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Home My WebLink AboutPermit Building 2006-07-19Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-126-3676 Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIED: 0412112006 EXPIRESz 0312512007VALUE: $ 23,400.00 Owner: Address: SITE ADDRESS: 2419ITTH PL ASSESSOR'S PARCEL NO.: 1703243400347 PROJECTDESCRIPTION: Garage Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PhoneNumber: 541-744-0066 Expiration Date Phone 1211812006 1211012007 541-485-0922 RON DAVIS 2419 ITTH PL SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing Contractor OWNER BUILDERS ELECTRIC INC OWNER License 08699 4296 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Typel # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: l0 ' away from Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: U VN 17.00 Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: 900 nla 10.00 10.00 12.50 27.70 Sidewalk Type: N0TICE:uornn.pouts/Drains: Drywell - Provide THtS PERMIT SHALL EXPIRE lF UltE Wmfineering ,."8H.ff lf8^l&BtauPEry#iJi^?$li'*-" ANY 180 DAY PERIOD. Paee I of3 I mrl LUI\ I t(AL I uK T1\T UKIYIA T TL'N J t ulLlrll\(, l1\I(,ruYtAlrt l\ | ull v lll-urlvllll\ I 11\ F (rl(lYlA I rul\ I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIED| 04t2U2006 EXPIRES: 0312512007VALUE: $ 23,400.00 Description Garage Tvpe of Construction Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $26.00 900.00 Total Value of Project Amount Paid Date Paid Value $23,400.00 $23,400.00 Date Calculated 04t2y2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Garage/Carport Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area + l0o/o Administrative Fee + l0oh Administrative Fee + 87o State Surcharge + 8%o State Surcharge Fixture Gas Outlets l-4 Minimum/Adjustment Mechanical Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 10oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Receipt Number 2200600000000000493 1200600000000000720 I 200600000000000720 l 200600000000000720 l 200600000000000720 I 200600000000000720 l 200600000000000720 l 200600000000000720 1200600000000000720 I 200600000000000720 I 200600000000001 095 1 20060000000000r 096 1 200600000000001 095 l 200600000000001 096 I 200600000000001 095 1200600000000001 096 I 200600000000001 096 I 200600000000001095 l 20060000000000 I 095 r200600000000001 095 I 200600000000001095 2200600000000001353 2200600000000001 353 220060000000000 I 353 220060000000000 l 353 2200600000000001 353 $140.79 $14.40 $7.92 s36.00 $45.00 $2r 6.60 $63.00 $l12.00 $3.18 $63.67 $4.s0 s4.50 $3.60 s3.60 $28.00 $4.00 $4r.00 $17.00 $19.07 $2s.07 $2.21 $4.60 $2.30 $3.68 $43.00 $3.00 4t2u06 st26t06 5t26t06 5t26106 5t26106 st26t06 5t26t06 5t26106 st26t06 5t26t06 7 t19t06 7n9t06 7n9t06 7n9t06 7n9106 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7fi9t06 9t26t06 9t26t06 9t26106 9t26t06 9t26t06 $91 t.69 Fees Plan Reviews Initial Review Planning Review 04t24t2006 04t24t2006 04t24t2006 05n2t2006 APP APP SKG TAJ Pase 2 of3 TotalAmount Paid Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -126-37 69 Inspection Line CITY Buildin g/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIEDz 0412112006 EXPIRESz 0312512007VALUE: $ 23,400.00 Public Works Review Structural Review 04t24t2006 0412512006 APP CAS 04t24t2006 05t23/2006 OK RWC Storm drainage into french drain 3' below surface gravel and perf pipe l0' away from property line 4t2st2006 cAS 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. 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 fou ndation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. red Insnections 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 streeto 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 du ring construction. Owner or Contractors Signature Paee 3 of3 Date 225 Fifth Street Springfieldo Oregon 97 477 541-726-3759 Phone Ctt of Springfield Official Receipt _ velopment Services Department Public Works Department RECEIPT #: 2200600000000001353 Date: 0912612006 l:55:02PM Job/Journal Number coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5%o Technology Fee + 870 State Surcharge + l0o/o Administrative Fee Amount Due 43.00 3.00 2.30 3.68 4.60 Item Total $s6.s8 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard C. PERKINS ELECTRIC nJm 021445 021445 In Person Payment Total: $56.s 8 -$s6-35- c Receint I Page I of I 9t26t2006 sFn$lfiFrr&e a'?(- 225 FIffH STREET . SPRINGFIELD,OR|T4TT . PH:(541)726-ll!f r FAX: (541)726-3689 PERMIT APPLICATION Ciry Job SPRII{GFIELD ZON INITIALS DATE SOU Date 3 COMPLETE FEE S CHEDULE BEL,O\Y e 1-LG- ZoroO 1. LEGAL DESCRIPTION ot 3 C'D3 1 JOB DESCzuPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor Address Po R,.,, // 93 ?rUt" Feeder B. Serfi&d ION SIIII,lU]d SIHl U]CNN O]ZIUOHINV lg0flPsPrl'ff I u I dxl I I vH S-rur&td $[ji;201 Amps to 400 AmPs 4ol Amps to 6oo Amps --- 'TIlt0Noo 601 Amps to 1000 AmPs 5163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 Installation, Alteration or Relocation 200 or less $s D. '00jHld AVo 0B t ANV :. l G}+qehlvflilsgrU0{a$fErfi iry.0s|r Rel oca t io n : Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or $ 106.00 $ 19.00 $s0.00 Supenisor License Number ,?o70 - S C' Temporarl'services or Fceders ciry Q *,r- ll Pho^e ' fl//- ?/6/" Expiration Date /O - D/-27 Constr. Contr. Number Expiration Date ?- /5 .- ,/) / Signature of Supervising Electrician Owners Name pnonJgg -6bb OWNER TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature 3 E.Miscellaneous (Serviceifeeder not included) -Each Installation a3 C Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Cornmercial Minimum Electric Permit Inspection Fee is $45.00 + 4. SUBTOTALOFABOW 8% State Surcharge 10% Administrative Fee 5% TechnologY Fee $ 50.00 $ s0.00 $ 25.00 $ 45.00 Surcharges na Cn) o o 859:sInspection Request: 726-3769 TOTAL Shared Drive(T: )iBuilding Forms/Elech'ical p.,','t't;1 4ffibution 8-06.doc { \A CONT RACT O R IN STALIATI O N ONI }- (.,Q.* f,,,, t -Ta \ /5? {q 7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIEDz 0412112006 EXPIRES: 0l/1912007VALUE: $ 23,400.00 SITEADDRESS: 2419 ITTHPL ASSESSOR'S PARCEL NO.: 1703243400347 PROJECT DESCRIPTION: Garage Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential Owner: Address: Contractor Type General Electrical RON DAVIS 2419 ITTH PL SPRINGFIELD OR 97477 Contractor OWNER BUILDERS ELECTRIC INC Phone Number: 541-744-0066 License Expiration Date Phone 4296 t2n0t2007 541-485-0922 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: 17.00 Urban Fringe 27.70 Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 900 Drywell - Provide Drywell Engineering U VN nla REQUIRED PARKING Total: Handicapped: Compact: 10.00 10.00 12.50 Improved No gon v rth )1- 1e rules by French drain 3' depth gravel & perf pipe l0'away from properfy line 412512006 CAS DEVELOPMENT INFORMATION Notes: Page I of3 rrulLDrN u rN r utl1YrAl-$lll-l reqon law tter. J -0010 Dy the C Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIEDz 0412112006 EXPIRESz 0111912007VALUE: $ 23,400.00 Description Garage Type of Construction Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $26.00 900.00 Total Value of Project Amount Paid Date Paid Value $23,400.00 $23,400.00 Date Calculated 04t2u2006 Fee Description Plan Review Residential + l0o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Garage/Carport Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area + l0oh Administrative Fee + lO"h Administrative Fee + 87o State Surcharge + 8%o State Surcharge Fixture Gas Outlets 1-4 Minimum/Adjustment Mechanical Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Receipt Number 2200600000000000493 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 120060000000000r09s 1200600000000001096 1200600000000001095 1200600000000001096 1200600000000001095 1200600000000001096 1200600000000001096 1200600000000001095 1200600000000001095 1200600000000001095 1200600000000001095 $r40.79 s14.40 s7.92 $36.00 $4s.00 $216.60 $63.00 $112.00 $3.18 $63.67 $4.50 $4.50 $3.60 $3.60 $28.00 $4.00 $41.00 $17.00 $19.07 $2s.07 s2.21 4t2u06 5t26t06 5t26t06 5t26t06 5t26t06 st26t06 st26t06 st26t06 5t26t06 st26t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7/19t06 $8ss.l l Fees Paid Plan Reviews Initial Review Planning Review Public Works Review 04t2412006 04t24t2006 04t24t2006 04t24t2006 0sn2t2006 04t25t2006 APP APP APP SKG TAJ CAS Storm drainage into french drain 3' below surface gravel and perfpipe l0' away from properfy line 4t25t2006 CAS OK RWCStructural Review 04t24t2006 05t23t2006 Paee 2 of3 I Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIEDz 0412112006 EXPIRES: 01/1912007VALUE: $ 23,400.00 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. 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. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Reou 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. ,z*r{ Owner or Contractors re Date Pase 3 of3 I 225 Pifth Street Springfield, Oregon 97 477 541-726-3759 Phone C:+v of Springfield Official Receipt - -- ;elopment Services Department Public Works Department RECEIPT #: 1200600000000001096 Date: 0711912006 l0:20:49AM Job/Journal Number coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 Description Gas Outlets I -4 M inimum/Adjustment Mechanical + 8% State Surcharge + l0o/o Administrative Fee Amount Due 4.00 4l .00 3.60 4.50 Item Total:$s3.10 Payments: Type of Payment Paid By Received By Fheck Number Batch Number Authorization Number How Received Amount Paid Check RON DAVIS lkw In Person Payment Total: $53.1 0 -$sl-ld- 9008 cReceinl I Page I of I 7/19/2006 F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006 APPLIEDz 0412112006 EXPIRES: 01/1912007VALUE: $ 23,400.00 SITEADDRESS: 2419 ITTHPL ASSESSOR'S PARCEL NO.: 1703243400347 PROJECTDESCRIPTION: Garage Springfield TYPE OF WORK: Garage TYPE OF USE: New CO Residential Owner: Address: Contractor Type General Electrical RON DAVIS 2419 ITTH PL SPRINGFIELD OR 97477 Contractor OWNER BUILDERS ELECTRIC INC I SHALT IHIS PER NED FOR License Expiration Date Phone 4296 12n0t2007 541-485-0922 IHIS PEfifu,I PhoneNumber: 541-744-0066 AUIHOBIZE D UNDER EXP'RE ,F IH E WORK # 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: r0.00 10.00 12.50 Partially Improved No Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Urban Fringe 27.70 Sidewalk Type: Downspouts/Drains: U VN Lot Size: rules -0010 through may obtain copies of tfig f&(NoEathe 900 Drywell - Provide Drywell Engineering er:h. Load: REQUIRED PARKING Total: Handicapped: Compact: ) Notes: French drain 3' depth gravel & perf pipe 10 ' away from property line 412512006 CAS PUBLIC IMPROVEMENTS Page I of3 |1 U ll,l,rli\ rJ rN I UKlvrrq'-!-!!2fJ #of Center.Those Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006APPLIEDz 0412112006EXPIRES: 01/1912007VALUE: $ 23,400.00 Description Garage Type of Construction Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $26.00 900.00 Total Value of Project Amount Paid Date Paid Value $23,400.00 $23,400.00 Date Calculated 04t21/2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Garage/Carport Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area + l0oh Administrative Fee + 87o State Surcharge Fixture Miscellaneous Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid $140.79 $14.40 s7.92 $36.00 $4s.00 $216.60 $63.00 $112.00 $3.18 $63.67 $4.50 $3.60 $28.00 $r7.00 $19.07 $2s.07 $2.21 $802.01 4t2u06 5t26t06 s/26t06 st26t06 5t26t06 5t26t06 5t26t06 st26t06 st26t06 5t26t06 7fi9t06 7n9t06 7n9t06 7n9t06 7n9106 7n9t06 7n9t06 Receipt Number 2200600000000000493 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 r200600000000000720 I 200600000000000720 1200600000000000720 1200600000000000720 l 20060000000000r 095 1200600000000001095 I 200600000000001 095 1200600000000001095 1200600000000001095 I 200600000000001095 r200600000000001095 tr'ees Pa Plan Reviews Initial Review Planning Review Public Works Review Structural Review 04t24t2006 04t24t2006 04t24t2006 04t24t2006 05n2t2006 04t25t2006 APP APP APP SKG TAJ CAS Storm drainage into french drain 3' below surface gravel and perfpipe l0' away from property line 4/2512006 CAS 04t24t2006 05t23/2006 OK RWC To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Page 2 of3 ]T Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0711912006APPLIED: 0412112006 EXPIRESz 0111912007VALUE: $ 23,400.00 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing 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 durin g construction. 6 Owner or Contractors Signature Page 3 of3 o^( 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;+v of Springfield Official Receipt ^ elopment Services Department Public Works Department Date: 0711912006 l0:14:03AM Job/Journal Number coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 Description Fixture Miscellaneous Plumbing + 8% State Surcharge + l0o/o Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Amount Due 28.00 17.00 3.60 4.s0 25.07 19.07 2.21 Item Total: -$9115 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check RON DAVIS lkw 9007 In Person $99.45 Payment Tota I : -599-ii5 cReceint I Page I of 1 711912006 RECEIPT #: 1200600000000001095 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING TJNITS I. STORMDRAINAGE DIRECT RTNOFF TO CITY STORM SYSTEM CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN. ,ORKSHEET coM2006-00473 Ron Davis 2419 l7thPlace t'703243400347 SINGLE FAMILY RESIDENCE 0 BUILDING SIZE LOT SrZE (SF):0 IMPERVIOUS S.F x 0.00 RUNOFF NUMBER OF DFU's I B. IMPROVEMENT COST: NUMBER OF DFU's I ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NLMBER OF LINITS 0 NUMBEROF LINITS 0 ADM. FEE RATE sYo CHARGE $0.00 DISCOT]NT RATE 500/, $63.67 DISCOT]NT $63.67 TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x ITEM I TOTAL - STOR]VI DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBT]RSEMENT COST: x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBI.]RSEMENT COST: x x x x x x $,14.14 COST PER TRIP $19.09 COST PER TRIP $84.1 9 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD rTEMS 1,2,3, & 4\ 5. ADMINISTRA'IIVE FEE: $0.00 $r07.81 CHARGE $5.39 SUBTOTAL $107.81 TOTAL SANITARY ADMINISTRATION FEE ADMINISTRATION FEE: Cheryl Slaymaker 7 t1912006 IMPERVIOUS S.F 394.25 COST PER FEU $82.03 $r9.07 $0.00 $0.00 $0.00 $0.00 00 $113.20 1070 l09l 1092 l 093 1094 105 l0s6 1079 a IJ]aoO rrlFa () rrld tlb I@ IM COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNTT EQUTVALENT: DRAINAGE FXTURE UMTS FOR CArcULATE ONLY TI{E NET ADDITIONAL NO. OF FIXTURES LINIT FIXTURETYPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE UNITS rsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIXTTIRE LNITS 0 2 1979 BEFORE 1979 1979 1980 198 r 1982 I 983 I 984 I 985 t986 1987 1988 I 989 1990 1991 1992 1993 1994 1995 1996 1997 I 998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $+.+o $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / IOOO s0.00 CREDIT RATE $5.29 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 2 x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 BATHTTIB 0 0 3 0 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTI#SWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER GANG (NTJMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL K]TCTIEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTTAL BAR 1 0 1 1 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 2000 -ffil EI 2001 20 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S4l-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0512612006 APPLIEDz 0412112006 EXPIRESz 1112612006VALUE: $ 23,400.00 FIELD SITEADDRESS: 2419 ITTHPL ASSESSOR'S PARCEL NO.: 1703243400347 PROJECTDESCRIPTION: Garage Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential Owner: Address: Contractor Type General Electrical RON DAVIS 2419I7THPL SPRINGFIELD OR 97477 Contractor OWNER BUILDERS ELECTRIC INC Phone Number:541-744-0066 License Expiration Date Phone 4296 12n0t2007 541-485-0922 # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: "h of Lot Coverage: r7.00 nla Urban Fringe 27.70 Sidewalk Type: Downspouts/Drains Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 900 Drywell - Provide Drywell Engineering U VN REQUIRED PARKING Total: Handicapped: Compact: 10.00 10.00 12.50 Partiallv Improved No Notes: French drain 3' depth gravel & perf pipe 10 ' away from property line 412512006 CAS DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page I of3 '': l9cz-' You n ..-^ th rcation I'UILUrl\ (J rNI Utllvl.q. ] rgN_l 0 Vj0l Iltl'j lHl I CITY Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0512612006 APPLIED: 0412112006 EXPIRESz 1112612006VALUE: $ 23,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Description Garage Tvpe of Construction Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $26.00 900.00 Total Value of Project Amount Paid Date Paid Value $23,400.00 $23,400.00 Date Calculated 04t2u2006 Fee Description Plan Review Residential + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Fire Fee - Residential Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage lmpervious Area Total Amount Paid $140.79 $14.40 s7.92 $36.00 $216.60 $4s.00 $63.00 $112.00 $3.18 $63.67 $702.56 4tzu06 5t26t06 5t26/06 5t26/06 5t26t06 5t26t06 5t26t06 5t26t06 5t26t06 5/26t06 Receipt Number 2200600000000000493 1200600000000000720 1200600000000000720 1200600000000000720 r200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 1200600000000000720 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 04t24t2006 04t24t2006 04t24t2006 04/24t2006 05fi2t2006 04/25t2006 APP APP APP SKG TAJ CAS Storm drainage into french drain 3' below surface gravel and perfpipe 10' away from property line 4t2st2006 cAS 04t24/2006 05t23t2006 OK RWC 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. 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. Shear Wall Nailing: Before covering sheathing with finish materials. Paee 2 of3 Reouired Insnecfions Valuation Descrintion I F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00473ISSUED: 0512612006 APPLIED: 0412112006EXPIRES: ll/26/2006VALUE: $ 23,400.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover 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. Uu Owner or Contractors Signature Date Page 3 of3 UYZ_[i,b.* Wl,pq.*'t1 225 FTFTH STREET r SPRINGFIELD, OR 97477 o PII:(541)726-3753 o FAX: (54t)726--1689 ELECTRI CAL P E RM IT APPLI CA'I' I ON City Job Number (J, '<p+,73 Date I. LOCA'I'IONOI'TNST'EINTTTION- l.{^ ?rz\1 t-7r--* \ t- /.+OG 3. COMI'IN'fii N'ND SCHEDULE TIIil,OW Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder One Circuit Each Additiorral Circuit or with Service or Feedcr Permit LEGAL DESCRIPTION A. Nerv Residential - Single or l\{ulti-Farnily per dwelling unit. 2 @3 JOB DESCRIPTION lZ Lrrc-,* Permits are and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. 00NTRAG?]ORTNSTALT,ATTON ONLY Electrical Contractor cierS krc-t ric ln( 2oo Amps or less Address fi 5 Mc{clrS o r\201 Anrps to 400 Antps 401 Arnps to (r00 Antps 601 Arnps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Supervisor License Number 3"1 o -3 'i i't 'C. Tenrporary Seryices or Feeddiq Expiration Date to -l'o)lnstallation. Alterntion or Relocation 200 Anrps or less $ 50.00 Constr. Contr. Number 4Nito 201 Arnps to 400 Anrps $ (r9.(X) o-o 401 Amps to 600 Amps $100.00 Over 600 Arnps or 1000 Volts see "B" above. D. Bronch Circuits New Alteration or Extension Per Panel sing Electrician $ 43.00 $ I0(r.00 $ 19.00 $50.00 B. Scrvices or Fecders - lnstallatiotr, Alterations or Relocation City 6 e e Phone 48-a- 09'ZZ $ 63.00 s 75.00 $ 1 25.00 $ r 63.00 $375.O0 $ 50.00 63 S lL s yoo 7e Owners Name Address L E. Mlscelltncous (Servlce/teedcr not inclutted) *liach lnstallrtion 7tt(-d;City OWNER INST The installatio *<6iei on property I own which isnotinte,ddd for sale, Owners Signature Pump or irrigation Sign/Outlinc Lighting Limited Energy/Residential Lirnited Energy/Cornmercial Minimum Electric Permit Inspection Fee is $45.00 * Strrcharges 4. SUBTOTAL OII ABOW Jw st^t" Surcharge I 0% Adnrinistralivc Fec 't'o'rAL $ $ $ $ 50.00 50.00 25.00 45.00 ?7N ?1u t lb,6LInspection Request: 126-37 69 rent. Sharcd Drivc(T:)/Building Fornrs/Elcctrical Pcrnrit Application l {3.tloc CITY OF SPRINGFIELD, OREGON JOURNAL ORJOBNUMBER: NAME ORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS CITY OF SF. /GFIELD SYSTEMS DEVELOPMENT WORKSHEET coM2006-00473 Ron Davis 2419 lTthPlace 1703243400347 SINGLE FAMILY RESIDENCE 0 BrrrLDrNG SrZE (SF, 900 LOT SrZE (SF- I. STORM DRA]NAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F 0.00 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 394.2s NUMBER OF DFU'S 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIPRATE 9.57 SUBTOTAL s63.67 COST PER S.F. $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $r 9.07 NUMBER OF UNITS 0 NUMBER OF TNITS 0 ADM. FEE RATE 5Y" CHARGE $0.00 DISCOUNT RATE 50o/o $63.67 DISCOUNT $63.67 x x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER- CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL- CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBTIRSEMENT COST: $0.00 COST PER TRIP $r 9.09 COST PER TRIP $84. r 9 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OFFEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMIMSTRATIVE FEE: $0.00 s63.67 C}IARGE $3.1 8 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE COST PER FEU $82.03 $0.00 $0.00 $0.00 $0.00 $0.00 3. l8 $66.8s I 070 1091 1092 1093 1094 1 054 I 055 1054 1056 1079 I 078 o E]aoQ r!Fa rI]d COST PER FEU $865.3 r TOTAL SDC CHARGES x CherylSlaymaker 4/2512006 PREPAREDBY DATE DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OFNEW FXTURES X UNTT EQUTVALENT: DRAINAGE FXTURE UNTTS FOR CAICUI-ATE ONLY THE NET ADDMONAL NO. OF FIXTURES LiNIT FXTTIRE TYPE NEW OLD MISCELLANEOUS DFU TYPE NTII\4BER OF EDU'S TOTAL DRAINAGE FD(TURE fINITS lsa toa mit set a1 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTT'RE UNITS 0 2 2 1979 *EDU BEFORE I979 $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 IS LAND ELGIBLE FORANNEXATION 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 (TF APPLICABLE) 1979 1980 l98l 1982 I 983 1984 I 986 1987 1988 1989 1991 1992 1994 1995 1996 7997 1998 1999 xt 985 VALUE/ IOOO $0.00 CREDITRATE $5.29 1990 1993 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 0 0 3 0BATHTUB 1 0DRINKING FOTINTAIN 0 0 0 0 3 0FLOOR DRA]N 0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 b 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 0 2 0LAT]NDRY TUB 0003CLOTHESWASHER / MOP STNK 0 6 0CLOTHESWASHER - 3 OR MORE (EA)0 0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER) 0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 0 2 0SHOWER, SINGLE STALL 0SHOWER. GANG (NUMBER OF HEADS)0 0 2 0 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCMN 0 0 2 0SINK: COMMERCIAL BAR 0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 0 5 0T]RINAL, STALL / WALL TOILET. PUBLIC INSTALLATION 0 0 6 0 0 3 0TOILET, PRIVATE INSTALLATION 0 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALTIE 2000 2001 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;+v of Springfield Official Receipt ^ _ . elopment Services Department Public Works Department RECEIPT #: 1200600000000000720 Date: 0512612006 2:40:14PM Job/Journal Number coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 coM2006-00473 Description Fire Fee - Residential Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit + 8% State Surcharge + l0o Administrative Fee Amount Due 45.00 63.00 36.00 63.67 3.18 I 12.00 216.60 7.92 14.40 Item Total:$561.77 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check RON K. DAVIS 2763 In Person $561.17 PaymentTotal: ffi cReceiotl Page 1 of I 512612006 *F*$|SF*W,;0I