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Home My WebLink AboutPermit Building 2004-08-27Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0811412005VALUE: $ 300,624.00 SITE ADDRESS: 20l52nd St 2017 Springfield TYPE OF WORI(: Duplex ASSESSOR'S PARCEL NO.: 1703262400600 TYPE OF USE: New PROJECT DESCRIPTION: Duplex. electric contr change to Big C Electr. 111704db Owner: Address: Contractor Type General Electrical Landscape Mechanical ANDERSON WILLIAM H 92980 PASCHELKE RI) MARCOLA OR 97454 Residential PhoneNumber: 541-933-2171 to Phone 541-954-9264 541-343-7297 s41-34s-5408 541-726-0100 541-607-9208 CONTRA( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: ,, R-3 VN # of Stories:Oenter , Height of Structure 23.00 Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: nla Overlay Dist: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,392 1,536 1,444 1,040 Dryrvell - Provide Drywell Engineering 6 17.70 20.00 26.00 17.70 23.00 7 Yes \t1 REQUIRED PARKING Total: Handicapped: Compact: 4 LLE 24.90 ,,D Nt.,U" Gravel yes Storm drainage to engineered drywell. Sidewalk Type: Downspouts/Drains: Notes: Page I of4 l.X Contractor HIATT CONSTRUCTION Date the 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004EXPIRES: 08/1412005VALUE: $ 300,624.00 Description Dwellinss Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,980.00 1,040.00 Yalue $275,352.00 $25,272.00 $300,624.00 Date Calculated 08t06t2004 08t0612004 Amount Paid Total Value of Project Date PaidFee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Dryer Vent Exhaust Hoods Ileat Pump Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) + l0%i Administrative Fee + 7o/o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 + l0o/o Administrative Fee + 7%o State Surcharge Backllow Device Minimum/Adj ustment Plumbing Receipt Number 1200400000000001 r9r 1200400000000001279 1200400000000001279 1200400000000001279 120040000000000r279 1200400000000001279 r200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 120040000000000r279 1200400000000001279 1200400000000001279 r200400000000001279 1200400000000001279 1200400000000001279 120040000000000r279 r200400000000001624 1200400000000001624 1200400000000001624 1200400000000001624 1200500000000000188 1200500000000000188 1200500000000000188 1200500000000000188 $792.29 $r0.00 $219.69 $153.78 $508.00 $62.00 $16.00 $1,218.90 $12.00 $18.00 $24.00 $103.00 $212.00 $114.00 s237.64 $312.52 $10.00 $865.31 $82.03 $79.74 $69.71 $772.49 $175.13 $s33.82 $50.00 $24.00 $924.00 $32.60 $22.82 $212.00 $114.00 $4.50 $3.15 $28.00 $17.00 8t6104 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27lO4 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27104 8127104 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 tut1t04 tut7t04 tut1t04 tut7t04 2n4t0s 2n4t05 2n4t05 2n4t05 Fpes Paid Paee2 of 4 I Valuation Descriotion I 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004EXPIRES: 0811412005VALUE: $ 300,624.00 Total Amount Paid $8,034.12 Plan Reviews Initial Review Planning Review Public Works Review 08t09t2004 08/09/2004 APP LLH Credit given for one half of duplex for Willamalane SDC due to single family residence being demolished in 312004 under permit numberCOM2004-00290 Meets MDR density 8llll2004 - Storm drainage to be directed to drywell. Drywell to be sized in accordance with City standard drawing 4-19. - MS 08t09t2004 08t09t2004 08/18/2004 08nu2004 APP APP TAJ MS Structural Review 08t09t2004 08/24t2004 WE DLM 8llll2004 - Paving shall only extend to the property line. - MS Need documentation for loads on beams, girder trusses to verify footing sizes. Contacted designer 8124, Contacted contractor 8/25 dlm. Received truss drawings from contractor 8/24 dlm See Documents for plan review comments. Structural Review 08t24t2004 0812712004 APP DLM To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witt be made the same working day, inspections requested after 7:00 a.m. will be made the following \ryork 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. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Paee 3 of4 I fnsnecfions r\ 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0811412005VALUE: $ 300,624.00 Rough Plumbing: Prior to cover 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. Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on IiIe. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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. 2 *t'to Yr--- or Contractors Signature Date Pase 4 of 4 tr'L t 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200500000000000188 Date: 0211412005 1:23:58PM Job/Journal Number coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 Description Backllow Device Minimum/Adj ustrnent Plumbing + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 28.00 17.00 3.15 4.50 Item Total:$s2.65 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check DUCKWORTHS NURSERY djb 34s3 In Person Payment Total:-Ts2-6-t$52.65 2/1412005 Page 1 of I s*rHilFl*e 22SIIFIHSTR.EET . SPRINGFIELD,OR 97477 o PH:(541)726-3753 o tAX: (541)726-3689 City Job Numberddr'-r Zo on ._o<) 9'7 L Utz 2,/n.:+ Job Location Assessors ao3 z6'z Tax Lot --)20/ \ L^J DO OO l)f./+ CCnclz.,l->Owner P-a /).n /73 ?fY- ,z (7 Address City (,. ltt State lA - Zip 1"/77 (1t< C)rfl#cOrp{ tE{(1l-( e..1 {-)rp{(1fF{t-{() F-i () C)rF{ C.) Q ,-1)-{ BACKFLOW PERNIIT IS $52.65 (in cludes Permit Fee, Stafe Surcharge & Administrative Fee) Co ntra cto r I nforrn ati on Contractor /,"4,*-n " 2 $aY the Y*9 ut,//r.5:7ag City ez'(,be(tor the gjz: zip Construction Contractors Registration* / Z " 1r Expires *- 3z-oa- r You a\\\n9 a By signing this permit/application, I agree to call for an inspection once the backflow prevention devise has been installed and is visible for inspecti on (726-3769). I also state that all information on this permit/application is correct. 2 _7c7_ Ozr S For Use ,-1l-{ (.) () L.t Fr Bc#\.tt-iVt-t ()d m Z-(L(-o)--tDate of Application Shared Drive (T:)r'Building Foms/Backflow Preventionl-03.drc flry oF SPRINGFIELD; OREGON 27./c_r \\CI't \C g1 \\\S t0R 0$ \s0 .- Checked for Delinqu "n"i"" y'-Checked for Historical Status Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0811412005VALUE: $ 300,624.00 SITE ADDRESS: 2015 2nd St 2017 Springlield TYPE OF WORI(: Duplex ASSESSOR'SPARCELNO.: 1703262400600 TYPE OF USE: New PROJECT DESCRIPTION: Duplex. electric contr change to Big C Electr. 111704db Residential PhoneNumber: 541-933-2171 Expiration Date Phone 541-954-9264 541-343-7297 541-345-5408 541-726-0100 541-607-9208tollowrules Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo of Lot Owner: Address: ANDERSON WILLIAM H 92980 PASCHELKE RI) MARCOLA OR 97454 Contractor Type General Electrical Landscape Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy GrouP: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor HIATT CONSTRUCTION LLC REYNOLDS ELECTRIC DUCKSWORTH License 147084 I requires the COMFORT FLOW KEVIN MARK COHEN 17.70 20.00 26.00 17.70 23.00 ""ltffqt ,t,\\1 SHN PER ANY 180 2 R-3 VN Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARIilNG Total: 7,392 1,536 1,444 1,040 4 Drywell - Provide Drywell Engineering 6 Electric Electric Path I nla Gravel Yes Storm drainage to engineered drywell. CONTRACTOR INFORMATION arficrll Notes: Paee I of4 Downspouts/Drains: rules utd\tY lst Floor: Yes l-[! v llli(rrryll,N I lI\ r' (rr(rYrA r rur\ \\1 ) R1 H\g Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004EXPIRES: 08/1412005VALUE: $ 300,624.00 Description Dwellinss Garage Tvne of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,980.00 1,040.00 Value $275,352.00 $25,272.00 $300,624.00 Date Calculated 08t06t2004 08t06t2004 Amount Paid Total Value of Project Date PaidFee Description PIan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Dryer Vent Exhaust Hoods Heat Pump Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC IUWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) + l0%o Administrative Fee + 77o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 + l0%o Administrative Fee + lYo State Surcharge Backllow Device Minimum/Adj ustment Plumbing Receipt Number 1200400000000001191 1200400000000001279 r200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 120040000000000r279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 120040000000000r279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001624 1200400000000001624 1200400000000001624 1200400000000001624 1200s00000000000188 1200500000000000188 1200500000000000188 r200500000000000188 $792.29 $r0.00 $219.69 $153.78 $s08.00 $62.00 $16.00 $1,218.90 $r2.00 $18.00 $24.00 $103.00 $212.00 $rr4.00 s237.64 $312.52 $10.00 $8653r $82.03 $79.74 $69.71 $772.49 $17s.r3 $s33.82 $50.00 $24.00 $924.00 $32.60 s22.82 $212.00 $1r4.00 $4.s0 $3.15 $28.00 $17.00 8t6t04 8t27t04 8127104 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27104 8t27t04 8t27t04 8t27tOA 8t27tO4 8t27t04 8t27104 8t27104 8t27t04 8t27t04 8127t04 8t27t04 8t27t04 8t27t04 tut7t04 tut7l04 tut1to4 rur7l04 2n4t05 2n4105 2n4105 2n4t05 tr'pes Prid Pase2 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 Building/Combination Permit PERMIT NO: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004EXPIRES: 0811412005VALUE: $ 300,624.00 + l0Vo Administrative Fee + 7%o Stzte Surcharge Fixture Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid $8.40 $5.88 $84.00 $219.36 $288.48 $2s.39 $8,665.63 2nst0s 2fist0s 2lt5t05 2lts,t05 2lt't0s 2lt5t0s 1200s00000000000202 1200s00000000000202 1200s00000000000202 1200s00000000000202 r200s00000000000202 1200s00000000000202 Plan Reviews Initial Review Plannine Review Public Works Review Structural Review Structural Review 08t09/2004 08t09t2004 08n8t2004 08nU2004 08t09t2004 08t09t2004 APP LLH Credit given for one half of duplex for Willamalane SDC due to single family residence being demolished in 312004 under permit numberCOM2004-00290 Meets MDR density 8llll2004 - Storm drainage to be directed to drywell. Drywell to be sized in accordance with City standard drawing 4-19. - MS 8llll2004 - Paving shall only extend to the property line. - MS Need documentation for loads on beams, girder trusses to verify footing sizes. Contacted designer 8124, Contacted contractor 8/25 dlm. Received truss drawings from contractor 8/24 dlm See Documents for plan review comments. APP APP TAJ MS 08t09t2004 08t24t2004 wE DLM 08t24t2004 08t27t2004 APP DLM To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl 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. Page 3 of4 Rpnrrired Insnecfions 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004EXPIRES: 08/1412005VALUE: $ 300,624.00 Drywall: Prior to taping. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. 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. Water Line: Prior to lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. By signaturer l 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 Springfietd 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. Owner or Contractors Date 6 Paee 4 of 4 HAFII&Ir T ra 225Bifth Street Spr ingfield, Oregon 97 477 541-726-3759 Phone .tty of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200s00000000000202 Date: 0211512005 2:53:45PM Job/Journal Number coM2004-00972 coM2004-00972 coM2004-00912 coM2004-00972 coM2004-00972 coM2004-00972 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture + 7o/o State Surcharge + l0% Administrative Fee Amount Due 288.48 219.36 25.39 84.00 5.88 8.40 Item Total:$631.51 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check WILLIAM ANDERSON djb 4358 In Person S63l.5l Payment total: -$65i3i- 2n5t200s Page I of I 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0212712005VALUE: $ 300,624.00 SITE ADDRESS: 2015 2nd St 2017 ASSESSORTS PARCELNO.: 1703262400600 PROJECTDESCRIPTION: Duplex Owner: ANDERSON WILLIAM H Address: 92980 PASCHELKE RD MARCOLA ATTEN"! to!\ow rt Center 1\ros 001-00 10 Duplex 2-001' Expiration Date 02nst2006 02t0812005 06t2712005 Residential Number: 541-933-2171 e ru\es N otitication OAR 95,/ rnay obtaln tor theca\\ing oR 97454 Center Contractor Type General Electrical Mechanical Plumbing Contractor HIATT CONSTRUCTION LLC REYNOLDS ELECTRIC COMFORT FLOW KEVIN MARK COHEN License 147084 17252 460 131326 Phone s4t-954-9264 s4t-343-7297 s4t-726-0100 541-607-9208 EXP\RE # of Stories: Water 1B Range ,ftD U\Y P D 7,392 1,536 1,444 1,040 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: ) R-3 YN 6 Type: Type: Electric Electric Path I n/a Gravel Yes Storm drainage to engineered drywell. Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: ,, Yes 24.90 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 4 Handicapped: Compact: Drywell - Provide Drywell Engineering 17.70 20.00 26.00 17.70 23.00 DEVELOPMENT IN PUBLIC IMPROVEMENTS Notes: Paee 1 of4 L3 is Oregon \S Type \S N0'i Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0212712005VALUE: $ 300,624.00 Description Dwellings Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,980.00 1,040.00 Value $275,352.00 $25,272.00 $300,624.00 Date Calculated 08/06/2004 08t06t2004 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Dryer Vent Exhaust Hoods Heat Pump Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) Amount Paid Total Value of Project Date Paid Receipt Number 1200400000000001191 1200400000000001279 1200400000000001279 r200400000000001279 1200400000000001279 120040000000000r279 1200400000000001279 1200400000000001279 1200400000000001279 r200400000000001279 120040000000000r279 1200400000000001279 1200400000000001279 120040000000000r279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 1200400000000001279 $792.29 $10.00 $219.69 $1s3.78 $s08.00 $62.00 $16.00 $1,218.90 $12.00 $18.00 $24.00 $103.00 $2r2.00 $114.00 $237.64 $312.52 $10.00 $865.31 $82.03 $79.74 $69.71 s772.49 $17s.13 $s33.82 $s0.00 $24.00 $924.00 8t6t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27104 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8127t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27t04 8t27lO4 8127104 8t27104 8t27t04 8t27t04 8t27t04 f,'ees Paid Total Amount Paid $7,600.05 Paee 2 of4 Plan Reviews tl} r Valuation Description I 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0212712005VALUE: $ 300,624.00 Initial Review Planning Review Public Works Review Structural Review Structural Review 08t09t2004 08t09t2004 08/18/2004 08nu2004 08t09t2004 08t09t2004 APP LLH Credit given for one half of duplex for Willamalane SDC due to single family residence being demolished in 312004 under permit numberCOM2004-00290 Meets MDR density 8llll2004 - Storm drainage to be directed to drywell. Drywell to be sized in accordance with City standard drawing 4-19. - MS 8llll2004 - Paving shall only extend to the property line. - MS Need documentation for loads on beams, girder trusses to verify footing sizes. Contacted designer 8124, Contacted contractor 8/25 dlm. Received truss drawings from contractor 8124 dlm See Documents for plan review comments. APP APP TAJ MS 08t09t2004 0812412004 wE DLM 08t24t2004 08t27t2004 APP DLM To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt 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. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. 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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Drywelt: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. Paee 3 of4 ['}- Keouired lnsnectrons I 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: COM2004-00972ISSUED: 0812712004APPLIED: 08/0612004 EXPIRESz 0212712005VALUE: $ 300,624.00 Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that ail 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 OCCUPAIYCY 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. 8/t /r4 Owner or Contractors Signature Date Paee 4 of 4 -\tLl JOT]RNAL ORJOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RT]NOFF TO CIry STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT .,ORKSHEET William Anderson 201 7 2nd Street 17032624 Tax Lot 00600 SINGLE FAMILY RESIDENCE BUILDING SIZE (SF, O LOT SIZE (SF)10045 IMPERVIOUS S.F. x 960.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 1524.00 NUMBER OF DFU's t3 B. IMPROVEMENT COST: NUMBEROFDFU's l3 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TzuP RATE 9.57 SUBTOTAL $2,988.94 COST PER S.F $0.310 COST PER S.F s0.310 COST PER DFU $24.04 $ r 8.28 NUMBEROF TINITS I NUMBEROF UNITS I ADM. FEE RATE 5o/o CHARGE $297.60 DISCOUNT RATE 50% $533.82 DISCOUNT $236.22 x x x x x x x x ITEM I TOTAL. STOR]U DRAINAGE SDC 2. SANITARY SEWER. CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL. CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: $550.16 COST PER TRIP $18.30 COST PER TRIP $80.72 s947.62 xx NEWTRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBURSEMENTCOST: NUMBER OF FEU's I x B. IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MIYMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $957.34 CHARGE 149.45 TOTAL SANITARY ADMTNISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Matt Stouder 8110/2004 COST PER FEU $82.03 st12.52 $86s.31 $10.00 79. $3,13E.39 1070 1091 1092 I093 1054 1055 1054 1056 1079 1078 a rr.l t-lo O &r!Fa or!& COST PER FEU $865.31 988.94 PREPARED BY DATE TOTAL SDC CHARGES 1094 DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FDflURES x UMT EQUIVALENT: DRAINAGE FXTI.]RE UMTS FOR CALCULATE ONLY T}IE NET ADDITIONAL NO. OF FIXTTIRES LINIT TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 TOTAL DRAINAGE FXTURE T]NITS lsa toa mit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE *EDU DRAINAGE FTXTI]RE LTNITS 0 2 t979 BEFORE'I979 1979 I 980 1981 1982 1983 1984 1985 I 986 1987 1988 1989 1990 t99l 1992 1993 1994 1995 1996 1997 1998 r 999 $5.29 $5.29 $5.1 9 $5.12 $4.98 $4.80 $4.63 $4.40 $4,07 $3.67 $3.22 $2.73 $2.25 $1.80 -----Tase -$1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 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 LAND (IF APPLICABLE) 2 VALLIE / IOOO $0.00 CREDITRATE $5.29x CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTALMWMC CREDIT BATHTUB 2 1 3 3 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LATINDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 2 1 3 3 CLoTHESWASITER - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER SINGLE STALL 0 0 2 0 sHowE& GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 1 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOT,BLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 ,| 1 1 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 2 1 3 3 13 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALI.IE 2000 200 I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ctty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200400000000001279 Date: 0812712004 rz43z27PNI Job/Journal Number coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 coM2004-00972 Description Addressing Assignment Willamalane Attached (duplex) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less 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 Building Permit 2 Baths One or Two Family Air Handling Unit Up to 10,000 Vent Fan Exhaust Hoods Dryer Vent Heat Pump -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Adminishative Fee Amount Due 62.00 924.00 212.00 I14.00 50.00 533.82 312.52 237.64 l7s.l3 772.49 82.03 86s.31 10.00 79.74 69.71 103.00 l,2lg.g0 s08.00 16.00 24.00 18.00 12.00 24.00 10.00 153.78 219.69 Item Total:$6,807.76 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check WILLIAM ANDERSON nJm 4242 In Person Payment Total: $6,807.76 -S6fO'z;zo-'' 8127/2004 Page I of I -a 225 FIFTH STREET ' SPRINGFIEL-'ORg7477 . PH:(541)726'3753 r FAX: (5' t6-3689 APPLTCATION Ciry Job Number {)O?1Aut 2 3. es LEGAL DESCRIPNON JOB DESCRIPTION { Permits uon-transferable and if work is of issuance or if work is 1000 Each portion thereof Each E. s106.00 $ 19"00 uires You to e Oregon ALP xtPsq. s not started within 180 days Suspended for 180 daYs. 1 Electrical Contractor n Center. Tho B. 200 Amp96$iPgthe center' i3iffiffimffi$$:s{ Ciry &€@-Phone 3V3 -72? 7 Supervisor License Number e(sAo - 5 c. Expiration Date o Constr. Coutr. Number 7 Expiration Date o a Signan:re of Supervising Electrician D. Installation, Alteration or Relocation 200 Amps or less I sDIP $ 163.00 s375.00 s 50.00 s 59.00 $ 100.00 S NOT $ 43.00 s 50.00 s 50.00 601 AmPs to 1000 AmPs Over 1000 AmPWolts Reconnect OnlY Over 600 New dteration or Extension Per Panel One Circuit t Each Additional Circuit or with 6 Service or Feeder Permit $ 3'00 Nasre Address City Phone OW}{ER TNSTALLATION The installation is being made on property I owu which is not intended for sale, lease or renl Orvnen Signature: LimitedEnergy/Residential #$25'00 Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45'b0 + Sureharges d 7% State Surcharge l0% Administrative Fee TOTAL Pump or irrigation Sign/Outline Lighting 4" Inspection Request: 726-37 69 Shared Drive(t:/Building Forms/Electrical Pe'Eit Application l-O3'doc (Note: Address 3t-7€ W. .24 A* , 7 ot/. flcd. An< 20t Amps to 400 AmPs 401AmPs to 600 AmPs W