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Home My WebLink AboutPermit Building 2004-05-28Status 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: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004 EXPIREST 0412512005VALUE: $ 8,783.00 SITE ADDRESS: 349 4th St Springfield TYPE OF WORI(: Duplex ASSESSOR'S PARCEL NO.: 1703352413500 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add Residence to existrg Single Family Residence to make Duplex. Revisions submitted 1011212004 to add upper outside deck and extend entry at new dwelling. Owner: Address: BERGER JEFFREY NEAL & CAROL LEE J 14238 2lSTAVE EUGENE OR 97403 Phone Number: 541-747-7645 Contractor Type General Electrical Mechanical Plumbing Contractor SCHAR License 24633 116329 4483 81994 24.00 Forced Air Gas Gas Gas Path I nla Expiration Date 09t28t2004 10t0u2006 11fi4t2004 0s/06/2008 Phone s4t48s-4977 541-686-4151 541-688-5004 541-485-1146 {o$,,',920 809 720 7# of Units: Primary 0ccupancy 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: \\?of Structure Water Type: Range Type: Energy Path: Sprinkled Building: \Se \TN 17.00 13.00 14.00 0.00 3 Overlay Dist: # Street Paved oh of PARKING ,, Handicapped Compact: Sidewalk rYPe: setback 5, Downspouts/Drains: Curb and Gutter Fully Improved Yes Storm Sewer to go to street as per siteplan, if weepholes do not exist, applicant is required to apply for an encroachment permit to core dril the curb and work in the ROW. As per Historic Review process, current access from alley is approved with no improvements. DEVELOPMENT INFORMATION Notes: Pase I of4 m""l Lot Size: 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: COM2004-00384ISSUED: 0512812004APPLIED: 0410712004EXPIRES: 0412512005VALUE: $ 8,783.00 Description Bid Amount Dwellines Dwellings Type of Construction Use Bid Amount V Wood Frame V Wood Frame $ Per Sq Ft or multiplier $1.00 $92.40 $92.40 Square Footage or Bid Amount 2,500.00 1,529.00 68.00 Value $2,500.00 $141,279.60 $6,283.20 $150,062.80 Date Calculated 10n4t2004 0410712004 10t14t2004 Amount Paid Total Value of Project Date PaidFee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 77o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump PIan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC NIWMC Administration SDC MWMC Improvement SDC IVIWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) + l0Yo Administrative Fee + 1Yo State Surcharge Building Permit Plan Review Residential + l0o/o Administrative Fee + 7o/o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 $456.40 $r0.00 $107.s2 $7s.26 $306.00 $3r.00 $702.1s $6.00 $9.00 $12.00 $4.00 $12.00 $71.00 $413.04 $s43.36 $10.00 $214.23 $314.63 $82.23 $5s.47 $727.42 $164.89 $366.42 $24.00 $924.00 $9.96 $6.97 $99.60 $64.74 $12.s0 $8.75 $106.00 $19.00 4t7t04 st28l04 st28t04 st28t04 5128t04 5t28t04 5t28t04 5t28t04 st28t04 st28t04 st28t04 st28t04 sl28t04 5128104 5t28t04 5t28t04 5t28t04 5t28t04 5t28t04 st28t04 st28t04 5t28t04 st28t04 st28t04 st28t04 t0n8t04 10/18/04 t0n&t04 t0n&t04 10t26t04 10t26t04 10t26t04 r0t26t04 Receipt Number 1200400000000000445 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000001308 2200400000000001308 2200400000000001308 2200400000000001308 r200400000000001516 1200400000000001516 r200400000000001516 r200400000000001516 Eees Pqid Paee? of 4 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: COM2004-00384ISSUED: 0512812004APPLIED: 0410712004 EXPIRESz 0412512005VALUE: $ 8,783.00 Total Amount Paid $5,969.54 Plan Reviews Initial Review Planning Review Planning Review Public Works Review Structural Review Structural Review 04t09t2004 06t0,/2004 04t09t2004 10n2t2004 04t09t2004 06t0u2004 05t24t2004 10n512004 RJB TAJ RJB DLM APP APP 04t09t2004 04t30t2004 APP TAJ 04t09t2004 04n9t2004 APP VRJ No LDAP required based on the duplex addition having such a small foot print (809 sf) on a flat lot. tara As per the Historic Site PIan approval for DRC2004-00013, the existing house does not have to provide offstreet parking, the off street parking for the new unit can be offthe alley and unpaved. See Condition # I of the Historic Site Plan approval for street tree directions. Storm Sewer to go to street as per siteplan, if weepholes do not exist, applicant is required to apply for an encroachment permit to core dril tht curb and work in the ROW. As per Historic Review (Kitti Gale) process, current access from alley is approved with no improvements. Revision received l0 lll 12004 All new plan review comments are on the revised drawings. OK APP 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: After all erosion measures are in place. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Foundation: After forms are erected but prior to concrete placement. 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. WalI Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Paee 3 of4 Renlrired Insneefions o t}- 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: COM2004-00384ISSUED: 0512812004APPLIED: 0410712004 EXPIRESz 0412512005VALUE: $ 8,783.00 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. Underslab Plumbing: Prior to lilling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. 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 Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. Owner or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt jvelopment Services Department Public Works Department RECEIPT #: 1200400000000001516 Date: 1012612004 9:51:48AM Job/Journal Number coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7%o State Surcharge + l0%o Administrative Fee Amount Due 106.00 19.00 8.75 12.50 Item Total:$146.2s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check THORNTON ELECTzuC djb I 563 In Person $146.25 Payment total: --$-Ti6F 10t2612004 Page I of I xxll*n 225 FIFTH STREET . SPRINGFIELD, OF-97477 o PH:(541)726-3753 o FAX: (54 ELE CTRI CAL P ERMTT AP P I.I CATTONo36t ( o^n /0 6o( t Ciry Job Number 1. 7L sr LEGAL DESCRIPTION#_Zy ,}re(}_ JOB DESCRIPTION Nt Z€\*P Permits are and erpire if work is i not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. Electrical Contractor Address 0 Phone Service Induded 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I I $106.00 /0 6 * $l9.oo /a- 401 Amps to 600 AmPs $100.00 Expiratiou Darc I O - ) * O 6,Over 600 or 1000 Volts see "B" above. Signanue of Supervising D. ffffi#ffi^.,, 401 Amps to 600 AmPs :CI{l$ipoffioa-p'ffi'lW*]UpP Amps/vols 3OB#8ilndct OnlY City Supervisor License Number sa")7 j9" Expiration Date Constr. Cont. Number Owners Name Address City Owners Signature: B. C. E. Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 New Alteration or Extension Per Panel one circuit s 43'oo Each Additional Circuit or with S"*i". or Feeder Permit - $ 3'00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited EnergY/Commercial TYoState Surcharge 10% Administrative Fee TOTAL $ 63.00 $ 75.00 $12s.00 $163.00 $375.00 $ s0.00 $ 50.00 $ 50.00 $ 25.00 $ 4s.00 q? i ; Pno'," v)7- 7bt/F, MinimumElectricPermitlnspectionFeeis$45.00*Surchargeslz;4. lTto Inspection Requesfi 726'37 69 shared Driv€(T:yBuildine FormJElectrical Permit Application 143'doc s $50.00 s/2J OWNERINSTALLATION The installation is being made on proPerty I own which is not intended for sale, lease or rent. gzf tU Lzr Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line GFIELD Building/Combination Permit PERMIT NO: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004 EXPIRESz 0411512005VALUE: $ 8,783.00 SITE ADDRESS: 349 4th St Springfield TYPE OF WORK: Duplex ASSESSOR'SPARCELNO.: 1703352413500 TYPE OF USE: New Residential PROJECT DESCRIPTION: Add Residence to exist'g Single Family Residence to make Duplex. Revisions submitted 1011212004 to add upper outside deck and extend entry at new dwelling. Owner: Address: BERGERJEFFREY NEAL & 14238 21ST AVE ,\'ltY by the o torth Phone Number: 541-747-7645 mayContractor Tvpe General SCHAR Expiration Date 09t2812004 0s/06/2008 Phone 5414854977 541-485-1146CHAPIN # 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: Street Improvements: Storm Sewer Available: Special Instruction: 24633 81994 # ofStories: 2 Height of Structure 24.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I 7,920 809 720 VN 3 R-3 17.00 13.00 14.00 0.00 N 1H Overlay Dist: REQUIRED PARI(NG Total: 2 Handicapped: Compact: NCED Fullv Improved Sidewalk rype: Setback 5' Yes Downspouts/Drains: Curb and Gutter Storm Sewer to go to street as per siteplan, if weepholes do not exist, applicant is required to apply for an encroachment permit to core dril the curb and work in the ROW. As per Historic Review process, current access from alley is approved with no improvements. DEVELOPMENT INFORMATION Notes: Paee 1 of4 L tl are Ysl 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: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004 EXPIRESz 0411512005VALUE: $ 8,783.00 Description Bid Amount Dwellinss Dwellinss Tvpe of Construction Use Bid Amount V Wood Frame V Wood Frame $ Per Sq Ft or multiplier $1.00 s92.40 s92.40 Square Footage or Bid Amount 2,500.00 1,529.00 68.00 Value $2,500.00 $141,279.60 $6,283.20 $150,062.80 Date Calculated t0fi4t2004 04t07t2004 t0n4t2004 Total Value of Project Date PaidFee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 1oh Stile Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump PIan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC IUWMC Administration SDC MWMC Improvement SDC NIWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) + l0o/o Administrative Fee + loh State Surcharge Building Permit Plan Review Residential Amount Paid $456.40 $10.00 $107.s2 s75.26 $306.00 $31.00 $702.15 $6.00 $9.00 $r2.00 $4.00 $12.00 $71.00 $413.04 $543.36 $10.00 $214.23 $314.63 $82.23 $55.47 s727.42 $164.89 $366.42 $24.00 $924.00 $9.96 $6.97 $99.60 s64.74 4t7t04 st28t04 sl28t04 st28t04 5t28t04 st28t04 5128104 5t28t04 5128t04 st28t04 st28t04 st28t04 st28t04 5t28t04 5t28t04 st28t04 5t28t04 5t28t04 5128t04 5t28t04 5t28104 st28t04 5t28t04 st28t04 5t28t04 t0lt8t04 t0n8t04 10fi8t04 10/18/04 Receipt Number 120040000000000044s 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000001308 220040000000000r308 2200400000000001308 220040000000000r308 Fees Paid Total Amount Paid $5,823.29 Paee 2 of 4 Valuation Descriotion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2004-00384ISSUED: 0512812004 APPLIEDz 0410712004 EXPIRESz 0411512005VALUE: $ 8,783.00 Plan Reviews Initial Review Planning Review Planning Review Public Works Review Structural Review Structural Review 04t09t2004 06t0u2004 04t09t2004 10n2t2004 04t09t2004 06t0U2004 0st24t2004 t0nst2004 04t0912004 04t30t2004 APP TAJ 04t09t2004 04n9t2004 APP VRJ No LDAP required based on the duplex addition having such a small foot print (809 sf) on a flat lot. tara As per the Historic Site Plan approval for DRC2004-00013, the existing house does not have to provide offstreet parking, the off street parking for the new unit can be offthe alley and unpaved. See Condition # I of the Historic Site Plan approval for street tree directions. Storm Sewer to go to street as per siteplan, if weepholes do not exist, applicant is required to apply for an encroachment permit to core dril thr curb and work in the ROW. As per Historic Review (Kitti Gale) process, current access from alley is approved with no improvements. Revision received l0llll2004 All new plan review comments are on the revised drawings. APP APP APP RJB TAJ RJB DLM OK 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: After all erosion measures are in place. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to decking. Shear WalI 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 coyer. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Paee 3 of4 T Keourre(l lnsDectrons I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line GFIELD Building/Combination Permit PERMIT NO: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004 EXPIRESz 0411512005VALUE: $ 8,783.00 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. Underslab Plumbing: Prior to lilling the trench and including required testing. Perimeter Foundation Drains: After gravel and fiIter cloth is installed but prior to backfill. 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. 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 Mechanical: When all mechanical work is complete. 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. /0-tr-oY Date Pase 4 of4 _-! \ 225 Fifth Strcct Spririgliclrl, O regon 97 477 541-726-3759 I'lrone City of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT #: 2200400000000001308 Date: 1011812004 1:37:46PM Job/Journal Nunrller coM2004-00384 coM2004-00384 ar coN4200l 001c1 CO\{20o t 'trr! I Description Plan Review Residential Building Permit + 7%o State Surcharge + 10o/o Administrative Fee Amount Due 64.74 99.60 6.97 9.96 Item Total:$181.27 Fyr*--,.CheckNumber Authorization Received By Batch Number Number How ReceivedT1,pe r.rl I . . rrrcnt Paid lly Amount Paid Check JEFFRE\ BERGER DJB In Person Payment Total: $ 181.27 -ffiiF 4379 i + r, l0/l 8/200,1 Page I of I rStrxoliSs F' 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: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004EXPIRES: 1112812004VALUE: $ 141,279.60 SITE ADDRESS:349 4th St Springfield TYPE OB WORIft Duplex TYPE OF USE: New Residence to make Duplex Center is l Contractor License DAVID ZARZY CKT GENERAL CONTRACTI]I05626 Owner: Address:r423 Edllfiu Expiration Date 04t2612005 Residential Phone 541-688-0243 Contractor Type General Phone Number: 541-747-7645 # 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: Notes: Wr 80 DAY PER 7I R-3 VN #of Type UNDER EXPflE t ltjbti PtERMIT SHALL ETHI. V\JOHK ffiHffi;s?J", &lhfllkl Froor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Value 9141,279.60 $141,279.60 ,920 809 720 Type of Construction V Wood Frame Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o oILot Coverage: $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 1,529.00 Total Value of Project REQUIRED PARI(NG Total: 2 Handicapped: Compact: Date Calculated 04t0712004 3 NCE DO Historic 6 No 29.90 l0D9as Gas Path 1 nla 17.00 13.00 14.00 0.00 Fully rmproved Sidewalk rype: Setback 5' Yes Downspouts/Drains: Curb and Gutter Storm Sewer to go to street as per siteplan, ifweepholes do not exist, applicant is required to apply for an encroachment permit to core dril the curb and work in the ROW. As per Historic Review process, current access from alley is approved with no improvements. Description Dwellinss DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS rF ASSESSOR'S PARCEL NO.: PROJECT you to to Single Ururly Those rules Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0yo Administrative Fee + 7Vo State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump PIan Review - planning 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 Vent Fan Willamalane Attached (duplex) Total Amount paid Initial Review Planning Review Amount Paid $4s6.40 s10.00 $107.52 $7s.26 $306.00 $3r.00 $702.I5 $6.00 $9.00 $r2.00 $4.00 $12.00 $71.00 $4r3.04 $s43.36 $r0.00 $214.23 ffir4.63 $82.23 $ss.47 $727.42 $r64.89 $366.42 $24.00 $924.00 Date Paid Buildin g/C ombination Permit PERMIT NO: COM2004-00384ISSUED: 05/28/2004 APPLIEDT 0410712004EXPIRESt 11128t2004VALUE: $ 141,279.60 Receipt Number 120040000000000044s 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 2200400000000000678 As per the Historic Site plan approvat for DRC2004-000I3, the existing house does not have toprovide offstreet parking, the off street parking for the new unit can be offthe alley and unpaved. SeeCondition # I of the Historic Site PIan approval for street tree directions. 417t04 5t28t04 5t28104 5t28t04 5t28t04 5t28t04 5t28/04 5t28/04 st28t04 st28t04 st28t04 st28t04 5t28t04 5t28t04 st28t04 5t28t04 5t28t04 5t28t04 st28t04 5t28t04 5/28t04 st28t04 s/28/04 5t28t04 5t28t04 $5,642.02 04/09/2004 04/09/2004 04t09t2004 04t30/2004 APP APP RJB TAJ Plan Pase2 of 4 L}.l Bees Paid Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fa,x 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004EXPIRES; 1112812004VALUE: g 141,279.60 Public Works Review 04t09t2004 04n9t2004 APP VRJ Storm Sewer to go to street as per siteplan, if weepholes do not exist, applicant is required to apply for an encroachment permit to core dril thr curb and work in the ROW. As per Historic Review ffitti Gale) process, current access from alley is approved with no improvements. Structural Review 04t09t2004 05t24t2004 OK RJB To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. witl be made the following work day. I 7 3 4 Erosion/Grading Inspection: After all erosion measures are in place. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Foundation: After forms are erected but prior to concrete placement. 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 haye 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. underslab Plumbing: Prior to lilling the trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlilt. 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. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is instalted and line has been connected to a minimum of one apptiance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 5 6 7 8 9 10 11 t2 13 t4 15 l6 t7 18 19 20 2t 22 23 24 25 Renuired Insneef Page 3 of4 \ra 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: COM2004-00384ISSUED: 0512812004APPLIEDz 0410712004 EXPIRESz 1112812004VALUE: $ 141,279.60 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. {-str-o'l Date Paee 4 of 4 _T [}- 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone o"y of Springfield Oflicial Receipt Jvelopment Services Department Public Works Department RECEIPT #: 2200400000000000678 Date: 0512812004 t2zt7z34PM Job/Journal Number coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384' coM2004-00384 coM2004-00384 coM2004-00384 coM2004-00384 Description Building Permit Addressing Assignment 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 - Planning Willamalane Attached (duplex) 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets l-4 Heat Pump -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Administrative Fee Amount Due 702.|s 31.00 366.42 s43.36 413.04 164.89 727.42 3t4.63 214.23 10.00 82.23 55.47 71.00 924.00 306.00 12.00 24.00 9.00 6.00 4.00 12.00 10.00 75.26 107.52 Item Total:$5,185.62 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check JEFFEREY BERGER nJm In Person Payment Total: $5,185.62 -55Jssi-t 4226 s/28/2004 Page I of I atxaxll JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS DIRECT RLTNOFF TO CITY STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMENI yr/ORKSHEET Jeff 349 4th Streeet 17033524 tl 13500 SFD addition to a BUTLDTNG SrZE (SF. 0 LOT SrZE (SF):0 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS I TMPERVToTJSSR xl-Tre55- IMPERVIOUS S.F 0.00 NUMBER OF DFU's 24 B. IMPROVEMENT COST: NUMBER OF DFU's 24 COST PER S.F $0.290 COST PER S.F $0.290 COST PER DFU $22.64 COST PER DFU sr7.2r NUMBER OF LINITS I NUMBER OF UNITS I ADM. FEE RATE 5% CHARGE $366.42 DISCOLTNT RATE s0% $366.42 DISCOUNT $0.00 x x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: ITEM 2 TOTAL. CITY SANITARY SEWER SDC $956.40 3. TRANSPORTATION A. REIMBURSEMENTCOST: ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 SUBTOTAL s2,753.99 xx xx COSTPER TRIP s17.23 COST PER TRIP $76.01 $892.31 NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBToTAL (ADD ITEMS 1,2,3, & 4) x $538.86 CHARGE $ 137.70 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich 4119t2004 s366.42 s727.42 $314.63 82.23 .69 1070 l09l 1092 1093 1094 1054 1056 079 078 aH o O &HFa o rq& I I@ IU IIT TRIP F 1.00 COST PER FEU s314.63 COST PER FEU s214.23 ,753.99 PREPARED BY DATE TOTAL SDC CHARGES 04-00384 erger DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTT]RES X UNIT EQUIVALENT : DRAINAGE FIXTURE LINITS CALCULATE ONLY T}IE NET ADDITIONALFOR NO. OF FXTURES DRAINAGE FIXTURE UNITS 0 LTNIT FIXTURE ryPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 *EDU 0 3 6BATHTUB2 0 0 1 0DRINKING FOI.INTAIN 0003FLOORDRAIN 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC. 2102LAL'NDRY TUB 1 0 3 3CLOTHESWASHER / MOP SINK 0 0 6 0CLoTHESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 2 0SHOWER, SINGLE STALL 0 2 0SHOWER, GANG (NUMBEROF HEADS)0 0 0 3 0STNK: COMMERCIAI-/RESIDENTIAL KITCHEN 0SINK: COMMERCIAL BAR 0 0 2 0 0 2 0SNK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 4 0 5 0URINAL, STALL / WALL 0 0 0 6 0TOILET, PUBLIC INSTALLATION TOILET. PRIVATE INSTALLATION 3 0 3 I 24 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE 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 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1OOO s0.00 CREDITRATE $5.04x = I so.oo CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDITRATE $0.00 x $5.04 0 TOTAL MWMC CREDIT I so.oo BEFORE I979 $5.04 1979 $5.04 1980 $4.95 198 I $4.88 1982 s4.75 1983 $4.58 1984 $4.41 1985 $4.20 r986 $3.88 't987 $3.50 I 988 $3.07 1989 $2.60 1990 92.t4 l99l $1.71 t992 $1.s2 1993 $ 1.38 1994 $ l.l9 1995 $ 1.03 1996 $0.87 t997 $0.68 r998 $0.46 1999 $0.27 2000 $0.09 2001 $0.04 'Willamalane Park & iflcreation District 0orntm{,c,3g4 5@ _oo SYSTEM DEVELOPMENT CHARGE woRrcSneer Job. No. $ ADDRESS: LOCATION OF PROPOSEI] BUILDING SI-TE: Street Address: Plat Name:_ Tax Lot Nurnber: 1:. DEVELOpMENT TypE (Check appropriate dwelting(s). sDC calculations and dwellirig t ype detinitions are on the back) A Single-Family Detaehed NO. OF UNITS X $1,000 Per unit = $ - B. Single-Family Attached t ., a^^, - -----.-LNO. OF UNITS X $924 Per unit ' = ' $ qL400 NAME: , o. PHONE: srArE:OAr'r, 4141 7 X .$692 per unit = $ X $699 per unit = $ C. Multi-Family APart,ment NO. OF UNTTS D. Manufacturecf Home,Pnrk NO. OF UNITS .- WILLAMAL.A,NE SDC Development Se SDC CREDTT (i( appticable) SDC,;-payer must (umlsh proo{ of Wllamalane Ctuait'"pptoval See SOC creA WodcsheeL $ TOTAL WILLAMALANE NET SDC ASSESSED 0f SDC reduced for Credit) $ 5 City of Springfield ep artment Date !L, oo d