HomeMy WebLinkAboutPermit Building 1999-04-30SIRII{GFIELD
Owner: AI.IDERSON DEVELOPMENT
Address: P.O-BOX 2212
Descr j-be Work: s/F RESIDENCE
RESIDENTIAI, PERMIT APPLICATION
EITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 990473
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Workz 3434 PARKER LN
Assessors Map #: 17021,943
Lot: 42 Block:
Office:
Inspection Lj-ne:
125-3759
126-3769
s
regon
rules
in OAR 952'001 0
0090 You may obtain
Tax Lot #: 04200
Bgttorth
IDE
OF SPruNGFIELI', ONEGON
center
Contractor number lor
ANDERSON CONST. OO5O135
1331 Acorn Park St Eugene OR 974020
MCMICIAEI,S PLUM 0028832
40108 BOOTH KELLY RD SPRINGFIELD OR
coMFoRT FLOW 0000450
1951 DON ST #D SPRINGFIELD OR 97477
BINNS ELECTRfC 0073762
210 WALLIS STR UNIT #C EUGENE OR 97
(
General:
Plumbing:
Mechanical-
Electrical
os/1,8/s4
oe/2L/e8
o5/27/s8
06/06/e8
Phone
683 -267 B
7 44 - 9099
'726 - 01,O0
687 -1,362
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOIIRCE: FG
rNSUL PATH: P1
-- oFFrcE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 1910
# OF BLDGS: 1
# OF BDRMS: 3
RANGE: G
To reguest an inspect,ion, cal-l_ the 24 hour recording aL 726_37Gg.
A11 inspections requested before 7:00 a.m. will- be made the same working d.ay,inspections requested after 7:00 a.m. will- be made the following work day.
--- REQUTRED TNSPECTTONS ___
FOOTING - After trenches are excavated.
FoUNDATToN - After forms are erected but prj-or to concrete placement
ITNDERFLoOR PLITMBTNG - prior to insulation or decking.
ITNDERFLooR MECIrArvrcAL - prior to insulation or decking.
RoucH cAs - after line is instalred and capped if not attached to anappliance
Posr Ar{D BEA.I{ - prior to froor insulation or decking.rNsuLATroN - Floor; prior to decking wall/ceiling; prior to coverWATER LINE - prior to filling trench.
SANTTARY SEWER LINE - prior to filling trench.
STORM SEWER LINE - prior to fil_Iing trench.
ITNDERFLOOR DRArN - prior to cover or placement of concrete.
ROUGH PLWBING - Prior Lo cover.
ROUGH MECHANfCAL - prior to cover.
ROUGH ETECTRfCAL - prior to cover.
ELEc?RrcAL sERvrcE - Must be approved to obtain permanent power.SHEAR wArrL NArtrNG - Before cowering sheathing with finish materiar-s.FRAIT{fNG - pri_or to cover.
rNsuLATroN - F1oor,' prior tso decking wa11/Ceiling; prior to coverDRYWALL - prior to taping.
cuRBcur - After forms are erected but prior to placement of concrete.STDEWALK - After excavation is complete, forms and sub-base materia]in p1ace.
rules by
SPNINGFIELD
Job Number: 990473
OF SPruNGFIEII', ONEGON
Page 2
FINAT PLUUBTNG - When al1.pIumbing work is complete.
FfNAL MECHAI'IICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure t.est done at this point.
FINAL BUIIJDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Lot Ty;le: INTERIOR
Lot Sq. Ft.:
Total Height
5395
22
Lot Coverage: 35.4 Z
So1ar Approved: Y
N
20
Setbackssw E
5House
Garage 10
Item
Main
Garage
COVERED PORCHES
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDTNG PERMIT
Square Feet x
L490
420
300
$/Square Feet
69 .54
18.34
15
(A)
Value
L03,754.00
7,703.00
4, 500.00
115, 957 . 00
459.00
37.52
505. s2
--- PLI'MBTNG PERMfT ---
ftem
Residential Bath (s)
Plumbi-ng Permit
Surcharge/Admin
TOTAL CHARGE
2
Fee
150.00
150.00
12. B0
L7 2 .80(c)
--- MECHANICAL PERMTT ---
Furnace
ExhausL Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
Mechani-cal permit
fssuance
Surcharge/Admin
TOTAL PERMTT
3
6.00
L tr,i
9.00
3.00
s.00
4 .50
32
10
2
00
00
56
(D)44.56
--- MISCETLAI.IEOUS PERMITS --_Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVTEW AD.fUST
WTLLAMALANE SDC
CITY SDC
TEMP POWER
0.00
50.00
60.00
8. 78
1, 000 . 00
2 ,453 . OO
43.20
TOTAIJ MTSCELLANEOUS PERMITS (E)3,624.gg
S.PRIilGFIELE,
qTob Number: 99047 3
OFSPruNGFIELD, ONEGON
Page 3
(Excluding Electrical)
unless ot,herwise notsed
--- TOTAL AIIIOI,NT DUE ---
(A, B, C, D, and E combined)4 ,348 .86
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shalI, in all respects, conform to the ordinance adopted by t.he city ofSpringfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Plan Check Fee : 299 . Oo Date paid
Received By:
Plans Reviewed By: DON MOORE Date
Building Site Revj-ewed By: BOB BARNHART
Receipt Number 033449
By signature, I stsate and agree,that I have carefully examinedthe completed applj-catj-on and do hereby certify that all informat.i-on hereonis true and correct, and I further certify t.hat any and al-l- work performedshaLl be done in accordance wi-th the ordinances of the City of Springfield,and the Laws of the state of oregon pertaining to the work descrj-bed herein,and that No OCCUPANCY will be made of any structure without permission of theCommunity servj-ces Divj-sion, Bui-1ding Safety. r further certify that onlycontractors and employees who are in compliance with ORS 701.055 wiII beused on this project.
r further agree to ensure that all required inspections are requested at theproper time, that each address is readable from the street, that t.he permitcard is located at the front of the property, and the approved set of planswill remain on the site at al-r times during construction.
c ture Date
04/oe/ee
04/21/ee
--- VALIDATION ---
Receipt Number 0)t 1 f(
Date Paid:)o (r
Amounr Recej-ved , 4Y LL. fr1,
Received By
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECT.PERMTT IS REQU]RED; LAND ALT.PERMIT APPLIES
REGISTERED ENGINEER TO DETERMTNE METHOD TO STABILIZE EXPANSTVE SOTL BASE-REPORT
SAN.& STORM SEWERS HOOK-UP NOT PERMITTED UNTIL SUBDIV.TS ACCEPTED BY CITY
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
CITY OF
-PFlINGFIELC'
ELECTRTCAL PERHIT APPLICATION225 FIFTB STREET
SPFJNGFTELD, oREGoN 97 477
INSPECTION REQUESTt 726-3769
OFFICE: 726-3759
1.
?fo vt 3
LOCATION OF. INSTALI.^ATIONlrh /a.tct
Ci ty Job Nunber
3. COHPLETE FEE SCMDTILE BELOV
A. Nev Residential-Single or
0 4 zoo
Multi-Family per dvelling unit.
Service Included:Items Cost Sum
Electri
Address
ca1 Contractor
ci ty--- Pho
Supe rvi.sor License Nu r
Expiration Date,
Cons tr Contr ber
Expi ra t i Da te
Signa of Supervising Electrician
0vners Name
Address 3,{ 3 f
Ci ty phone b33-267tr
OVNER TNSTALLATION
The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent.
rs Signature:
DATE:
s s 85.00
s 1s.00
s 40.00
Feeders
Installation, Alterations
or Relocation:
200 amps or less $
20L amps to 400 amps
-
S
40L amps to 600 amps S
601 amps to 1000 amps- S
Over 1000 amps/vo1ts S
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less I S 4O.OO LQ
201 amps to 400 amps
-
$ 55.00
Over 600 amps or tOOO-rIio-ITs see rrgrr
"[ffi-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One iCircuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
JOB DESCRTPTIONt'p*rl /o tz.*t -
50.00
60.00
r.00.00
130.00
300.00
40. 00
-Each installation
Pump or irrigation
Sign/0utline Lighring-
Lirni ted Energy/Res
-Limi ted Energy/Comm
s 40.00
s 40.00
$ 20.00
s 36.00
fo*SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
'T o')
l.b
-T-'T-RECETVED
5
Permits are non-transferableif vork is not started vithinof issuance or if vork is sus
180 days.
center.
Center
0/"rr,l.
JouR oR JoB No. n0473
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCATION 414 freve I nxle-
DEVELOPMENT TYPE: 5FD
BUILDING SiZE: TaIO LOT SIZE 5AA5 SQ. Ft
1. STORM DRAINAGE
IMPERVIOUS SQ. FT
2. SANITARY SEWER-CITY
NO. OF PFU'S lq
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x l.ot x $475.32
x $475.32
4. SANITARY SE|^IER-MI^JMC
A. REIMBURSEMENT COST:
N0. 0F FEU'S I X 211,4+PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X Z5.?OPER FEU
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^IMC ADMINISTRATIVE FEI
8, * bo) -? (zt) + zz?e'z) + lo b)
1 q(e x $0.227 PER SQ. FT $ 'ltl.81
X
TOTAL-I'II^JMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
X $47.14 PER PFU $ gg6-G6
$ 4tu,o1
'$
$ 2,9.20
. $ 44-o{ ,
$ i0.00
$z48.st
$
"3?b.11$ ilb,g t
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
*zaa
SDC Coor"di nator
ATTACH'A. [^JPD
oateLy'ep
TOTAL SDC s &53.oo
A,Jfr-'(sr,,J T ^fIy.E}JT
$ 2]1 .4
FIXTURE UNIT CALCULAT,--.{ TABLE: ruumoer of New Fixtures
(NOTE: For remodels, calculate only the NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/OiliSolids/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......,ISink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...ItlWash Basin/LavatorY, Single
/l
TOTAL FIXTURE UNITS
Init Equivalent = Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
-z-
--.-=--1-z-
-g-
/a
I
z-
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
b
4Toilet, Public lnstallation.
Toilet, Private......
Miscellaneous:
CREDIT CALCULATION TABLE: Based on asse
calculate credits se arates.
ssed value. lf imProvem ents occurred after annexation date in table,
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
Residential......
Commerical
+,27 X$t5 L4.og
(Rate X Assessed Value)x s- =
(Rate X Assessed Value)
CREDIT TOTAL
o.4
0.9
o5
o.5
$
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlY)
lndustrial...
Governmental...............-...
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
1 992
1 993
1 994...r995
1 996
1 997
$1.98
1.55
1.'15
0.96
o.83
0.67
o.52
0.38
o.21
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
1
ADDRESS' ?S B.Oo. J&uI.srArE: fu zrp: \?etog.
Willamalane 'I3Park & Recreation District Job- No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:68s T8
LOCATION OF PROPOSED BUILDING SITE:
Street Address:gHa.{tf-,*\".,t^^-
Plat Name:Tax Lot Number:Ut\
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calcutations and dwetting r
ype definitions are on the back.)
A. Single-Family Detached
-X- Single Family home
NO. OF UNITS t
Cf)
B. Single-Family Attached
NO. OF UNITS 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 unit E $
WILLAMALANE SDC
Manufactured home not in a park
X $1,000 per unit = $TCXb
2. SDC CREDIT ([ appticabte) SDCaayermusr rurfrstr proof of
Willamalane Credit approval. See SOC Credit Workshoet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduced for Credit)
$
$
$
D ment Services
City of ringfield
Department :L ,-)o,1ol
Date
I.I(\AH
tI
I TNGFTELO
EA,
The lollowing proiect as submitted has the tolloving
ii"i"g ;;d",ioei not require specific land use
225 FIFTB STREET APPTOVAI
SPRINGFIEI,D, OREGON 97477
B'Fli"o*/ 7(2/ ? q7 oq z,D
D{?-ELECTRICAL PERHIT APPLICATION
-q a ty Job Nr.nnbe,gqEn3
FEE SCEEDTILE BELOII
Nev Residential-Single or
MuIti-Family per dwelling unit.
Service Included:
I tems Cos t
/ $Bs.oo 7{
INSPECTION REQUEST: 7
OFFICE: 726-3759
1. LOCATION OF3
Authonzeo Signature
A
I,EGAL
L)Sum
JOB rrlE A]D
Address fu(O U)*cttS Sr7 +C
ciry eAb@e Phone GXa:BL Z
Supervi-sor License Number 3 Oq t-J
Expiration Dare tO-l - 2OOl
Constr Contr. Number '? 3 -7 bL
Expiration Dare C - b- LOOO
C. Temporary Services or FeedersInstallation, Alteration or Relocation
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation SSign/OutIine Lighting- SLimited Energy/Res
-
S
Limi ted Energy/Comm S
1000 sq.ft. or less
Each addi tional 500
sq. ft or portion &MCPermits are non-transfer-ab}g.-end expire thereofif vork is not startedr.rl0Ttl0rEfaO aiys Each Manuf 'd Home. or
or issuance or ir vorkl,itsFeHPfirgHAr-lg*prnrrr*ffiffi
31"]11H,180 davs
AUTHoRtzEDU*o-iilrHrspenrtnrirsruor2. coNrRAcroR INSTAII66il00IEREEDORISABANmpE$pgfrces or Feeders
E1ectrica1Con.,"..o,@Il";:i}::t?:;,A1terations
s ls.00
s 40.00
s s0.00
s 60.00
s100.00
s 130. 00
s300.00s 40.00
?s
200 amps o
201 amps t
40L amps t
601 amps t
0ver 1000
Reconnec t
r less
o 400 amps -I
o 600 ampso 1000 amps-
amps/volts
-
Sovea
40.00
55.00
80.00
ee rBil
Each AdditionalCircuit or viih Serviceor Feeder Permit g 2.OO
CDT
Per Panel
3s.00
U
sseI'or200 $
s
$Signature of Suq
Cb"Z
ervl Electrician
0vners Name De{1oa)
Address P. O.iSor zztLt
ciry e A G6]€ pno". 683*2b7 i
OIINER INSTALLATION
The installation is being made onproperty I ovn uhich is not intendedfor sale, Iease or rent.
0vners Signature:
DATE:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
5 f€T-I
J
RECEIVED )4.n
Zoning
J090 CIAE
ol the rutes by
One Circuit
CITY OF SPilNGFIELT',
SPFIi{GFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
a
Page 1
ilob Number: 990473
225 North Fifth Street
Springfield, OR 97477
Locat,ion of Proposed Work: 3434 PARKER IJN
Assessors Map #: 1"7021,943
Lot : 42 Bl_ock:
Office:
Inspection Line:
726 -37 59
726 - 37 69
Tax Lot #
Subdi-vision
04200
AMBLESIDE
Owner: AIiIDERSON DEVELOPMENT
Address: p.O.Box 22L2
Phone #: 683-2679
Citylstate/Zip: EUGENE OR, 97402
NEWDescribe Work: S/F RESIDENCE
General:
Plumbing:
Mechanical-:
El-ectrical:
Cont,ract,or
40108 BoorH Qffn ilqb"
coMFoRT FLow callinP it'
1es1 DoN sr #DUgH
BINNS ELECTRIC 37 52
210 WALLfS STR UN]T #C EUGENE OR 97
ConsE.
ATTENTION
Contractor .# ." Expires Phone
v tne ofeEon UtilitY
are sel Wa/ga,683 -267 I
oAH952-001-
of the rul64E1/e8 1 44 - 9099
PB telePhorte
hlofificattary2T / ga 726 - o:-oo
06 / 06 / 98 587 -1-362
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 1910
# OF BLDGS: 1
# OF BDRMS: 3
RANGE: G
To request an inspection, call Xhe 24 hour recording aL 726-3769.
A11 inspectlons requested before 7: O0inspections requested after 7:00 a.m.
a.m. wi-I1 be made the same working day,wil-I be made the following work day.
--_ REQUTRED TNSPECTTONS ___
FOOTING - After trenches are excavated.
FOITNDATTON - After forms are erected but prior to concrete placement
ITNDERFLOOR PLIIMBING - prior to insulation or decking.
LNDERFLOOR MECHA-IIrCAL - prior to insulation or decking.
ROUGH cAs - after line is instarled and capped if not attached to anappliance
POST AfiID BEAI! - prior to floor insulatj_on or decking.TNSULATTON - Froor; pri-or to decking waI1/ceiling; prior to coverWATER LfNE - prior t.o fil_ling trench.
SANTTARY SEWER LfNE - prior to filling trench.
STORM SEWER LINE - prior to filling trench.
LNDERFT-OOR DRArN - prior to cover or placement of concrete.ROUGH PLITDIBING - prior to cover.
ROUGH MECIIAMCAL - prior to cover.
ROUGH ELECTRICAL - Prior To cover.
ELECTRT.AL SERVTCE - Must be approved to obtain permanent power.SHEAR WALL NATLTNG - Before covering sheathing with finish materiars.FR.AMING - prior to cover.
rNsuLATroN - Floor; prior to decking walr/ceiling; prior to coverDRYWALL - prior to tapi_ng.
cuRBCur - After forms are erected. but prior to placement of concreLe.srDEwArJK - After excavation is complete, forms and sub-base materi_alin p1ace.
ANDERSoN coNde{ow rules F-
SPltiNGF!ELE,
,Job Number: 990473 Page 2
FINAL PLIrIIBING - When all plumbing work is complete.
FINAL MECHAI{ICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
mini-mum of one appli-ance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Lot Type: INTERIOR
N
Lot Sq. Ft.:
Total Height:
53 95))Lot Coverage: 35.4 %
Solar Approved: Y
20
Setbacks
SW
22 10
E
5House
Garage
Item
Main
Garage
COVERED PORCIIES
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
l.490
420
300
$/Square Feet
69 .64
18.34
15
(A)
Value
403,764.00
7,703.00
4, 500.00
115, 967.00
459 . OO
37.52
506.52
PLI'ITTBING PERMIT -. -
Item
Residential Bat.h (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
)
Fee
150.00
150.00
12.80
L7 2 .80(c)
--- MECHANICAL PERMTT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
\JAD t, . .H.
MechanicaL Permit
Issuance
Surcharge/Admin
TOTAL PERI{IT
3
6.00
4.50
9.00
3.00
5.00
4.50
32 .00
10.00
2 .56
44.56(D)
--- MISCELLANEOUS. PERMITS
Surcharge/admj_n
Sidewalk
Curb Cut
PLAN REVIEW ADJUST
WfLLA}4,\LA}IE SDC
CTTY SDC
TEMP POWER
0.00
50.00
50.00
8.78
1, 000 . 00
2 , 453 .00
43.20
TOTAL MISCELTAI'IEOUS PERMITS (E)3,624.gg
SPrlIIr.GFIELD
Job Nrrrnber: 990473 Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOI'NT DUE - - -
(A, B, C, D, and E combined)4,348.85
7 oO
et!7P tb
--- BUIIJDING VAI'UE, PLA}iI CHECK A}iID BUIIJDING PERMIT ---
This permit is granted on the express condition that the said construct.ion
shaI1, in all respects, conform to the Ordinance adopted by the City of
Springfield, lncluding the Development Code, regulating the construction and
use of buj-ldings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee; 299.00 Date Pai_d
Received By:
Plans Reviewed By: DON MOORE Date
Building Site Reviewed By: BOB BARNHART
Receipt Number: 033449
--- ADDTTIONAL COMMENTS ---
PATH 1,. SEPARATE ELECT. PERMIT IS REQUIRED.
LAND ALT, PERMIT APPLIES.
SAN. & STORM SEWERS HOOK-UP NOT PERMITTED UNTTL SUBDTV. IS ACCEPTED BY CITY
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, r statse and agree, that f have carefully examinedthe compJ-eted application and do hereby certify that. all information hereonis true and correct, and I further certlfy that any and all work performed
sha1I be done in accordance with the ordinances of the City of Sprj-ngfj-e1d,
and the Laws of the StaLe of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure wit.hout permission of the
Community Servj-ces Di-visi-on, Building Safety. f further certify t.hat onlycontractors and employees who are in compliance with ORS 701.055 wj-1L be
used on t.his project.
r further agree to ensure thats al-l- required inspections are requested at theproper time, that each address is readable from the street, that the permitcard 1s located at the front of the property, and the approved set of planswill remain on the site at all times during construction.
-q1
s ture Date
04/oe/ee
04/21,/ee
Receipt Number:
Date Paid:
Amount Received
Received By
--- VAITDATION ---
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Fl AY-s5-99 mo-tl-.,B8 :45 BH ' trHDERSOH COHST 'r Ntr 565 645 26'74 P. 82
*IORTIER
trNGINEERING, P.C.
1245 PEARL STREET
EUGENE, OREGON 9740I
PHONE (641) 484-e080 - FAX (s4l) 484-6859
Very truly yours,
Owen Grover, P.E
STRUCTURAL
BUILDINO DESIGN O FIRE PBOTEGTION
CODE CONSULTANT O PIAN CHECKING
CONSTEUCTION INSPESNON
May 3, 1999
Brent Anderson
P.O. Box 22121
Eugene, OR 97402
RE: 3434 Parker Lane, Springfield, OR (Ambelside Meadows 'Lot#42)
Site Soils & Compaciion inspection - W.O. #11789JJM
As you requested. an inspection has been made of the gravelfill on this site in preparation
for the construction involving foundations for the propbsed residence. The excavation
involved the placement of tr14" minus crushed rock'in accordance with our standard
procedures. Perimeter drains to connect to approved storm drainage system'.Th"-
compacted surface of the crushed rock is aOequite for a fourrdation bearing capacity of
100d psf, which is adequate to support the proposed conventional wood frame residence'
The compaction of the gravel surface is greater that 95% of a standard proctor per ASTM
D698-91. (See attached data sneet.)
I hope you find this report adequate for your needs and purposes at thjs time. Thank you
for ihis'opportunity to be of service, Please contact me if you have further questions at
484*9080.
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mAY-83-99 r'loN @@ =44 BH. trNDERSON COHST ' r HC 5B-3 645 267e P-@3
STRUCTURAL
BU1LD1NG DESIGN . FIRE PROTECTION
CODE CONSULTANT ' PLAN CHECKING
CONSTNUCTION INSPE TION
. I245 PEARL STREET
EUGENE. OREGON 97{OI
PHoNE (54't) 484-s080 . FAX (s1t) 4ar-695s
FIELD UMT WEIGHT - SAND CONE METITOD
Per ASTM D 1556
TEsTNUMBER: I o.A.TEoFTEST:T/A/Nq|
TEST LoCATIoN: - ' TEST rV, Tf ML{l .ct" Ambe/srdeMATERIAL TESTED (By visua I observa tlo n) :
q." lt,;nnt Auilv/ Rr.(
UNIT \\'EIGIIT OF SAND USTN FOt\ TIIIS SAMPLE
Ps(sand) -7{'5
voLUME oF CONE (vr) = 0.0389 tt^3
w.o.# |7 7 {-rrM
MORTIER
NGINEERING, P.C.
Wct rveight
Dry tr'cight
FII'LD TEST DATA
Int(ial Wciglrt of Jar * Sand (Wr)
Weigh( o[ Jar { San<I altcr tcst (Wr)
Votqme of trolc rlUr-Wr -Vl - Vz
I\{oist uni( rvcignt of soil pm = \Yl = 34 0 ,J0,7,
\rr
Ir{ois(urc contcn( oI soil,
W% : (rvctht moist) - (rvaight rlry) X 100
(rveight dry)
D11, Uni( \Veight of Soil Pa :P-
I +W%
100
MOISTURE CONTENT f,
il"O ,l 0 ,2-.rt,2o.-
tl1 ocf
3, {%
1 l5o#
weight of jar nct n'eight
No(cs:
WWW
o , iLSK f+3
I
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The following prolect as submitted has the following
ionins, "nO
d'oei not require specific land use
225 FIFTE STREET APPTOVAI'
SPRTNGFTELD, OREGON 97477 Zonins Lb(2-
INSPECTION REQTIEST:
oFPrcE: 726-3759
Autnorrzed signature
1. LOCATION OF INSTALLATION343/'ParKtr Lant
00
JOB DESCRIPTION
i.r rn,'/t,o( rncra r, /E-arrzr k+/,tl
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALT.ATTON ONLY
Electrical Contractor
Address P.O Bno u o54(
Ci ty Qr. * o-n, Phone 4(4-q01{
Supervi-sor License Number 855t .l L€
ty Job Number
FEE SCEEDIILE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
FIINGFIELO
ELECTRICAL PBRHIT APPLICATION
7
s 8s.00
$ 1s.00
s 40.00
I
*fi,
(
Sum
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home. or
-
Hodular'Dvelling
Service or Feeder
B. Services or Feeders
. InstalIation, Alterations
iS or Relocation:
Over 1000 amps/volrs
-Reconnect 0n1yExpiration Date to lqq
Constr Contr. Number 49, t"lr:t
Expiration Da
s
amps
amps
000 amps-
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
200 amps
201 amps
401 amps
601 amps
or1to4to6
to L
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
es
00
00
C Temporary Services or FeedersInstallation, Alteration or Relocation
tu sing Electrician
Owners Name '8. l. A.^lo t7 I'n n f{L-
Address
Ci ty Phone i,S4-Ltrlgl
OVNER INSTALLATTON
The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
E
One Circuit S 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit _ S 2.00
Miscellaneous (Service/feeder not included
200 amps"or less g 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
$ 90.00
0ver 600 amps or 1000 voTEs see ttgtt
"ffi
-Each installation
Pump or irrigation g
Sign/Outline Lighting- SLimi ted Energy/Res 1 $Limited Energy/Comm S
f
ffiD,
40.00
40.00
20. 00
36.00
5 Lo.tot. oCI
, l-t0
,'l-l , ltCRECEIVED
7
4 lcc,
Thlr permit ir required for any rite bctivity in the flood plain and everywhere cite alteration consists of
flfty (60) cublc yardg of materlal or morc and/or lf a dralnagcway la affectcd, wlthln Clty llmltr and
This Side To Be Filled Out by Applicant
ICity of Springfielcl
v3/d( u4
c)'r1 2-6
l.
Date of App rication /- Z2- a 7
State
Phon
p
Slte Address:
Permit Expiration Date:
Sprlngflcld, Oregon
wnerProperty O
Address :
No,12-()z - l7- 43 Trx
n
tr uoB Trx Mrp
Journsl numbor appli Appl
, Project Supervisor
Ma6rlat
,ET
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7
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Source Location gor,afntl &u^rr-tr FILL, ouant
GRADING,
EXCAVATION,
Phone
Supplier
Supplier:
Address
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SITE PLAN Reguired Data:O,uantity of material, Propertv lines and descriotions, Tax mao andlot number, Site address, Existing contour lines, Proposrid contour lines, Existing draina{eways, Proposed drainaqe wavs, Siqnificant trees and foliaqo, Ground c6ver, Sol[ tvoes. -
B.y[tdinqs,-Septic systeFrs, Seiwers, Areas subject to floodlnj, Utilities, Areis subj6ct t6 landslides, Proposed site improvements.
CROSS SECTIONS,
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
ADDITIONAL INFORMATION,
SOILS & GEOLOGY PLAN,
REPLANTING PLAN
COMPANY NAME: , PHONE
PROJECT SUPEBVISOR:
COMPANY NAME: ,
CITY STATE
PHONE
CITY STATE
ADDRESS:
PROJECT SUPERVISOR:
ADDRESS:
FAX
Expiratio n Date: A'/*-o
r-C rr' PHONE
ber: ?QUo>
CITY
OFFICE PHONE
EMERGENCY PHONE:
PROJECT SUPEBVISOR
CONTRACTOR NAME:
ZIP:
PHONE
Registration Num
ADDRESS: L",2
STATE:
MOBILE
l.undeistand that lor my succossors may have future plans for my propeny which may b€ anticioated or unlnticiDated arrnls tlma. I unoorstano that such future plans may require permits and developement abprovale fiom thc CIW of SbrinofieiaI undeistand that notwithstandins any q-onroval o? trrii tana and Drainas€ Ant;iiildr;;it-iloAFi,'tiiii ii'trrE'tidli'ri"''-
:Pqlj!|1,-"_19f ly!!t_"^ P?Tlit".og3pnrovalS't!a cjty may review and recoisider att aaions w-hiirh i;';y succesiors hive
:l99ll1x"IlP9l:!1n11o_tltis LDAP. lunderstand that.th6 City may as a condition of any future approvil, require theundoing, changing, or modification of any actions which I hive uhdertaken as a resuh bf tne Cliltilppiovai of tiiii lOAp.
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By signalure, I state and agree. that I hate carefully examined the com.ple.ted application and do hereby cortify that allinformgtion herein is true and corr€ct, rnd I further.'cenify that-iny ino-att-woi[ieiidime-O' jrriii i:i'Oonjfn iici'ijin]irwlth tho ordlnances of the Chy of Sprinsfield, ippri"iuli'citv'si";aarJ ii.diiiciiiiii'ini-O-iii;rii., rnd th.lawr of thcstrto.of oregon p-en-ai11g to- the wdr[ d'esdri6edheiein. t-tr]htr'dr i-"iiiii[t "t onty cont6cto. end cmptoy..t who .rc tn. compliance with ORS 701.O55 wilt be used on this project.
Tho qity may inspec't the work site described in.lhis permit Et an-y timo.duqns g one year period following t61 rccript byth! clty ot notice of complction of thc describea'woirinosp".i1v, altnt'Cii/"ioi"'olii"'.iit]In,-Inv addhionatrestoration
illtriTusd-lfi '^".y1iL111,%j?:,:l!U,iJt^..T:g:.,,:,il fli,"..,,* inr,li*li"*l[:i*",i,'l.i dHltiiil"j,.{ttisttth6 thtrtv davs wiil be perfrirmed uv irre eity and ih; 6;tJ ivli'oE 6irrEi'iliffi rffmiidd
l.further rgreo to ensurs that all required insp.ections are requested at the proper time, that project address is readable from, tho Etroet, and the approved set oi plans will remain on thi site'jt iir iimSs during constru&i6?i.-'-
,0,
Date' €igndt0rd
P-r^^^.k No. ?qo+13 Eb
Destinationl
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FLOOD PLAIN, Zone: U, FEMA Community Panel No.:
Date:FLOODWAY, FEMA Community Panel No.:
WETLANDS, Description
s20.00
$30.00
s40.00
$40.00 For the first 1 0,000 cubic yards, plus
$20.OO for each additional 1 0,000 cubic yards or fraction thereof.
S220.00 For the first 100,001 cubic yards, plus
$20.OO for each additional 10,000 cubic yards or fraction thsrsof.
$34O For the first 2OO,O01 cubic yards, plus
56.0O for each additional 1O,0OO cubic yards or fraction th6roof.
s30.00
S3O.OO For the first 1OO cubic yards, plus
$ 1 4.OO for each additional 1 0O cubic yards or fraction thereof.
$156.00 For the first 1,OOO cubic yards, plus
S12.OO for each additional 1,000 cubic yards or fraction thereof'
$264.00 For the first 10,000 cubic yards, plus
$54.00 for each additional 1 O,OO0 cubic yards or fraction ther€of
$75O.OO For the first 100,001 cubic yards, plus
$30.OO ior each'additional 1 0,000 cubic yards or fraction thereof
"qi'enr
Date:a
100,001 To 200,000
2OO.OO1 CUBIC YARDS OR MORE
1,001 TO 10,O00 cuBlc YARDS
1o.ooo ro 100,000 cuBlc YARDS
1oo,oo1 To 2oo,o00
Received by:
Estimated Volume
Grading Permit fee:
Plan Check Fee:
Received By:
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
GRADING PERMIT FEES:
UP TO lOO CUBIC YARDS
101 TO 1,OOO CUBIC YARDS
Receipt No:
Date:
Receipt
Date:
il-engin ""r^n rr, u.-
Date:
Datel
Date:
Date
IKPlann
tr Buitdins
Maintenance:
Date:lssued byPermit Number
Date
Date
Reqrrired Final lnsfrections'
Date
Date:
Planning:
Engineering
Building:
Land and Drainago activity as outlined in this permit has been completed in accordance with
thc proviaionB ofthis p€rmit.
hiff,l1;.rDr6ffif"q,"r%?.lyll,Jf&3,Yli"ed
in this permit has not been completed in sccordance
tr Land and Drainage activity was performed prior to application for this pormit.
_ DateAccepted by:-
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1/6/1998
is Side To Be fill By City
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