The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-01-22Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2006-00566ISSUED: 0112212007APPLIED: 05/1512006 EXPIRESz 0712212007VALUE: $ 341,442.00 SITE ADDRESS: 966 Summit Bv Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703341106301 TYPE OF USE: New Residential PROJECT DESCRIPTION: Singte family residence - Emerald Heights lot I MARK PHELPS 1722 LONG ISLAND DR EUGENE OR 9740I PhoneNumber: 425-422-5227Owner: Address: Contractor Tvpe General Electrical Low Voltage Electrical Mechanical Contractor ANSLOW & DEGENEAULT INC GOOD CONNECTIONS DIVERSTFIED ELECTRONICS MARSHALLS INC License 49169 160508 144685 25790 Expiration Date 10fi6t2008 07t0U2008 06t23t2008 12t2312009 Phone 503-484-0070 541-434-6491 541-484-9078 541-747-7445 # 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 U VN 896 1,413 789 5r7 500) r9.00 8.60 6.80 20.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Hillside ) Yes 34.50 REQUIRED PARKING Total: 2 Handicapped: Compact: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page 1 of5 **5 LUN l r(AL r uK rN-r 9I!1vl4_!_!uNl I, U tl.]l-rll\ U t l.l r! \J-[UYIA I llrt\ | # ofStories: 3 Height of Structure 42.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Sprinkled Building: nla Street Improvements: partially lmproved Sidewalk rype: curbside 5' Storm Sewer Available: Yes Downspouts/Drains: Curb and Gutter Special Instruction: Notes: S/W 2.5' Wide, storm drainage piped thru easement to Sunset daylight at curb face 5/2012006 CAS Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2006-00566ISSUED: 0112212007APPLIED: 05/1512006 EXPIREST 0712212007VALUE: $ 341,442.00 Description A.C. - Residen Deck/Balcony Dwellings Garage Tvpe of Construction AC - Residential Deck V Wood Frame Garage $ Per Sq Ft or multiplier $4.00 $18.00 $99.00 $26.00 Square Footage or Bid Amount 3,098.00 s00.00 3,098.00 517.00 Value $12,392.00 $9,ooo.oo $306,702.00 $13,442.00 $341,536.00 Date Calculated 06n6t2006 05t19t2006 05fi5t2006 05t15t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Encroachment Permit Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Gas Fireplace Gas Outlets l-4 Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Amount Paid Total Value of Project Date Paid Receipt Number 1200600000000000648 r200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 r200600000000001454 r200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 12006000000000014s4 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 r 200600000000001454 1200600000000001454 r200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 1200600000000001454 12006000000000014s4 1200600000000001454 1200600000000001454 $834.54 $10.00 $223.09 $162.0r $306.00 $31.00 $6.00 s12.00 $1,352.15 $80.00 $130.00 $9.00 $205.75 $15.00 $1s.00 $12.00 s198.00 $44.36 $-30.00 $106.00 $76.00 $s33.96 $701.96 $r4.00 $10.00 s865.31 $82.03 $133.45 $6s.12 $805.70 $182.69 $80.00 $789.74 5n5t06 9t27t06 9t27t06 9t27t06 9t27106 9t27t06 9t27t06 9t27t06 9t27t06 9t27t06 9t27t06 9t27t06 9t27t06 9t27t06 9t27t06 9/27t06 9t27t06 9t27t06 9t27t06 9t27t06 9t27106 9t27106 9t27t06 9t27t06 9t27106 9t27t06 9t27106 9t27t06 9/27t06 9t27t06 9t27t06 9t27106 9t27t06 Fees Paid Paee 2 of 5 Valuation Descrintion I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00566ISSUED: 0112212007APPLIED: 05/1512006 EXPIRES: 0712212007VALUE: $ 341,442.00 Storm Sewer Each Addtl l00' Temp Power 200 amps or less Vent Fan Willamalane Single Family + lOoh Administrative Fee + 57o Technology Fee + 8%o State Surcharge Low Voltage - Residential Minimum/Adj ustment Electrical Total Amount Paid $28.00 $s0.00 $24.00 $1,000.00 $4.50 s2.25 s3.60 $25.00 $20.00 9t27t06 9t27106 9t27/06 9t27t06 y22t07 u22t07 U22/07 U22/07 U22/07 1200600000000001454 r200600000000001454 r200600000000001454 1200600000000001454 3200700000000000032 3200700000000000032 3200700000000000032 3200700000000000032 3200700000000000032 PIan Reviews Initial Review LDAP Review Public Works Review 05/16t2006 06n5t2006 LDAP is at the front counter and ready to issue. LDAP to be issued concurrently with Building Permit. On hold to work on height issue. Emailed the designer James on 5/30/06. A building height of 33'8" allowed per the requirements of the Hillside district SDC26.080(3). Property is solar exempt based on 357o slope. Revised plan shows wall outside PUE Okay Now Rockery retaining wall must be moved out of PUE. 61 1412006 CAS Encroachment permit required for new storm line thru easement to Sunset Dr; fee added to building permit application must still be filled out; sanitary stub exisitng 5/2012006 CAS Planning Review 05n9t2006 05/30/2006 WE TAJ Planning Review 06/08/2006 06/08/2006 APP TAJ Structural Review 05n9t2006 0611212006 OK RWC To Request an inspection call the 24 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. 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Pase 3 of 5 05n912006 06n5t2006 APP APP LLH VRJ 0sn9t2006 05t20/2006 APP CAS leouired Insnections I $9,219.21 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line CITY F Building/Combination Permit PERMIT NO: COM2006-00566ISSUED: 0112212007APPLIED: 05/1512006 EXPIRESz 0712212007VALUE: $ 341,442.00 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. Roofing: Prior to installing any roof covering. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. Paee 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00566ISSUED: 0112212007APPLIED: 05/1512006 EXPIRESz 0712212007VALUE: $ 341,442.00 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 Seruices 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. Owner or Contractors Signature Date Page 5 of 5 ,.5 ,.&sts*rcd{3Fiel.s F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2006-00566ISSUED: 0912712006APPLIED: 05/1512006EXPIRES: 0312712007VALUE: $ 341,442.00 SITE ADDRESS: 966 Summit Bv Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703341106301 TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Emerald Heights lot I Phone Number: 425-422-5227Ownen Address: Contractor Type General Electrical Mechanical MARK PHELPS I722 LONG ISLAND DR EUGENE OR 9740I Contractor ANSLOW & DEGENEAULT INC GOOD CONNECTIONS MARSHALLS INC License 49169 160508 25790 Expiration Date l0/r612008 07/01/2008 12t23t2009 Phone 503-484-0070 541-434-6491 s4t-747-7445 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 Setbackr Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available Special Instruction: I R-3 U VN ) 896 I,4t 3 789 517 500 nla Occupant Load: rport b\ PARKING )19.00 8.60 6.80 20.00 0.00 Overlay Dist: # Street Trees Paved oh of Lot otso Partiallv Improved Yes uts/Drains: Curbside 5' Curb and Gutter Notes: S/W 2.5' Wide, storm drainage piped thru easement to Sunset daylight at curb face 512012006 CAS Page I of5 I'U rLurl\U U'! r l-,r(ry!-A I l(,N-.l OB \S PEB\OD Floor: rulet rvFs6 DEVULUfMI,N I INTUK1VIATTUI\ I $r SPRIN FIE Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00566ISSUED: 0912712006APPLIED: 05/1512006 EXPIRES: 0312712007VALUE: $ 341,442.00 Valuation Descrintion 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 $18.00 $99.00 $26.00 Square Footage or Bid Amount 3,098.00 500.00 3,098.00 517.00 Value $12,392.00 $9,000.00 $306,702.00 $13,442.00 $341,536.00 Date Calculated 06n612006 05n912006 05/l 5/2006 05n5t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/" Administrative Fee + 8%o State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Encroachment Permit Exhaust Hoods Fire SF Fee - Residential Furnace - more than 100,000 Gas Fireplace Gas Outlets l-4 Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl 100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Amount Paid Total Value of Project Date Paid Receipt Number r200600000000000648 r200600000000001454 12006000000000014s4 r200600000000001454 1200600000000001454 12006000000000014s4 1200600000000001454 1 2006000000000014s4 I 200600000000001 454 I 200600000000001454 I 200600000000001454 r200600000000001454 1200600000000001454 l 200600000000001454 1200600000000001454 l 20060000000000 I 454 1200600000000001454 1200600000000001454 1200600000000001454 l 20060000000000 I 454 I 20060000000000 I 454 1200600000000001454 12006000000000014s4 1200600000000001454 l 200600000000001454 1200600000000001454 r200600000000001454 1200600000000001 4s4 1200600000000001454 1200600000000001454 l 200600000000001 454 1200600000000001454 l 20060000000000 I 454 $834.54 $10.00 $223.09 $162.01 $306.00 $31.00 $6.00 $ 12.00 $l,352.15 $80.00 $130.00 $9.00 $205.75 $15.00 $1s.00 $ I 2.00 $198.00 $44.36 $-30.00 $106.00 $76.00 $s33.96 $701.96 $14.00 $10.00 $86s.31 $82.03 $133.45 $65. l 2 $805.70 $182.69 $80.00 s789.74 sn5t06 9t27t06 9t27t06 9t27106 9t27106 9t27106 9t27106 9t27t06 9t27 t06 9t27 t06 9t27 t06 9t27t06 9t27t06 9t27106 9t27 t06 9t27/06 9t27t06 9t21106 9t27t06 9t27t06 9t27t06 9t27t06 9t27106 9t27106 9t27t06 9t27106 9t27t06 9t27106 9t27t06 9t27t06 9t27 t06 9t27106 9t27t06 Fees Paid Page 2 of5 - OFS Building/Combination Permit Status Issued 225 Fillh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2006-00566ISSUED: 0912712006APPLIED: 05/1512006EXPIRES: 0312712007VALUE: $ 341,442.00 Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid $28.00 $s0.00 $24.00 $1,000.00 9t27/06 9127106 9t27t06 9t27t06 1200600000000001454 1200600000000001454 1200600000000001454 r200600000000001454 $9,163.86 Plan Reviews Initial Review LDAP Review Planning Review Planning Review Public Works Review Structural Review 05n6t2006 06n5t2006 05n9t2006 06n5t2006 APP APP WE APP APP LLH VRJ 05n912006 05/30/2006 TAJ 06/08/2006 06t08t2006 TAJ 05n9t2006 05t20t2006 CAS 0sn9t2006 06n2t2006 OK RWC LDAP is at the front counter and ready to issue. LDAP to be issued concurrently with Building Permit. On hold to work on height issue. Emailed the designer James on s/30/06. A building height of 33'8" allowed per the requirements of the Hillside district SDC26.080(3). Property is solar exempt based on 357o slope. Revised plan shows wall outside PUE Okay Now Rockery retaining wall must be moved out of PUE. 6l I 412006 CAS Encroachment permit required for new storm line thru easement to Sunset Dr; fee added to building permit application must still be filled out; sanitary stub exisitng 5/20/2006 CAS To Request an inspection call the 24 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. 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. Reouired Insnections Page 3 of5 Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00566ISSUED: 0912712006APPLIED: 05/1512006 EXPIRES: 0312712007VALUE: $ 341,442.00 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. Roofing: Prior to installing any roof covering. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Electric Service: Approval required prior to utility company energizing service. Paee 4 of5 LI &I$;ftf*fiiFlffi"# Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line ITY Building/Combination Permit PERMIT NO: COM2006-00566ISSUED: 0912712006APPLIED: 05/1512006 EXPIRESz 0312712007VALUE: S 341,442.00 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 Cify 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 Communify 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. /-z-7- p A Owner atu re Date Page 5 of5 CITY OF SPxINGFIELD SYSTEMS DEVELOPMEN-I .,ORKSHEET JOURNAL OR JOB NUMBER: COM2006-00566 NAME OR COMPA}IY Mark LOCATION 966 Summit TAX LOTNUMBER:170334t 106301 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELL]NG UNITS I. STORMDRA]NAGE DIRECTRUNOFF TO CIry STORM SYSTEM BUTLDTNG SIZE (SFl 3098 LOT SZE (SF): C}IARGE $789.74 7080 IMPERVIOUS S.F x 2445.00 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NUMBER OF DFU's 28 B. IMPROVEMENT COST: NUMBER OF DFU's 28 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 SUBTOTAL $3,971.39 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $19.07 NI]MBER OF TINITS I NUMBER OF LNITS I ADM. FEE RATE 5Yo DISCOUNT RATE 5OYo s789.74 DISCOUNT $0.00 x x x x x x x x x ITEM I TOTAL- STORM DRAINAGE SDC 2. SANITARY SEWER- CITY A. REIMBT]RSEMENT COST: ITEM 2 TOTAL - CITY SAI\IITARY SEWER SDC 3. TRANSPORTATION A. REIMBLIRSEMENT COST: xxCOST PER TRIP $19.09 COST PER TRIP $84. l 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 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 CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATryE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $957.34 $3,971.39 CHARGE $ 198.57 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker st2012006 235.92 s789.74 $533.96 $ $805.70 $86s.31 $r0.00 133.45 t2 69.96 I 070 I 09t 1092 I 093 1094 I 054 I 055 1054 l0s6 0'19 078 a trlo O &rrlFa H COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FD(TURES x UN]T EQUIVALENT: DRAINAGE FXTURE UNITS CALCUIATE ONLY T}IE NET ADDITIONALFOR NO. OF FIXTURES DRAINAGE FD(TTIRE TINITS 0 2 1979 TINIT FIXTURE TYPE MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE T]NITS lsa loa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE NEW OLD ALENT 20 *EDU BEFORE I979 t979 1980 1982 1984 I 986 1987 1988 t989 l 990 l99l r992 1993 1994 I 995 1996 \997 1998 '1999 $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $1.+o $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 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 CREDIl'FOR LAND (IF APPLICABLE) 2 l98l 1983 x1985 VALUE / IOOO $0.00 CREDITRATE $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CRE,DIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 3BATHTUB103 0 0 1 0DRINKING FOUNTAIN 0 0 3 0FLOORDRAIN 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC. LATINDRY TIIB 0 0 2 0 3CLOTHESWASHER / MOP SINK 1 0 3 0 0 b 0CLoTHESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 1 0 3 3RECEPTOR FOR COM. SINK / DISHWASHER / ETC. SHOWER SINGLE STALL 2 0 2 4 SHOWE& GANG (NTA{BER OF HEADS)0 0 2 0 1 0 3 3SINK: COMMERCLAL/RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR 0 0 2 0 bSINK: WASH BASIN/DOUBLE LAVATORY 3 0 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL / WALL 0 0 5 0 6 0TOILET, PTIBLIC INSTALLATION 0 0 2 0 3 bTOILET, PRIVATE INSTALLATION YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 00 2000 200'l 225 FIFTH STREET . SPRINGFIELD, OR 97477 c PH:(541)726-3753 o FAX E LECTRI CAL PERM IT APPLICATI ON City Job Number Ut .S\oU 3 LEGAL DESCRIPTION : (541)726-3689 Date q t'"|Stttrr D\oBb\ JOB DESCRIPTION Permits are and expire if work ts not started within 180 days of issuance or if work is Suspended for 180 days. , Contractor Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or 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 8% State Surcharge l0% Administrative Fee TOTAL $106.00 $ 19.00 $50.00 Ciry s .\}\. 5tZ7 B. C D E. $ 63.00 $ 7s.00 $ 125.00 $163.00 $37s.00 $ s0.00 16 Installation, Alteration or Relocation 200 Amps or less \ $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension One Circuit $ 43.00 $ 3.00 Each Additional Circuit or Service or Feeder \t 5D cI) Constr, Expiration of Supervising Electrician Owners Name Address City fi.mmP,- \-- OWNER INSTALLATION Phone $ 50.00 $ 50.00 $ 25.00 $ 45.00 a The installation is being made on property I own which is not intended for sale, lease or rent. Owners Permit Inspection Fee is $45.00 * Surcharges ROo. Inspection Request: 726-3769 4. Shared Drive(T:)/Building FormsiElectrical Permit Application 1-06.doc t)4 ***'**ffi,gp''$ l. I.0cA??slrorrtf,s?a.LI,Arrorr FEE SCruEDT]LE BELOW A. .Ncw RcsiOeirtiat * Sfugfa or *{ufti-f,'amily per drvelling unit. &sffi, TrfU!qu tt\$,C\ t tC) .Ennu Dper b\..r C O NT RA CT: O R INS TilL I-A T' Onf,S*rrtces orr,Fesdrrs ; Installation. Altu'ations or lldrcatiuu included) -Each lnstallation APABOVE i.: SbP 4.Ao ORTCONw 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit rf Springfield Official Receipt Dr, ropment Services Department Public Works Department RECEIPT #: 1200600000000001454 Date: 0912712006 ll:30:2eAM Job/Journal Number coM2006-00s66 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00s66 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00s66 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 r.DP2006-00072 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) Encroachment 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 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - more than 100,000 Boiler/Comp Up To 100,000 btu Exhaust Hoods Gas Outlets 1-4 -Mechanical Issuance Fee- Sanitary Sewer Each Addtl 100' Vent Fan Appliance Vent Gas Fireplace Building Permit Plan Review Residential + 87o State Surcharge + l\oh Administrative Fee LDAP Short Form Impacted New Amount Due 3l.00 I,000.00 50.00 205.7 5 80.00 80.00 (30.00) r 30.00 789,74 701.96 533.96 t82.69 805.70 82.03 865.31 10.00 133,45 65.12 r 98.00 r 06.00 76,00 306.00 28.00 I 5.00 12.00 9.00 r 2.00 10,00 14.00 24.00 6.00 r 5.00 I,352.15 44.36 162.01 223.09 600.00 $8,929.32Item Total: Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid cReceint I Page I of2 6868 9t2712006 CreditCard Check MARK PHELPS MARK PHELPS djb djb 079603 In Person In Person Payment Total:s8,929.32 $8,000.00 s929.32 tlwrS,rr ST!RINGFIELD Report lD:SPRA103 Voucher lD : Handling Code : City of Springf;'"ld Voucher 00090972 RE Robert Darren and Tamey Renken 1045 Oak Meadows Place Sprngfield, OR 97477 Accounting Date : Vendor Number : lnvoice Date : lnvoice # : Approver : Operator : Gross Amount : Proi/Grant June 3, 2005 000001 2465 June 2, 2005 TL1 703341 i 6301 Puent,David MARX5B35 588.61 Amount sBB.61 Description Refund 425602 224 00000 2005 Comments:po lette, ctaled 6t2l05, a request for refund was submitteC, -7Oo/o of plan review fee - Total Refund - $588.61 Tax Lot $17 03 34 11 6301 located on Summit Blvd. in Springfield Account Fund O1g SubClass BY @tu, C6 - i "tol ^vq SPRTNGF]ELD ;":'^:: : '1 .*='-1.,,,,t,,',.., Afr, ZON IN]TIALS DATE --s=ll-_ <:.-7 225 FIFTH STREET o SPRINGFIELD,OR|T4TT r PH:(541)726-3753 o FAX: (541)72G3689 ELECTRICAL APPLICATION City Job Number 6- /a- )tozDate Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 40kufrcE6oo Amps 3. /+ R/t/fu LEGAL DESCRIPTION ?/t 6Q3o/ JOB DESCRIPTION S Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. 02NTRACTOR TNSTALIATION ONLY . Electrical Contractor o Address Li OUJ -t ts ciry E dC €pe vnore 17 L/-L fr/ Supervisor License Number -70f/-g Expiration Date i0 -/-o7 Constr. Contr. Number /L o 5-o( Expiration Date 1-i'o 7 Signature of Supervising Electrician Owners Name Address Ciry CZ Phone Nerv Residential - Single or l\{ulti'Fantily perA. /0Q 1?Ll $ 19.00 $106.00 $50.00 Installation, Alteration or Relocation 200 Amps or less $ 50'00 201,Amps to 400 Amps $ 69.00 t{89tr X8.l&'N01 D. RIOD or with Service or Feeder Permit Pump.or irrigation Sign/Outline Lighting Limited EnergyResidential Limited EnergyiCommercial OR $ 43.00 $ 3.00 Installation $ 50.00 s s0.00 $ 2s.00 $ 45.00 E. , N{isceltaneous (Service/feeder not included) -Each 524 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minim,um Electric Permit lnspection Fee is $45.00 * Surcharges"';'""';;;;;;;;;;; E2-: at";,*" surrtarge - ,7:Yl0%oAdministrativeFee -,r*5%TechnologyFee /'X' a l,rHaaz-gb,otntrno.* Driv(T:)/Buirding Fonns/El!.ctricat y'elfiit epprication 846.docInspection Request: 726'37 69 SOURCE COMPLETE FEE SCHEDULE BELO$TOF INSTALLATION: *z ca\\ino C. TemP#ffir Relocation:AlterationsInstallation,B. Services or Feeders - or Feeders 200 Amps or 4et a)2+- -))-o'r ,u5 225 FIFTH STREET o SPRINGFIELD, OR97477 o PHz($l)72G3753 o FAX: (541)726-3689 Cify Job N Date I ;'jE: If.::' I P?L;.,:trii,trI/ 7 ,.q60 3. LEGAL DESCRIPTION 11tl3 sl tt otp 3o I JOB DESCRIPTION ad/aPruDlre/ Permits are non-transferable and expire if work is not started within ! 80 days of issuance or if rvork is Suspcnded lirr {80 rlavs ) Electrical Contractor Address f)l5L^-\,(.:onJ E.#c- Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Du,elling Seruice or Feeder' ( .i;J, ,c 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 A. B. $106.00 $ 19.00 $.r0.00 City Phone +8+cio7& $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 $ s0.00 s 69.00 $ r 00.00 $ 43.00 $ 3.00 Supervisor License Number 3aqaLEA Expiration Date 1O--ol- oJ Constr. Contr. Number i c+q-ta t* 5 Expiration Date r*-23 -ZaaL\ \drversified E Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. I,,,. i:: New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial #1 Address \-1 City ,o,Ltts5)y)e -S))1 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: E. $ 50.00 $ s0.00 t v4t.oo 4{, " " 45.00 Fee is $45.00 +Minimum Electric Permit 8% State Surcharge l0% Administrative Fee TOTAL ' ., c1)4. t+C. tf>2 T- bL' fr65 B:;Tlnspection Request: 726-37 69 Shared Drive(T:/Building Forms/Electrical Permit Application l-06.doc ,JM: t..oz'*- tTqoa--.8- C. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cttv of Springfield Official Receipt - elopment Services Department Public Works Department RECEIPT #: 3200700000000000032 Date: 0112212007 l:57:37PM Job/Journal Number coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 coM2006-00566 Description Low Voltage - Residential Minimum/Adj ustment Electrical + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 25.00 20.00 2.2s 3.60 4.50 Item Total:$ss.35 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Numtrer Number How Received Amount Paid CreditCard ALAN WOOSTER/DIVERSIFIED njm 065673 Fax $s5.35 Payment Total:$ss.35 cReceintl Page I of I U2212007