00 $46,644.00 $373,344.00 05/01/2006 05/01/2006 Total Value of Project Fpp<, p.,irll Amount Paid $946.50 $10.00 $241.69 $172.97 $306.00 $31.00 $12.00 $1,456.15 $6.00 $254.70 $12.00 $15.00 $4.00 $106.00 $171.00 $29.39 $49.42 $805.70 $182.69 $587.86 $50.00 $268.00 $24.00 $1,000.00 $6,742.07 Date Paid Receipt Number 1200600000000000570 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 1200600000000001051 5/1/06 7/11106 7/11/06 7/11/06 7/11/06 7111/06 7/11/06 7/11106 7/11106 7/11106 7/11106 7/11106 7/11/06 7/11/06 7/11106 7/11106 7/11/06 7111/06 7/11/06 7/11/06 7/11/06 7/11/06 7/11106 7/11/06 I Plan Reviews I 05/0212006 06/29/2006 APP LLH APP LLH Revised plans as requested by Robert Castile Paee 2 of 4 .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/11/2006 APPLIED: 05/01/2006 EXPIRES: 01/11/2007 VALUE: $ 373,344.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine Review 05/0212006 TAJ 05/24/2006 APP Public Works Review 05/0212006 APP CAS 05/25/2006 Structural Review Structural Review 05/0212006 07/05/2006 RWC RWC 05/24/2006 07/07/2006 WE APP Setbacks based on the proposed partition. This partition has not been approved and no otber single family residential permits may be approved until the partition is platted and recorded. 7 street trees are required: 3 on Laurel and 4 on Garden (Parcell frontage). Received info 5/9/06 planning review until 5/24/06 Called for septic and d rywell in fo 5/5106 faxed to Mr. Knight 5/24/2006 Revised drawings 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. Ueouire'Unsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Iloor 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. Hold 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbing: Prior to insulation or decking. Underlloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Paee 3 of 4 . . -=ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00506 ISSUED: 07/1lI2006 APPLIED: 05/01/2006 EXPIRES: 01/1lI2007 VALUE: $ 373,344.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sbower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Undertloor Mechanical. Prior to insulation or decking and including required testing. Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 ofany 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 during construction. L___t .H/ :tjf 1/ ~~ Paee 4 of 4 CITY OF StltNGFIELD SYSTEMS DEVELOPMEN.ORKSHEET JOURNAL OR JOB NUMBER: COM2006-00506 NAME OR COMPANY: Duane Knights LOCATION: 3600 Garden TAX LOT NUMBER: 1802064202600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING U'IITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): . 1 STORM ORAINAGF, DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I 0.00 I $0.323 = I $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 3640.00 I $0.323 I 50% ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $587.86 ~ 2. SANITARY S"WI'R - r:ITY DISCOUNT $587.86 I~ u l>:: o ~ E-< [/) o gj $587.86 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $25.07 =, $0.00 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 B. IMPROVEMENT COST: I ADTTRIPRATE I x I 9.57 I I NUMBER OF UNITS I x I I I I COST PER TRIP $19.09 x INEWTRlPFACTORI I 100 I I NUMBER OF UNITS I x I I I I I COST PER TRIP $84.19 $988.39 x INEW TRIP F ACTORI I 100 I ITEM 3 TOTAL - TRANSPORTATION SDC ~ , 4, SANITARY SEWER - MWMr: A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 I ICOST PER FEU I $82.03 B. IMPROVEMENT COST: INUMBERO OF FEU's I x ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS t, 2. 3, & 4) ~ , 5, AOMINISTRATIVE FEE, I SUBTOTAL x I ADM. FEE RATE I~ I $1.576.25 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 $1,576.25 CHARGE $78.81 Cheryl Slaymaker PREPARED BY 5/2512006 TOTAL SDC CHARGES DATE -" "- $0.00 $0.00 $t82.69 $805.70 = $0.00 = $0.00 $0.00 $0.00 1091 1092 1093 I 11094 I I 1054 IOS5 1054 IOS6 -I I 29.39 1079 $49.42 $1,655.06 11078 I ~- /J . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FlX1lJRE UNITS (NOTE: FOR REMODELS, CAlClILA TE ONLY l1lE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS rBATHTUB 0 0 3 = 0 -I IDRlNKJNG FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0 I IINTERCEPTORS FOR SAND 1 AUTO WASH I ETC. 0 0 6 = 0 'I ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER 1 MOP SINK 0 0 3 = 0 I ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 'I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG I WATER STATION 1 ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0 j' SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAuRESIDENTlAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORYIRESIDENTlAL BAR 0 0 1 = 0 iURINAL, STALL 1 WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 ~EDU (EQuivalent DwellinR Unit) is a discharge equivalent to a single family dwelling wlil (20 DFlfs) set at 167 gallons pet day __ _ . _____u MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r---- YEAR I ANNEXED iBEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 ~ CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 l I IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CRED1T $0.00 = --- 'IS, TL I X - (c. ...~ 'f~ " (') \;':"':'';'''0 (.- L.{ 2.... M'c. , 1 A r.,r{..:-,. I ~ SEWAGE DISPOSAL SITE EVALUATION' . S.I.# o~9~ 9 / Jbdivision: . Job Location, '(.) V' '''.. c: i/ Written Directions ~ c... " r e. ./ o~ .\ ..., <o-\...{.......L , G()../ i~< L-, i~ ('.",,~,J ~ r {J" ........ 1, Lot 1 Block L WATER SuppLy c.. P v: '-- G C.. -e {,.J ~PLlCANT'S NAME AND ADDRESS II u c~. (<. ~ _ '/"/ if.". . ~hone '7.L c. 1. '1 Go c.) NNERS'S NAME AND ADDRESS ~ 2. 'J- &' <. -\ y) c, f ) ,) Y . Phone 2.. 2. .s I "to c.. rRUCTURES NOW ON THE PFjOPERTY <; "^ -c..,{ ~ ' _ PROPOSED USE OF PROPERTY /UJ.. /, "h' > ereby certify that the above statements are true and accurate, and that I have the following legal interest in the property ~ owner of record; contract purchaser: . tentJal buyer: realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. f' ..~Y:../ I. ._ ST HOLES READY 1.-1 -.::. S Signature ,(Y1- _ _..///~ Date /.). L. J - 0 > - , ./ . '* * * '* ",. * * '* * * '* '* * * * '* * * '* '* * * * * * * * * "Ii *, * * * * OFFICE USE ONLY BELOW THIS LINE * * * * * ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * THIS REPORT IS NOT A PERMIT FOR SEWAGE SYSTEM INSTALLATION Y'IWVE- //r' ;":,1-:: F. J;.' , . ..' /.. .j) f r;~ :I/7/ ( .T..~'" /.(( ( f t> e. areadescribe.d on the attached plot plan dated 1--// - (- is /I F?fil j/IP . for a :",.a-c /"(-/ '-'11 77.'=/'( ,.. TA~P/k P ~r: vA! system. /~fl'.'_ (/J- .--, - _~I.. . fW! TP"f7:4t1.-!1/':?...,' rCh~f}r m:.IONALCOMME~TS: 75'f'<;,~ 7....._ ITi",n(?7S'RFt::!,-(J!ff:,P) 16//)(5J :';--;:;:;:::"';;;;7/;;5' RFCI.(/frf:V . [5 /lI/./, '3(': /f.I4x T/7/=-.//rN OI=F7Ji. . . .....Y // p(j TFP C;?A'/-",t-'. . /~U~/ Rf::[lf/V..- '5///pC/I/l'k?"'1? 4 TT ITE: ,.:;,?-, / t~/ So J(E (;t'(//rPP ~E~11 .7..-c~;r:;'f//-17/p.t/ ?;=IC;,<?/ T . his report approves of a sand filter or pressurized distribution stem, detailed coosfruction design J5]ans .. I be required with the installation permit application. . / fl~:'-, . ~r' ................*.............. THIS IS A PRELIMINARY REPORT WHICH DOES NOT . WARNING: . ENSURE THE ISSUANCE OF A FUTURE BUILDING . This Site Evaluation is a technical report to determine if a on-site . PERMIT. ANY PLANS OR EXPENDITURES MADE IN system will function properly. It does not approve the proposed use of RELIANCE UPON THIS REPORT ARE AT YOUR OWN . the parcel. This Site Evaluation may be converted to a construction per- . RISK. IF SITE IS APPROVED, SEE REVERSE SIDE. . mit only if the parcel and use meet land use regulations in effect at the . I' time of application. YOU ARE URGED TO CONTACT YOUR LOCAL //',: /~ / . PLANNING OFFICE FOR LAND USE REVIEW. . ( /.' .A' 711'-/./ -:-- .If:-~ I "-I.! - k .. . . .. . . .. . . . .. . . .. . . .. . .. . . .. .. . . .. . . .. . . / ,DEO AUTHORIZED AGENT DATE NE COUNTY LAND MANAGEMENT. 125 EAST 8TH AVENUE. EUGENE. OREGON !l74n1 IIIR"_~7!<41 ; CITY OF SPRfNGFIELD, OREGON . 1. :roCATION:a~~;:r11A770NJ!;.~~~:~ (l{~'='(!{-'" . ~~,,,."'-' .... m", ~l ) ~:;.J;.:.jl;,,,,.~;<,~~~~"'';7~~'~~'';'i:;:-:::~'''l;:;~fi.~1.2jf/;....---t''''';;!'-..:~:.~~i1..v;?~,~ "BD~ () '-==l__~~'-=~ ~~ ~f~e + ~rrQ ~:m=5~sq.aor C{ 519.00 \\\.00 Penults are non-traDSferable and expire ifwork Is Each Manufact'd Home or not started within 180 days of issuance or If work Is Modular Dwelling Service or Snspended for 180 days. Feeder i~ ,,,__."~='='>"'''' .9',. # "C' '~'::W:;;:';'~"~'~~~"Wz~ ATTEW~~"QJf'''~Jqw r~..'_._~ ,\g..;:"~.",.""";),..""";;;",,,,,;,,.~.~-,;,, ': CONTRACTOR'INSTALJ:iill~ON!'(JNI;YG B. :!t~.:es;m~:i<.. .. ".= '" (Allentici,;s'or'Relocatioii:': 't! 2.:"";:;;;;'j:..:..,._~.......;;i>~"'''~j<'''-''''Wt!...~~~6_'ti.~.,...~, follov~r~~~-te " ~"" ~ET~;;,-"",;~~,":i;",,"'~'-'JDi""-'" ':'-"-j -: -' ... 11 'l :.LWT' 0. "'" E -\.p "'"J..n./! . iiat~on Center. Those ';ules are set forth' -- ""-.",, Electncal Contractor r';In.:! f ~ It\. r~~~A~o~~6'6\mhrOugh OAR 9~., ""1.. $63.00 ()i..:\'"1?\ -r ",,' : l(j/otlw.Y3~11~'d ~t1Wl&t~softher"'Mhy 575.00 Address \ I ,~ \ U V. ,.CO ~I..\ . II' 4. o.t . . ,ll!,600.AniDs the telephM~ 5125.00 t..t \,"'\~tn~ lTl "lvr. \\',um:" . -\\J'{\I'.l-i", 1','.J.u f'r.n.O _-1i~04mb,,~'~te!t.oe'b~itYNotifi"~tinn5 5316375..0000 Cl~ ... L\ IV(\U ~.tbone \JI~\!\ Llc. I oeerl~I~~2-2344). R_...____: Only 550.00 3. i!!'roMPiEi'ii;J..WS€.H";'I)uiE1RRt:OW%:~""'C ~..,,; ..~h,;:_-'~~,;:i;~'~~;~ ,.u<..,_._~~!U'..,.:.,;~~- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 . FAX: (541)726-JQ19 ELECTRICALP~-#:PUCATION ~ . City Joh Number ~. aJlo Date \ - \ 1- 2 ~ 550_00 Expiration Date ,!) DOlo S ID-\-bL? \~ \ q \ \ lD-2l- 09. C. ~!eiir~~~:s.:~~~2!:i~~E:~~~r~~;g;~~fu~1i';J,,,'fr;~1231 Supervisor License Number InstaDation,A..",:",orReIocatioo 200 Amps or less \ 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or I 000 V oilS see "B" above. o '~.ij'~';~1?~:,;;:~~n:~'~'i!J~~~~:'f,:"'~)\;;(~~~._'i>1"ft;!r _f..::!;t,~:.";:;;,Xl~q Signature of Supervising Electrician - :L~~.:..,?ll}.~.,.".&.1!T&J:,~~;:&-3\:;","',,:td.${1\'E['A'is.:U';;tfoli~611.! -? / /'74 ./ New Alteration or ErtensIoo Per Panel / fl QL~ cr...;:r_.< ../ One Circuit $ 43.00 / / Each Additional Circuit or with . \ - . h,Yt {\ V. f\ ' (j:'r\ ~ Service or Feeder Permit $ 3.00 ~=N!Jam~"'fi e I \.. .' o{ CEE.~=-iI#~~~~"~W~~$'~jK~~.i~g@r;;~K' '-'\ k\\~Y.f'=R1HiSPtRM\1'\9-NtH.'-.' "..,!~c.,.""~"..._,:." --rL\ . \'" ~\~\W~tionND()NtD FOR $ 50.00 CGMM\:Nsfg\}&.IiIih1 tiih'ung $ 50.00 PINY ,80 Ci~&C.&~lResidential $ ~.oo The installation is being made on r' .... --.i I ~ which Limited Energy/c..~__._. .:.1 5 45.00 is not intended for sale, lease orrenL Mlnimnm Electric PermIt I.,., - .'" . Fee is $45.00 + Sorcharges Owners Signature: 4. i~it.~~~!t~YiI~>~i4Z1.~J~, ~q .rJ.CO 7% State Surcharge ~. \ ~ 10"A. Administrative Fee ' I . .9>lp Expiratinn Dale :f:I) .W Constr. Contr. Number $ 50.00 $ 69.00 5100.00 Ci Inspection Reqnest: 726-3769 TOTAL _ ~_ "' ~:_ _ ...__IC1_-..:....1 D_;. ......Iit-Minn 1-03..doc 225 Fifth lltreet SprIngfield, Oregon 97477 541-726-3759 Phone .~.~ C_f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM'2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 COM2006-00506 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 1200600000000001051 Date: 07/11/2006 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential UGB Plan Rev MjlMin - Planning Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC SanitarylStorm Admin SDC Transpo Admin Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Dryer Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Gas Fireplace + 8% State Surcharge + 10% Administrative Fee Paid By SUSAN KNIGHTS (tern Total: Check Number Authorization Received By Batch Number Number How Received djb 319206 In Person Payment Total: Page I of I 1:16:40PM Amount Due 31.00 1,000.00 106.00 171.00 50.00 254.70 268.00 587.86 182.69 805.70 29.39 49.42 1,456.15 306.00 12.00 12.00 24.00 6.00 4.00 10.00 15.00 172.97 241.69 $5,795.57 Amount Paid $5,795.57 $5,795.57 711 112006