HomeMy WebLinkAboutPermit Building 1999-08-30SPRINGFIELEl
ATTENTIOI\i:(:lr:s
3 a
Page 1
Job Number: 991000
follow rule
Notiti cation Centet
inOAH 952-001-00
0090. You maY
calling the ce RES
CITY OF SPRINGFIELD
IDENTIAI., PERMIT APPLICATION
s aciopteo
l0throug
Oreg nr
numbertorthe COMMI'NITY SERVICES DIVTSIONCenteBUILDING SAFETY
225 North Fifth Street
Sprj-ngfie1d, OR 97477
Location of Proposed Work: 3354 PARKER LN.
Assessors l"tap #: 1-7O2L943
Lot:38 Block:
Tax Lot #: 03800
Subdivision: AMBLESIDE MEAD
Office:
Inspection Line:
726 -3'7 59
726 -37 69
Owner: DUKES & DUKES CONST.
Address : P. O. BOX 41578
Descri-be Work: S.F.RESIDENCE
Phone #: 338-0514
City/State / Zrp: EUGENE OF-, 97 404
NEW
Contractor
DUKES & DUKES C
84959 Parkway Road Pleasant
DON LEWIS
5OO GREENFIELD ST EUGENE OR
HARVEY & SON
4580 MATN ST SPRINGFIELD OR
EASTSIDE ELECTR
38253 BOSCAGE LN SPRINGFIELD OR 914
O O TI{SPERMIT SHAhEEilBIBE IF TbSUgl
e7rfl-9t116nzED UNDERTHIS PERMIT ls Nor
' 3 H6fl6,FNcED ofl ld Aflnflboru rtftof, 5''
orililtVdS0DAYPEM&-/or i41,-L4ee
Consb.
ConEractor #Expires
oL/03/0L
Phone
388-0514Generaf:
Plumbing:
Mechanical:
Electrical:
'lltbTpe,
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
fNSUL PATH: P1
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2250
# OF BLDGS: 1
# OF BDRMS: 4
RANGE: G
To request an inspection, call the 24 hour recording aL 726-3769-
A1t inspections requested before
inspections requested after 7:00
a.m. will be made the same working day,
will be made the following work day.
7:00
a,m.
--- REQUTRED TNSPECTTONS ---
TEMPOR,ARY POWER
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLoOR PLITI{BING - Prior to insulation or decking '
ITNDERFLoOR DRAIN - Prior Lo cover or placement of concreLe '
ITNDERFLOOR MECHNIICAL - Prior to insul-ation or decking.
POST NiID BEA}I - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
WATER LINE - Prior to filling t.rench.
SA.I{ITARY SEWER IJINE - Prior to filling trench-
STORM SEWER LINE - Prior to fill-ing trench-
ROUGH PLImBING - Pri-or to cover.
ROUGH GAS - afLer line is instal-led and capped if not attached to an
appliance
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheaLhing wiEh finish materiafs.
FRAITIING - Prior to cover.
DRYWALL - Prior to taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
GAS SERVICE - After line is instsall-ed and l-ine has been connected to a
minimum of one appli-ance. Pressure test done at this point-
SPIIINGFIELD
Job Number: 991000
SPilNGFIELD,
Page 2
cuRBcuT - After forms are erecLed but prior to placement o f concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHAIiIICAt - When al-l mechanical work is complete'
FINAIJ ELECTRICAL - When all electrical work is complete '
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Topography: 2
House
Garage
Setbackssw
7
18
Lot Sq. Ft.: 5397
Total Helght: 25
Lot Coverage: 24 %
Lot Type: INTERIOR
N
a4
E
39
Item
Main
Garage
PORCH
Total Value
BuiJ-ding Permit Fee
Surcharge/admj-n
TOTAL FEE
--- BUILDING PER}TIT ---
Square Feet x
1840
420
90
$/Square Feet
69.54
18.34
15
(A)
Value
128,138 .00
7 ,703.O0
1, 350 . 00
137,191. 00
518.50
4L .49
s59.99
--- PLT'MBING PERMIT ---
Item
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
L92 .50
L92 .50
15.41
207.9L(c)
- - - MECHANICAI, PERMIT -. -
Furnace
Exhaust Hood
Vent Fan
Wood Stove / I-nsert /Fireplace Unit
Dryer Vent
GAS PIPE W/H
Mechanical Permi-t
Issuance
Surcharge/admj-n
TOTAL PERMIT
5.00
4.50
a2 .00
9.00
3.00
5.00
39.50
10.00
3 -L7
(D)52 .67
--- MISCELLANEOUS PERMITS ---
Surcharge/edmin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
TEMP EI,ECT
0.00
50.00
60.00
2 , 458 .82
1,000.00
44.O0
TOTAL MISCELIJANEOUS PERMITS (E)3 , 622 .82
4
SPRINGFIELO
ilob Number: 99L000
sPilNGnELq
Page 3
(Excluding Electrical )
unless otherwise noted
--- TOTAL AMOUNT DUE ---
(A, B, C, D, and E combined)4,443 .39
--- BUILDING VAI,UE, PI,AN CHECK AI{D BUII,DING PERMIT ---
This permit is granted on the express condition that the said construction
shalI, in al-I respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulaLing the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordj-nances.
Plan Check Fee: 337.03 Date Paid
Received BY:
Pl-ans Reviewed BY: AL WARD Date
Buitding Site Reviewed By: BOB BARNHART
o7/23/ee
oe /27 / ee
Receipt Number: 34976
--- ADDITIONAL COMMENTS ---
A SEPERATE ELECTRfCAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I
the completed a
r-gna L re
staUe and agree, that I have carefully examined
pplication and do hereby certify that al-1 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 wil-1 be made of any structure wiLhout permission of the
Communit.y Services Division, Building Safety. I further certify that only
conLractors and employees who are in compliance with oRs 701.055 will be
used on thls 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 s ite at all times dur ing construction.
k ?-ry
Date
--- VALIDATION ---
01{3"?2-Receipt Number:
Date Paid:
Amount Received:
Received BY:
{4-\r)(11)
4 qt j ,{ I
It
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:{)
Prar Name: lJ O&tq13 Tax Lot Number:(D
1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). SDC calculalions and dwening r
1pe definitions
1e
on the baclc)
A. Single-Family Detached
Manu rt in a parkF Singte Family homd Manufactured home nc
c,o
NO. OF UNITS X $1,000 per unit = $ t C'ErO -
B. Single-Family Attached
X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unlt
D. Manufactured Home Park
NO. OF UNiTS
---.--
X $699 per unlt
WILLAMALANE SDC
2. SDC CREDIT (r appncaOre) SDOaayermust turr\str proof ot
Wllamalane Credit appoval See SOC Credit Wottcsheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduced forCredit)
$
$
$
$
$
$
?XR Ljo-,71
City of Springfietd
Date
Job. No. Q1 t c r',r
NAME:L*ko^ t\ rr[*PHoNE: 33h-(\6,1q
srArE: c\ zre: t?atcrt
NO. OF UNITS
CITY OF SPR OPEGOA'
approval \DU
Zoning ,\
225 FIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:Ayt!griry$$pnature
OFFICE: 726-3759
LOCATION')-,s
t>
AI{L,ATr0N
/',1, t. /- t't, I r"'
OF INST
--j
LEGAL DESCRIPTION- 7 7 ct??q 7
JOB DESCRIPTION')
I
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
3. COHPI,ETE FEE SCEEDTILE BELOS
A. Nev Residential-Single or
Multi-Family per dwelling unit.
service rncrudedt ,,",ns cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or Portionthereof g 15.00
Each Manuf'd Home- or
-Modular Dvelling
Service or Feeder . $ 40.00
or Feeders
tion, Alterations
loca t i on:
Over 600 amPs or
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
SP iFIELO
ELECTRICAT PERUIT APPLICATION
Ci ty Job Nunber q Dd
$2 00
The following proiect as submitted has the lollowing
,"iii,d. I'io".r;ei not require specific land use
1
o3{od Sum
on
Lfa
aEoiue-
2. CONTRACTOR
Electrical Con
Address
THIS THIStrac tor
OR
C t
r
o
o
o
o
t
t
C. TemporarY Se
Ins taIlat ion
amps
amps
amps
amps
amps
200
201
401
so
era
amps
Ies
400
600
1
4
6
1
ES
00
00
00 0
vo
ce1
A1
s
1
1
$
s
$
$
$
s
rs
50
60
00
30
300
40
1o
40
55
BO
00
00
00
00
00
00
cati
.00
.00
.00
il8il
I
Su
Exp
C o
Exp
si
]
rv
fd
tr
ra
v
pe
ns
CE
e
L1i sor
tion
ps
S
am
1trNumbe
r
t
by
ifi
90
Not
00reNumb
ton
for
c
cat
Yo
tri
0seTCenter
obtai
utio
h
rv de
or
amps
1000-voIT,
eeF
on1ma
1;rnEIec
u trv
o
o
Re
$
$
$
r Note
eh1numbeetDaon 201 amps
Over 401
8n0-3
singISupervofture
enholeptethe
t
t
sees
Ovners Name ,A l-c t //"
Address /o Eu* q/67r
Ci ty l^) / t /'/'b\-:
------::-
Phone 3 7r- a6
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent
0vners S
E. Miscellaneous (Service/feeder not included)
-Each insta]lation
Pump or irrigation
-
Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
s 40.00
$ 20.00
$ 36.00
ii,'
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAI
'2-trL
DATE:
RECEIVED
't 1
5
Lj
OREGOA'CITY OF
225 TIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:
OFFICE: 726-3759
The following proiect as submitted has the tollowing
zoning. and does not require specitic land use
approval Log97 477 zonino
726-3769-
SPr---IGFIELD
ELECTRTCAL PBRT{IT
City Job Nunber 0() o
FEE SCEEDI'I,E BELOV
Date
r\uthonzed Signature
INSTALLATTON1
I.,EGAL
JOB PTION
Electrical Contractor D
Address 0. n.An,,4D {
Ci ty Phone 5q t'4/4'9M{
Expiration Date,to loo
Signature of Supervising Electrician
Owners Name
C
Address h, l toq 5
Ci ty Phone 24t'"14t -5t 4c
OVNER INSTALI.,ATION
The installation is being ,de on
ee rrB" a
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
200 amps'"or less
iOf "ri" to 400 amPs
-0ver 401 to 600 amPs
Over 600 amps or fOOO-voITs
$
$
$
s
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited EnergY/Res I
'35 4 rltr I n?-A' ilil,1:;l*il;';:;'ffiffi{[vssq,.,.,*v
s e rv i gggggflgGrilffi v sl uo 0l3Nl tl\t{oc
roN sl rlvluld s I Hr ulofr Ffi55zr uor9frS$
1oouGnd\.:rtr iEH EllcbllvHs l!y\lu$ dsHoo
Each additional 500 :ACIIOI{
Each Hanuf'd llome- or
Modular Dvelling
Sertice or Feeder .S 40.00
.8. Services or Feeders
. Installation, Alterations
tLtFor Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect 0n1Y
s r5-)Sum
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. COIITRACTOR INSTALLATION ONLY
$ s0.00
$ 60.00
$100.00
s130.00
s300.00
$ 40.00
Expiration Date,t0l oL
Constr contr. nunVet Q* t45
TemporarY Services or Feeders
tnsiallaiion, Alteration or Relocation
40.00
55.00
80.00
,Eove
pro
for
0.0
perty I ovn
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
DATE
RECETVED
Ieas
ntended
5
wp
Supervisor License Number 4?4i J LE
s 40.00
s 40.00
$ 20.00
$ 36.00
CITY OF SPR OBEGO'U
225 FIFTE STREBT
SPRINGFIELD, OREGON 97477
INSPECTION REQUESTz 726-3769
OFFICE: 726-3759
1. LOCATI OF INSTAI,LATION
T,EGAL DEL
JOB
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. CONTRACTOR INSTALLATION ONIY
Electrical contrac ,o, q^o*:.i/a Zh"c, Jr*.
Address bq Ss I CAG E CA'
Ci ty asf (co Phone 'l V /'t /Q 'i
Supervisor License Number 3.t/75
Expiration Date to-o)-CI1
Constr Contr. Number I t" )70
Expiration Date io-ol-oo
sing Electrician
0vners Name
Address
Citv Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
)0wners Signature:
DATE:
SPh'r\IGFIELO
ELE TRICAL PERHIT APPLICATION
Ci ty Job Nunber
3. COHPI,ETE FEE SCffiDtILE BELOV
A Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
D/ $ 85.00ON
Sum
95.o"
B
c
E.
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amPs_
0ver 1000 amps/voIts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201- amps to 400 amPs
-
Over 401 to 600 amPs
0ver 600 amps or 1000-vofts
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'OO
Each AdditionalCircuit or vith Service
or Feeder Permit
--
$ 2.00
Miscellaneous (Service/feeder not included)
1000 sq.ft. or fess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
3 s r-s.oo 6
a66ve
$ s0.00
s 60.00
$100.00
$130. 00
$300.00
$ 40.00
$ 40.00
$ ss.00
$ 80.00
see trBil
D
-Each installation
Pump or irrigation $
Sign/Outline Lighting- $Liilited Energy/Res
-
$
Limited Energy/Comm $
40.00
40.00
20.00
36.00
5. SUBTOTAL OF ABOVE
zBZ state Surcharge
3% Administrative Fee
TOTALRBCETVED
-1-
D aa
JOURNAL' JOB NO.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR CoMPAI\ry
LOCATION
DEVELOPMENT TYPE
BUILDING SIZE:
I. STORM DRAINAGE
?oo7 8v zt,{
7a,f Y 3r,<
3'({:: ), ,2,<
D/t/ tB> zd
SIZE SQ. Ft
17L4a{
ZJ-
IMPERVIOUS SQ. FT ts7 x$0.232 PER SQ. FTZ,N S 4e+, c7
2. SAMTARY SEWER-CiTY
NO. OF PFU'S Z-X$48.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF LTNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
I x r,o(X 5486.73 PER TRIP $ ffi/, c-o
$
s z4z,7a
$ z'{tZo
s 10.00
TOTAL-MWMC SDC g Z7f , z-(=
SUBTOTAL (ADD ITEMS 1,2,3 & 4)L
X 5486.73 PER TRIP
4. SAMTARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S Xt+2,7b PER FEU
B. MPROVEMENT COST
NO. OF FEU'S I X z{,tt}PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
x
Ir
5. ADMINISTRATTVE FEES:
BASE (suBToTAL ABOVE) X .0s I g
SDC Coordinator
ATTACH'A.WPD
Date: 7-<8-7I
TOTAL SDC S 2,4{8.62-
S l/'o.zt
CHARGE
^9{
FIXTURE UNIT CALCULATION TABLEI Number of Nerv Fixhrres X Unit Equivalent = Fixrure [-.rnirc
(NOTE: For remodels, calculate only the f additional fixrures)
NUMBER OF
NEW FIXTURES
LNIT
EQUIVALENT
FIXTURE
LNITSFIXTURE TYPE
Bathrub.........
Drinking Fountain.......
Floor Drain..
Interceptors For Grease/OiVSolids/Etc..
Interceptors For Sand/Auto Wash/Etc...
Laundry Tub/Clotheswasher/I4op Sink.
Clotheswasher - 3 Or More............
Mobile Home Paik Trap (1 Per Trailer)..
Receptor For Refrigerator/Water Station/Etc.....--....
Receptor For Commercial SinVDishwasherlEtc...,..
Shorver, Single Stall...
Shower, Gang.
S ink: B ar, Commercial, Residential Kitchen...........
Urinal, Stall/Wall.....
Wash Basin/Lavatory, Single...........
Toilet, Public Installation...
Toilet, Private..........
Miscellaneous:
7--
j
TOTAL FIXTURE LTNITS
I
2
I
2
J
6
2
6
6
I
J
2
4
IZ
l/Head
2
2
1
6
4
L
3
I
3
CREDIT CALCULATION TABLE: Based on assessed value. If lmprovements occurred after annexalion date in table. calculatecredits
CreditforParcelorLandOnlylfApplicable 0 rt k X $ t{,at,c-t
Improvement (if after annexation date)
(Rate X Assessed Value)x $_
(Rate X Assessed Value)
CREDITTOTAL -$ -z-7o
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per S 1,000
Assessed Value
1979 or before
1980
1981
1982
1 983
1984
1985
1986
1987
I 988
s4.47
4.38
4.32
4.20
4.03
3.88
3.68
J.J6
3.03
2.62
l 989
I 990
199 I
1992
l 993
1994
I 995
1996
2.18
1.75
1.35
t.t7
1.03
0.86
0.71
0.57
0.39
I 998
RUNOFF COEFFICIENTS FOR STORM DR{INAGE
(For Estimating purposes Only)
Residential..
Commerical,
Industrial......
Govemmental.-.
0.4
0.9
0.5
0.5
FIXUNIT.WPD IMPERVIOUS AREA = TorAL Lor sIzE x RUNOFF CoEFFICIENT
slte
q ODI
This permit is required for any site activity in the flood plaln and
fifty (60) cubic yarde of material or moro and/or l? a.dralnageway is
Thls Slde To Be'Flllad Out by'Appllcant
cn n City limite and
lon concigte of
Date of Application ) - -ff Pormit Expiration Date
JournalnumberapplicableLandUseAppl.ication
tr
Property Owner
/o/ 3{
State: &Zipf,lg
n-11-oU Tat Lot: 38rc
Site Address
Address :
Phone
, Springfield, Oregon
UGB Tax Map No
Sourco Location
erial
Phone
.o?
Suppl ier
Projoct Supervisor,
{ FILL, ouant
Destiriation:
tr GBADING, ouantity
El-ElcavATtoN, ouantity
Supplier
Address
Ef SITE PLAN Reouired Oara:Ouantitv of material, Proporty lines and descriptions, Tax.map and-- ioi'n.i1nbiii, Sii6-iborJss,,exiiting 6oiitour lines, Pro'po_srid contour lines, Existing drainage
wavs. prooosed drainaqd wavs, Siqnificant trees antj foliage, Ground co_ver, Soil types,
.
er]Io'ihitil-S"-ptt;y;i;;.1s,'Sd*'ersiAreas subjoct to floodin$, Utilities, Areas subject to lano
slides, Profrosed sitc irnprovements.
tr
tr
tr
tr
tr
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
CoMPANY NAME: , PHONE-
CITYADDRESS:
COMPANY NAME: , PHQNE-
Registration Number: LCOlio ,
STATE: f , APt ?ryaq OFIICE PHQI'll sttr' g,lg-p6/? FAX
MOBILE pUONEt z%- gt3( , EMERGENCY PHONE: 4c//- 8zt7
STATE
STATECITY
on Date: 3
CITY:ADDRESS:
PROJECT SUPERVISOR:
CONTRACTOR NAME
PROJECT SUPERVISOR:
ADDRESS:
PHONE
Expirati
lundorstand that lor my successors may have futuro p1ar1a for.my property which may be anricjpated or unanticipated at
rhis time. tunderstand rniiiuir'-r"trre flanr1n.v iiiJiii'pirmillaho ir*ilopom,ontoiprovals from the City of Springfield
I understand thar norwithsranding any approval ot tiii-Liri-a inJbi"inag€ llt'lration Peimit (LDAP), that at the time ot
apptication of ruturo p"r.iiJ'oi'i!;r;lrarli'ne Citv ;;i;oylow ;nd rocoisider all actlons which I or mv succsssors htve
undertaken persuanr to tniiu-rjnF.-i ,nderitino th"iihiCitv.-iy a5iCondition of anvfuture^approval, require tha
undoing, changing, or modification of any actions *ni"fr iniru uhdertaken as a result bf tne Citi's approval of lhis LDAP'
F
EI
rv
--tIJJo-
Zo
-F
rv
--aLUFJ
IIJtl
Z
ts
M,o
cZ
cZ
5
By signature, lstate and agrse, thar 163y6.c:aretully examined thb comploted applicrtion and do horeby cenify that all
intormation herein rs true and correct, and I further ""niiy ttr"r-"ny and- all wori perlormed shall.be done in accordance
wirh the ordinances ot tnJ'b-ir-v-oi5riringti"ro, ipbriiiuti'clti-siiidiro sp.eciticaiiong and Drawings, and the laws ot the
State of oregon penaininjt-o'ii",J *Jri a"di-dri[r"8-n"i"i".l1uhtr"i cg.tify that only.contractors and emplovees who are in
compliance with ORS 701.055 will be uied on thas pro,€ct.
The City may lnspoct the work sitc described in this pormlt at any timo.durllg a on9 Y€ar period lollowing.the receipt by
ih;C,iVol nbticJot co.piiiio,i,,iriro-described woiklend rpecfy, rt_tho City's solo dosocration,.any additional rostoratton
work requirod to return tne siie to a standard """"pi"6t"io-ftr"-Citv.
rrre perririttee will be notified in writing of any wor.k
reouired and wilt trave tniriii3bi aivJiio. ih€ dai;rrih; nqitql to cqmilete the urork. Work not compl€ted at tho end ot
iil-fiily a;y;'*iri 5J piitrirnE uy ine City and tho cosE will be billed to the permlttee.
I further agro€to ensuro that all requirod arc roquostcd ai tho proper timo, that projocl address is roadablo from
on thc slte 6t all timos during constructionth€ slr€ot,
Signature
and tho a sot ()l 8rn
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P'I NONILD
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DRAINAGE, O Storrn, O Ditch, O Culverr, Lj Ntrrural
wETLANDS, Descrrptio " l)dt*-
FLOOD PLAIN, Zonu, C , FEMA CornrrLrniry Panel No
, Dare
trd6 4 L 0370c
tr FLOODWAY, FEMA Community panet No
100,001 To 200 000
2OO,OO1 CUI] (] YARDS OR MORE
GRADING PERMIT FEES:
UP TO 1OO CUBIC YARDS
1O'I TO'I ,OOO CUBIC YARDS
I,OO'1 TO 1O,OOO CUBIC YARDS
10,000 To r00 000 cuBrc YARDS
100,oo1 To 200,oo0
s20 00
s 30,00
s40.00
S40.00 For lhe tirsl 10,000'cubic !ards, plus
9'2O.O0 tor eaclr.ad(Jrtronal 10,OOO cubic yard:; or t'ilctron llrereol
S220.00 For the tirst 100,001 cubic yards, plLrs
S20.00 f or eaclr ;diJrtronal 10,000 cubrc yar<1s or lractror.r thef eol
S340 For the lrst 200,001 cubrc yards. plus
56.0O for each addrlronal 1O,OOO cubrc yards or lractron thereot
I 30.00
$30.00 For the f rrsl 100 cubic yards, plus
S14.OO tor each aci(trtional 100 cubic yards or fractron llrereol
S 156.00 For lhe trrsl 'l ,000 cubrc yards, plus
S12.00 f or each addrlional 1,000 cubrc yards or lractron thereol
S264.00 For the lrrst 10,000 cubrc yards. plus
S54.00 tor each addrtronal 10,000 cubrc yards or lraclron lhereor
S750.OO For the f rrst 100,OO1 cubrc yards, plus
S30.00 tor each additional 1O,000 cubic yards or tractron thereoi
tri
4o
1't( 11b Date
35s1 2
OD *'p,
IL,
ou," gf )r/gg
Date
Estinrated Volunre
Plan Check Fee
Recerved by
PLAN CHECK FEES:
UP TO l OO CUBIC YARDS
101 TO l,OOO CUBIC YARDS
,] ,OO1 TO 1O.OOO CUBIC YARDS
1,O,OOO TO l OO,OOO CUBIC YARDS
_ Receipt No
Receipt No
Date:
Received By:
Gradins Perm r ,u"tifueD
dd
tr
e
Date
Date r
Date
Dat eMtrrrrlcnarrr:e
E ng ir.ree ring
Plannrng
Building:
tr
n
c
!:l-o^o^,]o^P-r_aln_ap9.gctivity as outlined in this permit has been complered rn accordance \/,rr,Ine provrsrons of this permit.
Hsd,l{}d"?I?\iP&.%qtlY]lISn,RYllin.d in this pern'rit has nor been complered rn accoroance
Land a.d Drainage aclrvily wa6 porformBd pror ro apptrcatron tor ihrs pBrm I.
Accepted by Date
Permrt Nunrber
RecU rired Frnal lnsFections
lssued by Date
Planning:
Engineerinc; :
Burldrng
Maintenancu-:
Date
Date
Date
Date
1 6/1 998
city staifSide To Be
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MORTIER
ENGINEERIN G, P.C.
1245 PEARL STREET
EUGENE, OREGON 97401
PHONE (s41 ) 484-9080 . FAX (541 ) 484-6859
August 26,1999
Owen Grover, P.E.
STRUCTURAL
BUILDING DESIGN o FIRE PRoTECTIoN
CODE CONSULTANT o PLAN CHECKING
CONSTRUCTION INSPECTION
37fi lorb lq.Dukes & Dukes
P.O. Bcx 41678
Eugcne, OR91404
RE Lot #38 Ambelside Meadows. Springfield. OR - Excavation, Fill & Compaction Inspectionw.o. #12084-TJM
As you requested, an inspection has been made during the performance of the excavation andplacenlent of gravel fill on this site in preparation for the construction involving foundations for thepKlposed residence . The excavation involved temoval of sur{ace organic soil and other unsuitable
material and the placement of 12" minimum of 3/4" minus crushed rock in accordance with our
standard procedures. The compacted surface of the crushed rock is aclequate for a foundation bearing
capacity of 1000 psf, which is adequate to support the proposed conveniional wood frame residence.
The compaction of the gravel surface is greater thang|Vo of a standard proctor, per ASTM D69g-91.
(See attached sheet.)
A sump pump is to be installed Iower than the gravel pad to drain storm water and pump it to a
reliable outlet. (See attached sump pump detail.)
I hope you find this report adequate for your purposes at this time. Thank you for this opportunity to
be of service. Please contact me if you have further questions.
Very truly yours,
Pit
KMP/mm
Expire$: 6fl}- Al
MORTIER
ENGINEERII.{G , P.C.
1245 PEARL STREET
EUGENE, OREGON 97401
PHONE (541) 484 9080. FAX (541) 484_6859
iEST {'tLilVtBER
rEST LOCATION
STRUCTURAL
BUILDING DESIGN o FIRE PROTECTION
CODE CONSULTANT o PLAN CHECKING
CONSTRUCTION INSPECTION
PeTASTM D 1556
wo#lL08 +DArE oF rESr L/Z*s/lq
-i
)r .-
Z IEST B Y I-JM
A,IATERl AL TESTED (By visuat observation)
UNIT VUEIGHT OF SAND USED FOR THIS SAt,,liPLE
P. (sand) =
VOLUME OF CONE (Vr) = 0.0389 ft^3
e
FIELD TEST DATA
lnitiat Weight of Jar + Sand (Wr)
Weight of Jar + Sand after test (Wz)
Volume of hole, Wr-Wz - Vr = Vz
P.
Weight of soil sample (Ws) =
Moist unit weight of soil Pm = Ws =
Vz
Moisture content of sample,
(weight dry)
Dry Unit Weight of Soil Po = P.
1+W%
100
MOISTURE CONTENT
&z
rt,clq t ?
2:5,A o,z,
Wo/o = (weiqht moist)-(weiqht drv)x 100 1-,+%
|"f
l
weight of jar net weight
= l7l, Yl+Wet weight
Dry weight
)
a IlIT TI TITTEIGHT. SAND CONE METHOD
4
J 15,
i'irJo i n
Il1erf
I
= ll1,a 4-
/
_ Zl__o oRENCo
PB SERIES PUMP BASIN
OR EQUIVALENT
INLTT LINE
l-L1ooon 1o.-rr.-
6? 3A-PUMP
GRADE
DISCHARGE_CONNECT
TO RELIABLE OUTFLOW
AUX|LTARY PUMP (OprtOrunl)
N SUMP-PUMP DETAIL
N.T.S.
( cRol
T* L-.^-',-,1 .- L* q a! A*BweE€ 1,2'lga,,.,.r:
^!a llv+=s e Lj..rri*,t
SHEil-
OFI
I
MORTIER ENGINEERING P.C
1245 PEARL STREII-
EUGENE, OREGON
P.0. BOx 1J9-97440
w.0.\Zo8*
DATE: s- zG-11
DWN: f Hrl
EXPIRES: 6/30/01 484-9080
484-6859-FAX
(
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