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Home My WebLink AboutPermit Building 2005-05-03Buildin g/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00381ISSUED: 05/03/2005APPLIEDz 0410112005EXPIRES: 11/0312005VALUE: $ 20,928.00 SITE ADDRESS: 4096 E 17TH AVE Eugene TYPE OF WORI(: Foundation ASSESSOR'S PARCEL NO.: 1703344305800 TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence and new foundation under existing structure. Also, adding foundation under garage. Phone Number: 541-747-8819 Expiration Date 02t07t2006 tut0t2006 0u24t2006 Residential Phone 541-688-8787 541-741-2596 s4t-484-7246 Owner: Address: VONDA WELTY PO BOX 3266 EUGENE OR 97403 Contractor Type General Electrical Plumbing Contractor License PAGE REMODELING & CONSTRUCTION I 68337 G MILLER ENTERPRISES INC 87145 ARPS PLUMBING CO INC 38123 MATION # 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: # of Stories: R-3 Height Type Lot Size: Sq Ft lst Floor: VN t PARIflNG 10.00 22.00 0.00 Partially Improved No Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Urban Fringe Sidewalk Type: Downspouts/Drains: Total: Handicapped: Compact: CAS Drywell - Provide Drywelt Engineering oft,w{*Hlkts{}$t'H'A HWiqftqa\'fis{Rh PUBLIC IMPROVEMENTS Notes: Existing drywell for storm drainage 41412005 Page I of4 L(-,I\ 0 obtain Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00381ISSUED: 05/03/2005APPLIED: 0410112005EXPIRES: 11/0312005VALUE: $ 20,928.00 Description Tvpe of Construction Bid Amount Use Bid Amount Bid Amount Use Bid Amount Foundation Onlv Use Bid Amount Foundation Onlv Use Bid Amount Fee Description Foundation Permit Plan Review Residential + l0o Administrative Fee + l0o/o Administrative Fee + 7Yo State Surcharge + 7o/o State Surcharge Foundation Permit Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + l0oh Administrative Fee + l0o/o Administrative Fee + 77o State Surcharge + 7%o State Surcharge + 1%io State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent f ixture Minimum/Adj ustment Mechanical Plan Review Minor - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan Total Value of Project Date Paid 4nt0s 4fit05 4figt05 4lt9t05 4fi9t05 4fi9tos 4n9t05 4fi9t05 5/3/0s s/3/0s s/3/0s s/3/0s 5/3/05 5/3/05 5/3/05 s/3/05 5/3/05 s/3/05 5t3t05 s/3/05 5/3/0s st3l0s 5/3/05 s/3/0s st3tos 5/3/05 5/3/0s s13t05 513t05 5/3/0s Receipt Number 2200500000000000376 2200s00000000000376 1200500000000000467 1200s00000000000467 1200500000000000467 1200s00000000000467 1200s00000000000467 1200500000000000467 1200s00000000000556 1200s00000000000s62 1200500000000000556 1200s00000000000556 1200s00000000000s62 1200s00000000000ss6 1200500000000000556 1200500000000000ss6 r200500000000000ss6 1200500000000000s62 r200500000000000ss6 r200500000000000ss6 1200s00000000000556 1200500000000000ss6 1200s00000000000ss6 1200s00000000000ss6 1200500000000000556 1200s00000000000556 1200s00000000000ss6 1200s00000000000556 1200500000000000556 1200500000000000556 $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 $1.00 Square Footage or Bid Amount 15,000.00 5,928.00 3,000.00 3,500.00 Value $15,000.00 $5,928.00 $3,000.00 $3,5oo.oo $27,428.00 Date Calculated 04t01t2005 05t02t2005 0410u2005 041t412005 Amount Paid $52.80 $9s.16 $5.28 $6.06 $3.70 $4.24 $60.60 $39.39 $10.00 $1.80 $4.60 $33.92 $1.26 $3.22 $23.74 $43.00 $3.00 $18.00 $193.20 $6.00 $s6.00 $33.00 $s9.00 $64.74 $36.s6 $48.08 $6.09 $37.20 $45.00 $6.00 Fees Paid Total Amount Paid $1,000.64 Pase2 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: COM2005-00381ISSUED: 05/03/2005APPLIED: 0410112005EXPIRES: 11/0312005VALUE: $ 20,928.00 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 0410412005 04t04t2005 04t04t2005 04t04t200s 04t22t2005 04t04t200s 04t04t2005 04t29t2005 04n4t2005 04fi8t200s DLM 04t0u200s 04t0U2005 APP DLM Existing dryrvell for drainage 4/4/2005 CAS structure only - foundation previously issued Garage foundation only - See documents for plan review comments Foundation only APP APP APP APP APP SKG TAJ CAS RJB 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. 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. Final Building: After all required inspections have been requested and approved and the building is complete. 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 {illing trench and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Rprrrrirpd fnsnpefinns Page 3 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line ITY Buildin g/Combination Permit PERMIT NO: COM2005-00381ISSUED: 05/03/2005 APPLIED: 04/0112005 EXPIRES: 11/03/2005VALUE: $ 20,928.00 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 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 card is the front of the property, and the approved set of plans will remain on the site at all times S-O?ar Owner Date Pase 4 of 4 225 Fifth Street Spi'tngf;eld, Oregon 97 47 7 541-726-3759 Phone City of Springlield Official Receipt - Development Services Department Public Works Department RECEIPT #: 1200500000000000s62 Date:05/03/2005 10:03:23AM Job/Journal Number ccM200s-00381 coM2005-00381 coM2005-00381 Description Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0o Administrative Fee Amount Due r 8.00 1.26 1.80 Item Total:$21.06 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Cash Change PAGE CONSTR PAGE CONSTR b b dj dj In Person In Person Payment Total: $2 l. l0 ($0.04) $21.06 Job/Journal Number coM2005-00381 coM2005-00381 coM2005-00381 Description Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 18.00 1.26 1.80 Item Total:$21.06 Payments: Type ofPayment Paid By CheckNumber Received By Batch Number Authorization Number How Received'Amount Paid Cpsh Change PAGE CONSTR PAGE CONSTR djb djb In Person In Person $2 l. r0 (so.04) Payment Total: $21.06 ,i s/3/2005 Page I of I CITY OF SPRINGFIELD. OREGON 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAy'olts Reconnect Only lYo State Surcharge l0% Administrative Fee TOTAL 4o $s0.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: E LE CTRI CAL P E RMIT APP LI CATI ON City Job Number g foate 5,o 3. llrL9 A' JOB DESCRIPTION MdCxrc,**s 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 Ger,trcl f led Address 3?S'/ tlaq d"{ 6"- AJ City 1 ld pnone 7( t -2s"( Supervisor License Number 365{ S Expiration Date ,/o -l -07 Constr. Cont. Number 8 zt{f Expiration Date /l^ lo -6< Signature of Supervising Electrician Owners Name Address r\l City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: C. Installation, Alteration or Relocation 200 Amps or less the o the Or 4t.oo Service or \'/ $ 3.oo V,oO Pump or irrigatron $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges ,OO 3 ,zz-----Mo 5l gz B. rtb PL tP Inspection Request: 726-3769 4. Shared Drive(T:/Building FormVElectrical Permit Application l -03.doc + uo9 1.oFtNsTt/.terroN COPTPLETEFEE Nerv Residential -or . CONTRACTOP. INSTALIATION ONLYL. $ 106.00 $ 19.00 Alteratiois or Relocation:Services or Feeders - law -'.---7-1-O E. Miscellaneous (Service/feeder not included) -Each Installation SUBTOTAL OF ABOW Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 54l-726*3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00381ISSUED: 05/03/2005APPLIEDz 0410112005 EXPIRES: 11/0312005VALUE: $ 20,928.00 SITE ADDRESS: 4096 E 17TH AVE Eugene TYPE OF WORK: Foundation ASSESSOR'S PARCEL NO.: 1703344305800 TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence and new foundation under existing structure. Also, adding foundation under garage. Expiration Date 02t07t2006 tut0t2006 0u24t2006 Residential Phone 541-688-8787 541-741-2596 s4l-484-7246 Owner: Address: VONDA WELTY PO BOX 3266 EUGENE OR 97403 PhoneNumber: 541-747-8819 Contractor Tvpe General Electrical Plumbing Contractor License PAGE REMODELING & CONSTRUCTION I 68337 G MILLERENTERPRISES INC 87145 ARPS PLUMBING CO INC 38123 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: # of Stories: Height of ON: Oregon I Type of llow rules adopted byWaterotification Center. Tho Energy OAR 952-001-0010 thro Sprinkled u may nco Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: by urban Fringe l""fli""nr"u, Compact: Sidewalk Type: Downspouts/Drains: n Utility Notification -800-332-234&neuInoD pARKING R-3 \rN 10.00 22.00 0.00 Partially Improved No to Range Drywell - Provide Drywell Engineering PUBLIC IMPROVEMENTS Notes: Existing drywell for storm drainage 41412005 CAS Pase I of4 -r l, U lIJl-rlI\ U tl\ I UI(Yrry..l Buildin g/Combination Permit Status Issued 225 Fifth Street, Springfield, OR S4l-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2005-00381ISSUED: 05/03/200sAPPLIED: 0410112005EXPIRES: 11/0312005VALUE: $ 20,928.00 Description Tvpe of Construction Bid Amount Use Bid Amount Bid Amount Use Bid Amount Foundation Onlv Use Bid Amount Foundation Onlv Use Bid Amount Fee Description Foundation Permit PIan Review Residential + l0o/o Administrative Fee + l0o Administrative Fee + 77o State Surcharge + 7o/o State Surcharge Foundation Permit PIan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + l0o/o Administrative Fee + 7%o State Surcharge + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Plan Review Minor - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan Total Value of Project Date Paid Receipt Number 2200500000000000376 2200s00000000000376 1200s00000000000467 1200500000000000467 1200s00000000000467 1200500000000000467 1200500000000000467 1200s00000000000467 1200500000000000556 1200s00000000000ss6 1200s00000000000556 1200s000000000005s6 1200s00000000000556 1200500000000000s56 1200500000000000556 1200s00000000000s56 1200s00000000000556 1200500000000000ss6 1200500000000000556 1200500000000000556 1200s00000000000ss6 1200s00000000000556 r200s00000000000s56 1200500000000000556 r200500000000000ss6 1200500000000000556 1200500000000000556 $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 $1.00 Square Footage or Bid Amount 15,000.00 5,928.00 3,000.00 3,500.00 Value $15,000.00 $5,928.00 $3,000.00 $3,500.00 $27,428.00 Date Calculated 04t0u2005 05t02t2005 04t0u2005 04fi4t2005 Amount Paid $52.80 $9s.16 $5.28 $6.06 $3.70 s4.24 $60.60 $39.39 $10.00 $4.60 $33.92 $3.22 $23.74 $43.00 $3.00 $193.20 $6.00 $56.00 $33.00 $59.00 $64.74 $36.s6 $48.08 $6.09 $37.20 $4s.00 $6.00 4nt0s 4nt05 4n9tos 4n9t05 4n9t05 4n9t05 4n9l0s 4n9t05 5/3/05 s/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/0s 5t3t05 st3t05 5/3/05 s/3/0s 5l3l0s 5/3/0s 5/3/05 5/3/05 st3t05 s/3/05 5/3/0s 5/3/05 Total Amount Paid $979.s8 Paee 2 of4 Valuation Description I B ees ratd I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Buildin g/Combination Permit PERMIT NO: COM2005-00381ISSUED: 05/03/2005 APPLIEDz 0410112005EXPIRES: 11/0312005VALUE: $ 20,928.00 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 04t04t2005 04t04t2005 04t04t2005 04t04t2005 04t22t2005 04t04t2005 APP APP APP SKG TAJ CAS 04104t2005 04t29t2005 APP RJB 04n4t2005 04n8t2005 APP DLM 04t0U2005 04/01/2005 APP DLM Existing drywell for drainage 4/4/2005 CAS structure only - foundation previously issued Garage foundation only - See documents for plan review comments Foundation only 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. WaIl Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Rpnrrirpd fnsnpcfions Pase 3 of4 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: COM2005-00381ISSUED: 05/03/2005APPLIED: 0410112005EXPIRES: 11/0312005VALUE: $ 20,928.00 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 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 atl required inspections are requested at the proper time, that each address is readable from the street, that the card is the front of the property, and the approved set of plans will remain on the site at all Signature Date Page 4 of4 CITY OF S, ..INGFIELD SYSTEMS DEVELOPMEN- ,{ORKSHEET JOURNALORJOBNUMBER: COM2005-00381 NAME ORCOMPANY: LOCATION:4096 E lTth Ave TAX I-OTNIIMBER:I 70334435800 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING TINITS I. STORMDRAINAGE BrrrLDrNG SIZE (SF. 240 LOT SIZE (SF): CHARGE $0.00 0 DIRECT RIINOFF TO CITY l- rMPERVrous s-F. I o.oo x x x x x x x x STORM SYSTEM COST PER S.F $0.310 COSTPER S.F $0.310 COST PER DFU s24.04 $18.28 NUMBER OF UNITS 0 NUMBER OF T]NITS 0 x ADM. FEE RATE 5% DISCOTINTRATE 50o/o $37.20 DISCOI.INT $37.20 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F. 240.00 ITEM I TOTAL - STOR}I DRAINAGE SDC 2. SANITARY SEWER- CITY A. REIMBURSEMENT COST: x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: NLIMBER OF DFU's 2 B. IMPROVEMENT COST: NTA,IBEROFDFU's 2 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 SUBTOTAL $ 121.84 $84.64 COST PER TRIP $18.30 COST PER TRIP $80.72 $0.00 NEW TRIP FACTOR r.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBTIRSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NLTMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $121.84 CHARGE $6.09 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION CherylSlaymaker 4/4/200s COST PER FEU $82.03 $37.20 $48.08 $36.56 $0.00 $0.00 $0.00 6.09 $127.93 1070 l09l 1092 1093 r094 r 055 1056 079 078 a H-ln O & rrlFa H& I COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FDCURES x UMT EQUTVALENT: DRAINAGE FXTURE UN]TS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FXTURES LINIT NEW OLDFIXTIIRE TYPE MISCELLANEOUS DFU ryPE NIA{BER OF EDU'S TOTAL DRAINAGE FD(TT]RE tiNITS *EDU lsa toa BEFORE I979 1980 l98l 1982 1983 1984 $4.63 1985 unit set at 167 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Ye1 2 for No) BASE YEAR CREDIT FOR IAND OF APPLICABLE) 20 DRAINAGE FIXTURE TINITS 0 2 1979 MWMC CREDIT CALCULATION TABLE: BASED ON COIiNTY ASSESSED VALUE .29 1979 1986 1987 1988 1989 1990 1991 1992 1993 1994 t99s 1996 1997 1998 1999 2 VALUE / IOOO $0.00 CREDITRATE $5.29x$4.40 $+.oz $2. $2.25 $1.80 CREDIT FOR TMPROVEMENT (IF AFTER ANNEXATION) VALT]E / IOOO CREDIT RATE $0.00 x $5.29 TOTALMWMC CREDIT$1,59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOTINTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b 0 LATINDRY TTIB 1 0 2 2 CLOTTIESWASI{ER / MOP SINK 0 0 3 0 CLOTHESWAS}IER - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWAS}IER / ETC 0 0 3 0 SHOWE& SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOTIBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTTAL BAR 0 0 1 0 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRTVATE INSTALLATION 0 0 3 0 ) YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALI.IE 0 2000 2001 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone eity of Springfield Official Receipt _ ;evelopment Services Department Public Works Department RECEIPT #: 1200s00000000000556 Date:05/03/2005 8:12:15AM Job/Journal Number coM2005-00381 coM200s-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 ccM2005-00381 Description Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Plan Review Residential Building Permit Fixture Storm Sewer - lst 50 Feet Vent Fan Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0% Adminishative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + lUYo Administrative Fee Amount Due 37.20 48.08 36.s6 6.09 59.00 64.74 193.20 56.00 45.00 6.00 6.00 33.00 10.00 23.74 33.92 43.00 3.00 3.22 4.60 Item Total:--T712:t5 Payments: Type ofPayment Paid By uhecl(Number Autnorization Received By Batch Number Number How Received Amount Paid CreditCard CHRISTOPHERL. PAGE ddk 047136 In Person $712.35 PaymentTotal: TiF \ 513/2005 Page I of 1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00381ISSUED: 0410112005APPLIED: 0410112005EXPIRES: 10/18/2005VALUE: $ 21,500.00 SITE ADDRESS: 4096817TH AVE Eugene TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703344305800 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence and new foundation under existing structure. Also, adding foundation under garage. Owner: Address: Contractor Type General Electrical Plumbing VONDA WELTY PO BOX 3266 EUGENE OR 97403 Phone Number: 54 ,,,E Contractor License PAGE REMODELING & CONSTRUCTION I 68337 NORTHWEST ELECTRICAL CONSTRUCTI 15587 7 ARPS PLUMBING CO INC 38123 Expiration Date 02t07t2006 06n3t200s 0u24t2006 Phone 541-688-8787 541-466-3201 541-484-7246 CONTRACTOR INFORMATION PUBLIC # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: AUTHORI R-3 VN RSQUIRED PARIilNG Total: Handicapped: Compact: i1 f Partially Improved No COMMENCED O ANY 1BO DAY P Drywell - Provide Dryrvell Engineering DEVELOPMENT INFORMATION Notes: Existing drywell for storm drainage 41412005 CAS Pase I of3 E L EXI'IRE IF irE 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: COM2005-00381ISSUED: 0410112005APPLIED: 04/0112005EXPIRES: 10/1812005VALUE: $ 21,500.00 Description Tvpe of Construction Bid Amount Use Bid Amount Foundation Only Use Bid Amount Foundation Only Use Bid Amount Fee Description Foundation Permit Plan Review Residential + l0oh Administrative Fee + l0o/o Administrative Fee + 7Vo State Surcharge + 7o/o State Surcharge Foundation Permit Plan Review Residential Total Amount Paid Total Value of Project Date Paid 4nt05 4nt05 4n9t05 4fl9105 4t19t05 4figt0s 4n9t05 4n9tos Receipt Number 2200s00000000000376 2200500000000000376 1200s00000000000467 1200500000000000467 1200500000000000467 1200s00000000000467 1200s00000000000467 1200500000000000467 $ Per Sq Ft or multiplier $1.00 $1.00 $1.00 Square Footage or Bid Amount 15,000.00 3,500.00 3,000.00 Value $15,000.00 $3,500.00 $3,000.00 $21,500.00 Date Calculated 04t0u200s 04n4t2005 .04t9U2005 Amount Paid $s2.80 $9s.16 $5.28 $6.06 $3.70 $4.24 $60.60 $39.39 9267.23 f,'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review Structural Review 04t041200s 04t04t2005 04t04t2005 04t04t2005 SKG CAS04t04t2005 04t04t2005 04n4t2005 041181200s APP DLM 04t0u2005 04t0u2005 APP DLM Existing drywell for drainage 4t4t2005 cAs Garage foundation only - See documents for plan review comments Foundation only APP 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Renrrired fnsneefions Pase 2 of3 Valuation Descrintion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3616Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00381ISSUED: 0410112005APPLIEDz 0410112005EXPIRES: 10/1812005VALUE: $ 21,500.00 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 card at the front of the property, and the approved set of plans will remain on the site at all Ll^t9,-oT Date Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200500000000000467 Date: 0411912005 10:10:17AM Job/Journal Number coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 coM2005-00381 Description Plan Review Residential Foundation Permit + 7%o State Surcharge + l0%o Administrative Fee + 7Yo State Surcharge + 10o/o Administrative Fee Amount Due 39.39 60.60 4.24 6.06 3.70 5.28 Item Total:$119.27 Payments: Type ofPayment Paid By Received By Check Number Batch Number Autnorrzation Number IIow Received Amount Paid CreditCard CHRISTOPHER PAGE djb 001987 In Person $119.27 Payment Total: -$TT07 4/19/200s Page I ofl 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: COM2005-00381ISSUED: 0410112005APPLIEDz 0410112005EXPIRES: 10/0112005VALUE: $ 15,000.00 F SITE ADDRESS: 4096f'17TH AVE Eugene TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703344305800 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence and new foundation under existing structure PhoneNumber: 541-Owner: Address: VONDA WELTY PO BOX 3266 EUGENE OR 97403 Contractor Type General Plumbing Contractor License PAGE REMODELING & CONSTRUCTION I 68337 ARPS PLUMBING CO INC 38123 Expiration Date 02t07t2006 0u2412006 Phone 541-688-8787 541-484-7246 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %" ofLot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: $t ilTt[:[: DownsDouts/Drains: irri'p.r,i*iT sllALL EXPInE lF TllE w0l p,rli"i'i'o-nizr,; Jiri'-tri lriis Ptfiir'1iT lS i'i0l fin-i'nri,CED 0R ls ABAi'iu0r'lED F0i1 Af'lY 180 DAY Ptiii0D. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Pase I of2 uilt,ry set forth OAR 952-00r- number for the of the rules by Center nla Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00381ISSUED: 0410112005APPLIED: 04/0112005 EXPIRES: 10/0112005VALUE: $ 15,000.00 Description Tvpe of Construction Bid Amount Use Bid Amount Foundation Only Use Bid Amount Fee Description Foundation Permit Plan Review Residential Total Amount Paid Total Value of Project Amount Paid $52.80 $95.16 $147.96 $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 15,000.00 3,000.00 Date Paid 4nt05 4nt05 Value $15,000.00 $3,000.00 $18,000.00 Date Calculated 04t0u2005 04t0u2005 Receipt Number 2200500000000000376 2200500000000000376 f,'ees Pa Plan Reviews Structural Review 04t01t2005 04t0u2005 APP DLM Foundation only ffi To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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 Owner Pase2 of2 Date ?t , Valuation Description I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000000376 Date: 0410112005 2:59:05PM Job/Journal Number coM2005-00381 coM2005-00381 Description Foundation Permit Plan Review Residential Amount Due 52.80 95.1 6 Item Total:s147.96 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard CHRISTOPHERPAGE djb 055445 In Person $147.96 Payment Total: --STiiffi 4/t/2005 Page I of I .TET3T