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Home My WebLink AboutPermit Building 1999-05-03SPRI{GFIELO ,#ffF.ttHlffitffiffiffi;t, il:,#::,:r':l;ff ;'mn*f,3$*,,*:i;l,Uff*'f+,t*"p"".i.1r:i::, Lo c a r i on o r p r op o s " u ,*", *-9.lIBlF,*8ffi:{U;tiilffi - *l ::l;, il::";:'" Map # : rzozrsefmli'd!;;;;"-i-doo-sez-it1ililklJ, ffi::lrrr" a RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD Page 1 ilob Number: 990493 725 -37 59 726 -37 69 Owner: GARY PETERSON Address: 3184 W STREET Describe Work: S.F. RESIDENCE Phone #: 745-4484 cj-rylsraLe/zip: SPRTNGFTELD, OREGON 9747 NEW General: Mechanical- Contractor GLP ENTERPRISES 0087297 351 West D St Creswell OR 9'74260000 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGF]ELD OR 9747 ConsE. Contractor #Expires a\/12/es tz /zt / gg Phone 7 46 - 4484 747 -7445 QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 2O2O -- oFFrcE usE -- IAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: P1 To requeEt an inspecEion, call the 24 lnowr recordj-ng aL 726-3769. A11 i-nspections requested before 7:OO a.m. will be made the same working day, j-nspections requesLed after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. ITNDERFLOOR PLITMBING - Prior to insuLation or decking. ITNDERFLOOR DR.AIN - Prior to cover or placement of concrete. ITNDERFTOOR MECHANICAL - Prior to insulation or decking. POST AND BEAII - Prior to floor insul-ation or decking. INSULATION - Floor,. prior to decking walJ-/ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to fllling trench. ROUGH PLIIMBING _ PTiOT TO COVCT. ROUGH MECIIAI.IICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALI NAILING - Before covering sheathing with finish materials. FRAI{ING - Prior to cover. INSULATION - Ffoor; prior to decking waII/ceiling; Prior to cover DRYWALL - Prior to taPing. ELECTRICAL SERVICE - Must be approved to obtaj-n permanent power. CURBCU:r - After forms are erected but prior to placement of concrete - SIDEWAIJK - After excavation is complete, forms and sub-base material in place. FINAT PLITMBING - When all plumbing work is complete. FINAL MECHNiIICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the buitding is comPlete. SPRITIGFTELD Job Number: 990493 a Page 2 Lot Faces: N Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 54OO Tota} Height: 21 Lot Type: INTERIOR Setbacks SWE 2385 Lot Coverage: 30 ? Setbk From NPL: 40 N 18 Item Main Garage Totaf Value Building Permit Fee Surcharge/admin TOTAL FEE --- BUILDING PER"IIIT --- Square FeeL x 158 0 440 $/Square Feet 69 .64 18.34 (A) Value 110, 031 . 00 8, 070.00 118, 101 . 00 475.75 38.05 513.81 --- PLI'MBING PERMIT --- Ttem Residential Bath(s) Plumbrng Permit Surcharge/admin TOTAL CHARGE Fee 160.00 150 L2 00 80 (c)L7 2 .80 - -. UECHA}iIICAL PERMIT Furnace Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 2 5.00 4.50 6.00 3.00 19.50 10.00 L .57 (D)31_ . 07 --- MISCELLA}iIEOUS PERMITS Surcharge/edmin Sidewalk Curb Cut CITY SDC WILLAMALANE PLAN REVIEW TOTAL MISCELLANEOUS PERMITS 0.00 7a .40 50.00 2,297 .57 1, 0oo . 00 85.00 (E)3 ,5L4 .07 (Excluding Electrical ) unless otherwise noted .-- TOTAL AIIOI'NT DUE --- (A, B, C, D, and E combined)4 ,23L .7 5 --- BUILDING VALUE, PLAN CHECK AT.ID BUILDING PERMIT --- This permit is granted on the express condition that the said construction shaI1, in all respects, conform to the Ordj-nance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon vi-olation of any prowisions of said ordinances ' SPTIINGFTELD rfob Number: 990493 Received By: Plans Reviewed By: AL WARD Building Site Reviewed By: Date:0s/03/99 Page 3 LISA HOPPER --- ADDITIONAI, COMMENTS ---DEFAULT AMOUNT USED FOR A & T. ]NDIVIDUAL LOTS NOT LTSTED AS OF 4/a6/99 A SEPERATE ELECTRICAL PERMTT ]S REQUIRED FOUNDATION REQUIRED TO BE APPROVED BY LICENSED ENGTNEER DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, t.he completed I stat,e and agree, that I have carefully examinedapplicat.ion and do hereby certify that aIl_ informati_on hereonis Lrue and correct, and r further certify that any and al-l- work performedshal-l 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 will be made of any structure without permission of theCommunity Services Division, Building Safety. f further certify that onlycontracLors and employees who are in compliance wj-th oRS 701.055 wi1l 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 the permitcard is l-ocated at the front of t.he property, and the approved set of plans wi-11- remain on t.he site at all times during construction. D $/ =r a'e ture Date --- VALIDATION --- Receipt Number Date Paid Amount Received Received By 39fo \ 7 7( q /. t UUillamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: STATE:ZIP., Tax Lot Number: Manufactured home not in a Park $ $ .Ep i 1. DEVELOPMENT TYPE (cn.e$ appropriate ype Oennntions are on the back) dwelling(s). SDC calctrlations and dwelling t A. Single-Family Detached -L Single FamilY home oC) No. oF uNITS I X $1'ooo Per unit = $ B. Single-Family Attached C. Multi-Family Apartment D. Manufactured Home Park Plat Nam 3. TOTAL WILLAMALA'NE SDC @ 2. SDC CREDTT (lt appticable) SDC'oavermustlumish proof ot Witlamalane Credit approval' See SbC Credt Wottia;heet'6$ $ (it SDC reduced for Se SDC ASSESSED oo 7 City of eld sD epartment Date f, JouRNAl nR JoB no. 7a oq =ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY Pfur, LOCATION: DEVELOPMENT TYPE:SFD BUILDING SIZE srzr hVTl so Ft. 1. STORM DRAINAGE IMPERVIOUS SQ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X r.o I x $475.32 x $475.32 4 SANiTARY SEI,JER-MWMC A. REIMBURSEMENT COST NO. OF FEU'S { X 217,44 PER FEU B. iMPROVEMENT COST: N0. 0F FEU'S I X ?5.2O PER FEU Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE) MhJl'4C ADMINISTRATIVE FEE SUBTOTAL (ADD iTEMS 1,2,3 & 4) 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 zr-,zo + fut, P) + zoQ+) F; d?'r$o.Zzt PER sQ FT bll- X $47.14 PER PFU $ 8+g.SZ $ 480,o1 '$ s zl1 ,# $ 2',5.20 $ 10.00 X /7bL TOTAL-MI^JMC SDC $ n n,(1 $28r.4 $ /0?.4/ SDC Coordi nator ATTACH'A.I^JPD Date 4//ek TOTAL SDC sZZl 7,L7 . s b4.o{ , FIXTURE UNIT CALCUL/ 'ON TABLE: Number of New Fixtu (NOTE: For remodels, calculate only tli6 NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub..... Drinking Fountain.... l/ Floor Drain lnterceptors For Grease/Oil/SolidsiEtc 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 Stall....'..... Shower, Gan9......,.. Sink: Bar, Commercial, Residential Kitchen. Urinal, StalliWall............:...... Wash Basin/LavatorY, Single... Toilet, Public lnstallation Toilet. Private.,.... Miscellaneous: TOTAL FIXTURE UNITS X Unit Equivalent = Fixture Units UNIT FIXTURE EOUIVALENT UNITS + -----7'--z- lt I 2 1 2 3 6 2 6 6 1 3 2 1t 2 2 1 6 4 ---=- adHe 1r- CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table, calculate credits rates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$-/{=c+-q{ (Rate X Assessed Value) X$ (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 1 982 1 983 1 984 1 985 1 986 1 987 1 988 $4.27 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 -. ., 1995 1 996 1 997 $1.98 1.55 1.15 0.96 0.83 0.67 o.52 0.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Onlyl Residential Commerica1............... lndustrial... Governmental............ o.4 0.9 05 o.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCIENT 4.27 C'TY OF OREGO'V "rffiqifl %::?xiir,,xl[,:;:i,?:the following tand use SPRIN':F!ELO BLECTRICAL PERHIT APPLICATIONZoningP225 FIFTB STREET sPRTNGFTELD, oREGoN 97At?"t"5-o INSPECTION REOTIEST: 0FFICE: 726-3759 726AAfi6&zed signarure 1 LEGAL {Jo oq JOB ON 4q to Permits are non-transfe if vork is not started v of issuance or if vork isl 180 days.r{q tu Et 2. CONTRACTOR INSTALL\TTON Electrical Contractor t Address D Ci ty vn"".S// f,/z(> Supervisor License Number ?r os LOCATION OP INSTALI..ATTONjqv u y'h*,rL 3 A Job Number SCEEDUI,E BELOS Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost ?f0tr7 I 000 sq.ft. or Lessitional 500 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL Sum s 8s.00 rf s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 00 00 00 00 a Expiration Date Constr Contr. Number 0t oo-t C D E C_ or ,d Home. or Iing eederqrF $ 40.00 r Feeders tion, 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/volts - Reconnect 0nIY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40'00 over 4b1 to 600 ambs - $ 80.00 0ver 600 amps ot- fbOOETts see rrgrr "[ffi- Nev, Alteration or Extension Per Pane1 one Circuit $ 35.00 e""n eaaitional-ci;";it or vith Service or Feeder Permit - $ 2'00 Miscellaneous (Service/feeder not included) portion ?) s 15.00 qf Expiration Date Supervi EIec Ovners Name L9/1 Address 3rru k ci Phone 7/b ?4r{ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0rrners Signature: DATE: -Each installation Pump or irrigation - Sign/Outline Light ing- Limited EnergY/Res - Limited EnergY/Comm $ 40. s 40. $ 20. s 36. (3o 5 RECEIVED B May-O3-99 03:OZP Mor er Engine ering MORTIERELTNTI\IEET'TNI(A P l^!-; ! \, l^ ! L.LJIL^^ t \r, ^. .\,. t245 PEARL STFEET tsuLIENE. \Jl1tr\,VIt Vr e\' I pHoNE /s41r 484-9080. FAx (541) 484-6859 Ou'en Grover, P.E. ( r -) 4a.4-6a5e P -O? STRUCTUF}.1 BUILDINO DESIGN o F,BE PROTECTION CODE CONSULTANT O PI.AN CHECKING CONSTRUCNON INSPECTION April 30. 1999 Gary Petersott I t Q.{ ..\IItt C+ropr-, l(t- tr utllwl o---:.. ^.':^I.l r\D O?,??Jlrllrui,lcr(lr \Jr\ t t- t / RE: 344eParlcr I ane. SpringfiEld-{Anrhclsirle-tvlsarlorvs - I or f4"l)- Site Soils & Coutpaction Inspcction - W.O' llI1770-TJiY{ A.s you requestccl, an inspection has been n:adc of the gravel fill on this sitc itr preparation for the corrstruction involving iourrdations for thc proposed residencc. Thc cxcavation involved the placerrrent of 3/4', rniirus crushed rock in accordance with our stantlard proceedurcs. Perimctcr tlrains to colrnect to approved storm drair:age systcm. Tlre cotnpactcd sud?rce of tlre crushed rock is a6equatr: lor a founcj,rtion hearing capacity of 1000 psf, which is adequate to suppon thc proposal con,.,crrtionll wc'trd frame residcnee. 1'he conrpaction of thc gravel surfacc is greater than 959u of r crlrrl'rrri grr^.t^r ner .A.-STM l)698-91. ( See atlachetl rlata sheet.)qJa4.rsgrsy.vw.\'r l,-..." _" _ _' \--- t Sopc you firrtl this report adequatc for your rrecds and purposes at this tirnc. Thank you for this oppo(unily ro be of sen,ice. If you have lurther (iucstiotis, please do not hcsitate to contact me- Very tn:ly yoursi ffTNG APPNOVED P1.ANS MUST E ON JOB SI?E &30- Ol-G/nlm m E T i'::1)/-O3-99 03:OZP Mort 1r Eng.irre ing f r^t!mr-yryry!- lvlL[t r ltrl( JNGINEERING , P.C. ' 1245 PTAfIL STAEEI EIJGENE, OREGON g/{Ot PHONE (5fi) aS1-900o . FA)( (s.r) a84{asg FIEI-,D I'IJST DATA Ini(iil wcigh( o(Jzr + Sand (\l'r) $tcigt:( o(.Ier I Srnd lftcr {cs( (r.\'f) Volumc of lrole rltr{r-Wl -Vt = Vr Vr ivloisiurc coutcnt of soll, \i'9'o - (rr.lglrl rnoiit) - (ivti&lf t drv) X 100 (rvcighi dr5') Dry lJnil \\'eig,ltt of Soit PO : -Pt"- . l lt,.l,I -r l't /o . AAI Ut' I\{OISTI)RE CONTENT A ( so- )48t4 -6fJs9 P-()3 STBUCruRAL BUI D'NG OESIGN . FIRE PROTESnON COOE CONSUTTANT r PI,AN CHECrcNG CONSTRUCNON NSPECNON FIELD T'NIT WIIIGHT. SAND CONE METIIOD Per ASTM D rss6 rEsr MrMBrn: I DAIE or rEsr:tlL B0 A1 w.o.# I I 1 76 -TfM TESTLOCAaION; , , ., fESTBY:[f/lLil fi -A^6e.lside,, Sora, MATERIAL TE.STED (tty visurt bbferVAilon): ?i" l/linu,Zruth,A 6'-'-+rr tuiiNI'r \\'r:r(itl'i'ot .SAND IIsF.r.| F0li TI{ls r!'^{{I'l l's (srrid) -7' 5otl)tu.\.,fL.. t voLUMtl oF'CONE (Vr) = 0.0389 f(^3 3*K G,1,.- i;ffl" 3i" R "K w;^"1, l.{ois( unir rveight of soil pm : }Yl = 2lo' 5, 3u ,, , l1 I ^.+t >l NUI 10" 15,8' q!z- 6*{. a, z- 0, 0l f+e It tQot,, I lf) \. !t1,rtr rveight of jrr net rveigh( Wet wcight Dry rreight Nolc.{: _ . lXL'Ilk 15fi3r = tl)h'tl* ls?,Ef ".# =w+ #fiilil! %:,*x: i ffil r,:;: :fi :the followino land usp -_BI-ECTRICAL225 FTFTE STREET SPRINGFIELD, OREGON INSPECTION REQIIEST: OFPICE: 726-3759 97 477 Zoning 7ZBa:g ,iuu t(rnzeo signature 1. LOCATION OF INSTALT,ATION i4,t tz 7)nr llrr I ane JOB DESCRIPTION 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 INSTALI.,ATION ONLY Electrical Contractor Address ?, l,4na4/nt IINGFIELD PERHTT APPLICATION Job Number 0 LETE PEE SCEEDI'LE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost A 1000 sq adft t. or less tional 500 r portion f'd Home. or s 8s.00 $ 1s.00 s 40.00 Sum 2@ .f di ot Supervisor License Number Expiration Date /o /qq Constr Contr. Number Exp iration Date q si ling oN{.,, .I tdo r Relo 10n 200 amps or less 201 amps to 400 amps __401 amps to 600 amps _601 amps t o 1000 amps_ amps/volts _ 0n1y L000 ct ces or Feeders Alteration or Relocation ,qo, rica Ci ty Phone qg4-qo7{ SAStJrE s s0.00 s 60.00 s 100. 00 s 130. 00 s300.00 $ 40.00 00s 40. $ ss. $ 80. see t's ,o of 0vners Name Address 3 tg4 It ). ?+ Ci ty .9nnin Ltoit Phone 5 7q -'? Lt9___r 1u_ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Osners Signature: DATE: Nev, Altera ion Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 $ 2.00 Miscellaneous (Service/feeder not included -Each installation Pump or irrigation - Sign/OutIine Lighting_ Limited Energy/Res I Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s trative Fee TOTAL l.oo ctrtcran 00 o0 B" a6i6 D. Br E s 40.00 s 40.00 $ 20.00 s 36.00 5 RECEIVED B ,(tOLl, (., o 0< t q 0, oo S i,rlII,GFIELOI t.NOTICE: THIS PERMIT SHALL EXPIRE IF THE WOHK ATJTHORIZED COMMENCEDOR IS DEVICE PERMIT APPL]:]A I i.ON F SPNINGFIELD SATETY DIVISION 0 ANY 180 DAYPERIOD. 225 FIFTH STREET SPRINGFIELD OR 97477 OIFICB: INSI JCl'i ON LINB: 726-3759 726-3769 JoB LOCATToN: 341 O qq-dL<r b-*- ASSBSSORS MAP II , I7O2I ?q q TAX ..0'i' lt: OIINER:c]-{ 3ADDRBSS:tzu t/J sr LD* PHo j. ] it CITY:r- L-L+->a.-<.-z<-STATE: ryY2-,ZI!z BACI(FLOU PBRMIT IS $TS.OO + \.O5 (STATB SURCHARGE) + $.4 (/,I)MIN. r'EB) CONTfu\CTOR:ttvta/Ee-t Llu,--,. )(.{ '".-- s q?L -< ADDRESS:e" B"->{?z PHO E iI : CITY:.<.- DY SIGNING THIS PBRHIT/APPLICATION, I AGRBE TO BACKFLOI' PREVBNTION DEVICE HAS BEBN INSTALLED(726-3769). r ALSo STArB TUAT ALL IN CORRECT. I'OB OFFICE USE DATB OF APPLICATIONI RECBTPT rlr 011{ ft I ISSUED BYI STATEI y-fL ZIP: ? >AO ( CoNSTRUCTroN CoNTLACToRS REGTSTRATTON lt: (OZ 3\? __EXPIRBS, 1 - OD i .diYi r1:;!'l ur{r:,iu'' l f TOTAL AHOUNT COLLECTED, /6-Td 0B {t:")z 4f z o? .<e c This permit is required for any site activityflfty (5O) cubic yards of materlat or more a in the flood plain and everywhere site alteration consists ofnd/or if a drainageway is affected, withln City limits and This Side To'Be Filled Out by Appltbant L L Permit Expiration Dato:Date of Application Site Address: Property Owner Address Springfield, Oregon Phone:cityS@ Journal number applicable Land Use Application 3ooTax Lot:rl3ruo: f 7 -OZ-11,-tr uGB Tax Map , Source Location Material Phone Project Supervi sor <S ,4q EXCAVATION, Oua Destination: GRADING, Ouantity Supplier H FILL, ouantity Supplier: Address tr tr tr tr tr DRAINAGE, POLLUTION AND EROSION CONTROL PLAN ADDITIONAL INFORMATION, and nd CROSS SECTIONS, SOILS & GEOLOGY PLAN, REPLANTING PLAN COMPANY NAME: , ATE CITY STATE u CITY E RVISOR COMPANY NAME: PROJECT SUPERVISOR ADDRESS: PROJECT S ADDRESS: Registration Number: , ADDRESS: FAX <-, CITYI EMERGENCY PHONE: OFFICE PHON Expiration Date: PHONEPROJECT SUPERVISOR: CONTRACTOR NAME: STATE: _, ZIP:. MOBILE PHONE: I understand that I or my successors may have future plans for my property which may be anticipated or qnanticipated_at .thir time. I understand that such future ilans may roquire permits and developement approvals from the City of Springfield I uhderstand that notwithstanding any approval of this Land and Drainage Alteration Permlt (LDAPI, that at the dme of apblication of luture permite or approvalb-the City may review and reconsider all actionawhich lor my successors have uhiirtafen p€rsuant to thlt LDAP. I Und.rrtlnd that thc Clty may as a condltlon of any -futurc^rPprovil, rrqulrc.tfc . ^ ^ -undolng, chinging, or modlflcation.of any actions which I have uhdertaken as a r€sult of tho Clty's lpproval of thls LDAP. By Signature, I state and agree, thit l'hatd carefully examined the completed application and. do hereby certify that all inioimation herein is true and corr€ct, and I further certify that any and all work performed ahall be dons ln accordance with the Ordinances of th€ City of Springfleld, applicable City Standard specifications and Drawlngr, and tha laws of the, State of Oregon pertslnlng to the wdrk decctibed'herein. I funher certlfy that only contractorc and employsee who are in oqmpllrncc with oRS 701 .056 wlll.be urcd on thls projoct; The Clty may inspect the work sitc dcscribed in this permit at any time during a ono y6ar period following the receipt by tha Cltv of notice of ccmplrtion ot th. daaoribod work rnd rpccify, tt thr CiW'a rolo dcrccretlon, any edditional rostoration work rdquired to rsturn thr slte to lstandard acceptable to th6 City. The permittee will be notlfled ln'wrhlng of any work nqut$'.r!d will havr thi(y (301 drYr lnm thr drtr ct thi notico lo-.cqmfilc3c th. work. Work mt eorruhtft rt the end ot thi thlny drys will bc pcildmad by.thc elw and thc costg will br blllrd to thr p.mltt... .ll raquk.d llrproticnr ar. r.qu..tod !t tha prop.r tima, that proltgt sot of planc will remaln on the sito st rll tlmas durlng conatruitloh. addraar l! rrad.bla trom!naura that the approvsd Date 0 F -r n/II IJJo- Zo -lF fv--IIJFJ tJJ U Z EI fv -r-c cZ aZs (r LUz =o UIt a) zotr TElU 5 oz 5 o z UJ =Io ko lrJE5a UJ tE o z 5fazoo CEo o TEFzoo cl,z 5(L lll ccf :)]L ul TE:lF- ga #\dqPerttntl# 140+q> Z City of Sprin gfield and#*r,,:*f"T Areas 1, I trw Datewtr FEMA GommunitY Panel No.:4t554 I gnDc;- 0 Culvert, E NaturalDRAINAGE, El Storm, O Ditch FLOODWAY, FEMA CommunitY Panel No, WETLANDS, Dsscri FLOOD PLAIN, Zone $20.00 $30.00 $40.00 $4o.oo For.the tirst 'l 0,00p cubic yards, plus S20,OO for .aoh,additionll lO,OOO cubic vardl or fraclion thcrcof ' $22O.OO For tha first 10O,OO1 cubic vards. plue $2O.OO for each additional lO,OOO cubic yards or fraction thereof' $340 For the first 2OO,O01 cubic yards, plus $6.00 for each additional lO,OOO cubic yards or fraction thereof' $30.00 $30.00 For the first 1OO cubic yards, plus $14.00 for eacli additional 'tOO cubic yards or fraction thereof' $156.00 For the first 1,000 cubic yards, plus $12.00 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 0,000 cubic yards or fraction thoreof $75O.OO For the first 1OO,O01 cubic yards, plus $30.OO for eabh additional 10,000 cubic yards or fraction thereof KSa,J- Date:3stoa Plan Check Fee:$zo .ooEstimated rnVolume: t) t-z ::{ Received by: Receipt N", %5 +L r rr",4l tl 111 Date: Grading Permit fee: Received By: PLAN CHECK FEES: UPTO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 To 10,000 cuBlc YABDS 1o,oo0 To 100,000 cuBlc YARDS 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO l,OOO CUBIC YARDS 1,001 To 10,000 cuBlc YARDS lo.ooo To loo.ooo cuBlc YARDS 10o,oo1 To 2oo,oo0 Receipt No Date: 2 N?SEl-engineering tr Maintenance: tr Buitdins Date: Date Date Date A Planni Planning: Engineering: Building: Maintenance: lssued by Date: Date Required Final lnspeetions-' Permit Number Date: Date Date FET =M, IJJo- Zo ETF fvE- IIJFJ IIJ U Z E fvtlro cZ cZ 5 Land and Drainage. activity.as outlined in this permit has been completed in accordance withIne provrsrons oI tnts permtt. hf,{l$fl}dr?J$igpd1..%TiyilJf;,Syfll.ed in thls pormlt has not been eompteted tn accordance tr Land and Drainage activity was performed prior to application for this permit. tr tr Accepted by tu()z F(L IUoo 1/6/1998 is Side To Be Fill By City uJ(5 z E,o UI TUlr azo 6zoo 6 lIJ =lU LrJ E, azo o UJo-aZ Date: C'TY OF INGFIELC' Thr loltowtng prolect as submltted has the followinl zu{lrlrg, and does nol require specific lano us.€ approval Zoning LDA225 FIFTS STREET SPRINGFTELD, OREGON INSPECf,ION REOIIEST: OFPICE: 726-3759 7 37 3 clc{OE INSTALLATIONPa-tE<-r Ln1LOCATION ,t70t) JOB DESCRI te Permits are non-transferable and expire if vork is not started vithin 180 days of issuanee oL' if vork is suspended for 180 days. 2. COMRACTOR Electrical Contract o rlrlotification Address 0090 may obtain copies of the ci tv-fortheOregon UtilitY is Supervisor Lice ber Expiration Da. ELECTRICAL PBRHIT APPLICATION City Job Nurnber ?fo7q3 3. COHPI,ETE FEE SCEEDTILE BELOII A. Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 s 40.00 or Feeders ion, AItera tion: or less to 400 amps tions -t Sum 200 amps'"or less I $ 40.00 201 amps to 400 amps - S 55.00 over 4b1 to 6oo amps - $ 8o.oo 0ver 600 amps or 1000 voTts see rrB*s ture o f Supervising Electrician 0vners Name /. 6. /),* to 600 amps _1 amps to L000 amps 0ver 1000 amps/volts Reconnect Only SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL s s0.00 s 60.00 s100.00 s130.00 $300.00 $ 40.00 g a56lE C. Temporary Services or Feeders Installation, Alteration or RelocationCons t r Expira Number on Date Address Ci ty Phone S /?'7L/ 1 OVNER INSTALLATION The installation is being made on property I ovn whiih is not intended for saIe, lease or rent. Ovners Signature: DATE: Branch Circuits Nev, Alteration or Extension Per Panel one rcircuit S 35'oo gach'additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utline Lighting- Limited Energy/Res Limited Energy/Comm Tftz D E s 40.00 s 40.00 $ 20.00 s 36.00 L{o' 5 dJ RECEIVED q7 law by Those rules 1.7*L{, Ll