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Home My WebLink AboutPermit Building 2003-11-17Status fssued ?11 yfth Sfreer, Springfi eld, oR 541-726-3753 phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combin ation Permit PER]VTIT NO ISSUED: APPLIED: EXPIRES: : COM2003-0tOg6 11/77/2003 10t29t2003 05/77/2004VALUE: $ 140,910.00 SITE ADDRESS: 2347 31st Sr ASSESSOR'S PARCEL NO.: 1702302t00102 PROJECTDESCRIPTION: SFR owner: w[LIAMs CoNSTRUCTIoN coAddress: PO BOX 1135 FALL CREEK OR 97438 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PhoneNumber: 541-937-4215 Contractor Type General Electrical Mechanical Contractor WILLIAMS CONSTRUCTION CO DONALD MARVIN HORTON DEAN M SCHULTZ License 138150 tt602t 133733 Expiration Date 10t2U2005 02/23t2005 Phone 541-937-4215 541-937-1452 s4l-767-0626 BUILDING INFORMATI( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Ileat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: as per Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I R-3 u-1 VN I 16.00 Electric Electric Electric Path I 10,276 1,404 576 3 20.00 s.00 6.s0 33.00 0.00 0 Yes 19.20 Sidewalk Type: REQUIRED PARKING Total: 2 Handicapped: Compact: Setback 5' Drywell - Provide Street Improvements: Storm Sewer A'HgtrfisE' Partiallv Improved ::::""**tf,'ni!?fixffi ,r#Fffifr"#Hffi HfNotes: C0MMENCED 0R fS nBANOONED FORANY 1BO DAY PERIOD. \otilica'tion Center. Thos e rules are set fort i OAFI9 52-001'0010 throu gh oAR 9s2-O0 0090. You maY obtain copies of the rules t calling the cen ter. (Note: th e telephone nurnbertorthe Oreg on UtilitY Notification PUBLIC IMPROVEMENTS Pase I of3 C.enter is 1-800 -332-2344\ \-(rr\ r r,(AL I (J,N, il\ tr (rI(IvlA I l(r1\ I u_t! v _lrL(JrlYl[N r rr'l -rry.,] 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: COM2003-01096ISSUED: llll7l2003APPLIEDz 10t29t2003 EXPIRESz 0511712004VALUE: $ 140,910.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,404.00 576.00 lut7t03 tut1t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tur7t03 1ut7t03 tut7t03 tut7t03 tut1t03 tut7t03 lut7l03 tur7t03 tut7t03 tut7t03 tut7t03 tut7t03 lut7t03 tut7t03 tut7t03 tut7t03 Value s127,202.40 $13,708.80 $140,911.20 Date Calculated tut7t2003 tut7t2003 Total Value of Project Date PaidFee Description -Mechanical Issuance Fee- + l0oh Administrative Fee * 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Yent Exhaust Hoods Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Plan Review - Planning Refund - SDC Storm Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC NTWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Yent Fan Willamalane Single Family Total Amount Paid Amount Paid $10.00 $99.79 $69.8s $2s4.00 $8.00 $698.90 $6.00 $9.00 $12.00 $6.00 $s9.00 $-368.88 $344.20 $452.80 $10.00 $214.23 $314.63 $116.77 $s3.03 $727.42 $164.89 $1,536.71 $12.00 $1,000.00 $5,810.34 Receipt Number 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review 10t29t2003 10t29t2003 10/30/2003 tUt3t2003 tyt0t2003 APP APP APP RJB TAJ VRJ Plat recorded9ll9l03. Sanitary and storm sewer connection as per land use decision SUB2002-12455. SCS soil type: Salem Gravelly Silt Loam. Paee 2 of3 Valuation Descriution I GFIELD 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: COM2003-01096ISSUED: llll712003APPLIEDz 1012912003 EXPIRESz 0511712004VALUE: $ 140,910.00 Structural Review 10t2912003 tU0512003 APP TCM To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 2 3 4 5 6 7 8 9 10 11 t2 13 l4 15 t6 t7 18 t9 20 2t Reouired Insnect 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 or Contractors Signature Page 3 of3 Date - o') 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of SpringIield Ofiicial Receipt Development Services Department Public Works Department Receipt #: 1200200000000002476 Date: 1111712003 l:27:26PNI coM2003-01096 coM2003-01096 coM2003-01096 coM2003-0r096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-0r096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 coM2003-01096 Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- 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 Refund - SDC Storm Plan Review - Planning Addressing Assignment Willamalane Single Family + 7o/o State Surcharge + 1006 Administrative Fee 698.90 254.00 12.00 12.00 9.00 6.00 6.00 10.00 t,536.71 452.80 344.20 164.89 727.42 314.63 2t4.23 r0.00 116.17 53.03 (368.88) 59.00 8.00 1,000.00 69.85 99.19 Item Total:$5,810.34 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check WILLIAMS CONSTR djb In Person Payment Total: ) $5,810.34 --5T01-l- C!ry OF SPRINGFIELD SYSTEMS DEVELOPM EN] yIIORKSHEET AL OR JOB NUMBER: Com2003-01 IMPERVIOUS S.F. x 2755.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I. STORM DRAINAGE DIRECT RLNOFF TO CITY STORM SYSTEM NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEWDWELLING TINITS IMPERVIOUS S.F 2544.00 NUMBER OF DFU's 20 B. IMPROVEMENT COST: NUMBER OF DFU's 20 ADTTRIP RATE 9.s7 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 SUBTOTAL $3.396.00 Williams Construction 2347 3lst Street 17023021 tl 102 SINGLE FAMILY RESIDENCE COST PER S.F $0.290 BUTLDTNG SrZE (SFl 1980 LOT SrZE (SF): CHARGE $798.95 ITEM 1 TOTAL - STORM DRAINAGE SDC A. REIMBURSEMENT COST: x x x x x COST PER S.F $0.290 COST PER DFU s22.64 COST PER DFU st7.2r NUMBER OF LINITS 1 NUMBEROF I-INITS 1 ADM. FEE RATE 5% DISCOLINTRATE 50% DISCOLINT $368.88 x ITEM 2 TOTAL - CITY SANITARY SEWER SDC $797.00 3. TRANSPORTATION A. REIMBURSEMENTCOST: xxCOSTPERTRIP s17.23 COST PER TRIP $76.01 $892.31 NEWTRIP FACTOR 1.00 NEWTRIP FACTOR 1.00 xx ITEM 3 TOTAL. TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBER OF FEU's I 5. ADMINISTRATIVE FEE: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBTOTAL (ADD ITEMS I,2,3, & 4) $538.86 CHARGE $169.80 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich tUt0/2003 167.83 s344.20 $164.89 s727.42 $314.63 s214.23 1t6.77 1070 1091 t092 1093 1094 1054 1055 1054 1056 079 078 a t4aoO & EIFa oH& COST PER FEU $314.63 COSTPERFEU s214.23 396.00 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NT]MBER OF NEW FIXTURES x I,NIT EQUIVALENT = DRAINAGE FXTURE I,NITS FOR CAICULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES I.INIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE TINITS 0 *EDU 1 0 3 3BATHTUB 0001DRINKING FOLINTAIN 3 0FLOORDRAIN00 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0006INTERCEPTORS FOR SAND / AUTO WASH / ETC 0LATINDRYTUB002 0 3 3CLOTHESWASHER / MOP SINK 1 0 0 6 0CLOTHESWASHER - 3 OR MORE (EA) 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 0 3 0RECEPTOR FOR COM, SINK / DISHWASHER / ETC. SHOWER, SINGLE STALL 1 0 2 2 0 0 2 0SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 1 0 2 2SNK: WASH BASIN/DOUBLE LAVATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR I 0 1 1 URINAL, STALL / WALL 0 0 5 0 0 0 6 0TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION 2 0 3 6 20 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE BEFORE 1979 $5.04 1979 $5.04 1980 $4.95 198 I $4.88 1982 $4.75 1983 $4.s8 1984 $4.41 1985 $4.20 1986 $3.88 1987 $3.50 i9ts $3.07 1989 $2.60 1990 $2.1 4 1991 $1.71 1992 $1.52 1993 $ 1.38 1994 $1. l9 1995 $1.03 't996 $0.87 1997 $0.68 1998 $0.46 1999 $0.27 2000 $0.09 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDITFOR IMPROVEMENT (IF AFTER ANNEXATION) CREDITFOR LAND OF APPLICABLE) TOTAL MWMC CREDIT 0 0 x VALUE / 1OOO $0.00 CREDITRATE s5.04 VALUE/ lOOO CREDITRATE $0.00 x $5.04 2001 $0.04 IE 1979 l-- regon Department of Environmental Quality 81L SW Sixth Avenue Portland, OR 97204-1390 s03-229-5696 TTy 503-229-6993 Theodore R. Kulongoski, Govemor May 26,2004 Scott Williams Williams Construction lnc. 2345 31't Street Springfield, Oregon 97 47 2 UIC Registration for: Roof drains at2345 and 2347 31't Street Dear Mr. Williams: Thank you for submitting a registration form for the Underground lnjection Control (UlC) system at your site. The following table shows your UIC identification number combined with the injection system information you submitted. Generally, each facility is issued one UIC number; the various injection systems at that facility are then identified sequentially -1, -2, -3, etc. Please reference this number in future correspondence and retain this letter, or a copy of it, on site should your facility be inspected. Proposed Roof12345 Proposed Roofl2347 Please note that you are required to do the following: . Update registration information whenever a change of ownership, change of land use, abandonment or closure of your injection system takes place. lf this facility is sold or rented, notify the next owner about the registered injection system. o Maintain and operate each catch basin and injection system to provide protection of groundwater resources per your storm water plan. This includes following the maintenance schedule and providing employee education. Failure to do so could jeopardize rule authorized status. . Failure to install the pre-treatment system(s) noted in the application form or the pre- treatment system required in later negotiations with DEQ, whichever is more protective, in front of each injection system willjeopardize rule authorized status. lnstall the injection systems and all treatment within 90 days after the injection system becomes operationalor the site will lose its rule authorized status and need to apply for a state permit or be closed. . This authorization is for storm water only. lt does not include runoff or leakage from a dumpster, waste or material storage areas or from construction activities, wash water, process water or waste water discharges. . ln the event a substance is spilled which may contaminate groundwater, contact the duty officer at the Eugene office: (541) 686-7838 and call Oregon Emergency Management at (503) 378-6377 or (800) 452-0311. Based on the information you have certified and sent to DEQ, your new injection system has qualified as rule authorized under OAR 340-044. Please check with your local government to DEQ.I q1 LocationUtC# | rypeCoo Stafus 12025-1 5D2 (storm water) 12025-2 5D2 see if they have additional requirements. lf you have any questions about this letter, please contact me at (503) 229-5945, or toll free inside oregon at 1-g00-4 s2-4011. Sincerely, Scott Williams May 30, 2004 page 2 Barbara Priest, UIC Program Coordinator Water Quality Division cc: Mike Kortenhof, DEe-WR Lisa Hopper, City of Springfietd OEQ USE OI{LY R"gistratiotr Filc#: I UNDERGROUND INJECTION CONTROL REGISTRATION Single,Family Stormwater Discharge & Geolhermal Heating Systemsa Fcrd Oregon Department of Environmental Quality (see pp. 2 for detailed insfuctons) DEO USE OTILY LegalName: LAtllrrn u t 2. CommonName: 3. FeilityPhysicalAddress: 23.{f 3t Sf Ciry,starc,zip CAe: fF.e*1{.1 A^ llqtt 4. Facility Mailing Address: Ciry, State, ZipCode: 5. Latitudc:4-l degrees O/, miautes &Q-*"or* Longitude: LZZ uer.n q L minutcs /? *cor* 6. FacilityConhctName: S.-ff UJrtt.r"., ContrctTelcphone#: .J-tf {' 57 |' 2l( o Fax #: 7. Responsible Official Name: Address: Cify, State, Zip Codc: f] Ctosea Loop Heat Pump Retum - Residential Use ffstormwarer (sump, dryrvelt, roof drain) L Well Status: ! Active [} Under Construction 9. Installation Date:b4-z o1 2. 3. 4. Landusezoningoffacility: Enausua Ecommerciat fiResidential f]other:_ Drinking watrer source: Monthly avcrage usage (gal-tday): _ Elpobli" *ate, I private Well Dcpth to winter high water tablc: - feet If not available, iverage depth ro groundwater, I feet what other means to disposc of the water arc available to you? (e.g. city sormwater),,lJt)A t 5. Distancetoncarestdomesticy'public water well l/<( znrll 6. Sourcc of injection water (check one): ffRoof 7. Well Type: I Gcothermal Heat Districts or Building Dryrvelt I Paved area (driveway or strcet) fl StroyCarage D Other I FborDrain fJ Spccial Drainagc Water I OttrerWeils I Inactive/tlot in use D Decommissioned (closed) 10. Wcll r*ap&: 4'fl ft Wcllqamctcr: 1'* *lO, o I l. If you have more than onc wcll, please cxplain hcrc: 12. List any other DEQ or public agency permits applied for or issued to this facility: To the of facil fill out this form in A. FACILITY NAME, LOCATION & CONTACT B. FACTLITY DESCR|PTION (ATTACH DOCUMENTS AS NEEDED). C. SIGN,ITURE OF LEG,TLLY .\UTTIORIZED REPRESENT,TTIVE I hereby certify that the information conlained ln thls reglstration ls true and correct to the best of S""ff f+Ntll,r*t ?^,^,t- Signature of Legally Authorized Representative 7 l or Date my knowledge and belief. Name A Represcntative (Type or prinr)Title DEQ USE ONLY Rcgisration Filc UNDERGROUND INJECTION CONTROL REGISTRATION Single,.Family Stormwater Discharge & Geothermal Heatlng SYstems'4'Erjlln Oregon Department of Environmetrtal Quality (see pp. 2 for detailed inebuctions) 2. CommonName:LegalNamc: frJ,ll,*r Ce*,.- (L Tt* 4. FacitityMailingAddrcss:'.44 city, State, ZipCode: 3. FacilityPhysicalAddress:'/'! City, Starc, Zrg Code: S? tq fi)Q" 91'lX Zltr { 5. Latitude:'*? a"g.o 06 minutcs 60r""ona"Longitude: I lz- a"gr""t q minutes secondst? 7- Responsible OffrcialName: Address: City, Statc, Zip Codc: 6. FacilityCootactNunc *dff LUrllvo,^.: Contac-tTclepbone #: 5t{r t?-t 'Z I tt: Faxlt 511\ -tr.) -"{ztf l. Landusezoningoffacility: El foOustrid fl Commercial EtResidential DOther 2. Drinking water source: Monthly average usage (gal-/day): - $ Public watcr f] Private \ffell 3. Dcpth to winter high water table: - feet If not available, ir"""g" dcpth to groundwaten L*, 4. What other means !o dispose of the watcr are availabtc to you? (e.g' city stormwater) Uo -. 5. Distance to nearest domestic/public water well i lrt rll 6. Source ofinjection water (check one;: p Roof 7. Well Type: D Ceottrcrmat Heat Districts or Building Drywcll E Paved area (driveway or street) fJ stroycarage D Ooer D Ctosea Loop Hcat Pump Return - Rcsidcntial Use ftstormwater (sump, drywell, roof drain) 8. Well Status: I Active ffi UnderConstruction 9. Installation Date:oq-,.9 fit 10. Well Depth:{wcuDiameten SA \gd Y1L /8, 56. I Floor Drain fl SpccU Drainagc Water D Othcrwclts- E Inactivey'i.lot.in usc fl Decommissioned (closed) ft I l. If you have more than one well, please explail here:ub 12. List any othcr DEQ or public agenry pcrmits applicd for or issued to this faciliry: To the of facil fill out this form in its contained ln thls reglstration ls fre and correct \il IMqt in^r Titlev7 Dateof Legally Autborized Representativc ,6 -o Representative (Type or Print) to the best of my knowledge and beliof.I hereby c€rtify that the information A. FACILIW NAME, LOCATION &CONTACT B. FACILTTY DESCRIPTION (ATTACH DOCUMENTS AS NEEDED) C. SIGNATTJIIE OF LEG.\LLY AUTIIORIZED REPI{ESENT,ITIVE as submitted has the following es not require specific land use iDK- l- LO '225 FIFTH STREET . SpRINGFIELD, OF.g7477 o PH:(541)726-3753 I FAX: (541)726-3689tnct ELECTRICAL PERMIT APPLICATIAN 76 our"t-tL -ov ,.-,, StgnatureCity Job Number -c) 1. L3q'1 t l 3lu1- LEGAL DESCRIPTION ta 230 Zl octoZ JOB DESCRIPTION. n R"., J-.='- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. ) ElectricalContractor -Dm *su*^; Address 1$O 3'51 ra s+Yret- City "!r0 Phote7'Li4OL( Supervisor License Number q 55'/ s Expiration Date o Constr. Contr. Number Expiration Date /o bl Signanrre of Supervising 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 I Over 1 Cer*er' 200 A*f,dUnBBr / stoo.oo o6 L $ 19.00 38 s50.00 $ 125 law tei--4(L- tyNotilication s 69.00 s100.00 $ 3.00 $ s0.00 s 50.00 $ 25.00 /on76 3. A. B. C. , ie 'i Ll rll;n^\.,.. G"3 201 Amps to 400 Amps 401 Amps to 600 AmPs Pump or irrigation Sign/Outline Lighting Limited EnergyiResidential 7%o State Surcharge l0% Adminisfiative Fee TOTAL Over 600 Amps or 1000 Volts see "B" above. ER.IHIS Owners Name Address City ( Cn'* L- Phone .1,', OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Limited EnergyiCommercial $ 45'00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges / o 4. trqBInspection Request: 726-37 69 Shared Drive(T:/Building Forms/Electrical Permit Application l -03 doc -) s 63.00 $ 7s.00 D. E. 7-- 4 <?,(- c\' 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: COM2003-01096ISSUED: llll712003 APPLIEDz 1012912003 EXPIRESz 0711612004VALUE: $ 140,910.00 SITE ADDRESS: 2347 31st St ASSESSOR'S PARCEL NO.: 1702302100102 PROJECT DESCRIPTION: SFR Owner: WILIAMS CONSTRUCTION CO Address: PO BOX 1135 FALL CREEK OR 97438 Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: New Residential PhoneNumber: 541-9374215 Contractor Type General Electrical Mechanical Contractor WILLIAMS CONSTRUCTION CO DONALD MARVIN HORTON DEAN M SCHULTZ License 138150 tt602t 133733 Expiration Date 10t2u2005 02t23t2005 Phone 541-9374215 541-937-1452 541-767-0626 ]TOR INFORMATION m # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 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: Enerw Path: NOTICE: COM[11EN Overlay nffiw t g0 # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 1 R-3 u-1 VN 33.00 0.00 I 16.00 Electric Electric Electric Path 1 10,276 1,404 576 3 Area: DAY PERIO THIS P 0 Yes 19.20 ABANDO NED [90urnnD PARKTNG D. Total: z20.00 5.00 6.s0 Handicapped: Compact: partiauy Improved ATTENTION:oregon d,l$?E$ffi!bu to Setback 5' 3:ffi ffi:,il"rilr--.lsjfl$$flHffiffi *ilHffi :il'r; 0090' You may oUt"in copifu oltl-' rulcs I calling the center' (Note:1he telephone J,ffi'j:i * :, :rm YJI'-.IJXI I i c at i o n PUBLIC IMPROVEMENTS Notes: Paee 1 of4 L]\tJ 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: COM2003-01096ISSUED: llll712003 APPLIEDz 1012912003 EXPIRESz 0711612004VALUE: $ 140,910.00 Description Dwellinss Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,404.00 s76.00 10t24t03 tut7t03 rut7l03 tut7t03 tut7t03 tyt7l03 tut7t03 tut7t03 tut7l03 tut7t03 tut7t03 tut7t03 tut7l03 tut7t03 rut7t03 tut7t03 tut7t03 tut7t03 rut7l03 till7l03 tut7l03 tut7t03 tut7t03 tut7l03 tut7t03 ut6t04 ut6t04 ut6t04 ut6t04 Value $127,202.40 $13,708.80 $140,911.20 Date Calculated tut7t2003 tut7t2003 Amount Paid Total Value of Project Date Paid Fee Descriotion PIan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Plan Review - Planning Refund - SDC Storm 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 Single Family + l0Yo Administrative Fee + 7o/o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $454.29 $10.00 $99.79 $69.85 $2s4.00 $8.00 $698.90 $6.00 $9.00 $r2.00 $6.00 $59.00 $-368.88 $344.20 $452.80 $10.00 $2r4.23 $314.63 $116.77 $53.03 s727.42 $164.89 $1,536.71 $12.00 $1,000.00 $14.40 $r0.08 $106.00 $38.00 Receipt Number 1200200000000002367 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 r200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 r200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200200000000002476 1200400000000000070 1200400000000000070 1200400000000000070 1200400000000000070 Fees Peid Total Amount Paid $6,433.11 Paee2 of 4 f Yalu atlonDcseriBtion-l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line o SPRIN Building/Combination Permit PERMIT NO: COM2003-01096ISSUED: 1111712003 APPLIEDz 1012912003 EXPIRESz 0711612004VALUE: $ 140,910.00 Plan Reviews Initial Review Plannine Review Public Works Review Structural Review 10t29t2003 10t29t2003 10t30t2003 tut3t2003 tut0t2003 APP APP APP RJB TAJ VRJ Plat recorded9ll9l03, Sanitary and storm sewer connection as per land use decision SUB2002-12455. SCS soil type: Salem Gravelly Silt Loam. 10t29t2003 ttt0sl2003 APP TCM 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. I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to coYer. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. 11 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Underfloor Drain: Prior to cover or placement of concrete. 14 Rough Plumbing: Prior to cover and including required testing. 15 Water Line: Prior to filling trench and including required testing. ' 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 18 Final Plumbing: When all plumbing work is complete. lg Underfloor Mechanical. Prior to insulation or decking and including required testing. 20 Rough Mechanical: Prior to Coyer 2l Final Mechanical: When all mechanical work is complete. 22 Rough Electric: Prior to Cover 23 Electric Service: Approval required prior to utility company energizing service. 24 Final Electric: When all electrical work is complete. Reauired fnsnecfions 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/Combination Permit PERMIT NO: COM2003-01096ISSUED: llll712003APPLIED: 1012912003EXPIRES: 0711612004VALUE: $ 140,910.00 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 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 m 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfi6ld Oflicial Receipt Development Services Department Public Works Department Receipt #: 12(M00000000000070 Drte: 0U16l2004 2:21:3sPM coM2003-0r096 coM2003-01096 coM2003-01096 coM2003-01096 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7o/o State Surcharge + l0o/o Administrative Fee 106.00 38.00 10.08 t4.40 Item Total:$r68.48 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check DMH ELECTRIC djb In Person Payment Total: $ l 68.48 $168.48