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Home My WebLink AboutPermit Building 2005-05-03OFS Buildin g/Combination Permit PERMIT NO: COM2005-00351ISSUED: 05/03/2005 APPLIEDz 03129/2005E)3IRESz 1213012005VALUE: $ 134,892.00 D Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 5411 26-37 69 Inspection Line SITE ADDRESS: 2468 sth St ASSESSOR'S PARCEL NO.: 1703262103201 PROJECT DESCRIPTION: Single Family Residence Springfield TYPE OF TYPE OF USE: Single Family Residence New Residential Owner: Address: Contractor TVpe General Electrical Plumbing PHILPOTT JEFFREY L & SUS$[ D 1224DELROSEDR SPRINGFIELD OR 97477 Phone Number: 541-726-6030 Contractor ELPECO INC REYNOLDS ELECTRIC JOHN L RJLEY License 120330 17252 5su3 Expiration Date 03n2t2007 02t0812007 121t012006 Phone 541-344-5906 541-343-7297 541-998-2812 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Sfeet Storm SewerAvailable: Special Instruction: # of Stories: Height of Type of Heat: Water Type: Range Type: , Energy Path: Sprinkh d I r8.00 'orced Air Electric Electric Electric Path 1 nla 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 I,152 972 K 33.10 s.00 48.00 r6.00 12.00 Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: oAR 9s2-001 Urban Fringe 15.50 the Oregon Utility Center. Those ruHaoilatrcfJedh REQUIRED PARIilNG Total: 2 Handicapped: Compact: Drywell - Provide Drywell Engineering Partially -001 0 throuolrOAR 952-001 - . o btai n co p i esuolYHBffiTEBBIl'' sep tic to be ap p roved th rou gh L an e c ou,fiff *rygf,S,Yrff&t-HIHF;1, t",, on 90. You may calling the center. (Note: the telephone PMENT INFORMATION Notes: 1of 4 I'UILL'I].\U r1\T UT(]YTAT TUN.] )P\R A\S \U \T COM ANY M 1 Status: Issued 225 F'ifth Street, Springfield, OR 541:7263753 Phone 541-7263676Fax 541:7 26-37 69 I nspection Line Buildin g/Co m bin ation Permit PERMITNO: COM2005-00351ISSUED: 05/03/2005 APPLIEDz 0312912005E)?IRESz 1213012005VALUE: $ 134,892.00 F Description Dwellines Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Heat Pump Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 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 UGB Plan Rev Mj/1Vlin - Planning Yent Fan Willamalane Single Family + l0o/o Administrative Fee + 77o State Surcharge Minimum/Adj ustment Electrical Total Amount Total Value of Project Date Paid Receipt Number 3200500000000000109 1200s00000000000566 r200s00000000000566 1200s00000000000566 1200500000000000566 1200500000000000566 1200s00000000000s66 1200500000000000566 1200500000000000566 1200500000000000566 1200500000000000566 r200500000000000566 1200s00000000000s66 1200s00000000000566 1200500000000000566 1200500000000000566 1200500000000000566 r200s00000000000566 1200500000000000s66 1200500000000000566 1200500000000000566 1200500000000000566 1200500000000000s66 1200s00000000000s66 r200s00000000000s66 1200s000000000009s7 1200500000000000957 1200s00000000000957 Type of Construction V Wood Frame Garage $ Per Sq Ft or muftiplier $96.00 $25.00 Square Footage or Bid Amount 1,152.00 972.00 Value $110,592.00 $24,300.00 $134,892.00 Date Calculated 0312912005 03t29t200s Amount Paid $44r.61 $10.00 $119.74 $83.82 $254.00 $31.00 $679.40 $6.00 $9.00 $12.00 $12.00 $106.00 $s7.00 $10.00 $86s.31 $82.03 $46.09 $77.38 $772.49 $175.r3 $s64.s1 $s0.00 $156.00 $r2.00 $1,ooo.oo $1.30 $0.91 $13.00 3t28t0s 5/3/0s 5/3/0s 5/3/05 st3t05 s/3/0s s/3/05 5/3/05 s/3/0s 5/3/05 s/3/0s 5t3t05 s/3/05 5/3/05 5/3/05 5/3/0s 5/3/05 5/3/05 5/3/05 5t3105 5/3/05 5t3t05 5t3t05 st3tos 5/3/0s 7t7t05 7t7t05 717105 Fees Paid Plan Reviews 0312912005 APP LLHInitial Review 03t29t2005 2of4 Li Valuation Description ] $5,647.72 Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax' 541:726-3769 Inspection Line OF Buitdin g/Co mbination Permit PERMIT NO: COM2005-00351ISSUED: 05/03/2005 APPLIEDz 0312912005E)?IRESz 121301200sVALUE: $ 134,892.00 Planning Review Planning Review Public Works Review Structural Review 04t29t2005 04t2912005 APP TAJ 03t2912005 03t29t2005 03/30/2005 APP CAS Partition Plat for Sub2004-00050 recorded by County on 4/27105, No. 2005-30000, Partition 2005-P-1877 Partition not yet recorded as of 4n4t05 Septic to be approved through Lane County, drywell required 3/30/2005 CAS 03t291200s 04n412005 APP RJB To Request an inspection call the24 hour recording at 7263769. 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. 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. 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. 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. Perimeter Foundation Drains: After gravel and lilter cloth is installed but prior to backlill. Underfloor Plumbing: Prior to insulation or decking. 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. Final Ptumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 3 of 4 nsnecfions ]|i-flTJ;;";l,srinsne, G oR 541-726-3676Fax 541 :7 26-jT 69 Inspecfion Line PERMTTNO: ISSUED: APPLIED: E)OIRES: VALUE: Status: Issued Building/Combination Permit coM2005_00351 05t03t200s 03t29t2005 72/30/200s $ 134,892.00 Rough Mechanical: prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Erectric: Approvar required prior to ut,ity company energizing pore. Rough Electric: prior to Cover Electric service: Approvar required prior to utility company energizing service. Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature , I state and agree, that I have carefully examined the completed application and do hereby certify that allinformationhereon is true and correct, and I further certi$ that and all work performed shall be done in accordanceanywith the Ordinances of the City of Springfield and the Laws of the State of Oregon to the work described here,fui,OCCUPANCy witt pertaining Building Safety.I further certiS be made of any structure without permission of the Community Services Division, on this project. that only contractors and employees who are in compliance with ORS 701.005 wilt be used Owner or Contractors Signature Date I further agree to ensure that all required inspections are requested at the proper time, that each address is readable fromthe street' that the permit card is tocated at the front of ttre pioperty, and the approrred set of plans will remain on the siteat all times during construction 4of4 rt and that NO 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Deparhnent Public Works Department RECEIPT#: 1200500000000000957 Date: 0710712005 10:17:58AM Job/Journal Number coM200s-003s 1 coM2005-00351 coM2005-003s 1 Description Minimum/Adj ustment Electrical + 7o/o State Surcharge + l0o/o Administrative Fee Ammnt Due 13.00 0.91 1.30 Item Total:$1s.21 Payments: Tlpe of Payment Paid By Received By CFectrNumEF Batch Number ffi Number How Received Amount Paid Cash Change JEFF PHILPOTT JEFF PHILPOTT djb djb In Person In Person Payment Total: $20.21 ($5.00) $15.21 Job/Jurrnal Number coM2005-00351 coM2005-003s1 coM200s-003s1 Description Minimum/Adj ustment Electrical + 7Yo State Surcharge + l0% Administrative Fee Amount Due 13.00 0.91 1.30 Item Total:$1s.21 Payments: Type of Payment Paid By Received By CfeckNumbeF Batch Number Auffiorfzation Number How Received Amount Paid Cash Qhange JEFF PHILPOTT JEFF PHILPOTT djb djb In Person In Person Payment Total: s20.2t ($s.oo) $15.21 1 71712005 lofl -r t July 7,2005 City of Springfield Development Services Attn. David Bowlsby Building Permit Review Technician Re Buildine 2468 56 Permit #COM2005-0351 St. Springfreld, Or. 97477 This letter is to request the approval of a double electrical meter base on a single-family dwelling. This dwelling is a rental income property, two bedroom/two bath with a single .ur gurug. designated for the tenant. We added a third garage bay to the original double .ur gurug. plans and created a partition wall between the tenant garage and two other gurigeUiyi. fne two other garage bays were built to service my personal use. The extra meter is needed to protect our tenant. We plan to have common area lighting in the outside parking area and ihe electricity used for that is not the tenant's responsibility. Sub has sold a double-meter package to use on this property. The contact person that I know, and paid for the service, is their engineering technician Tony Talbot' Thank you for your prompt attention to this matter. I cannot proceed with this project without your to Sub. Sincerely, Jeff 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: COM2005-00351ISSUED: 051031200sAPPLIED: 0312912005EXPIRES: 1110312005VALIJE: $ 134,892.00 SITE ADDRESS: 2468 sth St ASSESSOR'S PARCEL NO.: 1703262103201 PROJECT DESCRIPTION: Single Family Residence Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: Address: Contractor Tvpe General Electrical PHILPOTT JEFFREY L & SUSAI\{ D 1224 DELROSE DR SPRINGFIELD OR 97477 Contractor ELPECO INC REYNOLDS ELECTRIC JOHN L RILEY License 120330 17252 55173 Expiration Date 03n2t2007 02t08t2007 Phone 541-344-5906 541-343-7297 54t-998-2812I torth # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: tr'rontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: bY rhe #of Height Type Water Range Yott $ay Energy the Sprinkled tot Overlay Dist: Urban Fringe # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 15.50 Occupant Load: REQUIRED PARKTNG Total: 2 Handicapped: Compact: I R-3 U VN 1,152 972 2 33.r0 5.00 48.00 16.00 12.00 \ u\\\Street Improvements:Partially Improved Storm Sewer Available:No Special Instruction: R Drywell - Provide Notes: Septic to be approved through Lane County, Pase 1 of4 Dryrvell Engineering t PhoneNumber: 541-726-6030 t-trl\ I1(At -I I(JI\ Building/C o mbination 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: COM2005-00351ISSUED: 05/03/2005APPLIEDz 0312912005 EXPIRES: 11/0312005VALUE: $ 134,892.00 Description Dwellinss Garage Tvpe of Construction V Wood Frame Garaqe $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 1,152.00 972.00 Value s110,592.00 $24,300.00 $134,892.00 Date Calculated 03t29t200s 03t29t2005 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Heat Pump Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 SDC ITIWMC 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 UGB Plan Rev Mj/*Iin - planning Vent Fan Willamalane Single Famity Total Amount Paid Initial Review Plannins Review Amount Paid Total Value of Project Date Paid Receipt Number 3200s00000000000109 r200500000000000s66 r200500000000000566 1200s00000000000s66 r200500000000000566 1200500000000000566 1200s00000000000566 1200s00000000000s66 1200500000000000566 1200500000000000566 r200500000000000566 1200s00000000000s66 1200s00000000000s66 1200500000000000566 1200500000000000566 r200s00000000000566 r200s00000000000566 r200s00000000000566 1200500000000000s66 1200500000000000566 r 200500000000000566 r 200s00000000000s66 1200500000000000566 1200500000000000s66 1200500000000000566 $441.61 $10.00 $119.74 $83.82 $2s4.00 $3r.00 $679.40 $6.00 $9.00 $12.00 $12.00 $106.00 $s7.00 $r0.00 $865.31 $82.03 $46.09 $77.38 $772.49 $175.13 $s64.s1 $s0.00 $1s6.00 $12.00 $1,000.00 3/28t05 5t3t05 513t05 5t3t05 st3t05 5/3t0s s/3/05 st3t05 5/3t0s 5t3t05 st3/05 5t3t0s 5t3t05 5t3t05 s/3/0s st3t05 5/3t0s s/3/0s 5/3/0s st3t05 5l3t0s s/3t05 5t3t05 5/3/05 513t0s $5,632.51 03t29t2005 04t29t2005 03t29t2005 04t29t2005 APP APP LLH TAJ Partition Plat for Sub2004-00050 recorded by County on 4/27105, No. 2005-30000, Partition 200S-p-1 g77 Plan Pase2 oI 4 t Valuation Descrintion I Fees Pald I 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: COM2005-00351ISSUED: 05/03/2005APPLIED: 0312912005EXPIRES: 11/0312005VALUE: $ 134,892.00 Plannins Review Public Works Review Structural Review 03t2912005 03t29t2005 03/30/200s APP CAS 03t291200s 04fi4t2005 OK RJB Partition not yet recorded as of 4n4t05 Septic to be approved through Lane County, drywell required 3/30/2005 CAS Reouired Insneefions 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. Final Electric: When all electrical work is complete. 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. 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. Perimeter Foundation Drains: After gravel and lilter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Page 3 of4 ,l 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. Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00351ISSUED: 05/03/2005APPLIEDz 0312912005EXPIRES: 11/0312005VALUE: $ 134,892.00 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. 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 Springlield 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. Pase 4 of 4 * q ,/ CITY OF Sr ,TINGFIELD SYSTEMS DEVELOPMEN, II|ORKSHEET JOURNAL OR JOB NUMBER: COM2005-00351 NAME OR COMPANY LOCATION:2468 5th TAXLOTNUMBER:1703262103201 DEYELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEWDWELLING TJNITS BUILDING SIZE I. STORM DR{NAGE DIRECT RT]NOFF TO CITY STORM SYSTEM 991 0 RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F x 0.00 IMPERVIOUS S.F 3642.00 NUMBER OF DFU's 0 B.IMPROVEMENT ADTTRIPRATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 COST PER S.F $0.3 l0 COST PER S.F $0.3 l0 COST PER DFU $24.04 $18.28 NUMBER OF LTNITS I NUMBER OF T]NITS I ADM. FEE RATE 5Yo CHARGE $0.00 DISCOLINT RATE 50o/o $564-5r LOT SrZE (SF): DISCOUNT $544.51 x x x x x x x x ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SATTITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: $0.00 COST PER TRIP $ 18,30 COST PER TRIP $80.72 s947.62 NEW TRIP FACTOR r.00 NEW TzuP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS 1,2,3, & 4\ 5. ADMINISTRATIVE FEE: x SUBTOTAL $2,469.47 $957.34 CHARGE s123.47 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 3/3012005 NUMBER OF DFU's 0 $564.51 $0.00 $772.49 0.00 $2,592.94 I 070 l09l 1092 I 093 1094 I 055 r 056 1079 I 078 a IJ] t-loO rrlFa r!& I I IIEil COST PER FEU $82.03 NUMBER OF FEU's I COST PER FEU $865.31 469.47 PREPARED BY DATE TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DP.AINAGE FXTURE UMTS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FIXTIIRES TINIT FXTURE TYPE NEW OLD MISCELLANEOUS DFU TYPE NTIMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS isa toa mit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE UNITS 0 2 2 1979 +EDU BEFORE 1979 $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 1979 I 980 l98l 1982 I 983 I 984 I 985 I 986 1987 1988 I 989 I 990 l99l 1992 1993 1994 I 995 1996 1997 I 998 I 999 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) VALUE / 1000 $0.00 CREDITRATE $s.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALT'E / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0,09 $0.05 BATTITUB 0 0 3 0 DRINKING FOTINTAIN 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 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLoTHESWASHER - 3 OR MORE (EA)0 0 6 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 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 0 YEAR ANNEXED CREDIT RATE/SI,OOO ASSESSED VALUE 2000 EI 2001 ^ity of Springfield Official Receipt - evelopment Services Department Public Worlis Department RECEIPT #: 1200500000000000s66 Date:05/03/2005 2:23:44PM Job/Journal Number coM2005-00351 coM2005-003s1 coM2005-00351 coM2005-00351 coM2005.00351 coM2005-00351 coM2005-00351 coM200s-003s1 coM2005-00351 coM2005-00351 coM2005-00351 coM2005-00351 coM2005-00351 coM2005-00351 coM200s-003s1 coM2005-0035r coM2005-00351 coM2005-00351 coM2005-00351 coM2005-00351 coM2005-00351 coM200s-003s1 coM2005-00351 coM2005-00351 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Heat Pump -Mechanical Issuance Fee- UGB Plan Rev Mj/IvIin - Plaming Temp Power 200 amps or less + 7%o State Surcharge + lUYo Administrative Fee Amount Due 31.00 1,000.00 106.00 57.00 564.51 t7s.t3 772.49 82.03 865.31 10.00 46.09 77.38 679.40 2s4.00 12.00 12.00 9.00 6.00 12.00 10.00 156.00 50.00 83.82 119.74 Item Total:$5,190.90 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check SUSAN PHILPOT djb t0t2 In Person $5,190.90 PaymentTotal: re:td'' st3t200s Page I ofl 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ( APPLTCANT COP}:{!t**,,s E P r r. ^ r 1+rr"#lo* PE RMrr Parcels : l7 -03-26-21 -032 0 1 S OFF HAYDEN BRIDGE WAY ONTO N 5TH Applicant: PHILPOTT IEFFREY L 1224 DELROSE DR SPRINGFIELD OR 97477 Site Inspection Number: 04-9068 Work Description: INSTALL SEPTIC SYSTEM System Type: INSTALL , STD Issued I)ate: 0412012005 Expiration Date: 0412012006 INSTALLATION REOUIREMENTS : Projected Daily Flow: 450 gallons Drainfield Size: 150 feet Special Conditions: Stake out check require li c ensed-s+tic-in stal I et Loop ends of lines. Set tank high to achieve min. 8" effluent sewer drop requirement. Site: Owner: PHILPOTT JEFFREY L & SUSAN D I224DELROSEDR SPRINGFIELD OR 97477 Septic Tank Size: 1000 gallons Trench Depth: 24-30 in. 3Q' F -l All DEQ setbacks and rules apply. CityWater. OTHER REOUIREMENTS: L. Installation of an effluent pump requires and Electrical Permit. 2. Install disposal trenches on contour. The trench bottom shall be level within a tolerance of plus or minus one (1) inch over the entire tench length. 3. Minimum of eight (8) inch fall from top of septic tank outlet to top of first header pipe leaving D-box. 4. New systerns must meet setback requirements in Table I. DEQ Agent 0412012005 Date LANE COUNTY ON-SITE.SEWAGE OFFICE 125 E 8TH Avenue, Eugene OR 97401. PH: (541) 682-3754. Fax: (541) 682-394'7 225 FIFTH STREET . SPRINGFIELD, OR 91477 o pH:(S4t)726-3753 o o-ol" Service Included 1000 sq, ft. or less Each additronal 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder :SPFII!\|CFIALE' s 106.00 s 19.00 w lDlaP 5Ld ,lt{toS *n*r,r .T','.y, ELECTRICAL City Job Number Expiration Date TION Date eo AL JOB Permits non-transferable expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. t A. )B. Electrical Contractor (r,.,,r.c\tia, F\rCtr,f'200 Amps or less na\l\-.',i 201 Amps to Address -l \ - j-; Lt' L-Ciry f-t,-,''i+-.r^t Phone -) Supervisor License Number J r{ .) / $ 63.00 L) $ 7s.00 $125.00 $r63.00 $375.00 s 50.00 el or Relocation Constr. Contr. Number \ -Ja r:{ Expiration Date ilc'c*l Signature of Supervisin g Electnci an Nr Over 600 Amps or 1000 Volts see "B" above. l. n uooUti"* i.f i:l:lllil"irrl i;ii ':'.,'. :"i :'i':l:"i:::::'r1: i:'':l:i .*;;;sii*i...,_,."*.-:r;i,$j..i;-:+!i*}J*:,r;;;j'.t;;r: -.r-:l .,.. ".-. ...-"., ._- :*":,.-,- .._... New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with or Feeder .00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps ). $ 50.00 $ 69.00 $100.00 a \ City Phone OWNERINST TION The installation is being made on properfy I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigarion SigniOutline Lighting Limited Energy/Residential Limrted Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges s 50.00 $ 50.00 $ 25.00 s 45.00 2t3 I 'r3.o *. t/ 7% State Surcharge l0% Administrative Fee i TOTALInspection Request: 72G37 69 4. Shared Drive(T:),tsuilding FormgElectncal Permit Application 1 -03 IP h OP\R $50.00 are setloittT- OAR 952{trt- of the ruleElq5- )bG