HomeMy WebLinkAboutPermit Building 2005-09-02.J,,
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00937ISSUED: 0910212005APPLIED. 07119/2005EXPIRESz 0310212006VALUE: $ 250,804.00
SITEADDRESS: 6023 PEBBLE CT
ASSESSOR'S PARCEL NO.: 1802033400181
PROJECT DESCRIPTION:
Springfield TYPE OF WORJ(: Single Family Residence
TYPE OF USE: New
Single family residence - Jasper Meadows 2nd add lot 134. SAME AS
COM2005-00900 6043 Pebble Ct
Residential
PhoneNumber: 541-288-1081Owner:
Address:
HAYDEN ENTERPRISES INC
2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THORNTON ELECTRIC INC
PACIFIC AIR COMFORT INC
JET MECHANICAL LLC
License
92208
116329
39237
158633
Expiration Date
07t29t2007
10t0u2006
03t25t2006
02n0t2006
Phone
541-228-1081
541-686-4151
541-672-9510
503-363-2334
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S ub division N ot A cc epted
Street Improvements:
Storm Sewer Available:
Special Instruction:
# ofStories: 1
Height of Structure 26.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
I
3
5,398
1,008
1,381U
VN
400
ttz
20.00
10.10
13.80
21.70
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/" of Lot Coverage:
2
Yes
26.00
REQUIRED PARIflNG
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes: Storm drainage piped to curb face 712212005 CLS
Page I of4
Sidewalk Type:
llrf; Ml QN"O,mseft h w re q d r'b fi ;tffi :;
.l9llg* rules adoprug by the Oregon UtitityNotification Center. Those rules a"re ..t'touf.,
in OAR 9s2-001-0010 through OAn g# Oor -
0090. You may obtain copies of the rutes i:ycalling the center. (Note: the teiephone
number for the Oregon Utility Notification
Center is 1 -800_032 _2944).
l, UILITII\ (, rN I UItlvr,q! 4lN_.'|
F
Building/Combination Permit
Status Issued' 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00937ISSUED: 0910212005APPLIEDz 07119/2005
EXPIRESz 0310212006VALUE: $ 250,804.00
Description Type of Construction
A.C. - Residen
Deck/Balconv
Dwellings
Garage
AC - Residential
Deck
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$4.00
$17.00
$96.00
$2s.00
Square Footage
or Bid Amount
2,399.00
112.00
2,399.00
400.00
Value
$9,556.00
$1,904.00
$229,344.00
$10,000.00
$250,804.00
Date Calculated
07t2u2005
07t2u2005
07t2u2005
07n9t200s
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ loh State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 1{
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC IVIWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtl 100'
Vent Fan
Willamalane Single Family
+ l0oh Administrative Fee
+ 7oh State Surcharge
Storm Sewer Each Addtl 100'
Amount Paid
Total Value of Project
Date Paid Receipt Number
1200500000000001036
1200s00000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200s00000000001209
r20050000000000r209
1200500000000001209
1200500000000001209
1200s0000000000r209
1200s00000000001209
1200500000000001209
1200s00000000001209
1200s00000000001209
1200s00000000001209
1200500000000001209
1200s00000000001209
1200s00000000001209
1200500000000001209
1200500000000001209
1200500000000001209
1200s00000000001209
1200500000000001209
120050000000000r209
2200500000000001213
2200s00000000001213
2200500000000001213
$100.00
$10.00
$163.54
$114.48
$306.00
$31.00
$27.00
$1,056.40
$6.00
$9.00
$r2.00
$4.00
$150.00
$106.00
$57.00
$476.75
$626.7s
$10.00
$86s.3r
$82.03
$r22.01
$66.27
$80s.70
$182.69
$80.00
$716.41
$28.00
$24.00
$1,000.00
$r.40
$0.98
$14.00
7lt9l05
8/18/05
8/18/0s
8/18/0s
8/18/05
8/18/05
8/18/0s
8/18/05
8/18/05
8/r8/05
8/18/05
8/18/05
8/18/05
8/18/05
8/18/05
8/18/0s
8/18/05
8/18/0s
8/18/05
8/18/05
8/18/05
8/18/0s
8/18/0s
8/18/05
8/18/05
8/18/05
8/18/05
8/18/05
8/18/05
9t2t05
9t2t05
9t2t0s
Fees Paid
Paee2 of 4
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
ITY
Building/Combination Permit
PERMIT NO: COM2005-00937ISSUED: 0910212005APPLIEDz 07119/2005EXPIRES: 0310212006VALUE: $ 250,804.00
Total Amount Paid $7,254.72
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
07t20t2005
07t2y2005
07t2u2005
07t2u200s
07t28t2005
07t22t2005
APP
APP
APP
LLH
TAJ
CAS
07t20t200s 07t21t2005 APP JB
Storm drainage piped to curb face
7t2212005 CAS
Approved as noted on plans
' To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Water Line: Prior to filling trench and including required testing.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Reouired Insnections
Paee 3 of4
tb.j
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00937ISSUED: 0910212005APPLIEDz 0711912005
EXPIRESz 0310212006VALUE: $ 250,804.00
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
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 will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this 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 site at all
times during construction.
7 ?Z
Contractors Signature
Page 4 of 4
225B'lfth Street
Springfield, Oregon 97 477
541-726-3759 Phone
-ity of Springfield Official Receipt
;evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001213 Date: 0910212005 1:24:38PM
Job/Journal Number
coM2005-00937
coM2005-00937
coM2005-00937
Description
Storm Sewer Each Addtl 100'
+ 7%o State Surcharge
+ 1006 Administrative Fee
Amount Due
14.00
0.98
1.40
Item Total:$16.38
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard HAYDEN HOMES llh 085291 In Person $16.38
Payment Total:
-5T638-
,"|
a
9/2t2005 Page I of I
armf,aa
Bu ilding/C ombin ation Permit
Status: Issued
225 Fifth Street SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
54 I -7 26-37 69 lnspection Line
PERMIT NO: COM2005-00937ISSUED: 08/18/2005
APPLIEDz 0711912005
EXPIRES: 0211812006VALUE: $ 250,804.00
S;TE ADDRESS: 6023 pEBBLE CT Springfield TYPE OF Single Family Residence
ASSESSOR'S PARCEL NO.: 1802033400181
TYPE OF USE: New Residential
pROJECT DESCRTpTION: Single family residence - Jasper Meadows 2nd add lot 134. SAME AS COM2005-00900
6043 Pebble Ct
Phone Number: 541-288-1081Owner:
Address:
HAYDEN ENTERPRISES INC
26225W GLACIER PL
REDMOND OR
N
in OAR
Contract89 90. You may o
Oreg on law requl res you to
adoPted by the Oreg on Utility
Contractor Type
General
Electrical
Mechanical
Plumbing
n the cen'ter. (Note
Oregon Uti
-aoo-ggz -2344)
License
92208
Expiration Date
0712912007
10t0U2006
03t2512006
02n012006
HAYDEN
Phone
541-228-1081
541-686-4151
541-672-95r0
503-363-2334
PACIFIC AIR COMFORT INC
JET MECHANICAL LLC
r16329
39237
r 58633
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Prim ary Construction TyPe
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S ubdivision Not Accepted
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
I
R-3
U
VN
3
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
I
26.00
Forced Air Gas
Gas
Electric
Path I
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,398
1,008
1,381
400
tt2
20.00
r0.10
13.80
2t.70
0.00
,|
Yes
26.00
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 712212005 CAS
lof4
OFS
Building/C ombination Permit
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
PERMIT NO: COM2005-00937ISSUED: 08/18/2005
APPLIEDz 0711912005
EXPIRES: 0211812006VALUE: $ 250,804.00
Descrirrtion Type of Construction
A.C. - Residen AC - Residential
Dech/Balconv Deck
Dwellings V Wood Frame
Garage Garage
Fee Descrirrtion
Plan Review Same As
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets l-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC IVIWMC Administration
SDC MWMC lmprovement
SDC IU'WMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtl 100'
Vent Fan
Willamalane Single FamilY
Total Value of Project
Date Paid Receipt Number
l 20050000000000 I 036
1200500000000001209
I 200s0000000000 1209
I 20050000000000r209
l 200s00000000001209
1200500000000001209
I 20050000000000 1209
I 200500000000001209
1200500000000001209
I 20050000000000 1209
I 200s00000000001209
1200500000000001209
1200500000000001209
I 200500000000001209
1200500000000001209
r 200500000000001209
1200s00000000001209
r 20050000000000 I 209
r200500000000001209
I 20050000000000 I 209
l 200500000000001209
r 200500000000001209
I 200500000000001209
1200500000000001209
I 20050000000000 I 209
I 200500000000001209
r200500000000001209
I 200500000000001209
I 20050000000000 I 209
$ Per Sq Ft
or multiplier
$4.00
$17.00
$96.00
$2s.00
Square Footage
or Bid Amount
2J89.00
I12.00
2,389.00
400.00
Value
$9,556.00
$1,904.00
$229,344.00
$10,000.00
$250,804.00
Date Calculated
07t2u2005
07t2il2005
07t2U2005
071t91200s
Amount Paid
$100.00
$10.00
$163.54
$l14.48
$306.00
$3r.00
$27.00
$1,056.40
$6.00
$9.00
$12.00
$4.00
$150.00
s106.00
$s7.00
s476.7s
$626.75
$10.00
$865.31
$82.03
$122.01
$66.27
$80s.70
$182.69
$80.00
$716.41
$28.00
$24.00
$l,ooo.00
7 t19t05
8/18/05
8/18/05
8/r8/05
8/r8/05
8/18/05
8/18/05
8/18/05
8i 18/05
8/18i05
8/18/05
8/r8/05
8/18/05
8/18/05
8/18/05
8i l8/05
8/18/05
8/18/05
8/18/05
8/18/05
8/18/05
8/18/05
8/r8/05
8/18/05
8/18/0s
8/18/05
8/r8/05
8/18/0s
8/r8/05
tees Paid
Total Amount $7,238.34
2of4
Valuation Descrirrtion I
CITY OF SPRIN FIE
Buildin g/C ombination Permit
Status: Issued
225 Fifth Street Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 lnspection Line
PERMIT NO: COM2005-00937ISSUED: 08/18/2005
APPLIEDz 0711912005
EXPIRES: 0211812006VALUE: $ 250,804.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
07t20t2005
07t2y2005
07t2y2005
07t2y2005
07t28t2005
07t22t2005
APP
APP
APP
LLH
TAJ
CAS
07t20t2005 07t2y2005 APP JB
Storm drainage piped to curb face
7t22t2005 CAS
Approved as noted on plans
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary sewer Line: Prior to filting trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Water Line: Prior to filling trench and including required testing.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
3 of 4
Reoured lnsDectlons I
FIELD
Buildin g/C ombin ation Permit
Status: Issued
225 Fifth Stree( Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2005-00937ISSUED: 08/18/2005
APPLIEDI 0711912005
EXPIRES: 0211812006VALUE: $ 250,804.00
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I have carefulty examined the completed application and do hereby certift that all
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 will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiry that only contractors and employees who are in compliance with ORS 701.005 will be
used on this 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 site
at all times durin cons 8-6<s-
Owner or Contractors Signature Date
4of4
4FnI$r€FS&r*O ' , of Springfield Official Receipt
r, evelopment Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
RECEIPT #: 1200500000000001209 Date:08/18/2005 8:2e:07AM
Job/Journal Number
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM200s-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM200s-00937
coM2005-00937
coM2005-00937
coM200s-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM2005-00937
coM200s-00937
coM2005-00937
coM200s-00937
coM2005-00937
coM2005-00937
Description
Building Permit
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Appliance Not Listed
-Mechanical Issuance Fee-
Sidewalk Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7o/o State Surcharge
+ l}oh Administrative Fee
Amount Due
1,056.40
31.00
1,000.00
306.00
28.00
12.00
24.00
9.00
6.00
4.00
27.00
10.00
80.00
716.41
626.75
476.75
182.69
805.70
82.03
865.31
10.00
122.01
66.27
150.00
106.00
57.00
I14.48
163.54
Item Total:$7,138.34
Payments:
Type ofPayment Received By
Check Number
Batch Number Number How Received Amount PaidPaid By
Check HAYDEN ENTERPRISES INC djb I 8933 In Person $7,138.34
Payment Total: $7'138.34
8/ I 8/2005 I of I
E
I
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 c
ELECTRICAL
Cify Job Number
A.
,trH:rury*TION
Date
T?A5,iTfiffi \3\Service Included
(
Permits are
not started
Suspended
Electrical Contr:futUtrr' ;
Address
1000 sq. ft. or less
or I to Each additional 500 sq. ft. or
Llii;tV ponion thereof
\ $106.00 Xhg
3 $1eoo ElYIvlts
hw requires Y
,ble
davs of e set fortr'Each Manufact'd Home or
Modular Dwelling Service or
pilont.
,{ication
$s0.00
Phone 'D)7
Supervisor License Number 3o /7-9
Expiration Date ,-o
Expiration Date /-
Signature of Supervising Electrician
Owners
Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature
[,feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Arnps
Over 600 or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
E.
oOt0throu
4 $ 63.00
$ 75.00
$125.00
$ 163.00
$37s.00
$ s0.00
City
C.
$ 50.00
$ 69.00
$ 100.00
$ 43.00
$ 3.00
City Pump or irrigation
Sigr/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
7%o State Surcharge
10% Administrative Fee
TOTAL
$ s0.00
$ s0.00
$ 2s.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
d)
Inspection Request: 726-3769
4.
Shared Drive(T:)/Building Forms/Electrical Pemit Application 1-03.doc
GT'IEI,D, ORECONCITY,OF
3.I BELOW
New per d*elling'tnit.
.ti or Relocation:
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S.ASTOTAL OFABbVE
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Services qr Feeders
Constr. Contr. Numbe, 11h 7;7
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Seruices Aivision -Cades SPBINGT .D
DEPAR (541 ) 726-3753
FAX (541) 726-3676
Notice to Permit Applicant
Soils stab tzatton re quired for s
Name of Owner
Signature
ubdivision sites
Permit: Ub6,
Address of Project:
Tax Map , \tu'08?\Tax Lot:Subdivision
The buitding site at the above address is located on property that has soils prone to shrink-swell or
other potential movement. Excavations, placement of filI materials and drainage for this site must
be done under the direct supervision of a properly licensed Professional Engineer or Architect to
veriff the stability of the resulting building pad and the site.
The owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate
professional engineer or architect (design professional). The design professional shall provide
direction for the stabilization methods to be used for the building pad (and surrounding site, when
site stabilization is also necessary). The geotechnical report, which was prepared for this
subdivision, may be utilized to provide appropriate guidance for the methods of stabilization and
required compaction for the specific site.
The engineer or architect shall prepare a report to be submitted to the City stating how the soil
stabilization is being accomplished, including requirements not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and aoproved bv thk office
before footing or foundation insoection approval will be eranted bv the Citv Buildins Inspector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil stabilization, including excavation, fill, soil compaction and drainage, as provided in the
geotechnical report for the subdivision. The stabilization will be accomplished under the
direction of a licensed professional engineer or architect as noted above.
Name Affiliation to owner
(I\r\
oate E-/t-Q\-
CITY OF SF,JNGFIELD SYSTEMS DEVELOPMEN'I I{ORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00937
NAME OR COMPANY:Homes
LOCATION 6023 Pebble Ct
TAX LOTNUMBER:180203340018t
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING LINITS
I. STORMDRA]NAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
COST PI]R S.F
$0.323
BUTLDTNG SIZE (SF. 2488 LOT SrZE (SF):
CI]ARGE
$716.41
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
25
B. IMPROVEMENT COST:
NUMBER OF DFU's
25
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SI}BTOTAL
$3,765.64
COST PER S.F
$0.323
COSTPER DFU
$25.07
$19.07
NTIN{BER OF UNITS
I
NUMBER OF T]NITS
I
ADM. FEE RATE
5o/o
DISCOT]NT RATE
5OYo
$7t6.4r
DISCOLTNT
$0.00
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CIry
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL- CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
$1,103.50
COST PER TRIP
$19.09
COST PER TRIP
$84. l9
$988.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
r.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDITIF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - IUWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$957.34
$3,765.64
CHARGE
$188.28
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
Cheryl Slaymaker 712212005
COST PER FEU
s82.03
s7t6.4l
y76.75
$182.69
$805.70
$82.03
$0.00
$10.00
122.01
$3,953.92
I 070
1091
1092
I 093
1094
I 054
I 055
1054
1056
078
aI!aoO
HFa
rl]&
COST PER FEU
$865.3 r
PREPARED BY DATE
TOTAL SDC CHARGES
I
l- rMPER\rrous sf. xI zz r s.oo
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQU]VALENT: DRAINAGE FDffURE UNITS
FOR CAICULATE ONLY THE NET ADDITIONAL
NO. OF FIXTT]RES
INIT
TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRATNAGE FD(TURE I.JNITS
toa uit set at I 67
MWMC CRf,DIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIxTURE
LTNITS
0
2
2
t979
*EDU
BEFORE 1979
1979
l 980
1981
1982
1983
I 984
I 985
1986
t987
1988
I 989
1990
l99l
1992
1993
1994
I 995
1996
1997
1998
1999
$5.29
$5.29
$5.1 I
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE / IOOO
$0.00
CREDITRATE
$5.29
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR L4]\ID (TF APPLICABLE)
x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
2001
$1.59
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
BATIITUB 2 0 3 6
DRINK]NG I.'OI]NTAIN 0 0 1 0
FLOOR DRA.IN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH /ETC.0 0 6 0
LAT]NDRY TUB 0 0 2 0
CLOTHESWASIIER / MOP SINK 1 0 3 3
CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRA]LER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF I]EADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASI] BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 3 0 3 9
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE
0
$0.00
2000
is
SPh" .iFIELE,
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
www. c i. sp ri n gfi e I d. o r. u s
March 2,2006
Jason Bush, Building Official
925 Matn Street
Lebanon, OR 97355
RE: Address Location of "Same-As" Projects
Dear Mr. Bush:
Hope everything is going well with you now that you're starting to get settled in. The
first couple of months in a new position can be fairly chaotic. Believe it or not, I can still
remember the first couple of months when I started here at Springfield. You're probably
saying to yourself, nobody can remember that far back. Anyhow, if you need me for any
assistance or have any questions, please don't hesitate to ask.
As discussed a few weeks ago, Lisa just returned to work yesterday and provided the
addresses where "same as" permits were issued. I can assure you that the plans were
stamped and signed as approved by the City of Springfield and all inspections performed
by the City. I will also place a copy of this letter in each address file of the listed
projects.
We enjoyed working with you Jason and will always wish you the best.
Sincerely,
Dave ommunity Services Manager
Cc: Bill Grile, Development Services Director
Same As Plan Reviews:
6036 Orchid - Hayden
317 30th #140,#313,#405,#409 - Brentwood
6050 Pebble - Hayden
141 & 143 Prasad - Prasad
6031 Pebble - Hayden
6039 Pebble - Hayden
6023 Pebble - Hayden
6046 Quartz - Hayden
6004 Quartz - Hayden
6030 Quartz - flayden
TOTAL: 4 Brentwoods, 8 Haydens, 1 Prasad = 13