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Home My WebLink AboutPermit Building 1999-05-13SPRIIrlGFIELD 225 North Fifth S Springfield, OR 9 LocaEion of Propo Assessors Map #: Lot: L6 a RESIDENTIAL PERMIT APPI,ICATION CITY OF SPRINGFIEI,D COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 99047 4 Office: 726-3159 ecti-on Line: 726-3769 :01600 AMBLESIDE treet 7477 sed Wor 1,7 021,94 OwneT: ANDERSON DEVELOPMENT Address : P. o .Box 221,21 Describe Work: S/F RESIDENCE 583 -267 B city/srate/zip: EUGENE oR, 97402 NEW General: Plumbing: Mechani-ca1 : Electrical: Contractor B.H. ANDERSON OI22A55 3390 W 11TH ST SUITE C EUGENE OR 97 MCMTCHALES PLUM 0028832 40108 BOOTH KELLY RD SPRINGFIELD OR COMFORT FLOW HE OOOO4SO 1951 DON ST #D SPRINGFTELD OR 97477 BINNS ELECTRIC 0073762 210 WALLIS STR IINIT #C EUGENE OR 97 Const,. Contractor #Expires o5/02/e8 oe/21-/e8 o6 /27 / s8 06/06/e8 Phone 484-4855 1 44 - 9099 7 26 - Ol,OO 687 -1,362 QUAD AREA: 3RNC CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2202 OFFICE USE - - LAND USE: 1111 # OF BDRMS: 4 RANGE: G OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To request an inspection, cal-I the 24 hour recording aL 726-3769. A11 inspections requested before 7:00 a.m. will be made Lhe same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTTONS --- FOOTfNG - After trenches are excavated. FOITNDATION - AfLer forms are erected but prior to concrete placement. ITNDERFLOOR PIJIIMBING - Prior to j_nsulation or decki_ng. ITNDERFIJOOR DRAIN - Prior to cover or placement of concrete. ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking. POST AI{D BEAM - Prior to floor j-nsulation or decking. rNsuLATroN - Floor; prior to decking wa]l/Ceiling; prior to cover WATER LINE - Prj-or to filling Lrench. SAIIITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filli_ng trench. ROUGH PLIMBING - Prior to cover. RoucH GAs - after l-ine is instarled and capped if not attached to an appliance ROUGH MECIIANICAL - Prior to cover. ROUGH ELECTRICAL - Pri-or to cover. SHEAR wAtL NATLING - Before coveri-ng sheathing with finish materials. FR.AIT{ING - Prior to cover. rNsuLATroN - Floor; prior to decking wa]I/ceiling; prior to cover DRYWALT - Prior to taping. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power. GAS SERVICE - After line is i-nstal-Ied and line has been connected to a minimum of one appliance. pressure test. done at this poi_nt. SPFIlllcFIELD Job Numlcer: 990474 SPilNGFIEID, Page 2 CURBCUT - After forms are erected but prior to placemenL of concrete. SIDEWAITK - After excavation is complete, forms and sub-base material in pIace. FINAL PLITMBING - When all plumbing work is complete. FINAL MECHANICAL - When al-1 mechanical work is complete. FINAL ELECTRICAL - When all electrj-ca1 work j-s complete. FINAL BUILDING - When a1I required i-nspections have been approved and the building is complete. Lot Faces: N Topography: 2 Lot Type: INTERIOR House Garage Lot Sq. Ft.: 5625 Total Height: 25 Lot Coverage: 23 Z Sofar Approved: Y N Setbackssw 30 9 E L2 aa Item Main Garage Tota1 Value Building Permit Fee Surcharge/Admin TOTAL FEE --- BUILDTNG PERMIT --- Square Feet x L7 50 442 $/Square Feet 59 .64 18.34 (A) Value 122 ,556 . OO 8, 106.00 ]-30 ,672 . O0 502 .7 5 40.22 542.97 --- PLT'MBING PERMIT Item Residential Bath (s) Plumbing Permi-t Surcharge/admin TOTAL CHARGE 3 Fee L92 - 50 L92 . sO a5 .4L 207.9L(c) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove / InserL /Fireplace Unit Dryer Vent GAS PIPE W/H A/C Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 3 6.00 4.50 9.00 4.50 3.00 5.00 4.00 35 10 ) 00 00 88 (D)48.88 - - - MISCEI.LAI{EOUS PERMITS Surcharge/Admin Sidewalk Curb Cut CITY SDC WTLLAMALANE TEMP ELECT. 0.00 61, .62 50.00 2,298 .53 1, 000 . 00 43.20 TOTAL MISCETLANEOUS PERMITS (E)3,453 .35 SPHINGFIELD ilob Number: 99047 4 SPruNGFIELD, Page 3 (Excluding Electrical) unless otherwise noted --- TOTAL A.!{OI'NT DUE --- (A, B, C, D, and E combined)4 ,253 .LL --- BUILDING VALUE, PIJAN CHECK AI{D BUIIJDING PERMIT This permlt is granted on Ehe express condition that the said construction shalI, in all respects, conform to the Ordinance adopted by the City of Sprlngfield, including the Development Code, regulating the construction and use of buildi-ngs, and may be suspended or revoked at any time upon violation of any provisions of saj-d ordinances. Plan Check Fee: 326 Received By: Plans Reviewed By: AL WARD Building Site Reviewed By: 79 Date Paid: Date BOB BARNHART Receipt Number: 63345104/oe/ee o5/L3/ee --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMTT TS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signatsure, I state and agree, that I have carefully examined the completed applicat.ion and do hereby certify that all informat.ion hereonis true and correct, and I further certify that any and al-l work performed shall be done in accordance with the Ordinances of the City of Springfield, and t.he Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wj-lI be made of any structure without permission of the Community Services Division, Building Safety. I further cert.ify that onlycontractors 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 theproper 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 wil-1 r i-n on the site at al-l times during construction J'--/3 -?7 c ture Date --- VALIDATION --- 09Yoo\Receipt Number Date Paid Amount Received Received By: r t1 4( t^t, qq (l OF INSTALI,ATION FtINGFIELO A. Nev Residential-Single or r,r+rouowinsproiectasMi?*ft ,'"'llXf 'l,"r|"n z,)rrrng, and does not req irPProval' 225 FrFTB STREET zonrns uDb ELBCTRICAL PERHIT APPLICATIoN sPRrNGrrELD, oREGON 97477 INSPECTION REQUEST z Vld:^ty Job Number ??aq7? OFFICE: 726-3759 Arri,rrrzed Signature 3. COHPLETE FEE SCENDULE BELOV 1. LOCATION 33,/ r P"r k-tr I rt.n t IJGAL DESCRIPTION JOB DESCKTPTION Permits a[e non-transfe if vork is not started of issuance or if vork 180 days. 2. CONTRACTOR INSTALI.,ATION ONLY Electrical Contractor Address 2,n. fln* 4nC 4{ Ci ty Phone 54t-484-?0 Supervi-<or License Number 363IJLtr Expirarion Dar" lolQQ lling uni t. I tems Cos t Sum s 8s.00 s 1s.00 s 40.00Sertice or Feeder B. Services or Feeders. InstalIation, Alterations n,Not Relocation: 200 amps or less DreneH :[3: [: :33 :ilB: --f ni s p eFnf, rrfi teLEEXp HB Fd[tE woHK AUrH oflm H!ffi 6f, I flnEA BtrnsNor COMMENCED OR IS ABANDONED FOR- s s0.00 s 60.00 s100.00 s130.00 s300.00 $ 40.00 Cons tr Contr. Expiration Da te 4/ Si re of sing Electrician i-s Name B, t. Lntur Q--fl n /nrt rL. Phone btz)- t"trl{ OIINER TNSTALI..I\TION The installation is being made on property I own vhich is not intended for sale, Iease or rent. 0rrners Signature: Dr$Ez C )2 nfrff tg$gnptrffiD5$ervices or Feeders- -fnstal-Itaion, Alteration or Relocation 200 amps"or less $ 40.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or fbOO vofis see rrgrr "ffi r D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35.00 Each AdditionalCircuit or with Serviceor Feeder Permit $ 2.OO E. Miscellaneous (Service/feeder not included -Each installation Pump or irrigation _Sign/Outline Lighting_ Limi ted Energy/Res /_Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL s40 $40 $20 s36 c) 00 2-1) 00 00 00 5 RECETVED B 2,/) QKr Address 8552O Afplrt-rtt {r*. ciry Q, ttrl ut-- INSPECTI0N REQITESTT 726_3he9unzeo Sisnarure OFPICE: 726-3759 LOCATTON OF INSTALIdTION33+l ?*r-k-efi-STTZ- DESCRIPTION IINGFIELfI CAL P&RHIT APPLICATION Ci ty Job Number -7 COHPI;ETE FEE SCEEDI,'LE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t € s ls.oo s 40.00 Installation, Alterations or Relocation: "or lessto 400 amps -to 600 amps or s 40.00 s 40.00 s 20.00 s 36.00 I The lollowing project as submined has 1ontn9 and does not reQuire ,p""iiiiapproval Zoning 225 FIFTE STREET sPRTNGFTELD, oREGoN g747r Date 7 1 3 A Sum JOB SCRIPTION requte5theOre i tional 500 Notifi,rules a,por t ion Permits are non-tr ghif vork is not start f'd Home. orof issuance ot' i f vor es o,Dvelling 180 days.SerVi ce or FeedernumberfortheOregon Utility wotiiication 2. CONTRACTOR INSTALI.,ATION ONLY is 1-800-332834$ervices or Feeders .ft.orress / SBs.oo l{-3A-['[Errr I tUt\.rJtugurt law L{<ntu Erectrical con trac tor-7,4/ruS E rcqTZlL Address futO U)*uttS Sfl & cirv eobeNe Phone GX1:L* Supervisor License Number 3oq t-J Expiration Dare tO-l - 2OOl Constr Contr. Number 00t 200 amps or less 201 amps to 400 amps --I401 amps to 600 amps _601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect OnIy C. TemDorarv Services or FeedersU3dAV0OSiaUaiion, Arreration or Relocation s s0.00 s 60.00 s 100. 00 s130.00 s300.00s 40.00 Address 7O,[3r* 22 lZt ci ty Eot C 6A ? phone 6 6 3&!18 Expiration Date Signa t Ovners Name OVNER TNSTALIJ\TION The installation is being made on property I ovn uhich is not intended for sale, lease or rent. Ovners Signature: DATB: /, D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.OO E. Miscellaneous (Service/feeder not included -Each installation Pump or irrigation Sign/OutIine Lighting- Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Admini.s trative Fee TOTAL UO IIVHS Eove- $ 40.00 s ss.00 see rrBrt a ffi lJytlBitersfiCI.l :#ffd$o amps 1000 vor[s 5 RECEIVED B the land use l,l0.t{ o C'TY OF 1 225 FIFTE STREET SPRINGFIELD, OREGON 97477 INSPECf,ION REQUEST. 726-3769 OFFICE: 726-3759 . 'NGFIELI) ELECTRICAL PERHIT APPLICATION Ci ty Job Number ?70q7 4 3. COHPI,ETE FEE SCEEDUI^E BELOV A. Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost t. or less $ 8s.00 na1 500 s 1s.00 40.00 the LOCATION OF\)<t r ON IJGAL DESCRTPTION/'?oLlq?)o/[ 0t Sum DESCRI Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALLATION ONLY Electrical Contractor Address ci ty-P e Supervisor Licens mber Expiration Cons t r r. Number Expi Signature of Supervising Electrician Owners Name futorn^ &N Address / O 6,o >z/2/ Ci ty Sr:U phone OCr,L(a F OVNER INSTALTNTION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Signa DATE: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over L000 amps/vo1ts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps"or less / $ 19.99 ?b 201 amps to 400 amps ------_ $ 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or lbOO voms see rrBrr affiA B. Ins talor Rel oca t by s s0.00 s 60.00 s100.00 s130. 00 s300.00 s 40.00 C. D. Branch Circuits E Nev, Alteration or Extension Per Panel one rcircuit $ 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit _ $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s 40.00 $ 40.00 $ 20.00 s 36.00 RECETVED ture: 5 %' ion Date % t-6C /. ?-< --?7. u JouRNA, oR JoB no. ?7a4zg- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY LOCATION:77?/ /"r*,fr^^J- DEVELOPMENT TYPE SF'D BUILDING SIZE SIZ a. Ft zz.G (z-t) + Gs #) z * so{1. STORM DRAINAGE IMPERVIOUS SQ. FT 2. SANITARY SEWER-CITY NO. OF PFU'S Z+ x $47.14 PER PFU s//3/.36 (See Reverse Side) 3. TRANSPORTATION NO OF UNiTS X TRIP RATE X COST PER TRIP X t.ot X$475.32 $ 4tu,o1 x $475.32 '$ 4. SANITARY SEl^lER-Mt^lI'4C A. REIMBURSEMENT COST: N0. 0F FEU'S I X 271.4/" PER FEU $ 211 ,4 B. IMPROVEMENT COST NO. OF FEU'S X 25,20PER FEU $ 23.20 X I'4WMC CREDIT iF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATiVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) ADMiNISTRATiVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 rhst- $ 10.00 TOTAL-M[^JMC SDC s Z{d.sl s ztm.o,P $ /dq,+{ $ b+o5 5 SDC Coordi nator ATTACH 'A. WPD Daft: 4/?/D TOTAL SDC $za& 5s G x $0.227 PER sQ. FT. s 37?.dp -, r FIXTURE UNIT CALCULA- lN TABLE: Number of New Fixturr (NOTE: For remodels, calculate only thvnlEl additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub..... Drinking Fountain.......... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc...........'...... Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More.'... Mobile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/Water Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11.......... Shower, Gang......,.. ............::... Sink: Bar, Commercial, Residential Kitchen. Urinal, Stall/Wall... Wash Basin lLavatory, Single........ Toilet, Public lnstallation. Toilet, Private....... Miscellaneous: TOTAL FIXTURE UNITS ' Unit Equivalent : Fixture Units UNIT FIXTURE EOUIVALENT UNITS - L - t- Z .-------.---- adHe 2 1 2 3 6 2 6 6 1 3 2 1t 2 2 1 6 4 Z -4- Z* CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table, calculate credits se arates 4.27 xs-/;a4.osCredit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL = $ Year. Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 988 s4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1 989 1 990 1 991 1992 1 993 1 994 .. ., r 995 1 996 1 997 $1.98 1.55 1.15 0.96 o.83 o.67 o.52 o.38 o.21 RUNOFF COEFFTCIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential. Commerical.......... lndustrial Governmental.. o.4 o.9 o5 o.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I I T_g -tu-T \ , Willamalane Park & Recreation District Job- No.o L( SYSTEM DEVELOPMENT CHARGE WORKSHEET ,^NAME: V -a_PHONE: ADDRESs' QSBSX thr LOCATION OF PROPOSED BUILDING SITE: Street Address: ptar Name: \1OU[1.t3 Tax Lot Number: DEVELOPMENT TYPE (Check ype definitions are on the back.) : A. Single-Family Qetaehed , Single Family home appropriate dwelling(s). SDC calcttlations and dwelling t Manufactured home not in a park €' r),8 a City of Springfield T8 srArE: OE ztP: 1.'[a(0h- OtG,Cvr \) 1 NO. OF UNITS r X $1,000 per unit = $t (xro B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Family Aoartment NO. OF UNITS X $692 per unit D. Manufactured Home Park NO. OF UNITS X $699 Per unit WLLAMALANE SDC 2. SDC CREDIT ([ applicable] SDCaayer must funfush proof of Wllamalane Credit approval. See SOC Credit Wotkshoet. 3. TOTAL WILLAMALANE NET SDC ASSESSED 0f SDC reduced for Credit) $ $ $ $ $ 5t 6-ate _t_L ,4q 17 r, . +t ?arvur (A,t4t- BB{L [:q"k -\MORTIER ENGINEERING, P.C . 12'.5 PEML STREET EIJGENE. OREGON g/IOI PtiONE iS41) {8{-9080 . FN( (541)4E4tS59 I{ATERIAL TESTED (By visuel +'tlt UNIT \\'EIGT{T ?.e4 STSUCruRAL BUtr_DrNG DESIGN I F|RE PnOTEgnON CODE CONSULTAI.IT o PIAN CHEOKING CONSTRUCIION INSPEGNON ry-95-99 mON 6L iA I BH. ANDERSON CONST. r NC 565 eeS iie-Zb ''- '- TEsTNTJMBER: I DATEoFTEST: +fi0/q1 rEsr LocArrox:pf- l/, h^lr) I?rrrr'TrM, FIELD ['NIT WEIGHT. SAND CONE METHOD Per ASTM D 1556 w.o.r \7q1-tJful observation); inu; Cru 'h"l 0;uaxry sorrfn Ra. ( USED }'OR TI{IS s {sand) VOLUNIE OF FIBLD Inirial \Yeight Wcight of Jar volumc of holc ilIritr&'Vl = V: I\Ioist unit rveight of soil p,n = J!3 = Wet waight Dry rYeight ' AplEovED PLANTS MUsJer + Sand OYt)ON JOB SITE Wffi lr,i;. q..,* -.fi'*irU...+i:ri. * a ,T* !,T,,2, Moisture content of soil,1v%=@X100 (welght dry) Dry Unil \laiglt of Soil Pd =P,' I + \1'%;- 100 MOISTURE CONTENT Z rvcight of irr net rveight ff [30 Ftt*=ttT,7U. W*qf ry=M,wrf Notcs: 1,5 t-Y;Q3-99 llON 6I-i0l BH.AHDERSON CONST. IHC 5O5 6A3 ZI6TA ?-aDT STBUCTUEAL BUILDING OESIGN . FIRE PROTECflON CODE @NSULTAIIT . PI.AN CHECI(ING @NSTRUOTION INSPECNON MQRTIER HNGINEFRJI.YG, P.C: 1245 PEARL STREET EUOENE, OREGON 97401 PHONE (641) 184.9080. FAX (S{1) 4844859 Very truly yours, Owen Grover, P.E. May 3, 1999 Brent Anderson P.O. Box 22121 Eugene, OR 97402 RE: 3341 Parker Lane, Springfietd, OR (Ambelside Meadows - Lot #16) Site Soils & Compaction lnspection - W.O. #11790-TJM As you requested, an inspection has been made of the gravelfillon this site in preparation for the construction involving foundations fcr the proposed residence. The excavation involved the placement of 3/4' minus ci'ushed rock'in accordance with our standard proceciures. The compacted surface of the crushed rock is adequate for a foundation bearing capacity of tObO psf, which is adequate to support the proposed. conventional wood frame residence. Tire compaction of the gravel surface is greater that 95% of a Standard proctor per ASTM D69E€1. (Seo attached data sheet.) I hope you finrl this report adequate for your needs and purposes at this time. Thank you for this opportunity to be of service. Piease contact me if-you have further questions at 484-9080. 1 OLG/mm Jun-29-gg O8:5IA Mor* ier Engineering MORTIER ENGINEERING, P.C. 1 245 PEARL STREET EUGENE. OREGON 97401 PHONE (54r) 484-9080. FAX (541) 484-685s June 28, 1999 llrt:rrl Atttlt:lson I'.(). Llor. Dl )-l Eugcne, OR 97402 & STRUCTURAL BUILDING DESIGN O FIRE PROTEGTION COOE CONSULTANT o PIJN CHECKING CONSTRUCTION INSPECTION y'aur,7 *?7044 /5 //) ( *qt ) 4a4 - 6459 P.L */.%t City of Springfield 225 N, 5'r'strccr .Springfield, C)R 97 47 7 Ednr:0-30- o/ RE: lrrt l6 Arnlrcl.sidc - 334L Parkcr l-anc, Springliclcl, OR - W.O. #l 1814-P.Stt At your rcqucsr, a sirc inspcction was pcrforrncd at Lot 16 Ambclsi dc - 3341 Parker I-ane - to see , the fr'aming at the garage front on fune 28, 1999 by Pan'r IJarnhart from Mortier Enginccnng' P.C. The installation o[ lhc floor framing and roof framing at this irrea has been changcd fronr the detail providcdonpagc24ofthcengineeringpacket,datcdlvlayl0, 1999. Sccthereviseddetail,24REV., ittachecl for shear Ioud transfer requirements that rcflecl acLual construction. I hopc this rcport is adcguarc tbr your puq)oscs at this timc. Thank you for this opPor(uniLy to be of ,rrui... If yriu have fr.rrthcr questions, plcasc tlo ttot lrcsitatc Io contact mc at 484-9080. Very truly yours, fuiftn &/L Fl/( ey%4z&Z ru -+4 frLE ' ryF Owen Grover, P.E. I'SB/rnm JUN-29-1999 A8:58 54r 484 5859 'a (/.P.A2 (-r )4e,4-5459 P.o Jun-2g-g/g 08:51A Mor !r Engineering CALCULATIONS t.') f,,[-t.r)l At.\A :ol:J CLIENT OFS}IEET NO, CALCULATEO BY 9rTE OAI ESTRUCTIJ'IAL BUILDING DESIGN o @DE COIISULT ^rT FIFE PROTECT|oNr PtlN CHECKINO CXECXED 6Y i,l r. r /, z uri [- t rrrJ-...' t?)..1s])i-t-:-l-:t-(sl' "'[-HrAil* --'F- a rfl\ Epires:6-30-Or '.llifr,\Tr\ r*u.{u t - -> l.rAru rNG An' P-t:.A Fr Atl TD Tr':P otr Fu$t- Jori>T tFo I I t-rn rt'l(r ,q-' 6111 1"1 ('1 111) lrLE-*UE/: -aA: .1.'t'\:,T Icu u t'> L EUf L Mouor-fcu sr 4 !4"ac ' -'--'" -".=':::: -' ' ti' ...-.... l'----.-. - --' lri r'.t &1, t'rj;rt'r(T\lr.rccr Ft1tt, H,at- l: rN (r /:,-i rr:;'r rt't i- ,: C 45, J t..l::,T/.Lr F0 t l'lC P.A l,-r 'L\\:'I^ ['L E D 'i'.t Ft-AMll"l(r A:., Pr i; PIAN / O,l As, Frlr . (:t-AtJ 5t+{: ATd rr..lG A rl c [l*ri"'Nr+ fi:;, l:'F l- f:.ir/lj f r:,(. 't /t?Et( i.EuEL Arlrlt/ti ' tJA tL .'j- 11 1 , 'r t, l. ,) (Ji /,t ..}i'r s l{ c IltiiliG ;1c. pP (?. 1g SJfttutN(r' f, l.l hr. Pt 1245 PEARL ST. ABISB . EUGENE, OREGON 54t 4F,4 6PJ59 TEL: (s41) 484-9080 + !.?:r?f';'.'6r: .? \\ lt I til-2q-1999 97401 9?'/,?.a3 This Side To Be Filled Out by Applicant Thir permit ie required for any eite activity in the flood plain and everywhere sits alteration consists of flfry (5O) cublc yarde of materlal or mor€ and/or lf a dralnagcway lc affcctcd, wlthln Clty llmltr and City of Springfield 2 2-qDate of Appl ication Address OwnerProperty Lvt. State Permit Expiration Date: Site Address Springfield, Oregon Phone: rax Map N", )7-fL t,( - 17 Journal number applicablo Land Use Application Tax Lot:tr UGB F f, tr f"ru d FILL, Ouantity 2,s 1d2 Destination M Projoct Supp lier DGRA GIN Ou , Source Location EXCAVATION, Ouantity Supplier: Address E( tr tr tr tr tr SITE PLAN Reouired Data:Ouantitv of material, Prooertv lines and descriotions, Tax mao and lot number, Sit6 address, Existing 6ontour lines, Proposod contour lines, Existin'g drainaje wavs, Prodosed drainaqd wavs, Sionificant trees anil foliaoe. Ground c6ver. Soi[ tvoes. B.y[[dinqs,'Septic systeits, SeiwersiAreas subject to floodlnj, Utilities, Areis subj6ct t6 land slroes, Hroposeo srte rmprovements. DRAINAGE, POLLUTION AND EROSION CONTROL PLAN CROSS SECTIONS, ADDITIONAL INFORMATION, REPLANTING PLAN SOILS & GEOLOGY PLAN, PHONE CITY STATE CITY STATE PHON COMPANY NAME: COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: PROJECT SUPERVISOR: ADDRESS: V+-^I '-/o-o ot> EMERGENCY PHONE: ADDRESS:.2- OFFICE PHONE Expi ration Date:Reg istration Number: STATE: O? MOB]LE PHONE: PHO CONTRACTOR NAME: PROJECT SUPERVISOR: C!TY:0r\ z l.understand that l_ or m,y succossorr may. have. future plans for .my proporty which may be anticipated or unanticipated attnis time' I understand that such future plans may require permits and developement aiprovals fiom thr Clty of S'pringfieldI understand that notwithstanding any approval oi this Larid and Drainage Att'eration prirmit tt-OAFi, tiiai aiitri-tiiri;';?' - - :Pql$li919f Iyt!!"^ P?rlits.or approvala the City may rwiew and recoisider all actions wtrtirtr I oimy iu&leidri l.rateunoonaken porsuant to this LDAP, I undarstrnd that th6 City may as a condition of any future aoorovil. reouire theundping, changing, or modlflcation of any actions which I hive uhdenaken as r resuJt bt itrC cfiira6ildiliditiiii r-oep, F -I M LUo- Zo EIF fv --IJJFJ IJJ U Z -r M,o oZ cZ 5 By rignature., I state and agree, that I hate carefully examined th€ complotod application and do hereby conlfy thrt rllinformation herein is true and correct, and-lJunher'certiti-ttrit inv-a-nJ-i-tt'i"oi[i6rf-;fi;a;h;ii Li'jine ln accordancewith the ordinances of tho city of springfleld, appricabre'cjtv siarioiiJ ii"iiiiiiriio:ii'ilii'o-iiiilin-iclind the taws of thestato.of oreson p-ert_ainins to_ the wdrk d-"scrrbed'rreriin. r trihrrdi ieri,rv irial ontiiontriitois iiii;ifiaofi;.ili.,; il'i;compliance with ORS TOi.OSS will be used on this project II" jilyg"-f j[p"f the work site.dlscribed- in this permit at any time during i ono yeEr period following the roc€ipt byth€ citv of notice of completion of the described woik..na s!"ci1y,-ii ttridi&'s soie'dJeicrgtiil;; rddhional restorationwork required to return the site to a etandard'acceotab-te.to the citv. rtiipei.iirittei'wiriil;;iiii;h-ifi'*ihfi;;i;;V;;;i'"requlred and will have thirtv l3o) daye fro-m the date of ttrJ noiice to i;l"itii" trri wiii<. iVoi[ n-oi iompleted at tho end ofth6 thirty days wi[ be perfdrmed uyitre city and th6 costs witiui unuo'i6iti; ilHit#. ar6 requested at.the propor tim6, that project address is readable fromon th6 site at all tim€s during construdtioh. that all 7zz<? ID Date agreo the 8tr6et. I further €igndt0r6 TE u.lz =o luJ U' zo E(E ul5 oz 5 aFzul =o E oltlIE5outE o ztDozoo TEo o IEFzoo az 5o- UJ CEf =lr UJ E,f zg U) Wdq fuxr'^*#: clciO+t* tr DRAINAGE, o storm, E D E Culvert, O Naturalw @ h WETLANDS, Description , FEMA Community Paner No.: H551 - FLOODWAY, FEMA Community Panel No.Date $30.00 $30.00 For the first 1OO cubic yards, plus $14.00 for each.additional 100 cubic yards or fraction thereof. $156.00 For tho first 1,000 cubic yards, plus $12.0O for each additional 1,000 cubic yards or fraction thereof, $264.00 For the first 1O,0OO cubic yards, plus $54.00 for ebch additional 10,000 cubic yards or fraction thereof $750.00 For the first 10O,OO1 cubic yards. plus $30.00 for each additional 10,000 cubic yards or fraction th€reof $4+ L. ao ZZ Plan Check Fee Date ?qr, .^iI s1c 100,001 To 200,ooo 2OO,OO1 CUBIC YARDS OR MORE 1,0O1 TO 10.000 cuBlc YARDS 10,000 To 100,ooo cuBlc YARDS 10o,oo1 To 200,000 Received by: Estimated Volume Grading Permit fee: Received By:Date: PLAN CHECK FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 cuBlc YARDS 10,000 To 100,000 cuBlc YARDS GRADTNG PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO 1,000 cuBlc YARDS Receipt No:_ Date:, Date: Receipt N",k7UOq {w tr tr Date: Date: Date: Date rr/9,Z Maintenance: Building Engineering Planni Date:lssued by:Permit Number Date Date Reqrrired Final lnsfrections' Maintenance: Date Date: Planning: Engineering: Building: tr Land and Drainage activity as outlined in this pormit has been completed in accordance with thc provirion! ofthis Permit. tl hr1#,mdfr6$i3poq.,".%?tiylryfu"rgy{]ined in this permit has not been completed in accordance tr Land and Drainage activity was performed prior to application for this pormit, Accepted by:--- Date FEI M, IJJo- Zo EIF fv--IIJFJ IIJ U Z ET rvE-lc oZ oZ s trto= o- ttJoo 1/6/1998 FLOOD PLAIN, Zone: s20.00 $30.00 $40.00 $40.00 For the first 10,000 cubic yards, plus $20.00 for each additional 1 O,0OO cubic yards or fraction thereof' $220.00 For the first 100,001 cubic yards, plus $20.00 for each additional 1O,O0O cubic yards or fraction thereof. $340 For th6 first 2OO,OO1 cubic yards, plus $6.00 foi each additional 1O,O0O cubic yards or fraction thereof. is Side To Be Fill ut By City tu(, z cco ]T TUlJ. 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