HomeMy WebLinkAboutPermit Building 2005-7-13
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.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.' CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00639
ISSUED: 07113/2005
APPLIED: OS/27/2005
EXPIRES: 01113/2006
VALUE: $ 298,920.00
SITE ADDRESS: 1169 Laurel Ave
ASSESSOR'S PARCEL NO,: 1802064200300
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family ites!dence
Owner:
Address:
CORY COON
1860 MANIHl
EUGENE OR 97404
Phone Numher: 541-521-9181
Contractor Type
General
Electrical
Mecbanical
ATTENTION: O'Annn I"... rft7 ,,__ _ .
rOllo",:, ~!.~~r~q.--' - '-.-: 'W
Notifjc~"rlJRM;ITlbN't'
In OAR 952-001-00 . . - - --n~'th
10 through oiQ<;?n01 ..
Contractor0090. Yo':l.~~.Y- obta&'n c pie f t c~e . EXPlJ'atlOn Date
CASCADE CONilI~~~rOOr. ' :h 0 3'6'}jSlS by 08/02/2005
EVERYDAY H,...,.,TDfr-kI3.flR e". e t S6'.ffi.ne 08/12/2005
-e-''lUt''mtf'Ure t,lily N Hi '
MARSHALLS INC CentA' i.. Ulnn.,,,,,, M. ~~79ijlion 12/23/2005
-,. L
I BUILDl"", mJ'un.!.tAtiON.
Phone
541-521-9181
541-607-6908
541-747-7445
# of Units: 1 # of Stories: 1 Lot Size: 31,088
Primary Occupancy Group: R-3 Height of 21.00 Sq Ft 1st Floor: 2,759
Secondary Occupancy U Type of Heat: Heat Pump Sq Ft 2nd Floor:
Yrimary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Range Type: Electric Sq Ft Garage/Carport 778
# of Bedrooms: 4 Energy Path: Path 1 Sq Ft Other:
Sprinkled nla Occupant Load:
I DEVELOPMENT INFORMATION I REQUIRED PARKING
Front yard Setback: Overlay Dlst: Urban Fringe Total: 2
Side 1 Setback: 92,60 # Street Trees 0 Handicapped:
Side 2 Setback: 15,00 Paved Drive Rqd: Compact:
Rearyard Setback: 10,00 NO TI C E:o of Lot Coverage: 11,30
Solar Setbacks: 22,50
T~'c: DCrH "..... _.
Street
- ...... .., ,~.. ~~."~-.,..
, AlIPUlWI<'.1Il\1PROVEMENTSI' THE WORK
CUIVIMtNCED ...~ . ~liMIT '(: W'l-
Partiallv Improved OR IS ABANDONED S.iIewalk Type:
, .." "'V DAY PERIO FOR
Yes D, Downspouts/Drains
To Storm Sewer
Storm Sewer Available:
Special Instruction:
Notes: County UGB storm drainage piped to system provided 6/1/2005 CAS
1 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
A,C, - Reslden
Deck/Balconv
Dwelllnes
Garaee
Type of Construction
AC - Residential
Deck
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Plan Review Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
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
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
UGB Plan Rev MjlMin - Planning
Vent Fan
Water Line - Each Addtll00'
.
I Valuation DescriDtion I
$PerSqFt
or multiplier
$4,00
$17,00
$96,00
$25,00
Square Footage
or Bid Amount
2,759,00
210,00
2,759,00
778,00
Total Value of Project
F~stiWLI
Amount Paid
$758,49
$10,00
$200,94
$140,66
$306,00
$31.00
$18,00
$1,212,40
$6,00
$9,00
$12,00
$15,00
$4,00
$1.00
$29,58
$106,00
$114,00
$530,12
$697,16
$14,00
$10,00
$865,31
$82.03
$176,21
$59,46
$772,49
$175.13
$1,581.16
$70,00
$50,00
$156,00
$30,00
$42,00
Date Paid
5/27/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
2 of 4
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-00639
ISSUED: 07/13/2005
APPLIED: 05/27/2005
EXPIRES: 01113/2006
VALUE: $ 298,920.00
Value
Date Calculated
06/07/2005
07/08/2005
OS/27/2005
OS/27/2005
$11,036,00
$3,570,00
$264,864,00
$19,450,00
$298,920,00
Receipt Number
1200500000000000680
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
1200500000000000993
.
. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2005-00639
ISSUED: 07/13/2005
APPLIED: OS/27/2005
EXPIRES: 01/13/2006
VALUE: $ 298,920.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectlon Line
WiIlamalane Single Family
$1,000,00
7/13/05
1200500000000000993
Total Amount
$9,285,14
I Plan Reviews ,
Initial Review 05/31/2005 05/3112005 WE LLH Have requested copy of septic
permit from Lane County, Spoke
with Cory Coons 6/1012005, Mr,
Coons said tbat be bas to re apply
for site approval on tbe septic
location and tben obtain bls septic
permit from tbe county, I explained
to bim bis building permits could
not be Issued until bis septic permit
bad been issued,
Initial Review 07/13/2005 07/13/2005 APP LLH Received Septic Approval 7/1312005
Plannln!! Review 05/31/2005 06/13/2005 APP TAJ A Tree Felling Permit is required if
more tban 5 trees 5". dbh or greater
are felled,
Public Works Review 05/31/2005 06/0112005 APP CAS Storm drainage piped to system
provided 6/1/2005 CAS
Structural Review 05/31/2005 06/07/2005 APP JB Approved as noted on plans
To Request an inspection can 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. win be made the following
work day,
I Rf'ouirrrl Tnsn*W
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed,
Ufer Electrical Ground: Install ground rod at footing and call for Inspection In conjunction wltb' 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 rougb In inspections bave been approved,
Wall Insula lion: Prior to cover,
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping,
Final Building: After all required inspections have been requested and approved and the building is complete,
3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00639
ISSUED: 07/13/2005
APPLIED: OS/27/2005
EXPIRES: 01113/2006
VALUE: . $ 298,920.00
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill,
Underfloor Plumbing: Prior to Insulation or decking,
Rough Plumbing: Prior to cover and Including required testing,
Water Line: Prior to filling trench and including required testing,
Line to Septic Tank: Prior to filling trench and required testing,
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When all plumbing work is complete,
Underfloor Mechanical, Prior to Insulation or decking and including required testing,
Underfloor Gas: After line Is Installed and required testing and capped if not attached to an appliance,
Rough Gas: After line is Installed and required testing and capped if not attached to an appliance,
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,
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete,
Final Mechanical: When all mechanical work is complete,
Temporary Electric: Approval required prior to Utility Company energizing pole,
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work Is complete,
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon Is true and correct, and 1 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 wID be made ofany structure without permission of the Community SerVices Division,
Building Safety. 1 further certify that only contractors and employees who are In compliance with ORS 701.005 will be used
on this project,
I ' 1 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 wiD remain on the site
, at all ~uring ~ction. '7/' / ,--.....
~..;..~-;.... ;}/ r CJ S
/' ~ -- ~~ )
~or Contractors Signatur,e' Date
4 of 4
.',.....~~T!.:~. yh<t--.....,,;...l.....',. ''''I'';' l.1..."G"'....~ -- 'o:D":.rO"-f.' G' O'N" .:i),:,~~:l'l.. '~~'.,'
:p.,i~:~i!"; ::'~':IC,ITY.()F,S~<.L4N./~r.:.? .~"" ",':':;.:~ }';'::'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:1~!i,~t368~\(\~
ELECTRICAL KILRM[T H'J?PCATION ~<i<i\ 1,0
City Job Number l!.. ~ . \ n- ~
- -
1, ~CLOCATION,'O~iNSTA1L1riON:;";~?~~'i 3,
"~\\\Oq"V \lr, ~r pt"''''{ii~~;U .
LEGAL DE~~TI<iN,
l ~,(l.Nl'~&.
JOB DESCRIPTION
~
(X)~[() .
W"3f)
.' -t\onf
xpire if work is
nce or if work is
Permits ar.t!non-transferable an
not started within 180 days of iss
Suspended for 180 days,
~"CtfNf1fX2i6R:ms;lt:j,1rtoJv,:6NifJl
2. ~"I~1.~..1:dlt.\.~.~:'~\:::llfF~>h.'f-~:'(:~};,..~~
Electrical contrac;or[i;eriTry. fl~ct se{Ui~:~~
Addr6sJ!r,iJrl2- fStJ-J Di'lI'SlotJ !JJe
City tU~J'IU' ?NO~ Phone bo1-f90g
~/ kat"
jo/l /01
I J
Constr. Contr, Number /"3 /'5'7/
<lln/J--D 0 b
I I .
. Signature of Supervising Electrician
~~L/1lIihL
I
Owners Name ~ Dn 1 J ~ 'Yi\ .
Address t ~t aD '(St\\(\ (\ i. ~:u. \
City ~N)) Phone .JJ)1. ,Q\'6\
OWNER INSTALLATION
SuperVisor License Number
Expiration Date
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769'
A. ~-Ne~~'R;~JJ~~!i~,)~~':~~glt9t-:N.l~'i~~.F~~ii~;'p~~'~;~t;lfi~~,.~~ii~:j,,?
.", ".~..., ....\;..l.L...",,"..~...~_J....l;ooIo..,....,.. _....'...._~.... .~-~"..~,... ~ '. .:.ot"l):.
Service Included
I
Lo
JDidO
IIA,cO
SI06,OO
1000 sq, ft. or less
Each additional 500 sq. ft, or
portion thereof.. .,
$ 19.00
Each Manufact'd Home or
Modular Dwelling 'Service or .
Feeder
S50,oo
" ~}!~~.'r:*~~-:ti~ .t.. ,~~~".g.~t,..:.~,;'lr:'~{ij.. ':-'~:~,~7~
. B. ~~~;J~ff!~~~p,:~~?m~~~ni'~~!l.!~~~~~~~~I?~~o~E~j
200 Amps or less . . fr~~8\1 tft .
201 Amps t~~: Oregon laW ftl\.I~~, dJ'Qlti\j\ll
401 Amps ffii?8SJ1ffie~ adopted DYU':J.~s$ M~t forth
601 AmPt-.f8\h~\~psenter. 1I10::;~"1'-6A\Y391!2.()()1. .
Over 100q~~B-001-001? .I~,=-i'o" o$11'l6,OOles oy
Reconnect&l!!~, YoU may obtahll:~:a: 'h,~t~one
c ~"" ,,,,,~Jli~~~~i~on\Jti~;v,~~t).i~~~~ :1b~
, j't;~mp~r,~!fYW""'''''Cen\ijrl5'1~e~:~:T:.' !J..}':c '. ;';':,,::.i:,;!
. Installation; Alteration or Relocation, I
200 Amps or less . . $ 50,00 !5I)_ctJ,
201 Amps to 400 Amps S 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see UBU above.
D. ~1i~ili~h~iil;~,:~.b~~,,~,T~~~::",\r-~,.~~--1,~'.)7t:',~~~:~_;.1~:;:~~'-~?:rj
i~.:.o,;f.-.l";'~ -~ -"(-/(-'-\,,,-, ,~.~" ".~,r~~"'''Y'\~,\l..",'' ~:...\:~\liL.;~..-t:\;;i.~
New Alteration or Extension Per Panel
. One Circuit . S 43.0001-''''
Each Additio~~I. Circuit or with W\c 1r1\-1c IN '1
Service or'F:'lederPermilel' F\LL C~p -...,$\13.QQ, 1'10
.' cW~\\ I v\ 1\-11'::> n:.."W '
""""~;IJV'~\?i?:;~J\')'D:t\~Q.r,,%..j1:!t;.'''I~p~E\):rqi\}'' ,,, ,~''''<~
E, [~:f:~~p.e.<!Il.s'(s,~t~~ifb~~!<!al,~t!.~51~~~~).;:~~c.~\!~~ta~l!l.tJg.n.;j
COM\II\t.\~ pH\\OO,
Pump or irrigation,',G 01'-'/
~\~, '
Sign/Oulline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
S 50,00
$ 25,00
S 45.00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
tr~~"~~"'i:rt':\.~.~-:-'f~:-:-r-~rw'-,~:~;7{fh':P'J~~";"'" .:...
4, '+S.UBTOTAE:OF'ABO,VE:~..v;:i:. ';'(,,: ::,,'-~ -c:.f.\..','
[~~>~.;n-r.~~'~' ~ >'i;)".;'~"""t...t~~::::r.l\..j;I~ _~__r;~~ .._~'.
7% State Surcharge
10% Administrative Fee
Q..~{JfD
l~.~
~\CO.4D
TOTAL
Shared Drive(T:)lBuiiding FonnslElcctrical Permit Application ).Q3.doc
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
CITY OF S.GFIELD SYSTEMS DEVELOPMEN-e,RKSHEET
COM2005-00639
Co!,\, Coon
1169 Laurel Ave
1802064200300
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF; 3437
r--
112
10
,0
U
0::
30990 ~
[/)
a
~
I
I
$1,581.16 1070
LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
I 5100.50 I SO.31O = I $1,581.16
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I. IMPERVIOUS S,F, I x ! COST PER S,F. I x I DISCOUNT RATE I I
I 0.00 I I SO.31O I 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC SI,58I,16 I
2. SANITARY SEWP.R - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 29 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 29 I S18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x
I 9.57 1
B. IMPROVEMENT COST:
I ADTTRlPRATE I x
I 9.57 I
DISCOUNT
$0.00
COST PER DFU
S24.04
I
( 1091
I
I 1092
I
I
I 1093
I
I 1094
J
$697,16
S530,12
SI,227,28
I NUMBER OF UNITS I x I
I I I
x INEW TRIP FACTORI
I 1.00
COST PER TRIP
S18.30
$175,13
I NUMBER OF UNITS I x I
I I I
x INEWTRlPFACTORI
I 1.00
, $772,49
COST PER TRIP
S80.72
$947,62
4 SANITARY SEWER - MWMC.
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I S82,03 = $82,03 1054
B. IMPROVEMENT COST:
INUMBER ?F FEU's I x ICOST PER FEU
I I S865.31 = $865.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0,00 !11054
MWMC ADMINISTRATIVE FEE $10,00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $957.34 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $4,713,40
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I S4,713.40 I 5% I S235.67
TOTAL SANITARY ADMINISTRATION FEE: 176.21 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: S59.46 11078
Cheryl Slaymaker 6/112005 TOTAL SDC CHARGES =, $4,949,07 i
PREPARED BY DATE I,
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCUl.A TE ONLY TIlE NET ADDmONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0 ,
!INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRJG 1 WATER STATION 1 ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER, GANG Q'lUMBER OF HEADS\. 0 0 2 = 0
ISINK: COMMERCIAlJRESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL 1 WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
.EDU (Equivalent Dwellinp: Unit) is a discharJtC: eQuivalent to a sincle family dwellimt unit (20 DFU's) set at 167 sllons per day
MWMC CREDIT CALCULA TlON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 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 RATElSI,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
2
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT?
(Enler I for Yes, 2 for No)
BASE YEAR
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE 1 1000 CREDIT RATE
SO.OO x S5.29
I
II
I
I
I
I
= I
SO.OO
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
=
SO.OO
,~
. -- ~
, ""~. 'Pubaac \\brks
,
,
. APPLIC.ANT'Se>Py
SEPTIC INSTALLATION PERMIT
SP057274
Parcels: 18-02-06-42-00300
JASPER RD S ON LAUREL AVE 1/4 MI LIT
'Site:
1169 LAUREL AVE SPR
Applicant:
COON CORY
1860 MANllII LN
EUGENE OR
97404
Owner:
COON CORY
1860 MANIHI LN
EUGENE OR
97404
Site Inspection Number: 05-9140
Work Description: INSTALL SEPTIC SYSTEM
System Type: INSTALL, STD
Issued Date: 07/13/2005
Expiration Date: 07/13/2006
INST ALLA TION REOUIREMENTS:
Projected Daily Flow: 450 gallons
Drainfie1d Size: 225 feet
Special Conditions: Set tank high to achieve min, 8"
effluent sewer drop requirement.
Septic Tank Size: 1000 gallons
Trench Depth: 18-30 in,
Homeowoer install requires preconst.
stakeout check, call 682-3751
All DEQ setback and rules apply,
(.~ty
-'
OTHER REOUIREMENTS:
1. Installation of an effluent pump requires and Electrical Permit.
2. Install disposal trenches on contour, The trench bottom shall be level within a tolerance of plus or minus one (1)
inch over the entire trench length,
3. Minimum of eight (8) inch fall from top of septic tank outlet to top of first header pipe leaving D-box,
4. New systems must meet setback requirements in Table L
Q:;ed8'"'
/
--...
07/13/2005
. Date
LANE COUNTY ON-SITE-SEW AGE OFFICE
125 E 8TH Avenue, Eugene OR 97401. PH: (541) 682-3754, Fax: (541) 682-3947
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l', 225 Fifth Street
~ i.SpringfiellJ~ Oregon 97477
'''541-726-3759 Phone
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Job/Journal Number
COM2005-00639
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Payments:
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7/13/2005
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City of Springfield Official Receipt:
evelopment Services Department :'
Public Works Department
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RECEIPT #:
1200500000000000993
Date: 07113/2005
Description
Addressing Assignment
WiIlamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Residential
Building Permit
3 Baths One & Two Family
Sanitary Sewer Each Addtl 100'
Water Line - Each Addtl 100'
Storm Sewer Each Addti 100'
Furnace - up to 100,000 btu
Vent Fan
ExhaustHoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
Gas Fireplace
Appliance Not Listed'
-Mechanical Issuance Fee-
UGB Plan Rev Mj/Min - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CASCADE CONTRACTING
CORY COON
Item Total:
Lbeck. Number Authorization
Received By ,Bateh Number Number How Reeelved
djb 6220 In Person
djb 086307 In Person
Payment Total:
1 of 2
1:35:14PM
Arnou nt Due
31.00
1,000,00
106,00
114,00
50,00
1,581.16
697,16
530,12
175,13
772.49 ,
82,03 '
865,31 "
10,00
176,21
59.46
29,58
1,212.40
306.00
14,00
42,00
70.00
12,00
30,00
9,00
6,00
4,00
100 ',!
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15.00.
18,00 ;
10.00
156,00
140,66
200.94
$8,526_65
Amount Paid
$526.65
$8,000,00
$8,526,65
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\ COM2C,S-00639
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i Payments:
~ Type or Payment
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CreditCard
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7/13/2005
,:,
RECEIPT. 1200500000000000993
Deserlptlon
Addressing Assignment
WiIlamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl SOO
Temp Power 200 amps or less
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transpo Admin '
Plan Review Residential
Building Pennit
3 Baths One & Two Family
Sanitary Sewer Each Addtl 100'
Water Line - Each Addtl 100'
Stonn Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
Gas Fireplace
Appliance Not Listed
-Mechanical Issuance Fee-
UGB Plan Rev MjlMin - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CASCADE CONTRACTING
CORY COON
Received By
djb
djb
2 of 2
_ate: 07/13/2005
Item Total:
Check Number Authorization
Bateh Number Number How Reeelved
6220 In Person
086307 In Person
Payment Total:
I:35:14PM
Amount Due
31.00
1,000,00
106,00
114,00
SO,OO
1,581.16
697,16 ;
S30,I2 .
17S,I3 .
772.49
82,03
86S,31
10,00
176.21
S9.46
29.58
1,212.40
306,00
14,00
42,00
70.00
12.00
30,00
9,00.,
6,00
4,00
1.00
15.00
18,00
10,00
IS6,OO
140,66
200,94
$8,526,65
Amount Paid
$S26,6S
$8,000,00
$8,526,65