The URL can be used to link to this page

Home My WebLink AboutPermit Building 2000-03-27Job# 99-01712-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 TRANSS:01-0001049 DATE:}{AR 27 2000 AHT REID:Z $ 387.?8 CHANGE: CASHIER:059 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2353 00035th St Spr AssessorsMap#: 17021943 Lot:3 Block: Addition: Job Number: 99-01712-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 00300 Subdivision : Ambleside ctrY oF SPRfiNGFfiELq OREGON Owner: Ginger Connole Address: 3418 Centennial Blvd #173 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-344-5874 Eugene, OR 97401 Value: $157,248 Gontractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor 4680 Main St, Springfield, OR 97478-6054 McMichael Plumbing x,x,X Expiration Date 2t26t01 OU Utiltt 3e\tor Phone 541 -579-8408 541-746-7677 3RNC 1 (VN) Wood Frame Gas Zoni 'rnbef rd9J.' bY 1 rhe -00 Dwelling Heat Source: Forced Air Gas Sq. Footage: 2100 6t To request an inspection call the 24 hour recording a1726-3769. All inspections 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 working day. Required lnspections Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling !nsulation -To be r"de"ft"#ting forms. - lnstall ground rod at footing, and call for 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. DNY Conditi., Onin 55682 the rnO I icr{v I \Jd\ttY 1 Range: Page2 of 4 Required lnspections -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 Electrica! -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electricalwork is complete. Plumbing I -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 gravel and filter cloth is installed, but prior to backfill. -After device is installed but before backfilling trench. -When all plumbing work is complete. Mechanical - 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 ereceted but prior to placement of concrete Job# 99-01712-01 Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Backflow Device FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut Sidewalk Erosion/Grading lnspection Zoning: LDR FloodPlain? ! Wetlands? [ Journal numbers 1: 1999-12-0300 2: Comments: Planner: AlWard Urban Growth Boundary?[ Quantity Of Fill: 500 Supplier: Drainage: Floodway FEMA: Overlay District: # of Street Trees:4 3 Additional Requirements : Required Attachments: Source Locn: Material: Land Use: Single Family Dwelling Pave Driveway? Glenwood Area? Flood Plain FEMA: LDAP/Grading I Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? r Area (Sq. Feet) Main:2100 Accessory600 Job# 99-01712-01 Store # Of Stories: 2 Height (feet): 21 Current Units: Proposed Units:1 Census Code: New SF - detached Total2700 Page 3 of 4 Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Gheck 1212311999 36516 157,248 $366.28 $366.28 Building Permit State Surcharge For Building Permit Building Administrative Fee Tota! Building Building 01t21t2000 0112112000 01t2112000 333 333 333 157,248 $563.50 $39.4s $16.91 $619.86 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Ad m inlstrative Fee Total Electrical Electrical 01t21t2000 01t21t2000 01t2112000 01t21t2000 333 333 333 333 1 4 $85.00 $60.00 $10.15 $4.35 $1s9.50 Plumbing Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures Two Bathrooms State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Backflow Prevention Device Plumbing Administrative Fee Plumbing Administrative Fee Total Plumbing 01t2112000 03t27t2000 03t27t2000 01t21t2000 0112112000 03t27t2000 01t21t2000 0112112000 0312712000 333 1 049 1 049 333 333 1 049 333 333 1 049 3 2 $.00 $.oo $30.00 $320.00 $23.1 0 $2.1 0 $10.00 $9.90 $.e0 $396.00 1 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 0112112000 01t21t2000 01121t2000 01t21t2000 01t21t2000 0112112000 01t21t2000 01121t2000 0112112000 01t21t2000 333 333 333 333 333 333 333 333 333 333 1 1 $4.s0 $2.00 $.00 $.87 $6.00 $e.00 $4.50 $3.00 $10.00 $2.03 $41.90 1 3 1 1 New Sidewalk New Curbcut Total Public Works Public Works 0112112000 0112112000 333 125 $62.1 0 $60.00 $122.10 333 1 Fee Job# 99-01712-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount System Development Residential - Single Family - Storm Sanitary Sewer Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development 01t2112000 01t21t2000 0312712000 01t21t2000 01t21t2000 01t2112000 01t21t2000 01t2112000 03t27t2000 01t2112000 333 333 1 049 333 333 333 333 333 1 049 333 3,726 20 7 1 1 1 1 38 $864.43 $965.40 $337.89 $491.60 $242.76 $22.05 $10.00 $129.08 $16.89 $-14.63 $3,065.47 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 01t2112000 333 1 $1,000.00 $1,000.00 LDAP/Grad Prmt: 100 cubic yards or les Tota! LDAP/Grading LDAP/Grading 01t2112000 333 1 $30.00 $30.00 Grand Total Plan Check Type Planning-Res $5,801.11 Checked By AlWard Date Completed 01t21t2000 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 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 alltimes during construction. S re Date 4A -, [av City Of Springfield Development Seryices Community Services Division Building Safety Job# 99-01712-01 Page 1 of4 Location Of Proposed Site: 2353 00035th St Spr AssessorsMap#: 17021943 Lot:3 Btock: Addition: Tax Lot #: 00300 Subdivision : Ambleside Owner: Ginger Connole Address: 3418 Centennial Blvd #173 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-344-5874 Eugene, OR 97401 Value: $157,248 Contractor Type GeneralContr Electrical Contr Mechanical Contr Plumbing Contr Contractor Registration # Scott Carlson 1230 East 19th Avenue, Eugene, OR 97403 L & E Electric lnc 105475 85014 Spencer Hollow Rd, Eugene, OR 97405 Harvey & Son Heating & Air Conditi", Onin 55682 4680 Main St, Springfield, OR 97478-6054 McMichael Plumbing x,x,X Expiration Date 03/30/2000 02t26t2001 Phone 541 -579-8408 54't-933-2653 541-746-7677 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 12t23t1999 36516 157,248 $366.28 $366.28 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buitding 01t21t2000 01t21t2000 01t21t2000 333 333 333 157,248 $563.50 $39.45 $16.91 $619.86 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrica! 01t2112000 01t21t2000 01t21t2000 01t21t2000 333 333 333 333 1 4 $85.00 $60.00 $1 0.1 5 $4.35 $1s9.s0 Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures Two Bathrooms State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Backflow Prevention Device Plumbing Administrative Fee Plumbi 01t21t2000 03t27t2000 03t27t2000 01t21t2000 01t21t2000 03t27t2000 01t21t2000 01t21t2000 3 2 $.00 $00 $30.00 $320.00 $23.1 0 $2.1 0 $10.00 $9.90 1 333 1 049 1 049 333 333 1 049 333 333 City Of Springfield Development Services Community Services Division Building Safety Job# 99-01712-01 Page 2 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plumb Plumbing Administrative Fee Total Plumbing 03t27t2000 1049 $.e0 $396.00 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 01t21t2000 01121t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01121t2000 333 333 333 333 333 333 333 333 333 333 1 1 $4.50 $2.00 $.00 $.87 $6.00 $e 00 $4.50 $3.00 $10.00 $2.03 $41.90 1 3 1 1 Public Works New Sidewalk New Curbcut Total Public Works 01t21t2000 01t21t2000 333 333 125 1 $62.1 0 $60.00 $122.'t0 Residential- Single Family - Storm Sanitary Sewer Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 01t21t2000 01t21t2000 03t27t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 03t27t2000 01121t2000 333 333 1 049 333 333 333 333 333 1 049 333 3,726 20 7 1 1 1 1 38 $864 43 $965.40 $337.89 $491.60 $242.76 $22.05 $10.00 $129.08 $16.89 $-14.63 $3,065.47 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 1 $1,000 00 $1,000.00 LDAP/Grad Prmt: 100 cubic yards or le Total LDAP/Grading LDAP/Grading 01t21t2000 333 1 $30.00 $30.00 Grand Total Required lnspections Scheduled Date !nspection lnspector Date Result Comments 0113112000 0113112000 Tom Max $5,801.11 Ceiling !nsulation Site Pending OK site by psi722-00028-1 01t21t2000 333 t Bnildins --- ] City C,f Springfield Development Services Community Services Division Building Safety Job# 99-01712-01 Page 3 of 4 Required lnspections Scheduled Date lnspection lnspector Date Result Comments Buildinq Framing Framing Framing Framing Walllnsulation Drywall Drywal! FinalBuilding Final Building FinalBuilding Rough Electrical Temporary Power Electrical Service Final Electrical Rough Electrical Storm Sewer Line Perimeter Foundation Drains Water Line Sanitary Sewer Line Rough Plumbing Storm Sewer Line Underfloor Plumbing Underfloor Drain Storm Sewer Line Tom Marx Tom Marx Tom Marx Tom Marx Tom Marx Tom Marx Bob Barnhart Bob Barnhart Tom Max Tom Max Tom Marx Dave Gadomski Dave Gadomski Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham Steve Graham OK OK OK OK OK PartialOK ext. nailing only Not OK c/n Not OK cln Not OK c/n 01t31t2000 01t31t2000 01t3112000 02t08t2000 02t15t2000 03t27t2000 01t31t2000 01t31t2000 01t31t2000 02t08t2000 02t15t2000 03t27t2000 0410512000 0410512000 Tom Marx 0410512000 0410512000 Tom Marx 0410512000 0410512000 Tom Marx 04t17t2000 o4t17t2000 04t20t2000 04t21t2000 06t22t2000 04t17t2000 04t17t2000 04t20t2000 04t21t2000 06t22t2000 OK 06t20t2000 06t22t2000 06t20t2000 06t22t2000 06t23t2000 06t23t2000 07t07t2000 Tom Marx Electrical 0112412000 0112412000 Dave Gadomski 0411212000 0411212000 Dave Gadomski OK OK OK Not OK c/n Temporary Occu pancy Approval Pending Pending OK sub-called OK sub-called I nspection Request Cancelled Not OK c/n Vo ok Partial lnspection A/H Covered Without I nspection Connection to storm sewer OK OK OK OK OK Connection to Storm main in two places OK OK OK Plumbing 0210412000 Steve Graham 0210412000 Steve Graham 02t08t2000 06t20t2000 06t20t2000 02t11t2000 02t11t2000 04t05t2000 06t29t2000 0210812000 02t04t2000 02t04t2000 Verify Ground Rod Footing Foundation Post and Beam Floor !nsulation Shear Wall Nailing City Of Springfield Development Services Community Services Division Building Safety Job# 99-01712-01 \!:Page 4 of 4 Required !nspections Scheduled Date lnspection lnspector Date Result Comments Backflow Device FinalPlumbing FinalPlumbing Final Gas Underfloor Mechanical Rough Gas Rough Mechanical Rough Mechanical Gas Service Final Mechanical Final Mechanical Gurbcut Curbcut Gurbcut Curbcut Sidewalk Sidewalk Erosion/Grading lnspection Public Works 0612012000 0612012000 Ron Sather 04t17t2000 04t26t2000 0411712000 04t26t2000 06t20t2000 06t20t2000 06t20t2000 02t08t2000 02t08t2000 04t05t2000 06t20t2000 06t2012000 06120t2000 02t08t2000 02t08t2000 0410512000 Steve Graham Dave Gadomski Steve Graham Tom Marx Tom Marx Tom Marx Bob Barnhart Dave Gadomski Dave Gadomski Dave Gadomski Ron Sather Ron Sather Ron Sather Ron Sather Mechanical OK lnspection Request Cancelled OK Pending OK OK Not OK cln OK OK called into gail @10:15 30# lnspection Request Cancelled OK Pending Not OK depth crushed rock ADA OK OK OK OK Pending 06t20t2000 06t22t2000 06t22t2000 06t22t2000 06t22t2000 06t22t2000 06t2012000 06t22t2000 06t22t2000 06t22t2000 06t22t2000 06t22t2000 LDAP/Gra PIan Check Type Planning-Res Checked By AlWard Date Completed 01t21t2000 End Of Report Tro,t a. ) f,on e"l '#rf"'?" ,J toOO SPR!NCFIEI.D 15o4+,o ob,C6olula slctAuts 1ru1fJcc'ttAt0 o'Eti9NtUdi t0 Al trt66-9CI0-t.r0 /ij.JO trscd(:C roJ uo3lH0 lc ),tif 81!,.r,j0l.||N S.nqlirrJ[. p.:.i;!juuCg Itr.j:.1::,Ci/iUJRESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2353 00035th St Spr AssessolsMap#: 17021943 Lot:3 Block: Addition: Job Number: 99-01712-01 Office:726-3759 lnspection Line: 726-3769 TarLot#: 00300 Subdivision : Ambleside clTY oF SPRiNGFTELD, OREGON Owner: Ginger Connole Address: 3418 Centennial Blvd #173 Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-344-5874 Eugene, OR 97401 Value: $157,248 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Registration # Scott Carlson 1230 East 19th Avenue, Eugene, OR 97403 L&E X,X,X Harvey & Son Heating & Air Conditi*, Onin 55682 4680 Main St, Springfield, OR 97478-6054 McMichael Plumbing x,x,X Expiration Date 2t26t2001 Phone 54'l-579-8408 541-746-7677 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: Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 2100 To request an inspection call the 24 hour recording a1726-3769. All inspections 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 working day. Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Required lnspections Building -To be made after excavation but prior to setting forms. -lnstall ground rod at footing, and call for 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. Job# 99-01712-01 Framing Wall lnsulation Drywall FinalBuilding Temporary Power Rough Electrical Electrical Service Final Electrica! Underfloor Plumbing Underfloor Drain Rough Plumbing \lUater Line Sanitary Sewer Line Storm Sewer Line Backflow Device FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut Sidewalk Job# 99-01712-01 Page 2 of 4 Required lnspections Building -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbing -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 -\Iy'hen 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. -\&hen all mechanicalwork is complete. @ -After forms are ereceted but prior to placement of concrete. -After excavation is complete, forms and sub base material is in place. LDAP/Grading Erosion/Grading lnspection Zoning: LDR FloodPlain? ! Wetlands? [ Journal numbers 1: 1999-12-0300 2= Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: 500 Supplier: Drainage: Floodway FEMA: Overlay District: # of Street Trees:4 3 Additional Requirements: f Glenwood Area? l l Required Attachments: Source Locn: Material: Land Use: Single Family Dwelling Pave Driveway? Y) Flood Plain FEMA: Page 3 of 4 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? l](sq Main: 2100 Accessory600 Accessory Structure # Of Stories: 2 Height (feet): 21 Current Units: Proposed Units:1 Census Gode: New SF - detached Total2700 Fee Paid On Receipt# Value/Quantity Fee Amount Residential Plan Check Total Plan Check 12t23t1999 36516 157,248 $366.28 $366.28 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 01t21t2000 01121t2000 01t21t2000 333 333 333 157,248 $s63.50 $39.45 $16.91 $619.86 Wiring Footage 1,000 Sq Ft or Less \A/iring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 01t21t2000 01t21t2000 01t21t2000 01t21t2000 333 333 333 333 1 4 $85.00 $60.00 $1 0.1 5 $4.35 $159.50 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Backfl ow Prevention Device Plumbing Administrative Fee Total Plumbing Plumbing 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 333 333 333 333 333 2 1 $.00 $320.00 $23.1 0 $10 00 $9 90 $363.00 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Ad ministrative Fee Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t2112000 01t21t2000 01t21t2000 01121t2000 01t21t2000 333 333 333 333 333 333 333 333 333 333 1 1 $4.50 $2.00 $.00 $.87 $6.00 $9.00 $4.50 $3.00 $10.00 $2.03 $41.90 1 3 1 1 New Sidewalk New Curbcut Total Public Works Public Works 01t21t2000 01t21t2000 333 333 125 $62.10 $60.00 $122.10 1 Residential- Single Family - Storm Sanitary Sewer Residential Transportation System Development 01t2112000 01t21t2000 01t2112000 333 333 $864.43 $965.40 $491.60333 3,726 20 1 Job# 99-01712-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Residential Sanitary M!rylUC Residential Improvement M\ /MC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 01t21t2000 01t21t2000 01t21t2000 01t21t2000 01t21t2000 333 333 333 333 333 1 1 1 $242.76 $22.05 $10.00 $129.08 $-14.63 $2,710.69 38 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 01t21t2000 333 $1,000.00 $1,000.00 LDAP/Grad Prmt: 100 cubic yards or le Total LDAP/Grading LDAP/Grading 01t21t2000 333 1 $30.00 $30.00 Grand Total Plan Check Type Planning-Res ature Checked By AlWard Date Gompleted 01t21t2000 $5,413.33 c/..-.1 , /a Job# 99-01712-01 1 Willamalane Park & Recreation District Pc*s ,J. SYSTEM DEVELOPMENT CHARGE wonKsneEr Job. No.r1 PHONE:5 B1 ..1NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Sqtg GrftU,.n B\o[,e\ srereQL zp:e lro Street Address:&as3 35+a -\A Plat Name: 1 2. SDC CREDIT (tt appncaute) SDC+ayer must furnish proof of Willamalane Credit approval. See SOC Credit Worlcsheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduoed (orCredit) 3 Tax Lot Number: C5()SCD X $1,000 per unit = g \ CYCO I ype detinitions arc on the (Gheck appropriate dwelting(s). SDC calctrlations and dwelling t back) A Single-Family Detached \^ Single Famity home NO. OF UNITS ( Manufac,tured home not in a park B. Single-Family Attached NO. OF UNITS X $924 per unit $ C. Multi-Familv Aoartment - NO. OF UNITS X $692 per unlt D. Manufactured Home Paft NO. OF UNiTS X $699 per unit WILLAMALANE SDC $ $ $ $ $ \TBD.Flo p me nt Se ruice s D epartme nt City of Springfield 6#24 Ez D. JOURNAL OI ATTACHMENT A )BNO. qq l7 t7- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: LOCATION:H DEVELOPMENT TYPE. .1 F TZ* BUILDING SZE T SIZE sQ. Ft. 1. STORM DRAINAGE 'rl z-,o4 217.),e) 48e, IMPERVIOUS SQ. FT x$0.232 PER SQ. FT s ga+,1< 2. SANITARY SEWER-CITY NO. OF PFU'S 2r> x$48.27 PER PFU $ nr {. fc> (See Reverse Side) 3. TRANSPORTATION NO OF I-INITS X TRIP RATE X COST PER PM PEAK HOUR TRIP F.'r'z6-t l?ztoy +3bf 6 3o'f {L 2* Y z-tD/u) 1.-7 z-4- I X ttol X $486.73 PER TRIP $ 4il.ed $ s 242,'76 S zz,ar <$ - l4 S tz?,ot X $486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S I YZ(3,%_PER FEU B.IMPROVEMENT COST: NO. OF FEU'S I X 2? ,o{ PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE 5. ADMIMSTRATIVE FEES: BASE CHARGE (STJBTOTAL ABOVE) X .0s SDC Coordinator ATTACH'A.WPD $1 TOTAL-MWMC SDC S z-ao . 16 SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ z,sat .d( X Date:_ TOTAL SDC $ -, 7 a7 FIXTURE UNIT CALCULATION TABLEI Number of New Fixtures X Unit Equivalent : Fixrure units(NOTE: For remodels, calculate only the I ^ additional fixfures) FIXTURE TYPE NUMBER OF NEW FIXTURES - UNIT EQUIVALENT FIXTURE UNITS Barhtub.4 Drinking Fountain.. 2 I 2 3 6 2 6 6 I J 2 Floor Drain.. Interceptors For Grease/OiUSolids/Etc. Interceptors For Sand/Auto Wasb/Etc.. laundry Tub/Clotheswasher/\4op Sink. Clotheswasher - 3 Or More............ Mobile Home Park Trap (1 Per Trailer). Receptor For RefrigeratorMater Station/Etc........... Receptor For Commercial Sink/Dishwasher/Etc...... Shower, Single Stall... Shower, Gang. Sink: Bar, Commercial, Residential Kitchen............ Urinal, Stall/WaIl..... Wash Basin/Lavatory, Single... Toilet, Public Installation............. Toilet , Private.. Miscellaneous: lAlead z I I 2 2 I 6 4 TOTAL FIXTURE TINITS 2-c) CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits Credit for Parcel or t^and Only If Applicable o,3q X $ -rz,re-..>- t+,G7 (Rate X Assessed Value) Improvement (if after annexation date)x $_ (Rate X Assessed Value) CREDIT TOTAL - $-t4 .G3 ,Par d Lrl Year Amexed Rate per $ 1,000 Assessed Value Year ArLnexed Rate per $ 1,000 Assessed Value 1979 or before 1980 198 I 1982 I 983 1984 I 98s 1986 1981 1988 $4.41 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1989 1990 l99l t992 r 993 t994 1995 1996 2.18 r.75 1.35 l.l1 1.03 0.86 0.71 0.57 I 998 0.r8 RUNOFF COEFFICIENTS FOR STORI\{ DRAINAGE (For Estimating Purposes Onll') Residential... Commerical.. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT -2- L C'TY OFSPR s IGFIELt, h,DATE:JAN 21 ?OOO REID:Z $ 504?.05 EHANEE:- IRSHiER:05? The r: "' ZAt ,.rs, api' ''"' -1'r'rr'l 225 FIFTE STREET SPRINGFIELD, OREGON 97 47i,, PERHIT APPLICATION Ci Job Nurnbet V, ^2/2/ 2 e/ COMPIJTE FBE SCEEDTIIJ BELOV ,: a "lnitlcd has the -. i,ru.rE specilic land Uge (,* t- INSPECf,ION REQIIESTz 726e7V69.- -.$,. , . OFPICE: 726-3759 1. LOCATION OF I,EGAL DESCRIPTION DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,l Erectricar con tracbr( €[ E leckl(-h( Address Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost ON a A. Sum B D 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling SerVice or Feeder Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201. amps to 400 amPs _401 amps to 600 amPs _ 601 amps to 1000 amps- Over 1000 amps/voIts - Reconnect 0n1Y | $ 8s.oo lz€ -/- g 1s.oo @ $ 40.00 $ s0.00 s 60.00 sr.00.00 s130.00 s300.00s 40.00 Expiration Date Constr Contr. ltumber t O5Ql5 Temporary Services or Feeders Insta1lation, Alteration or RelocationC. Expiration Date (?200 amps''or 201 amps to 0ver 401 to Over 600 amp Ci ty Supervi.sor License Number utt't q-5 Signature of Supervising Electrician 0wners Name Address tt j, "c.- Pnon" GBL{ - 1L{8t[ Iess $ 40.00 600 amps $ 80.00 s or lbo0ETEs see 'rB" a566 ciry 19, 1r--n " Phone 2 ,/t/-4rV OIIIER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature: DATE Branch Circui ts ; .- Nev, Alteration or Bxtension Per Panel one tcircuit $ 35'oo u."nt eaaliionar . .Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _ Sign/Ou tline Lighting- Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3% Admini.strative Fee TOTAL E 5 s $ $ s f 00 00 00 00 40 40 20 36 RECEIVED l This permit is required for any site actlvity in the flood plain and everywhere site alteration consists of fifty (50) cubic yards of material or more and/or if a drainageway is affected, within City limits and Side To Be Filled Out by Applicant City of Springfield I L Property Owner Date of Appl ication /7-02-/3 .l-,.-^TL- l-)-1.Springfield, Oregon Address : Phone: 14/, ' 76Of S1e Address: l'ot Journal numbor appllcablt Land Usc Appllcatlon l1-oz- t9-+3 Tax Lot:3ntr uGB Tax Map No: Source Locati EI a sup Supplier GRADING, Oua EXCAVATION, Ouantity Materlal tr FILL, ouantity { B',T,LH, gi,z'{tl,!:":'i$!ilI'L?',fi,?1i"l8li Et8,,:lJj'3sid,'m,"1'c*:ni'g'd,:,[."f,""0w6 Hl*b1[f]i]:[":J,fs1sff?#yf""i#ll%T:J"inlto,l'sl'3fl"?,G.i,?'Yt3:il3'd.s"".I'lJ8'i; r,"o tr tr tr tr tr DRAINAGE, POLLUTION AND EROSION CONTROL SO]LS & GEOLOGY PLAN, REPLANTING PLAN COMPANY NAME: , PROJECT SUPERV]SOR: PHONE CITY PHONE STATECITY PROJ ADDRESS ADDRESS PANY NAME: ECT SUPERVISOR:STATE- EMERGENCY PHONE: FAxl I ?-70t 7 ,lq CITY:ADDRESS: z / ,. rrlzt, {.-r? / PHONE T 7q-J 40 l2.ro €. zte: € Z 4oi Expiration Date: 'PROJECT SUPERVISOR: CONTRACTOR NAME: MOBILE PHONE: Rdgistiatibn Number: OFFICE PHONESTATE: O I understand that l.or my aucc6a6ors may have future plans for.my property. which may be antic.ipated or qnanticipated-at . itrie-iirii'o-, i urioeistino thiiiuitr tutuiCltans may roqtire permits'ahd Uevdlopement3'pProvals from the city of Spring-field. l undcrrtand thlt notwlthtandino any approval of thls Land and Dralnagc Altuetlon Ptrmlt (LDAP), thlt at tho tims ofl"iiriiill" ot tuiuribcrmiu oi i-oprolati'th. City may revlcw rnd rccoirider ell actions whlch lor my rucc...orr h.vr If,tiiijiicn -pbffifi;i [;'iiiFloaF.-i u-n?irliino ihaiihc Cltv mav !. a condltlon of any -futurc-.approvbl, rcqPlre the . - . -uiiOoing,ih[ng]ne, 6i moOification of any actions which I hive uhdertaken a6 a result of thc City'r approval of this LDAP, Bv alonature, I state and aqree, that I hate carefully examined the completed application and do hereby c€rtify that all lnlorfiation hereln le truo and correct, and I further cortify that any and all work performed shall be done in accordanc€ rjriitti ttre drdinancee of th6 City of Sdringfield, applicable'City Standard specificatione and Drawings, and the laws of the Stite oi Oregon pertaining to the wdrk d-escribed'herein. I fuither certify thst only contractors and employees who are in compliance with ORS 701 .055 will be used on this project. Th€ Ciw mav inspect the work 8it6 describod in this permit at any time during a one year period following the receipt by the City of nbtlci of completion of the described woik and specify, ltthe City's sole desecratiol,.any additional rostoration work r6ouired to return tlie site to a standard acceptable to ihe City. The permittee will be notified in writing of any work rcouircd'and wllt havc thirtv (3O) dayr from th. drt. of thc notlc. io complctc thr work. Work not aomplctcd rt thr .nd of thi thirty days will be perfdrmed by the CW and the costs will be billed to the permittee. 0il,lto-lz-\tu) all required inspections s6t of plans will remain requested tho site at fromatarothat allon Signature /ut/.: /a-B-q? FII M, IIJo- Zo IIF M, tIJ E IIJ U Z EI M,o oZ cZ s Nla_nq G. TIJz =o [!F (t) zotr E I,IJ 5 oz 5 aFz lU =Io t- o u.l E,5alrl CE (t,Fz 5fazoo 0coFo (f, F-zo() U)z 5(L ut ccf,Fl,l! trJ cc:l kz.g U' Wur,-rd.#'qq11$l /3 Permit Expiration Date: Cityqpc+_State: aflip_ Destination z blnk-ba us tv Proiect Suoervisor that Date trwB tr DRAINAGE, E Storm, E Ditch, O Culvert,0 Natural /037<//ry Date x FLOODWAY, FEMA Community Panet No.: FEMA Community Panel No.: WETLANDS, Descriptio FLOOD PLAIN, Zone: s20.00 $30.00 940.00 $40.00 For the first 10,000 cubic yards, plus $20.00 for each additional 1 0,000 cubic yards or fraction thereof. $220.00 For the first 1O0,0Ol cubic yards, ptus $20.00 for each additional 10,000 cubic yards or fraction thereof. 9340 For the first 200,001 cubic yards, plus $6.00 for each additional 1 0,000 cubic yards or fraction th6r6of. $30.00 $3O.OO For the first 1 0O cubic yards, plus $14.00 f6r each additional 100 cubic yards or fraction thereof. $156.00 For the first 1.000 cubic yards, plus $ 1 2.00 for each additional 1 .0OO cubic yards or fraction thereof. $264.00 For the first 10,000 cubic yards, ptus $54.00 for each additional 1 0,000 cubic yards or fraction thereof $750.00 For the first 100.001 cubic yards, plus $30.00 for each additional 1 0,000 cubic yards or fraction thereof "\ r'a*J r ww l"0ojb * 2 t3 3 7 o"r", I Plan Check Fee fro 100,001 To 200,000 2OO.OO1 CUBIC YARDS OR MORE 100,001 To 200,ooo Estimated Volume: Received By: Receipt No Date: pt No: Date: PLAN CHECK FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 cuBtc YARDS 10.000 To 100,000 cuBlc YARDS GRADING PERMIT FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 CUBTC YARDS 't0,000 To 100,000 cu8tc YARDS Grading Permit fe Received by: + 5b +7b c ?)e,*tsefc A,r,l<5, -/\ A-rt-)1--r !l4ta0 lvllc" SlaE- - J>lSCo.L ^ c A!-L 'tD hJS. R Ad m.6\raD a.Et'€, i3€ Plann tr tr /2bo/h? d, W't Maintenance Building: Engineering =1Ft?Date Date Date Planning: Engineering: Building: Maintenance: Date Permit Number lssued by:Date: Date Date: Reqrrired Final lnspeetions_. Date F -r M IJJo- Zo EIF rvlr-t IIJFJ IJJ U Z II rvE-c oZ nZ 5 Land and Drainage activity.as outlined in this permit has been completed in accordance withthe provisions olthis perririt. H$$fgdrpj$llt&.r%gtlYllJf;,,gttJlned ln thls permlt has not been comploted ln accordance tr Land and Drainage activity was performed prior to application for this permit. Accepted by: Date: D tr is Side To Be Filled Out By City Staff ]U(, z CEo TU lJJl! ozotrozoo o UJ =IU tr, TE IUoz t--(L ru()o 1/6/1998 oate: t /at r/ zoeto q az.o C) IU(Lo z_