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HomeMy WebLinkAboutPermit Building 2005-7-13 -1IIt~~~~~~ , . - '," . 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 $5.29 o TOTAL MWMC CREDIT = SO.OO ,~ . -- ~ , ""~. 'Pubaac \\brks , , . APPLIC.ANT'Se>Py SEPTIC INSTALLATION PERMIT SP057274 Parcels: 18-02-06-42-00300 JASPER RD S ON LAUREL AVE 1/4 MI LIT 'Site: 1169 LAUREL AVE SPR Applicant: COON CORY 1860 MANllII LN EUGENE OR 97404 Owner: COON CORY 1860 MANIHI LN EUGENE OR 97404 Site Inspection Number: 05-9140 Work Description: INSTALL SEPTIC SYSTEM System Type: INSTALL, STD Issued Date: 07/13/2005 Expiration Date: 07/13/2006 INST ALLA TION REOUIREMENTS: Projected Daily Flow: 450 gallons Drainfie1d Size: 225 feet Special Conditions: Set tank high to achieve min, 8" effluent sewer drop requirement. Septic Tank Size: 1000 gallons Trench Depth: 18-30 in, Homeowoer install requires preconst. stakeout check, call 682-3751 All DEQ setback and rules apply, (.~ty -' OTHER REOUIREMENTS: 1. Installation of an effluent pump requires and Electrical Permit. 2. Install disposal trenches on contour, The trench bottom shall be level within a tolerance of plus or minus one (1) inch over the entire trench length, 3. Minimum of eight (8) inch fall from top of septic tank outlet to top of first header pipe leaving D-box, 4. New systems must meet setback requirements in Table L Q:;ed8'"' / --... 07/13/2005 . Date LANE COUNTY ON-SITE-SEW AGE OFFICE 125 E 8TH Avenue, Eugene OR 97401. PH: (541) 682-3754, Fax: (541) 682-3947 'I 'L~t/~E' 'j A~A >i;al,l: ~ A~,!~;!J?': . fr~:!'L . .. ; _1.1"".. //'. / / . .'. ~,:':""':Y ...../'~//'. .t.: /". ;~---"'1 .-'- "w. I ,~ ;.$:,"':" 'v / I 1 / toO,;; ,c . -.'O/.!J;. ./. / 'r. '''Ji!i;" . :cU'~/ U:1. / 1 !' .f ~:;~~! ,'(~-:~ ~:':~/. .1 : .' 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' ~ \;':" Job/Journal Number COM2005-00639 COM2005-00639 , COM2005-00639 ! COM2005-00639 ~ COM2005-00639 ( COM2005-00639 h :: COM2005-00639 COM2005-00639 . COM2005-00639 i. COM2005-00639 ,,~, COM2005-00639 ~FtOM2005-00639 ,; c!OM2005-00639 , , COM2005-00639 . COM2005-00639 C.oM2005-00639 COM2005-00639 COM2005-00639 COM2005-00639 ~ COM2005-00639 , COM2005-00639 f COM2005-00639 , '~ COM2005-00639 : COM2005-00639 COM2005-00639 COM2005-00639 f., COM2005-00639 ~~,COM2005-00639 ikbM2005-00639 , i COM2005-00639 , CoM2005-00639 CbM2005-00639 c!OM2005-00639 Payments: i Type of Pa)'Dent I, Check . CreditCard ! " ~. ~. ,> ~ J:1 W', ~~I '. ~t- ~1 , , I 7/13/2005 8~~m~~~,.'. ! Wit:- , ' , , . ........ , . .' or ,I City of Springfield Official Receipt: evelopment Services Department :' Public Works Department . 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 ',! . (. 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 I . , , . ... I , Job/Journal Number \ COM2C,S-00639 I COM200S-00639 ~, COM200S-00639 , . : COM200S-00639 COM200S-00639 COM200S-00639 ~, COM200S-00639 ).. ,:,COM200S-00639 ;:"COM200S-00639 .! COM200S-00639 C:OM200S-00639 COM200S-00639 COM200S-00639 COM200S-00639 COM200S-00639 COM200S-00639 , , COM200S-00639 , . . COM200S-00639 f COM2005-00639 ~, COM200S-00639 . CbM200S-00639 COM200S-00639 , COM200S-00639 .~ COM200S-00639 ~"COM2005-00639 \"CbM200S-00639 , , , COM2005-00639 C'oM2005-00639 dbM200S-00639 c()M2005-00639 COM200S-00639 COM200S-00639 I COM200S-00639 i Payments: ~ Type or Payment : Qheck CreditCard ~ { '.' \1 ! I IJ :' ., ;\ , 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