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Home My WebLink AboutPermit Building 2002-07-15P SPRINGFIELD Job# 02-00117-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 5 Job Numbe r: 02-001 17 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 06100 Su bdivision : Ambleside 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2298 00037th St Spr AssessorsMap#: 17021943 Lot: 118 Block: Addition: 1st ctrY oF SPRINGFTELD, OREGON Owner: Town & Country Homes lnc Address: 35920 Ellington Drive Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541 -988-0335 Springfield, OR 97478 Value: $167,345 Contractor Type GeneralContr Electrical Contr Landscape Plumbing Contr Contractor Town & Country Homes lnc 35920 Ellington Drive, Springfield, OR 97478 Deans Electric P.O. Box 2585, Eugene, OR Schelskys - SLI P.O. Box 7945, Eugene, OR 97401 Don Lewis Plumbing 500 Greenfield Street, Eugene, OR 97404 Resistration # ill,;xlT r1:_r_*ffi :::t; Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN)Wood Frame Gas Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 2073 To request an inspection call the 24 hour recording a|726-3769. All inspections requested a.m. will be made the same working day, inspections requested after 7:00 a.m. will be mad working day. before 7:00 e the following Site Verify Ground Rod Footing Foundation Post and Beam Floor !nsulation Ceiling !nsulation Shear Wal! Nailing Required !nspections Building -To be made after excavation but prior to setting forms. -lnstall ground rod at footing, and call for inspectlon in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. Framing Walllnsulation Drywall Special FinalBuilding Temporary Power Underground Electrical Rough Electrica! Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Backflow Device FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanica! Gas Service FinalGas FinalMechanica! SW-Curbside GC-Standard Street lmprovement: Fully lmproved Curb Cut?l{ lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Avaitable? f Specia! Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00:00 Special lnstructions: Other Utilities: Project Supervisor: Job# 02-00117-01 Page 2 of 5 Required lnspections Build -Prior to cover. -Prior to Cover -Prior to taping. -See Plan Review and/or lnspectors Notes, or prior to cover if applicable. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole. -Prior to cover. -Prior to cover. -When all electricalwork is complete. Plumbinq -Prior to insulation or decking. -Prior to cover or placement of concrete. -Prior to cover. - Prior to filling trench. -Prior to filling trench. -Prior to filling trench. -After device is installed but before backfilling trench -When all plumbing work is complete. Mechanical -Prior to insulation or decking. -After line is installed and capped if not attached to an appliance. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Curbside - 5'Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: 8 To Storm Sewer Types Of Warning Devices Reqd. 6 00i00/0000 00:00:00' Zoning: LDR FloodPlain? f] Wetlands? f_l Journal numbers 1:2002-02-0029 2: Comments:Sam Gollah - Planner Job# 02-001'17-01 Overlay District: # of Street Trees: Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? Z4 Planner: Urban Growth Boundary?f-l Gtenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White 3: Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1153 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? f l Area (Sq. Main:2073 Accessory648 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 21 Gurrent Units: Proposed Units:1 Gensus Code: New SF - detached Total2721 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 02t01t2002 7920 167,345 $511.32 $511.32 Buildins Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 03t21t2002 03t21t2002 03121t2002 8369 8369 8369 167,345 $786.65 $55.07 $62.93 $904.65 Electrical Minimum Electrical Permit Fee Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical State Surcharge - Electrical 8% Admin Fee - Electrical 8% Admin Fee - Electrical Total Electrica! 02t01t2002 03t21t2002 03121t2002 03t2112002 02t01t2002 02t01t2002 03121t2002 02t01t2002 03121t2002 7920 8369 8369 8369 7920 7920 8369 7920 8369 1 4 1 $.00 $.00 $106.00 $76.00 $50.00 $3.50 $12.74 $4.00 $14.56 $266.80 Plumbinq Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee One Bathroom State Surcharge - Plumbing State Surcharge - Plumbing Backflow Prevention Device 8% Administrative Fee - Plumbing 8% Administrative Fee - Plumbing Total Plumbing 03t21t2002 07t15t2002 03t21t2002 0312112002 07t15t2002 07t15t2002 03t21t2002 07115t2002 8369 9922 8369 8369 9922 9922 8369 9922 1 $.00 $31.00 $145.00 $1 0.1 5 $3.15 $14.00 $1 1.60 $3.60 $218.50 1 Job# 02-00117-01 Page 4 of 5 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct ApplianceVent (Not Covered in Schedule Gas Fireplace DryerVent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 03t21t2002 03t21t2002 0312112002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 8369 8369 8369 8369 8369 8369 8369 8369 8369 8369 8369 $9.00 $4.00 $.00 $4.64 $12.00 $18.00 $.00 $9.00 $6.00 $10.00 $4.06 $76.70 1 3 1 1 Public Works New Sidewalk New Curbcut Total Public Works 03t2112002 03t21t2002 8369 8369 141 $78.57 $75.00 $1s3.s7 System Development Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 03t21t2002 8369 8369 8369 8369 8369 8369 8369 8369 8369 8369 3,938 1 1 31 1 1 1 $1,075.01 $34.83 $10.00 $148.96 $-153.38 $332.86 $659.76 $1 55.1 3 $491.51 $373.52 $3,128.20 23 23 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 03t21t2002 8369 1 $1,000.00 $1,000.00 Planning 03t21t2002 8369 1Planning Plan Review Total Planning $50.00 $s0.00 Address Assignment Total Permits Wo Srchg Permits w/o Srchq 03t21t2002 8369 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $6,317.74 Checked By Lisa Hopper Bob Kettwig Liz Miller Don Moore Date Gompleted 02t04t2002 02t07t2002 02t07t2002 02t12t2002 Comment 1 1 1 1 Job# 02-00117-01 Page 5 of 5 tsy 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 701.055 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 will n on the site at alltimes during construction.ils, Signature Date 225 FIFIH STREET . SPRINGFIELD, OR 97477 r PH:(541)726-3753 o FAX: (541)726-3689 City Job N'mber oz@,-o( Job Location ZZT7 3Z*,^ s)- Assessors a o Ll9Lls Tax Lot 06IOO Owner Address City o + 7Z7Y 37tu sL o33t S tate oz zip / z,/zr BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee) Contractor SLL City €*,dz zip 7 7+b/ Construction Contractors Registration #6 sSo Expires 0 s to call for an inspection once inspection (726-3769)I information on S o2 rt By signing this permit/application, I agree devise has been installed and is visible for this permit/application is correct. For Office Use Date of Application o7t {o z Shared Drive (T:),tsuilding Form.s/Backflow Preventionl -02.doc CITY OF SPRTNGFIELD, OREGON I\rf qn Contractor I nformation q 666r""* /- o' 8"x 7?(f Pnone 44- 713{ rf ulid$,i, CheckedforDelinquenciesi.---CheckedforHistorica1Stafus Job# 02-00117-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 02-001 17 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 06100 Subdivision: Ambleside SPRINGFIELD 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2298 00037th St Spr AssessorsMap#: 17021943 Lot: 118 Block: Addition:1st ctTY oF SPRINGFTELD, OREGOI' Owner: Town & Country Homes lnc Address: 35920 Ellington Drive Scope Of Work: Single Family Residence SFR Phone Number: City/State/Zip: New 541 -988-0335 Springfield,478 \31 6t20t2002 5 Contractor Type GeneralContr ElectricalContr Contractor Town & Country Homes lnc 35920 Ellington Drive, Springfield, 97478 Deans Electric P.O. Box 2585, Eugene, OR Phone 541-988-0335 541 -935-5303 Office Use - Land Use: Single Family Dwelling Zoning Gode: LDR Bedrooms: 3 Range: Gas # Of Buildings:;f--Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Gas ling S To request an inspection call the 24 hour recording at726-3769 a.m. will be made the same working day, inspections requested working day. :00 following Required lnspections hN'{Build -lnstallground rod at footing, and callfor inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete. Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Geiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Final Building Temporary Power Rough Electrical Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f tmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: 00/00/0000 00:00 AM Page 2 of 4 Required lnspections Electrical -Approval required prior to SUB energizing pole - Prior to cover. -When all electrical work is complete. -Priortoinrulrtio# - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical l -Prior to insulation or decking. -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Job# 02-00117-01 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Storm Sewer o 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain?Wetlands? | Journal numbers 'l:2002-02-0029 2: Comments:Sam Gollah - Planner Planner: Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Overlay District: # of Street Trees: Land Use: Single Family Dwelling 4 Pave Driveway? 3 Additional Requirements: LDAP Required Glenwood Area? [ Required Attachments: Source Locn: Material: FIood Plain FEMA:Panel 1 1 53 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 2073 Accessory648 Job# 02-00117-01 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 21 Current Units: Proposed Units:1 Gensus Code: New SF - detached Total2721 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 0210112002 7920 167,345 $511.32 $511.32 Building Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 03t21t2002 03t21t2002 03t21t2002 8369 8369 8369 167,345 $786.65 $5s.07 $62.93 $904.65 Electrical Minimum Electrical Permit Fee Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical State Surcharge - Electrical 8% Admin Fee - Electrical 8% Admin Fee - Electrical Total Electrical 0210112002 0312112002 0312112002 03t21t2002 0210112002 02t01t2002 0312112002 02t01t2002 0312112002 7920 8369 8369 8369 7920 7920 8369 7920 8369 1 4 1 $.00 $.00 $106.00 $76.00 $50.00 $3.50 $12.74 $4.00 $14.s6 $266.80 Minimum Plumbing Permit Fee One Bathroom State Surcharge - Plumbing B% Administrative Fee - Plumbing Total Plumbing Plumbing 0312112002 03121t2002 0312112002 03t2112002 8369 8369 8369 8369 $.00 $145.00 $1 0.1 5 $11.60 $166.75 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct ApplianceVent (Not Covered in Schedule Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 03t21t2002 0312112002 03t21t2002 03t21t2002 0312112002 0312112002 03t21t2002 03t21t2002 03t21t2002 0312112002 03t21t2002 8369 8369 8369 8369 8369 8369 8369 8369 8369 8369 8369 1 1 $9.00 $4.00 $.00 $4.64 $12.00 $18.00 $.00 $e.00 $6.00 $10.00 $4.06 $76.70 1 3 1 I Public Works New Sidewalk New Curbcut Total Public Works 03t21t2002 03t21t2002 8369 8369 $78.57 $75.00 $153.s7 141 1 1 Job# 02-00117-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Devel Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 03t21t2002 03t21t2002 03t21t2002 03t2112002 03t21t2002 0312112002 0312112002 0312112002 03t2112002 03t21t2002 $1,075.01 $34.83 $10.00 $148.96 $-153.38 $332.86 $659.76 $155.13 $491.51 $373.52 $3,128.20 8369 8369 8369 8369 8369 8369 8369 8369 8369 8369 3 ,938 I 1 31 1 1 1 23 23 Willamalane SDC S.F. Residence - Willamalane TotalWillamalane SDC 03t21t2002 8369 1 $1,000.00 $1,000.00 Planning 03t2112002 8369 1Planning Plan Review Total Planning $50.00 $s0.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 03t21t2002 8369 1 $8.00 $8.00 Grand Total Plan Check Type Checked By Date Completed Comment lnitialReview-Res Lisa Hopper 0210412002 Engineering-Res Bob Kettwig 0210712002 Planning-Res Liz Miller 0210712002 Structural-Res Don Moore 0211212002 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 701.055 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 $6,265.99 set plans on that the permit card is located at the front of the property, and the site at alltimes during construction. the t/;, / oz- D#re 2 ob '75 haas \ t1S-A l.L zon Date LEGAL N D non-transferable and expire if work is not.started within 180 days of issuance cirif work is suspended for 1ro aars ;ii.i; i:i l:'-r:i :'' 2 CONTRACTOR rALLimgty, Electrical' Address Supervis Expiration Date of Supervising Electrician one Multi-Family Der drvel lingunit. , z. . )ervice Included:orized Srgnature (J, 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Sewice or Feeder @ Items Cost $106.00 '' ,,r. $ 50.00 B. Services or Feeders lpc Installntion, Alte Relocation: 2pp amps or 2u7 -101 63 A 7 Over trB,ra P* tsraxsli 0 \[]or lation {*lrro"" }I rtJ Per P or with S notE /Res : IVIinimum El 4. SUBTO ABOYE 7oh Sttfie Surcharge , \Yo Adrninistrative Fee : ' .,ir,i TOTAL +$re.oo I obtain is? ATTE,\ to Fee is 545.00 + CITY OF SPRING FIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS:I BUILDING SIZE: 2572 SF LOT SZE: 7841 SF TOWN AND COUNTRY HOMES 2298 37th (OSPREY) SINGLE FAMILY RESIDENCE JOURNAL OR JOB NUMBER: 02-0Ol 17-01 17-02-19-43 TL:6100 DISCOUNT RATECOST PER S.FIMPERVIOUS S.F. $0.00.273 50Vo IMPERVIOUS S.F 3937.75 COST PER S.F. $0.213 $ 1,075.01x x x RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ITEM l TOTAL. STORM DRAINAGE SDC PER DFUNUMB $373.s216.2423 NIIMBER OF DFU's 23 COST PER DFU $21.37 $491.51 B. IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: $865.03ITEM 2 TOTAL. CITY SANITARY SEWER SDC COST PER TRIP NEW TRIP FACTORADT TRIP RATE NLIMBER OF I-INITS 1.00 $6s9.76I949.57 ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP s 16.21 NEW TRIP FACTOR 1.00 $lss.l3 B.IMPROVEMENT COST: xxx xxx 3. TRANSPORTATION A. REIMBURSEMENT COST: ITEM 3 TOTAL. TRANSPORTATION SDC 14.31 $10.00 NUMBER OF FEU's 1 COST PER FEU $332.86 $332.86 NUMBER OF FEU's I COST PER FEU $34.83 $34.83 ($1s3.38) SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE B. IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4, SANITARY SEWER. MWMC A. REIMBURSEMENT COST: ITEM 4 TOTAL. MWMC SANITARY SEWER SDC .24SUBTOTAL (ADD ITEMS 1,2, 3, & 4) SUBTOTAL ADM. FEE RATE .24 57o 148.96 5. ADMIMSTRATIVE FEE: x $3,128.20TOTAL SDC CHARGES2t7t2002tlr,wTu4l;q- SDC COORDINATOR DATE r09 1093 1056 1073 a 14noU & E] E-(a o E] /,, I DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE .I,,T U NUMBER OF NEW FXTURES x UNIT EQUTVALENT = DRAINACE FDfiURE UNITS (NOTE: FOR REMODEIS, CALCULATE ONLY THE NET ADDITIONAL FD(TURES) NO. OF FIXTURES FIXTURE TYPE ( +uew - #oLD ) UNIT ^ gouryALENT = DRAINAGE FIxTURE UNITS BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x 2-0 0-0 0-0 0-0 0-0 0-0 l-0 0-0 0-0 0-0 0-0 l-0 0-0 l-0 0-0 0-0 0-0 3-0 0-0 0-0 2-0 J 6 DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE I OIL ISOLIDS IETC. INTERCEPTORS FOR SAND / AUTO WASH IETC. LAUNDRYTUB CLOTHESV/ASHER / MOP SINK CLOTHESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER I 0 0 0 J J 6 0 2 0 3 J 6 0 )t2 0 RECEPTOR FOR REFRIG / WATER STATION IETC. SHOWER, SINGLE STALL sHowER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL/RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK; DOMESTIC BAR WASH BASIN LAVATORY I 0 0 2 2 0 -l 3 2 0 I 0 2 0 J 0 I URINAL, STALL/WALL 5 TOILET, PUBLIC INSTALLATION 6 TOILET, PRIVATE INSTALLATION J MISCELLANEOUS DFU TYPE NTIMBER OF EDU's*(o-o)*__L= TOTAL DRAINAGE FXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 0 6 0 23 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $1s3.38 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 1980 $4.83 1991 $1.64 198 I $4.77 1992 $ 1.45 1982 $4.64 1993 $1.31 1983 $4.47 1994 $1.13 1984 $4.30 I 995 $0.97 1985 $4.09 1996 $0.82 1986 $3.78 1997 s0.63 1987 $3.41 I 998 $0.41 1 988 $2.98 1999 $0.22 I 989 $2.52 2000 $0.04 TOTAL MWMC CREDIT 0.000 x $4.92 VALUE / IOOO CREDIT RATE 31.174 x $4.92 = J 1 225 FIFTH STREET ,.: SPzuNGFIELD. OREGON 97477 INSPECTiON REQLEST :'7 26 -37 69 ,,,ootra 726-3159 : . I LOCATION OF INSTAILATIONz-Z ?B 3-7tt 5f A. Nerv Rcsid The lollowing proiect as submitted has the tAltQ+tFgI arnily per drrelling unit. laoztnLlSaPP ng an$ doeq not rot6l $1Ot-) require sPecific l"ntUtSi." lDu IncludedLEGAL DESCRIPTION 7-crrr Zoning JOB DES N €-- I -o%or lesstuLEach additional 500 sq. ft or portion thereof Each Mamrfd Hotne or Modular Drvelling Sen,ice or Feeder B. Se rliccs or Fectters Install ation, Alterations or Rclocution: Address 200 amps or 201 amps to City 401 amps to 601 amps Supen'isor ential-Single Items Cost $106.00 $ 19.00Permits are non-transferable and expire if work is not sta(ed within 180 days of issuance or if rvork is suspended for I8o daYs' ,,, .. 2- CONTRACTOR INSTALLATION ONLY erv'ising Electrician $ s0.00 1 :: D. Branch Circuits O33 f or Feeder Permit E. I\liscellaneous (Ser-vicc/l'eeder -Each instatlation Punrp or irrigation Sign/Outline Lighting Linrited Energl',G.es Limited Energly'Comm not inclu or rent $25.00 $+5.00 Nlinimum Electric Permit Inspection Fe c is S{5.00 + Surchirrgcs.-c4. SUBTOTALOFABOVE -) 7oh State Surchtrge 8% Administrative Fee TOTAL --= J-u) (-_)2t<) y-or) Electrical Contractor Expiration Constr N urnbcr_ Expiration Olners N O.'u\ ELEu T RICAL PERMIT APPLICATION Citl'JohNu*t,.rO2 - (it/ 17-Cr' 3- CON{PLETE FEE SCIIEDULE BELOW C. Tenrporar-v-' Scr-vices or f'eeilers Installltiorr, Altcration or Rcloclttion $ 63.00 $ 75.00 $ l(,3.00 s375.00 $ s0.00 -a-.$50.00 $69.00 $100.00 c) Lrl,,lr^ \-One Circuit Nerv Alteration or Extension Per Panel $43.00 SPRIi.GF!ELD DEVELO P MENT S ERVI CES DEPARTM ENT November 30, 2001 Iaterested Agencies RE: Steet Address Changes in Ambleside Subdivision, First Addition The following addresses have been changed in Ambleside Subdivision, First Addition Lot Number Current Address New Address 225 FIFTH STREET SPRINGFIELD, OB 97477 (541) 726-3753 FAX (541) 726-3689 163 162 l6l 120 119 118 The following agencies are being notified of these changes: Springfield Police Department Springfi eld Fire Departnent U.S. Post Oflice U.S. West Communications Northwest Natural Gas TCI Cable United Parcel Service 22gg 376 Steet 2297 37n Steet 2293 376 Street 2288 37ft Steet 2296 37e Steet 2298 376 Steet 3679 Osprey Drive (Lot 118 is a duplex lot and if the development takes access from Osprey Drive, the address will remain the same as originally assigned fromOsprey) Springfi eld Utility Board I:ne Council of Govemments 911 Dispatcb, Public SafetY Lane County Elections Departnnent Sanipac Rainbow Water District Springfi eld NewslRegister Guard 2295 376 Street 2293 37e Steet 2287 37ft Steet 2284 376 Street 2288 37e Steet 2294376 Steet 3679 Osprey Drive This change is effective irnrrediately. If you have any questions, please feel free to phone me at726'3790. Sincerely, Lisa Hopper Building Safety Supervisor N 2 of 5 LOTS 64-10,r AND 15O-1.3E 3 of 5 LOTS 121-129 Al.lO l.t9-t6o ,t of 5 LOTS El-85, lO5-l2O Al{D l6l-172 5 of 5 SUFUEYOR'S CERnRCAIE. DECTARANO}I, ACKNOil.EDGEMENT AllD APPRO/AI-S . /r116-4' 'JoxN P. TAccHrNt. Pts 22o7 2C00e0$6E nPR SUID I -t.oe-31.60. 11.eo. FOUND RAILROAD RAIL W/PUNCH MARK PER C.S. 25766 Ar.rO J4923 s 87.58.t I 'E 595.0t(s, s7.ss'l | "E s9s.0r ) s 87.58,r t"E(s 87.58.tt"E JJJ.67',) IRON ROD PER c.s. -rffi FOUNO 5,/8" IRON ROO PER C.S. 25766 ANo J/r92 s 77"r9'25'W 5.02', 77.19'zJ"w) (s.02') FOUND J/4. |RON P|PE PER C.S. 682J. 25766 AND J4923 E:59:CE flt llllll2MI Cn${lEn 05 (s 8J.rJ'4r'.w) (80.05') SECTION I9, F SECTION 30, TE MERIDIAN IREGON 1 00' PARruENT i9'57"W 93.61 i9'J7"W 93.61 19 i9'J7',W 25.00. t9'17"w 25.00,'r---....- 9'57"W 25.00.*_ ,9'17"W 25.Oo'l 4'54"W 99.67' ,t'54"W )'40"w 21 21 .00' 60.oo'6o.0o.l 'J3"W.'3J"W i'27"E 11)'?7"E 1l '5J'W "55"W 27, 27 4'J 1'3- s 87'58',r1"E [s E7.sB'r t,'E N O2.O1',49"E gJ.OO' lN o2.or'+9"E eJ.oo'l \ \ iEGOROED 1,11.06', 19.3,+' t 9.J,r'l BK 355' s E7'5E'r rE [s 87"58'l r"E\ ontri.fsl,Jl20lQ_ GOUNTYCLERX.-*3)-wab '3;S;3"J"" N J7.34',2A'E ["t N 87.27.46nE 167 [N 87'27'l+6"E 187 .45' 9 12 il lo PRNAIE 5'4l'ifl (s 83"1 3'41"w BASIS OF BEARINGS "o. uoa-uoz'NOT [N IJl+15t6 oodd@@@ro alNF. NN oo AU' lt0'40'lv r'20"E '20"E 6t 61, 45'45"W 59.82'4s'4s.w sg.azTiS 24 sos.52') c.s. 54925PER ITIAL FOUND J/4" IRON PIPE PER C.S. 1J777 AND J4925 NOTE: IHIS SUBOMSION IS SU0JECT TO CO/ENANTS. CONOMONS A|,rD RESIRTCTTONS, AS RECORDEO rN 2499-R,/98t05699 A}{D AS AMENDED lN 2 aooaag-rzE ufut couurv oeeo AI'ID MORTCVqGE RECOROS. s 87.58'26 87.5E.1(s r"E 261 .3+) 17t 170 ar>q 172 t5B t69 X.aa,'::,116E rlbz r67 *aD rr'izt@ $'o'I '''ttE 9 1 *t2 117 oo.00' 89 60.51' 87 108 t\ $ \h-- Fdsh\ 55./+7' 86 55.47' 85 107I$n af41 il5 0.N N 1 t60 $ 99 5,T923 t01 105 c.s.25766 & r0t 159$129 137N7r .J3',39"E t36 t50151152 't 58 $. Nt59 t57$ OSPREY EEI&Fb trtrno A I IIrrEI;EI EI Urt Fi Ge; i I I I ! FAI.CON DNIVB ----r'--a-------a---' a-_4_-6_ N 47.r+'5J"Ea--'-- 1s2 I $,u.N 149 ?rn4177 117 AMBLESIDE MEADOI.IS SUBDIVISION FIRST ADDITION 0wl ,a ltagwooJcogsl l8 S 121 127 r35 'r 55 t,a5 111 I /15