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Home My WebLink AboutPermit Building 2001-02-16SPRINGFIELD Job# 00-01305-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1326 Wimbledon Pl Spr AssessorsMap#: 17033422 Lot: 1 Block: Addition: Job Number: 00-01 305-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00803 Subdivision: OAKTREE ctrY oF SPRiNGFiELD, OREGO^ Owner: Cozy Homes Address: P.O. Box 237 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Value: $125,901 Contractor Type GeneralContr ElectricalContr Mechanical Contr Plumbing Contr Contractor Cozy Homes P.O. Box 237, Springfield, OR 97477 DarrylBodhaine 89608 Hill Road, Springfield, OR 97478 Deans Heating PO Box 462, Cottage Grove, OR97424 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 Registration # Expiration Date 21351 412812000 1 33733 211712000 1 03570 11112001 Phone 541-747-8704 541-988-3204 541-767-0626 541-895-3758 Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Gode: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1692 To request an inspection call the 24 hour recording a1726-3769. All inspections 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 working day. Required lnspections Building I Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover Drywall FinalBuilding Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanica! Gas Service FinalMechanical SW-Curbside CC-Standard Job# 00-01305-01 Page 2 of 4 Required Inspections Buildi -Prior to taping. -when all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbing -Prior to insulation or decking. - Prior to cover or placement of concrete - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tet -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type Curbside - 5' AdditionalROW? T Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.?f] San Sewer Depth (Ft): 6 - 4 Size Of Line (in): 8 Storm Sewer Avaitable? f Downspouts/Drains: To Curb and Gutter Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 4 Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM Special lnstructions: OWNER APPLICANT RESPONSIBLE FOR EROSION CONTROL SEE Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: I Zoning: LDR FloodPlain? [ Wettands? [ Journal numbers 1: 2: Comments: Planner: Ruth Klein Urban Growth Boundary?! Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees:2 3 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA nla Job# 00-01305-01 Page 3 of4 Land Use: Single Family Dwelling Pave Driveway? Z Gtenwood Area? ! Construction Types(VN) Wood Frame Occupancy Groups : Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ (Sq. Feet) Main: 1692 Accessory400 # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units: Gensus Code:New SF - attached Total2092 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Total Plan Check 0812812000 3038 2 $80.00 $80.00 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 0211612001 0211612001 0211612001 4470 4470 4470 125,901 $491.50 $34.41 $14.75 $s40.66 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0211612001 02t16t2001 0211612001 0211612001 0211612001 4470 4470 4470 4470 4470 1 3 1 $85.00 $45.00 $40.00 $11.90 $5.10 $187.00 Plumbing Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0211612001 02t16t2001 02t16t2001 02t16t2001 4470 4470 4470 4470 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace 0211612001 0211612001 02t16t2001 0211612001 0211612001 0211612001 0211612001 4470 4470 4470 4470 4470 4470 4470 1 1 $2.00 $4.50 $.00 $.87 $6.00 $9.00 $4.50 1 3 1 Job# 00-01 305-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical DryerVent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 02t1612001 0211612001 02t16t2001 4470 4470 4470 1 $3.00 $10.00 $2.03 $41.90 Public Works New Sidewalk New Curbcut Total Public Works 02t16t2001 02116t2001 4470 4470 50 1 $60.00 $60.00 $120.00 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 02t16t2001 02t1612001 0211612001 0211612001 0211612001 02t16t2001 02t16t2001 0211612001 4470 4470 4470 4470 4470 4470 4470 4470 2,650 37 $636.00 $997.20 $507.82 $242.76 $22.05 $10.00 $119.75 $-20.86 $2,514.72 20 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC $1,000.00 $1,000.00 Grand Total Plan Check Type Checked By Date Completed Gomment lnitial Review-Res Bob Barnhart 08/30/2000 Engineering-Res Steve Templin 08/31/2000 Planning-Res Ruth Klein 09/01/2000 Structural-Res Wendy Stanley 09/13/2000 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 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each readable the street, that the permit card is located at the front of the property, and the on the site at allti during construction. $4,660.28 (r Co 00".&.1 rcl tcc\ Signature Date 0211612001 4470 1 CITY OF SPR"VGFIELD, OFEGO'U SP'IINGFIELD BACKFLOIJ PREVEMION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 FIPTH STREET SPRINGFIELD OR 97477 OFFICET INSPBCTION LINE: 726-3759 726-3769 JOB L0CArroN: / 3ZC 0P t'.qblg/r; ,t ASSESSORS MAP *: OIJNER:7 ADDRESS: ADDRESS:d x CITY:d,6u,STATE: O K CONSTRUCTION CONTRACTORS REGISTRATION *:6733 TAX LOT *: PH0NE *,?y7- gzoy Qtutl PHoNE *, 7 t'a' g Wy' ZTP 7 6s pD CITY:rNG t{11 STATE:ZIP BACKFLOII PERMIT IS $15.00 + 1.05 (STATE SURCHARGE) * $.45 (ADMIN. FEE) =$16.50 CONTRACTOR:lerz /( 6.4Ttax) EXPIRES: BY SIGNING THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THE BACKFLOV PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR II\ISPECTION (726-3769). I ALSo STATE THAT ALL INFORMATIoN 0N THIS PERMTT/APPLTCATIoN rS CORRECT. 3 -3 t-%- a-{-o/ DATE FOR OFFICE USE DATE OF APPLICATION: 7 _ €-O/ RECEIPT #: 6 JoB *. of -f ?of-o/ ISSUED BY:-{ E7 :qI*I):r:.-{ ufn m Lrffi.. :t*t5 c.-.r .".. ESl'J l-- f-r I++ {f 1:}LJ T-1 LT' f.J S., Qt3tJI (:) r:i.. TOTAL AHOI'NT COLLECTED:fa -----.9--!...{ t-frn f:;i-i -l_-) r-l:rj L!: '3m(}m \ Willamalane Park & Recreation District %%t-a SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:tt srArE: S&-z,t' Manufactured home not in a $ID Job. No.I NAME ADDRESS: LOCATION OF PROPOSED BUILDTNG SITE: & i Street Addre Plat Name:_ Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calcutations and dwelling t lpe definitions are on the back.) A. Single-Family Detachecf \ Single Family home NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attaehed X $924 per unit $ C. Multi-Family Apartment NO. OF UNTTS X $692 per unlt = $ D. Manufactured Home Park NO. OF UNITS X $699 per unlt E $ WILLAMALANE SDC 2. SDC CREDTT (lt appticable) SDOpayermust tunrlsh proot of Willamalane Credil approval. See SOC Credit Workshoet. a a $ $t00 f)3. TOTAL WILLAMALANE NET SDC ASSESSED (l{ SDC reduced (orCredt} Deve City of Se 2r,/6ta// Date NO. OF UNITS d aCITY OF OPEGOAI 225 FIFTE SIREEf, SPRINGFIEID, OREGON 97 477 INSPECf,I0N REQIIEST z 726-3769 OFFICE: 726-3759 1 JOB ts non- t rans fera and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.,ATION ONLY lElectrical Contractor SP }FIELO PBRI{IT APPLICATION City Job Nunb PBE SCEBDT'LE BELOIT A. Nev sidential-Single or MuIti-Family per dvelling unit. Service Included: Cos t s 8s.00 $ 1s.00 $ 40.00 I tems _l_ 2.J B51000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular DvelIing Service or Feeder SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL ootQre Og Sum ss 45 Supervisor License Number os Expiration Date 1D* /-aodl Constr Contr. Number Ttvr/ Exp iration Date / D * /*.2_{rDq Ci ty ng arn 0vners Name Addres Ci ty Phone ALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amPS _ 601 amps to 1000 amps_ Over L000 amps/vo1ts Reconnect 0n1y c-Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less I 201 amps to 400 anps _Over 401 to 600 amps 0ver 600 amps or 1000GTTs I oAddress $ s0.00 s 60.00 $100.00 s130.00 s300.00s 40.00 Phone j (/t / z1 +D$ $ $ sSigna 40.00 55.00 80.00 ee rtBrr a56ve not included) 40.00 40.00 20.00 36.00 Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E 5 Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ sign/outline Lighting- $ l,i.mi ted Energy/Res - $ RBCEIVED oo u) /(4 A'ITA(-TIME,NT A CITY OF SPRINGFIELD SYSTEMS DE,VELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 00-01305-01 COZY HOMES 1326 WIMBLETON PLACE 17 -03-34-22-0t326 SINGLE FAMILY RESIDENCE DWELLING UMTS:BUILDING SIZE:LOT SIZE: 9846 I. STORMDRAINAGE IMPERVIOUS SQ. FT. 2650.00 $0.240 PER SQ. FT.$636.00 2. SAMTARY SEWER-CITY NUMBER OF PFLIs 20 X $49.86 PER PFU $997.20 (SEE REVERSE SIDE) NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP I x l.0l x $502.79 PERTRIP x x $502,79 PER TRIP TOTAL TRANSPORTATION SDC $s07.82 $0.00 $507.82 B. IMPROVEMENT COST: NUMBER OF FELrs I 4. SAMTARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEIIs I $242.76 PER FEU $22.05 PER FEU TOTAL MWMC SDC $242.76 s22.0s $ 10.00 $253.95 x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE SLIBTOTAL (ADD ITEMS 1,2,3, &4) | $2,394.97 | BASE CHARGE (SUBTOTAL ABOVE)x 119.75 $2,514.72 0.05 0813U2000tlr4o DA'I'E TOTAL SDC CHARGES x 3. TRANSPORTATION Y. PLLIMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBTNG FIXTURE I.JNITS (NOTE,FOR REMODELS PLUMBING FIXTURES I.INIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UMTS BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASTYETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER. 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DIS HWASHER/ETC. SHOWER, SINGLE STALL sHowER, GANG (NLIMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN UR[NAL, STALLAilALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRTVATE INSTALLATION MISCELLANEOUS: TOTAL PLUMBING FXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEI CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE 36.598 $20.86 42 0 2 I 2 J 6 2 6 6 I 3 2 1 2 2 I 6 4 0 0 )I 0 0 0 0 2I 0 2 2 0 8 2 2 0 0 0 CREDIT TOTAL x x RATE PER $I,OOO ASSESSED VALUE YEAR ANNE)(ED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED $ 1.96 $ l.s5 $ 1.36 $ 1.23 $ 1.05 $ 0.90 $ 0.7s $ 0.57 $ 0.35 $0.15 1990 l99l 1992 1993 r994 1995 r996 1997 1998 1999 $4.74 $ 4.6s $ 4.s9 $ 4.46 $ 4.30 $ 4.14 $ 3.93 $ 3.63 $3.26 $ 2.8s $ 2.40 1979 or before 1980 198 I t982 1983 1984 1985 1986 1987 1988 1989 $20.86 $0.00IMPROVEMENT OF AFTER ANNEXATION DATE) $0.57 0 0 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1326 Wimbledon Pl Spr AssessorsMap#: 17033422 Lot:1 Block: Addition: Job Number: 00-01 305-01 Office:726-3759 lnspection Line: 726-3769 fita bhq Page 1 of4 TR*NES: il1-ilCil4e25 nrlTf . L{,4f' nr, ,-lfl!.}{UnIL,llnl\ Ua L\J\JI f;HI EE[[:]. $ 4il.0ilnuAilnr'1t n rln Lrl lnltuL . iy Lr , iU [f,rqHItft: ilfi3 4*d4-5* tkUatfiA fAs SPRINGFIELD Job# 00-01305-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Tax Lot#: 00803 Subdivision: OAKTREE ctTY oF SPRINGF7ELD, OREGON Owner: Cozy Homes Address: P.O. Box 237 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Value: $133,143 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Registration # Cozy Homes P.O. Box 237, Springfleld, OR 97477 Darryl Bodhaine 21351 89608 Hill Road, Springfield, OR 97478 Deans Heating 133733 PO Box 462, Cottage Grove, OR97424 BMC Plumbing 103570 648 W Oregon Ave, Creswell, OR 97426 Expiration Date 412812000 2t17t2000 11112001 Phone 541-747-8704 541-988-3204 541-767-0626 541-895-3758 Quad Area: # Of Units: Constr. Type: Water Heater: 1 RNW (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1692 To request an inspection callthe 24hour recording a1726-3769. All inspections 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 working day. Required lnspections Bui ldinq I Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Naiting Framing Walllnsulation -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover Drywall Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalMechanica! SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f Improvement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Job# 00-01305-01 Page2 of 4 Required lnspections Building - Prior to taping. -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. -Priortoinrulatio# - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all mechanicalwork is complete. pu blic Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM OWNER APPLICANT RESPONSIBLE FOR EROSION CONTROL SEE Types Of Warning Devices Reqd. Curbside - 5' B To Curb and Gutter 4 I Zoning: LDR FloodPlain? f] Wetlands? [ Journal numbers 1: 2: Comments: Planner: Ruth Klein Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Glenwood Area? [ 2 Additional Requirements : Required Attachments: Source Locn: Material: Flood PIain FEMA:nla Job# 00-01305-01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z Overlay District: # of Street Trees: Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? f] Area (Sq. Main: 1692 Accessory400 # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units: Census Code: New SF - attached Total2092 Fee Paid On Receipt# Value/Quantity Fee Amount Additional Plan Check Hourly Plan Review Total Plan Check Plan Check 08128t2000 3038 20 2 $20.00 $80.00 $100.00 Buildins Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Total Building 0211612001 0211612001 0211612001 4470 4470 4470 125,901 7,242 $491.50 $18.00 $34.41 $1.26 $14.75 $.54 $560.46 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 02t16t2001 0211612001 0211612001 02t16t2001 0211612001 4470 4470 4470 4470 4470 1 3 1 $85.00 $45.00 $40.00 $11.90 $5.10 $187.00 Plumbing Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 02t16t2001 0211612001 02t16t2001 02t16t2001 4470 4470 4470 4470 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 02t16t2001 02t16t2001 02t16t2001 4470 4470 4470 1 1 $4.50 $2.00 $.00 3: Job# 00-01305-01 Page 4 of 4 Fee Paid On Receipt# Value/euantity Fee Amount Mechanical Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 02t16t2001 02116t2001 02116t2001 02t16t2001 02t16t2001 0211612001 02116t2001 $.87 $6.00 $e.00 $4.50 $3.00 $10.00 $2.03 $41.90 4470 4470 4470 4470 4470 4470 4470 1 3 1 1 Public Works New Sidewalk New Curbcut Total Public Works 02116t2001 02t16t2001 4470 4470 $60.00 $60.00 $120.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development 02116t2001 02t16t2001 02t16t2001 02116t2001 0211612001 0211612001 0211612001 0211612001 $636.00 $997.20 $507.82 $242.76 $22.05 $10.00 $1 19.7s $-20.86 $2,514.72 4470 4470 4470 4470 4470 4470 4470 4470 2,650 20 1 1 1 1 37 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDG 02t16t2001 4470 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Date Completed Comment Bob Barnhart 08/30/2000 Steve Templin 08/31/2000 Ruth Klein 09/01/2000 Wendy Stanley 09/13/2000 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 701.055 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 $4,700.08 5- 7 - O/ Signature on the site at alltimes during construction. Date 50 1 Feb 23 O I 08: 12a Kev i n I'1. PeBenson (5.11I 688-30eO P.? 0wen Grouer Engheeling P.G. 1050 Bethcl Dr. Suite # D 4 Eugcne, Oregon 9740? (541) 688-3020 Febrrrary 23,2041 Express Companies P.0. Box 2&21 Eugcnc, OR 97402 Re: 1326 Wimbledon. Sfringfield. OR - Permit #01-01305-01 - .tob # 01037 As you rcqucstcd, a compaclion inspcction of thc Byavcl undcr thc proposcd tbundation was perlbrmed at the above no(ed site on Fcbnury 22,2001. iu prcparation for tlle coflstruction involving lbundations for thc propo*tl rcsidence. The exurvution involved the placcmcnt of %" minus cnrshcd river rock. Thc dcpth of thc frll is a minimum ot'4" and is comprctcd to a minimumdcnsity of 90o/o of a modificd proctor. Sitc was prool rolled with u fully loaded dump truck (load ticket of over l0 tons) aud no pumping or excessive defler:tions were noled. Thc fill::-s prepaucd is adequate to support the proposcd rcsid cntial tbundation Thank you hr this opprrtunity to bc ol'scrvicc. Ifyou have any questions please dot't hcsitatc lo call rr*- at (541) 688-3020 Vrry truly yours Owcn Crovcr P.ll. En*w fia-01 ol